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Coronavirus Live Updates: New Cases Emerge in Germany and Japan as Infections Exceed 4,500 - The New York Times

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The outbreak of the mysterious new coronavirus is rapidly spreading, the Chinese authorities said on Tuesday, as the official account of known cases jumped nearly 60 percent overnight and the death toll exceeded 100 for the first time.

◆ China said on Tuesday that 106 people had died from the virus, which is believed to have originated in the central city of Wuhan and is spreading across the country. The previous death toll, on Monday, was 81.

◆ The number of confirmed cases increased to 4,515 on Tuesday, from 2,835 on Monday, according to the National Health Commission. The youngest confirmed case is a 9-month-old girl in Beijing.

◆ Most of the confirmed cases have been in the central Chinese province of Hubei, where several cities, including Wuhan, the epicenter of the outbreak, have been placed under what amounts to a lockdown. Of the total cases, 2,714 are in Hubei.

◆ Thailand has reported 14 cases of infection; Hong Kong has eight; the United States, Taiwan, Australia and Macau have five each; Singapore, South Korea and Malaysia each have reported four; Japan has seven; France has three; Canada and Vietnam have two; and Nepal, Cambodia and Germany each have one. There have been no deaths outside China.

Health officials on Tuesday reported what appear to be the first known cases of human-to-human transmission of the virus in Europe — specifically, in Germany — and in Japan. Another case was recently reported in Vietnam.

The cases show that countries across the world are now faced with the task of limiting the spread of the disease on their own soil, not just seeking to identify and quarantine ailing patients who had traveled from China.

Japan’s Ministry of Health, Labor and Welfare said the first Japanese national — and the sixth person in Japan overall — to be diagnosed with the coronavirus was a man in his 60s. He had never been to Wuhan, but he had worked as a bus driver earlier this month for two different group tours from that city, officials said.

The man began experiencing symptoms on Jan. 14, was hospitalized on Saturday and was confirmed to have the coronavirus on Tuesday.

The infected German, whose case was also confirmed on Tuesday, is a 33-year-old man from Bavaria who had been in contact with a Chinese woman in Germany, officials said. The woman was diagnosed with the virus after flying home to China. The man was in good condition, German officials said.

“It was to be expected that the virus would come to Germany,” Jens Spahn, Germany’s health minister, said in a statement on Tuesday. “But the Bavarian case shows us that we are well prepared.”

The World Health Organization said on Friday that there appeared to have been a case of human-to-human transmission in Vietnam, where a person who had never been to China, but who had a relative who had visited Wuhan, was confirmed to have the virus.

Hong Kong on Tuesday put in place a broad series of restrictions aimed at controlling the spread of the coronavirus by limiting the number of mainland Chinese travelers entering the territory, one of Asia’s busiest travel and financial hubs.

The restrictions — which included the suspension of high-speed and other train services between Hong Kong and the mainland, a 50 percent reduction in the number of flights — and a ban on tourism visas for many travelers — were announced by Carrie Lam, the city’s chief executive.

The regulations, which apply to some plane, rail, bus and ferry arrivals, will begin on Thursday. They follow days of rising pressure from health care workers, epidemiologists and even pro-Beijing politicians who have traditionally supported Mrs. Lam’s government.

Previously, the Hong Kong government said restrictions would apply only to Hubei residents and to non-Hong Kong travelers who had visited that province in the past 14 days.

Hong Kong has so far recorded eight confirmed cases of the virus.

Tibet, the only region in China that has yet to report any cases, has temporarily closed all tourist sites, state news media reported. Major Chinese cities, including Shanghai and Beijing, have suspended long-distance bus services.

Hong Kong’s public hospitals have long suffered from strained resources, long waiting times and overcrowding. And still fresh in the memories of many Hong Kong residents are the effects of SARS, a virus that originated on the mainland in 2002, and killed 299 people in the city.

The medical faculty of the Chinese University of Hong Kong called for more restrictions on border checkpoints as the virus spreads across China.

Workers from Hong Kong’s Hospital Authority have planned a strike for next week to demand a law requiring the wearing of masks in public and banning all visitors from entering the city through the mainland.

The World Health Organization revised its global risk assessment for the coronavirus outbreak from “moderate” to “high,” but concealed the change in a footnote buried in a report published on Monday.

The change to the report, which coincided with a visit to China by the organization’s director-general, risked confusing the public about the severity of the outbreak, which has killed more than 100 people in China and been found in at least 14 countries.

In a statement, the organization said the director-general, Tedros Adhanom Ghebreyesus, and Chinese officials “discussed measures to protect the health of Chinese and foreigners in outbreak areas, including possible alternatives to evacuation of foreigners if there are ways to accommodate them and protect their health.”

Chinese state-run media reported that Dr. Tedros met with President Xi Jinping of China and spoke highly of Chinese efforts. Mr. Xi urged the health organization to assess the epidemic in an “objective, fair, calm and rational manner.”

In Hubei, medical workers have complained about a desperate need for resources to treat thousands of patients who have at times overwhelmed hospitals.

The group, which is a United Nations body, was criticized when it refused twice in recent days to declare the outbreak a global emergency, despite its spread.

A shortage of medical kits in China needed to quickly diagnose the coronavirus has slowed the country’s ability to respond to the outbreak and fueled concerns that the number of cases has been underreported.

China’s Medical Products Administration said on Sunday that it had approved four new virus detection kits, including one that sequences the genetic makeup of the disease.

But China’s three leading medical device manufacturers said they did not have the capacity to quickly produce the products, according to state news media reports.

Residents in Wuhan who arrived at hospitals to seek testing were told that medical workers did not have the kits needed to confirm a diagnosis.

“For any new emerging virus, most local hospitals or public health laboratories will not able to make a diagnosis” said Yuen Kwok-yung, the chairman of the infectious diseases department at Hong Kong University. “Thus many cases will not be investigated at all if they are mild.”

A woman in Wuhan told The South China Morning Post that her uncle learned he had viral pneumonia after a CT scan, but that the doctor could not confirm it was the new virus because no testing kits were available.

China may have to rely on outside technical support as front line responders battle to contain the virus’s spread, experts said. The Bill and Melinda Gates Foundation said Sunday that it would commit $5 million to help China respond to the crisis, including “efforts to identify and confirm cases.”

As the outbreak continues to spread, global companies have begun to limit their workers’ travel to mainland China, and China’s biggest companies have urged employees to work from home.

On Monday, health officials in the United States urged travelers to avoid any nonessential travel to China, and many companies cited that as justification for internal travel bans. The new guidance, from the Centers for Disease Control and Prevention, warned that transportation in and out of Hubei Province, the center of the outbreak, is restricted, and that there is “limited access to adequate medical care in affected areas.”

Companies with large operations or interest in China, like General Motors, Honeywell, Bloomberg and Facebook, have all warned employees not to travel within mainland China in a flurry of emails in recent days.

Honeywell, which has offices and operations across China, said it had restricted travel to certain regions, without specifying them. A spokesperson for General Motors said the company had issued a global ban on travel to China, under which only “business-critical” travel would be allowed.

Bloomberg told its employees in Hong Kong and mainland China to work remotely until further notice, and it barred other employees from traveling to either place for the next 30 days, according to an email seen by The New York Times. Facebook said it asked all employees to suspend nonessential travel and asked those who had recently been in China to work from home for a period of time.

The authorities in China have extended the Lunar New Year holiday to Feb. 3, and some of China’s biggest cities have gone further, telling businesses not to open until the next week. The country’s biggest technology companies, including Alibaba, Tencent, Bytedance, Sina, Maimai, Netease and Didi, told employees to work from home from Feb. 3 to Feb. 10.

Netease, an internet and entertainment platform, asked employees returning from another city within China to quarantine themselves for 14 days.

After sharp losses around the world on Monday, investors on Tuesday continued to assess the long-term economic effects of the coronavirus epidemic.

The verdict was mixed. Investors abandoned stocks in Asia, while markets in Europe rebounded modestly from the previous day’s sell-off. Stock market futures in the United States rose as well.

Many of Asia’s stock markets were closed for the Lunar New Year holiday, but those that were open — Japan’s and South Korea’s — fell as futures trading in China slumped. Money poured into safe-haven assets like gold and pushed up the value of the United States dollar.

Japan’s state economy minister said on Tuesday that the Chinese outbreak would affect Japan’s tourism industry and warned that it could also hurt Japanese exports and corporate profits. Chinese tourists traveling to Japan accounted for 30 percent of all tourists in 2019, he said at a news conference.

“There are concerns over the impact to the Chinese and global economy from the spread of infection in China, transportation disruptions, cancellation of group tours from China and an extension in the Lunar Holiday,” said the minister, Yasutoshi Nishimura.

In Tokyo, investors pushed stocks down by nearly one percent. In Seoul, stocks fell by more than 3 percent. Hong Kong’s stock market will reopen on Wednesday. In China, where authorities have extended the New Year holiday by a week, the major exchanges in Shenzhen and Shanghai said they would remain closed until Feb. 3.

“The coronavirus is the No. 1 threat to financial markets currently as global investors are becoming jittery on the uncertainty,” said Nigel Gre, the founder of the investment group deVere Group.

“This is a worrying and serious situation and investors must be vigilant,” he said.

Reporting was contributed by Chris Buckley, Russell Goldman, Elaine Yu, Raymond Zhong, Austin Ramzy, Sui-Lee Wee, Alexandra Stevenson, Cao Li, Eimi Yamamitsu, Tiffany May, Joseph Goldstein, Jeffrey E. Singer, Peter S. Goodman, Roni Caryn Rabin, Motoko Rich, Paul Mozur and Christopher F. Schuetze. Jin Wu, Zoe Mou, Albee Zhang, Amber Wang, Yiwei Wang and Claire Fu contributed research.

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