Coronavirus panic grips the UK: Nearly 800 Britons are tested for the deadly infection in a day as NHS chief warns more people may need to self-isolate to contain spread of escalating crisis
Coronavirus fears have gripped the UK with almost 800 Britons tested for the killer infection in the space of one day.
Department of Health figures show more than 2,500 patients have been tested for the SARS-2 virus, with nine confirmed cases in the UK.
It comes as the chief executive of the NHS today warned more people may need to self-isolate to contain the spread of the escalating outbreak.
London has been gripped by coronavirus fear after the first case in the capital was confirmed last night.
It was revealed the woman, who caught the virus in China, took herself to A&E at Lewisham Hospital in an Uber on Sunday.
And a GP surgery in Islington closed today and told patients on its website that it was ‘due to coronavirus’, which was taken down shortly after.
Cleaners wearing protective clothing were pictured inside the Ritchie Street Health Centre, near the Angel underground station.
Government sources told MailOnline the closure is not linked to the Lewisham case and was not been ordered by the government – nor was the deep clean.
More than 60,000 cases of the virus have been confirmed across the world, with 99 per cent in China. Almost 1,400 patients have died.
The woman, who travelled to the UK from China, was the first case confirmed in London and the ninth in the UK as a whole
A man was today seen cleaning the inside of the Ritchie Street Health Centre in Islington after it closed because of ‘operational difficulties’
A tube-goer wears a face mask on a London underground train. It is unclear when the picture was taken, but it was posted on Twitter today with the caption: ‘When coronavirus hits London’
NHS staff wrapped in protective gear were seen at the back of an ambulance at St Thomas’ Hospital today. London’s coronavirus patient is being treated there after being diagnosed last night
The woman is being treated at Guy’s and St Thomas’ hospital (pictured) in London and is the first case of coronavirus in the capital
A total of 1,370 people have now died in the coronavirus outbreak. Japan today became the third place outside of China to declare a death
This is the coronavirus super-spreader Steve Walsh, who inadvertently infected 11 people with the disease on a ski break in the Alps, and revealed he has beaten the virus
Dr Catriona Saynor (pictured left) quit as a partner in Brighton to live permanently in the French chalet where the British super-spreader visited to ski. She works at County Oak Medical Centre as a locum, according to the medical centre’s website. Her husband Bob and their nine-year-old son are also said to have been confirmed with coronavirus
Department of Health figures show 2,521 have been tested – up from the 1,758 that had been swabbed for the virus yesterday.
It comes after Public Health England last week announced thousands of patients across the UK would be tested for coronavirus every day.
Preparation to control cases were stepped up after a third British person – ‘super-spreader’ Steve Walsh – tested positive on February 6.
Twelve laboratories in the UK now have the capacity to analyse swabs taken from suspected patients.
Before the PHE announcement, only one laboratory based in London was able to confirm whether or not patients had the virus.
Many more people in the UK may need to self-isolate in a bid to stop the spread of coronavirus, the chief executive of the NHS has said.
Sir Simon Stevens issued the warning as more than 80 people quarantined at Arrowe Park Hospital on the Wirral were allowed to leave following 14 days in isolation.
The group were the first to be flown out of Wuhan city in China – the epicentre of the coronavirus outbreak – by the Foreign Office and back to the UK.
Matt Raw, the first evacuee from Wuhan to be pictured leaving Arrowe Park Hospital, punched the air as he was let out of a gate guarded by two security guards
Excited Brits were pictured smiling and putting their thumbs up on a coach leaving Arrowe Park Hospital. It is unclear where they were heading
Health officials confirmed all of the isolated 83 Britons tested negative for the killer SARS-2 virus, following a 13-day stint at Arrowe Park Hospital (pictured today)
HOW MANY CASES HAVE BEEN RECORDED ACROSS THE WORLD?
Matt Raw was the first evacuee from the Chinese city of Wuhan, the centre of the escalating outbreak, to leave Arrowe Park Hospital today.
The 38-year-old, from Knutsford, Cheshire, punched the air and shouted ‘we’re free and the sun’s shining’.
He joked that he would go home to feed his gold fish and would ‘no doubt be going out for a pint a little bit later’.
Buses full of excited Brits pictured smiling and putting their thumbs up left the hospital and took evacuees to all four corners of the UK.
It comes as cleaners wearing protective clothing were pictured inside the Ritchie Street Health Centre this afternoon after the surgery closed abruptly.
The scare came after it emerged that London’s first coronavirus patient took herself to A&E in an Uber on Sunday and walked into a public area of the hospital.
Uber today confirmed the driver’s account has been suspended as a precaution, in hope of quashing the fears of thousands of users of the app.
But health chiefs say the driver does not need to be tested because they did not have close ‘sustained contact’ on the less than 15-minute journey.
The woman, who contracted coronavirus in China, ‘self-presented’ at Lewisham Hospital before being sent home to await the results of tests.
She was rushed to St Thomas’s yesterday after her test results returned positive. She is believed to live with family in London and to be in her late 20s or early 30s.
Two Lewisham medics are now in isolation but no patients are believed to have been affected.
In other developments to the outbreak, an overnight surge in cases saw the global total surge to more than 60,000.
A daily record 242 deaths were recorded in China yesterday, while Japan recorded its first death of the virus today in an 80-year-old woman.
WHAT DO WE KNOW ABOUT THE DEADLY CORONAVIRUS IN CHINA?
Someone who is infected with the coronavirus can spread it with just a simple cough or a sneeze, scientists say.
At least 1,370 people with the virus are now confirmed to have died and more than 60,380 have been infected in at least 28 countries and regions. But experts predict the true number of people with the disease could be 100,000, or even as high as 350,000 in Wuhan alone, as they warn it may kill as many as two in 100 cases. Here’s what we know so far:
What is the coronavirus?
A coronavirus is a type of virus which can cause illness in animals and people. Viruses break into cells inside their host and use them to reproduce itself and disrupt the body’s normal functions. Coronaviruses are named after the Latin word ‘corona’, which means crown, because they are encased by a spiked shell which resembles a royal crown.
The coronavirus from Wuhan is one which has never been seen before this outbreak. It has been named SARS-CoV-2 by the International Committee on Taxonomy of Viruses. The name stands for Severe Acute Respiratory Syndrome coronavirus 2.
Experts say the bug, which has killed around one in 50 patients since the outbreak began in December, is a ‘sister’ of the SARS illness which hit China in 2002, so has been named after it.
The disease that the virus causes has been named COVID-19, which stands for coronavirus disease 2019.
Dr Helena Maier, from the Pirbright Institute, said: ‘Coronaviruses are a family of viruses that infect a wide range of different species including humans, cattle, pigs, chickens, dogs, cats and wild animals.
‘Until this new coronavirus was identified, there were only six different coronaviruses known to infect humans. Four of these cause a mild common cold-type illness, but since 2002 there has been the emergence of two new coronaviruses that can infect humans and result in more severe disease (Severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) coronaviruses).
‘Coronaviruses are known to be able to occasionally jump from one species to another and that is what happened in the case of SARS, MERS and the new coronavirus. The animal origin of the new coronavirus is not yet known.’
The first human cases were publicly reported from the Chinese city of Wuhan, where approximately 11million people live, after medics first started publicly reporting infections on December 31.
By January 8, 59 suspected cases had been reported and seven people were in critical condition. Tests were developed for the new virus and recorded cases started to surge.
The first person died that week and, by January 16, two were dead and 41 cases were confirmed. The next day, scientists predicted that 1,700 people had become infected, possibly up to 7,000.
Just a week after that, there had been more than 800 confirmed cases and those same scientists estimated that some 4,000 – possibly 9,700 – were infected in Wuhan alone. By that point, 26 people had died.
By January 27, more than 2,800 people were confirmed to have been infected, 81 had died, and estimates of the total number of cases ranged from 100,000 to 350,000 in Wuhan alone.
By January 29, the number of deaths had risen to 132 and cases were in excess of 6,000.
By February 5, there were more than 24,000 cases and 492 deaths.
By February 11, this had risen to more than 43,000 cases and 1,000 deaths.
A change in the way cases are confirmed on February 13 – doctors decided to start using lung scans as a formal diagnosis, as well as laboratory tests – caused a spike in the number of cases, to more than 60,000 and to 1,369 deaths.
Where does the virus come from?
According to scientists, the virus has almost certainly come from bats. Coronaviruses in general tend to originate in animals – the similar SARS and MERS viruses are believed to have originated in civet cats and camels, respectively.
The first cases of COVID-19 came from people visiting or working in a live animal market in the city, which has since been closed down for investigation.
Although the market is officially a seafood market, other dead and living animals were being sold there, including wolf cubs, salamanders, snakes, peacocks, porcupines and camel meat.
A study by the Wuhan Institute of Virology, published in February 2020 in the scientific journal Nature, found that the genetic make-up virus samples found in patients in China is 96 per cent similar to a coronavirus they found in bats.
However, there were not many bats at the market so scientists say it was likely there was an animal which acted as a middle-man, contracting it from a bat before then transmitting it to a human. It has not yet been confirmed what type of animal this was.
Dr Michael Skinner, a virologist at Imperial College London, was not involved with the research but said: ‘The discovery definitely places the origin of nCoV in bats in China.
‘We still do not know whether another species served as an intermediate host to amplify the virus, and possibly even to bring it to the market, nor what species that host might have been.’
So far the fatalities are quite low. Why are health experts so worried about it?
Experts say the international community is concerned about the virus because so little is known about it and it appears to be spreading quickly.
It is similar to SARS, which infected 8,000 people and killed nearly 800 in an outbreak in Asia in 2003, in that it is a type of coronavirus which infects humans’ lungs.
Another reason for concern is that nobody has any immunity to the virus because they’ve never encountered it before. This means it may be able to cause more damage than viruses we come across often, like the flu or common cold.
Speaking at a briefing in January, Oxford University professor, Dr Peter Horby, said: ‘Novel viruses can spread much faster through the population than viruses which circulate all the time because we have no immunity to them.
‘Most seasonal flu viruses have a case fatality rate of less than one in 1,000 people. Here we’re talking about a virus where we don’t understand fully the severity spectrum but it’s possible the case fatality rate could be as high as two per cent.’
If the death rate is truly two per cent, that means two out of every 100 patients who get it will die.
‘My feeling is it’s lower,’ Dr Horby added. ‘We’re probably missing this iceberg of milder cases. But that’s the current circumstance we’re in.
‘Two per cent case fatality rate is comparable to the Spanish Flu pandemic in 1918 so it is a significant concern globally.’
How does the virus spread?
The illness can spread between people just through coughs and sneezes, making it an extremely contagious infection. And it may also spread even before someone has symptoms.
It is believed to travel in the saliva and even through water in the eyes, therefore close contact, kissing, and sharing cutlery or utensils are all risky.
Originally, people were thought to be catching it from a live animal market in Wuhan city. But cases soon began to emerge in people who had never been there, which forced medics to realise it was spreading from person to person.
There is now evidence that it can spread third hand – to someone from a person who caught it from another person.
What does the virus do to you? What are the symptoms?
Once someone has caught the COVID-19 virus it may take between two and 14 days, or even longer, for them to show any symptoms – but they may still be contagious during this time.
If and when they do become ill, typical signs include a runny nose, a cough, sore throat and a fever (high temperature). The vast majority of patients – at least 97 per cent, based on available data – will recover from these without any issues or medical help.
In a small group of patients, who seem mainly to be the elderly or those with long-term illnesses, it can lead to pneumonia. Pneumonia is an infection in which the insides of the lungs swell up and fill with fluid. It makes it increasingly difficult to breathe and, if left untreated, can be fatal and suffocate people.
What have genetic tests revealed about the virus?
Scientists in China have recorded the genetic sequences of around 19 strains of the virus and released them to experts working around the world.
This allows others to study them, develop tests and potentially look into treating the illness they cause.
Examinations have revealed the coronavirus did not change much – changing is known as mutating – much during the early stages of its spread.
However, the director-general of China’s Center for Disease Control and Prevention, Gao Fu, said the virus was mutating and adapting as it spread through people.
This means efforts to study the virus and to potentially control it may be made extra difficult because the virus might look different every time scientists analyse it.
More study may be able to reveal whether the virus first infected a small number of people then change and spread from them, or whether there were various versions of the virus coming from animals which have developed separately.
How dangerous is the virus?
The virus has so far killed 1,370 people out of a total of at least 60,381 officially confirmed cases – a death rate of around two per cent. This is a similar death rate to the Spanish Flu outbreak which, in 1918, went on to kill around 50million people.
However, experts say the true number of patients is likely considerably higher and therefore the death rate considerably lower. Imperial College London researchers estimate that there were 4,000 (up to 9,700) cases in Wuhan city alone up to January 18 – officially there were only 444 there to that date. If cases are in fact 100 times more common than the official figures, the virus may be far less dangerous than currently believed, but also far more widespread.
Experts say it is likely only the most seriously ill patients are seeking help and are therefore recorded – the vast majority will have only mild, cold-like symptoms. For those whose conditions do become more severe, there is a risk of developing pneumonia which can destroy the lungs and kill you.
Can the virus be cured?
The COVID-19 virus cannot currently be cured and it is proving difficult to contain.
Antibiotics do not work against viruses, so they are out of the question. Antiviral drugs can work, but the process of understanding a virus then developing and producing drugs to treat it would take years and huge amounts of money.
No vaccine exists for the coronavirus yet and it’s not likely one will be developed in time to be of any use in this outbreak, for similar reasons to the above.
The National Institutes of Health in the US, and Baylor University in Waco, Texas, say they are working on a vaccine based on what they know about coronaviruses in general, using information from the SARS outbreak. But this may take a year or more to develop, according to Pharmaceutical Technology.
Currently, governments and health authorities are working to contain the virus and to care for patients who are sick and stop them infecting other people.
People who catch the illness are being quarantined in hospitals, where their symptoms can be treated and they will be away from the uninfected public.
And airports around the world are putting in place screening measures such as having doctors on-site, taking people’s temperatures to check for fevers and using thermal screening to spot those who might be ill (infection causes a raised temperature).
However, it can take weeks for symptoms to appear, so there is only a small likelihood that patients will be spotted up in an airport.
Is this outbreak an epidemic or a pandemic?
The outbreak is an epidemic, which is when a disease takes hold of one community such as a country or region.
Although it has spread to dozens of countries, the outbreak is not yet classed as a pandemic, which is defined by the World Health Organization as the ‘worldwide spread of a new disease’.
The head of WHO’s global infectious hazard preparedness, Dr Sylvie Briand, said: ‘Currently we are not in a pandemic. We are at the phase where it is an epidemic with multiple foci, and we try to extinguish the transmission in each of these foci,’ the Guardian reported.
She said that most cases outside of Hubei had been ‘spillover’ from the epicentre, so the disease wasn’t actually spreading actively around the world.
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