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

Severity: Warning Alert

The locations affected by this alert are:

  • Andorra
  • Austria
  • Belgium
  • Bosnia and Herzegovina
  • Croatia
  • Czech Republic
  • Denmark
  • Estonia
  • Finland
  • France
  • Germany
  • Gibraltar
  • Greece
  • Iceland
  • Hungary
  • Italy
  • Latvia
  • Liechtenstein
  • Lithuania
  • Luxembourg
  • North Macedonia
  • Malta
  • Monaco
  • Netherlands
  • Norway
  • Poland
  • Portugal
  • Romania
  • San Marino
  • Slovakia
  • Slovenia
  • Spain
  • Sweden
  • Switzerland
  • Ireland
  • United Kingdom
  • San Marino

This alert began 09 Mar 2020 16:44 GMT and is scheduled to expire 09 Mar 2020 23:59 GMT.

  • Incident: Coronavirus disease (COVID-19): imported cases, local transmission
  • Affected Area(s): Western Europe (map)
  • Period: January-March 2020

Summary
Several countries and territories in western Europe have identified imported cases of coronavirus disease (COVID-19), and in some instances, human-to-human transmission from those imported cases. Some countries provide more detailed location information than others. As of March 9, the following countries and territories have identified confirmed COVID-19 cases:

Local disease transmission

  • Italy: 6,387 cases reported nationwide. Most local transmission reported in Lombardy (3,372 cases) Emilia Romagna (1,097 cases) and Veneto (623 cases); US CDC maintains an "Alert-Level 3" travel health notice, the highest of three levels that indicates authorities recommend avoiding nonessential travel to the country
  • France: 1,126 cases reported throughout the country. Localized outbreaks reported in Haut-Savoie, Oise, Haut-Rhin, and Morbihan departments.
  • Germany: 1,112 cases. Approximately half of cases are reported in North Rhine-Westphalia. Bavaria and Baden-Wurtemberg also heavily affected. Increasing cases in Bayern.
  • Spain: 999 cases. Nearly half of the cases are reported in Madrid and Pais Vasco. Imported cases in Mallorca and the Canary Islands.
  • UK: 319 cases reported, including Northern Ireland and Scotland
  • Switzerland: 312 cases reported among the following cantons:Aargau, Appenzell Ausserrhoden, Baselland, Basel-Stadt, Bern, Freiburg, Geneva, Graubünden, Jura, Lucerne, Neuenburg, St. Gallen, Schwyz, Solothurn, Ticino, Thurgau, Vaud, Valais, Zug, Zurich and the Principality of Liechtenstein
  • Norway: 169 cases among Viken, Vestland, Agder, Oslo, Toms of Finnmark, Rogaland, Nordland, Innlandet, Bergen, More of Romsdal, Telemark of Vestfold, and Trondelag.
  • Netherlands: 321 cases, primarily in southern areas
  • Sweden: 203 cases
  • Belgium: 200 cases
  • Croatia: 11 cases
  • Denmark: 36 cases
  • San Marino: 37 cases
  • Finland: 30 cases
  • Greece: 73 cases reported, primarily in Athens and Thessaloniki
  • Portugal: 30 cases
  • Romania: 15 cases
  • Slovenia: 16 cases
  • Bosnia and Herzegovina: 2 cases in Banja Luka


Imported cases only

  • Austria: 112 cases, primarily in Vienna
  • Iceland: 55 cases
  • Czech Republic: 32 cases
  • Ireland: 21 cases
  • Poland: 11 cases
  • Estonia: 10 cases
  • Hungary: 9 cases
  • Slovakia: 5 cases
  • North Macedonia: 4 cases. Skopje
  • Latvia: 3 cases
  • Malta: 3 cases, primarily in Valletta
  • Luxembourg: 2 cases
  • Andorra: 1 case
  • Lithuania: 1 case
  • Gibraltar: 1 case



Background and Analysis
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 can occur, though it remains unclear how easily the virus spreads between people.

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.

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

WHO: Getting your workplace ready for COVID-19

US CDC Guidance for Businesses and Employers

US CDC Travel Health Notice for Italy

 


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