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Health officials warn of coronavirus outbreaks in the US

This illustration from the Centers for Disease Control and Prevention showed ultrastructural morphology exhibited by coronaviruses.Centers for Disease Control and Prevention/LIZABETH MENZIES/Centers for Disease Control and /AFP via Getty Images

The coronavirus almost certainly will begin spreading in communities in the United States, and Americans should begin preparations now, officials at the Centers for Disease Control and Prevention said Tuesday.

“It’s not so much of a question of if this will happen anymore but rather more of a question of exactly when this will happen,” Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, said in a news briefing.

In the event of an outbreak, communities should plan for “social distancing measures,” like dividing school classes into smaller groups of students, closing schools, canceling meetings and conferences, and arranging for employees to work from home.


“We are asking the American public to prepare for the expectation that this might be bad,” Messonnier said.

The warnings from officials with the CDC, the National Institutes of Health, and other agencies, contrasted sharply with assessments from President Trump and other White House officials, who have largely dismissed concerns about the virus. The mixed messages continued Tuesday, as dire warnings issued to senators and the media early in the day gave way to a more positive assessment, after the Dow Jones industrial average plunged 3.4 percent, bringing the two-day loss to 1,900 points — the biggest in two years.

‘‘We believe the immediate risk here in the United States remains low and we’re working hard to keep that risk low,’’ Anne Schuchat, the CDC’s principal deputy director, said during a hastily convened afternoon media briefing.

China’s battle to contain the epidemic has shown signs of success, with a plunge in the rate of new infections. But the rend was overshadowed by the sudden appearance of clusters of infections in Iran, South Korea, and Italy, underlining the threat of a global pandemic racing out of control.

The emergence of these new hubs underscored the lack of a coordinated global strategy to combat the coronavirus, which has infected nearly 80,000 people in 37 countries, causing at least 2,600 deaths.


“We cannot hermetically seal off the United States to a virus,” Alex Azar, the secretary of health and humans services, told a Senate panel on Tuesday. “And we need to be realistic about that.”

At the moment, the United States has just 57 cases, 40 of them connected to the Diamond Princess, the cruise ship overwhelmed by the coronavirus after it docked in Japan. Those patients are in isolation in hospitals, and there are no signs of sustained transmission in American communities yet.

“The immediate risk to the general American public remains low, but that has the potential to change quickly,” Azar added.

Officials at the CDC said they did not know whether spread of the disease to the United States would be mild or severe. But Americans should be ready for a significant disruption, Messonnier said.

Addressing rising concerns, Trump on Tuesday said at a news briefing in India: “You may ask about the coronavirus, which is very well under control in our country.”

“We have very few people with it and the people that have it are, in all cases, I have not heard anything other — the people are getting better, they’re all getting better.”

But on Tuesday, members of the administration were grilled on Capitol Hill by lawmakers from both parties, who made it clear they were not convinced that the Trump administration is prepared for an outbreak.


Senator John Kennedy, Republican of Louisiana, grew exasperated when the acting secretary of the Department of Homeland Security, Chad Wolf, could not say how many people were expected to become infected.

“I’m all for committees and task forces but you’re the secretary,” Kennedy responded. “I think you ought to know that answer.”

The administration officials overseeing the response to a potential outbreak told lawmakers that the initial amount of money requested by the White House — $1.25 billion in new funds and $1.25 billion taken from other programs — would likely be just a first round.

Azar said that there are 30 million N95 masks in the nation’s emergency stockpile, which typically cost less than $1 apiece.

Senator Patty Murray, Democrat of Washington, asked the health secretary whether he thought the United States had enough health masks in stock.

“Of course not,” he responded, “or else we wouldn’t be asking for more.”

Azar said he was alarmed by the human-to-human transmission of the virus in other parts of the world without an identifiable connection to confirmed cases, and what that could mean for how the virus may hi.

Messonnier said that because there is currently no vaccine or treatment for the coronavirus, communities and individuals should prepare other means of protecting themselves.

Messonnier said that she had sat down with her children and told them, “we as a family need to prepare for significant disruption of our lives.”

Individually, people can take the measures recommended for other infectious diseases, like washing their hands, covering their mouths when they cough, and staying home and away from others when they are sick.


Americans “should ask their schools about plans for dismissal” and for conducting classes online in the event that the spread of illness becomes serious, she said.

The World Health Organization said the pace of confirmed new cases in China, which exceeded 2,000 a day a month ago, had dropped steadily, to a low of 508 on Monday. By Tuesday, South Korea had reported a total of 893 cases, the second most in the world.

Material from The Washington Post and the Associated Press was used in this report.