Sabtu, 08 Februari 2020

Coronavirus Live Updates: An American in Wuhan Dies of the Virus - The New York Times

Credit...Cnsphoto, via Reuters

A United States citizen has died from the new coronavirus in Wuhan, China, in what appeared to be the first death of an American from the outbreak.

Few details about the American, who died on Thursday, were immediately available. The person was around 60 years old and died at Jinyintan Hospital in Wuhan, according to the United States Embassy in Beijing. Two people familiar with the matter said the person was a woman and had underlying health conditions.

“We offer our sincerest condolences to the family on their loss,” said a spokesman for the embassy. “Out of respect for the family’s privacy, we have no further comment.”

Japan said on Saturday that one of its citizens had died in a Wuhan hospital, from what was suspected to be a case of the coronavirus. But the Japanese Foreign Ministry said that based on information it had received from the Chinese authorities, it could not confirm whether the man, who was in his 60s, had been infected. The ministry said the cause of death was viral pneumonia.

Another Japanese citizen has also been diagnosed with the coronavirus, the authorities said on Saturday. A man in his 20s, among 198 people who returned from Wuhan by government-sponsored charter plane to Tokyo on Friday, was said to have tested positive for the virus and been hospitalized.

The Health Ministry said that the man had exhibited no symptoms when he boarded the flight in Wuhan, but was running a fever by the time he landed and had developed a mild case of pneumonia.

A lawyer who had provided a rare glimpse into the dire conditions in Wuhan, the epicenter of the coronavirus outbreak, has gone missing, his friends say, expressing fear for his safety.

The lawyer, Chen Qiushi, who is based in Beijing, had been reporting from Wuhan since the city went into lockdown last month as the authorities scrambled to contain the virus.

In a series of video blogs and footage posted on Twitter and sometimes on YouTube, which are both blocked in mainland China, Mr. Chen documented the plight of patients and the shortage of hospital supplies, and he warned of cross-infection in Wuhan’s mass quarantine sites.

A friend who is currently managing Mr. Chen’s Twitter account said contact had been lost with him on Thursday.

The friend, who requested anonymity to protect the account’s security, said Mr. Chen had recognized the risks that came with his journalistic work from the beginning and had shared his passwords with friends as a precaution, in case he would one day be detained.

Xu Xiaodong, a prominent mixed martial arts practitioner in China, also said on Friday that he had lost contact with Mr. Chen, his friend. In a video message on Friday, Mr. Xu said that Mr. Chen’s parents had been told that their son had been quarantined because he had visited several hospitals and risked contracting the virus.

“I’m announcing this because I’m scared! Because the next one could be me,” Mr. Xu tweeted on Friday.

Mr. Chen made headlines last summer when he visited Hong Kong to report on the city’s antigovernment demonstrations and challenged portrayals by Chinese state news media that the protesters were rioters.

The Chinese government has announced a temporary name for the illness caused by the coronavirus, ordering the local authorities and state news media to adopt it. In English, it will be called N.C.P., for novel coronavirus pneumonia, the national health commission said on Saturday.

The Coronavirus Outbreak

  • What do you need to know? Start here.

    Updated Feb. 5, 2020

    • Where has the virus spread?
      You can track its movementwith this map.
    • How is the United States being affected?
      There have been at least a dozen cases. American citizens and permanent residents who fly to the United States from China are now subject to a two-week quarantine.
    • What if I’m traveling?
      Several countries, including the United States, have discouraged travel to China, and several airlines have canceled flights.Many travelers have been left in limbo while looking to change or cancel bookings.
    • How do I keep myself and others safe?
      Washing your hands is the most important thing you can do.

A final, official name will eventually be chosen by the International Committee on Taxonomy of Viruses. The organization has submitted a name to a scientific journal for publication and hopes to reveal it within days, the BBC reported.

The naming of viral illnesses is a complicated matter that involves both science and public relations. Past names, like the Spanish flu or Rift Valley fever, have been seen as contributing to the stigmatization of countries or regions. In 2015, the World Health Organization issued new guidelines, after the choice of the name for Middle East respiratory syndrome, or MERS, was criticized.

As well as avoiding place names, those guidelines recommend not using people’s names (Creutzfeldt-Jakob disease, Chagas disease), animal names (swine flu, equine encephalitis), cultural or occupational references (Legionnaires’ disease) or words that induce fear (unknown, death, fatal, epidemic).

The W.H.O. has recommended its own temporary name for the new illness: 2019-nCoV acute respiratory disease, or 2019-nCoV. But the name is difficult to pronounce, and has been less popular than “coronavirus,” which describes a larger category of viruses.

“We thought it was very important to put out an interim name so that no location was associated with the name,” Maria van Kerkhove, a W.H.O. epidemiologist, told the body’s executive board on Friday.

On Saturday, the French health minister confirmed five new cases of the coronavirus, including four adults and one child — all British citizens — bringing the total in France to 11.

The minister, Agnès Buzyn, said during a news conference on Saturday morning that the latest cases formed “a cluster, a grouping around one original case” and had been traced to an infected British citizen who had traveled from Singapore.

Ms. Buzyn told reporters that the Briton stayed in Singapore from Jan. 20 to Jan. 23 and arrived in France on Jan. 24. The person stayed in the small town of Les Contamines-Montjoie, in southern France.

Before returning to Britain on Jan. 28, the infected person came into contact with 11 people, all Britons, with whom he lived in the same house, she said, adding that all of them had been hospitalized to monitor their condition.

Hangzhou, a Chinese city with a population of 10 million, said it would temporarily ban the sale of flu and cough medicine at pharmacies, in an effort to compel people who might be sick to see a doctor.

In a statement, which was issued at midnight Friday and took effect immediately, the local government said the policy was created to “strengthen the supervision of those with fevers and coughs.”

To stop the spread of the coronavirus, the Chinese authorities have taken increasingly draconian measures to curb travel, impose social distancing and track those who might be sick. Several cities in the eastern province of Zhejiang, including some sections of Hangzhou, have set limits on how often people can leave their houses, generally allowing one person to leave every few days to buy groceries. Paper passports have been printed to keep tabs on residents.

As such restrictions have increased, so have people’s fears about being suspected to have the virus. Some have complained that sites set up for quarantines do little to separate people who are already sick from those who have no symptoms, but who are from an area that experienced an outbreak. In recent weeks, several articles in Chinese news media have told of people who used medicine to suppress coronavirus symptoms to pass through the country’s now ubiquitous fever-screening checkpoints.

Some wondered what those with chronic illnesses were supposed to do if they couldn’t get medicine they needed to relieve their symptoms. Others worried that the policy would speed the spread of the virus by forcing many more people to go to hospitals, where some carriers of the virus would likely be.

Hong Kong had already suffered through months of political protests. Its economy is shrinking, and mistrust divides its people from its leaders.

Now the coronavirus is dealing Hong Kong, Asia’s financial capital, another devastating blow. Airlines are cutting service. Schools are closed. Panicked residents are hoarding rice, face masks and — in the latest run — toilet paper.

In the air is a new emotion for a city where the glimmering skyline once seemed to promise riches and opportunity: fear.

“We don’t know when it will end or how much worse it will get,” said Amber Suen, a flight attendant with Cathay Pacific, the beleaguered Hong Kong airline that on Wednesday asked its 27,000 employees to take three-week unpaid furloughs to save money.

The new coronavirus, which has killed hundreds and sickened thousands in mainland China, has been much less prevalent in Hong Kong. One person has died and at least 25 have been infected, mostly while traveling in the mainland. Its hospitals are respected around the world.

The world is not drawing a distinction, however, in part because the city has tightened but not fully closed the border with the mainland.

The multinational companies that helped make the city global are restricting travel there. Some are advising or requiring returning employees to quarantine themselves. And getting to Hong Kong is becoming increasingly difficult. Virgin Australia joined United Airlines and American Airlines in cutting service. Italy has suspended flights from Hong Kong, while the Philippines and Taiwan are requiring arrivals to go into quarantine.

The death toll and the number of infections have grown again, according to official data released early Saturday.

Across China, 86 new deaths and 3,399 new cases emerged in the previous 24 hours, the national health authorities said.

The new figures brought the total number of deaths in China to at least 722. And the total number of confirmed cases rose to 34,546.

Most of the newly reported deaths, 81, occurred in Hubei Province, the heart of the outbreak.

Many doctors believe that deaths and infections in China are undercounted because testing facilities at hospitals and laboratories are under severe strain.

Julie Zhong, a 24-year-old from Wuhan, knows she has had to endure less than many other people from her city, where the new coronavirus first appeared.

She had planned to move to Shanghai after a three-week trip with her family to Hainan, a holiday island off China’s southern coast. But then the outbreak happened. After Hainan officials took the family’s temperature, they began a self-imposed quarantine for 14 days.

The quarantine is over. But her plans to move to Shanghai, where she is supposed to start a new job on Feb. 17, are in limbo. Hotels she called in the city told her that people from Hubei Province, which includes Wuhan, were not welcome. One said she could have a room, but only if she underwent another 14-day quarantine.

“I’m innocent, but implicated,” she said. “It makes me really angry.”

Many people from Wuhan have fared worse under a countrywide campaign to identify and isolate anyone who has recently been to the city. Ms. Zhong said that prejudice and anger directed toward people from her hometown was misplaced.

“Is it the fault of people from Wuhan? It’s not. If it comes from eating wild meat, then the problem is the government didn’t control it well enough,” she said, referring to the food market in Wuhan where the illness is thought to have originated.

“You can’t just dump everything on the heads of those from Wuhan,” she added.

China’s ruling Communist Party sent two senior officials to Wuhan to reinforce efforts to bring the coronavirus outbreak under control, amid rising public anger over the handling of the crisis.

State media reported on Saturday that a deputy head of the National Health Commission, Weng Hesheng, and the general secretary of the Central Political and Legal Affairs Commission, Chen Yixin, would take charge of the fight to contain the epidemic in Hubei Province, where Wuhan is situated.

It was not immediately clear if the appointments amounted to a reshuffling of the provincial and city leadership or were simply an effort to reinforce officials on the front line. Still, it appeared to be an acknowledgment that the authorities in Wuhan have been overwhelmed as deaths and infections continue to soar.

Mr. Chen was previously party secretary in Wuhan and deputy party secretary for the entire province. Mr. Weng has held a variety of positions overseeing public health and family planning in the city of Tianjin and, since 2016, on the national level.

The appointments came a day after the State Supervisory Committee, a powerful anticorruption body, announced that it would send a team to investigate the circumstances surrounding the death of a Wuhan doctor, Li Wenliang. Dr. Li was punished by health officials and the police for privately warning colleagues in December about the mysterious new illness that was appearing in Wuhan’s hospitals.

It is rare for the party to react directly to public pressure, but Dr. Li’s death provoked such an outpouring of public anger and grief that it appears to have forced the party’s hand.

Travelers to Asia, even to countries far from the epicenter of the virus in China, are beginning to reconsider their plans.

Hard data on cancellations is scarce, as airlines, hotels and travel boards say they do not yet have numbers or will not share them. But tour operators, travel insurance brokers and airline employees say they are facing growing numbers of customers changing their plans.

Brian Fitzgerald, president of Overseas Adventure Travel, a company providing group tours to travelers mostly over 50, said it encountered cancellations to China through April in the wake of the outbreak’s announcement. But this week, he said, tourists scheduled to go to Cambodia, Laos and Vietnam were reconsidering as well.

January data from April Travel Protection, an insurance provider, which tracks residents in the United States traveling to every country in the world, shows that claims with an Asian country in the itinerary more than doubled compared to January 2019.

More than 20 international carriers have suspended or restricted routes that ended in Wuhan and other major Chinese cities, including Beijing, Hong Kong and Shanghai.

A report published on Friday on 138 coronavirus patients in Wuhan has disturbing details about the illness and how it spreads. Many of the patients — 41 percent — were presumed to have been infected in a Wuhan hospital, including 17 people who were already hospitalized for other illnesses, and 40 health care workers.

One patient is thought to have infected more than 10 health care workers in the hospital’s surgical department, where the person was admitted because of abdominal symptoms, and the coronavirus was not initially suspected.

The authors of the report, which was published in the Journal of the American Medical Association, said their data suggested that rapid person-to-person spread of the virus had occurred among their cases. That was partly because of patients like the one admitted to the surgical department, who had symptoms that misled doctors into suspecting other illnesses and failing to take precautions to prevent the spread of the virus.

Another cause for concern is that some patients who appeared mildly or moderately ill at first took a turn for the worse several days or even a week into their illness. The median time from their first symptoms to when they became short of breath was five days; to hospitalization, seven days; and to severe breathing trouble, eight days. Experts say that pattern means patients must be carefully monitored, and it is not safe to assume that someone who seems to be doing well early on is out of the woods.

Chinese car and auto parts factories may stay closed longer than expected because of the coronavirus, increasing the chances that assembly lines in Asia, Europe and the United States could grind to a halt because of shortages of components.

Several automakers including BMW, PSA and Toyota have delayed restarting their assembly lines in China by another week, and others appear likely to follow suit. Even a relatively brief interruption in the flow of parts and materials could have far-reaching effects, analysts said.

The shutdowns at Chinese factories have hit automakers from several angles. The virus is already causing them to lose sales in China, the world’s largest car market by far. If they are forced to shut down factories outside of China because of parts shortages, as Hyundai has already done in South Korea, they could also lose sales in other regions.

The blow to the auto industry, which employs eight million people worldwide, comes at a time when output from the world’s factories is already sagging. It is likely to amplify the human and economic cost of the outbreak.

Reporting and research were contributed by Raymond Zhong, Jack Ewing, Steven Lee Myers, Claire Fu, Paul Mozur, Motoko Rich, Hisako Ueno, Alexandra Stevenson, Austin Ramzy, Tiffany May, Emily Palmer, Reed Abelson, Katie Thomas, Denise Grady and Constant Méheut.

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https://news.google.com/__i/rss/rd/articles/CBMiRGh0dHBzOi8vd3d3Lm55dGltZXMuY29tLzIwMjAvMDIvMDgvd29ybGQvYXNpYS9jb3JvbmF2aXJ1cy1jaGluYS5odG1s0gFIaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMC8wMi8wOC93b3JsZC9hc2lhL2Nvcm9uYXZpcnVzLWNoaW5hLmFtcC5odG1s?oc=5

2020-02-08 14:37:30Z
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Coronavirus Live Updates: An American Dies of the Virus in Wuhan, China - The New York Times

Credit...Cnsphoto, via Reuters

A United States citizen has died from the new coronavirus in Wuhan, China, in what appeared to be the first death of an American from the outbreak.

Few details about the American, who died on Thursday, were immediately available. The person was around 60 years old and died at Jinyintan Hospital in Wuhan, according to the United States Embassy in Beijing. Two people familiar with the matter said the person was a woman and had underlying health conditions.

“We offer our sincerest condolences to the family on their loss,” said a spokesman for the embassy. “Out of respect for the family’s privacy, we have no further comment.”

Japan said on Saturday that one of its citizens had died in a Wuhan hospital, from what was suspected to be a case of the coronavirus. But the Japanese Foreign Ministry said that based on information it had received from the Chinese authorities, it could not confirm whether the man, who was in his 60s, had been infected. The ministry said the cause of death was viral pneumonia.

Another Japanese citizen has also been diagnosed with the coronavirus, the authorities said on Saturday. A man in his 20s, among 198 people who returned from Wuhan by government-sponsored charter plane to Tokyo on Friday, was said to have tested positive for the virus and been hospitalized.

The Health Ministry said that the man had exhibited no symptoms when he boarded the flight in Wuhan, but was running a fever by the time he landed and had developed a mild case of pneumonia.

Chinese car and auto parts factories may stay closed longer than expected because of the coronavirus, increasing the chances that assembly lines in Asia, Europe and the United States could grind to a halt because of shortages of components.

Several automakers including BMW, PSA and Toyota have delayed restarting their assembly lines in China by another week, and others appear likely to follow suit. Even a relatively brief interruption in the flow of parts and materials could have far-reaching effects, analysts said.

The shutdowns at Chinese factories have hit automakers from several angles. The virus is already causing them to lose sales in China, the world’s largest car market by far. If they are forced to shut down factories outside of China because of parts shortages, as Hyundai has already done in South Korea, they could also lose sales in other regions.

The blow to the auto industry, which employs eight million people worldwide, comes at a time when output from the world’s factories is already sagging. It is likely to amplify the human and economic cost of the outbreak.

The Chinese government has announced a temporary name for the illness caused by the coronavirus, ordering the local authorities and state news media to adopt it. In English, it will be called N.C.P., for novel coronavirus pneumonia, the national health commission said on Saturday.

A final, official name will eventually be chosen by the International Committee on Taxonomy of Viruses. The organization has submitted a name to a scientific journal for publication and hopes to reveal it within days, the BBC reported.

The naming of viral illnesses is a complicated matter that involves both science and public relations. Past names, like the Spanish flu or Rift Valley fever, have been seen as contributing to the stigmatization of countries or regions. In 2015, the World Health Organization issued new guidelines, after the choice of the name for Middle East respiratory syndrome, or MERS, was criticized.

As well as avoiding place names, those guidelines recommend not using people’s names (Creutzfeldt-Jakob disease, Chagas disease), animal names (swine flu, equine encephalitis), cultural or occupational references (Legionnaires’ disease) or words that induce fear (unknown, death, fatal, epidemic).

The Coronavirus Outbreak

  • What do you need to know? Start here.

    Updated Feb. 5, 2020

    • Where has the virus spread?
      You can track its movementwith this map.
    • How is the United States being affected?
      There have been at least a dozen cases. American citizens and permanent residents who fly to the United States from China are now subject to a two-week quarantine.
    • What if I’m traveling?
      Several countries, including the United States, have discouraged travel to China, and several airlines have canceled flights.Many travelers have been left in limbo while looking to change or cancel bookings.
    • How do I keep myself and others safe?
      Washing your hands is the most important thing you can do.

The W.H.O. has recommended its own temporary name for the new illness: 2019-nCoV acute respiratory disease, or 2019-nCoV. But the name is difficult to pronounce, and has been less popular than “coronavirus,” which describes a larger category of viruses.

“We thought it was very important to put out an interim name so that no location was associated with the name,” Maria van Kerkhove, a W.H.O. epidemiologist, told the body’s executive board on Friday.

On Saturday, the French health minister confirmed five new cases of the coronavirus, including four adults and one child — all British citizens — bringing the total in France to 11.

The minister, Agnès Buzyn, said during a news conference on Saturday morning that the latest cases formed “a cluster, a grouping around one original case” and had been traced to an infected British citizen who had traveled from Singapore.

Ms. Buzyn told reporters that the Briton stayed in Singapore from Jan. 20 to Jan. 23 and arrived in France on Jan. 24. The person stayed in the small town of Les Contamines-Montjoie, in southern France.

Before returning to Britain on Jan. 28, the infected person came into contact with 11 people, all Britons, with whom he lived in the same house, she said, adding that all of them had been hospitalized to monitor their condition.

Hangzhou, a Chinese city with a population of 10 million, said it would temporarily ban the sale of flu and cough medicine at pharmacies, in an effort to compel people who might be sick to see a doctor.

In a statement, which was issued at midnight Friday and took effect immediately, the local government said the policy was created to “strengthen the supervision of those with fevers and coughs.”

To stop the spread of the coronavirus, the Chinese authorities have taken increasingly draconian measures to curb travel, impose social distancing and track those who might be sick. Several cities in the eastern province of Zhejiang, including some sections of Hangzhou, have set limits on how often people can leave their houses, generally allowing one person to leave every few days to buy groceries. Paper passports have been printed to keep tabs on residents.

As such restrictions have increased, so have people’s fears about being suspected to have the virus. Some have complained that hotels set up for quarantines do little to separate people who are already sick from those who have no symptoms, but who are from an area that experienced an outbreak. In recent weeks, several articles in Chinese news media have told of people who used medicine to suppress coronavirus symptoms to pass through the country’s now ubiquitous fever-screening checkpoints.

Online, many people vented frustration about Hangzhou’s ban on medicine sales, though some said it was a good way to identify cases of the coronavirus that otherwise might not surface.

“Good, I strongly support this,” wrote one user, calling for the elimination of “every possible loophole that could spread the virus.”

Some wondered what those with chronic illnesses were supposed to do if they couldn’t get medicine they needed to relieve their symptoms. Others worried that the policy would speed the spread of the virus by forcing many more people to go to hospitals, where some carriers of the virus would likely be. Many have been alarmed by images from Wuhan of packed hospital waiting areas.

“Going to the hospital for a regular cold?” wrote one skeptical user. “What if you go to the hospital and get infected?”

Hong Kong had already suffered through months of political protests. Its economy is shrinking, and mistrust divides its people from its leaders.

Now the coronavirus is dealing Hong Kong, Asia’s financial capital, another devastating blow. Airlines are cutting service. Schools are closed. Panicked residents are hoarding rice, face masks and — in the latest run — toilet paper.

In the air is a new emotion for a city where the glimmering skyline once seemed to promise riches and opportunity: fear.

“We don’t know when it will end or how much worse it will get,” said Amber Suen, a flight attendant with Cathay Pacific, the beleaguered Hong Kong airline that on Wednesday asked its 27,000 employees to take three-week unpaid furloughs to save money.

The new coronavirus, which has killed hundreds and sickened thousands in mainland China, has been much less prevalent in Hong Kong. One person has died and at least 25 have been infected, mostly while traveling in the mainland. Its hospitals are respected around the world.

The world is not drawing a distinction, however, in part because the city has tightened but not fully closed the border with the mainland.

The multinational companies that helped make the city global are restricting travel there. Some are advising or requiring returning employees to quarantine themselves. And getting to Hong Kong is becoming increasingly difficult. Virgin Australia joined United Airlines and American Airlines in cutting service. Italy has suspended flights from Hong Kong, while the Philippines and Taiwan are requiring arrivals to go into quarantine.

The death toll and the number of infections have grown again, according to official data released early Saturday.

Across China, 86 new deaths and 3,399 new cases emerged in the previous 24 hours, the national health authorities said.

The new figures brought the total number of deaths in China to at least 722. And the total number of confirmed cases rose to 34,546.

Most of the newly reported deaths, 81, occurred in Hubei Province, the heart of the outbreak.

Many doctors believe that deaths and infections in China are undercounted because testing facilities at hospitals and laboratories are under severe strain.

Julie Zhong, a 24-year-old from Wuhan, knows she has had to endure less than many other people from her city, where the new coronavirus first appeared.

She had planned to move to Shanghai after a three-week trip with her family to Hainan, a holiday island off China’s southern coast. But then the outbreak happened. After Hainan officials took the family’s temperature, they began a self-imposed quarantine for 14 days.

The quarantine is over. But her plans to move to Shanghai, where she is supposed to start a new job on Feb. 17, are in limbo. Hotels she called in the city told her that people from Hubei Province, which includes Wuhan, were not welcome. One said she could have a room, but only if she underwent another 14-day quarantine.

“I’m innocent, but implicated,” she said. “It makes me really angry.”

Many people from Wuhan have fared worse under a countrywide campaign to identify and isolate anyone who has recently been to the city. Ms. Zhong said that prejudice and anger directed toward people from her hometown was misplaced.

“Is it the fault of people from Wuhan? It’s not. If it comes from eating wild meat, then the problem is the government didn’t control it well enough,” she said, referring to the food market in Wuhan where the illness is thought to have originated.

“You can’t just dump everything on the heads of those from Wuhan,” she added.

China’s ruling Communist Party sent two senior officials to Wuhan to reinforce efforts to bring the coronavirus outbreak under control, amid rising public anger over the handling of the crisis.

State media reported on Saturday that a deputy head of the National Health Commission, Weng Hesheng, and the general secretary of the Central Political and Legal Affairs Commission, Chen Yixin, would take charge of the fight to contain the epidemic in Hubei Province, where Wuhan is situated.

It was not immediately clear if the appointments amounted to a reshuffling of the provincial and city leadership or were simply an effort to reinforce officials on the front line. Still, it appeared to be an acknowledgment that the authorities in Wuhan have been overwhelmed as deaths and infections continue to soar.

Mr. Chen was previously party secretary in Wuhan and deputy party secretary for the entire province. Mr. Weng has held a variety of positions overseeing public health and family planning in the city of Tianjin and, since 2016, on the national level.

The appointments came a day after the State Supervisory Committee, a powerful anticorruption body, announced that it would send a team to investigate the circumstances surrounding the death of a Wuhan doctor, Li Wenliang. Dr. Li was punished by health officials and the police for privately warning colleagues in December about the mysterious new illness that was appearing in Wuhan’s hospitals.

It is rare for the party to react directly to public pressure, but Dr. Li’s death provoked such an outpouring of public anger and grief that it appears to have forced the party’s hand.

Travelers to Asia, even to countries far from the epicenter of the virus in China, are beginning to reconsider their plans.

Hard data on cancellations is scarce, as airlines, hotels and travel boards say they do not yet have numbers or will not share them. But tour operators, travel insurance brokers and airline employees say they are facing growing numbers of customers changing their plans.

Brian Fitzgerald, president of Overseas Adventure Travel, a company providing group tours to travelers mostly over 50, said it encountered cancellations to China through April in the wake of the outbreak’s announcement. But this week, he said, tourists scheduled to go to Cambodia, Laos and Vietnam were reconsidering as well.

January data from April Travel Protection, an insurance provider, which tracks residents in the United States traveling to every country in the world, shows that claims with an Asian country in the itinerary more than doubled compared to January 2019.

More than 20 international carriers have suspended or restricted routes that ended in Wuhan and other major Chinese cities, including Beijing, Hong Kong and Shanghai.

A report published on Friday on 138 coronavirus patients in Wuhan has disturbing details about the illness and how it spreads. Many of the patients — 41 percent — were presumed to have been infected in a Wuhan hospital, including 17 people who were already hospitalized for other illnesses, and 40 health care workers.

One patient is thought to have infected more than 10 health care workers in the hospital’s surgical department, where the person was admitted because of abdominal symptoms, and the coronavirus was not initially suspected.

The authors of the report, which was published in the Journal of the American Medical Association, said their data suggested that rapid person-to-person spread of the virus had occurred among their cases. That was partly because of patients like the one admitted to the surgical department, who had symptoms that misled doctors into suspecting other illnesses and failing to take precautions to prevent the spread of the virus.

Another cause for concern is that some patients who appeared mildly or moderately ill at first took a turn for the worse several days or even a week into their illness. The median time from their first symptoms to when they became short of breath was five days; to hospitalization, seven days; and to severe breathing trouble, eight days. Experts say that pattern means patients must be carefully monitored, and it is not safe to assume that someone who seems to be doing well early on is out of the woods.

With an intense flu season in full swing, hundreds of thousands of coughing and feverish patients have already overwhelmed emergency rooms around the United States. Now, hospitals are bracing for a potential spread of the new coronavirus that could bring another surge of patients.

So far, only a dozen people in the United States have become infected with the coronavirus, but an outbreak could severely strain the nation’s hospitals.

“We’re talking about the possibility of a double flu pandemic,” in which a second wave starts before the first is over, said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security.

Public health experts are also closely watching reserves of vital medical supplies and medications, many of which are made in China. Some hospitals in the United States are already “critically low” on respirator masks, according to Premier Inc., which secures medical supplies and equipment on behalf of hospitals and health systems.

“All the hospitals are taxed with a large flu season and other bugs,” said Dr. Mark Jarrett, the chief quality officer for Northwell Health, which operates 23 hospitals across Long Island and elsewhere in New York. About 400 patients are coming to its emergency rooms each day with flulike symptoms.

“Everybody is at maximum capacity,” Dr. Jarrett said.

Reporting and research were contributed by Raymond Zhong, Jack Ewing, Steven Lee Myers, Claire Fu, Paul Mozur, Motoko Rich, Hisako Ueno, Alexandra Stevenson, Austin Ramzy, Tiffany May, Emily Palmer, Reed Abelson, Katie Thomas, Denise Grady and Constant Méheut.

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2020-02-08 12:39:11Z
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Thailand shooting: Soldier's rampage kills at least 12 - BBC News

At least 12 people have been shot dead and many injured by a Thai soldier in the city of Nakhon Ratchasima (also known as Korat), police say.

A defence ministry spokesman told BBC Thai that Jakraphanth Thomma, a junior officer, had attacked his commanding officer before stealing a gun and ammunition from a military camp.

He then opened fire at a Buddhist temple and at a shopping centre in the city, north-east of Bangkok.

The suspect is still at large.

Local media footage appears to show the suspect getting out of a Humvee-type vehicle in front of the Terminal 21 shopping centre in the Muang district and firing shots as people flee. Other footage showed a fire outside the building, with some reports saying it was caused by a gas canister that exploded when shot at.

Authorities have been sealing off the centre as they try to track down the suspect, who is reportedly inside the building. Police have warned people to stay at home.

The Bangkok Post reported that the suspect, who it said was 32 years old, had taken hostages inside the building, but this has not been officially confirmed. More gunshots have reportedly been heard inside the building.

The suspect's motive remains unclear.

However, he posted on his social media accounts during the attack, with one post on Facebook asking whether he should surrender.

He had earlier posted an image of a pistol with three sets of bullets, along with the words "it is time to get excited" and "nobody can avoid death".

His Facebook page has now been taken down.

The Bangkok Post said the dead commander was Col Anantharot Krasae, and that a 63-year-old woman and another soldier had been killed at the military camp.

Prime Minister Prayuth Chan-ocha is following developments and expressed condolences to the families of those killed, a spokeswoman said.

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2020-02-08 13:10:25Z
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Buried in Trump's peace plan, a proposal that could strip thousands of Israeli Arabs of their citizenship - The Washington Post

Ammar Awad Reuters The city of Umm al-Fahm, foreground, and the Wadi Ara, the valley in background, are both majority-Arab areas in northern Israel whose residents are Israeli citizens.

UMM AL-FAHM, ISRAEL — Yousef Jabareen had only heard politicians on Israel’s ideological fringe suggest that he and thousands of Arab Israelis could be stripped of their Israeli citizenship and their towns transferred to Palestinian control.

Last week, he was surprised to find a version of that proposal buried within President Donald Trump’s Israeli-Palestinian peace plan.

A single paragraph in the 181-page document proposes the potential redrawing of Israel’s borders such that a cluster of 10 Arab towns north of Tel Aviv, known as “the Triangle,” would be subsumed by a future Palestinian state. That was news to the Triangle’s 350,000 Arab residents, who say they were not consulted on what many say would amount to a forced deportation from Israel, where their families have lived for generations.

“How did this right-wing fantasy end up in an American deal?” asked Jabareen, a political leader and law professor at the University of Haifa. “The clear motivation is to have fewer Arabs in Israel.”

News of the provision sparked immediate protests in the Triangle region, including a weekend march of hundreds in the town of Baqa al-Gharbiya.

“No one will deprive us of citizenship in the homeland where we were born,” Ayman Odeh, the leader of a block of Arab Israeli political parties, told the crowd.

Ahmad Gharabli

AFP/Getty Images

Israeli parliament member Yousef Jabareen, who represents the United Arab List coalition of Arab Israeli parties, is shown in his hometown Umm al-Fahm in northern Israel.

Jabareen, 47, was born and raised in this steeply sloped city of 50,000 residents, where Israeli stores and banks and cellphone shops sit within hearing of the Islamic call to prayer emanating from nearby mosques. His life is thoroughly entwined with the Jewish state: He carries an Israeli passport; pays Israeli taxes; and not only votes in Israeli elections but also has served as a member of the Knesset, Israel’s national parliament, since 2015.

“We are citizens of Israel,” Jabareen said in a coffee shop where the prices are listed in Israeli shekels and the music is Arab pop. “We are second-class citizens, it is true, but no one should try to take our citizenship without even talking to us.”

For these “Arabs of ’48” — the Palestinian families that remained in Israel after it won its war for independence — daily existence reflects a complex mix of Palestinian identity and imperfect integration into Israeli society.

They complain that Israel underfunds their schools and policing, routinely denies their building applications — and then orders the demolition of unapproved structures — and has confiscated thousands of acres of surrounding cropland they had farmed for generations.

But they appreciate the access to universities that has let many here pursue careers in medicine and law. Citizenship gives Arab Israelis — who represent 20 percent of Israel’s population — far more freedom to travel, around Israel and abroad, than is available to Palestinians living in the occupied West Bank and Gaza. Jabareen, who has a law degree from American University and a doctorate from Georgetown, had just come from a hastily called high school assembly, where the principal asked him to reassure students suddenly nervous about their future prospects.

“There was some degree of panic,” he said.

The U.S. Embassy in Jerusalem did not respond to a request for comment on what input Triangle residents would have in their final status and about their claims that they were not consulted by the plan’s architects.

“They didn’t ask us; they didn’t tell us,” Jabareen said. “They just took it from the right-wing politicians who want us to leave. We are pieces on the chess board.”

Few here want to come under the rule of today’s Palestinian Authority, which is plagued with political infighting and accusations of corruption, or of the Palestinian state envisioned by the Trump plan, which would enjoy only limited sovereignty.

“This is the status quo that we have made our lives in, whether we like it or not, Arabs and Jews together,” said Mohammad Abu Majid after hanging up from a phone conversation in Hebrew. His horse stable outside of town draws clients from both communities for riding lessons and horse therapy. One of his sons is a speech therapist in an Israeli school; his brother is a doctor in an Israeli hospital.

“Maybe if they give us a real state with our land back and our dignity, yes, why not?” Majid said. “But this Trump state? No. They are trying to humiliate us.”

Ahmad Gharabli

AFP/Getty Images

Signs point the way to the Arab Israeli city of Umm al-Fahm and the West Bank city of Jenin in northern Israel.

According to the U.N. partition plan that created Israel, the Triangle communities were meant to fall under Jordanian control. But after the 1948 war, they were retained by Israel. Now, the plan “contemplates the possibility, subject to agreement of the parties, that the borders of Israel will be redrawn such that the Triangle Communities become part of the State of Palestine.”

Israeli media reports have suggested the provision was included at the request of Israeli Prime Minister Benjamin Netanyahu. His staff declined to comment.

“The [prime minister] has been conducting talks with the U.S. administration for the past three years on the [Trump peace plan],” said an official in Netanyahu’s office, who spoke on the condition of anonymity. “These talks are ongoing, though it’s too soon to tell what the final outcome and timeline will be.”

Triangle residents assume that Israeli negotiators had pushed the measure.

“It was another gift to Netanyahu,” said Ismail Abu Alyan, who was welding a muffler onto a car with Israeli plates in his downtown garage and who, like most merchants here, depends on Israel for supplies and customers. He recalled a string of recent pro-Israel policy shifts by the White House: “He wanted the Golan Heights, Trump gave it to him; he wanted the embassy in Jerusalem, Trump gave it him. He wants us gone, Trump will give it to him.”

http://www.washingtonpost.com/video/world/unpacking-trumps-deal-of-the-century-for-the-middle-east/2020/01/29/9cbc323a-865d-4144-9f15-f088fc4ba75e_video.html

Some Israeli politicians have condemned the proposal to transfer the communities. Ofer Shelach, a member of the opposition Blue and White party, said the proposal was a non-starter. “This should not be discussed, and when Blue and White comes to power, this clause will be dropped,” Shelach said in an interview with Israeli radio.

Legal scholars said any move to transfer the status of whole communities was likely to run afoul of both Israeli and international law.

“Under Israel’s constitution, these people are citizens of the state and they have the duties and the rights not to be forcefully displaced,” said Hassan Jabareen of Adalah, the Legal Center for Arab Minority Rights in Israel, and no relation to Yousef Jabareen. “In theory, all Arab citizens of Israel have the same legal rights as any other citizen, though in practice Arab citizens are often discriminated against.”

Diana Buttu, a former legal adviser to the Palestinian negotiating team, said that the issue of transferring the Arab population of the Triangle area had not been raised in previous negotiations. “If we allow states to choose which people they have in them based on race or ethnicity or religion, then we are really going down the path of apartheid,” she said.

Ammar Awad

Reuters

An Israeli military road runs between the Arab Israeli city of Umm al-Fahm and the Palestinian village of Anin, in the background, in the Israeli-occupied West Bank near Jenin.

Residents here say the proposal to oust them from Israel comes as many Arab Israelis are becoming more deeply engaged in the Israeli political system. In the national election in September, turnout among Israel’s 1.8 million Arabs jumped 10 percent over the previous election, nearing 60 percent, after a campaign in which Netanyahu was accused of demonizing Arab citizens as enemies of the state and a threat to Israel’s security. A fractious coalition of Arab parties including communists and Islamists won 13 Knesset seats in the voting, although the results failed to produce a governing majority for the second election in a row.

Now, less than a month before Israel’s third election, politicians say Triangle voters may be more motivated than ever to come out.

“[A man] told me this morning, ‘Yousef, this is going to make me vote for the first time,’ ” said Jabareen, the parliamentarian, whose election posters line the main street here. “Netanyahu may want to get rid of Arab voters, but he is making more of them.”

Ruth Eglash contributed to this report.

Read more:

In the West Bank, Trump’s plan has validated settlers’ dreams — and crushed the hopes of Palestinians

Jared Kushner put a knife ‘in Netanyahu’s back’ over annexation delay, says Israeli settler leader

Today’s coverage from Post correspondents around the world

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2020-02-08 11:00:00Z
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Thai soldier goes on shooting rampage, police say many dead - Al Jazeera English

A Thai soldier has killed several people in a mass shooting across several locations in Nakhon Ratchasima in northeastern Thailand, police said.

"The gunman used a machinegun and shot innocent victims resulting in many injured and dead," a police spokesperson told AFP, with local media reporting as many as 12 deaths.

"I cannot confirm the death toll right now, police sealed off the area."

The gunman, identified by police as Sergeant Major Jakapanth Thomma, stole an army vehicle and also posted photos and video of himself in full tactical gear as the attack in Korat was carried out.

Video and photos circulating online showed panicked scenes, with people fleeing and what appeared to be the sound of automatic gunfire filling the air.

Police in the province said they have sealed off a Terminal 21 shopping centre but have yet to capture the gunman.

Thailand has one of the highest rates of gun ownership in the world but mass shootings by soldiers targeting civilians are rare.

Several shootings at courthouses late last year also renewed concern about gun violence in the Southeast Asia country.

In one high-profile case, two lawyers were shot dead by a clerk at a court in the east of the country during a hearing over a land dispute.

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2020-02-08 12:33:00Z
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First American dies of coronavirus in China: US Embassy - Fox News

A 60-year-old diagnosed with coronavirus in Wuhan, China, has reportedly become the first U.S. citizen to die of the novel virus.

The patient died at Jinyintian Hospital in Wuhan on Thursday, The New York Times reported.

The U.S. Embassy in Beijing confirmed the patient’s death Friday night but gave few other details.

“We offer our sincerest condolences to the family on their loss,” a spokesman for the embassy said, according to the Times. “Out of respect for the family’s privacy, we have no further comment.”

On Friday, the Chinese government reported 86 fatalities in the viruses' deadliest day so far, the Washington Post reported.

The fast-spreading virus has killed more than 700 and infected more than 34,500 in China as of Friday.

A Japanese citizen "highly suspected" of having coronavirus has also died, Japan's foreign ministry reported, according to NBC News.

Chinese officials are still trying to stem the flow of infections in the mainland as the virus continues to spread globally. The country's ruling Communist Party is also dealing with public anger over the death of a doctor who was detained and threatened by authorities for spreading early warnings of the illness in December.

As of Friday, 72 countries have implemented travel restrictions, according to the World Health Organization.

So far 12 patients have been diagnosed with the virus in the U.S., but some have already been released from the hospital.

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President Trump on Friday tweeted that he had a “good conversation by phone with President Xi of China. He is strong, sharp and powerfully focused on leading the counterattack on the Coronavirus. He feels they are doing very well, even building hospitals in a matter of only days. Nothing is easy, but he will be successful.”

Fox News' Louis Casiano contributed to this report. 

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2020-02-08 09:15:50Z
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First American dies of coronavirus in China: US Embassy - Fox News

A 60-year-old diagnosed with coronavirus in Wuhan, China, has reportedly become the first U.S. citizen to die of the novel virus.

The patient died at Jinyintian Hospital in Wuhan on Thursday, The New York Times reported.

The U.S. Embassy in Beijing confirmed the patient’s death Friday night but gave few other details.

“We offer our sincerest condolences to the family on their loss,” a spokesman for the embassy said, according to the Times. “Out of respect for the family’s privacy, we have no further comment.”

The fast-spreading virus has killed more than 700 and infected more than 34,500 in China as of Friday.

Chinese officials are still trying to stem the flow of infections in the mainland as the virus continues to spread globally. The country's ruling Communist Party is also dealing with public anger over the death of a doctor who was detained and threatened by authorities for spreading early warnings of the illness in December.

As of Friday, 72 countries have implemented travel restrictions, according to the World Health Organization.

So far 12 patients have been diagnosed with the virus in the U.S., but some have already been released from the hospital.

CLICK HERE TO GET THE FOX NEWS APP

President Trump on Friday tweeted that he had a “good conversation by phone with President Xi of China. He is strong, sharp and powerfully focused on leading the counterattack on the Coronavirus. He feels they are doing very well, even building hospitals in a matter of only days. Nothing is easy, but he will be successful.”

Fox News' Louis Casiano contributed to this report. 

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2020-02-08 08:42:28Z
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