Two passengers from coronavirus-hit cruise ship in Japan die, authorities defend quarantine

By Linda Sieg and Chang-Ran Kim

TOKYO (Reuters) – Two elderly passengers became the first people from aboard a cruise ship moored near Tokyo to die of the coronavirus, the Japanese government said on Thursday, as hundreds more passengers disembarked after two weeks’ quarantine.

The 621 coronavirus cases aboard the Diamond Princess cruise liner are by far the largest cluster of infection outside China. The ship has been held since Feb. 3 with initially 3,700 people on board.

The two patients who died, an 87-year-old man and an 84-year-old woman, had both tested positive for the virus although the woman’s cause of death was listed as pneumonia, the health ministry said. Two government officials who had worked on the ship were infected, it added, bringing the number of infected officials to five.

Public broadcaster NHK reported that 27 people from the ship were in serious condition.

The quarantine operation has sparked criticism of Japan’s authorities just months before Tokyo is due to host the Summer Olympics.

Chief Cabinet Secretary Yoshihide Suga defended Japan’s efforts. He told a news conference that after measures were put in place to isolate passengers on Feb. 5, the number of new infections fell.

Japan’s National Institute of Infectious Diseases (NIID) said in a report issued Wednesday that no new cases of the onset of the COVID-19 disease from the cruise ship were reported on Feb. 16-17 and only one crew member case on Feb. 15.

In a move to reassure the public, the health ministry also issued a statement in both English and Japanese that said all passengers had been required to stay in their cabins since Feb. 5. Critics have noted that the day before that order, as passengers were being screened, shipboard events continued, including dances and quiz games.

SAFE TO GO HOME?

About 1,000 Japanese released from the ship after testing negative for the virus were permitted to go straight home this week. Other countries are flying their citizens home but subjecting them to two more weeks of quarantine on arrival.

“We believe the isolation was effective,” Suga, the chief cabinet minister, said.

Those who have shared a room with infected people are being kept on board under further quarantine.

Around 600 people are expected to disembark on Thursday, 500 of whom will return to their homes in Japan, according to the health ministry. On Wednesday, 800 people left the ship including foreigners who left on evacuation flights.

“We are asking people to keep an eye on their temperature at home,” a health ministry official told Reuters. The government handed out pamphlets with advice on the disease, which has killed more than 2,100 people, mostly in China.

Some experts, however, worry returnees could infect others. Findings published in the New England Journal of Medicine on Wednesday suggest the virus may be spread more easily than previously thought, including by carriers who have no symptoms.

The health ministry official said the United States had taken the decision to risk bringing home infected passengers, and it was up to each country to quarantine people entering their ports as appropriate.

“Our stance is that Japan as the local authority has already quarantined these people for two weeks,” the official said, adding that if people sent home from the Diamond Princess later test positive, they would have caught the virus off the ship.

(Additional reporting by Akiko Okamoto, Ju-min Park, Hideto Sakai, Daewong Kim, Elaine Lies, Makiko Yamazaki and Tim Kelly; writing by Linda Sieg and David Dolan; Editing by Sam Holmes, Michael Perry and Peter Graff)

Passengers depart coronavirus cruise ship at last; Japan’s effort under fire

By Linda Sieg and Ryan Woo

TOKYO/BEIJING (Reuters) – Hundreds of people began disembarking a cruise ship in Japan on Wednesday after being held on board for more than two weeks under quarantine, as criticism mounted of Japan’s handling of the biggest coronavirus outbreak outside China.

A member of the media approaches a passenger after he walked out from the cruise ship Diamond Princess at Daikoku Pier Cruise Terminal in Yokohama, south of Tokyo, Japan February 19, 2020. REUTERS/Athit Perawongmetha

Even as patients trundled off the Diamond Princess cruise liner with their suitcases, Japanese authorities announced 79 new cases had been discovered on board, bringing the total above 620, well over half the known cases outside mainland China.

In China itself, the death toll from the coronavirus climbed above 2,000, but the tally of newly reported cases fell for a second day to the lowest since January, offering hope and helping Asian shares and U.S. stock futures rise.

China is struggling to get its economy back on track after imposing severe travel restrictions to contain a virus that emerged in the central province of Hubei late last year.

Beyond mainland China, six people have died from the disease, and governments around the world are trying to prevent it from spreading into a global epidemic. The Diamond Princess has been quarantined at a dock at Yokohama near Tokyo since Feb. 3, initially with 3,700 people aboard.

From Wednesday, passengers who tested negative and showed no symptoms were free to leave. Around 500 were expected to disembark on Wednesday, with the rest of those eligible departing over the next two days. Confirmed cases were to be sent to hospital, while those who shared cabins with infected passengers may still be kept on board.

Around half of the passengers and crew are Japanese, and are free to go home once cleared to leave. Other countries have said they will fly passengers home and quarantine them on arrival. The United States flew more than 300 passengers to air bases in California and Texas this week.

“I am very keen to get off this ship,” Australian passenger Vicki Presland told Reuters over a social-media link. She was among a group of Australians getting off to catch an evacuation flight back to 14 days of quarantine in the city of Darwin.

Matthew Smith, an American passenger who remained on board after declining the U.S. evacuation earlier this week, tweeted video of passengers departing with their suitcases.

“Captain wishes ‘Arrivederci’ to the guests departing the ship today but omits his usual ‘Buon Appetito’ to those of us who are still awaiting our fates. Hey, what are we – chopped liver?!” he wrote.

Passengers stand on the cruise ship Diamond Princess at Daikoku Pier Cruise Terminal in Yokohama, south of Tokyo, Japan February 19, 2020. REUTERS/Athit Perawongmetha

“COMPLETELY INADEQUATE”

The rapid spread of the disease aboard the ship has drawn strong criticism of the Japanese authorities, just months before Japan is due to host the Olympics.

Infectious disease specialist Kentaro Iwata of Japan’s Kobe University Hospital, who volunteered to help aboard the ship, described the infection control effort on board as “completely inadequate”, and said basic protocols had not been followed.

“There was no single professional infection control person inside the ship and there was nobody in charge of infection prevention as a professional. The bureaucrats were in charge of everything,” he said in a YouTube video.

Health Minister Katsunobu Kato defended Japan’s efforts: “Unfortunately, cases of infection have emerged, but we have to the extent possible taken appropriate steps to prevent serious cases,” Kato said in a report by state broadcaster NHK.

The U.S. Centers for Disease Control and Prevention (CDC) said Japan’s efforts “may not have been sufficient to prevent transmission among individuals on the ship.”

From the start, experts raised questions about quarantine on the ship. Passengers were not confined to their rooms until Feb. 5. The day before, as passengers were being screened, onboard events continued, including dances, quiz games and an exercise class, one passenger said.

BETTER DAY IN CHINA

The promising sign out of China came from the National Health Commission, which reported 1,749 new confirmed cases, the lowest tally since Jan. 29. Hubei – the epicentre of the outbreak – reported the lowest number of new infections since Feb. 11, while outside of Hubei there were just 56 new cases, down from a peak of 890 on Feb. 3.

The latest figures bring the total number of cases in China to more than 74,000 and the death toll to 2,004, three-quarters of which have occurred in Wuhan, Hubei’s provincial capital.

On top of tough steps taken to isolate Hubei, where the flu-like virus originated in a market illegally selling wildlife, state media reported the province would track down anyone who visited doctors with fever since Jan. 20 or bought over-the-counter cough and fever medication.

Chinese officials have said the apparent slowdown in infection rates is evidence that the strict measures are working. Epidemiologists outside China have said in recent days that the reports from there are encouraging but it is still too early to predict whether the epidemic will be contained.

Chinese officials have been putting on a brave face, saying the economic impact of the virus would be limited and short-term. President Xi Jinping said China could meet its 2020 economic targets, media reported.

Big manufacturing hubs on the coast are starting to loosen curbs on the movement of people and traffic while authorities prod factories to get back to work.

(Reporting by Ryan Woo and Sophie Yu in Beijing; Linda Sieg in Tokyo; Additional reporting by Se Young Lee in Beijing, Brenda Goh and Samuel Shen in Shanghai; Colin Packham in Sydney; Sarah Wu in Hong Kong; Krishna Das in Kuala Lumpur; Josh Smith and Sangmi Cha in Seoul; Stephanie Nebehay in Geneva; Jan Strupczewski in Brussels and Peter Graff in London; Writing by Michael Perry, Robert Birsel and Peter Graff; Editing by Stephen Coates, Simon Cameron-Moore)

Japan records first coronavirus death, two taxi drivers test positive

By Rocky Swift and Elaine Lies

TOKYO (Reuters) – A woman has died from the coronavirus in Japan, the first such death in the country since the epidemic spread from China, the health minister said on Thursday.

Two taxi drivers, one of them in the capital Tokyo, have also tested positive, raising the possibility that it could be passed on through their passengers.

For a graphic tracking the spread of the coronavirus from China, click here

On the Diamond Princess cruise liner quarantined in the port of Yokohama, 44 new cases were confirmed.

But in some good news for the 3,500-odd passengers and crew who have been stuck onboard since Feb. 3, Japan said it would allow some elderly people who have tested negative for the coronavirus to disembark ahead of schedule.

Japan is of the countries worst affected by the epidemic outside China, with 251 confirmed cases, including those on the Diamond Princess.

Health Minister Katsunobu Kato told a news conference on Thursday that a woman in her 80s living in Kanagawa prefecture, which borders Tokyo, had died. She was the first fatality in Japan, and the third outside mainland China.

The woman fell ill in January but only later showed symptoms of pneumonia and was hospitalised, then transferred to another hospital when her condition worsened.

Her infection with the coronavirus confirmed after her death, Kato said. The route of contagion was being investigated.

The minister also confirmed that a Tokyo taxi driver in his 70s had tested positive for the virus, along with a doctor in central Japan. A third person, also a taxi driver, in Chiba just east of Tokyo has also tested positive.

Kato announced earlier on Thursday that elderly passengers on the Diamond Princess who have pre-existing conditions or are in windowless rooms would be allowed to leave starting from Friday, rather than the originally targeted date of Feb. 19. They will complete their quarantine onshore.

The liner was quarantined on arrival in Yokohama, near Tokyo, on Feb. 3 after a man who disembarked in Hong Kong before it travelled to Japan was diagnosed with the virus that has now killed more than 1,350 people in mainland China.

About 80% of the ship’s passengers were aged 60 or over, with 215 in their 80s and 11 in their 90s, according to Japanese media. The ship, managed by Princess Cruise Lines and owned by Miami-based Carnival Corp, typically has a crew of 1,100 and a passenger capacity of 2,670.

The additional 44 cases included 43 passengers and one crew member, Kyodo news agency said. With the number of those infected on the cruise ship now up to 218 plus one quarantine officer, concerns have been raised about conditions on the ship.

Brandon Brown, a health expert at the University of California, said that despite some passengers’ concerns, recycled air on the ship did not pose a risk.

“The more likely explanation for the spread of infection during quarantine on the ship is the high passenger interaction due to close quarters and limited personal space on any cruise ship,” Brown said.

Indian media aired videos in which Indian crew members said they were working in close quarters and appealed for help from Prime Minister Narendra Modi.

A health ministry official could not confirm how many of those infected so far on the ship were crew.

OLYMPICS CONCERNS

Also on Thursday, Prime Minister Shinzo Abe said the cabinet would decide on Friday on spending 10.3 billion yen ($95 million) from the budget reserve to respond to the coronavirus.

Tokyo 2020 Olympics President Yoshiro Mori repeated that the Summer Olympics due to held in the capital from July 24 would go ahead as planned.

“I would like to clearly reiterate that cancellation or postponement of the Tokyo Games are not being considered,” he said at the start of a meeting with International Olympic Committee Coordination Commission Chief John Coates.

(Additional reporting by Antoni Slodkowski, Kiyoshi Takenaka and Elaine Lies; Writing by Linda Sieg and Elaine Lies; Editing by Angus MacSwan)

Coronavirus cases may be ‘tip of the iceberg’ outside China: WHO

By Shivani Singh and Colin QianBEIJING (Reuters) – People across China trickled back work on Monday after an extended Lunar New Year holiday as the government eased restrictions imposed to counter the coronavirus, but the World Health Organization (WHO) said the number of cases outside China could be just “the tip of the iceberg”.

The death toll from the epidemic rose to 908, all but two in mainland China, on Sunday as 97 more fatalities were recorded – the largest number in a single day since the virus was detected in the city of Wuhan in December.

The Diamond Princess cruise ship with 3,700 passengers and crew onboard remained quarantined in the Japanese port of Yokohama, with 65 more cases detected, taking the number of confirmed case from the Carnival Corp-owned vessel to 135.

European stocks fell on concerns about the impact of the closure of factories in China, the world’s second-largest economy, on supply chains for companies from Taiwan’s iPhone-maker Foxconn to carmakers Kia Motors and Nissan

Across mainland China, 3,062 new infections were confirmed on Sunday, bringing the total number to 40,171, according to the National Health Commission (NHC). An advance team of international WHO experts was en route to Beijing to investigate the outbreak.

Wu Fan, vice-dean of Shanghai Fudan University Medical school, said there was hope the spread might soon reach a turning point.

“The situation is stabilising,” she told a briefing when asked about the spread in Shanghai, which has had nearly 300 cases and one death.

But WHO chief Tedros Adhanom Ghebreyesus said there had been “concerning instances” of transmission from people who had not been to China.

“The detection of a small number of cases may indicate more widespread transmission in other countries; in short, we may only be seeing the tip of the iceberg,” he said in Geneva.

The virus has spread to at least 27 countries and territories, according to a Reuters count based on official reports, infecting more than 330 people. The two deaths outside mainland China were in Hong Kong and the Philippines.

The death toll from the outbreak has now surpassed that of Severe Acute Respiratory Syndrome (SARS), which killed hundreds worldwide in 2002/2003.

NERVOUS COMMUTERS

Usually teeming cities have become virtual ghost towns after Communist Party rulers ordered lockdowns, cancelled flights and closed factories and schools.

Ten extra days had been added to the Lunar New Year holidays that had been due to finish at the end of January. But even on Monday, many workplaces remained closed and many people worked from home.

Few commuters were seen during the morning rush-hour on one of Beijing’s busiest subway lines. All were wearing masks.

One Beijing government official, Zhang Gewho, said it would be be harder to curb the spread of the virus as people returned to work.

“The capacity of communities and flow of people will greatly increase and the difficulty of virus prevention and control will further rise,” he said.

Hubei, the province of 60 million people that is the hardest hit by the outbreak, remains in virtual lockdown, with its train stations and airports shut and its roads sealed.

In Britain, the government said on Monday the number of confirmed coronavirus cases there had doubled to eight and it declared the virus a serious and imminent threat, giving it additional powers to isolate those suspected of being infected.

China’s central bank has taken a raft of steps to support the economy, including reducing interest rates and flushing the market with liquidity. From Monday, it will provide special funds for banks to re-lend to businesses.

President Xi Jinping, who has largely kept out of the spotlight, leaving Premier Li Keqiang to take the public lead in government efforts to control the outbreak, said on Monday the government will prevent large-scale layoffs, Chinese state television reported.

Xi, who was shown on television inspecting the work of community leaders in Beijing, and wearing a mask as he had his temperature taken, also said China will strive to meet economic and social targets for the year.

He reiterated that China would beat the virus. One senior economist has said growth may slow to 5% or less in the first quarter.

More than 300 Chinese firms including Meituan Dianping, China’s largest food delivery company, and smartphone maker Xiaomi Corp are seeking loans totalling at least 57.4 billion yuan ($8.2 billion), two banking sources said.

Apple’s biggest iPhone maker, Foxconn, won approval to resume production in the eastern central Chinsese city of Zhengzhou, but only 10% of the workforce has managed to return, a source said. But the southern city of Shenzhen rejected a company request to resume work there.

Much remains to be determined about the virus, which has been linked to a market selling animals in Wuhan, the capital of Hubei province.

Scientists at Imperial College London published new estimates of an overall case fatality rate of 1%.

But they said that this could range from 0.5% to 4% and warned there was “substantial uncertainty” due to varying levels of surveillance and data reporting.

For graphic comparing new coronavirus to SARS and MERS, click: https://tmsnrt.rs/2GK6YVK

(Additional reporting by Sophie Yu, Ryan Woo, Huizhong Wu, Liangping Gao, Stella Qiu, Brenda Goh in Beijing, Stephanie Nebehay in Geneva, Joyce Lee and Hyunjoo Jin in Seoul, Kylie MacLellan and Kate Kelland in London, Writing by Lincoln Feast, Robert Birsel and Nick Macfie; Editing by Angus MacSwan)

Coast Guard calls off search for passenger missing from cruise ship off Texas

The large seawall that protects Galveston from major storms and the rising waters of the Gulf of Mexico is seen on Galveston Island

(Reuters) – The U.S. Coast Guard said on Sunday it had called off its search for a woman believed to have fallen overboard from the Carnival Liberty cruise ship off the coast of Galveston, Texas, two days earlier.

The cruise ship alerted the Coast Guard on Friday that Samantha Broberg, 33, was missing and might have fallen overboard about 195 miles (315 km) from the Texas coast.

The Coast Guard said in a statement that its 8th District command center had coordinated 20 hours of aerial searching with a combined search area of more than 4,300 square miles.

Earlier, it said the cruise ship had a video of a woman falling overboard early on Friday morning and had conducted a search for all passengers on board, with Broberg found to be missing.

The Carnival Liberty cruise ship departed Galveston, Texas, on a four-day Mexico cruise on Thursday.

(Reporting by Chris Michaud; Editing by Paul Tait)

Quarter of passengers on British cruise ship fall sick with norovirus

File photo of the cruise ship Balmoral prior to boarding of passengers going on the Titanic Memorial Cruise in Southampton

(Reuters) – A stomach bug causing vomiting and diarrhea has spread to more than a quarter of the 919 passengers aboard a British cruise ship, the U.S. Centers for Disease Control (CDC) said, as the ship docked in Maine over the weekend.

It also said eight of the 520 crew on the Balmoral, operated by Fred. Olsen Cruise Lines, had also fallen ill with the bug, identified as a norovirus.

The Balmoral left Southampton, England on April 16 for a 34-day cruise, making stops in Portugal and Bermuda before putting in at Norfolk, Virginia, where it first arrived in the United States late last month.

CDC officials said at that time that 153 passengers and six crew had been infected by norovirus. Health officials and an epidemiologist boarded the ship at its next stop in Baltimore, Maryland to assess the outbreak and the response.

The CDC said specimens collected and onboard tested positive for norovirus, and would be sent to CDC for additional testing.

Fred. Olsen said in an April 29 statement that a “gastro-enteritis type illness” had affected a number of guests, with seven cases in isolation at that point.

It said two U.S. nationals were on board, with the majority of passengers from the United Kingdom.

When the Balmoral docked at Portland, Maine, over the weekend, media reported witnesses seeing surfaces being constantly wiped down.

The ship was due to stop at St. John, New Brunswick, Canada, on Monday.

CDC said the cruise line had taken actions in response to the outbreak, including increasing cleaning and disinfection procedures, collecting stool specimens, daily reporting of illness and dispatching public health and sanitation managers to oversee and assist with implementation of sanitation and outbreak response.

Balmoral has capacity for 1,350 passengers, and is the largest and newest ship in the cruise line’s fleet.

(Reporting by Chris Michaud; Editing by Simon Cameron-Moore)