Coronavirus rages on, putting strain on U.S. doctors, nurses

By Gabriella Borter and Nick Brown

NEW YORK (Reuters) – U.S. doctors and nurses on the front lines of the coronavirus outbreak came under increasing stress on Friday as the number of cases skyrocketed and hospital staff were forced to ration care for an overwhelming number of patients.

The United States surpassed two grim milestones on Thursday. The death toll soared past 1,000, reaching 1,261 by the end of the day, and the total number of infections topped 85,000, exceeding the national totals of China and Italy to make the United States the world leader in confirmed cases.

Worldwide, confirmed cases rose above 550,000 and deaths 25,000, the Johns Hopkins University & Medicine Coronavirus Resource Center reported on Friday.

“This is past a movie plot. Nobody could ever think of this, or be totally prepared for this. You’re going to have to wing it on the fly,” said Eric Neibart, infectious disease specialist and clinical assistant professor at Mount Sinai Hospital in New York. “The scale is unbelievable.”

After days of wrangling, the U.S. Congress may soon respond with a $2.2 trillion relief package, reinforcing an extraordinary array of economic measures that the U.S. Federal Reserve rolled out on Monday.

Leaders of the U.S. House of Representatives said they expected to pass the measure on Friday, sending the bill to President Donald Trump, who has promised to sign it.

In addition to aiding hospitals in hot spots such as New York and New Orleans, the package will bring welcome relief to businesses and unemployed workers. With much of the country on lockdown, a record 3.3 million Americans filed jobless claims last week, nearly five times the previous record set during the recession of 1982.

The counties surrounding Chicago and Detroit were also emerging as areas of concern, said Deborah Birx, coordinator of the White House Coronavirus Task Force.

One emergency room doctor in Michigan said he was using one paper face mask for an entire shift due to a shortage and that his hospital would soon run out of ventilators, the machines needed by sufferers of COVID-19, the respiratory disease caused by the virus, to help them breathe.

The doctor, Rob Davidson, urged Trump to use his executive authority to procure more test kits and ventilators.

“We have hospital systems here in the Detroit area in Michigan who are getting to the end of their supply of ventilators and have to start telling families that they can’t save their loved ones because they don’t have enough equipment,” Davidson said in a video he posted on Twitter.

New York Governor Andrew Cuomo has said any realistic scenario about the unfolding outbreak would overwhelm the healthcare system. His state, which has become the epicenter of the U.S. outbreak with more than 37,000 cases and 385 deaths, is scrambling to create more sick beds.

It is looking to convert hotel rooms, office space and other venues into healthcare centers, while setting up a convention center as a temporary hospital. Some hospitals are scrambling to convert cafeterias and atriums into hospital rooms to house intensive care patients.

Mount Sinai hospital had 215 inpatients with COVID-19 as of Thursday.

“The fear is next week we’ll have 400,” Neibart said, expecting a shortage of doctors and nurses.

In lighter moments, Neibart said he and his colleagues joke about claiming their own makeshift spots, for when they inevitably fall ill with the virus, although he said they routinely check on one another’s well being.

COVID-19 claimed the life of Kious Kelly, a Mount Sinai nurse manager whose death has led to an outpouring of remembrances from former colleagues.

“I remember him running crazy, checking on us and making sure we were OK,” Diana Torres, a nurse at Mount Sinai, told Reuters. “He would deliver our messages to administration if we weren’t happy. He wanted good things for us.”

Torres and other colleagues have also infused their tributes with angry messages about the shortage of personal protective equipment (PPE).

“It seems like we are fighting the government, (the hospital) administration and the virus,” Torres said. “We can tackle one, but not all at once.”

The New York Police Department also announced the first coronavirus death among its ranks on Thursday. Custodial Assistant Dennis Dickson was a 14-year veteran, NYPD said.

The Department of Veterans Affairs may be asked to help in New York, even as it struggles to provide enough staffing and equipment for armed forces veterans.

Maria Lobifaro, a New York intensive care unit (ICU) nurse treating veterans with COVID-19, said staff normally change masks after every patient interaction. Now, they are getting one N95 mask to use for an entire 12-hour shift.

The ratio of patients to nurses in the ICU is usually two-to-one. As of Monday it was four-to-one, she said.

“Right now we can barely handle the veterans that we have,” Lobifaro said.

(Reporting by Gabriella Borter, Nick Brown and Maria Caspani in New York and Doina Chiacu in Washington; Writing by Daniel Trotta)

U.S. increases support for Taiwan, China threatens to strike back

By Ben Blanchard and Yew Lun Tian

TAIPEI/BEIJING (Reuters) – U.S. President Donald Trump has signed into law an act that requires increased U.S. support for Taiwan internationally, prompting a denunciation by China, which said it would strike back if the law was implemented.

China claims democratic and separately ruled Taiwan as its own territory, and regularly describes Taiwan as the most sensitive issue in its ties with the United States.

While the United States, like most countries, has no official relations with Taiwan, the Trump administration has ramped up backing for the island, with arms sales and laws to help Taiwan deal with pressure from China.

The Taiwan Allies International Protection and Enhancement Initiative (TAIPEI) Act, signed by Trump into law on Thursday with strong bipartisan support, requires the U.S. State Department to report to Congress on steps taken to strengthen Taiwan’s diplomatic relations.

It also requires the United States to “alter” engagement with nations that undermine Taiwan’s security or prosperity.

Taiwan complains that China is poaching the dwindling number of countries that maintain formal ties with Taipei and has prevented it from participating in bodies like the World Health Organization.

China says Taiwan is merely one of its provinces, with no right to the trappings of a state.

Taiwan President Tsai Ing-wen posted a picture on her Twitter page of Taiwan’s flag fluttering next to the U.S. one under the words “Friends in freedom, partners in prosperity”, to welcome Trump’s signing of the law.

It was “a testament to Taiwan-U.S. friendship & mutual support as we work together to address global threats to human health & our shared democratic values”, she wrote in English.

‘RESOLUTE STRIKE’

China has stepped up its military drills around Taiwan in recent weeks despite the outbreak of the coronavirus, which emerged in a central Chinese province late last year and spread rapidly in China and beyond.

Taiwan says China should focus more on fighting the disease than menacing it.

China is already angry about U.S. accusations it poorly handled the coronavirus outbreak, and the new law adds to Sino-U.S. tension.

Chinese foreign ministry spokesman Geng Shuang said the U.S. act contravened international law, was a “crude” interference in China’s internal affairs and obstructed other sovereign states from developing normal relations with China.

“We urge the United States to correct its mistakes, not implement the law, or obstruct the development of relations between other countries and China, otherwise it will inevitably encounter a resolute strike back by China,” Geng said, without giving details.

One of the authors of the act, Senator Cory Gardner, said it was needed to respond to Chinese pressure on, and bullying of, Taiwan.

“This bipartisan legislation demands a whole-of-government approach to ramp up our support for Taiwan, and will send a strong message to nations that there will be consequences for supporting Chinese actions that undermine Taiwan,” he said in a statement.

The United States has been particularly concerned about China hiving off Taiwan’s allies in the Pacific and Latin America, areas of the world Washington traditionally considers its zone of influence.

Taiwan now only has diplomatic relations with 15 countries, almost all small and developing nations like Nauru, Belize and Honduras.

(Reporting by Ben Blanchard; Editing by Robert Birsel)

U.S. cybersecurity experts see recent spike in Chinese digital espionage

By Christopher Bing and Raphael Satter

(Reuters) – A U.S. cybersecurity firm said Wednesday it has detected a surge in new cyberspying by a suspected Chinese group dating back to late January, when coronavirus was starting to spread outside China.

FireEye Inc. said in a report it had spotted a spike in activity from a hacking group it dubs “APT41” that began on Jan. 20 and targeted more than 75 of its customers, from manufacturers and media companies to healthcare organizations and nonprofits.

There were “multiple possible explanations” for the spike in activity, said FireEye Security Architect Christopher Glyer, pointing to long-simmering tensions between Washington and Beijing over trade and more recent clashes over the coronavirus outbreak, which has killed more than 17,000 people since late last year.

The report said it was “one of the broadest campaigns by a Chinese cyber espionage actor we have observed in recent years.”

FireEye declined to identify the affected customers. The Chinese Foreign Ministry did not directly address FireEye’s allegations but said in a statement that China was “a victim of cybercrime and cyberattack.” The U.S. Office of the Director of National Intelligence declined comment.

FireEye said in its report that APT41 abused recently disclosed flaws in software developed by Cisco, Citrix  and others to try to break into scores of companies’ networks in the United States, Canada, Britain, Mexico, Saudi Arabia, Singapore and more than a dozen other countries.

Cisco said in an email it had fixed the vulnerability and it was aware of attempts to exploit it, a sentiment echoed by Citrix, which said it had worked with FireEye to help identify “potential compromises.”

Others have also spotted a recent uptick in cyber-espionage activity linked to Beijing.

Matt Webster, a researcher with Secureworks – Dell Technologies’  cybersecurity arm – said in an email that his team had also seen evidence of increased activity from Chinese hacking groups “over the last few weeks.”

In particular, he said his team had recently spotted new digital infrastructure associated with APT41 – which Secureworks dubs “Bronze Atlas.”

Tying hacking campaigns to any specific country or entity is often fraught with uncertainty, but FireEye said it had assessed “with moderate confidence” that APT41 was composed of Chinese government contractors.

FireEye’s head of analysis, John Hultquist, said the surge was surprising because hacking activity attributed to China has generally become more focused.

“This broad action is a departure from that norm,” he said.

(Reporting by Raphael Satter and Christopher Bing; additional reporting by the Beijing newsroom; Editing by Richard Pullin and Paul Simao)

Rich nations pump aid into battered economy as coronavirus deaths in Italy overtake China

By Guy Faulconbridge and James Mackenzie

LONDON/MILAN (Reuters) – The world’s richest nations poured unprecedented aid into the global economy on Thursday as coronavirus cases ballooned in the new epicenter Europe, with the number of deaths in Italy outstripping those in mainland China, where the virus originated.

With over 236,000 infections and more than 9,700 deaths, the epidemic has stunned the world and drawn comparisons with painful periods such as World War Two, the 2008 financial crisis and the 1918 Spanish flu.

U.N. chief Antonio Guterres warned that a global recession, “perhaps of record dimensions”, was a near certainty.

“This is a moment that demands coordinated, decisive, and innovative policy action from the world’s leading economies,” Guterres told reporters via a video conference. “We are in an unprecedented situation and the normal rules no longer apply.”

Tourism and airlines have been particularly battered, as the world’s citizens hunker down to minimize contact and curb the spread of the highly contagious COVID-19 respiratory illness. But few sectors have been spared by a crisis threatening a lengthy global recession.

Canadian Prime Minister Justin Trudeau said he expected closure of the United States-Canada border to come into effect overnight on Friday. The U.S. State Department is expected to urge Americans not to travel abroad at all.

Markets have suffered routs unseen since the 2008 financial debacle, with investors rushing to the U.S. dollar as a safe haven. Wall Street tried to bounce back on Thursday. The benchmark S&P 500 swung into positive territory after falling as much as 3.3% and was up about 1%. U.S. oil prices rose 20%.

Policymakers in the United States, Europe and Asia have slashed interest rates and opened liquidity taps to try to stabilize economies hit by quarantined consumers, broken supply chains, disrupted transport and paralyzed businesses.

The virus, thought to have originated from wildlife in mainland China late last year, has jumped to 172 other nations and territories with more than 20,000 new cases reported in the past 24 hours – a new daily record.

Cases in Germany, Iran and Spain rose to more than 12,000 each. An official in Tehran tweeted that the coronavirus was killing one person every 10 minutes.

LONDON LOCKDOWN?

Britain, which has reported 144 deaths, was closing dozens of underground stations in London and ordering schools shut from Friday.

Some 20,000 soldiers were on standby, Queen Elizabeth headed for sanctuary in the ancient castle of Windsor, and the Tower of London was to close along with other historic buildings.

“Many of us will need to find new ways of staying in touch with each other and making sure that loved ones are safe,” the 93-year-old monarch said in an address to the nation.

“I am certain we are up to that challenge. You can be assured that my family and I stand ready to play our part.”

Italian soldiers transported corpses overnight from an overwhelmed cemetery in Europe’s worst-hit nation where 3,405 people have died, more than in mainland China. Germany’s military was also readying to help.

Supermarkets in many countries were besieged with shoppers stocking up on food staples and hygiene products. Some rationed sales and fixed special hours for the elderly, who are particularly vulnerable to severe illness.

Solidarity projects were springing up in some of the world’s poorest corners. In Kenya’s Kibera slum, for example, volunteers with plastic drums and boxes of soap on motorbikes set up handwashing stations for people without clean water.

Russia reported its first coronavirus death on Thursday.

Amid the gloom, China provided a ray of hope as it reported zero new local transmissions of the virus, a sign of success for its draconian containment policies since January. Imported cases accounted for all 34 new infections in China.

In the United States, where President Donald Trump had initially played down the coronavirus threat, infections surged with over 10,700 known cases and at least 163 deaths.

Trump has infuriated Beijing’s Communist Party rulers by rebuking it for not acting faster and drawn accusations of racism by referring to COVID-19 as the “Chinese virus”.

“We continue our relentless effort to defeat the Chinese virus,” he said in opening remarks at a briefing with his coronavirus task force on Thursday.

The head of the U.S. National Guard said tens of thousands of its troops could be activated to help U.S. states deal with the outbreak now in all 50 states.

MOTOWN SHUTS CAR PLANTS

In a bewildering raft of financial measures around the world, the European Central Bank launched new bond purchases worth 750 billion euros ($817 billion). That brought some relief to bond markets and also halted European shares’ slide.

The U.S. Federal Reserve rolled out its third emergency credit program in two days, aimed at keeping the $3.8 trillion money market mutual fund industry functioning. The Bank of England cut interest rates to 0.1%, its second emergency rate cut in just over a week.

China was to unleash trillions of yuan of fiscal stimulus and South Korea pledged 50 trillion won ($39 billion).

The desperate state of industry was writ large in Detroit, where the big three automakers – Ford Motor Co <F.N>, General Motors Co <GM.N> and Fiat Chrysler Automobiles NV <FCHA.MI> <FCAU.N> – were shutting U.S. plants, as well as factories in Canada and Mexico.

With some economists fearing prolonged pain akin to the 1930s Great Depression and others anticipating a bounceback, gloomy data and forecasts abounded.

In one of the most dire calls, J.P. Morgan economists forecast the Chinese economy to drop more than 40% this quarter and the U.S. economy to shrink 14% in the next. Ratings agency Moody’s prepared for mass downgradings.

In Britain, small gin distilleries have started producing hand sanitizer amid a national shortage, a trend mirrored across the globe from Australia to the United States.

And Monaco canceled its showcase Formula One Grand Prix, the most famous and glamorous race on the calendar, in another high-profile sporting casualty of the epidemic.

(Reporting by Reuters bureaux around the world; Writing by Marius Zaharia, Andrew Cawthorne and Nick Macfie; Editing by Mark Heinrich and Bill Berkrot)

Trump stops Europe flights, China says coronavirus outbreak may end by June

Reuters
By Liangping Gao and Andrea Shalal

BEIJING/WASHINGTON (Reuters) – Travelers scrambled to rebook flights and markets reeled on Thursday after U.S. President Donald Trump imposed sweeping restrictions on travel from Europe, hitting battered airlines and heightening global alarm over the coronavirus.

But China, where the disease originated, said its epidemic had peaked and the global spread could be over by June if other nations applied similarly aggressive containment measures as Beijing’s communist government.

Trump had downplayed risks to the United States during the crisis, but with epidemics ballooning from Iran to Italy and Spain, he limited travel from continental Europe for 30 days.

“This is the most aggressive and comprehensive effort to confront a foreign virus in modern history,” he said in a prime-time televised address from the Oval Office on Wednesday.

That sent markets into a tailspin, with European shares plunging to their lowest in almost four years and oil also slumping.

It also sent stressed travelers rushing to airports to board last flights back to the United States.

“It caused a mass panic,” said 20-year-old Anna Grace, a U.S. student at Suffolk University on her first trip to Europe who rushed to Madrid’s Barajas airport at 5 a.m. to get home.

The outbreak has disrupted industry, travel, entertainment and sports worldwide, even throwing the Tokyo Summer Olympics into question. But its progress in the epicenter of China’s Hubei province has slowed markedly amid strict curbs on movement, including the lockdown of its capital Wuhan.

Hubei logged just eight new infections on Wednesday, the first time in the outbreak it has recorded a daily tally of less than 10. Beyond Hubei, mainland China had just seven new cases, six of them imported from abroad.

“The peak of the epidemic has passed for China,” said Mi Feng, a spokesman for the National Health Commission.

OVER BY JUNE?

The Chinese government’s senior medical adviser, Zhong Nanshan, an 83-year-old epidemiologist renowned for helping combat the SARS outbreak in 2003, said the crisis could be over by mid-year.

“If all countries could get mobilized, it could be over by June,” he said. “But if some countries do not treat the infectiousness and harmfulness seriously, and intervene strongly, it would last longer.”

The coronavirus has infected more than 126,000 people across the world, the vast majority in China, and killed 4,624, according to a Reuters tally.

Already annoyed at what it considered over-draconian travel restrictions by Washington early in the crisis, Beijing smarted again at latest U.S. criticism of its handling.

White House national security adviser Robert O’Brien accused China on Wednesday of initially covering up the Hubei outbreak, saying that cost the world two months in response time.

In fact, retorted Chinese Foreign Ministry spokesman Geng Shuang, China’s efforts bought the world time and “immoral and irresponsible” remarks would not help U.S. epidemic efforts.

The World Health Organization (WHO) now officially describes the crisis as a pandemic, meaning it is spreading fast across the globe.

“Describing this as a pandemic does not mean that countries should give up,” WHO chief Tedros Adhanom Ghebreyesus told diplomats in Geneva. “The idea that countries should shift from containment to mitigation is wrong and dangerous.”

Trump’s surprise travel order, which starts at midnight on Friday, does not apply to Britain or to Americans undergoing “appropriate screenings”, he said. “The restriction stops people not goods,” he tweeted after his speech.

EU DISAPPROVAL

The 27-nation European Union (EU) bloc was not impressed.

“The European Union disapproves of the fact that the U.S. decision to improve a travel ban was taken unilaterally and without consultation,” European Commission president Ursula von der Leyen and Council president Charles Michel said in a statement.

The market plunge hit airline and leisure stocks particularly hard.

“This is something that markets had not factored in … it’s a huge near-term economic cost,” Khoon Goh, head of Asia Research at ANZ in Singapore, said of the U.S. move.

Although exempt from Trump’s ban and no longer a member of the EU, Britain also expressed disappointment, saying it would have an impact on its economy.

But U.S. Vice President Mike Pence defended the new restrictions, saying the epicenter of the pandemic had shifted from Asia to Europe. “We know there will be more infections in the days ahead. We’re trying to hold that number down as much as possible,” Pence told NBC’s “Today” program.

In the United States, classes were suspended for two weeks in the greater Seattle area, which accounts for the bulk of at least 38 U.S. fatalities from the disease.

Oscar-winning American actor Tom Hanks tested positive in Australia, where he is on a film shoot.

Despite fears for the Tokyo Olympics, the torch relay got started in Greece when the flame was lit by the rays of the sun in ancient Olympia – albeit in a scaled-down ceremony and without spectators.

(Additional reporting by Ryan Woo, Stella Qui, Kevin Yao and Gabriel Crossley in Beijing; Alexandra Alper, Steve Holland, Susan Heavey, David Lawder, and Richard Cowan in Washington, Marine Strauus in Brussels, William Schomberg in London, Stephanie Nebehay in Geneva, Karolos Grohmann in Ancient Olympia; Writing by Nick Macfie; Editing by Robert Birsel and Andrew Cawthorne)

North Korea fires three projectiles into sea; China urges dialogue

By Hyonhee Shin and Sangmi Cha

SEOUL (Reuters) – North Korea launched multiple short-range projectiles into the sea on Monday as part of firing drills, a week after it resumed missile tests following a three-month break, South Korea’s military said.

The projectiles, including from a multiple-launch rocket system (MLRS), flew up to 200 km (124 miles) and reached 50 km in altitude, South Korea’s Joint Chiefs of Staff (JCS) said.

They were launched from the eastern coastal town of Sondok, home to a military airfield where nuclear-armed North Korea fired missiles last year, the JCS said in a statement.

The JCS said the latest test appeared to be part of firing drills that have been under way since late last month and have been overseen by North Korean leader Kim Jong Un.

After a three-month halt in missile testing, North Korea tested an MLRS on March 2.

The JCS expressed “strong regret” over the launch and said it was watching for any more tests.

South Korea’s national security adviser, Chung Eui-yong, held a video conference with the defense minister and intelligence chief to analyze the North’s latest test and its intent, the presidential Blue House said.

“The ministers once again pointed out that the continued firing drills are unhelpful for efforts to build lasting peace on the Korean peninsula,” the Blue House said in a statement.

Japanese Defence Minister Taro Kono said the projectiles appeared to be ballistic missiles and did not fall into Japan’s exclusive economic zone, though the government was examining details about the launch.

A U.S. official, speaking on condition of anonymity due to the sensitivity of the matter, said North Korea had fired at least three projectiles towards the eastern sea and a detailed analysis was being conducted.

China’s foreign ministry called for all sides to use dialogue and show flexibility, saying the situation was “complex and sensitive”.

“We also urge parties to make positive efforts to calm the situation for talks to continue, and to realise the denuclearisation and lasting peace in this region and the peninsula,” spokesman Geng Shuang told a briefing.

Britain, Germany, France, Estonia and Belgium raised North Korea’s recent missile firings at the U.N. Security Council on Thursday, calling them provocative action that violated U.N. resolutions.

North Korea’s foreign ministry criticized the European stand as “U.S.-instigated reckless behaviour”. The sister of Kim Jong Un said the drills were not meant to threaten anyone.

Hopes were raised for dialogue with North Korea on its nuclear weapons and missiles when Kim met U.S. President Donald Trump for a historic summit in Singapore in June 2018.

But no significant progress has been made despite two more meetings between the leaders.

(Reporting by Sangmi Cha and Hyonhee Shin, additional reporting by Chris Gallagher in Tokyo, Idrees Ali in Washington and Yew Lun Tian in Beijing; Editing by Stephen Coates, Robert Birsel)

‘Fear of the unknown’: U.S. pregnant women worried by lack of virus research

By Gabriella Borter

(Reuters) – After the first two cases of the novel coronavirus in the state of Georgia were confirmed this week, Leigh Creel, who is 20 weeks pregnant and lives outside Atlanta, made a nervous phone call to her doctor to ask about the risk to her and her fetus.

The response she got was not comforting. Health experts do not know if pregnant women are more susceptible to the virus or if contracting it will increase the likelihood of adverse pregnancy outcomes, such as pre-term labor or transmission of the virus in utero.

They are racing to learn more about the sometimes fatal respiratory disease that has rapidly spread worldwide from China, including how it might uniquely affect pregnant women.

For expectant mothers, the mystery surrounding the virus is worrying.

“It’s concerning to me when I feel like I know as much as the healthcare professionals,” said Creel, who works in sales and lives with her husband and toddler.

The U.S. death toll from COVID-19 now stands at 14, most of them in Washington state, where 12 people have died in a cluster of at least 50 infections in the Seattle area. More than 3,400 people have died worldwide.

Public health officials in Washington’s Seattle and King Counties have advised that people at “higher risk of severe illness,” including pregnant women, should avoid physical contact and going out in public.

Dr. Laura Sienas, an obstetrician-gynecologist at the University of Washington Medical Center, said most of her pregnant patients have asked what they can do to protect themselves.

Sienas said her hospital has stopped short of urging pregnant women to quarantine themselves, contrary to local public health official guidelines.

Instead, she has emphasized diligent hygiene and avoiding close contact with others, the same guidance the U.S. Centers for Disease Control has offered on its website.

To that end, Sienas has tried to arrange check-ups via telephone, aiming to limit the number of in-person visits pregnant patients make to the hospital.

“There’s definitely that fear of the unknown, and pregnancy is a time when there are a lot of things that you don’t know and can’t control,” Sienas told Reuters. “Trying to give people small steps that they are able to control, like handwashing, has been a bit reassuring to patients.”

‘WE DON’T REALLY KNOW’

Scientists have not yet developed a vaccine against the virus, and research on its transmission and effects on pregnant women has been limited.

A narrow study of nine coronavirus-positive pregnant women in the Wuhan region of China, all in their third trimester, found no evidence that COVID-19 was transferred in utero. The women showed symptoms similar to non-pregnant adult patients.

The World Health Organization published an analysis of 147 pregnant women (64 of whom were confirmed to have COVID-19, 82 who were suspected and 1 who was asymptomatic) and found that 8% had a severe condition and 1% were critically ill.

“There’s some suggestion from other coronaviruses such as SARS that pregnant women may have a more severe disease, but we really don’t know,” said Dr. Denise Jamieson, chief of gynecology and obstetrics at Emory Healthcare in Atlanta and a former epidemic intelligence officer at the CDC.

Normal immunologic and physiologic changes in pregnant women might make them more susceptible to viral infections, including COVID-19, according to the CDC.

“There doesn’t seem to be any great answers out there for anyone, so your mind can really run wild with the possibilities,” said Rachel Storniolo, 36, who lives in Philadelphia and is due to give birth in May.

The study of the Chinese women, published in the scientific magazine The Lancet, found no traces of the virus in breast milk. Still, Jamieson said she would warn coronavirus-positive mothers that they risk transmitting the virus to their infants through respiratory droplets if they choose to breastfeed.

“If a woman has confirmed coronavirus, the safest thing in terms of ensuring that the infant does not get infected from the mother is to separate the mom and baby,” she said, adding that separation might be necessary for several days until the mother is asymptomatic.

Officials have not reported any cases of pregnant women with coronavirus in the United States, and they believe pregnant women – and the rest of the general public – who live outside the outbreak areas are at low risk.

But some women, like Brandi Cornelius, 36, of Portland, Oregon, who is 23 weeks pregnant, are not taking any chances.

“I went to the bank and I used hand sanitizer three times while I was there,” she said. “It helps my body to go to prenatal yoga, for example, but do I want to be in a room full of people?”

(Reporting by Gabriella Borter in New York; Editing by Frank McGurty and Dan Grebler)

South Korea declares new ‘special care zone’ as coronavirus spreads

By Hyonhee Shin and Josh Smith

SEOUL (Reuters) – South Korea declared a “special care zone” on Thursday around a second city hit hard by the coronavirus and the U.S. military confirmed two new cases among relatives of its troops in the country, which is battling the biggest outbreak outside China.

Australia and Japan have joined the list of almost 100 nations now limiting arrivals of people from South Korea, which reported 760 coronavirus cases on Thursday for a total of 6,088.

Japanese Prime Minister Shinzo Abe said Japan will suspend existing visas for visitors from China and South Korea and quarantine them for two weeks in response to the widening outbreak of the flu-like virus.

The measures will go into effect on March 9.

Following the announcement, the South Korean Foreign Ministry summoned a Japanese diplomat to “hear Japan’s explanations regarding its announcement,” Yonhap news agency reported, citing a ministry official.

The South Korean government declared a “special care zone” around Gyeongsan, a city of about 275,000 people 250 km (150 miles) southeast of Seoul, promising extra resources such as face masks.

Gyeongsan has seen a spike in cases in recent days, many of them linked to a fringe Christian group at the center of South Korea’s outbreak. Similar zones have been declared around the neighboring city of Daegu and Cheongdo County.

About 75% of all cases in South Korea are in and around Daegu, its fourth-largest city, according to the Korea Centers for Disease Control and Prevention (KCDC).

“Every day is sad and tough like a war. But our Daegu citizens are showing surprise wisdom and courage,” Daegu Mayor Kwon Young-jin told reporters on Thursday.

About 2,120 patients were waiting for hospital beds in Daegu, city officials said. Dozens of newly commissioned military nurses were due to begin work in the city on Thursday, according to the health ministry.

The KCDC reported five more deaths from the virus, bringing the total to 37. The virus surfaced in China late last year and has infected more than 95,300 people and killed almost 3,300 worldwide, mostly in China, according to a Reuters tally.

South Korea also said it was banning the export of face masks, and would step up their production and ration them to limit individual purchases to two a week, in an attempt to ease shortages and curb hoarding.

People have flocked to supermarkets, pharmacies and online distributors to snap up masks and other supplies, with hundreds lining up at some stores every morning.

KCDC Deputy Director Kwon Jun-wook advised all South Koreans to stay home and avoid “any gatherings, especially those that take place in enclosed places with many people such as religious events”.

He also advised employers in Asia’s fourth-largest economy, highlighted by tech giants like Samsung Electronics Co Ltd, to allow staff to work from home.

‘DEEPLY REGRETTABLE’

U.S. Forces Korea (USFK) reported two new cases, for a total of six among soldiers, employees or people related to the roughly 28,500 U.S. troops stationed in South Korea.

Despite the new cases, USFK had resumed sending troops to bases in Daegu and surrounding areas, according to the military newspaper Stars and Stripes.

It said commanders believed the bases were protected from the outside population, and troop rotations were needed to maintain readiness in the face of threats from nuclear-armed North Korea.

Australia’s ban on the arrival of foreigners from South Korea is a blow to Seoul’s efforts to prevent the United States from imposing such restrictions.

“It is a deeply regrettable step, and we will closely consult Australian authorities for a swift revocation of the measure and to minimize inconvenience for our citizens,” Foreign Ministry spokesman Kim In-chul told reporters.

South Korean officials met the U.S. ambassador in Seoul on Wednesday to urge the United States not to limit travel. Similar talks would be held on Friday with diplomats from other nations, the Foreign Ministry said.

According to the U.S. State Department, anyone with a fever of 100.4 Fahrenheit (38 Celsius) is already banned from boarding direct flights from South Korea to the United States.

Korean Air Lines said it would screen all departing passengers for high temperatures and reject those deemed a risk.

South Korea also sent three “rapid response” teams to Vietnam on Thursday to help more than 270 citizens quarantined there over coronavirus concerns, the Foreign Ministry said.

(Reporting by Josh Smith and Hyonhee Shin in Seoul; Additional reporting by Ju-min Park and Heekyong Yang; Editing by Stephen Coates and Mark Heinrich)

Coronavirus spreading fast but stigma is more dangerous: WHO

By Stephanie Kelly and Se Young Lee

GENEVA/BEIJING (Reuters) – Coronavirus now appears to be spreading much more rapidly outside China than within but can still be contained, and stigma is more dangerous than the disease itself, the World Health Organization said on Monday.

WHO chief Tedros Adhanom Ghebreyesus said almost nine times as many cases had been reported outside China as inside in the previous 24 hours, adding that the risk of coronavirus spreading was now very high at a “global level”.

He said outbreaks in South Korea, Italy, Iran and Japan were the greatest concern, but that there was evidence that close surveillance was working in South Korea, the worst affected country outside China, and the epidemic could be contained there.

“Stigma, to be honest, is more dangerous than the virus itself. Let’s really underline that. Stigma is the most dangerous enemy,” he told a news briefing in Geneva.

He said the fight against the coronavirus should become a bridge for peace, commending the United States for supporting sending medical aid to Iran despite the tensions between them.

“I think we have a common enemy now,” he said.

The global death toll exceeded 3,000, with the number of dead in Italy jumping by 18 to 52 and Latvia, Saudi Arabia and Senegal reporting cases for the first time.

Yet equity markets surged after their worst plunge since the financial 2008 crisis last week, encouraged by the prospect of government action to stem the economic impact.

Finance ministers of the G7 group of leading industrialized democracies were expected to discuss measures in a conference call on Tuesday, sources told Reuters.

Oil prices jumped 4% amid hopes of a deeper output cut by the Organization of the Petroleum Exporting Countries.

( Graphic: Tracking the coronavirus https://graphics.reuters.com/CHINA-HEALTH-MAP/0100B59S39E/index.html )

MORE THAN PREDICTED

A senior U.S. official said he was concerned about a likely jump in the number of cases in the United States, which has had more than 90, with six deaths.

“When you have a number of cases that you’ve identified and they’ve been in the community for a while, you’re going to wind up seeing a lot more cases than you would have predicted,” Dr Anthony Fauci, head of the infectious diseases unit at the U.S. National Institutes of Health, told CNN.

South Korea has had 26 deaths and reported another 599 infections on Monday, taking its tally to 4,335.

Of the new cases in South Korea, 377 were from the city of Daegu, home to a branch of the Shincheonji Church of Jesus, to which most of South Korea’s cases have been traced after some members visited the Chinese city of Wuhan, where the disease emerged.

Vietnamese students of Hanoi National University of Education, wearing protective masks, attend the first day of classes after returning to the university, which was closed for over a month due to the novel coronavirus outbreak, Hanoi, Vietnam March 2, 2020. REUTERS/Kham

The Seoul government asked prosecutors to launch a murder investigation into leaders of the church. Seoul Mayor Park Won-soon said that if founder Lee Man-hee and other heads of the church had cooperated, fatalities could have been prevented.

Lee knelt and apologized to the country, saying that one church member had infected many others and calling the epidemic a “great calamity”. “We did our best but were not able to stop the spread of the virus,” Lee told reporters.

It was not immediately known how many of South Korea’s dead were members of the church.

‘OUTBREAKS ARE CURBED’

But Wuhan itself, at the center of the epidemic, shut the first of 16 specially built hospitals that were hurriedly put up to treat coronavirus cases, the Chinese state broadcaster CCTV said.

There was also a steep fall in new cases in Hubei, the province around Wuhan, but China remained on alert for people returning home with the virus from other countries.

The virus broke out in Wuhan late last year and has since infected more than 86,500 people, mostly in China.

Only eight cases were reported in China beyond Hubei on Sunday, the WHO said.

Outside China, meanwhile, more than 60 countries now have cases, with more than 8,700 infected and more than 100 deaths.

One of the worst-hit nations, Iran, reported infections rising to 1,501, with 66 deaths, including a senior official. With stocks of gloves and other medical supplies running low in pharmacies, authorities uncovered a hoard of supplies including millions of gloves.

In Britain, which has 40 confirmed cases, Prime Minister Boris Johnson urged people to be prepared for a further spread.

ECONOMIC DAMAGE

Factories worldwide took a beating in February from the outbreak, with activity in China shrinking at a record pace, surveys showed, raising the prospect of a coordinated policy response by central banks.

The epidemic has forced the postponement of festivals, exhibitions, trade fairs and sports events and damaged tourism, retail sales and global supply chains, especially in China, the world’s second-largest economy.

Middle East airlines have lost an estimated $100 million so far due to the outbreak.

An official of the International Air Transport Association (IATA) said airlines stood to lose $1.5 billion this year due to the virus and urged governments to help them.

The Organization for Economic Cooperation and Development warned that the outbreak was pitching the world economy into its worst downturn since the global financial crisis, urging governments and central banks to fight back.

(This story corrects to say almost nine times as many cases reported outside China as inside, not vice versa, in the second paragraph)

(Reporting by Stephanie Nebehay in Geneva, Hyonhee Shin and Jack Kim in Seoul, Ju-min Park in Gapyeong, Ryan Woo, David Stanway, Se Young Lee, Emily Chow and Andrew Galbraith in Beijing, Leigh Thomas in Paris, Michelle Price in Washington, Leika Kihara in Tokyo, Jonathan Cable in London, Donny Kwok and Twinnie Siu in Hong Kong and Grant McCool in Washington; writing by Nick Macfie and Philippa Fletcher; editing by Mark Heinrich and Kevin Liffey)

South Korea seeks murder charges as coronavirus kills more than 3,000 worldwide

By Hyonhee Shin and Se Young Lee

SEOUL/BEIJING (Reuters) – South Korea sought murder charges against leaders of a secretive church at the center of a ballooning coronavirus outbreak in the country on Monday as the global death toll rose above 3,000.

World stock markets regained some calm as hopes for global interest rate cuts to soften the economic blow of the virus steadied nerves after last week’s worst plunge since the 2008 financial crisis.

South Korea reported 599 new coronavirus cases, taking its national tally to 4,335, following the country’s biggest daily jump on Saturday of 813 confirmed infections.

There were 586 more on Sunday, broadening the largest virus outbreak outside China. There have been 26 deaths in total.

Worldwide, the death toll has risen to 3,044, according to Reuters figures.

Of the new cases in South Korea, 377 were from the southeastern city of Daegu, home to a branch of the Shincheonji Church of Jesus, to which most of South Korea’s cases have been traced.

The agency said that in January some members of the church visited the central Chinese city of Wuhan, where the disease emerged late last year.

The Seoul government asked prosecutors to launch a murder investigation into leaders of the church, a movement that reveres founder Lee Man-hee.

Seoul Mayor Park Won-soon said that if Lee and other heads of the church had cooperated, preventive measures could have saved the people who died.

“The situation is this serious and urgent, but where are the leaders of the Shincheonji, including Lee Man-hee, the chief director of this crisis?” Park said in a post on his Facebook page late on Sunday.

Seoul’s city government said it had filed a criminal complaint with the Seoul Central District Prosecutors’ Office, asking for an investigation of Lee and 12 others on charges of murder and disease control act violations.

Lee apologized on Monday that one of its members had infected many others, calling the epidemic a “great calamity”.

“We did our best but was not able to stop the spread of the virus,” Lee told reporters.

It was not immediately known how many of South Korea’s dead were directly connected to the church.

Wuhan, the Chinese city at the center of the epidemic, closed the first of 16 specially built hospitals, hurriedly put up to treat people with the virus, after it discharged its last recovered patients, state broadcaster CCTV said on Monday.

Graphic: Tracking the novel coronavirus.

‘OUTBREAKS ARE CURBED’

News of the closure coincided with a steep fall in new cases in Hubei province, but China remained on alert for people returning home with the virus from other countries.

“The rapid rising trend of virus cases in Wuhan has been controlled,” Mi Feng, a spokesman for China’s National Health Commission, told a briefing.

“Outbreaks in Hubei outside of Wuhan are curbed and provinces outside of Hubei are showing a positive trend.”

The virus broke out in Wuhan late last year and has since infected more than 86,500 people, the majority in China, with most in Hubei.

Outside China, it has in recent days spread rapidly, now to 53 countries, with more than 6,500 cases and more than 100 deaths. Italy has 1,694 cases, the vast majority in the wealthy northern regions of Lombardy, Veneto and Emilia Romagna.

Iran’s number of reported cases rose to 1,501 on Monday, with 66 deaths.

Global factories took a beating in February from the outbreak, with activity in China shrinking at a record pace, surveys showed on Monday, raising the prospect of a coordinated policy response by central banks to prevent a global recession.

The global spread has forced the postponement of festivals, exhibitions, trade fairs and sports events, crippled tourism, retail sales and global supply chains, especially in China, the world’s second-largest economy.

Retail sales in Chinese-ruled Hong Kong, already rocked by months of often violent anti-government unrest, fell 21.4% in January from a year earlier.

Middle East airlines have lost an estimated $100 million so far due to the outbreak and governments should help the carriers through this “difficult period”, an official of the International Air Transport Association (IATA) said.

Global airlines stand to lose $1.5 billion this year due to the virus, he said.

The Organization for Economic Cooperation and Development warned that the outbreak was pitching the world economy into its worst downturn since the global financial crisis, urging governments and central banks to fight back.

Officials in U.S. President Donald Trump’s administration on Sunday tried to calm market panic that the coronavirus could cause a global recession, saying the U.S. public had over-reacted and that stocks would rebound due to the American economy’s underlying strength.

The S&P 500 index tumbled 11.5% last week. Roughly $4 trillion has been wiped off the value of U.S. stocks.

Speaking to NBC’s “Meet the Press” on Sunday, Vice President Mike Pence, who is leading the administration’s response to the virus, said the market “will come back”.

“The fundamentals of this economy are strong. We just saw some new numbers come out in housing and consumer confidence and business optimism. Unemployment is at a 50-year low. More Americans are working than ever before,” Pence said.

(Graphic: Reuters graphics on the new coronavirus ,

(Reporting by Hyonhee Shin and Jack Kim in Seoul, Ju-min Park in Gapyeong, Ryan Woo, David Stanway, Se Young Lee, Emily Chow and Andrew Galbraith in Beijing, Leigh Thomas in Paris, Michelle Price in Washington, Leika Kihara in Tokyo, Jonathan Cable in London, Donny Kwok and Twinnie Siu in Hong Kong Writing by Nick Macfie; Editing by Mark Heinrich)