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                                                                                      Updated February 20, 2020

Novel Coronavirus 2019: Global Implications and Responses


On December 31, 2019, China's government notified the
World Health Organization (WHO) of patients with
pneumonia of unknown cause in Wuhan, capital of the
central Chinese province of Hubei. On January 7, 2020,
Chinese scientists isolated a previously unknown
coronavirus in the patients, and on January 12, the scientists
made its genetic sequence available to WHO and
international partners. WHO initially named the virus 2019-
nCoV and later renamed it severe acute respiratory
syndrome coronavirus 2 (SARS-CoV-2). The virus can
cause a disease in humans that WHO is calling coronavirus
disease 2019 (COVID-19).

iThe V§r
Coronaviruses are a large family of zoonotic viruses
(viruses transmissible between animals and humans) that
can cause illness ranging from the common cold to more
severe diseases such as Middle-East Respiratory Syndrome
(MERS) and Severe Acute Respiratory Syndrome (SARS).
The most common symptoms among confirmed COVID-19
patients include fever, dry cough, and shortness of breath.
As of February 20, 2020, WHO reported more than 75,000
confirmed COVID-19 cases globally, including more than
2,100 deaths. Approximately 98% of the cases and all but
11 of the deaths were in mainland China. More than 80% of
all cases in mainland China were reported in Hubei
Province, the outbreak epicenter. Outside of mainland
China, the jurisdictions with the highest reported caseloads


were South Korea (104), Japan (85), Singapore (84), Hong
Kong (65), Thailand (35), Taiwan (24), Malaysia (22),
Vietnam (16), Germany (16), Australia (15), and the United
States (15). WHO reported that over 600 cases, more than
half the total COVID-19 cases outside mainland China,
were detected from the Diamond Princess cruise ship,
docked alongside Yokohama, Japan. One passenger from
the Westerdam cruise ship, docked alongside Sihanoukville,
Cambodia, has also tested positive for the virus.
Within days of learning the genetic sequence of the virus,
scientists around the globe developed lab tests to diagnose
COVID-19. Current diagnostic supplies are insufficient to
meet global demand, however. While trying to increase
supply of these tests, developers are also trying to create
faster, cheaper, and more easily administered tests. No
specific treatments or vaccines for COVID-19 exist,
although WHO has developed a disease commodity
package that lists essential biomedical equipment,
medicines, and supplies health workers need to care for
patients with the disease. The U.S. National Institutes of
Health (NIH) indicated in late January that a candidate
vaccine for COVID-19 could be ready for early-stage
human testing within three months, compared to the 20
months it took to begin early-state development of an
investigational SARS vaccine.

In 2002-2003, China's government was widely criticized


Figure I. Locations with Confirmed COVID- 19 Cases Globally, as of Februarv 20. 2020


Source: World Health Organization and National Health Commission of the People's Republic of China.
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