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China Bans Travel From City at Center of Virus Outbreak as Death Toll Rises

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China Bans Travel From City at Center of Virus Outbreak as Death Toll Rises

  • U.S., Hong Kong report cases as outbreak spreads beyond Asia
  • WHO delays decision until Thursday on public health emergency

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The Chinese city at the center of a widening respiratory-virus outbreak suspended outbound flights and rail service, as China ramps up efforts to contain an illness that’s killed at least 17 people and infected hundreds.

The travel halt by the city of Wuhan was reported by state broadcaster CCTV. The city of 11 million people also suspended travel by bus, subway and ferry. Residents shouldn’t leave without special reasons, the report said.

CCTV reported earlier that the death toll has nearly doubled from a previous total of nine. There were two “preliminary positive” reports of the pneumonia-causing virus in Hong Kong, with one diagnosis in the U.S. and patients under examination in Mexico and Russia.

Health officials around the world are racing to control the SARS-like virus that first appeared last month. On Wednesday, the World Health Organization delayed a decision on whether to declare the outbreak a public health emergency of international concern, a designation used for complex epidemics that can cross borders. The United Nations agency said it would meet again Thursday to determine a strategy.

“This is an evolving and complex situation,” said Tedros Adhanom Ghebreyesus, director-general of the WHO, in a briefing with reporters. “To proceed we need more information.”

Ghebreyesus said China’s response has been “commendable” but the WHO was nevertheless sending a team to work with Chinese authorities on tackling the outbreak.

After volatility Tuesday, Asian markets calmed Wednesday as China’s National Health Commission detailed actions to contain the disease. The number of cases has climbed to at least 550, according to the People’s Daily.

CHINA-HEALTH-VIRUS

Travelers in protective masks at the Daxing international airport in Beijing on Jan. 21.

One 39-year-old Hong Kong patient was found by temperature screening after traveling from Wuhan to Shenzhen, and then to Hong Kong via rail, according to Sophia Chan, Hong Kong’s secretary for food and health.

While final test results are still forthcoming, the man’s case is “highly suspicious,” according to Constance Chan, head of Hong Kong’s Department of Health. Four family members who didn’t have symptoms stayed overnight at a hotel in a popular tourist area and then departed for Manila.

In a briefing in Beijing Wednesday, health officials acknowledged that they’re still grappling to understand the pathogen, which has infected multiple medical workers.

“We are still on a learning curve,” said Gao Fu, head of Chinese Center for Disease Control and Prevention. “The disease will continue to develop.” It has already changed from the early stages of detection, he said in the briefing.

More on the Mystery Virus

China said it had seen no evidence yet of “super spreaders,” infected people who pass on the disease rapidly to many other people, but could not rule out that some would emerge. Super spreaders played a key role in the SARS pandemic 17 years ago, which killed almost 800 people and hurt economies across the region.

The 17 deaths from the new virus have been in Hubei province, whose capital is Wuhan, CCTV said.

About 4,000 people in Wuhan may be currently infected, based on the number of known cases and the estimated mean time between infection and detection, according to a study by Neil Ferguson, a researcher at Imperial College London.

While Ferguson’s group released an estimate of 1,700 infections over the weekend, the new total doesn’t mean that the outbreak has doubled in size, according to the study. Factors such as delays in reporting and confirming cases make it difficult to estimate the epidemic’s growth rate, the researchers said.

Fever, Cough

Symptoms include fever, cough or chest tightness, and difficulty breathing. Both the Wuhan virus, known as 2019-nCoV, and SARS belong to the family of coronaviruses, so called because of their crown-like shape. Many such viruses cross the barrier between animals and humans.

Gao said in the Beijing briefing that the source of 2019-nCoV was wild animals sold in so-called wet markets. Some of the first group of patients in Wuhan worked or shopped at a seafood market where live animals and wildlife parts were reportedly sold.

A WHO declaration of a public health emergency can help mobilize an international response and focus government attention. The body most recently declared such an emergency last year, as an Ebola outbreak worsened in Congo.

An emergency declaration for the Wuhan virus case could include recommendations to restrict travel or trade. Such a move would come as concern grows that the virus could spread rapidly during China’s Lunar New Year break, which starts at the end of this week. Hundreds of millions of people are poised to travel for the holidays in the biggest annual migration of humans on the planet.

Threat Widens

Coronavirus has spread from China to at least seven other locations

Sources: National and municipal health authorities

As they did during the SARS and Ebola outbreaks, health officials and scientists globally are tracking patients and testing samples of saliva and other fluids to determine the exact cause and severity of their ailments. They’re identifying and monitoring people with whom the patients were in contact to see if the virus is spreading easily from person to person. And they are placing restrictions on travel to try to limit the exposure to scores of new people.

The U.S. Centers for Disease Control and Prevention, or CDC, expanded its inspection of airline passengers who had spent time in China to airports in Atlanta and Chicago this week, building on the 1,200 people who had been screened in California and New York over the weekend. No new cases were uncovered.

President Donald Trump told reporters at the World Economic Forum in Davos that the U.S. has a plan to deal with the virus.

“The CDC has been terrific,” he said. “We’re in very good shape and I think China is in very good shape also.”

— With assistance by Dong Lyu, Josh Wingrove, Alex Morales, Fion Li, Natalie Lung, James Paton, Stephen Tan, and Hugo Miller

(Updates with comments from WHO director-general starting in fifth paragraph.)