China has confirmed more than 4,500 cases of a new virus, with 106 deaths. Most have been in the central city of Wuhan where the outbreak began in December. More than 50 cases have been confirmed in other places with nearly all of them involving Chinese tourists or people who visited Wuhan recently.
On the Chinese mainland, 4,515 cases of the virus have been confirmed, with 1,771 of those in the last 24 hour through midnight Monday. Eight cases have been reported in Hong Kong and Macao has five cases. Nearly all of the 106 deaths have been in central Hubei province, but the new total includes the first death in Beijing.
Hong Kong said Tuesday it will cut all rail links to mainland China as the United States and other governments prepared to evacuate citizens from Wuhan.
Wearing a green surgical mask, Hong Kong leader Carrie Lam told a news conference that train service would stop at midnight Thursday and that the two stations connecting to the mainland would be closed.
She stopped short of a total closing of the border, as North Korea and Mongolia have done, but said that flights from the mainland would be reduced.
Asian stock markets tumbled for a second day, dragged down by worries about the virus’s global economic impact.
The U.S. Consulate in the central Chinese city of Wuhan, where authorities cut off most access Jan. 22 in an effort to contain the disease, was preparing to fly its diplomats and some other Americans out of the city on Wednesday. Japan and South Korea said they would send planes to Wuhan this week to evacuate their citizens. France, Mongolia and other governments also planned evacuations.
U.S. health officials expanded their recommendation for people to avoid non-essential travel to any part of China, rather than just Wuhan and other areas most affected by the outbreak.
China’s increasingly drastic containment efforts began with the suspension of plane, train and bus links to Wuhan, a city of 11 million people. That lockdown has expanded to 17 cities with more than 50 million people in the most far-reaching disease-control measures ever imposed.
The government has sent 6,000 extra medical workers to Wuhan from across China, including 1,800 who were due to arrive Tuesday, a commission official, Jiao Yahui, said at a news conference.
A baby boy was delivered by surgery in Wuhan after his 27-year-old mother was hospitalized as a “highly suspected” virus case, state TV reported. The mother, who has a fever and cough, was 37 weeks pregnant, or two weeks less than a standard full term.
Doctors wore protective masks and clothing for the delivery Friday at Union Hospital.
“It was unlikely for her to be able to give natural birth,” said the hospital’s deputy director of obstetrics, Zhao Yin. “After the baby was born, the mother would suffer less pressure in her lungs and she could get better treatment.”
In Beijing, residents of two villages in the capital’s eastern Pinggu district were refusing to allow outsiders to enter in an effort to avoid the virus.
‘‘The village has been locked down,” a member of the Beitumen village committee who would give only his surname, Guo, said by telephone. He said villagers are allowed to go out to buy daily necessities.
Another village, Jingyu, imposed similar restrictions, said a member of the local committee who wouldn’t give his name.
The Education Ministry canceled English proficiency and other tests for students to apply to foreign universities. The ministry said the new semester for public schools and universities following Lunar New Year was postponed until further notice.
Hong Kong announced postal services and most government offices would stay closed through at least next week. The education department said schools would reopen on Feb. 17.
Chinese financial markets were closed for the holiday, but stock indexes in Tokyo, Seoul and Sydney all declined.
Beijing’s official response has “vastly improved” since the 2002-03 SARS outbreak, which also originated in China, but “fears of a global contagion are not put to bed,” said Vishnu Varathan at Mizuho Bank in Singapore.
Airlines, resorts and other companies that rely on travel and tourism suffered steep losses. Prices of gold and bonds rose as traders moved money into safe haven holdings.
The Shanghai Stock Exchange, one of the world’s busiest, announced it was postponing the resumption of trading after the holiday by three days to Monday.
Scientists are concerned about the new virus because it is closely related to other diseases including SARS, which killed nearly 800 people.
So far, the new coronavirus doesn’t seem to spread as easily among people as SARS or influenza. Most of the cases that spread between people were of family members and health workers who had contact with patients. That suggests the new virus isn’t well adapted to infect people.
China has reported eight cases in Hong Kong and five in Macao, and more than 45 cases have been confirmed elsewhere in the world. Almost all involve mainland Chinese tourists or people who visited Wuhan.
On Tuesday, Taiwan said two 70-year-old tourists from Wuhan had been confirmed to have the disease, raising its total to seven cases. Thailand reported six members of a family from Hubei were new cases, raising its total to 14.
Germany confirmed its first case late Monday. Infections also have been confirmed in the United States, Japan, South Korea, Vietnam, Singapore, Malaysia, Nepal, France, Canada, Australia and Sri Lanka.
The five American cases — two in southern California and one each in Washington state, Chicago and Arizona — are people who had recently arrived from central China. Health officials said they had no evidence the virus was spreading in the United States and they believe the risk to Americans remains low.
During the SARS outbreak, Chinese authorities were criticized for reacting slowly and failing to disclose information. The government has responded more aggressively to the latest outbreak.
Wuhan is building two hospitals, one with 1,500 beds and another with 1,000, for the growing number of patients. The first is scheduled to be finished next week.
The coronavirus family includes the common cold but also more severe illnesses such as SARS and Middle East Respiratory Syndrome. The new virus causes cold- and flu-like symptoms, including cough and fever, and in more severe cases, shortness of breath and pneumonia.
The virus is thought to have spread to people from wild animals sold at a Wuhan market. China on Sunday banned trade in wild animals and urged people to stop eating meat from them.
Other countries with confirmed cases of the coronavirus as of midnight Monday include:
• Thailand: 14
• Taiwan: 8
• Singapore: 7
• Japan: 6
• Australia: 5
• Malaysia: 4
• South Korea: 4
• France: 3
• Vietnam: 2
• Canada: 2
• Germany: 1
• Nepal: 1
• Cambodia: 1
• Sri Lanka: 1