Time Period Covered February 24, 2020 - February 24, 2020
According to WHO, the understanding of transmission patterns, severity,
clinical features and risk factors for COVID-19 is currently limited among
the general population, among health care workers, in households and
in other “closed” settings. On 18 February, a new master protocol
entitled “Surface sampling of coronavirus disease (COVID-19): A
practical how-to protocol for health care and public health
professionals” was published. The role of environmental contamination
in the transmission of COVID-19 is not yet clear. This protocol was
designed to determine viable virus presence and persistence on fomites
in various locations where a COVID-19 patient is receiving care or
isolated, and to understand how fomites may play a role in the
transmission of the virus in these settings. It is important that surface
sampling is done as part of a comprehensive outbreak investigation,
and that information obtained by environmental studies is combined
with findings from epidemiological and laboratory investigations.
WHO continues to collaborate with experts, Member States and other
partners to identify gaps and research priorities for the control of COVID19, and provide advice to countries and individuals on prevention
measures. National food safety authorities have been following this
event with the International Food Safety Authorities Network (INFOSAN)
Secretariat to seek more information on the potential for persistence of
the virus on foods traded internationally and the potential role of food in
the transmission of the virus.
New country with COVID-19 case: ISRAEL and LEBANON
o Health authorities confirmed the first case of COVID-19 in Israel on
February 21. The report indicated that the individual is 1 out of the
11 travellers returning from the quarantined cruise ship in
Yokohama. The infected individual arrived at Ben Gurion Airport in
Tel Aviv on February 20. All 11 travellers returning from the cruise
ship in Yokohama were taken to the Sheba Medical Center, near
Tel Aviv, for isolation and further investigation.
o Health authorities confirmed the first case of COVID-19 in Lebanon
on February 21. The report indicates that the individual is a 45-yearold woman who returned on February 20 from the city of Qom,
Iran. She has since been isolated at a hospital in Beirut. Next to
Canada, this represents the second country reporting COVID-19
in a returning traveller from Iran with no recent travel history to
Mainland China. These travel-associated cases in Canada and
Lebanon suggest that wider transmission may be occurring in the
country.
Increasing Cluster Cases in South Korea
o Shincheonji Religious Group in Daegu
▪ 309 confirmed cases are epidemiologically linked to this
cluster
o Cheongdo Daenam Hospital, south of Daegu
▪ 92 confirmed cases are epidemiologically linked to this
cluster
o Military Cluster
▪ Another cluster identified is among a military base were 4
South Korean soldiers have been confirmed with COVID-19
To prevent further spread of the disease, South Korean officials have
designated the cities of Daegu and Cheogondo as special care zones,
with public facilities closed and mass gathering events suspended. In
Seoul, several large public venues have been closed and gatherings at
rallies have been banned. The Korea Centers for Disease Control and
Prevention indicated that they have placed more than 9,000
Shincheonji members in self-quarantine and thousands of worshippers
have been screened for the virus.
Cluster Cases in Italy
o On 22 February, the Italian authorities reported clusters of cases in
Lombardy. Initial case identification was based on local
laboratory confirmations in the affected Region. Further
confirmatory testing is being undertaken by the Italian national
reference laboratory and extensive contact tracing is being
performed.
o From the total cases, 90 are in the Lombardy region (including 1
death), 26 in Veneto region (including 1 death), 9 in Emilia
Romagna region, 6 in Piemonte region and the 3 cases in Rome
are related to travel in China.