Wuhan to Test All 11 Million Residents After Handful of New Infections

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(BANGKOK) — Authorities in the Chinese city where the coronavirus pandemic began were moving forward Wednesday with efforts to test all 11 million residents for the virus within 10 days after a handful of fresh infections were found there.

The U.S. government’s top infectious disease expert, meanwhile, issued a blunt warning that cities and states could see more COVID-19 deaths and economic damage if they lift stay-at-home orders too quickly — a sharp contrast to President Donald Trump, who is pushing to right a free-falling economy.

“There is a real risk that you will trigger an outbreak that you may not be able to control,” Dr. Anthony Fauci warned a Senate committee and the nation Tuesday as more than two dozen states have begun to lift their lockdowns.

The tension in balancing people’s safety from the virus against the severe economic fallout is playing out in many other countries, too. Italy partially lifted lockdown restrictions last week only to see a big jump in confirmed coronavirus cases in its hardest-hit region. Pakistan reported 2,000 new infections in a single day for the first time after the easing of its lockdown saw crowds of people crammed into markets throughout the country.

China, the first nation to put a large number of its citizens under lockdown and the first to ease those restrictions, has been strictly guarding against any resurgence.

District health commissions and neighborhood committees in the city of Wuhan have been told to develop a plan to test all residents in their jurisdictions, local media reports said. The directive also said the testing should focus on the elderly, densely populated areas and places with mobile populations.

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A person who answered the mayor’s hotline in Wuhan on Wednesday said local districts had been given 10 days to carry out the tests. The official declined to give his name because she was not authorized to speak to reporters.

The first cases of the new coronavirus were found in Wuhan in December, and by the end of January the government had placed the entire city and the surrounding region, home to more than 50 million people, under a strict lockdown.

A cluster of six new cases was recently found in one part of the city, the first local infections the government has reported in Wuhan since before the lockdown was eased in early April.

It wasn’t clear how many people would actually still need to be tested, as one expert at Wuhan University told the Global Times newspaper that up to 5 million residents of Wuhan have already been tested since the outbreak began.

Worldwide, the virus has infected more than 4.2 million people and killed over 291,000 — with more than 82,000 deaths in the U.S. alone, the world’s highest toll. Experts say the actual numbers are likely far higher.

Progress was being made in many places, including New Zealand, which reported no new cases on Wednesday. It was the second day in a row without any and the fourth such day since early last week.

Director-General of Health Ashley Bloomfield said it was encouraging news as New Zealand prepares to ease many of its lockdown restrictions on Thursday. Most businesses, including malls, retail stores and sit-down restaurants, will be able to reopen. Social distancing rules will remain in place and gatherings will be limited to 10 people.

“The sense of anticipation is both palpable and understandable,” Bloomfield said.

Authorities in South Korea said Wednesday that they had no immediate plans to revive strict social distancing rules despite a spike in cases linked to nightclubs in Seoul.

In his Senate testimony, Dr. Fauci said more infections and deaths are inevitable as people again start gathering, but how prepared communities are to stamp out those sparks will determine how bad the rebound is.

“There is no doubt, even under the best of circumstances, when you pull back on mitigation you will see some cases appear,” Fauci said.

Move too quickly and “the consequences could be really serious,” he added. It not only would cause “some suffering and death that could be avoided, but could even set you back on the road to try to get economic recovery.”

With more than 30 million people unemployed in the U.S., Trump has been pressuring states to reopen.

A recent Associated Press review determined that 17 states did not meet a key White House benchmark for loosening restrictions — a 14-day downward trajectory in new cases or positive test rates. Yet many of those states have begun to reopen or are about to do so, including Alabama, Kentucky, Maine, Mississippi, Missouri, Nebraska, Ohio, Oklahoma, Tennessee and Utah.

Of the 33 states that have had a 14-day downward trajectory, 25 are partially opened or moving to reopen within days, the AP analysis found. Other states that have not seen a 14-day decline remain closed despite meeting some benchmarks.

Fauci expressed optimism that eventually vaccines will arrive, along with treatments in addition to the one drug that so far has shown a modest effect in fighting COVID–19. But it would be “a bridge too far” to expect them in time for fall, when schools hope to reopen, he said.

Although Trump declared this week that “we have met the moment, and we have prevailed” in increasing and improving virus testing, Republican senators on the panel were noticeably less sanguine.

A lack of testing has dogged the U.S. response from the beginning, when a test developed by the Centers for Disease Control and Prevention ran into numerous problems. Sen. Mitt Romney said the U.S. may finally have outpaced testing leader South Korea but that country has far fewer deaths because it started testing early.

“I find our testing record nothing to celebrate whatsoever,” said Romney, a Republican from Utah.

Trump administration “testing czar” Adm. Brett Giroir said the U.S. could be performing at least 40 million to 50 million tests per month by September. That would work out to between 1.3 million and 1.7 million tests per day. Harvard researchers have said the U.S. must be doing 900,000 by this Friday in order to safely reopen.

Neergaard reported from Washington. Associated Press journalists around the world contributed to this report.

By CHRIS BLAKE and LAURAN NEERGAARD

Source: https://time.com

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The local government in Wuhan, central China’s Hubei Province says it plans to test its entire population for the coronavirus. The announcement comes after six new cases were reported there over the weekend. Subscribe to us on YouTube: https://goo.gl/lP12gA Download our APP on Apple Store (iOS): https://itunes.apple.com/us/app/cctvn… Download our APP on Google Play (Android): https://play.google.com/store/apps/de… Follow us on: Website: https://www.cgtn.com/ Facebook: https://www.facebook.com/ChinaGlobalT… Twitter: https://twitter.com/CGTNOfficial Instagram: https://www.instagram.com/cgtn/?hl=zh-cn Pinterest: https://www.pinterest.com/CGTNOfficial/ Weibo: http://weibo.com/cctvnewsbeijing Douyin: http://v.douyin.com/aBbmNQ/

13.9% Of New Yorkers Test Positive For Coronavirus Antibodies—Still Not Enough To Foster Herd Immunity

13.9% of people surveyed in New York tested positive for COVID-19 antibodies—a whopping 10 times higher than the state’s presumed infection rate, but still far from what would be considered herd immunity from the pandemic.

KEY FACTS

Herd immunity happens when over 60% of the population develops immunity—antibodies—to a disease, a phenomenon that usually occurs when a population is vaccinated against a virus.

In the new study cited by New York Governor Andrew Cuomo on 3,000 people across the state, 13.9% exhibited COVID-19 antibodies (21% in New York City), implying that 2.7 million people across the state had been exposed to COVID-19, according to Bloomberg, 10-times higher than the presumed infection rate.

Dr. Nate Favini, medical lead at preventative health clinic Forward, told Forbes he’s skeptical about the antibody tests, and cautions against opening up the country to reach herd immunity, saying that would require infecting four-times the amount of people who’ve had the virus—all over the country—leading to a much higher number of deaths by possibly overwhelming hospital resources.

It is unclear whether, and for how long, those with COVID-19 antibodies are immune to second-time infection, as the CDC says survivor immunity is “not yet understood.”

Further, the validity of antibody tests have been widely criticized, as many on the market are not approved by the FDA.

Favini also thinks that more information about how the study was conducted is needed to accept and understand these numbers.

Critical quote

“For people who want to argue that we should just open up the county and let everyone get coronavirus so we can get to herd immunity: You’d have to go through all the cases and all the deaths that New York has experienced—you’d have to go through four-times that, all around the country,” said Favini.

Key background

It may be that COVID-19 is much more common than we initially thought, though this is contested. On Thursday, a new model out of Northeastern University, as reported by New York Times, shows that cities with major COVID-19 outbreaks could’ve had 28,000 cases on March 1, which is contrary to the popular model that showed only 23 cases by this time in the major cities. As of April 22, it also appears that the first COVID-19 death was in California on February 6, rather than February 29 in Washington.

Further reading

Autopsies Now Say California⁠—Not Washington State⁠—Has First Known U.S. Coronavirus Deaths (Forbes)

Coronavirus Model Used By White House Predicts 10% Increase In Death Toll (Forbes)

Hidden Outbreaks Spread Through U.S. Cities Far Earlier Than Americans Knew, Estimates Say (New York Times)

1 in 5 New Yorkers May Have Had Covid-19, Antibody Tests Suggest (New York Times)

Full coverage and live updates on the Coronavirus

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I’m the Under 30 Editorial Community Lead at Forbes. Previously, I directed marketing at a mobile app startup. I’ve also worked at The New York Times and New York Observer. I attended the University of Pennsylvania where I studied English and creative writing. Follow me on Instagram and Twitter at @iamsternlicht.

Source: 13.9% Of New Yorkers Test Positive For Coronavirus Antibodies—Still Not Enough To Foster Herd Immunity

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The infection rate of the coronavirus in New York is slowing, but the state could soon see the full scope of the virus as it begins antibody testing this week. Gov. Andrew Cuomo says antibody testing will help provide the “first true snapshot” of how much of a hold COVID-19 has on the state. On Sunday, the governor toured a testing lab on Long Island, using it as a launching pad for the state’s newest drive toward understanding and defeating the coronavirus. “We’re going to sample people in this state… to find out if they have the [antibodies] that will help us for the first time, what percentage of the population actually has had the coronavirus, and is now at least short term immune to the virus,” the governor said.

Why Singapore, Once a Model for Coronavirus Response, Lost Control of Its Outbreak

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A man walks along the corridor of Tuas South dormitory in Singapore on April 19, 2020. Roslan Raman—AFP/Getty Images

Singapore was once seen as a model for how to hold back the coronavirus. But now the tiny city-state, with a population of 5.6 million, has the most reported coronavirus cases in Southeast Asia.

On Monday, officials recorded a new daily record—more than 1,400 additional cases. The number of COVID-19 cases has increased more than two and a half times in the last week, with more than 8,000 total.

Experts say the surge, which began last week, is due largely to local officials underestimating the vulnerability of the city’s migrant workers, who live in cramped dormitories with up to 20 people to a room.

Just 16 of the new cases Monday were Singapore citizens or permanent residents. About three-quarters of all cases in Singapore are linked to the workers’ dormitories, according to official figures.

In the early months of the outbreak, Singapore’s response was praised—alongside those in Hong Kong and Taiwan—as a model for how to stop slow the spread of the coronavirus. The World Health Organization (WHO) commended Singapore, citing its widespread testing and comprehensive tracing of close contacts.

Singapore had also largely managed to quell a second wave of the virus, caused by students and other residents returning home from the U.S. and Europe. Authorities have only recorded one imported case since April 9.

But Hong Kong and Taiwan now appear to have a much better handle on the outbreak. Hong Kong recorded no new cases Monday, and Taiwan recorded just two. Both also have a fraction of the confirmed infections. (1,025 in Hong Kong and 422 in Taiwan), despite having larger populations.

‘A cognitive blindspot’

An estimated 200,000 migrants workers live in 43 dormitories in Singapore, according to figures from the Ministry of Manpower. Most are from less wealthy nations like India and China, and are employed in low-wage jobs like construction, shipyard work and cleaning.

Between 12 and 20 workers typically live in one room, according to TWC2, a non-profit organization that supports migrant workers in Singapore. They share common facilities, like bathrooms and kitchens.

“The dormitories and management of the migrant workers have been a cognitive blindspot,” says Jeremy Lim, a professor and the co-director of global health at the National University of Singapore’s Saw Swee Hock School of Public Health.

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“The dorms are structurally not able to provide for the social distancing that is necessary,” Lim, who also works with a local NGO to provide medical care to migrant workers, adds.

Over the last week, authorities have worked to move workers out of their dorms and into vacant public housing blocks, military camps and other accommodations.

Even though the number of infected migrant workers has surged, community-transmitted cases among Singaporeans has been declining, a sign that tough new measures involving the closure of schools, mandatory masking and other policies implemented earlier this month could be working.

But Singapore’s hard-won early victories could easily be undone by the outbreak rampaging through the migrant worker community, Lim warns.

“We are at a critical juncture,” he says. “If we cannot contain the dormitory or the migrant worker outbreaks, it will inevitably spill back into the general population because Singapore is just so small and compact.”

By Hillary Leung  April 20, 2020 7:15 AM EDT

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Since the outbreak of Covid-19, a number of countries including Singapore have imposed increasingly stringent measures. Singapore announced that it will be further tightening its borders. All short-term visitors will no longer be allowed to enter or transit through Singapore from 11.59pm on March 23. This follows other measures including rigorous contact tracing, quarantine and home isolation orders, and stricter social distancing recommendations. In light of all these measures, how important is personal hygiene and cleanliness in dealing with Covid-19? #thebigstory #coronavirus #covid19 ——————– SUBSCRIBE ➤ http://bit.ly/FollowST ——————– WEBSITE ➤ http://www.straitstimes.com TWITTER ➤ https://www.twitter.com/STcom FACEBOOK ➤ https://www.facebook.com/TheStraitsTimes INSTAGRAM ➤ https://www.instagram.com/straits_times PODCASTS ➤ https://omny.fm/shows/st-bt/playlists The Straits Times, the English flagship daily of SPH, has been serving readers for more than a century. Launched on July 15, 1845, its comprehensive coverage of world news, East Asian news, Southeast Asian news, home news, sports news, financial news and lifestyle updates makes The Straits Times the most-read newspaper in Singapore.

Austria Set To Be Europe’s First Country To Ease Lockdown

Austria is set to be one of the first countries in Europe to ease its lockdown against the coronavirus outbreak. The conservative-led government announced plans on Monday to start reopening non-essential stores next week, after reaching a downward trend in the growth rate of new infections. The government will also extend a requirement to wear face masks in supermarkets to include public transport and stores that reopen.

Austria recorded 12,058 cases of the coronavirus and 220 deaths as of April 6, fewer than its neighbors Italy and Switzerland. More than 6,300 per one million people (55,863) in Austria’s population of nine million have been tested. The growth rate of daily new infections has already decreased by 2.8% from over 40% in mid March, health authorities said. While the number of people in hospital has stabilized, Chancellor Sebastian Kurz said during a 30 March news conference that intensive care capacity could be exceeded as early as mid-April.

Kurz presented a timetable on April 6 to restart the Austrian economy, outlining a series of phases to normalize life while minimizing the risk of a surge in new infections. “There will be a step-by-step reopening,” Kurz told a news conference. Non essential stores of less than 4306 square feet (400 square meters) and DIY shops will be opened on April 14, followed by all shops, malls and hairdressers on May 1, he said.

“At first, the public discussion seemed to be all about public health, but now it appears to be moving more towards damage to the economy because of the measures taken by the government,” says Florian Peschl, a Vienna based political advisor to the New Austria and Liberal Forum (NEOS) parliamentary group.

Austria introduced major restrictions on March 16, closing schools, restaurants, bars, theatres, non-essential stories and banning gatherings of more than five people. Residents were told to stay at home and work from there if possible.

“Streets have been almost completely empty. Even though more people have been coming out because it’s sunny, most people seem to be on the side of the government and are abiding by the rules. There’ll be no doubt be relief about the easing of restrictions, but at the same time there’s a lot of caution. We know this can be quickly revoked if it doesn’t go well,” says Peschl.

Various other governments across Europe have begun preparations to roll back the lockdowns. Spain, France, Belgium and Finland are among many countries that have set up expert committees to examine a gradual relaxing of social restrictions, but up against enormous uncertainties, officials have yet to commit to a strategy.

The Austrian plan also makes clear that months of restrictive measures still lie ahead. Kurz urged Austrians to cancel any plans to celebrate Easter this week and emphasized that restrictions could only be eased if orders were strictly followed. “Keep to the measures, avoid social contacts, keep your distance in public space,” he said.

By Madeline Roache April 6, 2020 11:39 AM EDT

Source: Austria set to be Europe’s first country to ease lockdown

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As Coronavirus Spreads, Many Questions & Some Answers From Harvard Health Blog

The rapid spread of the coronavirus and the illness it causes called COVID-19 has sparked alarm worldwide. The World Health Organization (WHO) has declared a global health emergency, and many countries are grappling with a rise in confirmed cases. In the US, the Centers for Disease Control and Prevention (CDC) is advising people to be prepared for disruptions to daily life that will be necessary if the coronavirus spreads within communities.

Below, we’re responding to a number of questions about COVID-19 raised by Harvard Health Blog readers. We hope to add further questions and update answers as reliable information becomes available.

Does the coronavirus spread person-to-person?

What is the incubation period for the coronavirus?

What are the symptoms of the new coronavirus?

Can people who are asymptomatic spread coronavirus?

Can the coronavirus live on soft surfaces like fabric or carpet? What about hard surfaces?

Should I wear a face mask to protect against coronavirus? Should my children?

Should someone who is immunocompromised wear a face mask?

Should I accept packages from China?

Can I catch the coronavirus by eating food prepared by others?

Should I travel on a plane with my children?

Is there a vaccine available for coronavirus?

Is there a treatment available for the new coronavirus?

How is this new coronavirus confirmed?

How deadly is this coronavirus?

What should people do if they think they have coronavirus or their child does? Go to an urgent care clinic? Go to the ER?

Can people who recover from the coronavirus still be carriers and therefore spread it?

Does the coronavirus spread person-to-person?

Yes, the virus can spread from one person to another, most likely through droplets of saliva or mucus carried in the air for up to six feet or so when an infected person coughs or sneezes. Viral particles may be breathed in, land on surfaces that people touch, or be transferred when shaking hands or sharing a drink with someone who has the virus.

Often it’s obvious if a person is ill, but there are cases where people who do not feel sick have the virus and can spread it.

Basic steps for avoiding flu and other infections — including steps for handwashing shown in this video and avoiding touching your mouth, nose, and eyes — are likely to help stop the spread of this virus. The CDC has a helpful list of preventive steps.

Quarantines and travel restrictions now in place in many counties, including the US, are also intended to help break the chain of transmission. Public health authorities like the CDC may recommend other approaches for people who may have been exposed to the virus, including isolation at home and symptom monitoring for a period of time (usually 14 days), depending on level of risk for exposure. The CDC has guidelines for people who have the virus to help with recovery and prevent others from getting sick.

What is the incubation period for the coronavirus?

An incubation period is the time between being exposed to a germ and having symptoms of the illness. Current estimates suggest that symptoms of COVID-19 usually appear around five days on average, but the incubation period may be as short as two days to as long as 14 days.

What are the symptoms of the new coronavirus?

Fever, dry cough, and trouble breathing are the common symptoms of COVID-19. There have been some reports of gastrointestinal symptoms (nausea, vomiting, or diarrhea) before respiratory symptoms occur, but this is largely a respiratory virus.

Those who have the virus may have no obvious symptoms (be asymptomatic) or symptoms ranging from mild to severe. In some cases, the virus can cause pneumonia and potentially be life-threatening.

Most people who get sick will recover from COVID-19. Recovery time varies and, for people who are not severely ill, may be similar to the aftermath of a flulike illness. People with mild symptoms may recover within a few days. People who have pneumonia may take longer to recover (days to weeks). In cases of severe, life-threatening illness, it may take months for a person to recover, or the person may die.

Can people who are asymptomatic spread coronavirus?

A person who is asymptomatic may be shedding the virus and could make others ill. How often asymptomatic transmission is occurring is unclear.

Can the coronavirus live on soft surfaces like fabric or carpet? What about hard surfaces?

How long the new coronavirus can live on a soft surface — and more importantly, how easy or hard it is to spread this way — isn’t clear yet. So far, available evidence suggests it can be transmitted less easily from soft surfaces than frequently-touched hard surfaces, such as a doorknob or elevator button.

According to the WHO, coronaviruses may survive on surfaces for just a few hours or several days,  although many factors will influence this, including surface material and weather.

That’s why personal preventive steps like frequently washing hands with soap and water or an alcohol-based hand sanitizer, and wiping down often-touched surfaces with disinfectants or a household cleaning spray, are a good idea.

Should I wear a face mask to protect against coronavirus? Should my children?

Follow public health recommendations where you live. Currently, face masks are not recommended for the general public in the US. The risk of catching the virus in the US is low overall, but will depend on community transmission, which is higher in some regions than in others. Even though there are confirmed cases of COVID-19 in the US, most people are more likely to catch and spread influenza (the flu). (So far this season, there have been nearly 30 million cases of flu and 17,000 deaths.)

Some health facilities require people to wear a mask under certain circumstances, such as if they have traveled from areas where coronavirus is spreading, or have been in contact with people who did or with people who have confirmed coronavirus.

If you have respiratory symptoms like coughing or sneezing, experts recommend wearing a mask to protect others. This may help contain droplets containing any type of virus, including the flu, and protect close contacts (anyone within three to six feet of the infected person).

The CDC offers more information about masks. The WHO offers videos and illustrations on when and how to use a mask.

Should someone who is immunocompromised wear a mask?

If you are immunocompromised because of an illness or treatment, talk to your doctor about whether wearing a mask is helpful for you in some situations. Advice could vary depending on your medical history and where you live. Many people will not need to wear a mask, but if your healthcare provider recommends wearing one in public areas because you have a particularly vulnerable immune system or for other reasons, follow that advice.

Should I accept packages from China?

There is no reason to suspect that packages from China harbor COVID-19. Remember, this is a respiratory virus similar to the flu. We don’t stop receiving packages from China during their flu season. We should follow that same logic for this novel pathogen.

Can I catch the coronavirus by eating food prepared by others?

We are still learning about transmission of COVID-19. It’s not clear if this is possible, but if so it would be more likely to be the exception than the rule. That said, COVID-19 and other coronaviruses have been detected in the stool of certain patients, so we currently cannot rule out the possibility of occasional transmission from infected food handlers. The virus would likely be killed by cooking the food.

Should I travel on a plane with my children?

Keep abreast of travel advisories from regulatory agencies and understand that this is a rapidly changing situation. The CDC has several levels of travel restrictions depending on risk in various countries and communities.

Of course, if anyone has a fever and respiratory symptoms, that person should not fly if at all possible. Anyone who has a fever and respiratory symptoms and flies anyway should wear a mask on an airplane.

Is there a vaccine available for coronavirus?

No vaccine is available, although scientists are working on vaccines. In 2003, scientists tried to develop a vaccine to prevent SARS but the epidemic ended before the vaccine could enter clinical trials.

Is there a treatment available for coronavirus?

Currently there is no specific antiviral treatment for this new coronavirus. Treatment is therefore supportive, which means giving fluids, medicine to reduce fever, and, in severe cases, supplemental oxygen. People who become critically ill from COVID-19 may need a respirator to help them breathe. Bacterial infection can complicate this viral infection. Patients may require antibiotics in cases of bacterial pneumonia as well as COVID-19.

Antiviral treatments used for HIV and other compounds are being investigated.

There’s no evidence that supplements, such as vitamin C, or probiotics will help speed recovery.

How is this new coronavirus confirmed?

A specialized test must be done to confirm that a person has COVID-19. Most testing in the United States has been performed at the CDC. However, testing will become more available throughout the country in the coming weeks.

How deadly is this coronavirus?

We don’t yet know. However, signs suggest that many people may have had mild cases of the virus and recovered without special treatment.

The original information from China likely overestimated the risk of death from the virus. Right now it appears that the risk of very serious illness and death is less than it was for SARS and MERS. In terms of total deaths in the United States, influenza overwhelmingly causes more deaths today than COVID-19.

What should people do if they think they have coronavirus or their child does? Go to an urgent care clinic? Go to the ER?

If you have a health care provider or pediatrician, call them first for advice. In most parts of the US, it’s far more likely to be the flu or another viral illness.

If you do not have a doctor and you are concerned that you or your child may have coronavirus, contact your local board of health. They can direct you to the best place for evaluation and treatment in your area.

Only people with symptoms of severe respiratory illness should seek medical care in the ER. Severe symptoms are rapid heart rate, low blood pressure, high or very low temperatures, confusion, trouble breathing, severe dehydration. Call ahead to tell the ER that you are coming so they can be prepared for your arrival.

Can people who recover from the coronavirus still be carriers and therefore spread it?

People who get COVID-19 need to work with providers and public health authorities to determine when they are no longer contagious.

Reliable resources

Also, read our earlier blog posts on coronavirus:

Related Information: Cold and Flu

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What Is Coronavirus (COVID-19)? The World Health Organization declared the new #Coronavirus disease (COVID-19) outbreak a global health emergency in January 2020. Experts at Johns Hopkins Medicine are closely monitoring the spread of the virus and offering useful information on what the disease is and how to help prevent transmission. For more information, please visit the #JohnsHopkins Medicine coronavirus website. https://www.hopkinsmedicine.org/coron…
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