Thread by @DonnaYoungDC

.@DrTedros is reconvening the @WHO emergency panel on #coronavirus on Jan. 30 to determine if #PHEIC is needed for #2019nCoV / #nCoV2019

@DrTedros @WHO This is a week after @DrTedros & @WHO emergency committee said there was not enough evidence. Back then, there was 800+ cases of #2019nCoV / #nCoV2019 & 25 deaths. Now, there are over 6100 cases & more than 130 deaths
spglobal.com/marketintellig…
en.wikipedia.org/wiki/2019%E2%8… #coronavirus

@DrTedros @WHO .@WHO's @DrMikeRyan says decision to reconvene emergency committee is based on evidence of human-to-human transmission.
Overwhelming cases reported from China, but 71 in 15 other countries. Majority associated w/ travel to China/#Wuhan.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: The source is still unclear & investigations continue.
Prevention: Keep distance from people who are sick & hand hygiene, etc.
People who are sick should seek health care as soon as possible.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan notes on trip to #China, very impressed with levels of engagement by leaders.
Never seen this scale/commitment at this level across all arms of government.
Highly organized.
Challenge great, but responsive massive.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: China is actively reaching out.
He notes China did report to Germany case that infected other people there.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: Chinese experts involved on a daily basis.
Contributing to overall expertise. Grateful China inviting international team to work with them.
WHO has brought together some of the best minds in the world to examine questions.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: The whole world needs to be on alert now. Whole worlds need to take action.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: Very grateful for partners working on R&D, others.
Working to ensure countries know what supplies to get/use, right quantities, etc.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: Imported cases clearly on alert.
For some, straightforward task.
But for those with weaknesses in public health system, this is a challenge.
The world is pulling together to respond.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan .@WHO's @DrMikeRyan: We believe this chain of transmission can be broken.
Believe can stop transmission chains.
Emergency committee will consider merits of declaring global emergency/recommendations that could be made
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan Q: Who is on international team?
.@WHO's @DrMikeRyan: That team is still being pulled together.
Team is not going to help China. It's to work in collaboration with Chinese experts to come to a better understanding/ensure science is being shared with world.
#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan What kind data sharing platform?
.@WHO's @mvankerkhove: Standardized way to collect information/how patients cared for.
Important to collect in standardized way.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Difference Australia/China in genetic sequence?
@DrMikeRyan: Chinese scientist rapid characterization in history. Shared immediately.
Sharing virus allows grow virus.
China has isolated & working to see how to share. No obstacle.
Do commend Australia.
#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Learn anything major from China trip?
.@WHO's @DrMikeRyan: Short mission. But absolutely resolution by China to put health of people of China ahead of anything else at this point/take economic hit to help people of China
We didn't see new data
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: When a government is that committed/that willing to be transparent, we have a chance.
We have an opportunity to stop this virus.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: We had many of the same questions w/ #SARS.
We had to base actions in imperfect evidence.
Needed to make decisions.
This is where science, public health & policy meet.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: Of course people are concerned?
We don't have a therapy. We don't have a vaccine. It has spread across China.
But we need to focus on what to do.
In crisis very easy to say 'Something must be done.'
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: He notes media there to communicate but also there to keep WHO accountable.
Challenge to communicate risk.
How do you share rational information on risk while also holding authorities accountable.
Been around this track many times
#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @mvankerkhove: Availability to have full sequencing is unprecedented.
It is essential that viruses are shared ... so R&D of vaccines/therapies can continue.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: I've been around this track so many times …
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: #Wuhan been warning population from very early on.
They were publishing numbers in early part of the year.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: China transparent?
.@WHO's @DrMikeRyan: From my perspective, China has been very open in reporting its cases. No lack of transparency.
I would say in this case a huge difference … from #SARS.
There is no comparison between behavior then & now
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @DrMikeRyan: Countries are always sensitive about sharing information about diseases.
Before point finger at China, there are genuine sensitivities about sharing data around diseases.
China been remarkable.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: During visit to China, had series of candid discussions on containment, further studies & sharing data/biological materials.
Very encouraged & impressed by president's knowledge.
Very rare leadership.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: China's efforts essential to prevent further spread of virus.
They are completely committed to transparency & working with other countries who need their support.
He notes Chinese scientists who infected German patients.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Germany is example good illustration of how China is engaging.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: International team go to China as soon as possible.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: 6065 confirmed cases, 5597 in China: 99% of cases.
132 lost their lives, all in China.
Human-to-human transmission in three countries
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros says China deserves gratitude & respect on #coronavirus efforts

#2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Now more than ever is a time to be guided by the science.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Continued increase in cases was deeply concerning. Numbers outside China still relatively small. But hold potential for much larger outbreak. So reconvening emergency panel to decide if #PHEIC.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Skills for international team, what guarantees for access, U.S. experts included?
.@DrTedros: Some WHO on the ground in China. Will then put others to send. But still discussing skill sets. Other countries, best bilateral arrangement.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Inclusion of Taiwan? 2% deaths?
.@WHO's @DrMikeRyan: Taiwanese fully engaged.
2% fatality still a lot vs. flu.
A relatively mild virus can cause a lot of damage if a lot of people get it.
Don't yet fully understand parameters.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @mvankerkhove: It's early to make conclusive statements about overall mortality rate.
When look at how many died must look at infected & don't know that right now.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @mvankerkhove: We do engage all countries that have had cases.
On calls, have those with expertise & direct involvement with patients so they are contributing to conversation.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Decisions on evacuating is up to the countries.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Data from #China? What percent symptomatic/asymptomatic?
.@WHO's @DrMikeRyan: Very difficult to work out asymptomatic transmission right now.
Expect to receive more data from China … so have it in advance of emergency committee tomorrow.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @mvankerkhove: Hospital cluster in #Wuhan 14 workers. But have not heard of hospital outbreaks beyond that. Not seen health care worker infection outside of China.
Need countries to prepare for/infection prevention controls in place.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: Fact we haven't seen large scale health care workers infection testament how China managing.
Hard to control infection hospital.
He praises thousands of front line health care workers in China/Wuhan.
Testament to personal commitment/courage
#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan notes network established to ensure supplies get to China/places needing equipment.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @mvankerkhove: There's a lot of misinformation out there & some of that can be quite dangerous.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Droplets or airborne?
.@WHO's @mvankerkhove: Transmission through respiratory route: Droplets, but also direct physical contact. But also the possibility of fomites, inanimate surface.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: #Coronavirus spread relatively easily among people but it can be stopped with adequate with proper measures.
Don't know what the amplifiers were in #Wuhan.
You can effect numbers by what you do ... for negative & positive. What do we do next?
#2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: A lot happening right now. But does emergency committee need consider other measures
This is complex business. This requires huge investment/collaboration. We need to leverage that.
First thing need to consider is if criteria #PHEIC been met.

#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: Other advantage can align measures been taken at the same time.
194 countries implementing unilateral measures is a potential recipie for disaster politically, economically & socially.
IHR is a framer to drive measures that must be taken.
#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Right now #PHEIC or no PHEIC, either green or red.
We now have to revise that.
Need green, yellow & red.
Cannot have yes or no. There could be some intermediate situation.
He likes traffic light approach.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove Q: Financial/Politics limit capacity to act?
.@DrTedros: Financial … we are talking to partners. China also agreed to continue to support.
Political … I think doing the right things will be very, very important. We will do the right things.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Strategy we follow is serious & strong intervention at the epicenter b/c helps limit the spread.
There is no politics that limit us from taking the right action.
You cannot focus on everywhere. Must focus on epicenter.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: We are concerned for countries in Africa & other least developed countries.
We have been working on a strategic response plans.
Done an exceptional job in preventing #Ebola spreading to other countries, but did it without funding.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: I will praise China again and again [and he has today]
Level of China President Xi's knowledge of #2019nCoV is "amazing."

#coronavirus #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Human-to-human transmission in Germany, Vietnam & Japan worries us.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrTedros: Solidarity & cooperation starts with sharing information.
We call on countries to make sure share information real-time. That will protect them & their neighbors.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan notes all of the ongoing epidemics/natural disasters/climate-driven disasters.
Ounce of preparedness is worth a ton of response.
People only consider preparedness when they are faced with the fire of crisis.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: @WHO is at the center of scientific, public health & political web.
How will we act in the coming weeks/support each other to bring this epidemic to an end?
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@DrMikeRyan: The virus is being remarkably stable. There's no scientist on planet that will tell you when the peak occurs.
It will occur when we put together package designed to stop the virus.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO's @mvankerkhove: Virus evolution … global network looking very closely at sequences/comparing to others. Right now, stable.
Will trace back in time to understand where this virus came from.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@WHO daily #2019nCoV situation report: #9
who.int/docs/default-s… #coronavirus #nCoV2019 #WHO #CDC #NIH

@DrTedros @WHO @DrMikeRyan @mvankerkhove ICYMI: US to spend $105M on coronavirus; Azar 'delighted' China to work with WHO team spglobal.com/marketintellig… #2019nCoV #coronavirus #nCoV2019 #WHO #CDC #NIH

@DrTedros @WHO @DrMikeRyan @mvankerkhove .@CDCgov briefing soon on #coronavirus cdc.gov/media/releases… #2019nCoV #nCoV2019 #WHO #Wuhan #NIH

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov .@DrNancyM_CDC: 165 persons under investigation, 68 testing negative. Still only 5 positive.
Full genetic sequence for all 5 been uploaded.
Working to get CDC Dx into hands of public health workers

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC .@DrNancyM_CDC: Situation in China is concerning. We do expect find additional cases.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC .@DrNancyM_CDC on U.S. citizens extracted from China: All 195 passengers given assigned living quarters at military base.
All 195 agreed to remain on base.
cdc.gov/media/releases…
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC .@DrNancyM_CDC clarifies "195" number she quoted different from PR: "195 passengers."
They are all willingly undergoing isolation.
She notes "quarantine" is a regulatory authority. These people willingly staying on the military base.
#coronavirus #2019nCoV #nCoV2019 #CDC

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC .@DrNancyM_CDC notes the 195 @StateDept flight passengers who are in isolation were all in #Wuhan.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept .@DrNancyM_CDC: We should remember that some of our five cases weren't ill when they crossed back over into the U.S.
She notes the "education material" that is being handed out at the 20 airports at quarantine stations.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept .@DrNancyM_CDC: We are being appropriately cautious when there's a new virus.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept .@DrNancyM_CDC: Actively engaged with patients about their care.
We are being cautious & their physicians/health departments
But decisions on local patients made by local health deparments.
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept .@DrNancyM_CDC: "We are invited" to be part of the @WHO international team [the one @DrTedros revealed yesterday & @SecAzar said he was "delighted" to hear about]
There has been preliminary outreach.
#coronavirus #2019nCoV #nCoV2019 #CDC

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar .@DrNancyM_CDC: Risk factors travel to #Wuhan/Hubei Province & people who are their close contacts.

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar .@DrNancyM_CDC: There is no sign in the U.S. that there's been broader transmission.

#coronavirus #2019nCoV #nCoV2019 #CDC

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar .@DrNancyM_CDC on the "three days" for 95 travelers on @StateDept plane from #Wuhan to give health care workers time to assess those people, let them rest, etc.
She reiterates all 195 are there willingly.
Others on plane were State officials & plane crew
#coronavirus #2019nCoV

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar .@CBSEveningNews @NorahODonnell tonight on 195 passengers on @StateDept plane: "Americans escape."

🤦‍♀️🙄🤦‍♀️🙄🤦‍♀️🙄🤦‍♀️🙄🤦‍♀️🙄🤦‍♀️🙄🤦‍♀️🙄

#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar @CBSEveningNews @NorahODonnell Wiki chart now says 170 deaths. I haven't yet seen China report updates yet tonight. en.wikipedia.org/wiki/2019%E2%8…
nhc.gov.cn
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar @CBSEveningNews @NorahODonnell Wiki is correct: China reports 170 deaths from #2019nCoV.
7,711 cases of the virus confirmed in China, including 31 severe.
12,167 suspected cases.
nhc.gov.cn/xcs/yqfkdt/202…
#coronavirus #2019nCoV #nCoV2019

@DrTedros @WHO @DrMikeRyan @mvankerkhove @CDCgov @DrNancyM_CDC @StateDept @SecAzar @CBSEveningNews @NorahODonnell ICYMI: WHO applauds China's cooperation on coronavirus; emergency panel to reconvene spglobal.com/marketintellig… #coronavirus #2019nCoV #nCoV2019 #WHO #CDC #HHS