Special Bulletin 22 January 2020

A man who returned from Wuhan, China, has been confirmed infected with the 2019 novel coronavirus (2019-nCoV) in Washington State. This new coronavirus is causing an outbreak in Wuhan, China.

Background

On 15 January, the man returned from Wuhan, to Snohomish County, Washington State in good health. He later developed symptoms and sought medical attention. Tests confirmed infection with the new coronavirus. He is said to be in a good condition, managed in Providence Regional Medical Center Everett, as a precaution. Contact tracing is underway. There are no reports of illness in contacts at this stage, and no suggestion of transmission in Washington State.

The World Health Organization is monitoring the extent of human transmission closely. In mainland China, there is now evidence of human-to-human transmission, including among healthcare workers.

International SOS is following the situation closely.

International SOS has advised of enhanced screening for travellers from Wuhan entering several countries/territories. Australia, Canada, Hong Kong, India, Indonesia, Italy, Japan, Macao, Malaysia, Myanmar, Nepal, Philippines, Russia, Singapore, South Korea, Taiwan, Thailand, Russia, the United States and Vietnam have activated additional screening at their ports of entry; including airports, seaports or railways (where applicable).

Analysis

The virus is being identified in more locations within China, as well as in a number of countries in travellers who had been to Wuhan. The situation is rapidly evolving. There is evidence of human-to-human spread in China. Transmission to people in close, unprotected contact is possible. Further cases are expected as testing for 2019-nCoV has expanded. It is anticipated that more countries will strengthen their surveillance and detection capabilities. So far there does not appear to be transmission between people in locations outside China.

Travellers are advised to:

• Do not visit wet markets or farms.
• Keep some distance from people who are obviously sick.
• Maintain good personal hygiene.
• Wash your hands frequently. Carry hand sanitiser for use when soap and water are not readily available.
• Avoid touching your face.
• Avoid direct contact with animals (live or dead) and their environment. Do not touch surfaces that may be contaminated with droppings.
• Ensure food, including eggs, is thoroughly cooked.
• Seek medical attention if you develop symptoms, especially fever or shortness of breath.
• Do not travel if you are sick - note that some locations have implemented screening, and travellers may face quarantine and testing.

Assessment

Organisations should review their risk exposure and response plans.

International SOS is monitoring the situation closely.