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Friday 31 January 2020

Coronavirus outbreak: WHO declares an international public health emergency

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The World Health Organization (WHO) on Thursday said that the novel coronavirus outbreak has become a Public Health Emergency of International Concern (PHEIC).

However, the UN health body stressed that it does not recommend limiting trade and travel.

It also once again spoke highly of China's prevention and containment measures.

A WHO declaration of an international public health emergency is rare, with only five going into effect in the past decade. These include situations concerning the 2009 H1 virus that caused an influenza pandemic, West Africa's Ebola outbreak, polio in 2014, the Zika virus in 2016 and the ongoing Ebola outbreak in the Democratic Republic of Congo.

No need to overreact on coronavirus PHEIC label: analysts 


The World Health Organization (WHO) declared the novel coronavirus a global public health emergency (PHEIC), emphasizing that it was not a vote of no confidence in China. Chinese analysts said there is no need to overreact to the declaration while fighting the virus, although it could add extra pressure to the world's second-largest economy.

Over the past few weeks, we have witnessed the emergence of a previously unknown pathogen, which has escalated into an outbreak, and which has been met by an unprecedented response, said WHO Director-General Tedros Adhanom Ghebreyesus at a press conference in Geneva, Switzerland on Thursday.

At least 98 novel coronavirus cases have been reported in 18 countries, including eight human-to-human transmissions in Germany, Japan, Vietnam, and the US. The majority of the cases outside of China involved people who had traveled to Wuhan, or were in contact with someone who had visited the city, said Ghebreyesus.

After considering multiple factors, WHO designated the coronavirus as a PHEIC. However, WHO continues to have confidence in China's ability to control the outbreak.

Chinese analysts said it was not necessary to overreact or interpret the news as a hostile attitude toward China from the global community. The shared priority is to prevent the deadly virus from spreading across the globe.

"Indeed, it may give extra pressure to China, with both economic and political implications," Shen Yi, director at the Research Center for Cyberspace Governance of Fudan University, told the Global Times.

"But it's up to how China continues fighting the epidemic in order to help its economy recovered," Yi said, noting that the WHO decision has little influence on how other countries handle economic ties with China amid the pneumonia outbreak.

Serious events that endanger international health are considered to be PHEIC as it constitutes a risk to other countries through the spread of the disease, which is also "serious, unusual, or unexpected," and carries implications for public health beyond the affected country's borders or requires immediate international action, according to WHO.

A PHEIC declaration is rare, as only five have been made in the past decade including the H1N1 virus that caused an influenza pandemic in 2009, West Africa's Ebola, polio in 2014, the Zika virus in 2016, and the ongoing Ebola outbreak in the Democratic Republic of Congo that started in 2019.

Concerns have emerged over whether other countries would close their borders or impose trade and travel restrictions, which has happened in the past when a PHEIC is declared.

There is no reason for measures that unnecessarily interfere with international travel and trade, WHO said, calling for all countries to implement decisions that are evidence-based and consistent after it declares novel coronavirus a global public health emergency.

According to the International Health Regulations (IHR), if the WHO declares a PHEIC, the director-general shall issue temporary recommendations including health measures regarding people, baggage, cargo, containers, conveyances, goods, and postal parcels to prevent or reduce the spread of the disease and avoid unnecessary interference with international traffic.

However, temporary recommendations are non-binding advisories issued by WHO and are on a time-limited, risk-specific basis, according to IHR.

When WHO declared the Ebola outbreak in the Democratic Republic of Congo as a PHEIC, the organization emphasized it was essential to avoid the punitive economic consequences of travel and trade restrictions on affected communities, in a statement published on its website in July 2019.

Under the IHR, countries implementing additional health measures going beyond what WHO recommends will be obliged to send public health rationale and justification within 48 hours of implementation for WHO to review, said WHO spokesman Tarik Jasarevic to the Global Times on Thursday.

WHO is obliged to share the information about measures and the justification received with other countries involved, Jasarevic said, noting that countries are asked to provide public health justification for any travel or trade measures that are not scientifically based, such as the refusal of entry based on suspect cases or unaffected persons to affected areas.

Yang Gonghuan, former director of tobacco control at the Chinese Center for Disease Control and Prevention, told the Global Times that WHO would depend on the situation of the epidemic rather than targeting a specific place or for political purposes.

In response to concerns that a PHEIC would "hold China's breath," Yang said such thinking is "incorrect and unreasonable."

"WHO's decision and measures are based on the perspective of global disease prevention," Yang said.

However, the PHEIC label could frighten contracting countries to the point that they could disobey WHO recommendations and impose more stringent limits on travel and trade with the country where the virus originated, which would create significant economic losses.

During the H1N1 pandemic in 2009, WHO stressed the virus could not spread through pork products and yet over 40 countries banned pork imports from H1N1-affected nations, according to media reports.

Contracting states have agreed to follow WHO guidelines, and they should act within the forum of the organization, Yang noted.

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WHO chief: China deserves gratitude and respect for efforts to fight virus outbreak, against virus-related evacuations, as countries plan pull-outs



Fight the virus
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WHO chief: China deserves gratitude and respect for efforts to fight virus outbreak ...

WHO director-general Tedros Adhanom Ghebreyesus

GENEVA (Xinhua): The director-general of the World Health Organization (WHO) said on Wednesday (Jan 29) that China deserves the international community's gratitude and respect for having taken very serious measures to contain the novel coronavirus outbreak and prevent exporting cases overseas.

Addressing journalists at a press conference in Geneva, Tedros Adhanom Ghebreyesus thanked the Chinese government for the extraordinary steps it has taken to prevent the spread of the new coronavirus.

Tedros reiterated that almost 99 per cent of cases and all deaths have been within China, with only 68 confirmed cases and no deaths in 15 countries and regions outside China.

"For that, China deserves our gratitude and respect... China is implementing very serious measures and we cannot ask for more," he said.

The WHO chief returned to Geneva on Wednesday from China, where he met with the Chinese leadership to discuss cooperation on implementing containment measures in Wuhan (the epicentre of the coronavirus outbreak) and public measures in other cities and provinces, as well as on conducting studies on the severity and transmissibility of the virus, and sharing data and biological material.

He revealed that one of the strategies the WHO and China have agreed on and are following is serious and strong intervention at the epicentre, which helps limit the spread of the virus.

The WHO chief also thanked China for having identified the pathogen in a short time and shared it immediately, which has led to the rapid development of diagnostic tools.

"China has been completely committed to transparency, both internally and externally, and has agreed to work with other countries that need support," he reiterated, citing the latest case in Germany which, due to the immediate notification and sharing of information by the Chinese government, was very quickly identified and given medical care.

The cooperation between China and Germany in responding to the outbreak is a good illustration of how China is engaging with the WHO and other countries based on the principles of solidarity and cooperation, Tedros said.

"The level of commitment (of the leadership) in China is incredible; I will praise China again and again, because its actions actually helped in reducing the spread of the novel coronavirus to other countries... we shall tell the truth and that's the truth," he concluded.

A WHO team of international experts is to visit China as soon as possible to increase the understanding of the outbreak and guide global response efforts.

Tedros also announced that the WHO Emergency Committee will meet again on Thursday to discuss the outbreak.

Earlier, the committee already met twice on Jan 22 and Jan. 23, and decided that the outbreak had not been a "public health emergency of international concern," citing major reasons that the cases of infection outside China were still limited in number and that the Chinese authorities had already implemented very forceful containment measures. - Xinhua

President Xi: China sure of slaying the 'devil' virus


Xi said that the Chinese people are currently engaged in a serious fight against the novel coronavirus outbreak. People's lives and physical health are always the first priority, and prevention and control of the virus is the most important task at present. Xi said: "I have personally been directing the effort and deploying resources, I believe that as long as we strengthen our confidence, help each other, control and prevent the virus appropriately, and implement policies precisely, we will definitely overcome this disease."

The WHO chief said that China has released information transparently, identified pathogens in record time, and proactively shared relevant viral gene sequences with the World Health Organization and other countries. He added the world has admired how the Chinese government has demonstrated firm political determination and adopted timely and powerful policies in the face of the coronavirus. "I believe that the measures taken by China will effectively control and eventually overcome the disease." 

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WHO: China virus evacuations not necessary | New Straits ...

Director-General of World Health Organization (WHO) Tedros Adhanom Ghebreyesus takes part in a news conference after a meeting of the International Health Regulations (IHR) Emergency Committee for Pneumonia due to the Novel Coronavirus 2019-nCoV in Geneva, Switzerland on Jan 22, 2020. (Photo credit: Christopher Black/WHO/Handout via REUTERS) 
The head of the World Health Organisation said on Tuesday that he is confident in China's ability to contain a new coronavirus that has killed 106 people and that he did not think foreigners should be evacuated, China's foreign ministry said.

A growing number of countries have said they will evacuate their citizens from Wuhan, a central city of 11 million people and the epicentre of the outbreak. A chartered plane taking out U.S. consulate staff was set to leave Wuhan on Wednesday, a spokeswoman at the U.S. embassy in Beijing said. Some space was being offered to other U.S. citizens.

India said it was preparing to evacuate its citizens from Hubei province, of which Wuhan is the capital.

Concern is mounting about the impact of the coronavirus may have on the world's second-biggest economy amid travel bans and an extended Lunar New Year holiday. Global stocks fell again, oil prices hit three-month lows and China's yuan currency dipped to its weakest in 2020.

The head of the WHO, Tedros Adhanom Ghebreyesus, in a meeting with State Councillor Wang Yi in Beijing, said he approved of the government's measures to curb the outbreak, the foreign ministry said.

"Tedros said the WHO does not advocate for countries to evacuate their citizens from China, adding there was no need to overreact," the foreign ministry said in a statement. "He said the WHO is confident in China's ability to prevent and control the epidemic."

The WHO chief, who also met Presiddent Xi Jinping, was not available for comment. A WHO panel of 16 independent experts twice last week declined to declare an international emergency over the outbreak.

The flu-like virus has spread overseas, with Sri Lanka and Germany the latest countries to be hit, but none of the 106 deaths has been outside China and all but six have been in the central city of Wuhan, where the virus emerged last month.

Thailand confirmed six more infections among visitors from China, taking its tally to 14, the highest outside China. Far eastern Russian regions would close their borders with China until Feb. 7, Tass news agency said, citing the regional government.

Chinese-ruled Hong Kong said cross-border ferry services would stop.

Wuhan, where the virus apparently jumped to a human in an illegal wildlife market, has been all but put under quarantine, with a lockdown on transport and bans on gatherings.

Tens of millions of others in Hubei live under some form of travel curbs set up to try to stifle the virus.

The WHO said only one of the overseas cases involved human-to-human transmission.

"That’s still one case too many. But we’re encouraged that so far we have not seen more human-to-human transmission outside China," the WHO said on Twitter.

"We’re monitoring the outbreak constantly."

Tuesday's toll of 106 dead was up from 81 the day before. The number of total confirmed cases in China surged to 4,515 as of Monday from 2,835 the previous day, the National Health Commission said.

Incubation estimates

Analysts said China's travel and tourism would be the hardest-hit sectors, together with retail and liquor sales, though healthcare and online shopping were seen as likely outperformers.

Officially known as "2019-nCoV", the coronavirus can cause pneumonia, but it is too early to know just how dangerous it is and how easily it spreads.

Some health experts question whether China can contain it.

Chinese health officials say the incubation period could range from one to 14 days, and the virus is infectious during that time. The WHO estimated an incubation period of two to 10 days.

U.S. President Donald Trump on Monday offered China whatever help it needed, while the State Department said Americans should reconsider visiting China.

Canada, which has two infections and 19 potential cases, warned its citizens to avoid travel to Hubei.

Authorities in Hubei, home to nearly 60 million people, have been the focus of public outrage on China's heavily censored social media over what many see as a bungled initial response to the virus.

In rare public self-criticism, Mayor Zhou Xianwang said Wuhan's management of the crisis was "not good enough" and indicated he was willing to resign.

China's ambassador to the United Nations, following a meeting with UN Secretary-General Antonio Guterres, said his government put "paramount importance" on the epidemic and was working with the international community in a spirit of "openness, transparency and scientific coordination".

Communist Party-ruled China has been eager to seem open in its handling of the epidemic, after it was heavily criticised for efforts to cover up an epidemic of Severe Acute Respiratory Syndrome (SARS) that killed about 800 people globally in 2002-2003.

SARS, which was also believed to have originated in a wildlife market, led to a 45% plunge in air passenger demand in Asia. The travel industry is more reliant on Chinese travellers now, and China's share of the global economy has quadrupled.

With Chinese markets shut for the holiday, investors were selling the offshore yuan and the Australian dollar as a proxy for risk. Oil was also under pressure as fears about the wider fallout grew.

The U.S. S&P 500 closed down nearly 1.6%.

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19 Chinese provinces, municipalities launch highest-level emergency response

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Over 1,317 coronavirus cases have now been confirmed globally. So far, 42 infected people have died in China. A total of 19 provinces and municipalities in China, including Beijing, Shanghai and Jiangsu provinces have declared the highest level of public health emergency to combat the coronavirus outbreak. 

Some traditional holiday celebrations, such as temple fairs and cultural performances and other public gatherings have been canceled. At least 16 cities in the worst-hit province of Hubei have suspended public transportation, including local buses, subways, ferries and long-distance coaches. 

Around 450 military medical personnel have been deployed in the province, while nearby Sichuan Province has also sent 135 medical staff members. China's Finance Ministry has allocated a total of one billion yuan to support Hubei. 

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Is travel to China safe?

Wuhan is closed to travelers.  

The CDC advises travelers to China to:

  • Avoid contact with sick people.
  • Avoid animals, animal markets, and products that come from animals.
  • Wash your hands often with soap and water, or use an alcohol-based sanitizer if that’s not available.
  • Seek medical care right away if you have a fever, cough, or a hard time breathing. Tell your health care professional about your travel.

What are the symptoms, and how is the virus diagnosed?

China created a test for the virus and shared that information with other countries. The CDC has developed its own test.

Symptoms include a fever, coughing, and shortness of breath. They may appear 2 to 14 days after you’re exposed to the virus. What is the source of the virus, and how is it spread?

Health officials are not sure of the source of the virus yet or how easily it can spread. Coronaviruses are found in many different animals, including camels, cattle, cats, and bats. One research paper also suggested snakes as a possible source. The new virus may be linked to a seafood and live animal market in Wuhan that has since been closed

The virus can spread from person to person. Health officials are seeing this happen most often where people are close together and in health care settings. To date, 16 health care workers have been infected.

The CDC believes that severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), two other types of coronavirus, are spread through droplets when someone coughs or sneezes.

Is there a vaccine?

There is no vaccine, but the National Institutes of Health is working on one and hopes to begin testing in several months. That testing would be for safety. If it’s safe, there would be testing to see how well it works.

How is it treated?

There is no specific treatment for the virus. Patients are generally given supportive care for their symptoms, such a fluids and pain relievers. Hospitalized patients may need support with breathing.


Are you in danger of catching the coronavirus? 
5 questions answered :

1. Am I at risk?

Not now, because currently every case of the novel coronavirus is linked to Wuhan.

There are lots of different coronaviruses that group into three types. The common cold can be caused by both alpha and betacoronaviruses.

Coronavirus was never really taken that seriously until 2003, when a coronavirus jumped species – likely from bats to humans via civets – and led to SARS, or severe acute respiratory syndrome. This species-jumping ability of coronaviruses is being observed again, now in Wuhan at the seafood market. This coronavirus is in the betacoronavirus group. China has now put travel restrictions in place to limit spread from Wuhan.

2. What’s the big concern with this virus?

For the novel coronavirus from Wuhan, there is no vaccine, and we’re lacking a specific therapy. So it is key to limit spread through quarantine of infected individuals and by tracing of contacts.

3. What is so unusual about this coronavirus?

This is a coronavirus that has never been seen in humans before. It likely came from bats, and it’s much more serious than the common cold coronavirus. This is only the third time that we’ve seen a coronavirus jump species from animals to humans. The concern is that this coronavirus is going to behave like SARS and MERS, or Middle East respiratory syndrome in 2012, both of which were serious.

4. Do the deaths appear to be among people of a certain age?

Many were in older men with pre-existing conditions.

5. How can I stay safe?

First of all, you need not be concerned about catching this right now. Practice the same precautions that you would to prevent catching a cold. Viruses that cause the common cold are on surfaces of handrails and doorknobs, so wash your hands, use sanitizers and stay home when you are sick.

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Rationality and unity needed in fight against virus

Zhou Xianwang, the mayor of Wuhan, Central China's Hubei Province, where the ongoing spread of coronavirus pneumonia began, said at a press conference on Sunday night that more than 5 million people have left the city because of the Spring Festival and the epidemic. The news came as quite a shock.

Wuhan pneumonia response reflects progress in China's system

More adjustments and improvements are needed in China's governing system. In the Wuhan pneumonia case, is it possible to release information more timely and comprehensively? It will prove to be a test of China's system. But more and more Chinese people believe the system will stand the test and improve itself amid the challenge.

Wuhan pneumonia a wake-up call for basic Chinese research

Time is needed for basic research. But times waits for no one. Any attempt to seek quick success and instant benefits must be avoided. However, it is time for China to increase investment, focus on talent training, team building and policy adjustments in this field.

Virus attracts global efforts

The World Health Organization (WHO) is scheduled to convene a special meeting in Geneva, Switzerland on Wednesday to discuss whether the epidemic caused by a novel coronavirus detected in China and now spreading across the world should be declared a global emergency.

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