COVID 19 rapidly evolving situation 2020

A randomized, controlled clinical trial to evaluate the safety and efficacy of immunosuppression in adults diagnosed with coronavirus disease in 2019 has begun. The study was commissioned by the US Centers for Disease Control and Prevention (CDC) and the National Institutes of Health. 
This is the first clinical trial in the United States to evaluate the safety and efficacy of immunosuppression in adults with identified respiratory diseases. The first participant in the study is an American who, after being quarantined on the Diamond Princess cruise ship docked in Yokohama, Japan, was returned to his home country and volunteered to participate in the study. On 27 January, Germany reported the first known case of coronavirus in a 33-year-old from Bavaria who had contracted the disease from a Chinese colleague during a workplace training course. 
The first death linked to the novel coronavirus outside China was reported in the Philippines on February 2. A 44-year-old Chinese man travelled with his family to Manila after falling ill and being taken to hospital, where he later died of pneumonia. 
According to the Centers for Disease Control and Prevention, this is a rapidly evolving situation, and reports of the number of people infected are growing rapidly. The new coronavirus, known by scientists as 2019 nCoV, has occurred in several countries and on international trips. The World Health Organization is responding to an outbreak of a new strain of coronovirus originating in Wuhan, China. In the United States, isolated cases have been reported in New York, Washington, D.C., and California, but no cases in other countries.
The HHS briefing on China's coronavirus aims to do two things: provide the American public with updated information on the risk posed by the virus, and provide information on measures President Trump's administration is taking to respond to the outbreak and ensure American security. As more information and updated guidelines from the World Health Organization and the US Department of Health become available, we will update and publish them here on this page. Join Dr. Anne Schuchat, director of the Centers for Disease Control and Prevention's Office of Infectious Disease Prevention and Control (CDC), and other officials at this briefing. 
As of this morning, only 14 cases of China's coronavirus have been identified, all related to travel to China and close contact with travelers, and no Americans have been returned to Wuhan. American passengers returning from Diamond Princess, and Americans returning from where, are expected to be virus-free, with no confirmed cases, but billions of Chinese continue to be exposed to the virus through their close contacts in China. 
According to the World Health Organization, 650,000 deaths worldwide are linked to respiratory diseases and seasonal flu each year. When you die, this is reported as influenza-related death, but the first symptoms of Covid 19 resemble a cold or flu. The only way to find out if Covids 19 causes such symptoms is to have a special test for the virus. 
The number of diseases caused by SARS and CoV-2 and other respiratory diseases varies widely, but Covid 19 does not. 
According to China's Centers for Disease Control and Prevention, which reported a new outbreak of the coronavirus on February 17, 14 percent of confirmed cases are considered mild, with severe pneumonia and shortness of breath. Fourteen of the patients confirmed to have the disease have developed a so-called "critical case" that can potentially lead to death. Twenty to three of them have been diagnosed with severe respiratory infections such as severe coughing, wheezing, vomiting and diarrhoea, the vast majority of which were mild to mild respiratory infections such as pneumonia, bronchitis or respiratory infections. However, fifteen to twenty-four per cent are serious, including serious respiratory and respiratory diseases. 
On 11 February 2020, ICTV announced the name of the new virus as "ICTV-19" for the first time in its history. The name was chosen because the virus is genetically related to the coronavirus, which caused a SARS outbreak in 2003. 
National journalist Terrence McKenna speculated that China's President Xi Jinping may have been pressured by his government not to declare the spread of the Covid-19 virus a pandemic. Given the authoritarian nature of the Chinese government, which spoke of its "authoritarian character," the report also questioned how well China was handling the developing health crisis, implying that authorities there could not do enough to stem the spread of disease. COVID 19 was announced on the basis of guidelines developed by the World Health Organization (WHO) and the International Agency for the Study of Infectious Diseases (IARC). 
Health officials said the new coronavirus case in California could be the first in the U.S. to have a known link to those who have traveled abroad. With the virus spreading to communities and 75,000 confirmed cases in China alone, the world is facing a turning point in its fight to contain the outbreak. The virus has spread to more than 100 countries and territories in Asia, Africa, Latin America, and the Middle East, but no cases have been reported in Europe or North America. 
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