COVID-19 pandemic

2019–20 Wuhan coronavirus outbreak

Map of the 2019–20 Wuhan coronavirus outbreak as of 26 July 2024   Region of origin (mainland China)   Confirmed cases reported   Suspected cases reported
Date	1 December 2019 – ongoing (4 years, 7 months, 3 weeks and 4 days)
Location	First identified in Wuhan, Hubei, China
Casualties
Confirmed cases: 9,822 Deaths: 213 Recovered: 187 As of 31 January 2020

A new coronavirus, designated 2019-nCoV, was first identified in Wuhan, the capital of China's Hubei province, after people developed pneumonia without a clear cause and for which existing vaccines or treatments were not effective. The virus has shown evidence of human-to-human transmission, and its transmission rate (rate of infection) appeared to escalate in mid-January 2020, with several countries across Europe, North America and the Asia-Pacific reporting cases. The incubation period (time from exposure to the development of symptoms) of the virus is between two and ten days and it remains to be determined if it is contagious during this time. Symptoms include fever, coughing, and breathing difficulties, and it can be fatal.

As of 30 January 2020, approximately 9,822 cases have been confirmed, including in every province-level division of China. The first confirmed death from the coronavirus infection occurred on 9 January and since then 214 deaths have been confirmed. Epidemiological studies estimate that a larger number of people may have been infected, but not detected. The first local transmission of the virus outside China occurred in Vietnam from a father to his son, whereas the first local transmission not involving family occurred in Germany, on 22 January when a German man contracted the disease from a Chinese business visitor at a meeting in the German state of Bavaria.

In response, cities with a combined population over 57 million people including Wuhan and 15 cities in the surrounding Hubei province were placed on full or partial lockdown, involving the termination of all urban public transport and outward transport by train, air and long-distance buses. Many New Year events and tourist attractions have been closed over fear of transmission, including the Forbidden City in Beijing, traditional temple fairs, and other celebratory gatherings. Hong Kong also raised its infectious disease response level to the highest level and declared an emergency, closed its schools until mid-February and cancelled its New Year celebrations.

A number of countries have put out travel advisories warning against travel to Wuhan and Hubei province. Travellers who have visited Mainland China have been asked to monitor their health for at least two weeks and contact their healthcare provider to report any symptoms of the virus. Anyone who suspects that they are carrying the virus is advised to wear a protective mask and seek medical advice by calling a doctor rather than directly visiting a clinic in person. Some hotels have been providing refunds and no-fee cancellations for reservations in China or by people from China. Airports and train stations have implemented temperature checks, health declarations and information signage in an attempt to identify carriers of the virus.

Chinese scientists were able to isolate a strain of the new coronavirus quickly, with the genetic sequence being made available for laboratories across the world to independently develop PCR tests that can confirm infection in a person. Of the first 41 people confirmed by real-time PCR and next-generation sequencing to have been infected, two-thirds were found to have a link with the Huanan Seafood Wholesale Market, which also sold live animals. The seventh member of the coronavirus family to infect humans, 2019-nCoV's genome sequence has been reported to be 75- to 80-percent identical to SARS-CoV, and more than 85-percent similar to several bat coronaviruses. Whether this virus is of the same severity or lethality as SARS is unclear.

On 30 January, the outbreak was declared a Public Health Emergency of International Concern by the World Health Organization (WHO), the sixth time that the measure has been invoked since the H1N1 pandemic in 2009.

Background

Historical context

Wuhan is the capital of Hubei province and is the seventh-largest city in China, with a population of more than 11 million people. It has been a major transportation hub of the country throughout the ages, long known as the "Nine Provinces' Thoroughfare" (九省通衢), and the Wuhan Railway Hub is one of the four most important railway hubs in China. It is approximately 1,100 km (700 mi) south of Beijing, 800 km (500 mi) west of Shanghai, and 970 km (600 mi) north of Hong Kong. Direct flights from Wuhan also connect it to other major international cities in Europe and North America.

In Wuhan, during December 2019, an inaugural cluster of cases displaying the symptoms of a "pneumonia of unknown cause" was linked to Huanan Seafood Wholesale Market, which had a thousand stalls selling fish, chickens, pheasants, bats, marmots, venomous snakes, spotted deer and the organs of rabbits and other wild animals (ye wei, bushmeat). The immediate hypothesis was that this was a novel coronavirus from an animal source (a zoonosis).

Following a publication in The Lancet on 24 January 2020, of the first 41 admissions with laboratory confirmed 2019-nCoV, where the earliest date for first symptoms was reported as 1 December 2019, in a person who did not have any exposure to the market or to the remaining affected 40 people, and as the number of secondary and tertiary cases have increased, the significance of the market lessened. According to Daniel R. Lucey at Georgetown University, the first human infections must have occurred in November 2019 and maybe earlier.

Coronaviruses mainly circulate among animals but have been known to evolve and infect humans as in the cases of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) together with four further coronaviruses that cause mild respiratory symptoms similar to the common cold. All coronaviruses known to infect humans have been shown to spread from human to human.

Genetics, origins, reservoir and transmitting hosts

Main article: Novel coronavirus (2019-nCoV)

Genomic information

Genome organisation (click to enlarge)
NCBI genome ID	MN908947
Genome size	30473 bp
Year of completion	2020

The natural wildlife reservoir of the 2019‐nCoV and intermediate host that transmitted the 2019-nCoV to humans has not been confirmed, and results of animal sampling from the market are not yet available. However, it is likely that the primary reservoir for the virus is bats.

An updated preprint paper published 23 January 2020 on bioRxiv from members of the Wuhan Institute of Virology, Wuhan Jinyintan Hospital, University of Chinese Academy of Sciences and the Hubei Provincial Center for Disease Control and Prevention suggest that the 2019 novel coronavirus has possible bat origins, as their analysis shows that nCoV-2019 is 96% identical at the whole genome level to a bat coronavirus identified in 2013.

A report published one day earlier from Peking University, Guangxi Traditional Chinese Medical University, Ningbo University and Wuhan Biology Engineering College compares the codon usage bias of 2019-nCoV with "humans, bats, chickens, hedgehogs, pangolins, and two species of snakes", and they concluded that "snake is the most probable wildlife animal reservoir for the 2019‐nCoV" which then transmitted to humans. This claim has been widely disputed: some argued that the reservoir must be bats and the intermediate host, bird or mammal, not snakes (as snakes, unlike humans, are poikilotherms), while others used data on recombination and SARS/MERS codon usage bias refute the reasoning. The recombination event mentioned probably happened in bats instead.

Phylogenetic studies of 2019-nCoV examine the evolutionary history of the virus and its relationships with other organisms. The seventh member of the family of coronaviruses that can infect humans, 2019-nCoV has been reported to have a genome sequence 75% to 80% identical to the SARS-CoV and to have more similarities to several bat coronaviruses. At least five genomes of the novel coronavirus have been isolated and reported. These show that the virus is genetically distinct from other known coronaviruses such as Severe acute respiratory syndrome-related coronavirus (SARS-CoV) and Middle East respiratory syndrome-related coronavirus (MERS-CoV). Like SARS-CoV, it is a member of Beta-CoV lineage B.

Russian scientists said that they believe coronavirus was used by the U.S. as a bioweapon to destabilize China and to create profits for American pharmaceutical companies.

Geographic distribution

Main articles: Timeline of the 2019–20 Wuhan coronavirus outbreak and 2019–20 Wuhan coronavirus outbreak by country and territory

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Updated July 25, 2024.

COVID-19 pandemic by location

	Location	Cases	Deaths
	World	775,673,955	7,053,524
	European Union	185,700,232	1,262,159
	United States	103,436,829	1,190,579
	China	99,365,162	122,271
	India	45,040,752	533,622
	France	38,997,490	168,091
	Germany	38,437,756	174,979
	Brazil	37,511,921	702,116
	South Korea	34,571,873	35,934
	Japan	33,803,572	74,694
	Italy	26,727,644	197,081
	United Kingdom	24,956,066	232,112
	Russia	24,244,024	403,108
	Turkey	17,004,717	101,419
	Spain	13,980,340	121,852
	Australia	11,861,161	25,236
	Vietnam	11,624,000	43,206
	Argentina	10,133,228	130,870
	Taiwan	9,970,937	17,672
	Netherlands	8,637,814	22,986
	Iran	7,627,863	146,837
	Mexico	7,616,491	334,501
	Indonesia	6,829,260	162,058
	Poland	6,664,935	120,717
	Colombia	6,388,086	142,727
	Austria	6,082,390	22,534
	Portugal	5,657,579	28,556
	Greece	5,651,779	39,099
	Ukraine	5,532,404	109,920
	Chile	5,400,751	62,723
	Malaysia	5,302,017	37,351
	Belgium	4,865,822	34,339
	Israel	4,841,558	12,707
	Canada	4,816,809	55,218
	Thailand	4,795,621	34,704
	Czech Republic	4,760,297	43,507
	Peru	4,526,977	220,975
	Switzerland	4,455,787	14,170
	Philippines	4,140,383	66,864
	South Africa	4,072,738	102,595
	Romania	3,531,029	68,808
	Denmark	3,435,679	9,693
	Singapore	3,006,155	2,024
	Hong Kong	2,876,106	13,466
	Sweden	2,753,254	27,339
	New Zealand	2,629,816	4,185
	Serbia	2,583,470	18,057
	Iraq	2,465,545	25,375
	Hungary	2,230,506	49,051
	Bangladesh	2,051,130	29,498
	Slovakia	1,877,833	21,226
	Georgia	1,863,101	17,150
	Jordan	1,746,997	14,122
	Republic of Ireland	1,741,595	9,670
	Pakistan	1,580,631	30,656
	Norway	1,509,883	5,732
	Kazakhstan	1,504,370	19,072
	Finland	1,499,712	11,466
	Lithuania	1,367,286	9,809
	Slovenia	1,356,134	10,068
	Bulgaria	1,329,487	38,700
	Croatia	1,317,144	18,752
	Morocco	1,279,115	16,305
	Puerto Rico	1,252,713	5,938
	Guatemala	1,250,364	20,203
	Lebanon	1,239,904	10,947
	Costa Rica	1,230,653	9,368
	Bolivia	1,212,144	22,387
	Tunisia	1,153,361	29,423
	Cuba	1,113,662	8,530
	Ecuador	1,076,883	36,050
	United Arab Emirates	1,067,030	2,349
	Panama	1,044,655	8,726
	Uruguay	1,041,294	7,682
	Mongolia	1,011,489	2,136
	Nepal	1,003,450	12,031
	Belarus	994,037	7,118
	Latvia	977,765	7,475
	Saudi Arabia	841,469	9,646
	Azerbaijan	835,542	10,353
	Paraguay	735,759	19,880
	Palestine	703,228	5,708
	Bahrain	696,614	1,536
	Cyprus	693,899	1,450
	Sri Lanka	672,791	16,907
	Kuwait	667,290	2,570
	Dominican Republic	661,103	4,384
	Myanmar	642,778	19,494
	Moldova	635,867	12,239
	Estonia	610,471	2,998
	Venezuela	552,695	5,856
	Egypt	516,023	24,830
	Qatar	514,524	690
	Libya	507,269	6,437
	Ethiopia	501,175	7,574
	Réunion	494,595	921
	Honduras	472,884	11,114
	Armenia	451,944	8,777
	Bosnia and Herzegovina	403,652	16,388
	Oman	399,449	4,628
	Luxembourg	392,477	1,000
	North Macedonia	350,640	9,977
	Zambia	349,686	4,069
	Brunei	346,246	178
	Kenya	344,104	5,689
	Albania	335,047	3,605
	Botswana	330,650	2,801
	Mauritius	327,305	1,070
	Kosovo	274,279	3,212
	Algeria	272,037	6,881
	Nigeria	267,188	3,155
	Zimbabwe	266,374	5,740
	Montenegro	251,280	2,654
	Afghanistan	235,214	7,998
	Mozambique	233,834	2,252
	Martinique	230,354	1,104
	Laos	219,060	671
	Iceland	210,187	186
	Guadeloupe	203,235	1,021
	El Salvador	201,899	4,230
	Trinidad and Tobago	191,496	4,390
	Maldives	186,694	316
	Uzbekistan	175,081	1,016
	Namibia	172,500	4,108
	Uganda	172,152	3,632
	Ghana	172,052	1,462
	Jamaica	157,022	3,601
	Cambodia	139,299	3,056
	Rwanda	133,261	1,468
	Cameroon	125,239	1,974
	Malta	122,115	913
	Barbados	110,871	593
	Angola	107,469	1,937
	Democratic Republic of the Congo	100,620	1,470
	French Guiana	98,041	413
	Senegal	89,383	1,971
	Malawi	89,168	2,686
	Kyrgyzstan	88,953	1,024
	Ivory Coast	88,430	835
	Suriname	82,500	1,405
	New Caledonia	80,163	314
	French Polynesia	79,333	650
	Eswatini	75,356	1,427
	Guyana	74,357	1,302
	Belize	71,408	688
	Fiji	69,047	885
	Madagascar	68,555	1,427
	Jersey	66,391	161
	Cabo Verde	64,474	417
	Sudan	63,993	5,046
	Mauritania	63,868	997
	Bhutan	62,697	21
	Syria	57,423	3,163
	Burundi	54,569	15
	Guam	52,287	419
	Seychelles	51,790	172
	Gabon	49,051	307
	Andorra	48,015	159
	Papua New Guinea	46,864	670
	Curaçao	45,883	305
	Aruba	44,224	292
	Tanzania	43,230	846
	Mayotte	42,027	187
	Togo	39,530	290
	Bahamas	38,830	848
	Guinea	38,572	468
	Isle of Man	38,008	116
	Lesotho	36,138	709
	Guernsey	35,326	67
	Faroe Islands	34,658	28
	Haiti	34,298	860
	Mali	33,164	743
	Cayman Islands	31,472	37
	Saint Lucia	30,257	410
	Benin	28,036	163
	Somalia	27,334	1,361
	Federated States of Micronesia	26,460	65
	Solomon Islands	25,954	199
	United States Virgin Islands	25,389	132
	San Marino	25,292	126
	Republic of the Congo	25,226	389
	Timor-Leste	23,460	138
	Burkina Faso	22,131	400
	Liechtenstein	21,583	89
	Gibraltar	20,550	113
	Grenada	19,693	238
	Bermuda	18,860	165
	South Sudan	18,823	147
	Tajikistan	17,786	125
	Monaco	17,181	67
	Equatorial Guinea	17,130	183
	Samoa	17,057	31
	Tonga	16,970	12
	Marshall Islands	16,252	17
	Nicaragua	16,171	245
	Dominica	16,047	74
	Djibouti	15,690	189
	Central African Republic	15,440	113
	Northern Mariana Islands	14,750	41
	Gambia	12,627	372
	Collectivity of Saint Martin	12,324	46
	Vanuatu	12,019	14
	Greenland	11,971	21
	Yemen	11,945	2,159
	Caribbean Netherlands	11,922	41
	Sint Maarten	11,051	92
	Eritrea	10,189	103
	Saint Vincent and the Grenadines	9,674	124
	Guinea-Bissau	9,614	177
	Niger	9,518	315
	Comoros	9,109	160
	Antigua and Barbuda	9,106	146
	American Samoa	8,359	34
	Liberia	7,930	294
	Sierra Leone	7,836	125
	Chad	7,702	194
	British Virgin Islands	7,557	64
	Cook Islands	7,341	2
	Turks and Caicos Islands	6,795	40
	Sao Tome and Principe	6,771	80
	Saint Kitts and Nevis	6,607	46
	Palau	6,372	10
	Saint Barthélemy	5,507	5
	Nauru	5,393	1
	Kiribati	5,085	24
	Anguilla	3,904	12
	Wallis and Futuna	3,760	9
	Macau	3,514	121
	Saint Pierre and Miquelon	3,426	2
	Tuvalu	2,943	1
	Saint Helena, Ascension and Tristan da Cunha	2,166	—
	Falkland Islands	1,923	—
	Montserrat	1,403	8
	Niue	1,074	—
	Tokelau	80	0
	Vatican City	26	0
	Pitcairn Islands	4	—
	North Korea	1	6
	Turkmenistan	0	0

The virus was first detected in Wuhan city, Central China, in December 2019. It is believed to have originated from wild animals, passing to humans due to the wildlife trade and wet markets. The virus spread to other Chinese provinces in early and mid-January 2020, helped by the Chinese new year migration. Cases started to be detected in other countries, carried by international travellers, typically to major trade partners: Thailand (13 January); Japan (15 January); South Korea (20 January); Taiwan and the United States (21 January); Hong Kong and Macau (22 January); Singapore (23 January); France, Nepal and Vietnam (24 January); Australia and Malaysia (25 January); Canada (26 January); Cambodia (27 January); Germany (28 January); Finland, Sri Lanka and the United Arab Emirates (29 January); India, Italy and Philippines (30 January). As of 29 January, more than 9,800 cases have been formally detected worldwide, most in China proper. 214 deaths have been attributed to the virus, all in China proper. Estimative models suggest the real figure to be around 25,000~35,000 cases. Local human-to-human contamination has been confirmed in Vietnam, Japan, and Germany, but no active center of propagation have been confirmed outside China so far. Since around 23 January, an important effort, within China and abroad, is being led by WHO and local governments to alert the population and set up measures preventing new propagation of the virus.

• 
  Animation showing the spread of confirmed 2019-nCoV cases since 25 January
• 
  Map of the 2019–20 Wuhan coronavirus outbreak as of 26 July 2024

    Region of origin (mainland China)

    Confirmed cases reported

    Suspected cases reported

Epidemiology

Epidemiology studies of 2019-nCoV examines the distribution (who, when, and where), patterns and risk factors. There have been various estimates for the basic reproduction number, ranging from 2.13 to 3.11.

According to Daniel Lucey at Georgetown University, the first human infections must have occurred in November 2019 and maybe earlier. The first 59 suspected cases at the end of December 2019 and early January 2020 were admitted to Jinyintan Hospital, which was specially designated to isolate them. 41 of the 59 were confirmed with the 2019-nCoV infection. Of these 41 cases, there was one group of family members, 30 (73%) were men and the average age was 49 years. Almost a third (32%) had an underlying medical condition including eight with diabetes, six with high blood pressure and six with heart disease. Two-thirds had a history of exposure to the Huanan Seafood Wholesale Market. The most frequently reported symptoms were 40 (98%) with fever, 31 (76%) with cough, and 18 (44%) with muscle aches and tiredness. Less frequent symptoms included coughing sputum or blood, headache and diarrhoea. Around half of the cluster had shortness of breath and 13 were admitted to intensive care. CT scans of all 41 people revealed pneumonia. Complications included 12 with acute respiratory distress syndrome, five with acute cardiac injury and four with secondary infection.

COVID-19 cases in Mainland China  ()
     Deaths        Recoveries        Tested        Clinically diagnosed (C.D.)        Tested or C.D.

20192019202020202021202120222022

DecDec

JanJanFebFebMarMarAprAprMayMayJunJunJulJulAugAugSepSepOctOctNovNovDecDec

JanJanFebFebMarMarAprAprMayMayJunJunJulJulAugAugSepSepOctOctNovNovDecDec

JanJan

Last 15 daysLast 15 days

Date			Number of cases (excluding C.D.)	Number of cases (including C.D.)
2019-12-31				27(n.a.)
⋮				27(=)
2020-01-03				44(+63%)
2020-01-04				44(=)
2020-01-05				59(+34%)
⋮				59(=)
2020-01-10			41(n.a.)
2020-01-11			41(=)
2020-01-12			41(=)
⋮			41(=)
2020-01-15			41(=)
2020-01-16			45(+9.8%)
2020-01-17			62(+38%)
2020-01-18			121(+95%)
2020-01-19			198(+64%)
2020-01-20			291(+47%)
2020-01-21			440(+51%)
2020-01-22			571(+30%)
2020-01-23			830(+45%)
2020-01-24			1,287(+55%)
2020-01-25			1,975(+53%)
2020-01-26			2,744(+39%)
2020-01-27			4,515(+65%)
2020-01-28			5,974(+32%)
2020-01-29			7,711(+29%)
2020-01-30			9,692(+26%)
2020-01-31			11,791(+22%)
2020-02-01			14,380(+22%)
2020-02-02			17,205(+20%)
2020-02-03			20,438(+19%)
2020-02-04			24,324(+19%)
2020-02-05			28,018(+15%)
2020-02-06			31,161(+11%)
2020-02-07			34,546(+11%)
2020-02-08			37,198(+7.7%)
2020-02-09			40,171(+8%)
2020-02-10			42,638(+6.1%)	48,315(n.a.)
2020-02-11			44,653(+4.7%)	55,220(+14%)
2020-02-12			46,472(+4.1%)	58,761(+6.4%)
2020-02-13			48,467(+4.3%)	63,851(+8.7%)
2020-02-14			49,970(+3.1%)	66,492(+4.1%)
2020-02-15			51,091(+2.2%)	68,500(+3.0%)
2020-02-16				70,548(+3.0%)
2020-02-17				72,436(+2.7%)
2020-02-18				74,185(+2.4%)
2020-02-19				75,002(+1.1%)
2020-02-20				75,891(+1.2%)
2020-02-21				76,288(+0.52%)
2020-02-22				76,936(+0.85%)
2020-02-23				77,150(+0.28%)
2020-02-24				77,658(+0.66%)
2020-02-25				78,064(+0.52%)
2020-02-26				78,497(+0.55%)
2020-02-27				78,824(+0.42%)
2020-02-28				79,251(+0.54%)
2020-02-29				79,824(+0.72%)
2020-03-01				80,026(+0.25%)
2020-03-02				80,151(+0.16%)
2020-03-03				80,270(+0.15%)
2020-03-04				80,409(+0.17%)
2020-03-05				80,552(+0.18%)
2020-03-06				80,651(+0.12%)
2020-03-07				80,695(+0.05%)
2020-03-08				80,735(+0.05%)
2020-03-09				80,754(+0.02%)
2020-03-10				80,778(+0.03%)
2020-03-11				80,793(+0.02%)
2020-03-12				80,813(+0.02%)
2020-03-13				80,824(+0.01%)
2020-03-14				80,844(+0.02%)
2020-03-15				80,860(+0.02%)
2020-03-16				80,881(+0.03%)
2020-03-17				80,894(+0.02%)
2020-03-18				80,928(+0.04%)
2020-03-19				80,967(+0.05%)
2020-03-20				81,008(+0.05%)
2020-03-21				81,054(+0.06%)
2020-03-22				81,093(+0.05%)
2020-03-23				81,171(+0.1%)
2020-03-24				81,218(+0.06%)
2020-03-25				81,285(+0.08%)
2020-03-26				81,340(+0.07%)
2020-03-27				81,394(+0.07%)
2020-03-28				81,439(+0.06%)
2020-03-29				81,470(+0.04%)
2020-03-30				81,518(+0.06%)
2020-03-31				81,554(+0.04%)
2020-04-01				81,589(+0.04%)
2020-04-02				81,620(+0.04%)
2020-04-03				81,639(+0.02%)
2020-04-04				81,669(+0.04%)
2020-04-05				81,708(+0.05%)
2020-04-06				81,740(+0.04%)
2020-04-07				81,802(+0.08%)
2020-04-08				81,865(+0.08%)
2020-04-09				81,907(+0.05%)
2020-04-10				81,953(+0.06%)
2020-04-11				82,052(+0.12%)
2020-04-12				82,160(+0.13%)
2020-04-13				82,249(+0.11%)
2020-04-14				82,295(+0.06%)
2020-04-15				82,341(+0.06%)
2020-04-16				82,692(+0.43%)
2020-04-17				82,719(+0.03%)
2020-04-18				82,735(+0.02%)
2020-04-19				82,747(+0.01%)
2020-04-20				82,758(+0.01%)
2020-04-21				82,788(+0.04%)
2020-04-22				82,798(+0.01%)
2020-04-23				82,804(+0.01%)
2020-04-24				82,816(+0.01%)
2020-04-25				82,827(+0.01%)
2020-04-26				82,830(=)
2020-04-27				82,836(+0.01%)
2020-04-28				82,858(+0.03%)
2020-04-29				82,862(=)
2020-04-30				82,874(+0.01%)
2020-05-01				82,875(=)
2020-05-02				82,877(=)
2020-05-03				82,880(=)
2020-05-04				82,881(=)
2020-05-05				82,883(=)
2020-05-06				82,885(=)
2020-05-07				82,886(=)
2020-05-08				82,887(=)
2020-05-09				82,901(+0.02%)
2020-05-10				82,918(+0.02%)
2020-05-11				82,919(=)
2020-05-12				82,926(+0.01%)
2020-05-13				82,929(=)
2020-05-14				82,933(=)
2020-05-15				82,941(+0.01%)
2020-05-16				82,947(+0.01%)
2020-05-17				82,954(+0.01%)
2020-05-18				82,960(+0.01%)
2020-05-19				82,965(+0.01%)
2020-05-20				82,967(=)
2020-05-21				82,971(=)
2020-05-22				82,971(=)
2020-05-23				82,974(=)
2020-05-24				82,985(+0.01%)
2020-05-25				82,992(+0.01%)
2020-05-26				82,993(=)
2020-05-27				82,995(=)
2020-05-28				82,995(=)
2020-05-29				82,999(=)
2020-05-30				83,001(=)
2020-05-31				83,017(+0.02%)
2020-06-01				83,022(+0.01%)
2020-06-02				83,021(=)
2020-06-03				83,022(=)
2020-06-04				83,027(+0.01%)
2020-06-05				83,030(=)
2020-06-06				83,036(+0.01%)
2020-06-07				83,040(=)
2020-06-08				83,043(=)
2020-06-09				83,046(=)
2020-06-10				83,057(+0.01%)
2020-06-11				83,064(+0.01%)
2020-06-12				83,075(+0.01%)
2020-06-13				83,132(+0.07%)
2020-06-14				83,181(+0.06%)
2020-06-15				83,221(+0.05%)
2020-06-16				83,265(+0.05%)
2020-06-17				83,293(+0.03%)
2020-06-18				83,325(+0.04%)
2020-06-19				83,352(+0.03%)
2020-06-20				83,378(+0.03%)
2020-06-21				83,396(+0.02%)
2020-06-22				83,418(+0.03%)
2020-06-23				83,430(+0.01%)
2020-06-24				83,449(+0.02%)
2020-06-25				83,462(+0.02%)
2020-06-26				83,483(+0.03%)
2020-06-27				83,500(+0.02%)
2020-06-28				83,512(+0.01%)
2020-06-29				83,531(+0.02%)
2020-06-30				83,534(=)
2020-07-01				83,537(=)
2020-07-02				83,542(+0.01%)
2020-07-03				83,545(=)
2020-07-04				83,553(+0.01%)
2020-07-05				83,557(=)
2020-07-06				83,565(+0.01%)
2020-07-07				83,572(+0.01%)
2020-07-08				83,581(+0.01%)
2020-07-09				83,585(=)
2020-07-10				83,587(=)
2020-07-11				83,594(+0.01%)
2020-07-12				83,602(+0.01%)
2020-07-13				83,605(=)
2020-07-14				83,611(+0.01%)
2020-07-15				83,612(=)
2020-07-16				83,622(+0.01%)
2020-07-17				83,644(+0.03%)
2020-07-18				83,660(+0.02%)
2020-07-19				83,682(+0.03%)
2020-07-20				83,693(+0.01%)
2020-07-21				83,707(+0.02%)
2020-07-22				83,729(+0.03%)
2020-07-23				83,750(+0.03%)
2020-07-24				83,784(+0.04%)
2020-07-25				83,830(+0.05%)
2020-07-26				83,891(+0.07%)
2020-07-27				83,959(+0.08%)
2020-07-28				84,060(+0.12%)
2020-07-29				84,165(+0.12%)
2020-07-30				84,292(+0.15%)
2020-07-31				84,337(+0.05%)
2020-08-01				84,385(+0.06%)
2020-08-02				84,428(+0.05%)
2020-08-03				84,464(+0.04%)
2020-08-04				84,491(+0.03%)
2020-08-05				84,528(+0.04%)
2020-08-06				84,565(+0.04%)
2020-08-07				84,596(+0.04%)
2020-08-08				84,619(+0.03%)
2020-08-09				84,668(+0.06%)
2020-08-10				84,712(+0.05%)
2020-08-11				84,737(+0.03%)
2020-08-12				84,756(+0.02%)
2020-08-13				84,786(+0.04%)
2020-08-14				84,808(+0.03%)
2020-08-15				84,827(+0.02%)
2020-08-16				84,849(+0.03%)
2020-08-17				84,871(+0.03%)
2020-08-18				84,888(+0.02%)
2020-08-19				84,895(+0.01%)
2020-08-20				84,917(+0.03%)
2020-08-21				84,939(+0.03%)
2020-08-22				84,951(+0.01%)
2020-08-23				84,967(+0.02%)
2020-08-24				84,981(+0.02%)
2020-08-25				84,996(+0.02%)
2020-08-26				85,004(+0.01%)
2020-08-27				85,013(+0.01%)
2020-08-28				85,022(+0.01%)
2020-08-29				85,031(+0.01%)
2020-08-30				85,048(+0.02%)
2020-08-31				85,058(+0.01%)
2020-09-01				85,066(+0.01%)
2020-09-02				85,077(+0.01%)
2020-09-03				85,102(+0.03%)
2020-09-04				85,112(+0.01%)
2020-09-05				85,122(+0.01%)
2020-09-06				85,134(+0.01%)
2020-09-07				85,144(+0.01%)
2020-09-08				85,146(=)
2020-09-09				85,153(+0.01%)
2020-09-10				85,168(+0.02%)
2020-09-11				85,174(+0.01%)
2020-09-12				85,184(+0.01%)
2020-09-13				85,194(+0.01%)
2020-09-14				85,202(+0.01%)
2020-09-15				85,214(+0.01%)
2020-09-16				85,223(+0.01%)
2020-09-17				85,255(+0.04%)
2020-09-18				85,269(+0.02%)
2020-09-19				85,279(+0.01%)
2020-09-20				85,291(+0.01%)
2020-09-21				85,297(+0.01%)
2020-09-22				85,307(+0.01%)
2020-09-23				85,314(+0.01%)
2020-09-24				85,322(+0.01%)
2020-09-25				85,337(+0.02%)
2020-09-26				85,351(+0.02%)
2020-09-27				85,372(+0.02%)
2020-09-28				85,384(+0.01%)
2020-09-29				85,403(+0.02%)
2020-09-30				85,414(+0.01%)
2020-10-01				85,424(+0.01%)
2020-10-02				85,434(+0.01%)
2020-10-03				85,450(+0.02%)
2020-10-04				85,470(+0.02%)
2020-10-05				85,482(+0.01%)
2020-10-06				85,489(+0.01%)
2020-10-07				85,500(+0.01%)
2020-10-08				85,521(+0.02%)
2020-10-09				85,536(+0.02%)
2020-10-10				85,557(+0.02%)
2020-10-11				85,578(+0.02%)
2020-10-12				85,591(+0.02%)
2020-10-13				85,611(+0.02%)
2020-10-14				85,622(+0.01%)
2020-10-15				85,646(+0.03%)
2020-10-16				85,659(+0.02%)
2020-10-17				85,672(+0.02%)
2020-10-18				85,685(+0.02%)
2020-10-19				85,704(+0.02%)
2020-10-20				85,715(+0.01%)
2020-10-21				85,729(+0.02%)
2020-10-22				85,747(+0.02%)
2020-10-23				85,775(+0.03%)
2020-10-24				85,790(+0.02%)
2020-10-25				85,810(+0.02%)
2020-10-26				85,826(+0.02%)
2020-10-27				85,868(+0.05%)
2020-10-28				85,915(+0.05%)
2020-10-29				85,940(+0.03%)
2020-10-30				85,973(+0.04%)
2020-10-31				85,997(+0.03%)
2020-11-01				86,021(+0.03%)
2020-11-02				86,070(+0.06%)
2020-11-03				86,087(+0.02%)
2020-11-04				86,115(+0.03%)
2020-11-05				86,151(+0.04%)
2020-11-06				86,184(+0.04%)
2020-11-07				86,212(+0.03%)
2020-11-08				86,245(+0.04%)
2020-11-09				86,267(+0.03%)
2020-11-10				86,284(+0.02%)
2020-11-11				86,299(+0.02%)
2020-11-12				86,307(+0.01%)
2020-11-13				86,325(+0.02%)
2020-11-14				86,338(+0.02%)
2020-11-15				86,346(+0.01%)
2020-11-16				86,361(+0.02%)
2020-11-17				86,369(+0.01%)
2020-11-18				86,381(+0.01%)
2020-11-19				86,398(+0.02%)
2020-11-20				86,414(+0.02%)
2020-11-21				86,431(+0.02%)
2020-11-22				86,442(+0.01%)
2020-11-23				86,464(+0.03%)
2020-11-24				86,469(+0.01%)
2020-11-25				86,490(+0.02%)
2020-11-26				86,495(+0.01%)
2020-11-27				86,501(+0.01%)
2020-11-28				86,512(+0.01%)
2020-11-29				86,530(+0.02%)
2020-11-30				86,542(+0.01%)
2020-12-01				86,551(+0.01%)
2020-12-02				86,567(+0.02%)
2020-12-03				86,584(+0.02%)
2020-12-04				86,601(+0.02%)
2020-12-05				86,619(+0.02%)
2020-12-06				86,634(+0.02%)
2020-12-07				86,646(+0.01%)
2020-12-08				86,661(+0.02%)
2020-12-09				86,673(+0.01%)
2020-12-10				86,688(+0.02%)
2020-12-11				86,701(+0.01%)
2020-12-12				86,725(+0.03%)
2020-12-13				86,741(+0.02%)
2020-12-14				86,758(+0.02%)
2020-12-15				86,770(+0.01%)
2020-12-16				86,777(+0.01%)
2020-12-17				86,789(+0.01%)
2020-12-18				86,806(+0.02%)
2020-12-19				86,829(+0.03%)
2020-12-20				86,852(+0.03%)
2020-12-21				86,867(+0.02%)
2020-12-22				86,882(+0.02%)
2020-12-23				86,899(+0.02%)
2020-12-24				86,913(+0.02%)
2020-12-25				86,933(+0.02%)
2020-12-26				86,955(+0.03%)
2020-12-27				86,976(+0.02%)
2020-12-28				87,003(+0.03%)
2020-12-29				87,027(+0.03%)
2020-12-30				87,052(+0.03%)
2020-12-31				87,071(+0.02%)
2021-01-01				87,093(+0.03%)
2021-01-02				87,117(+0.03%)
2021-01-03				87,150(+0.04%)
2021-01-04				87,183(+0.04%)
2021-01-05				87,215(+0.04%)
2021-01-06				87,278(+0.07%)
2021-01-07				87,331(+0.06%)
2021-01-08				87,364(+0.04%)
2021-01-09				87,433(+0.08%)
2021-01-10				87,536(+0.12%)
2021-01-11				87,591(+0.06%)
2021-01-12				87,706(+0.13%)
2021-01-13				87,844(+0.16%)
2021-01-14				87,988(+0.16%)
2021-01-15				88,118(+0.15%)
2021-01-16				88,227(+0.12%)
2021-01-17				88,336(+0.12%)
2021-01-18				88,454(+0.13%)
2021-01-19				88,557(+0.12%)
2021-01-20				88,701(+0.16%)
2021-01-21				88,804(+0.12%)
2021-01-22				88,911(+0.12%)
2021-01-23				88,991(+0.09%)
2021-01-24				89,115(+0.14%)
2021-01-25				89,197(+0.09%)
2021-01-26				89,272(+0.08%)
2021-01-27				89,326(+0.06%)
2021-01-28				89,378(+0.06%)
2021-01-29				89,430(+0.06%)
2021-01-30				89,522(+0.1%)
2021-01-31				89,564(+0.05%)
2021-02-01				89,594(+0.03%)
2021-02-02				89,619(+0.03%)
2021-02-03				89,649(+0.03%)
2021-02-04				89,669(+0.02%)
2021-02-05				89,681(+0.01%)
2021-02-06				89,692(+0.01%)
2021-02-07				89,706(+0.02%)
2021-02-08				89,720(+0.02%)
2021-02-09				89,734(+0.02%)
2021-02-10				89,736(=)
2021-02-11				89,748(+0.01%)
2021-02-12				89,756(+0.01%)
2021-02-13				89,763(+0.01%)
2021-02-14				89,772(+0.01%)
2021-02-15				89,788(+0.02%)
2021-02-16				89,795(+0.01%)
2021-02-17				89,806(+0.01%)
2021-02-18				89,816(+0.01%)
2021-02-19				89,824(+0.01%)
2021-02-20				89,831(+0.01%)
2021-02-21				89,842(+0.01%)
2021-02-22				89,852(+0.01%)
2021-02-23				89,864(+0.01%)
2021-02-24				89,871(+0.01%)
2021-02-25				89,877(+0.01%)
2021-02-26				89,887(+0.01%)
2021-02-27				89,893(+0.01%)
2021-02-28				89,912(+0.02%)
2021-03-01				89,923(+0.01%)
2021-03-02				89,933(+0.01%)
2021-03-03				89,943(+0.01%)
2021-03-04				89,952(+0.01%)
2021-03-05				89,962(+0.01%)
2021-03-06				89,975(+0.01%)
2021-03-07				89,994(+0.02%)
2021-03-08				90,002(+0.01%)
2021-03-09				90,007(+0.01%)
2021-03-10				90,018(+0.01%)
2021-03-11				90,027(+0.01%)
2021-03-12				90,034(+0.01%)
2021-03-13				90,044(+0.01%)
2021-03-14				90,049(+0.01%)
2021-03-15				90,062(+0.01%)
2021-03-16				90,066(=)
2021-03-17				90,072(+0.01%)
2021-03-18				90,083(+0.01%)
2021-03-19				90,087(=)
2021-03-20				90,099(+0.01%)
2021-03-21				90,106(+0.01%)
2021-03-22				90,115(+0.01%)
2021-03-23				90,125(+0.01%)
2021-03-24				90,136(+0.01%)
2021-03-25				90,147(+0.01%)
2021-03-26				90,159(+0.01%)
2021-03-27				90,167(+0.01%)
2021-03-28				90,182(+0.02%)
2021-03-29				90,190(+0.01%)
2021-03-30				90,201(+0.01%)
2021-03-31				90,217(+0.02%)
2021-04-01				90,226(+0.01%)
2021-04-02				90,252(+0.03%)
2021-04-03				90,273(+0.02%)
2021-04-04				90,305(+0.04%)
2021-04-05				90,329(+0.03%)
2021-04-06				90,341(+0.01%)
2021-04-07				90,365(+0.03%)
2021-04-08				90,386(+0.02%)
2021-04-09				90,400(+0.02%)
2021-04-10				90,410(+0.01%)
2021-04-11				90,426(+0.02%)
2021-04-12				90,435(+0.01%)
2021-04-13				90,447(+0.01%)
2021-04-14				90,457(+0.01%)
2021-04-15				90,468(+0.01%)
2021-04-16				90,483(+0.02%)
2021-04-17				90,499(+0.02%)
2021-04-18				90,510(+0.01%)
2021-04-19				90,520(+0.01%)
2021-04-20				90,541(+0.02%)
2021-04-21				90,547(+0.01%)
2021-04-22				90,566(+0.02%)
2021-04-23				90,575(+0.01%)
2021-04-24				90,588(+0.01%)
2021-04-25				90,599(+0.01%)
2021-04-26				90,610(+0.01%)
2021-04-27				90,622(+0.01%)
2021-04-28				90,642(+0.02%)
2021-04-29				90,655(+0.01%)
2021-04-30				90,671(+0.02%)
2021-05-01				90,686(+0.02%)
2021-05-02				90,697(+0.01%)
2021-05-03				90,714(+0.02%)
2021-05-04				90,721(+0.01%)
2021-05-05				90,726(+0.01%)
2021-05-06				90,739(+0.01%)
2021-05-07				90,746(+0.01%)
2021-05-08				90,758(+0.01%)
2021-05-09				90,769(+0.01%)
2021-05-10				90,783(+0.02%)
2021-05-11				90,799(+0.02%)
2021-05-12				90,808(+0.01%)
2021-05-13				90,815(+0.01%)
2021-05-14				90,829(+0.02%)
2021-05-15				90,847(+0.02%)
2021-05-16				90,872(+0.03%)
2021-05-17				90,894(+0.02%)
2021-05-18				90,908(+0.02%)
2021-05-19				90,920(+0.01%)
2021-05-20				90,944(+0.03%)
2021-05-21				90,954(+0.01%)
2021-05-22				90,973(+0.02%)
2021-05-23				90,991(+0.02%)
2021-05-24				91,006(+0.02%)
2021-05-25				91,019(+0.01%)
2021-05-26				91,038(+0.02%)
2021-05-27				91,045(+0.01%)
2021-05-28				91,061(+0.02%)
2021-05-29				91,072(+0.01%)
2021-05-30				91,099(+0.03%)
2021-05-31				91,122(+0.03%)
2021-06-01				91,146(+0.03%)
2021-06-02				91,170(+0.03%)
2021-06-03				91,194(+0.03%)
2021-06-04				91,218(+0.03%)
2021-06-05				91,248(+0.03%)
2021-06-06				91,267(+0.02%)
2021-06-07				91,300(+0.04%)
2021-06-08				91,316(+0.02%)
2021-06-09				91,337(+0.02%)
2021-06-10				91,359(+0.02%)
2021-06-11				91,394(+0.04%)
2021-06-12				91,428(+0.04%)
2021-06-13				91,451(+0.03%)
2021-06-14				91,471(+0.02%)
2021-06-15				91,492(+0.02%)
2021-06-16				91,511(+0.02%)
2021-06-17				91,534(+0.03%)
2021-06-18				91,564(+0.03%)
2021-06-19				91,587(+0.03%)
2021-06-20				91,604(+0.02%)
2021-06-21				91,629(+0.03%)
2021-06-22				91,653(+0.03%)
2021-06-23				91,669(+0.02%)
2021-06-24				91,693(+0.03%)
2021-06-25				91,718(+0.03%)
2021-06-26				91,732(+0.02%)
2021-06-27				91,753(+0.02%)
2021-06-28				91,771(+0.02%)
2021-06-29				91,780(+0.01%)
2021-06-30				91,792(+0.01%)
2021-07-01				91,810(+0.02%)
2021-07-02				91,833(+0.03%)
2021-07-03				91,847(+0.02%)
2021-07-04				91,869(+0.02%)
2021-07-05				91,892(+0.03%)
2021-07-06				91,949(+0.06%)
2021-07-07				91,966(+0.02%)
2021-07-08				91,989(+0.03%)
2021-07-09				92,015(+0.03%)
2021-07-10				92,039(+0.03%)
2021-07-11				92,066(+0.03%)
2021-07-12				92,095(+0.03%)
2021-07-13				92,119(+0.03%)
2021-07-14				92,147(+0.03%)
2021-07-15				92,183(+0.04%)
2021-07-16				92,213(+0.03%)
2021-07-17				92,246(+0.04%)
2021-07-18				92,277(+0.03%)
2021-07-19				92,342(+0.07%)
2021-07-20				92,364(+0.02%)
2021-07-21				92,414(+0.05%)
2021-07-22				92,462(+0.05%)
2021-07-23				92,497(+0.04%)
2021-07-24				92,529(+0.03%)
2021-07-25				92,605(+0.08%)
2021-07-26				92,676(+0.08%)
2021-07-27				92,762(+0.09%)
2021-07-28				92,811(+0.05%)
2021-07-29				92,875(+0.07%)
2021-07-30				92,930(+0.06%)
2021-07-31				93,005(+0.08%)
2021-08-01				93,103(+0.11%)
2021-08-02				93,193(+0.1%)
2021-08-03				93,289(+0.1%)
2021-08-04				93,374(+0.09%)
2021-08-05				93,498(+0.13%)
2021-08-06				93,605(+0.11%)
2021-08-07				93,701(+0.1%)
2021-08-08				93,826(+0.13%)
2021-08-09				93,969(+0.15%)
2021-08-10				94,080(+0.12%)
2021-08-11				94,161(+0.09%)
2021-08-12				94,260(+0.11%)
2021-08-13				94,326(+0.07%)
2021-08-14				94,379(+0.06%)
2021-08-15				94,430(+0.05%)
2021-08-16				94,472(+0.04%)
2021-08-17				94,500(+0.03%)
2021-08-18				94,546(+0.05%)
2021-08-19				94,579(+0.03%)
2021-08-20				94,599(+0.02%)
2021-08-21				94,631(+0.03%)
2021-08-22				94,652(+0.02%)
2021-08-23				94,687(+0.04%)
2021-08-24				94,707(+0.02%)
2021-08-25				94,733(+0.03%)
2021-08-26				94,765(+0.03%)
2021-08-27				94,786(+0.02%)
2021-08-28				94,819(+0.03%)
2021-08-29				94,842(+0.02%)
2021-08-30				94,879(+0.04%)
2021-08-31				94,898(+0.02%)
2021-09-01				94,926(+0.03%)
2021-09-02				94,954(+0.03%)
2021-09-03				94,982(+0.03%)
2021-09-04				95,010(+0.03%)
2021-09-05				95,028(+0.02%)
2021-09-06				95,064(+0.04%)
2021-09-07				95,083(+0.02%)
2021-09-08				95,111(+0.03%)
2021-09-09				95,128(+0.02%)
2021-09-10				95,153(+0.03%)
2021-09-11				95,199(+0.05%)
2021-09-12				95,248(+0.05%)
2021-09-13				95,340(+0.1%)
2021-09-14				95,413(+0.08%)
2021-09-15				95,493(+0.08%)
2021-09-16				95,577(+0.09%)
2021-09-17				95,623(+0.05%)
2021-09-18				95,689(+0.07%)
2021-09-19				95,738(+0.05%)
2021-09-20				95,810(+0.08%)
2021-09-21				95,851(+0.04%)
2021-09-22				95,894(+0.04%)
2021-09-23				95,948(+0.06%)
2021-09-24				95,986(+0.04%)
2021-09-25				96,015(+0.03%)
2021-09-26				96,050(+0.04%)
2021-09-27				96,081(+0.03%)
2021-09-28				96,106(+0.03%)
2021-09-29				96,128(+0.02%)
2021-09-30				96,162(+0.04%)
2021-10-01				96,203(+0.04%)
2021-10-02				96,231(+0.03%)
2021-10-03				96,258(+0.03%)
2021-10-04				96,284(+0.03%)
2021-10-05				96,310(+0.03%)
2021-10-06				96,335(+0.03%)
2021-10-07				96,357(+0.02%)
2021-10-08				96,374(+0.02%)
2021-10-09				96,398(+0.02%)
2021-10-10				96,423(+0.03%)
2021-10-11				96,435(+0.01%)
2021-10-12				96,457(+0.02%)
2021-10-13				96,478(+0.02%)
2021-10-14				96,488(+0.01%)
2021-10-15				96,502(+0.01%)
2021-10-16				96,522(+0.02%)
2021-10-17				96,546(+0.02%)
2021-10-18				96,571(+0.03%)
2021-10-19				96,601(+0.03%)
2021-10-20				96,622(+0.02%)
2021-10-21				96,665(+0.04%)
2021-10-22				96,715(+0.05%)
2021-10-23				96,758(+0.04%)
2021-10-24				96,797(+0.04%)
2021-10-25				96,840(+0.04%)
2021-10-26				96,899(+0.06%)
2021-10-27				96,938(+0.04%)
2021-10-28				97,002(+0.07%)
2021-10-29				97,080(+0.08%)
2021-10-30				97,151(+0.07%)
2021-10-31				97,243(+0.09%)
2021-11-01				97,314(+0.07%)
2021-11-02				97,423(+0.11%)
2021-11-03				97,527(+0.11%)
2021-11-04				97,605(+0.08%)
2021-11-05				97,660(+0.06%)
2021-11-06				97,734(+0.08%)
2021-11-07				97,823(+0.09%)
2021-11-08				97,885(+0.06%)
2021-11-09				97,939(+0.06%)
2021-11-10				98,001(+0.06%)
2021-11-11				98,099(+0.1%)
2021-11-12				98,174(+0.08%)
2021-11-13				98,263(+0.09%)
2021-11-14				98,315(+0.05%)
2021-11-15				98,337(+0.02%)
2021-11-16				98,368(+0.03%)
2021-11-17				98,403(+0.04%)
2021-11-18				98,427(+0.02%)
2021-11-19				98,450(+0.02%)
2021-11-20				98,467(+0.02%)
2021-11-21				98,505(+0.04%)
2021-11-22				98,524(+0.02%)
2021-11-23				98,546(+0.02%)
2021-11-24				98,570(+0.02%)
2021-11-25				98,583(+0.01%)
2021-11-26				98,608(+0.03%)
2021-11-27				98,631(+0.02%)
2021-11-28				98,672(+0.04%)
2021-11-29				98,711(+0.04%)
2021-11-30				98,824(+0.11%)
2021-12-01				98,897(+0.07%)
2021-12-02				98,993(+0.1%)
2021-12-03				99,083(+0.09%)
2021-12-04				99,142(+0.06%)
2021-12-05				99,203(+0.06%)
2021-12-06				99,297(+0.09%)
2021-12-07				99,371(+0.07%)
2021-12-08				99,454(+0.08%)
2021-12-09				99,517(+0.06%)
2021-12-10				99,604(+0.09%)
2021-12-11				99,679(+0.08%)
2021-12-12				99,780(+0.1%)
2021-12-13				99,856(+0.08%)
2021-12-14				99,923(+0.07%)
2021-12-15				100,000(+0.08%)
2021-12-16				100,076(+0.08%)
2021-12-17				100,201(+0.12%)
2021-12-18				100,284(+0.08%)
2021-12-19				100,386(+0.1%)
2021-12-20				100,467(+0.08%)
2021-12-21				100,544(+0.08%)
2021-12-22				100,644(+0.1%)
2021-12-23				100,731(+0.09%)
2021-12-24				100,871(+0.14%)
2021-12-25				101,077(+0.2%)
2021-12-26				101,277(+0.2%)
2021-12-27				101,486(+0.21%)
2021-12-28				101,683(+0.19%)
2021-12-29				101,890(+0.2%)
2021-12-30				102,083(+0.19%)
2021-12-31				102,314(+0.23%)
2022-01-01				102,505(+0.19%)
2022-01-02				102,666(+0.16%)
2022-01-03				102,841(+0.17%)
2022-01-04				102,932(+0.09%)
2022-01-05				103,121(+0.18%)
2022-01-06				103,295(+0.17%)
2022-01-07				103,454(+0.15%)
2022-01-08				103,619(+0.16%)
2022-01-09				103,776(+0.15%)
2022-01-10				103,968(+0.19%)
2022-01-11				104,189(+0.21%)
2022-01-12				104,379(+0.18%)
2022-01-13				104,580(+0.19%)
2022-01-14				104,745(+0.16%)
2022-01-15				104,864(+0.11%)
2022-01-16				105,087(+0.21%)
2022-01-17				105,258(+0.16%)
2022-01-18				105,345(+0.08%)
2022-01-19				105,411(+0.06%)
2022-01-20				105,484(+0.07%)
2022-01-21				105,547(+0.06%)
2022-01-22				105,603(+0.05%)
2022-01-23				105,660(+0.05%)
2022-01-24				105,705(+0.04%)
2022-01-25				105,749(+0.04%)
2022-01-26				105,811(+0.06%)
2022-01-27				105,875(+0.06%)
2022-01-28				105,934(+0.06%)
2022-01-29				106,015(+0.08%)
2022-01-30				106,073(+0.05%)
2022-01-31				106,139(+0.06%)
From 10 February 2020 onwards, the data includes the cases in Hubei that were not tested for the virus but clinically diagnosed based on medical imaging showing signs of pneumonia. The lab-tested data was also separately available for 10–15 February 2020. Data from 16 February 2020 onwards did not include a separate number of lab-tested cases. From 19 February 2020 onwards, only new lab-tested cases were counted towards the total (but clinically diagnosed cases counted earlier were not discarded). On 17 April 2020, following the Wuhan government's issuance of a report on accounting for COVID-19 deaths that occurred at home that went previously unreported, as well as the subtraction of deaths that were previously double-counted by different hospitals, the NHC revised their cumulative totals dating to 16 April, adding 325 cumulative cases and 1,290 deaths. Data sourced from NHC daily reports. (In another link before January 25, on Wuhan MHC website before January 10)

On 17 January, an Imperial College group in the United Kingdom published a report that there had been 1,723 cases (95% confidence interval, 427–4,471) with onset of symptoms by 12 January. This was based on the pattern of the initial spread to Thailand and Japan. They also concluded that "self-sustaining human-to-human transmission should not be ruled out", which has since been confirmed as happening. As further cases came to light, they later recalculated that "4,000 cases of 2019-nCoV in Wuhan City had onset of symptoms by 18 January 2020". A Hong Kong University group has reached a similar conclusion as the earlier study, with additional detail on transport within China.

On 20 January, China reported a sharp rise in cases with nearly 140 new patients, including two people in Beijing and one in Shenzhen. On 25 January, the number of laboratory-confirmed cases stood at 2,062, including 2,016 in Mainland China, seven in Thailand, six in Hong Kong, five in Macau, five in Australia, four in Malaysia, four in Singapore, three in France, three in Japan, three in South Korea, three in Taiwan, three in the United States, two in Vietnam, and one in Nepal.

Super-spreaders were suspected multiple times by different experts and media. A widely believed super-spreader patient was reported to have infected 14 different members of medical staff. On 25 January, Gao Fu, the head of Chinese Center for Disease Control and Prevention denied such claims and "dismissed a media report" claiming this, according to an announcement made to the official Xinhua News Agency. Earlier the same day, however, China Newsweek (operated by another official news agency, China News Service), citing an expert from Peking University, claimed that the aforementioned patient could be considered a super-spreader already, and criticised the hospitals involved for not having properly protected the staff who came in contact with the patient. China Newsweek also criticised the government's censorship, saying all doctors and nurses, except those in the fever clinic, have "basically nothing but a mask" to protect themselves.

The mortality rate of 2019-nCoV has so far been less than 5%, compared to 9.5% with SARS in 2003/2004, and with 34.5% with MERS in 2012. However, it is also important to note that this early into the outbreak the tentative mortality rate is liable to change.

Characteristics

Main article: Novel coronavirus (2019-nCoV)

Transmission

The virus is transmissible from human to human via droplets when breathing or coughing or via contacts. Several key aspects are still unknown, such as the ratio of asymptomatic, healthy carriers of the virus. The detected cases with symptoms, pneumonic complications and deaths are likely the visible part of a larger epidemic.

Transmission of pathogens from human to human

A public health official in the U.S. state of Washington noted that coronaviruses are primarily transmitted "through close contact with another individual, in particular through coughing and sneezing on somebody else who is within a range of about 3 feet (0.91 m) to 6 feet (1.8 m) from that person." A study of the Wuhan (2019-nCoV) coronavirus published in a bioRxiv preprint on 23 January 2020, "found the basic reproduction number, R₀, to be around 2.2 (90% high density interval 1.4–3.8), indicating the potential for sustained human-to-human transmission" and noted that transmission characteristics were "of a similar magnitude to severe acute respiratory syndrome-related coronavirus (SARSCoV)."

Basic reproduction number

Semi-log plot of confirmed cases and deaths indicates the epidemic is in an exponential phase.

The transmissibility of the virus between human-to-human has been variable, with some affected people not transmitting the virus to others while others have been able to spread the infection to several people. The basic reproduction number for the human-to-human transmission of the virus has been estimated as between 1.4 and 3.8 by several research groups. The number describes how many people a newly infected person is likely to pass the virus to in the population. The new coronavirus has been reportedly able to transmit down a chain of up to four people so far.

Signs and symptoms

Symptoms of 2019-nCoV (Wuhan coronavirus). There are reports that it may spread even without symptoms.

A doctor in a protective bunny suit sees a patient in a Wuhan hospital.

Reported symptoms have included fever, fatigue, dry cough, shortness of breath, and respiratory distress. Cases of severe infection can result in pneumonia, kidney failure, and death. Upper respiratory symptoms such as sneezing, a runny nose or sore throat are less frequent.

Among the first 41 confirmed cases admitted to hospitals in Wuhan, 13 (32%) individuals had another chronic condition, like diabetes or hypertension. Overall, 13 (32%) individuals required intensive care, and 6 (15%) individuals died. In a statement issued on 23 January 2020, WHO Director-General Tedros Adhanom Ghebreyesus stated that many of those who died had other conditions such as hypertension, diabetes, or cardiovascular disease that impaired their immune systems.

Testing protocol

On 15 January 2020, the WHO published a protocol on diagnostic testing for 2019-nCoV, developed by a virology team from the Charité University of Medicine in Germany. Since then, several other testing protocols have been proposed, and published by the WHO.

Concerns of under-reporting

There are concerns on whether adequate medical personnel and equipment are available in regions affected by the outbreak for hospitals to correctly identify coronavirus cases instead of misdiagnosing suspected cases as "severe pneumonia". Many of those experiencing symptoms may decide to self-quarantine at home instead of going to a hospital due to long wait-times and cramped conditions.

Estimates

Based on cases reported and assuming a 10-day delay between infection and detection, researchers at Northeastern University and Imperial College London estimated that the number of actual infections may be 10 times higher than those confirmed at the time of reporting. Imperial College estimated 4,000 cases with 440 confirmed by 21 January 2020, Northeastern University estimated 21,300 infections by 26 January, increasing to 26,200 infections by 27 January (with a confidence of 95% within the interval 19,200-34,800).

Prevention and management

Main methods

See also: Novel coronavirus (2019-nCoV) § Vaccine research, and Novel coronavirus (2019-nCoV) § Treatment

Infrared cameras were installed in Wuhan railway station to check passengers' body temperature before they board the trains.

2019-nCoV does not have an effective medicine treatment or vaccine, though efforts to develop some are underway. Its symptoms include, among others, fever, breathing difficulties and coughing, which have been described as "flu-like". To prevent infection, the WHO recommends "regular hand washing, covering mouth and nose when coughing and sneezing… [and] avoid[ing] close contact with anyone showing symptoms of respiratory illness (such as coughing and sneezing)."

Though there are no specific treatments for general human coronaviruses, the Centers for Disease Control and Prevention of the United States provides generic advice that an infected person can relieve their symptoms by taking regular flu medications, drinking fluids and resting. Some countries require people to report flu-like symptoms to their doctor, especially if they have visited China.

Domestic responses

'Aerial photography of roads after motor vehicles are banned in central urban areas of Wuhan: few vehicle traces' – Video news from China News Service

Passengers wearing masks going through an extra body temperature check as part of airport security. Captured on 26 January in NE China's Changchun Longjia Airport

Hong Kong residents queueing to refund their bullet train tickets to the mainland in West Kowloon railway station

On 20 January, Chinese Communist Party general secretary Xi Jinping made his first public remark on the outbreak and "spoke of the need for the timely release of information," according to state-run News Agency. Chinese premier Li Keqiang also urged efforts to prevent and control the epidemic. One day later, the Central Political and Legal Affairs Commission of the Chinese Communist Party, the most powerful political organ in China overseeing legal enforcement and the police, wrote "self-deception will only make the epidemic worse and turn a natural disaster that was controllable into a man-made disaster at great cost," and "only openness can minimise panic to the greatest extent." The commission then added, "anyone who deliberately delays and hides the reporting of cases out of self-interest will be nailed on a pillar of shame for eternity."

However, also on the same day, Xi Jinping reportedly instructed authorities "to strengthen the guidance of public opinions", language which some view as a call for censorship after commentators on social media became increasingly pointedly critical and angry at the government due to the epidemic. Notably, many Chinese citizens have reportedly used innovative methods to avoid censorship and express anger about how government officials have handled the outbreak, such as using the word 'Trump' to refer to Xi Jinping, or 'Chernobyl' to refer to the outbreak as a whole. Some view this as contradictory to the calls for "openness" that he had already declared. Since then, incidents have been noted where police have detained people for supposedly such online posts, with an case on 25 January in Tianjin where a man was detained for 10 days for “maliciously publishing aggressive, insulting speech against medical personnel.”

On 25 January, Politburo of the Communist Party of China met to discuss novel coronavirus prevention and control. Chinese Communist Party general secretary Xi Jinping stated that the country is facing a "grave situation" as the number of infected people is accelerating. In the evening, the authorities banned the use of private vehicles in Wuhan. Only vehicles that are transporting critical supplies or emergency response vehicles are allowed to move within the city.

On 26 January, a leading group on the prevention and control of the novel coronavirus outbreak was established, led by Premier Li Keqiang. The leading group has decided to extend Spring Festival holiday to contain coronavirus outbreak.

China Customs started to require all passengers entering and exiting China to fill out an extra health declaration form starting 26 January. The health declaration form was mentioned in China's Frontier Health and Quarantine Law, granting the customs rights to require it if needed. The customs said it will "restart this system" as it was not a requirement before.

On 27 January, Premier Li Keqiang visited Wuhan to direct the epidemic prevention work.

Authorities across China announced school closures and delayed the spring semester. All schools ranging from kindergartens to universities in the whole of Hubei province will have their winter break prolonged and the exact date of the new semester will be announced later, according to a statement made on 24 January. China's Ministry of Education also asked all schools to halt public assemblies and delay major exams. Some universities with open campuses also banned the public from visiting. The education department in Hunan province, which neighbours the centre of the outbreak Hubei province, stressed on the official newspaper Hunan Daily on 23 January, claiming it will strictly ban off-school tutors and restrict unapproved student gatherings, which are all common practices in China for students to get better grades. Education departments in Shanghai and Shenzhen also imposed bans on off-school tutoring and ask schools to track and report students who have been to Wuhan or Hubei province during the winter break. Several universities, including China's top-ranking Peking University and Tsinghua University announced the spring semesters will be delayed on 26 January. The semi-autonomous regions Hong Kong and Macau also announced adjustments on schooling schedules. Hong Kong's Chief Executive Carrie Lam declared an emergency at a press conference on 25 January, saying the government will close primary and secondary schools for two more weeks on top of the previously scheduled Lunar New Year holiday, pushing the date for school reopening to 17 February. Macau closed several museums and libraries, and prolonged the Lunar New Year holiday break to 11 February for higher education institutions and 10 February for others. The University of Macau said they will track the physical conditions of students who have been to Wuhan during the Lunar New Year break.

On 27 January, the General Office of the State Council of China, one of the top governing bodies of the People's Republic, officially declared a nation-wide extension on the Lunar New Year holiday and the postponement of the coming spring semester. The Office extended the previously scheduled public holiday from 30 January to 2 February, while it said school openings for the spring semester will be announced in the future.

After the Chinese Lunar New Year on 25 January, there would be another peak of people travelling back from their hometowns to workplaces as a part of Chunyun. Several provinces and cities started to encourage people to stay in their hometowns and not travel back. Eastern China's Suzhou also encouraged remote working via the Internet and further prolonged the spring festival break.

The Civil Aviation Administration of China and the China State Railway Group, which regulates China's civil aviation and operates rail services, announced on 24 January that passengers could have full refunds for their plane and train tickets without any additional surcharges, regardless of whether their flight or train will go through Wuhan or not. Some hotel chains and online travel agencies also allowed more flexibility in cancellations and changes. China's Ministry of Culture and Tourism ordered travel agencies and online tourism firms to suspend package tours and stop offering "flight+hotel" bundles.

More provinces and cities outside the most contaminated Hubei started to restrict travel. Beijing suspended all intercity bus coaches on 25 January, with several others follow suit. Shanghai, Tianjin, Shandong, Xi'an, and Sanya all announced suspension of intercity or inter-province bus services on 26 January.

International responses

See also: Timeline of the 2019–20 Wuhan coronavirus outbreak § Reactions and measures outside Mainland China

Since 31 December 2019, some regions and countries near China tightened their screening of selected travellers. The US Centers for Disease Control and Prevention (CDC) later issued a Level 1 travel watch. Guidances and risk assessments were shortly posted by others including the European Centre for Disease Prevention and Control and Public Health England. In China, airports, railway stations and coach stations installed infrared thermometers. People with fevers are subsequently taken to medical institutions after being registered and given masks. Real time Reverse Transcription-Polymerase Chain Reaction (rRT-PCR) test was used to confirm new cases of coronavirus infection.

An analysis of air travel patterns was used to map out and predict patterns of spread and was published in the Journal of Travel Medicine in mid-January 2020. Based on information from the International Air Transport Association (2018), Bangkok, Hong Kong, Tokyo, and Taipei had the largest volume of travellers from Wuhan. Dubai, Sydney and Melbourne were also reported as popular destinations for people travelling from Wuhan. Using the validated tool, the Infectious Disease Vulnerability Index (IDVI), to assess the ability to manage a disease threat, Bali was reported as least able in preparedness, while cities in Australia were considered most able.

On 22 January 2020, North Korea closed its borders to international tourists to prevent the spread of the virus into the country. Chinese visitors make up the bulk of foreign tourists to North Korea.

Also on 22 January, the AFC announced that it would be moving the matches in the third round of the 2020 AFC Women's Olympic Qualifying Tournament from Wuhan to Nanjing, affecting the women's national team squads from Australia, China PR, Chinese Taipei and Thailand. A few days later, the AFC announced that together with Football Federation Australia they would be moving the matches to Sydney. The Asia-Pacific Olympic boxing qualifiers, which were originally set to be held in Wuhan from 3–14 February, were also cancelled and moved to Amman, Jordan to be held between 3–11 March.

One 27 January 2020, the United States Centers for Disease Control and Prevention issued updated travel guidance for China, recommending that travellers avoid all nonessential travel to all of the country. The CDC has directed U.S. Customs and Border Protection to check individuals for symptoms of the coronavirus.

On 29 January 2020, British Airways cancelled all their flights to mainland China as a reaction to the spread of the virus. Lufthansa followed hours later by also suspending all their flights. Lion Air and Air Seoul also suspended all their flights. The following airlines have so far reduced or cancelled flights to and from China:

• Air Astana
• Air Canada
• Air France
• Air India
• Air KBZ
• Air New Zealand
• Air Seoul
• Air Tanzania
• American Airlines
• Asiana Airlines
• Austrian Airlines
• British Airways
• Cathay Pacific
• China Airlines
• Delta Air Lines
• El Al
• EVA Air
• Finnair

• Hong Kong Airlines
• Iberia
• IndiGo
• Jetstar Asia
• KLM
• Lion Air
• Lufthansa
• MIAT Mongolian Airlines
• Myanmar Airways International
• Myanmar National Airlines
• Scandinavian Airlines
• SCAT Airlines
• SkyUp
• Swiss International Air Lines
• Turkish Airlines
• Ukraine International Airlines
• United Airlines
• Ural Airlines

International aid

The city of Pittsburgh has announced plans to promptly send aid to Wuhan, with its mayor Bill Peduto stating that "Our office has reached out to the mayor of Wuhan, which is our sister city" and promising that "over the next two days we should be able to have a care package that has been put together." He speculated that the contents of such a package will be coordinated with the consultation of medical experts, but that it will consist of "likely face masks, rubber gloves and other material that could be hard to find in the future. Additionally, the University of Pittsburgh Medical Center (UPMC) has declared plans to provide help, with UPMC spokesman Paul Wood stating that "UPMC has a significant presence in China and has been in contact with our partners there”, also declaring that “we stand ready to assist them and others in China with their unmet humanitarian needs.”

Japan, in the process of coordinating a plane flight to Wuhan to pick up Japanese nationals in the city, has promised that the plane will first carry into Wuhan aid supplies that Japanese foreign minister Toshimitsu Motegi stated will consist of "masks and protective suits for Chinese people as well as for Japanese nationals". On 26 January, the plane arrived in Wuhan, donating its supply of 1 million face masks to the city. Also among the aid supplies were 20,000 protective suits for medical staff across Hubei donated by the Tokyo Metropolitan Government.

The humanitarian aid organisation Direct Relief, in coordination with FedEx transportation and logistics support, sent 200,000 face masks along with other personal protective equipment, including gloves and gowns, by emergency airlift to arrive in Wuhan Union Hospital, who requested the supplies by 30 January. The Gates Foundation has stated on 26 January that it will donate $5 million USD in aid to support the response in China that will aimed at assisting "emergency funds and corresponding technical support to help front-line responders."

Support efforts have sprung across Japan to help aid residents in Wuhan. On 27 January, the city of Oita, a sister city to Wuhan for 40 years, sent 30,000 masks from its own disaster relief stockpile to its sister city through the Red Cross network with boxes labelled "Wuhan Jiayou!," meaning "Hang in there, Wuhan!" in Chinese. Its International Affairs Office division head, Soichiro Hayashi, said that “The people of Wuhan are like family” and expressed hopes that "people can return to their ordinary lives as quickly as possible.” Peace Winds Japan has declared it will send a staff member to China to help distribute the face masks and other goods that the NGO will send to the country.

Quarantine measures

Main article: 2020 Wuhan lockdown

Cities under lockdown in China
Place	Province	Start date	End date	City level	Population	Cases	Deaths	Recoveries	Active
Wuhan	Hubei	2020-01-23	2020-04-08	Sub-provincial	11,081,000	50,340	3,869	46,471	0
Xiaogan	Hubei	2020-01-24	2020-03-25	Prefectural	4,920,000	3,518	129	3,389	0
Huanggang	Hubei	2020-01-23	2020-03-25	Prefectural	6,330,000	2,907	125	2,782	0
Jingzhou	Hubei	2020-01-24	2020-03-17	Prefectural	5,590,200	1,580	52	1,528	0
Ezhou	Hubei	2020-01-23	2020-03-25	Prefectural	1,077,700	1,394	59	1,335	0
Suizhou	Hubei	2020-01-24	2020-03-25	Prefectural	2,216,700	1,307	45	1,262	0
Xiangyang	Hubei	2020-01-28	2020-03-25	Prefectural	5,669,000	1,175	40	1,135	0
Huangshi	Hubei	2020-01-24	2020-03-13	Prefectural	2,470,700	1,015	39	976	0
Yichang	Hubei	2020-01-24	2020-03-25	Prefectural	4,135,850	931	37	894	0
Jingmen	Hubei	2020-01-24	2020-03-25	Prefectural	2,896,500	928	41	887	0
Xianning	Hubei	2020-01-24	2020-03-25	Prefectural	2,543,300	836	15	821	0
Shiyan	Hubei	2020-01-24	2020-03-25	Prefectural	3,406,000	672	8	664	0
Xiantao	Hubei	2020-01-24	2020-03-25	Sub-prefectural	1,140,500	575	22	553	0
Tianmen	Hubei	2020-01-24	2020-03-25	Sub-prefectural	1,272,300	496	15	481	0
Enshi	Hubei	2020-01-24	2020-03-25	Prefectural	3,378,000	252	7	245	0
Qianjiang	Hubei	2020-01-24	2020-03-13	Sub-prefectural	966,000	198	9	189	0
Shennongjia	Hubei	2020-01-27	2020-03-25	Sub-prefectural	78,912	11	0	11	0
Wenzhou	Zhejiang	2020-02-02	2020-02-20	Prefectural	9,190,000	507	1	503	3
Ürümqi	Xinjiang	2020-07-18	2020-08-26	Prefectural	3,519,600	845	0	845	0
Shijiazhuang	Hebei	2021-01-07	2021-01-31	Prefectural	11,031,200	977	1	962	14
Xi'an	Shaanxi	2021-12-22	2022-01-16	Sub-provincial	8,467,838	2,265	3	2,185	77
Yuzhou	Henan	2022-01-04	2022-01-31	County	1,167,000	-	-	-	-
Anyang	Henan	2022-01-10	2022-02-03	Prefectural	5,477,614	522	0	522	0
Shenzhen	Guangdong	2022-03-14	2022-03-21	Sub-provincial	17,560,000	982	3	428	551
Shanghai	Shanghai	2022-04-01	2022-06-01	Direct-administered municipality	24,870,895
Lockdown total	101,602,895	68,135	4,512	63,623	0
Outbreak ongoing: Infection and fatality data as of 24:00 (UTC+8) 4 June 2020. Totals will evolve.

On 23 January 2020, a quarantine on travel in and out of Wuhan was imposed in an effort to stop the spread of the virus out of Wuhan. Flights and trains in and out of Wuhan, public buses, the metro system and long-distances coaches were suspended until further notice. Large-scale gatherings and group tours were also suspended. By 24 January 2020, a total of 15 cities in the Hubei province, including Wuhan, were placed under similar quarantine measures. Thus, the entire Hubei province came under quarantine, save for Xiangyang and the Shennongjia Forestry District.

Due to quarantine measures, Wuhan residents rushed to stockpile on essential goods, food, and fuel. The prices of goods rose significantly. Medical staff faced difficulties in commuting to their hospitals, as they were now limited to walking and private cars. Taxis and private-hire vehicles shunned them upon learning of the destination. 5,000,000 people left Wuhan, with 9,000,000 left in the city.

Guan Yi, an epidemiologist and SARS virologist with teams consisting of medical specialists who just flew back to Hong Kong after their one-day inspection in Wuhan told correspondents that "the Wuhan outbreak is at least 10 times larger than that of SARS, calling people to stay away from Wuhan as soon as possible." Some posts on Weibo showed that as early as 12 January, hospitals in Wuhan were already overwhelmed with patients suffering from fever, many of them having to sleep on the floor. Some were also highly critical of the reliability of the figures from the Chinese government as well as the government response, with some calling for quarantine, and post also showed sick people and three dead bodies covered in white sheets on the floor of a hospital on 24 January, although many such posts in Weibo about the epidemic have been deleted.

On 26 January, the city of Shantou in Guangdong declared a partial lockdown, though this was quickly reversed only two hours later. This created chaos, as residents rushed to supermarkets to stock food as soon as the lockdown was declared, and the surge of stockpiling didn't come to an end until the authorities reversed their decision. Caixin said, that the wording of Shantou's initial declaration was "unprecedentedly strict" and will severely affect residents' lives, if implemented as-is. Shantou's Department for Outbreak Control later clarified, that they will not restrict travelling, and all they would do, is to sterilise vehicles used for transportation.

Local authorities of the capital Beijing and several other major cities, including Hangzhou, Guangzhou, Shanghai and Shenzhen announced on 26 January, that these cities will not impose a lockdown similar to those in Hubei province. Rumours of these potential lockdowns had spread widely prior to the official announcements. A spokesperson of Beijing's Municipal Transportation Commission claimed, that the expressways and highways, as well as subways and buses are operating normally. To ease the residents' panic, the Hangzhou city government stressed that the city will not be locked down from the outside world, and both cities said that they will introduce precautions against potential risks.

• 
  People queueing outside a Wuhan pharmacy to buy face masks and medical supplies
• 
  Residents of Wuhan wearing masks rushed out to nearby markets to buy vegetables and other food on 23 January during the outbreak
• 
  Residents of Wuhan waiting for the last train of the city's metro on 10 A.M., 22 January

Specialty hospitals

File:Wuhan Jinyintan Hospital (retouched).jpg

Jinyintan Hospital had initially been tasked with treating those with the coronavirus.

Construction site of Huoshenshan Hospital as it appeared on 24 January.

A specialty hospital named Huoshenshan Hospital has been under construction as a countermeasure against the outbreak and to better quarantine the patients. Wuhan City government had demanded that a state-owned enterprise construct such a hospital "at the fastest speed" comparable to that of the SARS outbreak in 2003. On 24 January, Wuhan authorities specified its planning, saying they planned to have Huoshenshan Hospital built within six days of the announcement and it will be ready to use on 3 February. The specialty hospital will have 813 beds and it will take up 25,000 square metres. The hospital is modelled after the Xiaotangshan Hospital, which was fabricated for the SARS outbreak of 2003, itself built in only seven days. State media reported that there were 1,500 workers and nearly 300 units of construction machinery on the site at peak, and another backup team of 2,000 workers had already gathered.

Authorities announced plans for a second specialty hospital on 25 January which will be named Leishenshan Hospital, with a capacity of 1,600 beds; operations are scheduled to start by 5 February. Some people voiced their concerns through social media services, saying the authorities' decision to build yet another hospital in such little time showed the severity of the outbreak could be a lot worse than expected.

On 24 January 2020, the authority announced that they would convert an empty building in Huangzhou District, Huanggang to a 1,000-bed hospital. Works began the next day by 500 personnel and the building began accepting patients on 28 January 2020 at 10:30 p.m. under the name Dabie Mountain Regional Medical Centre.

Evacuation of foreign diplomats and citizens from Wuhan

The governments of Australia, Belgium, Indonesia, New Zealand, the Philippines, South Korea, Thailand and the United States are planning evacuation flights or have sent evacuation flights for their citizens. Brazil, Czechia, France, India, Italy, Japan, Pakistan and Russia are considering similar measures.

Panama and Sri Lanka began repatriation of their students in China. Myanmar began repatriating sixty of their students from the vicinity of Wuhan.

Vietnam permitted four exceptional flights to carry Wuhan passengers home in the period 24–27 January, and organised a flight to evacuate citizens and diplomats.

On 29 January, Australia and New Zealand announced that they would team up to evacuate their citizens from Wuhan. There are between 50-82 New Zealanders in Wuhan and 600 Australians in Hubei province including 140 Australian children in Wuhan. The New Zealand Government has also chartered a Boeing 777-200ER aircraft from the national carrier Air New Zealand to assist in evacuation efforts, subject to approval from Chinese officials. While priority will be given to New Zealand nationals, the plane will also be evacuating Australian and Pacific Island citizens.

On 29 January, Australian Prime Minister Scott Morrison announced plans to quarantine Australian citizens evacuated from Wuhan, including children and the elderly, for a period of 14 days on Christmas Island. The decision to repatriate those citizens using controversial detention facilities formerly utilized to detain asylum seekers before they were shut down in 2018 has received criticism. Controversially, the government plan also necessitates those evacuees to pay a fee of $1,000 AUD and would drop them off in Perth after the quarantine period, where they would need to arrange their own transportation back to their home cities. The Australian Medical Association, in a statement on the same day, stated that the decision to hold Australian citizens in "a place where has been previously the focus of populations under enormous mental and physical trauma and anguish, is not a really appropriate solution."

On 29 January, South Korea made last-minute preparations to airlift about 700 South Korean nationals out of Wuhan, including finalising logistical details with the Chinese Government. South Korea officials prepared two planes with two sets of medical teams comprising about 20 doctors, nurses, and foreign ministry and quarantine officials for each team.

On 29 January, the Indonesian Air Force (TNI-AU) prepared three aircraft including two Boeing 737, and one C-130 Hercules, a battalion of health experts to help evacuate Indonesian nationals, and citizens from the city. As of 29 January, the TNI-AU was waiting for instruction from the Indonesian Ministry of Foreign Affairs and on standby for 24 hours in case the order was given.

On 30 January, 92 Singaporeans were evacuated from Wuhan via a special Scoot flight, crewed by volunteers from the airliner after coordination between Singapore and Chinese authorities facilitated the flights. However, there are still some Singaporeans left behind as they display symptoms, and it made no sense to have them evacuated with the rest who may not be infected.

Reactions to prevention efforts

WHO response

The World Health Organization (WHO) has commended the efforts of Chinese authorities in managing and containing the epidemic with its Director-General Tedros Adhanom Ghebreyesus expressing "confidence in China’s approach to controlling the epidemic" and calling for the public to "remain calm".

WHO noted the contrast between the 2003 epidemic, where Chinese authorities were accused of secrecy that impeded prevention and containment efforts, and the current crisis where the central government "has provided regular updates to avoid panic ahead of Lunar New Year holidays." In reaction to the central authorities' decision to implement a transportation ban in Wuhan, WHO representative Gauden Galea remarked that while it was "certainly not a recommendation the WHO has made", it was also "a very important indication of the commitment to contain the epidemic in the place where it is most concentrated" and called it "unprecedented in public health history".

On 30 January 2020, WHO declared the outbreak a Public Health Emergency of International Concern for the sixth time since the measure was first invoked during the 2009 Swine flu pandemic. This was principally because of the risk of global spread, especially to low- and middle-income countries without a robust health system capable of performing surveillance after the possibility for human-to-human transmission was confirmed.

International reactions

China's response to the virus, in comparison to the 2003 SARS outbreak, has been praised by some foreign leaders. US President Donald Trump thanked Chinese President Xi Jinping "on behalf of the American People" on 24 January 2020 on Twitter, stating that "China has been working very hard to contain the Coronavirus. The United States greatly appreciates their efforts and transparency" and declaring that "It will all work out well." Germany's health minister Jens Spahn, in an interview on Bloomberg TV, said with comparison to the Chinese response to SARS in 2003: "There's a big difference to SARS. We have a much more transparent China. The action of China is much more effective in the first days already." He also praised the international cooperation and communication in dealing with the virus.

At a Sunday mass at St. Peter's Square in Vatican City on 26 January 2020, Pope Francis praised "the great commitment by the Chinese community that has already been put in place to combat the epidemic" and commenced a closing prayer for "the people who are sick because of the virus that has spread through China".

Criticism of local response

Local officials in Wuhan and the province of Hubei have faced wide criticism, both domestically and internationally, for mishandling the initial outbreak. Allegations included insufficient medical supplies, lack of transparency to the press and censorship of social media during the initial weeks of the outbreak. On 1 January 2020, the Wuhan police interviewed eight residents for spreading false information (referring to the new infection as a reappearance of SARS). The Wuhan police later stated through a post on its official Weibo account that "all of them been dealt with according to the law." Criticism was directed at Hubei Governor Wang Xiaodong after he repeatedly misstated the production of face masks in a press conference.

Several Hong Kong media correspondents were detained by police for over an hour when they were conducting interviews at Wuhan's Jinyintan Hospital on 14 January. Reports said the police brought the correspondents to a police station, where the police checked their travel documents and belongings, then asked them to delete video footage taken in the hospital before releasing them.

Authorities in Wuhan and Hubei provinces have been criticised for downplaying the severity of the outbreak and responding slower than they could have. The Beijing-based media journal, Caixin noted that Hubei did not roll out the first level of "public health emergency response mechanism" until 24 January, while several other provinces and cities outside of the centre of the outbreak have already done so the day before.

On 19 January, four days before the city's lockdown, a "Wan jia yan" (Chinese: 万家宴; lit. 'ten thousand family banquet') was held in Wuhan, with over 40,000 families turning out at the banquet tables which attracted retrospective criticism. The domestic The Beijing News argued that the local authorities should not have held such a public assembly while attempting to control the outbreak. The paper also argued that the time when their journalists visited the Huanan Seafood Wholesale Market where the coronavirus likely originated, most residents and merchants there weren't even donning face masks. Zhou Xianwang, the Mayor of Wuhan, later spoke to China Central Television defending that this banquet was held annually, and it is a "sample of the people's self-autonomy." He asserted that the decision of allowing such a banquet was made based on the fact that the scientists used to falsely believe that the ability of the virus to spread human-to-human was limited. Meanwhile on 20 January, Wuhan's municipal department for culture and tourism was giving out 200,000 tickets good for visiting all tourist attractions in Wuhan to its citizens for free, which was then criticised for disregarding the outbreak.

Tang Zhihong, the chief of the health department in Huanggang, the second worst affected city in Hubei after Wuhan, was fired hours after she was unable to answer questions on how many people in her city were being treated. During an interview on state television, she responded to a central government inspection team who queried how many sick people may be in the city's care: "I don’t know, I’m unclear, I only know how many beds there are. Don’t ask me how many people are being treated."

Treatment research

Main articles: Novel coronavirus (2019-nCoV) § Vaccine research, and Novel coronavirus (2019-nCoV) § Treatment

Several organisations around the world are developing vaccines or testing antiviral medicine. Efforts include:

• The Chinese Center for Disease Control and Prevention (CCDC) has started developing vaccines against the novel coronavirus and is testing existing drug effectiveness for pneumonia.
• Hong Kong researcher Yuen Kwok-yung and his team in the University of Hong Kong announced that a new vaccine is developed, but needs to be tested on animals before conducting clinical tests on humans.
• US National Institutes of Health (NIH) is hoping for human trials of a vaccine by April 2020.
• The Russian consumer health watchdog Rospotrebnadzor started the development of a vaccine, relying on the WHO's recommendations.
• The Norwegian Coalition for Epidemic Preparedness Innovations (CEPI) is funding three vaccine projects and hopes to have a vaccine in trials by June 2020 and approved and ready in a year. The University of Queensland in Australia has received $10.6 million in funding from CEPI to develop a "molecular clamp" vaccine platform.
• The Cambridge, Massachusetts–based Moderna is developing a mRNA vaccine with funding from CEPI. Inovio Pharmaceuticals received a grant from CEPI and designed a vaccine in two hours after receiving the gene sequence. The vaccine is being manufactured so that it can be first tested on animals.

Impact

The epidemic coincided with the Lunar New Year, a major festival in the region and the busiest travel period in China. A number of events involving large crowds were cancelled by national and regional governments, including the annual new year festival in Hong Kong, with private companies also independently closing their shops and tourist attractions such as Ikea and Disneyland Hong Kong.

As Mainland China is a major economy and a manufacturing hub, the viral outbreak is thought to be a major threat the global economy. Agathe Demarais of the Economist Intelligence Unit has forecast that markets will remain volatile until a more clear image emerges about what will happen next. The fallout is expected to be bigger than SARS.

Mainland China

The travel sector has been hit hard by travel restrictions and fears of contagion, including a ban on both domestic and international tour groups. Many airlines have either canceled or greatly reduced flights to China and several travel advisories now warn against travel to China. Foreigners have been evacuated from Wuhan and Hubei province by many countries, including the United States and Japan.

The majority of school and universities have extended their annual holidays to the beginning of February. Overseas students enrolled at Chinese universities have been returning home over fears of being infected -- the first cases to be reported by Nepal and Kerala, a southern state of India, were both of students who had returned home.

Hong Kong

Hong Kong has been recovering from high profile protests that saw tourist arrivals from Mainland China plummet over an eight month period. The viral epidemic has however placed doubt on the ability of the travel sector to withstand a prolonged period of downturn. A drop in arrivals from third countries more resilient during the previous months has also been cited as a concern.

There has also been a renewed increase in protest activity as sentiment against Mainland Chinese strengthens over fears of viral transmission from Mainland China, with many calling for the border ports to be closed and for all Mainland Chinese travelers to be refused entry. Incidents have included a number of petrol bombs being thrown at police stations, homemade bombs exploding in toilets, and foreign objects being thrown onto transit rail tracks between Hong Kong and the Mainland Chinese border. Political issues raised have included concerns that Mainland Chinese may prefer to travel to Hong Kong to seek free medical help (which has since been addressed by the Hong Kong government) and that Mainland Chinese have worse personal sanitation habits.

Japan

Japan has been evacuating its citizens from Hubei province, three of whom were confirmed to be infected with the Wuhan virus and twelve of whom have been hospitaized. The first domestic local transmission of the virus was confirmed on January 28 when a tourist bus driver in Nara Prefecture became infected despite having never been to China. The country has however been offering support to the residents of Wuhan including the donation of medical equipment such as face masks.

Economic politician Yasutoshi Nishimura warned that the viral epidemic could have a strong impact on the Japanese economy due to disruption of logistics and factory operations. Japanese airlines have started suspending flights to Mainland China, whereas manufactures, including Toyota, have halted all their production lines in Mainland China.

People assumed to be Chinese have reported discrimination in Japan as Japanese people fear possible viral contagion.

South East Asia

Economists have advised that the viral outbreak would have an impact on the economy of Singapore, but that it was too soon to provide a certain answer. The tourism sector was considered to be an "immediate concern" along with the effects on production lines due to disruption to factories and logistics in Mainland China. In Thailand, the threat of the viral outbreak's impact on tourism has caused the Baht to fall to a seven month low.

South Asia

India is highly dependent on trade across the Himalayas and the disruption in Mainland China could adversely impact the economy of India, especially the electronics and pharmaceutical industries, with the closure of Chinese ports having a knock-on effect on Indian logistic operations as well. Sri Lanka has warned of a short term impact on the tourism sector.

United States

President Trump tweeted that the he has offered help to China, writing that American experts were "extraordinary". The viral outbreak was cited by many companies in their briefings to shareholders, but many were confident that they would not be too adversely affected by short-term disruption due to "limited" exposure to the Chinese consumer market, but those with manufacturing lines in Mainland China are warning about possible exposure to supply shortages.

See also

• 2009 flu pandemic
• Middle East respiratory syndrome
• Emerging infectious disease
• Rousettus bat coronavirus HKU9
• Timeline of the SARS outbreak
• Yang Xiaobo, former mayor of Huangshi who died in the Wuhan outbreak

Further reading

Mainland China and Hong Kong

• Wuhan unexplained viral pneumonia epidemic The pathogen was initially identified as a new type of coronavirus. CCTV, (9 January 2020) (in Chinese)
• Wuhan Municipal Health Commission (in Chinese)
• Statutory Reporting of Severe Respiratory Disease associated with a Novel Infectious Agent. CHP, Hong Kong, (7 January 2020)

WHO

• World Health Organization (2020). Surveillance case definitions for human infection with novel coronavirus (‎‎‎‎nCoV)‎‎‎‎: interim guidance v1, January 2020 (Report). World Health Organization. hdl:10665/330376. WHO/2019-nCoV/Surveillance/v2020.1.
• World Health Organization (2020). Laboratory testing of human suspected cases of novel coronavirus (‎‎‎‎nCoV)‎‎‎‎ infection: interim guidance, 10 January 2020 (Report). World Health Organization. hdl:10665/330374. WHO/2019-nCoV/laboratory/2020.1.

Europe

• "Cluster of pneumonia cases caused by a novel coronavirus, Wuhan, China". ECDP (17 January 2020)
• Wuhan novel coronavirus and avian flu: advice for travel to China. PHE, UK, (10 January 2020).
• Threat level remains LOW but authorities raise alertness to symptoms MSN (22 January 2020)

External links

• Novel Coronavirus (2019-nCoV) situation reports at WHO website, include official numbers of confirmed cases in countries of the world
• Live global map of Wuhan novel coronavirus (2019-nCoV) spread using official Chinese sources by Medgic, updated daily
• Interactive global map of Wuhan novel coronavirus (2019-nCoV) spread by Johns Hopkins University, updated daily
• CORONATRACKER – a community-based project by data scientists, medical professionals and web developers to keep track of and collect data about latest developments about 2019-nCoV
• "Coronavirus". Centers for Disease Control and Prevention (CDC).
• Geographical distribution of 2019-nCov cases by European Centre for Disease Prevention and Control
• "Statement on the meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus 2019 (n-CoV) on 23 January 2020". World Health Organization (WHO).