A New, Unidentified Virus Is Causing Pneumonia Outbreak in China, Officials Say
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The unidentified viral illness that has sickened dozens in the Chinese city of Wuhan is not severe acute respiratory syndrome (SARS), according to local health officials.
In the early 2000s, an outbreak of SARS swept the globe, infecting more than 8,000 people and killing more than 750, according to the Centers for Disease Control and Prevention. The epidemic began in China and hit the country harder than any other, so when an unknown form of pneumonia recently emerged in Wuhan, it stirred rumors of a second SARS outbreak. Now, local health officials have officially crossed SARS off the list of potential culprits, according to The New York Times.
Officials also confirmed that the mystery illness is not Middle East Respiratory Syndrome (MERS), bird flu or an adenovirus.
As of Sunday (Jan. 5), 59 people in Wuhan have been diagnosed with the unidentified disease, presenting with symptoms of fever, body aches, breathing difficulties and lung injury. The total number of infected people is up from the 44 cases reported last week.
In addition, 21 people who recently visited the city were hospitalized in Hong Kong between Dec. 31 and Jan. 6, according to a report from the Hong Kong health department. The city will also ramp up efforts to spot feverish passengers traveling through its international airport and on its high-speed rail system, according to the report. Health authorities in Singapore are also on the alert for infected travelers and recently quarantined a young girl after her trip to Wuhan. She was later diagnosed with a common viral illness, according to the Singapore Ministry of Health.
Rumors of a potential SARS outbreak gained traction online earlier this month, but Chinese authorities have since censored the hashtag #WuhanSARS and are now investigating eight people in Wuhan who allegedly spread misleading information about the outbreak on social media, The New York Times reported. The government failed to adequately inform the public and international health agencies during the historic SARS epidemic, which may explain the reaction of Chinese citizens to this new illness.
"I have to emphasize this is a new disease, and no one on earth has gone through this before," Leo Poon, a public health expert at the University of Hong Kong, told The New York Times. "I hope this pathogen is a less harmful one so it would not cause a major epidemic similar to SARS. It would be a nightmare for all of us."
As of yet, no health workers have contracted the mystery illness, which may indicate that the virus has not begun to spread between people, Wang Linfa, an expert on emerging infectious diseases at the Duke-NUS Medical School in Singapore, told the Times. "We should not go into panic mode," he said.
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Originally published on Live Science.
Hong Kong to add mystery respiratory illness to reportable diseases
Disease has sent 59 people to the hospital in the mainland Chinese city of Wuhan
Hong Kong's health chief said Tuesday that a respiratory illness whose cause remains unknown will be added to an official list of diseases that medical practitioners are required to report to the government.
The disease — an unidentified form of viral pneumonia — has sent 59 people to the hospital in the mainland Chinese city of Wuhan, in central Hubei province. As of Sunday, seven were in critical condition, while the rest were stable. Municipal authorities have ruled out SARS, the severe acute respiratory syndrome that killed 700 people in 2002 and 2003.
The disease — an unidentified form of viral pneumonia — has sent 59 people to the hospital in the mainland Chinese city of Wuhan, in central Hubei province. As of Sunday, seven were in critical condition, while the rest were stable. Municipal authorities have ruled out SARS, the severe acute respiratory syndrome that killed 700 people in 2002 and 2003.
In Hong Kong, a total of 15 patients were being treated Sunday for symptoms including fever and respiratory infection after recent visits to Wuhan. It is not clear whether they have the same illness as the Wuhan patients
Speaking at a news conference, the health chief, Sophia Chan, said the "severe respiratory disease associated with a novel infectious agent" will be added to a list of reportable infectious diseases in Hong Kong's Prevention and Control of Disease Ordinance.
The regulation enables the government to take stronger measures against the spread of certain diseases, such as tuberculosis and chicken pox. Actions under the ordinance could include enforcing quarantines or limiting the movement of people who are suspected to have infections.
"Under the amendment, medical practitioners will have to report suspected cases as well as carry out appropriate investigations and follow-ups to the Center for Health Protection under the Department of Health," Chan said.
The U.S. Consulate General in Wuhan issued a health alert Tuesday for the pneumonia outbreak, warning travellers to Wuhan to avoid animals, as well as animal markets and products.
Dr. Gauden Galea, WHO Representative to China, said public health officials in China "remain focused on continued contact tracing, conducting environmental assessments at the wholesale market, and investigations to identify the pathogen causing the outbreak."
WHO is closely monitoring the event and communicating with counterparts in China, Galea added in a emailed statement
Precautions for travellers
Currently, there are no suspected cases in Canada or involving Canadians overseas, Anna Maddison, a spokesperson for the Public Health Agency of Canada (PHAC) said.
Canada's Chief Public Health Officer, Dr. Theresa Tam, is keeping in close contact with her provincial and territorial colleagues, the agency said. PHAC officials are also in close contact with federal partners, the World Health Organization and other international partners.
Maddison pointed to systems to identify, prevent and control the spread of infectious diseases including a global public health intelligence monitoring system that scans the world's open source media
"No matter the destination, travellers should always take precautions against respiratory and other illnesses while travelling, and seek medical attention if they become ill."
During their trip, Canadian travellers to Wuhan city are encouraged to:
- Avoid high-risk areas such as farms, live animal markets, and areas where animals may be slaughtered.
- Avoid contact with animals (alive or dead), including pigs, chickens, ducks and wild birds.
- Avoid surfaces with animal droppings or secretions on them.
Travellers should also wash their hands often, and practise proper cough and sneeze etiquette.
People are encouraged to tell their health-care providers about their travel if they become ill after returning to Canada.
Toronto Pubic Health said the overall risk to residents is considered very low.
"Given that Toronto Pearson International Airport is an international travel hub, Toronto Public Health is actively monitoring this situation, along with provincial and national health agencies," the department added in a release.
With files from CBC News
EXTERNAL LINKS
- Lawmakers grill health secretary Sophia Chan for 2½ hours on the government’s response to the pneumonia situation in Wuhan
Hong Kong’s public hospitals admitted eight more people who had been to Wuhan in the past two weeks and presented with symptoms of either fever and respiratory infection or pneumonia
Phila Siu,Elizabeth Cheung,Lilian Cheng
Published: 12:17pm, 8 Jan, 2020
Lawmakers had questioned whether Hong Kong had enough stocks of masks in the event of an outbreak. Photo: Winson Wong
Hong Kong’s health minister on Wednesday came under pressure to seek more details on the mystery Wuhan pneumonia outbreak from the mainland Chinese government, as lawmakers expressed concerns that authorities there had not released updates on patient numbers since Sunday.
The lawmakers tabled urgent questions on the outbreak as in the 24 hours to noon on Wednesday, Hong Kong’s public hospitals admitted eight more people who had been to Wuhan in central China in the past two weeks and presented with symptoms of either fever and respiratory infection or pneumonia. - Secretary for Food and Health Sophia Chan Siu-chee was grilled for 2½ hours in the Legislative Council on the government’s response to the pneumonia situation in Wuhan.
Hong Kong officials increase powers in fight against Chinese ‘pneumonia’
8 Jan 2020
Some lawmakers said Chan must press the mainland authorities for the genetic map of the Wuhan virus so Hong Kong experts could help look into the disease in case of an outbreak locally. The Hong Kong government also needed to ask the mainland side whether other cities or provinces had also been infected, they said.
The Wuhan Municipal Health Commission said on Sunday that 59 people had been infected with the unidentified strain, seven of whom were in a critical condition. - No other mainland government agencies had offered any updates.
A source said the mainland health authorities were likely to announce results of the investigation on the virus in around a week.
Some of the patients infected with the unknown pneumonia have been treated in Jinyintan Hospital in Wuhan. Photo: Jun Mai - Other lawmakers, including the Democratic Party’s Helena Wong Pik-wan, were concerned whether there were also cases in other Chinese cities. They urged the minister to find out as there was no such information.
Wuhan pneumonia not Sars, but virus unidentified as more hospitalised
7 Jan 2020
Civic Party lawmaker Kwok Ka-ki, a urologist, said he had talked to public hospital doctors who told him the government knew hardly anything about the Wuhan pneumonia. That made it difficult for doctors to provide the best treatment to those who developed symptoms after returning from Wuhan recently, Kwok added.
The health secretary replied that the governments of Hong Kong, Macau and the mainland had in 2005 signed an agreement to notify each other if any major public health incidents were discovered. The government had been in close contact with the mainland authorities and the mechanism had been working well, she stressed.
She believed the mainland would tell the Hong Kong government if such pneumonia cases were found outside Wuhan, adding she would continue to ask the authorities for more information about the disease.
Mystery pneumonia infects at least 59 people in Wuhan, China
Health services sector lawmaker Joseph Lee Kok-long challenged the government’s earlier announcement that the number of isolation beds in public hospitals could be raised from the current 480 to 1,400 in 72 hours.
According to the latest figures, 15 out of 17 public hospitals had over-occupancy rates in medical wards as of midnight on Tuesday, ranging from 103 to 131 per cent, because of the higher number of diseases triggered by winter weather.
On this, Chan insisted the increase could be done in 72 hours. But she admitted there was “significant room for improvement” regarding the overcrowding in hospitals.
Hong Kong set to add mystery pneumonia to list of notifiable diseases
7 Jan 2020
Pro-government lawmakers, including Wilson Or Chong-shing, had concerns as to whether there were enough stocks of masks in the event of a local outbreak. Chan said public hospitals had enough masks to last three months. The government had talked to pharmacies, which said more stocks would arrive in the city in one to two weeks.
The Hospital Authority said on Wednesday it was exploring the feasibility of deferring non-emergency surgeries and services among the measures at public hospitals to centralise resources and manpower to cope with suspected cases related to the Wuhan pneumonia.
Meanwhile, infectious diseases expert Professor Yuen Kwok-yung from the University of Hong Kong suspected the unidentified virus that led to the Wuhan outbreak was a coronavirus strain from bats.
That was because the Wuhan cases were not found with bird flu, flu or other known viruses, but the infections were suspected to be linked to game meat.
“Bats still carry around a dozen coronavirus strains,” Yuen said. “There is a reason for us to speculate that the virus spread from bats to some wild animals, and then jumped to humans.”
A student at PolyU developed a fever and persistent cough after returning from Wuhan and was taken to hospital. Photo: Handout
He said viruses of a few major infectious diseases in the past, including severe acute respiratory syndrome (Sars) in 2003 and Middle East respiratory syndrome, which started in 2012, were also traced back to bats.
“Theoretically, it is also possible for bats to spread the virus to humans directly. But very few people eat bats. However, many people eat masked palm civet and other wild animals,” Yuen said.
Separately, a third Hong Kong education institution, Polytechnic University, has reported that a student developed a fever and persistent cough after returning from Wuhan recently.
The case was reported to the government on Tuesday night and she was in a stable condition on Wednesday. The dormitory where she lived had been sterilised, PolyU said.
Additional reporting by Linda Lew
