February 18, 2020 coronavirus news | CNN

February 18 coronavirus news

Two buses arrive next to the Diamond Princess cruise ship, with people quarantined onboard due to fears of the new coronavirus, at the Daikaku Pier Cruise Terminal in Yokohama port on February 16, 2020. - The number of people who have tested positive for the new coronavirus on a quarantined ship off Japan's coast has risen to 355, the country's health minister said. (Photo by Behrouz MEHRI / AFP) (Photo by BEHROUZ MEHRI/AFP via Getty Images)
Man who refused to evacuate quarantined ship responds to criticism
01:55 - Source: CNN

What we covered here

  • More cases: The novel coronavirus has infected more than 75,000 people around the world, mostly in mainland China. The death toll stands at 2,009, including five people outside mainland China.
  • Hospital director dies: Liu Zhiming, head of the Wuchang hospital in Wuhan, died from the virus this morning. China will designate medical workers who died while working to combat the virus as “martyrs.”
  • What’s happening on the cruise ship: Several countries are sending flights for their citizens aboard the Diamond Princess cruise ship quarantined in Japan. The US has evacuated more than 300 Americans from the ship.
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7 new cases of coronavirus reported in Japan

Japan has seven new cases of novel coronavirus, the Ministry of Health announced on Tuesday.

About the cases: The new cases include a teen in Wakayama and a male doctor in his thirties who went on board the Diamond Princess cruise ship. The doctor is a member of the disaster medical assistance team.

In Japan, a total of 613 novel coronavirus cases have been confirmed, with 545 on the Diamond Princess cruise ship and 68 outside the ship.

Symptom-based screening "ineffective" at detecting travelers with coronavirus, report says

A staff member registers a resident's body temperature during a health screening campaign at Qingheju Community in Qingshan District of Wuhan, China, on Tuesday, February 18.

German researchers called symptom-based screening to detect the novel coronavirus “ineffective” in a new analysis published Tuesday in the New England Journal of Medicine.

The researchers assessed the screening process for 126 people evacuated to Germany from Wuhan, China.

All 126 travelers, mostly German nationals, left Wuhan on February 1 and were screened for symptoms and clinical signs of infection before they were evacuated. Despite requiring travelers to undergo a multiple screenings once in Germany, two travelers were ultimately positive for the novel coronavirus. According to the researchers, “a symptom-based screening process was ineffective in detecting” the virus.

During the evacuation flight from Germany, 10 passengers were isolated: two because of contact with a confirmed coronavirus patient; six exhibited symptoms; and two passengers who had accompanied one of the six symptomatic travelers. Upon arrival, all 10 of these passengers were transferred to University Hospital Frankfurt and all tested negative for coronavirus.

The remaining 116 passengers underwent another medical assessment and one passenger had an elevated temperature and cough. This patient ultimately tested negative for coronavirus.

Of the remaining 115 patients, 114 consented to a throat swab to test for coronavirus. Of those 114 travelers, two tested positive for coronavirus. These two patients were isolated at a hospital. One patient had a faint rash and sore throat. According to the researchers, the two isolated patients were “well” and had no fever in the seven days after hospitalization. Aside from the ineffectiveness of the screening process, the authors found that the virus could potentially be spread by those who exhibited mild symptoms: “Shedding of potentially infectious virus may occur in persons who have no fever and no signs or only minor signs of infection.”

Over 73,000 people around the world have been infected with the coronavirus, most of those cases in mainland China. There have been more than 1,800 deaths, including five people outside of mainland China.

Global death toll for coronavirus exceeds 2,000

More than 2,000 people have died from coronavirus across the globe, according to the latest figures released Tuesday.

China’s National Health Commission (NHC) reported Tuesday that 136 more people died of coronavirus in mainland China, 132 of which occurred in the Hubei province.

The latest figures brings the total number of deaths in mainland China to 2,004, and the global death toll to 2,009. There have been five deaths reported outside of mainland China with one death in Hong Kong, Taiwan, Japan, the Philippines and France.

The global number of confirmed coronavirus cases now stands at 75,117, with the majority of cases in mainland China.

China’s National Health Commission is expected to release numbers for all of China’s provinces later.

How mainland China is working to prevent the spread of coronavirus

A worker wears a protective mask and goggles as he cleans and disinfects machines at a nearly empty subway station during rush hour on Friday, February 14, in Beijing, China.

Since the start of the novel coronavirus outbreak in December, the disease has infected more than 70,000 people and has reached a death toll of 1,868 people in mainland China.

According to analysis done by CNN, travel restrictions, of varying degrees are still being enforced in various provinces and cities across mainland China including Hubei, Liaoning, Beijing and Shanghai affecting over 780 million people. These restrictions, which appear to be China’s main effort to control the disease, include everything from self-quarantines to limits on who can come and go from neighborhoods.

Some of the strictest measures can be found in four cities in Hubei province, the epicenter of the outbreak:

  • The cities of Wuhan, Huanggang, Shiyan and Xiaogan have completely sealed off all residential complexes and communities.
  • The use of non-essential vehicles on local roadways is also banned. 
  • Residents in each city receive daily necessities from neighborhood and community committees as they are not permitted to leave their homes.

Despite the continuation of its spread, Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, said that the virus is not as deadly as SARS or MERS, both of which are related to the current coronavirus, and more than 80% of patients “have mild disease and will recover.” Reports say it could take up to 18 months before a coronavirus vaccine is available.

Here’s a look at where the cases are throughout mainland China, according to WHO data. These numbers may differ from those reported by Chinese health officials, who report updated totals at different times than the WHO.

CDC criticizes quarantine procedures on Diamond Princess cruise ship

Buses carrying American passengers from the quarantined Diamond Princess cruise ship leave a port in Yokohama, Japan on Monday, February 17.

The US Centers for Disease Control and Prevention issued a statement criticizing the quarantine efforts taken on the Diamond Princess cruise ship.

The CDC noted that there are still more than 100 US citizens on board the ship or in hospitals in Japan. Due to their high-risk exposure, there is the potential for additional novel coronavirus cases to occur and the remaining passengers who disembark from the ship will be subject to a 14-day quarantine.

Coronavirus patients under quarantine in Nebraska are receiving supportive care

The 13 patients who arrived at the University of Nebraska Medical Center from the Diamond Princess cruise ship are receiving supportive care, Dr. Mark Rupp, chief of the hospital’s Division of Infectious Diseases, told CNN.

He also noted that while the mortality rate for the virus is being calculated at around 2%, he expects that number to eventually fall.

“I won’t be surprised when this is all said and done to see mortality rate somewhere in the neighborhood of maybe point five or 1% rather than over 2%,” Rupp said.

Russia will suspend entry for Chinese citizens

The Amurzet-Luobei County crossing, on the Russian-Chinese border.

The Russian government announced that it would temporarily suspend entry by Chinese citizens, according to an order posted on an official state website today.

The statement said Russia would bar entry through its state border to Chinese citizens entering for work, for private, educational and tourist purposes. The order says the processing of documents, registration and invitations to Chinese citizens to enter Russian territory for those reasons would cease temporarily from midnight Tuesday; the full ban takes effect Thursday.

Some background: This announcement comes amid concerns over the novel coronavirus. Russia is a major destination and transit point for Chinese tourists, and shares a lengthy land border with China. The new restrictions will not apply to transit passengers, Russian state news agency TASS said.

The Russian government has reported two cases of the coronavirus involving Chinese citizens in Russia and confirmed that a Russian woman was diagnosed with the virus on board the cruise ship Diamond Princess.

"Chilling implications" for US medical supplies made in China during coronavirus, health official says

A worker makes face masks at a factory in Qingdao, China, on February 6.

With a majority of some US medical supplies coming from or originating in China, coronavirus could hold “chilling implications” by hindering that pipeline, according to Robert P. Kadlec, assistant secretary for preparedness and response at the US Department of Health and Human Services.

About timing: The US might not see the impacts just yet because American buyers typically stock up before Chinese factories slow down during the Lunar New Year, Kadlec added.

These concerns extend not just to pharmaceuticals but also to other materials like face masks, which are frequently manufactured in China. The US Centers for Disease Control and Prevention does not recommend the use of face masks for the general American public. By buying them up in large quantities, Kadlec warned that Americans might leave fewer for some people who really need them — namely, health care workers.

Kadlec said, “We probably need to change the way we do business in these areas because of the significant risks and vulnerabilities that are being highlighted by this event.” He added that the solution requires a whole-government approach in cooperation with the private — “It’s everybody.”

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, agreed, saying, “We can’t see them crash. If they crash, we have a problem.”

China withdraws from tennis tournament in Romania because of coronavirus travel restrictions

China has withdrawn from next month’s Davis Cup playoffs in Romania because the men’s tennis team cannot travel due to the coronavirus outbreak, the International Tennis Federation (ITF) announced on Twitter today.

China was scheduled to play in Piatra Neamt, Romania, on March 6-7 in World Group I playoff. 

Passengers still on the Diamond Princess will begin leaving the ship tomorrow

Passengers on the Diamond Princess cruise ship docked at Japan’s Yokohama port will finally begin to leave the ship starting tomorrow, the Japanese Minister of Health, Labour and Welfare said.

Some are expected to transition to shoreside facilities and others could board chartered flights for which they are eligible, according to the ship’s Captain Gennaro Arma. 

These are the first passengers to leave the ship, not including those infected with coronavirus who are undergoing treatment on shore or the more than 300 Americans who were evacuated over the weekend and now in quarantine at two US bases.

Quarantine orders lifted for hundreds of people being housed at 2 California bases

Two groups of people who recently returned from Wuhan, China, have completed their 14-day quarantine at California bases, according to the US Centers for Disease Control and Prevention.

The CDC said in a statement that 180 people quarantined at Travis Air Force Base and 166 at Marine Corps Air Station Miramar have been “medically cleared,” and their quarantine orders were lifted. One person from the Miramar group who was confirmed to have coronavirus remains hospitalized.

Meanwhile, passengers from the Diamond Princess cruise ship who recently returned to the US are “being kept separate from those individuals who are already at Travis and nearing the end of their quarantine,” the CDC said.

This chef's team is providing meals to people still aboard the quarantined cruise ship

Renowned chef José Andrés says his nonprofit organization World Central Kitchen is in Japan to provide hot meals to those still on the Diamond Princess cruise ship.

Andrés and his organization have provided meals to millions throughout the years in natural disasters, such as Hurricane Maria, the California wildfires. His team even fed US government employees put out of work during the federal government shut down last year.

Coronavirus death rate in Wuhan may reflect "severe" pressure on health care system, official says

Officials with the World Health Organization talk to reporters on Tuesday.

Numbers suggesting death rates from coronavirus may be higher inside Wuhan and lower elsewhere may reflect “severe” pressure on the health care system there, Mike Ryan, executive director of the World Health Organization’s Health Emergencies Programme, told reporters Tuesday.

Ryan was responding to a report published Monday by scientists with the Chinese Center for Disease Control and Prevention, showing that patient outcomes in Hubei province are a key driver of the 2.3% case fatality rate they calculated. In Hubei, that number is 2.9%; in other Chinese provinces, that number is 0.4%.

The upside, Ryan added, is that “the lessons that have been learned in Hubei and Wuhan are being applied elsewhere.”

Those lessons include predicting who’s most at risk, getting people into critical care early, and ensuring medical teams are well trained in advanced critical care techniques such as ventilation.

“I think the system in China, for example, has got much better at prioritizing those more likely be severely ill,” said Ryan, who maintained that the case fatality rate can be misleading without proper context.

Canada will evacuate its citizens from cruise ship in Japan this week

The quarantined Diamond Princess cruise ship is anchored in Yokohama, Japan, on Tuesday.

A chartered airplane that will evacuate Canadian citizens from the Diamond Princess cruise ship is on its way to Japan, according to Global Affairs Canada.

The flight is expected to depart the Tokyo Haneda Airport on Thursday.

According to Global Affairs Canada, 43 of the 256 Canadians on the Diamond Princess cruise ship have tested positive for the novel coronavirus. 

Singapore confirms 4 new cases of coronavirus

People wearing protective face masks walk along Singapore's Jubilee Bridge on Monday.

The Singapore Ministry of Health has reported four new cases of the novel coronavirus, bringing the citywide total to 81 confirmed cases.

Here are the four new cases:

  • A 57 year-old woman with no recent travel to China and links to the cluster of cases with the Grace Assembly of God church
  • A 35 year-old woman Malaysian national with no recent travel to China and is a relative to a previously diagnosed patient
  • A 38 year-old woman with no recent travel to China (She works in an administrative role at Singapore’s National University Hospital but has not interacted with patients since onset of symptoms, the ministry said)
  • A 50 year-old man with no recent travel to China and links to the Grace Assembly of God cluster.

Five patients diagnosed with the coronavirus have also been discharged from the hospital, bringing Singapore’s total of discharged patients to 29 people.

Coronavirus vaccine could take 12 to 18 months to develop and test, WHO officials say

Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, speaks at Tuesday's news conference in Geneva, Switzerland.

A vaccine for the novel coronavirus could take 12 to 18 months to develop, according to Tedros Adhanom Ghebreyesus, director-general for the World Health Organization.

But a vaccine is preparing for “the worst situation,” he said, and for now, long-term preparation needs to be balanced with immediate public health solutions that contain the virus and keep the fatality rate low.

“This is a window of opportunity that should not be missed,” Tedros said Tuesday during a press briefing.

Dr. Sylvie Briand, director of WHO’s Infectious Hazards Management Department, said there could be a candidate for a coronavirus vaccine in about 16 weeks, but it would still require months of development and trials to prove its effectiveness in humans. Briand said there’s been no new data on vaccine development since WHO’s coronavirus research meeting earlier this month.

Dr. Mike Ryan, WHO executive director of Health Emergencies Programme, said many lives can be saved in the coming months even without a vaccine, so immediate investment is needed to support health systems and provide treatment.

Here's why American coronavirus patients are being sent to Nebraska

The National Quarantine Unit in Nebraska is seen during a training in 2019.

After a two-week quarantine aboard the Diamond Princess cruise ship in Japan, some American passengers were sent back to the states. However, for some of the 13 who either tested positive or had a high likelihood of testing positive, they must make one more stop in Nebraska.

They’re heading to the Omaha-based Nebraska Medicine/University of Nebraska Medical Center (UNMC). The unit is no stranger to treating patients with difficult diseases.

The special 10-bed biocontainment unit is a state-of-the-art facility that has been doing this kind of complicated work for nearly 15 years. 

It is a secured area with its own ventilation system that is isolated from the rest of the hospital and is staffed by people with specialized training in communicable diseases. It had been commissioned by the US Centers for Disease Control and Prevention in 2005.

In 2014, the unit successfully treated three patients with Ebola, including Dr. Rick Sacra, an American physician from Massachusetts who got sick while working with Ebola patients in Africa.

Dozens more countries will soon be able to test for coronavirus

By the end of this week, 40 countries in Africa and 29 in the Americas are expected to have the ability to detect the disease caused by the novel coronavirus, World Health Organization Director-General Tedros Adhanom Ghebreyesus said today during a press briefing.

Many countries had been sending samples to others for testing, which can take days. Now, they’ll be able to get results themselves within 24 to 48 hours, he said.

WHO has also sent personal protective equipment to 21 countries and is preparing to send it to another 106 in the comings weeks, Tedros said. 

China will designate healthcare workers who died while fighting coronavirus outbreak as "martyrs"

After several deaths of healthcare employees as a result of the novel coronavirus, the Chinese government is under criticism for how it is treating its medical workers.

Two of the most notable deaths include those of Li Wenliang, the whistleblower doctor credited for warning about the virus, and Liu Zhiming, director of the Wuchang hospital in Wuhan, the city at the center of the outbreak.

CNN’s Kristie Lu Stout reports that, “China says it will designate all of them — the frontline doctors, nurses and medics who died while fighting the virus — as martyrs of the epicenter of the outbreak.”

As of Friday, China’s National Health Commission (NHC) says at least 1,716 healthcare workers nationwide had been infected by the virus.