Date: Sat, 14 Mar 2020 11:50:15 +0100 (MET)

Paris, March 14, 2020 (AFP) - The number of novel coronavirus cases globally stood at 143,400, with 5,402 deaths, across 135 countries and territories by 0900 GMT Saturday, according to a tally compiled by AFP from official sources.

Between Friday's 1700 GMT tally and Saturday's latest figures there were 55 more deaths reported and 2,677 new cases.   The tallies, using data collected by AFP offices from national authorities and information from the World Health Organization (WHO), take into account the fact that criteria for counting victims and coronavirus screening practices vary from country to country.

China -- excluding Hong Kong and Macau -- where the epidemic was declared in late December, has to date declared 80,824 cases, for 3,189 deaths, with 65,541 people recovered. The country declared 11 new cases and 13 new fatalities Friday to Saturday.

Outside China, by Saturday there had been 2,213 fatalities -- 42 since Friday -- for 62,583 cases, 2,665 of them new.  The worst-hit nation after China is Italy with 1,266 deaths for 17,660 cases, Iran with 514 fatalities (11,364 cases), Spain, with 121 deaths for 4,231 cases and France, with 79 deaths and 3,661 cases.   Since Friday, Ecuador has announced its first death while Kosovo, Mauritania, Uruguay, Surinam, Guatemala, Antigua-and-Barbuda, Namibia, eSwatini, Porto Rico and Guinea have declared their first cases.

By 0900 GMT Saturday, Asia had listed 91,346 cases and 3,299 deaths, Europe 36,399 cases and 1,514 deaths, the Middle East 12,475 cases for 527 deaths, the United States and Canada 2,350 cases for 48 deaths, Latin America and the Caribbean 388 cases and 5 deaths, Oceania 244 cases and three deaths and Africa 205 cases for 6 deaths.
Date: Tue, 10 Mar 2020 10:29:48 +0100 (MET)

Wuhan, China, March 10, 2020 (AFP) - Hard-hit Hubei, the epicentre of the coronavirus outbreak in China, will relax travel restrictions to allow healthy people to move within the province, officials said Tuesday.   Hubei has been under lockdown since January with some 56 million people under quarantine, but the number of cases has declined in recent weeks.

According to the provincial government, a mobile app will be used to give residents a coloured health code, and people labelled "green" in medium and low-risk areas will be allowed to travel within the province.   There is no indication that people can leave the province, and the measures also did not appear to loosen restrictions in Hubei's capital, Wuhan.

Chinese President Xi Jinping on Tuesday made his first visit to the city since it emerged as the epicentre of the coronavirus crisis in January.   Only green code holders -- meaning no contact with any cases -- will be allowed to travel, and only if they are from low or medium risk areas, officials said.

Confirmed or suspected cases will get a red code, while a yellow code indicates close contact with a confirmed case.   Anyone given a red code must be quarantined.   Cities, counties and districts with no newly confirmed cases in the last two weeks are classified as low-risk regions.   On Tuesday there were only 17 new cases reported in Hubei province, all in Wuhan.   Most of China's 3,136 coronavirus deaths and 80,754 cases came from Hubei, with the majority in Wuhan.
Date: Thu 12 Mar 2020
Source: China National Health Commission [in Chinese, machine trans.,edited]
<http://www.nhc.gov.cn/xcs/yqtb/202003/37c1536b6655473f8c2120ebdc475731.shtml>

At 04:00 on [11 Mar 2020], 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 15 new confirmed cases, 11 new deaths (10 in Hubei and 1 in Shaanxi), and new suspected cases. 33 cases.

1318 new cases were cured and discharged on the same day, 2206 close contacts were released from medical observation, and 235 severe cases were reduced.

As of 24:00 on [11 Mar 2020], according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 14,831 confirmed cases (4257 of which were severe cases), 62,793 cured cases and 3169 deaths. A total of 80,793 confirmed cases were reported, with 253 suspected cases. A total of 677,243 close contacts were tracked, and 13,701 were close contacts in medical observation.

8 newly confirmed cases in Hubei (8 in Wuhan), 1242 newly cured cases (1053 in Wuhan), 10 new deaths (7 in Wuhan), 14,427 confirmed cases (13,462 in Wuhan), Of these, 4180 were severe cases (4003 in Wuhan). A total of 50,298 discharged patients were cured (34 094 in Wuhan), a total of 3056 died in [Hubei] (2430 in Wuhan), and a total of 67,781 confirmed cases (49,986 in Wuhan). There were 2 new suspected cases (2 in Wuhan) and 158 suspected cases (152 in Wuhan).

At 04:00 on [11 Mar 2020], 6 newly diagnosed imported cases were reported (3 in Guangdong, 2 in Gansu, and 1 in Henan). As of 24:00 on [11 Mar 2020], a total of 85 imported confirmed cases were reported overseas.

A total of 187 confirmed cases were reported from Hong Kong, Macao, and Taiwan: 129 cases in Hong Kong Special Administrative Region (67 cases discharged, 3 deaths), 10 cases in Macau Special Administrative Region (10 cases discharged), 48 cases in Taiwan (17 cases discharged, 1 case died) ).
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[According to the report above, a total of 80,793 cases of confirmed COVID-19 have now been reported from China, representing an increase of 15 cases in the past 24 hours, of which 8 (53.3%) were in Hubei province. It is the 3rd consecutive day that the number of newly reported cases in a 24 hour period was less than 50. While there are still suspected cases reported that presumably are waiting for laboratory confirmation, fingers are crossed this adequately represents China approaching interruption of transmission of the SARS-CoV-2 transmission in China. In addition, 11 deaths were reported, 10 (90.9%) of them by Hubei province. Nine new cases were reported from Hong Kong.

Most noteworthy is that 6 (40%) of the 15 newly confirmed cases were imported cases into China (3 in Guangdong, 2 in Gansu, and 1 in Henan) bringing the total number of imported cases to 85. A challenge will be to prevent importations from starting new chains of transmission within China.

What China has accomplished in less than 3 months is very impressive...detecting a new disease, identifying the aetiologic agent, developing diagnostic tools, and interrupting most chains of transmission.... There are lessons to be learned. One key challenge was detecting when the zoonotic disease with isolated probable species jumps developed person-to-person transmission ease and the number of cases skyrocketed, recognizing needs for surge capacity, and responding asap (as soon as possible). The analogous situation can be said of the transmission in the Middle East, Europe, the USA, and the Western Pacific region -- detecting when the transition from isolated imported cases to community-based transmission occurred; countries are still trying to meet the needed surge capacity; and attempting to slow down the community based transmission.

A map of China showing provinces can be seen at
<https://www.chinadiscovery.com/china-maps/china-provincial-map.html>,
and a HealthMap/ProMED-mail map at
<http://healthmap.org/promed/p/155>. - ProMed Mod.MPP]
Date: Mon 9 Mar 2020
Source: Global Times [edited]
<https://www.globaltimes.cn/content/1182080.shtml>

Cases of hepatitis A found in northeast China's Liaoning Province have caused public concern over a potential outbreak. A local health authority said on Saturday [7 Mar 2020] that cases of the disease were only sporadic in the region, but it did not reveal the number of cases.

"Rumors about people getting hepatitis A from eating undercooked seafood have been going around the city for 10 days," [ZD], a resident in the coastal city of Dandong, Liaoning Province, told the Global Times on Monday [9 Mar 2020], adding that it has exacerbated public anxiety amid the current COVID-19 outbreak.

Dalian, another coastal city in Liaoning, has also been at the centre of disease outbreak rumours. [MW], a resident in Zhuanghe, a county-level city administered by Dalian, told the Global Times on Monday [9 Mar 2020] that she saw a widely shared message in a WeChat group on 27 Feb [2020], saying that 5 out of 12 people tested positive in a liver function test in a local hospital, which implied that hepatitis A was prevalent in Zhuanghe [Liver-function-test abnormalities are not specific for HAV. - ProMed Mod.LL].

The Center for Disease Control (CDC) of Zhuanghe released a notification on its WeChat official account on 28 Feb [2020] in response without directly confirming whether the message was true or false. The notification said that cases of hepatitis A found in Zhuanghe were only sporadic, not clustered, and that increasing cases are just in line with the seasonal epidemic trend of hepatitis A. A health centre in Dandong also claimed that the disease is controllable even though the number of cases has been slightly increasing.

However, the statements did not calm down the public concern. A photo of a pharmaceutical company's announcement in another city in Liaoning Province, in which the company warned its employees on Friday [6 Mar 2020] to not eat seafood due to the hepatitis A outbreak in Dalian and Dandong, spread over social media. The photo caused doubts among some netizens about the credibility of the local health authorities because the exact number of the hepatitis A cases in the region has not been revealed to the public.

The CDC in Dalian, in an interview with the National Business Daily on Saturday [7 Mar 2020], stressed again that cases of hepatitis A in the city were just sporadic and said that they will sound an alarm if the disease becomes more prevalent. Residents were also advised to fully cook seafood before eating it to prevent possible infection with hepatitis A.

People may get infected by eating uncooked and contaminated seafood, as shellfish are the primary vectors of hepatitis A, and the virus can survive in them for more than 3 months, Zhao Guoqing, chief physician of liver disease at Beijing You'an Hospital, told Jiankang Shibao, a health-focused newspaper under People's Daily, on Sunday [8 Mar 2020].  [Byline: Wan Lin]
=======================
[It is unusual to see outbreaks of hepatitis A in the developing world, as serosurveys suggest close to 100% seropositivity by age 10 from asymptomatic infection earlier in childhood. The diagnosis of acute HAV infection is made by finding anti-HAV IgM in suspected cases.

Liaoning is a coastal province in northeast China (historically also known as Manchuria) and is the smallest, southernmost, but most populous province in the region. Located on the northern shore of the Yellow Sea, it is the northernmost coastal province in China. - ProMed Mod.LL]

[HealthMap/ProMED-mail map:
Liaoning Province, China: <http://healthmap.org/promed/p/345>]
Date: Mon, 9 Mar 2020 10:53:32 +0100 (MET)

Paris, France, March 9, 2020 (AFP) - The number of novel coronavirus cases globally stood at 109,946, including 3,819 deaths, across 99 countries and territories by 0900 GMT Monday, according to a report compiled by AFP from official sources.   Since 1700 GMT on Sunday, 914 new cases and 27 new deaths had been reported.   China -- excluding the territories of Hong Kong and Macau -- where the epidemic emerged at the end of December had 80,735 cases, of which 3,119 were fatal. There have been 40 new infections and 22 deaths since 1700 GMT Sunday.

Outside China, a total of 29,211 cases have been recorded around the world since the epidemic began, including 700 deaths.   There have been 874 new cases and five new deaths outside China since 1700 GMT Sunday.    The most affected countries after China are South Korea (7,382 cases, 51 deaths), Italy (7,375 cases, 366 deaths), Iran (6,566 cases, 194 deaths) and
France (1,126 cases, 19 deaths).

Since 1700 GMT on Sunday, China, South Korea, the United Kingdom and Switzerland have recorded new deaths.   Asia recorded a total at 0900 GMT Monday of 89,892 cases (3,188 deaths), Europe 12,211 cases (410 deaths), the Middle East 6,951 cases (200 deaths), US and Canada 614 cases (16 deaths), Oceania 98 cases (three deaths),  Latin America and the Caribbean 91 cases (one death), Africa 89 cases (one death).    This assessment was carried out using data collected by AFP offices from the competent national authorities and information from the World Health Organization (WHO).
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