China’s Hubei to adopt thorough checks on patients to curb virus epidemic: Xinhua

(Reuters) – The central Chinese province of Hubei will adopt more thorough and forceful measures to find patients with fever to further help contain the new coronavirus epidemic, the state media reported on Tuesday.

Hubei will check records of all fever patients who have visited doctors since Jan. 20, and people who have bought over-the-counter cough and fever medications at both brick-and-mortar and online drug stores, Xinhua reported, citing a notice by the province’s epidemic control headquarters.

The people will get health check-ups and, if necessary, be put in quarantine or hospitalized, the report added, citing the notice.

China reported on Tuesday its fewest new coronavirus infections since January and its lowest daily death toll for a week, but the World Health Organization said data suggesting the epidemic had slowed should still be viewed with caution.

China said figures showing a slowdown in new cases in recent days show that aggressive steps it has taken to curb travel and commerce are slowing the spread of the disease beyond Hubei and the province’s capital, Wuhan.

(Reporting by Rama Venkat in Bengaluru; Editing by Shailesh Kuber)

‘Every scenario on the table’ in China virus outbreak: WHO’s Tedros

By Stephanie Nebehay

GENEVA (Reuters) – The latest data provided by China on people infected with coronavirus indicates a decline in new cases but “every scenario is still on the table” in terms of the epidemic’s evolution, the World Health Organization said on Monday.

Tedros Adhanom Ghebreyesus, WHO director-general, said that a published Chinese paper on more than 44,000 confirmed cases provided insight into the age range of infected people, disease severity and mortality rates.

“The data also appear to show a decline in new cases,” he told reporters. “This trend must be interpreted very cautiously. Trends can change as new populations are affected.

“It’s too early to tell if this reported decline will continue. Every scenario is still on the table,” he said.

China had reported 70,635 cases of COVID-19, including 1,772 deaths, Tedros said. In the past 24 hours, China had reported 2,051 new cases, including both lab-confirmed results and cases based on clinical observation, usually a chest scan.

Fewer than 700 cases had been reported by 25 other countries, he said.

People wear face masks as a protection from coronavirus in the main shopping area, in downtown Shanghai, China February 17, 2020. REUTERS/Aly Song

Dr. Mike Ryan, head of WHO’s emergencies program, said: “The real issue is whether we are seeing efficient community transmission outside of China and at the present time we are not observing that.”

Referring to China, he said the virus was attacking about out four of every 100,000 people, even within its epicenter in Wuhan city and surrounding Hubei province.

“This is a very serious outbreak and it has the potential to grow. But we need to balance that in terms of the number of people affected. Outside Hubei, this epidemic is affecting a very tiny, tiny, tiny proportion of people,” Ryan said.

“So if we are going to disrupt every cruise ship in the world on the off-chance that there may be some potential contact with some potential pathogen, then where do we stop? We shut down the buses around the world?”

There was no such thing as zero risk, Ryan said, calling for basing decisions on cruise ships and meetings on solid evidence.

Tedros added: “Measures should be taken proportionate to the situation, based on public health science and evidence. And blanket measures may not help.”

The quarantined cruise ship Diamond Princess, with 3,700 passengers total, held by far the largest cluster of cases outside China with more than 400 people testing positive.

Dr. Sylvie Briand, WHO director of global infectious hazard preparedness, said the agency was working closely with Japanese authorities and the chief medical officer on the vessel docked off Yokohama on infections and evacuations.

“Our focus is on our public health objective that we contain the virus and not contain the people,” she said.

(Reporting by Stephanie Nebehay; Editing by Mark Heinrich and Nick Macfie)

Fast-food companies in China step up ‘contactless’ pickup, delivery as coronavirus rages

By Hilary Russ and Sophie Yu

NEW YORK/BEIJING (Reuters) – With the coronavirus outbreak in China continuing to spread, McDonald’s Corp, Starbucks Corp and other fast-food companies are ramping up “contactless” pickup and delivery services to keep their workers and customers safe, the companies said.

McDonald’s has implemented contactless pickup and delivery of Big Macs, fries and other menu items across the China as the outbreak has unfolded.

Customers order remotely – on mobile phones or by computers in store – and employees seal the meals in bags and put them in a special spot for pickup without human contact, McDonald’s says on its website.

For delivery orders, drivers drop McDonald’s packages at building entrances, disinfect their delivery bags and wash their hands more frequently. Drivers carry ID cards showing that they – and the people who made and packaged their food – had their body temperature scanned to prove they do not have a fever.

“While we look at how to further improve the process, the stepped-up preventive measures apply to all of our servicing channels,” McDonald’s said in a statement to Reuters.

The flu-like virus has infected more than 68,500 people globally and killed 1,665 as of Sunday, mostly in the central Chinese province of Hubei. Some major Chinese cities still resemble ghost towns as China struggles to get its economy back on track after a prolonged Lunar New Year holiday.

In early February, 83% of all stores on the Meituan-Dianping delivery platform – one of the largest in the country – were closed, according to Beijing-based data firm BigOne Lab.

Earlier this month, China’s National Health Commission recommended that deliveries limit contact.

Starbucks suggests customers order coffee via its app and then wait outside its cafés until they get a pick-up notice. Orders are placed on tables just inside café entrances.

If they do enter Starbucks locations, customers have their temperature taken at the door, as fever is one of the main symptoms of infection, and baristas wear masks.

For delivery, Starbucks said it regularly sterilizes containers and that its delivery people have their temperature taken daily. Indoors staff must wash hands every 30 minutes, and public areas are sterilized every 2 hours.

Starbucks delivery is provided by ele.me, owned by ecommerce giant Alibaba Group Holding Ltd.

The measures illustrate how companies are quickly adapting in order to sell prepared food while keeping people safe.

Yum China Holdings Inc rolled out contactless delivery on Jan. 30, with contactless pickup coming two days later at its KFC and Pizza Hut locations, the company said.

CHANGING HUMAN TRANSACTIONS

There had been contactless delivery in China prior to the crisis, when couriers would drop packages at a consumer’s door or lobby or place parcels in lockers for later pickup.

But since the outbreak, many residential compounds are limiting access for drivers and asking customers to pick up their own packages.

In transactions that previously would have involved one person handing a package to the other, the driver now puts the food down – on the back of a moped, for instance – and then steps back and waits for the customer to take it and leave.

One customer, for example, asked a delivery person to put a parcel in the elevator and press the button for the designated floor. The customer grabbed the package when the doors opened – unaccompanied by the courier, according to a post on CCTV News’ social media account on Weibo, said Allison Malmsten, a marketing strategy analyst at Daxue Consulting in Shanghai.

The outbreak “redefines contactless food delivery,” Malmsten said via email.

Since the start of the outbreak, Yum China has closed more than 30% of its locations. There have been “significant interruptions,” with sales off as much as 50% in those that remained open since the Lunar New Year holiday, versus the same time last year, Chief Financial Officer Ka Wai Yeung said in a Feb. 5 earnings call.

The crisis has accelerated the rollout of Yum China’s contactless services in China, it said in a statement.

“These services have been well-received by customers and are playing an important role in ensuring that our delivery business continues to hold up during this period of significantly reduced dine-in traffic,” it said.

Early during the epidemic, meal delivery took a hit because customers feared contact with drivers would put them at risk of infection, according to news reports.

Cases of couriers being diagnosed with the virus after working for days arose in Shenzhen and Qingdao cities.

The companies’ reliance on pickup and delivery to offset some losses does, however, have limitations.

Malmsten said many drivers cannot return to work due to travel restrictions, and those who can return face long hours and physical and mental fatigue. As a result, SF Express, the second-largest courier in China, has ramped up hiring, she said.

(Reporting by Hilary Russ in New York and Sophie Yu in Beijing; Editing by Bill Berkrot and Dan Grebler)

Hong Kong protesters rally against planned virus quarantine centers

By Jessie Pang

HONG KONG (Reuters) – Hundreds of demonstrators rallied for a second day in Hong Kong on Sunday to protest against plans to turn some buildings into coronavirus quarantine centers, reviving anti-government protests in the Chinese-ruled city.

The virus has opened a new front for protesters after months of demonstrations over the perceived erosion of freedoms had largely fizzled out over the past month, as people stayed at home amid fears of a community outbreak of the virus.

About 100 people braved rain in the New Territories district of Fo Tan, where authorities plan to use a newly built residential development that was subsidized by the government as a quarantine center. Riot police stood by.

A 38-year-old mother of two said she had waited eight years for her home in the Chun Yeung estate and was expecting to get her keys by the end of this month.

“There’s no consultation and we don’t know how long they’ll use Chun Yeung estate. That’s why we are so mad,” she the woman.

Father-of-two Koby, 36, also expressed frustration at not being told for how long the public housing might be used for quarantine.

“I’ve waited eight years. I have two children studying in kindergarten and have already transferred them to the school in Fo Tan,” he said.

Protesters gathered in other districts on Sunday.

With Hong Kong property prices among the most expensive in the world, owning a home is a distant dream for many, and frustration over housing has triggered protests in the past.

Many Hong Kong people, already angry about what they see as meddling by Beijing in the former British colony’s affairs – which it denies – have criticized the government’s handling of the virus scare, piling pressure on embattled city leader Carrie Lam.

On Friday, the government sought to appease families that have been allocated a flat in the Fo Tan estate by pledging a special subsidy.

Three weeks ago, protesters set alight the lobby of a newly built residential building in another district in the New Territories, that authorities had planned to use as a quarantine facility. The government dropped the plan.

Hong Kong has had 57 confirmed cases of the coronavirus. One person has died of it in the city.

Some Hong Kong people have called on the city government to seal the border with the mainland to block the virus but Lam has ruled that out.

(Additional reporting by Twinnie Siu; Writing By Anne Marie Roantree; Editing by Robert Birsel)

Hundreds of Americans flown home from cruise ship, 14 with coronavirus

By David Stanway and Stephen Lam

SHANGHAI/TRAVIS AIR FORCE BASE, Calif. (Reuters) – More than 300 American cruise liner passengers, including 14 who tested positive for coronavirus, were flown home to military bases in the United States, after two weeks under quarantine off Japan.

The cruise ship Diamond Princess, with more than 400 cases by far the largest cluster outside China, has become the biggest test so far of other countries’ ability to contain an outbreak that has killed 1,770 people in China and five elsewhere.

Ground crew in anti-contamination suits met a chartered jet that touched down at Joint Base San Antonio in Texas, and passengers could be seen climbing down the stairs wearing face masks in the pre-dawn mist. Another flight landed at Travis Air Force Base in California hours earlier. Those arriving were taken into a two-week quarantine.

Although U.S. officials said passengers with coronavirus symptoms would not be taken, 14 passengers found at the last minute to have tested positive were permitted to board the planes. The U.S. State Department said the infected passengers were kept in isolation on the flights.

Across mainland China, officials said the total number of coronavirus cases rose by 2,048 to 70,548. That was slightly more new cases than were reported on Sunday, but hundreds fewer than reported on Saturday.

Chinese authorities say the stabilization in the number of new cases is a sign that measures they have taken to halt the spread of the disease are having an effect.

However, epidemiologists say it is probably still too early to say how well the outbreak is being contained within China and its central Hubei province, where the virus first appeared. Official figures of new cases have leveled off in the past, only to jump suddenly after changes in methodology.

China has responded to the COVID-19 virus by locking down Hubei’s provincial capital Wuhan, a megacity of 11 million people, and imposing restrictions in a number of other cities.

But the ruling Communist Party is also under pressure to prevent the economy from crashing and get people back to work.

China’s central bank cut the interest rate on its medium-term lending, a move that is expected to pave the way for a reduction in the benchmark loan prime rate on Thursday. Beijing has also announced plans for cuts in taxes and fees.

Even so, economists expect China’s economic growth to slow. Ratings agency Moody’s on Monday lowered its 2020 GDP growth forecast to 5.2%, making it likely China would miss a goal to double GDP over the decade to 2020.

CRUISE SHIPS

Around half of all known cases of the virus outside China have been found aboard the Diamond Princess, where around 400 people have tested positive since the cruise liner was ordered to stay under quarantine off Japan on Feb. 3.

Several other countries have announced plans to follow the United States in bringing passengers home. Around half of the 3,700 passengers and crew are Japanese.

Matthew Smith, an American passenger who remained on the ship after refusing to board the voluntary repatriation flights, tweeted that staying behind was the “best decision ever”.

“US Gov’t said they would not put anyone on the planes who was symptomatic, and they ended up knowingly and intentionally putting on 14 people who actually have the virus,” he wrote.

Authorities around the world were also trying to track down passengers from another cruise liner, the Westerdam, which was turned away from ports across Southeast Asia for two weeks before docking in Cambodia on Thursday.

One American passenger who disembarked in Cambodia tested positive for the virus in Malaysia on Saturday.

Carnival Corp., which operates both cruise liners, said it was cooperating with authorities in trying to trace other passengers from the Westerdam. None of the other 1,454 passengers and 802 crew had reported any symptoms, it said.

“Guests who have already returned home will be contacted by their local health department and be provided further information,” a statement from the company’s Holland America Line unit said. Hundreds of passengers are still in Cambodia, either on the ship or in hotels.

“We will all be tested for the coronavirus today and tomorrow by the Cambodian Ministry of Health,” said passenger Holley Rauen, a public health nurse and midwife from Fort Myers, Florida. “We have no idea when we get to get home.”

CHINA BACK TO WORK?

After an extended Lunar New Year holiday, China needs to get back to work or suffer severe economic consequences. There is a proposal to delay the opening of the annual session of parliament, due on Feb. 24.

Some cities remain in lockdown, streets are deserted, employees are nervous, and travel bans and quarantine orders are in place around the country. Many factories have yet to re-open, disrupting supply chains in China and beyond.

In Japan, where data showed on Monday that the economy had already shrunk last quarter at the fastest pace in almost six years, the impact of the virus is expected to show up in the current quarter, stoking fears of recession.

Trade-dependent Singapore downgraded its 2020 economic growth forecast and has said recession is possible. It is set to unveil measures to cushion the blow on Tuesday.

Organizers of the Tokyo Marathon have decided to limit the March 1 race to top-level athletes, banning 38,000 general participants, a person with knowledge of the issue told Reuters.

Japan’s Imperial Household Agency said it would cancel Emperor Naruhito’s public birthday address on Feb. 23, his first since his coronation last year. The event regularly attracts tens of thousands of people to the inner grounds of the Imperial Palace in the heart of Tokyo.

(Reporting by David Stanway in Shanghai; Claire Baldwin in Sihanoukville; John Geddie and Aradhana Aravindan in Singapore; Additional reporting by Farah Master in Hong Kong, Sophie Yu in Beijing, Hilary Russ in New York and Daniel Trotta; Writing by Peter Graff; Editing by Mike Collett-White and Nick Macfie)

Solo lunches and masks: Chinese returning to work grapple with coronavirus

By Sophie Yu, Yilei Sun and Brenda Goh

BEIJING/SHANGHAI (Reuters) – Chinese government employee Jin Yang returned to work in Beijing this week to find his usual workplace rules upended as China battles a coronavirus epidemic.

His office has banned the practice of eating lunch in its canteen with colleagues, in favor of boxed meals, packaged in house and eaten at desks, he said.

“It’s anything but normal,” the 28-year-old told Reuters.

Meetings are held online, instead of in person. Employees must wear masks all day and report their temperatures twice a day.

Jin is one of millions of workers who began streaming back this week from Lunar New Year holidays extended by 10 days in China’s struggle to rein in the virus, which has killed 1,380 people and infected nearly 64,000.

But streets and subways are largely deserted in major cities such as Beijing, the capital, and the business hub of Shanghai, with many shops and restaurants empty or shut, while lots of office employees work from home.As many places still enforce containment measures, companies are adopting rules to prevent infection and banish employees’ fears of catching it, such as keeping them as widely separated as possible.

Not all companies have resumed work. Many that have are asking employees returning from trips overseas or other provinces to quarantine themselves at home for up to 14 days.

A manager at one foreign multinational said staff were concerned, particularly after China’s tough step in locking down Wuhan, the central city of 11 million people where the outbreak began.

“They want no contact,” said the manager, who sought anonymity as she was not authorized to speak to media.

“Some want people to sit with empty chairs between them at meetings, toilet visits to be assigned at staggered times, and no sharing of the water dispenser,” she added, listing the precautions staff want followed.

Chinese media have posted photographs of office canteens where plastic sheets and wooden boards divide up tables to form segregated dining cubicles.

An industrial zone in the central city of Changsha has started using unmanned robots to deliver meals, the state-run People’s Daily newspaper said.

Automaker GAC, which has joint ventures with Toyota and Honda, said no more than half its employees are allowed to work each day at its headquarters in the southern city of Guangzhou, with lunchtimes divided into four slots of 15 minutes each.

It also rearranged its canteen, and shifted tables to an outdoor terrace, with each spaced 2 meters (7 ft) apart. It has also swapped its previous buffet service for a menu of pre-arranged options.

E-commerce firm Pinduoduo said its employees must complete a daily health-check form. It disinfects offices at least twice a day, and provides meals for everyone to minimize exposure.

On the Weibo messaging app, the term “hardcore armor for returning to work” has drawn 140 million views, with users sharing safety tips, using videos and pictures.

Some images showed people wearing motorcycle helmets at their desks with others in costumes similar to space suits traveling on public transport and some in homemade protective gear fashioned from plastic bottles.

(Reporting by Sophie Yu, Yilei Sun, and Brenda Goh; Additional reporting by Beijing and Shanghai Newsrooms; Editing by Tony Munroe)

Fake news makes disease outbreaks worse, study finds

By Kate Kelland

LONDON (Reuters) – The rise of “fake news” – including misinformation and inaccurate advice on social media – could make disease outbreaks such as the COVID-19 coronavirus epidemic currently spreading in China worse, according to research published on Friday.

In an analysis of how the spread of misinformation affects the spread of disease, scientists at Britain’s East Anglia University (UEA) said any successful efforts to stop people sharing fake news could help save lives.

“When it comes to COVID-19, there has been a lot of speculation, misinformation and fake news circulating on the internet – about how the virus originated, what causes it and how it is spread,” said Paul Hunter, a UEA professor of medicine who co-led the study.

“Misinformation means that bad advice can circulate very quickly – and it can change human behavior to take greater risks,” he added.

In their research, Hunter’s team focused on three other infectious diseases – flu, monkeypox and norovirus – but said their findings could also be useful for dealing with the COVID-19 coronavirus outbreak.

“Fake news is manufactured with no respect for accuracy, and is often based on conspiracy theories,” Hunter said.

For the studies – published on Friday in separate peer-reviewed journals – the researchers created theoretical simulations of outbreaks of norovirus, flu and monkeypox.

Their models took into account studies of real behavior, how different diseases are spread, incubation periods and recovery times, and the speed and frequency of social media posting and real-life information sharing.

They also took into account how lower trust in authorities is linked to tendency to believe conspiracies, how people interact in “information bubbles” online, and the fact that “worryingly, people are more likely to share bad advice on social media than good advice from trusted sources,” Hunter said.

The researchers found that a 10% reduction in the amount of harmful advice being circulated has a mitigating impact on the severity of an outbreak, while making 20% of a population unable to share harmful advice has the same positive effect.

(Reporting by Kate Kelland; Editing by Frances Kerry)

Fake flyers and face-mask fear: California fights coronavirus discrimination

By Andrew Hay and Maria Caspani

(Reuters) – A flyer in Los Angeles’ Carson area, with a fake seal of the World Health Organization, tells residents to avoid Asian-American businesses like Panda Express because of a coronavirus outbreak. A Los Angeles middle schooler is beaten and hospitalized after students say he is as an Asian-American with coronavirus.

And over 14,000 people sign a petition urging schools in the Alhambra area to close over coronavirus risks, even though there is only one case of the virus in Los Angeles County, with its population of 10.1 million.

These are some of the hoaxes, assaults and rumors Los Angeles authorities spoke out against on Thursday to stamp out anti-Asian bigotry bubbling to the surface in California, where over half of the 15 U.S. coronavirus cases are located.

Bullying and assaults of Asian-Americans are being reported from New York to New Mexico, sparked by unfounded fears that they are somehow linked to a virus that originated in China.

With by far the largest Asian-American population of any U.S. state, officials in California are aggressively trying to get ahead of such hate crimes before they spread.

“We’re not going to stand for hate,” Los Angeles County Supervisor Hilda Solis told reporters, flanked by law enforcement officials. She urged residents to report crimes to a special 211 number.

Existing prejudice against Asians has combined with media images from China to create fears that Asian-Americans are more likely to be virus carriers. The discrimination could get worse given chances the virus may spread in U.S. communities in the weeks and months ahead, said Robin Toma, head of the Los Angeles County Human Relations Commission.

Face masks commonly warn by Asians to protect against germs or prevent their spread have become a flashpoint, with wearers insulted or attacked out of fears they have the virus, he said at the news conference.

“We need you to step up and speak out when you see it happening to others,” he said.

FACE MASKS A TRIGGER

Anti-Asian sentiment emerged in 2003 during the outbreak of Severe Acute Respiratory Syndrome, or SARS, which also originated from China. That was before the emergence of social media platforms like Twitter, where racism, hoaxes and slurs get amplified.

The issue is not isolated to California.

New York City designer Yiheng Yu works in an office where many colleagues have recently returned from China and where she and others wear face masks as a precaution.

On one occasion when she wore a mask outside her office she was accosted by a woman.

“She started yelling, ‘Are you Crazy? Get the heck out of here,” said Yu, 34. “I realized it was because I was wearing a mask.”

Even coughs can provoke fear, said Ron Kim, a New York state assembly member representing a Queens district with a large Asian and Asian-American population.

“I had a staff member who was in the Albany train station and she was coughing a little bit and someone approached her asked if she had the virus,” said Kim, who on Feb. 7 established the Asian American Health Advisory Council to educate New Yorkers about the virus.

“We live in a very fear-driven society as it is, so if we add an extra layer it’s bound to happen, people are going to be ugly,” he added.

Manjusha Kulkarni, head of A3PCON, which represents Los Angeles County’s more than 1.5 million Asian-American and Pacific Islander residents, saw an urgent need for information to separate coronavirus fact from fiction.

“Businesses and restaurateurs have seen a steep decline in their patronage,” Kulkarni said of Asian proprietors. “We only have one case of the coronavirus here in LA.”

(Reporting by Andrew Hay in New Mexico and Maria Caspani in New York; Editing by Bill Tarrant and Leslie Adler)

Coronavirus hits Chinese health workers as economy limps back to life

Coronavirus hits Chinese health workers as economy limps back to life
By Huizhong Wu

BEIJING (Reuters – The new coronavirus has infected 1,700 Chinese health workers and killed six, authorities said on Friday, as businesses struggled to balance containment measures with a return from an extended post-holiday break.

Authorities reported 5,090 new cases in mainland China, including more than 120 deaths, taking the total number of infected to 63,851, and the number of deaths from the disease, now labelled Covid-19, to 1,380.

“The duties of medical workers at the front are indeed extremely heavy; their working and resting circumstances are limited, the psychological pressures are great, and the risk of infection is high,” Zeng Yixin, vice minister of the National Health Commission, told a news conference.

For a full coverage of the coronavirus outbreak click here.

China’s factories and offices are only slowly creaking back into life after Lunar New Year holidays that were extended by 10 days in the struggle to rein in the virus, which emerged in December in Wuhan, capital of the central province of Hubei.

The problem is reviving the world’s second-largest economy when a staggering 500 million people are currently affected by movement and travel restrictions to contain the new virus – 2019-nCov.

 

The new national infection figures give no sign that the outbreak is nearing a peak, said Adam Kamradt-Scott, an infectious diseases expert at the Centre for International Security Studies at the University of Sydney.

In cities such as Beijing, the capital, and the business hub of Shanghai, streets and subways remain largely deserted with many shops and restaurants empty or shut.

Government employee Jin Yang, 28, made it in to his Beijing office but found it “anything but normal”.

Canteen lunches are banned in favour of boxed meals eaten at desks. Meetings are held online, instead of in person. Employees must wear masks all day – and report their temperature twice a day.

WUHAN’S SELF-HELP

Wuhan, the city of 11 million people at the centre of the outbreak, has the most acute problem – and an impressive unofficial response.

With all public transport, taxis and ride-hailing services shut down in the city, volunteer drivers are responding to requests on ad hoc messaging groups to ferry medical staff and others in vital jobs to and from work, putting their own health on the line in the process.

Others work around the clock to find accommodation for medical workers in hotels that have volunteered their rooms.

Many of the drivers keep their identities secret to avoid objections from family and friends.

“Everyone in our group has such a strong sense of mission,” said 53-year-old Wuhan resident Chen Hui, who runs one of the ad hoc ride services.

But there is little sign that the tide has yet turned against a virus killing around 2% of those it infects – but able to spread much faster than other respiratory viruses that have emerged this century.

“While the Chinese authorities are doing their best to prevent the spread of the coronavirus, the fairly drastic measures they have implemented to date would appear to have been too little, too late,” Kamradt-Scott said.

WHO official Simeon Bennett said: “We see no significant change in the trajectory of the outbreak.”

Economists polled by Reuters said China’s economic downturn would be short-lived if the outbreak was contained, but expected that this quarter would show China’s slowest growth rate since the global financial crisis.

CAR SALES SLIDE

The Chinese carmakers’ association said auto sales in China, the world’s largest market, were likely to slide more than 10% in the first half of the year due to the epidemic, and Germany’s Volkswagen said its sales to China had fallen 11% in January.

While the vast majority of infections and deaths have been in China, in particular Hubei, there have been nearly 450 cases in some 24 countries and territories outside mainland China, and three deaths.

Japan confirmed its first coronavirus death on Thursday – a woman in her 80s living in Kanagawa, near Tokyo. One person has died in Hong Kong and one in the Philippines.

Vietnam has imposed 20 days’ quarantine on Son Loi, a 10,000-strong rural community 44 km (27 miles) from the capital Hanoi, that is home to 11 of the 16 coronavirus cases reported in the country, two local officials told Reuters on Thursday.

The biggest cluster of infections outside China has been on a cruise liner quarantined in a Japanese port, with 218 people on board confirmed as infected and taken off to hospital.

On Friday, some of the passengers were allowed to disembark – with priority for older passengers confined to windowless cabins – and complete their quarantine on shore.

There was good news for another cruise ship, the MS Westerdam, carrying 1,455 passengers and 802 crew.

It was finally allowed to dock in Cambodia after being rejected by five countries over fears of the virus, even though no cases had been reported on board.

Prime Minister Hun Sen greeted the passengers as they stepped off. “My wife and I gave him some chocolates as a show of our appreciation,” said Lou Poandel, a tourist from New Jersey.

One major operator, Royal Caribbean Cruises Ltd <RCL.N>, said it had cancelled 18 cruises in southeast Asia.

With thousands of flights to and from China cancelled, the International Civil Aviation Organization forecast that global airline revenue could fall by $4 billion to $5 billion in the first quarter.

But the WHO has told the International Olympic Committee there is no cause to cancel or relocate the Tokyo Olympics, which start in July, the head of the IOC’s Coordination Commission said.

(Reporting by Yilei Sun, Huizhong Wu, Vincent Lee, Brenda Goh, Gabriel Crossley and David Stanway in Beijing; Prak Chan Thul in Sihanoukville; Hideyuki Sano in Tokyo; Colin Packham and Paulina Duran in Sydney; Uday Sampath in Bengaluru; Writing by Lincoln Feast and Kevin Liffey; Editing by Stephen Coates and Philippa Fletcher)

Dying a desperate death: A Wuhan family’s coronavirus ordeal

By Yawen Chen and Tony Munroe

BEIJING (Reuters) – There were no doctors, nurses or medical equipment at the Wuhan hotel converted into a temporary quarantine facility for suspected coronavirus patients when brothers Wang Xiangkai and Wang Xiangyou arrived two weeks ago.

The next day, Xiangkai, 61, woke to find that Xiangyou, 62, had died.

The Wangs are among tens of thousands of families devastated by the coronavirus in Wuhan, where the medical system has been overwhelmed by the outbreak, despite massive reinforcements and two speedily built new hospitals.

“What did we do to deserve such punishment?” Wang Wenjun, Xiangkai’s daughter, said over the phone to Reuters.

A crematorium sent a car to pick up Xiangyou’s body, but the family was told no mourning ceremony would be allowed. They could only collect his ashes after 15 days.

Two days before Xiangyou died, doctors at the 4th Hospital of Wuhan had written in a diagnosis that both brothers were likely infected by the coronavirus which has now killed over 1,350 people in China. CT scans showed their lungs had turned “white” with patterns resembling cracked glass, symptomatic of severe viral infections.

But the hospital did not have any RNA test kits to confirm their cases, and thus could not admit them for treatment, according to the doctors. They were told to contact their community government, which on Jan. 30 offered to house the brothers at the hotel.

Hubei province on Thursday reported a sharp rise in the number of deaths and cases after changing its methodology to include those diagnosed through CT scans like Xiangyou. More than 63,000 people have now been infected nationwide and 1,380 have died.

Xiangkai, a retired cab driver, refused to remain at the Echarm hotel after his brother died, instead staying alone at a relative’s home. His wife visited daily, bringing food and Chinese medicine, until she too fell ill with what doctors suspect is the coronavirus.

Wenjun lives on the other side of Wuhan. Closed transportation lines means she is unable to visit her parents.

Desperate for treatment for her father, she issued a plea for help on the Twitter-like Weibo. The community government responded, saying the decision was up to the virus taskface.

At around midnight on Monday, the family received a call saying a hospital bed was available. With no public transport, Wang’s 58-year-old wife pushed him in a wheelchair for the 10-minute trip to the hospital.

A new CT scan showed Xiangkai’s lung infection had worsened. He now has trouble walking to the toilet on his own and is awaiting the results of an RNA test.

“On Jan. 22, our entire family had a Lunar New Year dinner, and we even took a photo together. It has been bad news every day since then,” Wenjun said.

(Reporting by Yawen Chen; Editing by Karishma Singh and Kim Coghill)