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China Identifies New Virus Causing Pneumonialike Illness China Identifies New Virus Causing Pneumonialike Illness
(14 days later)
HONG KONG — Chinese researchers say they have identified a new virus behind an illness that has infected dozens of people across Asia, setting off fears in a region that was struck by a deadly epidemic 17 years ago.HONG KONG — Chinese researchers say they have identified a new virus behind an illness that has infected dozens of people across Asia, setting off fears in a region that was struck by a deadly epidemic 17 years ago.
There is no evidence that the new virus is readily spread by humans, which would make it particularly dangerous, and it has not been tied to any deaths. But health officials in China and elsewhere are watching it carefully to ensure that the outbreak does not develop into something more severe.There is no evidence that the new virus is readily spread by humans, which would make it particularly dangerous, and it has not been tied to any deaths. But health officials in China and elsewhere are watching it carefully to ensure that the outbreak does not develop into something more severe.
Researchers in China have “initially identified” the new virus, a coronavirus, as the pathogen behind a mysterious, pneumonialike illness that has sickened 59 people in the city of Wuhan and caused a panic in the central Chinese region, the state broadcaster, China Central Television, said on Thursday. They detected this virus in 15 of the people who fell ill, the report said.Researchers in China have “initially identified” the new virus, a coronavirus, as the pathogen behind a mysterious, pneumonialike illness that has sickened 59 people in the city of Wuhan and caused a panic in the central Chinese region, the state broadcaster, China Central Television, said on Thursday. They detected this virus in 15 of the people who fell ill, the report said.
The new coronavirus “is different from previous human coronaviruses that were previously discovered, and more scientific research is needed for further understanding,” the report said.The new coronavirus “is different from previous human coronaviruses that were previously discovered, and more scientific research is needed for further understanding,” the report said.
Coronaviruses are a large family of viruses that infect animals and people. Some cause only the symptoms known as the common cold, although many other viruses also do that.Coronaviruses are a large family of viruses that infect animals and people. Some cause only the symptoms known as the common cold, although many other viruses also do that.
The announcement signals that researchers are making progress in containing the outbreak, but Asian officials are not likely to relax their vigilance until they learn more. The disease has evoked memories of the outbreak of SARS, or severe acute respiratory syndrome, in 2003. SARS, a respiratory disease and also a coronavirus, spread from southern China in 2003 and infected more than 3,000 people, killing 774.The announcement signals that researchers are making progress in containing the outbreak, but Asian officials are not likely to relax their vigilance until they learn more. The disease has evoked memories of the outbreak of SARS, or severe acute respiratory syndrome, in 2003. SARS, a respiratory disease and also a coronavirus, spread from southern China in 2003 and infected more than 3,000 people, killing 774.
[Read: China’s coronavirus outbreak tests the transparency of China’s Communist Party.][Read: China’s coronavirus outbreak tests the transparency of China’s Communist Party.]
China initially covered up the extent of the SARS outbreak and was criticized by health officials around the world for doing so. On Thursday, the World Health Organization praised the Chinese response to the new outbreak and said it did not recommend any restrictions on trade or travel to China because of the virus.China initially covered up the extent of the SARS outbreak and was criticized by health officials around the world for doing so. On Thursday, the World Health Organization praised the Chinese response to the new outbreak and said it did not recommend any restrictions on trade or travel to China because of the virus.
“Preliminary identification of a novel virus in a short period of time is a notable achievement and demonstrates China’s increased capacity to manage new outbreaks,” Dr. Gauden Galea, the W.H.O.’s representative to China, said in a statement.“Preliminary identification of a novel virus in a short period of time is a notable achievement and demonstrates China’s increased capacity to manage new outbreaks,” Dr. Gauden Galea, the W.H.O.’s representative to China, said in a statement.
Many questions about the new virus remain. While it appears to be transmitted to humans via animals, the Chinese government has not said which animals, nor has it disclosed other details about the outbreak, like the transmission route, the incubation period or the ages and genders of the patients.Many questions about the new virus remain. While it appears to be transmitted to humans via animals, the Chinese government has not said which animals, nor has it disclosed other details about the outbreak, like the transmission route, the incubation period or the ages and genders of the patients.
“So, there are still a lot of question marks,” said David Hui, an expert in emerging infections at the Chinese University of Hong Kong.“So, there are still a lot of question marks,” said David Hui, an expert in emerging infections at the Chinese University of Hong Kong.
The authorities in Wuhan are still closely monitoring 163 people who were in close contact with the patients, Dr. Hui said. He added that 15 days, the minimum incubation period for some viral infections, had not yet passed since the last reported instance of the disease, on Dec. 29.The authorities in Wuhan are still closely monitoring 163 people who were in close contact with the patients, Dr. Hui said. He added that 15 days, the minimum incubation period for some viral infections, had not yet passed since the last reported instance of the disease, on Dec. 29.
“It’s premature to say that there’s no human-to-human transmission,” Dr. Hui said.“It’s premature to say that there’s no human-to-human transmission,” Dr. Hui said.
The Wuhan government confirmed on Dec. 31 that the health authorities were treating dozens of cases of pneumonia of unknown cause. Symptoms of the new illness include high fever, difficulty breathing and lung lesions, according to the Wuhan health commission. Seven people have become critically ill, the Wuhan authorities have said. On Wednesday, the local health commission said eight people had been discharged.The Wuhan government confirmed on Dec. 31 that the health authorities were treating dozens of cases of pneumonia of unknown cause. Symptoms of the new illness include high fever, difficulty breathing and lung lesions, according to the Wuhan health commission. Seven people have become critically ill, the Wuhan authorities have said. On Wednesday, the local health commission said eight people had been discharged.
Researchers have been encouraged by the fact that patients’ relatives and hospital workers have not been reported to have gotten sick, signaling that the virus may not spread easily among humans.Researchers have been encouraged by the fact that patients’ relatives and hospital workers have not been reported to have gotten sick, signaling that the virus may not spread easily among humans.
“We can assume that this virus transmissibility is not that high,” said Guan Yi, a professor of infectious diseases at the University of Hong Kong, who was part of a team that successfully identified the coronavirus that caused SARS.“We can assume that this virus transmissibility is not that high,” said Guan Yi, a professor of infectious diseases at the University of Hong Kong, who was part of a team that successfully identified the coronavirus that caused SARS.
Dr. Guan said he was not surprised that the virus identified was a coronavirus, because coronaviruses can pass from animals to humans easily. But he said it would probably be a while before researchers came up with treatments for the illness.Dr. Guan said he was not surprised that the virus identified was a coronavirus, because coronaviruses can pass from animals to humans easily. But he said it would probably be a while before researchers came up with treatments for the illness.
So far, the cases in China have circulated only in Wuhan. The initial cases were linked to workers at a market that sold live fish, animals and birds. Workers disinfected and shut down the market after the city health department said many of the cases had been traced to it.So far, the cases in China have circulated only in Wuhan. The initial cases were linked to workers at a market that sold live fish, animals and birds. Workers disinfected and shut down the market after the city health department said many of the cases had been traced to it.
The new illness appeared just weeks before the Spring Festival, China’s biggest holiday, when hundreds of millions of people travel. The authorities have urged the public to be on alert for pneumonialike symptoms like fevers, body aches and breathing difficulties.The new illness appeared just weeks before the Spring Festival, China’s biggest holiday, when hundreds of millions of people travel. The authorities have urged the public to be on alert for pneumonialike symptoms like fevers, body aches and breathing difficulties.
Until Thursday’s announcement, it was not clear what was causing the illnesses in Wuhan. The World Health Organization said Wednesday that it had concluded that it was most likely a coronavirus. “More comprehensive information is required to confirm the pathogen,” the W.H.O. said in a statement.Until Thursday’s announcement, it was not clear what was causing the illnesses in Wuhan. The World Health Organization said Wednesday that it had concluded that it was most likely a coronavirus. “More comprehensive information is required to confirm the pathogen,” the W.H.O. said in a statement.
Updated June 30, 2020 Updated July 15, 2020
The coronavirus can stay aloft for hours in tiny droplets in stagnant air, infecting people as they inhale, mounting scientific evidence suggests. This risk is highest in crowded indoor spaces with poor ventilation, and may help explain super-spreading events reported in meatpacking plants, churches and restaurants. It’s unclear how often the virus is spread via these tiny droplets, or aerosols, compared with larger droplets that are expelled when a sick person coughs or sneezes, or transmitted through contact with contaminated surfaces, said Linsey Marr, an aerosol expert at Virginia Tech. Aerosols are released even when a person without symptoms exhales, talks or sings, according to Dr. Marr and more than 200 other experts, who have outlined the evidence in an open letter to the World Health Organization.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
Early reports on ProMED, a disease-alert service, said there was no evidence of human-to-human transmission.Early reports on ProMED, a disease-alert service, said there was no evidence of human-to-human transmission.
Last weekend, laboratory tests in China ruled out SARS; the deadly Middle East Respiratory Syndrome, or MERS; the flu; bird flu; adenoviruses; and other common pathogens that cause pneumonia.Last weekend, laboratory tests in China ruled out SARS; the deadly Middle East Respiratory Syndrome, or MERS; the flu; bird flu; adenoviruses; and other common pathogens that cause pneumonia.
Health officials in Asia have stepped up screenings and isolated patients with flulike symptoms who had traveled to Wuhan. In Hong Kong, eight people with fever and respiratory symptoms who had recently been in Wuhan were hospitalized on Wednesday.Health officials in Asia have stepped up screenings and isolated patients with flulike symptoms who had traveled to Wuhan. In Hong Kong, eight people with fever and respiratory symptoms who had recently been in Wuhan were hospitalized on Wednesday.
In South Korea, the authorities said on Wednesday that they had put a Chinese woman under isolated treatment after she was found to have pneumonia after trips to China, including Wuhan.In South Korea, the authorities said on Wednesday that they had put a Chinese woman under isolated treatment after she was found to have pneumonia after trips to China, including Wuhan.
In Singapore, the authorities placed a Chinese girl with pneumonia in isolation because she had traveled to Wuhan. On Sunday, they said doctors had determined that the child had a common childhood viral illness.In Singapore, the authorities placed a Chinese girl with pneumonia in isolation because she had traveled to Wuhan. On Sunday, they said doctors had determined that the child had a common childhood viral illness.
Officials in Hong Kong have installed additional thermal imaging systems at its airport to monitor passengers coming from Wuhan, scanning for people with fevers.Officials in Hong Kong have installed additional thermal imaging systems at its airport to monitor passengers coming from Wuhan, scanning for people with fevers.
SARS is believed to have jumped to humans from live-animal markets. It was eventually traced to civet cats, raccoon dogs and some other species that were raised and slaughtered for the exotic food trade. The virus normally circulates in bats, and the animals may have gotten it from them, possibly by eating food contaminated by bat droppings.SARS is believed to have jumped to humans from live-animal markets. It was eventually traced to civet cats, raccoon dogs and some other species that were raised and slaughtered for the exotic food trade. The virus normally circulates in bats, and the animals may have gotten it from them, possibly by eating food contaminated by bat droppings.
Most outbreaks of MERS, which appeared in 2012, have been traced to people who raise or sell camels, which in the Middle East are kept for meat, milk, racing, hauling cargo and as pets. Like SARS, MERS can jump from person to person, particularly in hospitals. Some MERS patients infected many others after they were put on machines to help them breathe — the mechanisms helped spew viral particles into the air as they exhaled.Most outbreaks of MERS, which appeared in 2012, have been traced to people who raise or sell camels, which in the Middle East are kept for meat, milk, racing, hauling cargo and as pets. Like SARS, MERS can jump from person to person, particularly in hospitals. Some MERS patients infected many others after they were put on machines to help them breathe — the mechanisms helped spew viral particles into the air as they exhaled.
Despite Thursday’s announcement, many Chinese were still expressing fear that there could be a repeat of SARS.Despite Thursday’s announcement, many Chinese were still expressing fear that there could be a repeat of SARS.
“In fact, what people are more concerned about is the transmission route and whether it can be cured,” wrote a user on Weibo, a popular social media tool in China.“In fact, what people are more concerned about is the transmission route and whether it can be cured,” wrote a user on Weibo, a popular social media tool in China.
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Sui-Lee Wee reported from Hong Kong and Donald G. McNeil Jr. from New York. Elsie Chen contributed research from Beijing.Sui-Lee Wee reported from Hong Kong and Donald G. McNeil Jr. from New York. Elsie Chen contributed research from Beijing.