Additional European countries report coronavirus cases since Jan. 2020. Local transmission in some areas; maintain basic health precautions.

Severity: Informational Alert

The locations affected by this alert are:

  • Las Palmas de Gran Canaria
  • London, England
  • Paris
  • Rome
  • Brussels
  • Munich
  • Florence
  • Barcelona
  • Zagreb
  • Birmingham, England
  • Manchester, England
  • Bordeaux
  • Tbilisi
  • Milan
  • Turin
  • Venice
  • Gothenburg
  • Skopje
  • Thessaloniki
  • Chita, Zabaykalsk Kray
  • Liverpool, England
  • Palermo
  • Newcastle, England
  • Catania (Sicily)
  • Bristol, England
  • Innsbruck
  • Bologna
  • Linkoping
  • Verona
  • Lugano
  • Tyumen', Tyumen' Oblast'
  • Rovaniemi, Finland
  • Tenerife
  • Padua

This alert began 26 Feb 2020 19:06 GMT and is scheduled to expire 30 Apr 2020 23:59 GMT.

  • Incident: Coronavirus disease (COVID-19): imported cases, limited local transmission
  • Affected Area(s): Europe and Russia (map)
  • Period: January-February 2020

Summary
Russia and several countries and territories in Europe have identified imported cases of coronavirus disease (COVID-19), and in some instances, limited human-to-human transmission from those imported cases. As of Feb. 26, the following countries and territories have identified confirmed COVID-19 cases:

  • Austria: Two imported cases in Tyrol. No local transmission.

 

  • Belgium: Single imported case in Brussels. No local transmission.
  • Croatia: Single imported case in Zagreb. No local transmission.
  • France: 14 cases in Bordeaux and Ile-de-France. Limited local transmission.
  • Finland: Single imported case in Rovaniemi. No local transmission.
  • Georgia: Single imported case; location details not yet published.
  • Germany: 18 confirmed cases in the vicinity of Munich, Bavaria. Limited local transmission.
  • Greece: Single imported case in Thessaloniki. No local transmission.
  • Italy: Cases reported in Lombardy, Veneto, Emilia Romagna, Piedmont, Tuscany, Sicily, Liguria, Marche, and Lazio regions. Local transmission reported in Lombardy and Veneto regions (329 cases). Total of 374 confirmed cases nationwide. US CDC maintains "Alert-Level 2" travel health notice. This is the second of three levels and indicates authorities recommend enhancing usual precautions, including avoiding sick people and using strict hand hygiene measures. For older adults and those with chronic medical conditions, who face an increased risk for severe symptoms, consider delaying any nonessential travel to Italy.
  • North Macedonia: Single imported case in Skopje. No local transmission.
  • Russia: Two imported cases, one each in Tyumen and Zabaykalsky regions. No local transmission.
  • Spain: Single imported case in La Gomera, Canary Islands. Single imported case in Mallorca. Single imported case in Barcelona. No local transmission.
  • Sweden: Single imported case in Jonkoping. No local transmission.
  • Switzerland: Single imported case in Ticino. No local transmission.
  • UK: Twelve imported cases, plus one locally acquired case, for a total of 13 cases. No further local transmission. According to a statement issued Feb. 25, anyone arriving in the UK since Feb. 19 from Iran, specific areas of northern Italy and South Korea, or from Hubei Province in China, are required to self-isolate and monitor for symptoms for 14 days upon arrival in the UK. The specific areas of Italy include any areas north of Pisa. The specific areas of South Korea include Daegu and Cheongdo.



Background and Analysis
Health authorities expect imported cases of this disease as surveillance continues globally. Older individuals, infants, and those with chronic illness are more susceptible to infection and are at increased risk for severe complications. Human-to-human transmission is occurring, though it remains unclear how easily the virus spreads between people. Preliminary investigations indicate the course of illness is not as severe as seasonal influenza, nor as contagious.

Coronavirus disease 2019 (COVID-19) is a viral respiratory disease caused by infection with the SARS-CoV-2 virus (previously known as 2019-nCoV). Symptoms occur 1-14 days following exposure (average of 3-7 days). These symptoms include fever, fatigue, cough, difficulty breathing, sometimes worsening to pneumonia and kidney failure - especially in those with underlying medical conditions.

On Jan. 30, the WHO declared the ongoing outbreak a Public Health Emergency of International Concern (PHEIC). This indicates COVID-19 requires a coordinated international response, primarily due to the potential for the virus to spread to countries with weaker health systems that would be ill-equipped to contain it.

Advice
Emphasize basic health precautions, especially frequent handwashing with soap and water, or an alcohol-based hand sanitizer if soap and water are unavailable. Practice good coughing/sneezing etiquette (i.e., covering coughs and sneezes with a disposable tissue, maintaining distance from others, and washing hands). There is no evidence that the influenza vaccine, antibiotics, or antiviral medications will prevent this disease, highlighting the importance of diligent basic health precautions.

Resources
WHO advice for international travel

WHO coronavirus knowledge base

US CDC Travel Health Notice for Italy

 

 

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