Additional imported novel coronavirus case reported in Thailand from Wuhan, China, Jan. 21. Use basic health precautions.

Severity: Informational

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This alert began 22 Jan 2020 10:55 GMT and is scheduled to expire 22 Mar 2020 23:59 GMT.

  • Incident: Novel coronavirus
  • Location(s): Bangkok 
  • Date: January 2020
  • Cases (Confirmed): 2 (2)

Summary
The Thailand Ministry of Health confirmed a second imported novel coronavirus case from Wuhan, China, Jan. 21, 2020. A 73-year old woman traveled to Wuhan City to celebrate the Lunar New Year and she developed a fever upon her return Jan. 13. The patient was hospitalized and is receiving treatment at Bamrasnaradura Infectious Disease Institute, Nonthaburi Province. The patient is currently stable and recovering from the infection. The first confirmed case, who reported a fever Jan. 5, has recovered and been discharged. This is the most recent data as of Jan. 22.

Background and Analysis
This is the second novel coronavirus case from Wuhan City, China, since the outbreak started Dec. 31, 2019. The reported clinical signs and symptoms of 2019-nCoV infection are primarily fever, with only a few patients reported having breathing difficulty and chest radiographs highlighting invasive pneumonic infiltrates in both lungs. Preliminary information suggests older individuals and those with chronic illness are more susceptible to infection and are at increased risk for severe complications. Human-to-human transmission has been confirmed by Chinese health authorities, though it remains unclear how easily the virus spreads between people. Officials continue with intensive disease surveillance, such as thermal screening at airports to identify travelers with a fever, coughing, headaches, and trouble breathing. Furthermore, contact tracing and epidemiological investigations into all suspected and confirmed cases of 2019-nCoV are ongoing.

Advice
Emphasize basic health precautions, especially frequent handwashing with soap and water, or an alcohol-based hand sanitizer if soap and water are unavailable. Additionally, avoid close contact with animals (dead or alive), and 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 influenza vaccine, antibiotics, or antiviral medications will prevent this disease, highlighting the importance of diligent basic health precautions.

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