Current novel coronavirus (COVID-19) outbreak Latest Updates 2020

 ITALY OUTBREAK (Feb. 23 Updates):

• • 78 new cases in Italy and 1 new death in Italy (a woman being treated for cancer in Crema), including 4 new cases near Bergamo, 2 new cases in Venice (historical center), a 17-year-old male in Valtellina, and a couple in Turin who visited their child at the Regina Margherita Hospital yesterday.
  • Current total cases in Italy:- 114 cases in Lombardy (including 2 deaths):. The total includes: at least 76 in Codogno, 3 in Castiglione D’adda, 2 in Pieve Porto Morone, 1 in Casalpusterlengo, 1 in Pizzighettone, 1 in Sesto Cremonese, 1 in Santa Cristina e Bissone, 1 in Mediglia, 1 in Sesto San Giovanni, and 1 in Monza. Latest cases near Bergamo: 2 in Alzano Lombardo, 1 in Seriate, and 1 in Bergamo.- 25 in Veneto (including 1 death): 19 in Vo’ Euganeo, 3 in Dolo, 1 in Mira, and 2 in Venice..-   9 in Emilia Romagna (all in Piacenza).
    –   3 in Trentino Alto Adige (tourists from Lombardy)
    –   3 in Piedmont (3 previously confirmed cases were reverted to negative).
    –   3 in Rome (including 1 person who had been repatriated).
  • At least 26 patients are in critical condition.
  • 11 towns, 50,000 people, placed in lockdown.
  • Armed forces and police forces have been mobilized to form an insurmountable “health belt” around contagion areas. Roadblock violators risk up to a 3 months prison sentence.- Schools closed in Lombardy, Veneto, Friuli Venezia Giulia, Emilia Romagna, Liguria, and in Trentino Alto Adige regions. Universities closed in Piedmont.- Carnival in Venice and all sport and public events in Veneto cancelled.- All public and private events, including sport, cultural, and religious events in Lombardy cancelled. Movie theaters closed.

    – More than 40 football matches, including at least 4 Serie A games, postponed.
    – Armani cancels his fashion show today in Milan.
    – Teatro alla Scala in Milan suspends all performances.

    – “I think these three cases that have no contact with a primary carrier show how this virus is now ubiquitous so, as with flu symptoms, you get it and don’t know who you got it from” said Veneto governon Luca Zaia who, in a separate comment, said “we are worried, drastic measures are needed.”

    – “Serious mistake was made not to quarantine people who arrived in Italy from China” said Walter Ricciardi of the WHO, adding that “within two weeks we will know if we are facing an epidemic” and advising that, for the next two weeks, people “should avoid crowded places: metro, buses, trains, schools, discos, and gyms.”

see also: Feb. 22 Italy Outbreak

 SOUTH KOREA OUTBREAK (Feb. 23 Updates):

• 166 new cases and 4 new deaths in South Korea.
• President Moon Jae-in raised the alert level to maximum (Level 4: Serious) thus empowering the government to lock down cities and restrict travel. “The coming few days will be a critical time for us” he said in an emergency meeting.
• Last few days progression of total cases in South Korea:
  • Feb. 23: 602 cases (day still in progress)
  • Feb. 22: 436 cases
  • Feb. 21: 209 cases
  • Feb. 20: 111 cases
  • Feb. 19:  58 cases
  • Feb. 18:   31 cases

 ITALY OUTBREAK

• With 79 total cases and 2 deaths as of the end of February 22:
  Italy becomes the country with the highest number of cases and deaths in Europe, accounting for over 60% of all European cases, and representing the country with most cases among all western (non Asian) nations.
• As of the end of February 22, there were a total of:
  – 54 cases in Lombardy region (including 1 death, with 18 in critical condition).
  – 18 in Veneto region (including 1 death).
  –   3 in Emilia Romagna region (all of which hospitalized from the Lombardy hotspot).
  –   3 in Rome (including 2 recoveries).
  –   1 in Turin, Piedmont.
• 18 cases are in critical condition in the intensive care unit.
• EMERGENCY MEASURES: 11 towns and areas affected by the outbreak have been placed in lockdown: “In areas considered hotspots, neither entry or exit will be authorised without special permission” said Prime Minister Giuseppe Conte, adding that businesses and schools in the areas would be closed.
• “From the tests carried out, it emerged that the alleged zero patient did not develop antibodies. Therefore, he never had Coronavirus. The whole picture changes now” said Deputy Minister of Health, Pierpaolo Sileri.
• 2 new cases in Milan:
  – a person from Mediglia (south of Milan) who was hospitalized in Melegnano and now has been transferred to the Sacco hospital.
  – a 78-year-old patient at the San Raffaele Hospital since a week ago.
• 1 new case in Turin – had participated in a running race in Portofino and Santa Margherita Ligure (Liguria region) with patient #1 of Codogno on February 2.
• Hundreds waiting for test results. At least 10 towns, 50,000 people, initially placed in precautionary voluntary quarantine, later in lockdown (first in Europe). Schools (full list), workplaces, municipal and private offices, 3 train stations, coffee shops, and public places closed in the affected towns. Soccer games postponed. All universities in Lombardy and Veneto regions, all schools in Trentino region will be closed starting Monday. Friuli Venezia Giulia region declared a state of emergency.
• 40+ new cases today in Italy, including:
  – 2 doctors, husband and wife (a pediatrician), in Pieve Porto Morone (Pavia, Lombardy).
  – 5 new cases in Vò Euganeo (Padua, Veneto region), where 4,200 people are now going to be tested.
  – 1 in Cremona (Lombardy region), a 38 year-old woman, friend of a health worker in Lodi.
  – 1 in Sesto Cremonese (Lombardy region).
  – 2 in Dolo and Mira (Veneto region).
•  1 new death in Italy, a 77-year-old woman with pre-existing conditions who was hospitalized a few days ago for pneumonia in the Lodi area (Lombardy region) and had contacts with the 38-year-old man.
• The 38-year-old man in Codogno (Lodi), near Milan (patient #1) is in critical condition (mechanically ventilated in intensive care, according to his parents) and at least 14 contacts are in serious condition, according to doctors, and include:
  – 5 health workers and doctors.
  – 3 patients at the Codogno hospital.
  – 3 elderly (in the 70s and 80s) clients of a bar run by the father of the man’s friend.
• “People must be distantiated right now, because this is a virus that is transmitted very effectively at close range” said the director of the infectious diseases department of the Higher Institute of Health, Gianni Rezza.

• US CDC: this virus represents a “Tremendous Public Health Threat. Likely that Community Spread may eventually happen in the United States“
• WHO: “Although the total number of COVID-19 cases outside of China remains relatively small, we are concerned about the number of cases with no clear epidemiological link, such as travel history to China or contact with a confirmed case” WHO chief Dr. Tedros Adhanom Ghebreyesus, Feb. 21 press briefing [video of sentence].
• Expert opinion: Last 36 hours indication of possible pandemic.

Highest number of new daily cases outside of mainland China to date (see previous days)

February 16:

• Report from Hubei province for February 16:
  • 1,933 new cases
  • 100 new deaths
  • 58,182 cumulative total cases
  • 6,639 cumulative total hospital discharges
  • 40,814 currently hospitalized, of which:
    – 31,007 (76.0%) in mild condition
    – 8,024 (19.7%) serious
    – 1,773 (4.3%) critical
  • 1,016 new hospital discharges
  • 191,434 close contacts have been tracked
• 1 new case in the United Arab Emirates.
• 3 new cases in Singapore: a family member of a previously confirmed case and 2 persons linked to the Grace Assembly of God church, including a Republic of Singapore Air Force (RSAF) serviceman.
•  1 new death in Taiwan: a 61-year-old man with no travel history abroad but – as a taxi driver – serving clients from Hong Kong, Macau and mainland China, who had underlying conditions (diabetes and hepatitis B).
• 2 new cases in Taiwan.
• 6 new cases in Japan.
• 1 new case in Hong Kong: 54-year-old man with no travel history and no known contacts with confirmed cases.
• 70 new cases onboard the cruise ship in Japan. Nearly 1 out of 10 passengers and crew (9.6%) have tested positive for the virus so far (355 cases out of 3,711 passengers and crew).
• 1 new case in South Korea: a 82-year-old South Korean man in Seoul, with no travel history to China.
• 166 new cases and 3 new deaths occurred outside of Hubei province in China on February 15, as reported by the National Health Commission (NHC) of China.

February 15:

• Report from Hubei province for February 15:
  • 1,843 new cases (of which 888 clinically diagnosed)
  • 139 new deaths
  • 56,249 cumulative total cases
  • 39,447 currently hospitalized, of which:
    – 29,051 (73.6%) in mild condition
    – 8,439 (21.4%) serious
    – 1,957 (5.0%) critical
  • 849 new hospital discharges
  • 183,183 close contacts have been tracked
• 1 new case in France.
• 1 new case in Malaysia is a 83-year-old US Citizen who arrived in Malaysia from the Westerdam cruise ship docked in Cambodia. The ship had been stranded at sea for two weeks after being turned away from five places – the Philippines, Taiwan, Japan, Guam and Thailand.
• 5 new cases in Singapore.
• 1 new case in Japan: the wife of an infected man who had traveled to Hawaii
•  1 death in France. First death in Europe and outside of Asia: a 80 year-old Chinese tourist.
• 8 new cases in Japan confirmed in Tokyo, where city officials have examined more than 100 close contacts of the taxi drivers.
• 67 new cases on the cruise ship in Japan.
• 1 new case in Thailand: a 35-year-old Thai woman, medical personnel, who got infected from a patient.
• 2 new cases in Malaysia: a 27-year-old Chinese man and a 32-year-old woman, both with recent travel history to China.
• 3 new cases in Japan in the Saiseikai Arida Hospital in Yuasa. “Possibility of hospital infection” according to the governor of Wakayama Prefecture.
• 193 new cases and 3 new deaths, occurring outside of Hubei province in China on February 14, have been reported by the National Health Commission of China.

February 14:

• Report from Hubei province for February 14:
  • 2,420 new cases (including 1,138 clinically diagnosed)
  • 139 new deaths (including 34 clinically diagnosed)
  • 54,406 cumulative total cases (including 16,522 clinically diagnosed)
  • 38,107 currently hospitalized, of which:
    – 27,955 (73.4%) in mild condition
    – 8,276 (21.7%) serious
    – 1,876 (4.9%) critical
  • 912 new hospital discharges
  • 176,148 close contacts have been tracked
• 1 new case in Canada (B.C.)
•  First case in Egypt, and first in Africa: a foreigner who had been put into isolation in a hospital.
• 4 new cases in Japan:
  • a Japanese man in his 50s living in Hokkaido and with no history of traveling abroad. The man had fever and cough on Jan. 31, visited three medical institutions before confirming the infection, and has developed severe symptoms for which he is now being treated in an intensive care unit.
  • a man in his 60s who initially had a cold on Feb. 3, followed by a fever of 39° C. on Feb. 8, and then pneumonia on Feb. 10. He had traveled to Hawaii from Jan. 28 to Feb. 7.
  • a person from the Jan. 31, charter flight (third in a series) from Wuhan.
  • a 30-year-old man working in the local government who had transported patients from the cruise ship.
• 9 new case in Singapore (6 linked to Grace Assembly church). With two patients discharged today, 17 people have now fully recovered from the disease.
• 2 new cases in Japan. Both are connected to the previously confirmed case of a taxi driver. One had attended a Taxi Union New Year’s party with 80 participants, including the infected taxi driver.
• 3 new cases in Hong Kong. 1 case had attended a family gathering of twenty-nine at a restaurant in North Point on January 26, which resulted in a total of 8 cases so far, with at least 2 additional people pending test results.
• 2 new cases in Japan.
•  The National Health Commission of China, in its February 14 official report, deducted 108 previously reported deaths and 1,043 previously reported cases from the total in Hubei Province due to “repeated statistics.” We have updated the daily (Feb. 12 and Feb. 13) and cumulative totals accordingly.
  
• Report from Hubei province for February 13:
  • 4,823 new cases (including 3,095 clinically diagnosed)
  • 116 new deaths (including 8 clinically diagnosed).
  • 51,986 cumulative total cases (including 15,384 clinically diagnosed)
  • 36,719 currently hospitalized, of which:
    – 27,081 (73.8%) in mild condition
    – 7,953 (21.7%) serious
    – 1,685 (4.6%) critical
  • 690 new hospital discharges (including 214 clinically diagnosed)
  • 166,818 close contacts have been tracked
  • 77,685 people are undergoing medical observation

February 13:

• 3 new cases in Hong Kong include a mother and her 37-years old son who had dinner with three earlier cases at a restaurant in North Point on January 26.
• 1 new case in the United States, in Texas, was part of federal quarantined group at JBSA-Lackland who had been brought back from Wuhan on a State Department-chartered flight.
•  First death in Japan: a woman in her 80s.
• 8 new cases in Singapore.
• 1 new case in Malaysia (daughter of 16th case and a friend to the 14th case, all arrived from Wuhan on Jan. 25).
• 2 new cases in Japan:
  • a taxi driver in Tokyo.
  • a surgeon at a hospital in Yuasa-cho who, after developing fever, continued to work as usual (including visiting patients) for three days.
• 44 new cases in Japan on the cruise ship, bringing the total on the “Diamond Princess” to 218.
• 1 new case in the United States (8^th in California).

February 12:

• Report from Hubei for Feb. 12: 14,840 new cases and 242 new deaths. [original document]
  • Surge in number of cases and deaths is due for the most part to the adoption of a new diagnosis classification.
  • In conformity with other provinces, starting with Feb. 12 counts, Hubei Province will include the number of clinically diagnosed cases into the number of confirmed cases.
  • Of the 14,840 cases added, 13,332 are due to the new classification while 1,508 are new cases.
  • There were 242 new deaths (including 135 clinically diagnosed cases).
• 1 new case in the UK (a Chinese national). First case in London.
• 1 new case in Hong Kong and 1 recovered.
• 3 new cases in Singapore

February 11:

• 39 new cases in Japan aboard the cruise ship.
• 2 new cases in Germany (Starnberg district west of Munich).
• COVID-19 is the name officially given to the novel coronavirus (2019-nCoV)
• 2 new cases in Singapore, 7 new cases in Hong Kong and 1 in Thailand.
•  A building’s piping system is being investigated as a potential cause of airborne transmission via feces in Hong Kong after the 42nd case, who lives 10 stories below the 12th confirmed case, was confirmed on February 10. Some of the vents might not have been properly blocked, allowing the virus to be transported to other flats. Still unsure about the exact route of transmission (“it could be the usual droplet transmission but there is the environmental factor“), authorities have evacuated the building.
• 2 new cases in Japan: two men who had returned from Wuhan at the end of January.
• 1 new case in the United States (San Diego, California).
• 1 new case in South Korea

February 10:

•  UK risks a ‘major’ coronavirus outbreak, warns world expert who co-discovered Ebola. Compared to Ebola, coronavirus is a “greater threat because of the mode of transmission. The potential for spread is much, much higher.” (The Times)
• 3 new cases in Hong Kong.
• 2 new cases in Singapore, including a two year-old Singapore citizen who was evacuated from Wuhan. Update on 45 patients: 7 discharged, 7 in critical condition in ICU.
• 4 new cases in the UK
• 65 new cases in Japan on the “Diamond Princess” cruise ship. Total on ship quarantined in Japanese waters: 135 cases. Rest of Japan: 26 cases.
• 1 new case in Malaysia.

February 9:

• With 906 deaths as of February 10, the novel coronavirus (2019-nCoV) has surpassed MERS (final toll of 858 deaths in 2012).
• 3 new cases in Singapore. Out of 43 cases: 6 critical in ICU, 6 discharged.
• 1 new case in the UK. First in London
• 1 new case in Spain
• The novel coronavirus had already overtaken the total case count of SARS (8,096 cases worldwide) on January 30.

February 8:

• With 813 total deaths as of February 8, 2020, the novel coronavirus has surpassed SARS (final toll of 774 deaths in 2003).
• 7 new cases in Singapore: information on each of the 40 Singapore cases so far (sex and age, days from onset of symptoms to 2019-nCoV infection confirmation, travel history to China, etc.). Of the 40 cases, 23 are male, 17 female; median age is 41 and five patients are aged 56.
• The US embassy in Beijing confirmed the death of a 60-year-old American woman in Wuhan on February 6.
• 5 new cases in France: four adults and a child. None of them severe.
• 3 new cases in Japan on cruise ship, bringing the total on the Diamond Princess to 64.

February 7:

• 41 new cases in Japan on the cruise ship.

February 6:

• 2 new cases in Canada (British Columbia): a man and a woman in their 30s. The man displayed only mild symptoms. Health officials said that young healthy people can have very mild symptoms that may manifest as a cold.
• 1 new case in Italy: a 29-year-old Italian national repatriated from Wuhan with other 55 Italians. First case of coronavirus in an Italian national (the other two were Chinese tourists visiting Italy).
• Death of Dr Li, the Chinese doctor who warned others to protect themselves, before being summoned and investigated by Chinese authorities for “making false comments” and “spreading rumors” denying the official story that only those who came into contact with infected animals could catch the virus.
• 1 new case in England: a British national who contracted the virus from an Asian country other than China.
• 1 new case in Germany (in Bavaria, bringing the total there to 11): the wife of an employee of the company from the district of Starnberg. Two of the couple’s children also tested positive for the coronavirus.
• 1 new case in Australia, a 37-year-old Chinese woman part of the tourist group that was placed in quarantine. This is the 5th case in Queensland. 4 other cases have been confirmed in Victoria, 4 in NSW and 2 in South Australia to date.

February 5:

• 10 additional cases confirmed on board the cruise ship in Japan
• 1 new case in the United States (Wisconsin)
• 1 Japanese man in his 20s who deals with tourists is the 35th case in Japan. He had not been to China recently.
• 3 new coronavirus cases in South Korea; 2 men had traveled to Singapore for conference.
• 4 new cases confirmed in Singapore, including a six-month-old child of an infected couple.
• 2 new cases in Malaysia, 1 new case in Australia (Queensland).
• 1 death reported from Tianjin, China: the patient had developed fever and cough after shopping in a department store on January 22. The patient had a history of type 2 diabetes and hypertension.

February 4:

• Japan has confirmed at least 10 cases of coronavirus from a cruise ship in the port of Yokohama near Tokyo. A 80-year-old Hong Kong man on the ship, who tested positive for the virus, infected a number of other people. Earlier on the day, Japanese authorities had quarantined some 3,700 passengers in an attempt to contain the virus from causing an outbreak.
• 1 new case in Canada (second one in metro Vancouver): a woman in her 50s who had been hosting relatives from the Wuhan area
• Four-year-old in Malaysia is the first case in the country to have recovered after being infected by the coronavirus.

China’s National Health Commission (NHC) says that:

• about 80% of those who died were over the age of 60.
• 75% had pre-existing conditions such as cardiovascular diseases and diabetes.

• As they confirm 6 new cases in Singapore, 4 of which did not travel to China. Health official announce first local coronavirus transmissions.
• 2 new cases, both in their 60s, in Hong Kong: Health officials said it was suspected the virus had been transmitted locally.

Other cases include:

• 1 new case in Taiwan is a returning evacuee who had displayed symptoms on Feb. 2 on arriving in Taiwan on a China Eastern Airlines charter flight.
• 6 new cases in Thailand.
• 2 new cases in Japan, 1 in Australia (the third in Queensland): an eight-year-old child from Wuhan.
• 1^st case of coronavirus confirmed in Belgium (one of the nine repatriated from Wuhan on Feb. 2).
• a 39-year-old man died from the coronavirus in Hong Kong. According to reports, the patient had an underlying illness and had traveled to Wuhan on January 21.

Timeline:

• On February 3, two new cases were reported in Germany, one is the children of a family already infected with the virus.
• On February 2, doctors in Thailand said they discovered medical treatment that cured a patient of coronavirus ‘in 48 Hours’
• On February 2, a death in the Philippines marked the first death occurring outside of China. It was a 44-year-old Chinese man from Wuhan who was admitted to the hospital on Jan. 25 with fever, cough, and sore throat, developed severe pneumonia but in the last few days “was stable and showed signs of improvement; however, the condition of the patient deteriorated within his last 24 hours resulting in his demise.” reported the Philippine Department of Health.
• On February 2, China shut down another major city as it closed roads and restricted the movement of residents in Wenzhou, a city with a population of 9 million that is located 800 km away from Wuhan, in Hubei province. The Zhejiang province, where Wenzhou is located, has the highest number of confirmed cases outside the Hubei province.
• On February 1, the 8th case in the United States was reported (a male in his 20s, in Boston, MA).
• On January 31, the first 2 novel coronavirus cases in the UK, the first 2 cases in Russia, and the first case in Sweden and in Spain were reported. Canada reported its 4^th case.
• On Jan. 31, the United States
  • declared Coronavirus a Public Health Emergency
  • issued 14 days quarantine rules for US citizens entering the US from China (mandatory if entering from the Hubei province).
  • issued an order to deny entry to foreigners who have traveled to China within the past two weeks.
• On January 30, the novel coronavirus total case count surpassed that for SARS (which affected 8,096 people worldwide).
• On January 30, the World Health Organization declared the coronavirus outbreak a Global Public Health Emergency.
• On January 30 CDC confirmed the first US case of human to human transmission.
• Germany, Japan, Vietnam and the United States have reported cases in patients who didn’t personally visit China, but contracted the virus from someone else who had visited Wuhan, China. These cases of human to human transmission are the most worrisome, according to the WHO.
• Wuhan (the city where the virus originated) is the largest city in Central China, with a population of over 11 million people. The city, on January 23, shut down transport links. Following Wuhan lock down, the city of Huanggang was also placed in quarantine, and the city of Ezhou closed its train stations. This means than 18 million people have been placed in isolation. The World Health Organization (WHO) said cutting off a city as large as Wuhan is “unprecedented in public health history.” and praised China for its incredible commitment to isolate the virus and minimize the spread to other countries.

• Every year an estimated 290,000 to 650,000 people die in the world due to complications from seasonal influenza (flu) viruses. This figure corresponds to 795 to 1,781 deaths per day due to the seasonal flu.
• SARS (November 2002 to July 2003): was a coronavirus that originated from Beijing, China, spread to 29 countries, and resulted in 8,096 people infected with 774 deaths (fatality rate of 9.6%). Considering that SARS ended up infecting 5,237 people in mainland China, Wuhan Coronavirus surpassed SARS on January 29, 2020, when Chinese officials confirmed 5,974 cases of the novel coronavirus (2019-nCoV). One day later, on January 30, 2020 the novel coronavirus cases surpassed even the 8,096 cases worldwide which were the final SARS count in 2003.
• MERS (in 2012) killed 858 people out of the 2,494 infected (fatality rate of 34.4%).

• Novel coronavirus outbreak may reach peak in one week or about 10 days: expert – Xinhua, Jan. 28, 2020
• China’s Xi Jinping pledges to overcome ‘devil’ coronavirus – Financial Times, Jan. 28, 2020
• Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China – The Lancet, Jan. 24, 2020
• The Age, Sex and Symptoms of China’s Coronavirus Victims – Bloomberg, Jan. 23, 2020

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