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New Strain of Coronavirus Behind Lung Infections in China
On Dec. 31, 2019, the World Health Organization (WHO) country office in China was informed of 27 patients with pneumonia of unclear cause in Wuhan — a metropolis with 19 million inhabitants in Hubei province.
The municipal health commission reported that many of the infections could be attributed to visits to the fish market, which also sells live animals other than fish. The market hall was then closed until further notice and has been disinfected.
By Jan. 5, 59 patients had been identified. Seven of them are in a critical condition, according to a report by the Robert Koch Institute; no deaths were reported.
In addition, South Korea reported that its first suspected case involved a 36-year-old Chinese woman who visited Wuhan last month, according to authorities. She is being treated in a hospital in Bundang, south of Seoul.
The Good News
Eight patients are currently considered cured and have reportedly left the hospital.
Having identified the virus, experts are one step further in their search for what is triggering the mysterious lung disease.
The pathogen's gene sequence has been deciphered, according to the head of the team of Chinese experts, Xu Jianguo.
He said the cause is a new type of coronavirus found in the blood and saliva of 15 patients. An investigation into what brought about the outbreak will continue.
Gauden Galea, a WHO representative in China, also confirmed the discovery of the new strain of the coronavirus in a statement.
According to the WHO, the quick preliminary identification of the novel virus is a notable achievement and demonstrates China's increased capacity to manage new outbreaks.
Chinese authorities have made a preliminary determination of the cause of #pneumonia in Wuhan as a novel (new)… https://t.co/zG6QTeZSpI— World Health Organization Western Pacific (@World Health Organization Western Pacific)1578553468.0
What are coronaviruses?
Coronaviruses were first found in humans in the 1960s. The name is derived from their appearance under the microscope: The peplomers, the outwardly protruding protein structures of the virus envelope, are arranged in the form of a crown (from Latin: corona).
Coronaviruses are common and infections are often harmless with patients developing only flu-like symptoms, such as fever, cough and shortness of breath. Gastrointestinal complaints, especially diarrhea, can also occur. The incubation time for a coronavirus can vary from a few days to two weeks.
However, coronaviruses are also dangerous and can mutate. They are RNA viruses and have high genetic variability, meaning they can easily overcome barriers between different species. Often, an outbreak among humans originates with other mammals, rodents or birds.
As a consequence, the infections also can take more severe paths, causing respiratory distress and pneumonia, which can even lead to death.
In 2002 and 2003, for example, the aggressive coronavirus SARS-CoV triggered an epidemic. At that time, more than 8,000 people in 29 countries became ill and 774 people died of SARS-CoV. In 2012, the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) was discovered and spread across the Arabian Peninsula.
In both cases, experts suspect animals were the source. The first infections were typical zoonoses — cases where pathogens manage to jump from an animal host to a human host.
How is the virus transmitted?
Zoonoses can be transmitted through direct contact between animals and humans as well as — like with many germs — simply through the air, such as by coughing or sneezing.
But there are many other ways of infection, for example through food or vectors. A mosquito, tick or other insect can transport a pathogen from the host to another organism without becoming ill itself.
In addition, zoonoses can also be transmitted via food, for example when eating meat or animal products. If these are not sufficiently heated or if they were prepared under unhygienic conditions, they also represent a source of infection.
Lunar New Year: Be safe
Compared to the major instances of SARS and MERS, the current coronavirus outbreak is small, but experts said it should not be underestimated.
China is, therefore, exercising caution regarding the Chinese Lunar New Year celebrations in late January. Millions of people travel in buses, trains and airplanes to celebrate the holiday.
Wang Yang, the Chinese Transport Ministry's chief engineer, said authorities will step up efforts to prevent the pneumonia outbreak from spreading further during the holiday period, including ensuring proper disinfection in major public transportation hubs like airport and train stations.
Other Asian countries also stepped up precautions on entry, especially for travelers from Wuhan, and introduced fever controls to prevent the feared spread of the virus. To date, there are 16 suspected cases in Hong Kong, and a possible patient has been reported in Singapore. Not in all of the cases have a direct connection to Wuhan.
How to protect yourself?
The U.S. Centers for Disease Control and Prevention (CDC) released a statement warning travelers to Wuhan to avoid animal markets and contact with animals or uncooked meat. People in the area should also avoid the sick and wash their hands frequently with soap and water.
Those who have been to Wuhan and feel ill should seek medical help immediately and avoid contact with others, the report said.
Before the doctor is consulted, the practice or clinic should be informed about the travel history and symptoms.
The WHO did not issue a specific travel warning.
Reposted with permission from Deutsche Welle.
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By Daisy Simmons
1. Stay Informed<p>A first order of business in pet evacuation planning is to understand and be ready for the possible threats in your area. Visit <a href="https://www.ready.gov/be-informed" target="_blank">Ready.gov</a> to learn more about preparing for potential disasters such as floods, hurricanes, and wildfires. Then pay attention to related updates by tuning <a href="http://www.weather.gov/nwr/" target="_blank">NOAA Weather Radio</a> to your local emergency station or using the <a href="https://www.fema.gov/mobile-app" target="_blank">FEMA app</a> to get National Weather Service alerts.</p>
2. Ensure Your Pet is Easily Identifiable<p><span>Household pets, including indoor cats, should wear collars with ID tags that have your mobile phone number. </span><a href="https://www.avma.org/microchipping-animals-faq" target="_blank" rel="noopener noreferrer">Microchipping</a><span> your pets will also improve your chances of reunion should you become separated. Be sure to add an emergency contact for friends or relatives outside your immediate area.</span></p><p>Additionally, use <a href="https://secure.aspca.org/take-action/order-your-pet-safety-pack" target="_blank" rel="noopener noreferrer">'animals inside' door/window stickers</a> to show rescue workers how many pets live there. (If you evacuate with your pets, quickly write "Evacuated" on the sticker so first responders don't waste time searching for them.)</p>
3. Make a Pet Evacuation Plan<p> "No family disaster plan is complete without including your pets and all of your animals," says veterinarian Heather Case in <a href="https://www.youtube.com/watch?v=Q9NRJkFKAm4" target="_blank">a video</a> produced by the American Veterinary Medical Association.</p><p>It's important to determine where to take your pet in the event of an emergency.</p><p>Red Cross shelters and many other emergency shelters allow only service animals. Ask your vet, local animal shelters, and emergency management officials for information on local and regional animal sheltering options.</p><p>For those with access to the rare shelter that allows pets, CDC offers <a href="https://www.cdc.gov/healthypets/emergencies/pets-in-evacuation-centers.html" target="_blank">tips on what to expect</a> there, including potential health risks and hygiene best practices.</p><p>Beyond that, talk with family or friends outside the evacuation area about potentially hosting you and/or your pet if you're comfortable doing so. Search for pet-friendly hotel or boarding options along key evacuation routes.</p><p>If you have exotic pets or a mix of large and small animals, you may need to identify multiple locations to shelter them.</p><p>For other household pets like hamsters, snakes, and fish, the SPCA recommends that if they normally live in a cage, they should be transported in that cage. If the enclosure is too big to transport, however, transfer them to a smaller container temporarily. (More on that <a href="https://www.spcai.org/take-action/emergency-preparedness/evacuation-how-to-be-pet-prepared" target="_blank" rel="noopener noreferrer">here</a>.)</p><p>For any pet, a key step is to establish who in your household will be the point person for gathering up pets and bringing their supplies. Keep in mind that you may not be home when disaster strikes, so come up with a Plan B. For example, you might form a buddy system with neighbors with pets, or coordinate with a trusted pet sitter.</p>
4. Prepare a Pet Evacuation Kit<p>Like the emergency preparedness kit you'd prepare for humans, assemble basic survival items for your pets in a sturdy, easy-to-grab container. Items should include:</p><ul><li>Water, food, and medicine to last a week or two;</li><li>Water, food bowls, and a can opener if packing wet food;</li><li>Litter supplies for cats (a shoebox lined with a plastic bag and litter may work);</li><li>Leashes, harnesses, or vehicle restraints if applicable;</li><li>A <a href="https://www.avma.org/resources/pet-owners/emergencycare/pet-first-aid-supplies-checklist" target="_blank">pet first aid kit</a>;</li><li>A sturdy carrier or crate for each cat or dog. In addition to easing transport, these may serve as your pet's most familiar or safe space in an unfamiliar environment;</li><li>A favorite toy and/or blanket;</li><li>If your pet is prone to anxiety or stress, the American Kennel Club suggests adding <a href="https://www.akc.org/expert-advice/home-living/create-emergency-evacuation-plan-dog/" target="_blank" rel="noopener noreferrer">stress-relieving items</a> like an anxiety vest or calming sprays.</li></ul><p>In the not-unlikely event that you and your pet have to shelter in different places, your kit should also include:</p><ul><li>Detailed information including contact information for you, your vet, and other emergency contacts;</li><li>A list with phone numbers and addresses of potential destinations, including pet-friendly hotels and emergency boarding facilities near your planned evacuation routes, plus friends or relatives in other areas who might be willing to host you or your pet;</li><li>Medical information including vaccine records and a current rabies vaccination tag;</li><li>Feeding notes including portions and sizes in case you need to leave your pet in someone else's care;</li><li>A photo of you and your pet for identification purposes.</li></ul>
5. Be Ready to Evacuate at Any Time<p>It's always wise to be prepared, but stay especially vigilant in high-risk periods during fire or hurricane season. Practice evacuating at different times of day. Make sure your grab-and-go kit is up to date and in a convenient location, and keep leashes and carriers by the exit door. You might even stow a thick pillowcase under your bed for middle-of-the-night, dash-out emergencies when you don't have time to coax an anxious pet into a carrier. If forecasters warn of potential wildfire, a hurricane, or other dangerous conditions, bring outdoor pets inside so you can keep a close eye on them.</p><p>As with any emergency, the key is to be prepared. As the American Kennel Club points out, "If you panic, it will agitate your dog. Therefore, <a href="https://www.akc.org/expert-advice/home-living/create-emergency-evacuation-plan-dog/" target="_blank" rel="noopener noreferrer">pet disaster preparedness</a> will not only reduce your anxiety but will help reduce your pet's anxiety too."</p>
Evacuating Horses and Other Farm Animals<p>The same basic principles apply for evacuating horses and most other livestock. Provide each with some form of identification. Ensure that adequate food, water, and medicine are available. And develop a clear plan on where to go and how to get there.</p><p>Sheltering and transporting farm animals requires careful coordination, from identifying potential shelter space at fairgrounds, racetracks, or pastures, to ensuring enough space is available in vehicles and trailers – not to mention handlers and drivers on hand to support the effort.</p><p>For most farm animals, the Red Cross advises that you consider precautionary evacuation when a threat seems imminent but evacuation orders haven't yet been announced. The American Veterinary Medical Association has <a href="https://www.avma.org/resources/pet-owners/emergencycare/large-animals-and-livestock-disasters" target="_blank">more information</a>.</p>
Bottom Line: If You Need to Evacuate, So Do Your Pets<p>As the Humane Society warns, pets left behind in a disaster can easily be injured, lost, or killed. Plan ahead to make sure you can safely evacuate your entire household – furry members included.</p>
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