First confirmed human-to-human 2019 Novel Coronavirus case reported in Bavaria, Germany, Jan. 27.

Severity: Informational Alert

The locations affected by this alert are:

  • Munich
  • Wurzburg
  • Illesheim
  • Regensburg
  • Nuremberg
  • Herzogenaurach

This alert began 28 Jan 2020 17:19 GMT and is scheduled to expire 30 Jan 2020 23:59 GMT.

  • Event: Novel Coronavirus
  • Location(s): Bavaria (map)
  • Date: Jan. 27
  • Cases (Confirmed): 1 (1)

Summary
German health authorities reported a single case of 2019 Novel Coronavirus (2019-nCoV) late January in an individual who had not visited Wuhan, China, but was in contact with a Chinese colleague who was in contact with her parents that live in Wuhan. This is the first reported case of human-to-human transmission that is not from a family member. The individual developed bronchitis-like symptoms over the weekend of Jan. 25; however, he felt well enough to return to work Jan. 27. German officials have implemented thermal screenings at airports in Bavaria.

Background and Analysis
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. Some reports suggest conjunctivitis (reddening associated with infection or irritation of the eye) may be an early symptom of 2019-nCoV, and that respiratory droplets from infected individuals may infect others via contact with the mucous membrane of the eye. Investigations into transmission and disease modeling are ongoing. The reported clinical signs and symptoms of 2019-nCoV infection are primarily fever, cough, chills, and difficulty breathing.

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 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