Health officials in Germany's southeastern state of Bavaria announced Tuesday (link in German) that several new cases they had identified were individuals who were colleagues of an infected person who, according to German physicians, had no history of foreign travel in the 14 days before the onset of symptoms.
"This virus has spread at unprecedented scale and speed, with cases passing between people in multiple countries across the world", said Dr. Jeremy Farrar, director of Britain's Welcome Trust.
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When a PHEIC is declared, the Director-General issues temporary recommendations under the IHR (2005), including obligations for countries to provide sufficient public health rationale and justification to WHO about any additional measures beyond what WHO recommends. Officials have told news outlets that those individuals have shown no signs of the illness.
"Right now I'm in a state of guilt, remorse and self-reproach", said Ma Guoqiang, the municipal Communist Party secretary for Wuhan.
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However, they've since determined that the disease can move from human to human, as people who had no contact with the market have also contracted the virus.
The main symptoms of the virus are fever and a cough on admission to hospital.
The health crisis has also dented China's image overseas and put Chinese people in hard positions overseas, with Chinese communities complaining of episodes of "latent racism" in Italy. A third chartered flight brought back more than 190 people from Wuhan earlier Friday, after evacuating 416 on two earlier flights.
In a sign of growing global anxiety, more than 6,000 tourists were temporarily confined aboard their cruise ship at an Italian port after two Chinese passengers fell ill.
"The only way we will defeat this outbreak is for all countries to work together in a spirit of solidarity and cooperation", Tedros Adhanom Ghebreyesus, the director-general of World Health Organization, said in a news conference Thursday.
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