SEATTLE: The coronavirus may have been circulating for weeks undetected in Washington state, a preliminary finding that could mean hundreds of undiagnosed cases, researchers said Sunday after analyzing the genetic sequences of viruses from two people.
Washington state, home of the nation’s first confirmed infection, has seen eight confirmed cases, including the nation’s first death from the virus this weekend.
State and local authorities stepped up testing for the illness as the number of new cases grew nationwide, with new infections announced in California, Illinois, Rhode Island, New York and Washington state. Authorities in the Seattle area said two more people had been diagnosed with the COVID-19 virus, both men in their 60s who were in critical condition, and two health care workers in California were also diagnosed.
A man in his 50s died in Washington on Saturday, and health officials said 50 more people in a nursing facility in Kirkland, Washington, are sick and being tested for the virus. The first US case was a Washington state man who had visited China, where the virus first emerged, but several recent cases in the US have had no known connection to travelers.
In California, two health care workers in the San Francisco Bay area who cared for an earlier coronavirus patient were diagnosed with the virus on Sunday, the Alameda and Solano counties said in a joint statement.
The health care workers are both employed at NorthBay VacaValley Hospital in Vacaville, California, and had exposure to a patient treated there before being transferred to UC Davis Medical Center in Sacramento, the statement said. That patient was the first person in the US discovered to have contracted the coronavirus with no known overseas travel.
Alameda County declared a state of emergency on Sunday following the news.
Elsewhere, authorities announced Sunday a third case in Illinois and Rhode Island and New York’s first cases as worried Americans swarmed stores to stock up on basic goods such as bottled water, canned foods and toilet paper.
The hospitalized patient in Rhode Island is a man in his 40s who had traveled to Italy in February. New York confirmed Sunday that a woman in her late 30s contracted the virus while traveling in Iran. The patient is not in serious condition. She has respiratory symptoms and has been in a controlled situation since arriving in New York, according to a statement from the governor’s office.
As the fallout continued, Vice President Mike Pence and Health and Human Services Secretary Alex Azar sought to reassure the American public that the federal government is working to make sure state and local authorities are able to test for the virus. Both said during a round of TV talk show appearances Sunday that thousands more testing kits had been distributed to state and local officials, with thousands more to come.
“They should know we have the best public health system in the world looking out for them,” Azar said, adding that additional cases will be reported and the overall risk to Americans is low.
As the cases ticked up, some Americans stocked up on basic supplies — particularly in areas with diagnosed cases — and began to take note of the impact on daily life. Stores such as Costco sold out of toilet paper, bottled water and hand sanitizer outside Portland, Oregon, where a case was announced Friday. Sports games and practices were canceled into the coming school week. Some churches said they would not offer communion because of fears of viral spread.
As Americans prepared, researchers at the Fred Hutchinson Cancer Research Center and the University of Washington on Sunday said they had evidence the virus may have been circulating in the state for up to six weeks undetected — a finding that, if true, could mean hundreds of undiagnosed cases in the area. They posted their research online, but it was not published in a scientific journal or reviewed by other scientists.
Trevor Bedford, an associate professor who announced the preliminary findings on the virus in Washington state, said on Twitter late Saturday that genetic similarities between the state’s first case on Jan. 20 and a case announced Friday indicated the newer case may have descended from the earlier one. The Jan. 20 case was the first known case in the US
“I believe we’re facing an already substantial outbreak in Washington State that was not detected until now due to narrow case definition requiring direct travel to China,” he said on Twitter.
Bedford did not immediately reply to an email requesting an interview Sunday.
Scientists not affiliated with the research said the results did not necessarily surprise them and pointed out that for many people — especially younger, healthier ones — the symptoms are not much worse than a flu or bad cold.
“We think that this has a pretty high rate of mild symptoms and can be asymptomatic. The symptoms are pretty non-specific and testing criteria has been pretty strict, so those combinations of factors means that it easily could have been circulating for a bit without us knowing,” said Justin Lessler, an associate professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health.
Dr. Adam Lauring of University of Michigan called the findings “high quality work” from scientists who’ve done similar work with the flu virus for years.
“They show their data and they show their work,” Lauring said. “It’s more than a series of tweets” because the researchers back up what they found with data that they’ve shared online. “If there’s something wrong, someone will find it.”
Dr. Carlos del Rio of Emory University School of Medicine said the findings are from respected researchers in genomic sequencing and they make sense because of the geographic proximity of the two cases.
“This is a good time to reinforce the things we all should be doing to stop the spread of flu. Wash your hands. Don’t touch your face. If you have a cold, stay home ... It’s a good time to remind ourselves of that,” he said.
Pence, named by the president to be the point-person overseeing the government’s response, said more than 15,000 virus testing kits had been released over the weekend. And, the administration is working with a commercial provider to distribute 50,000 more, he said.
The vice president said testing was among the first issues raised by governors he’s spoken with so far. Several states have begun their own testing, including Washington state, Oregon and Illinois.
“We’re leaning into it,” Pence said.
Azar said more than 3,600 people already have been tested for coronavirus and the capability exists to test 75,000 people. He forecast a “radical expansion of that” in the coming weeks.
Pence and Azar spoke a day after President Donald Trump approved new restrictions on international travel to prevent the spread within the US of the new virus, which originated in China. There are now more than 80,000 cases worldwide and about 3,000 deaths.
Two Americans are now known to have died of the virus, one in Washington state and one in China.
The new US travel restrictions apply to Iran, although travel there by Americans already is severely limited, as well as heavily affected regions of Italy and South Korea. Trump tweeted Sunday that any travelers from those countries will be screened when they arrive in the US
The number of known coronavirus cases in the US had reached76 as of Sunday, counting people evacuated from a cruise ship and the city of Wuhan in China.
Trump said Saturday at a White House news conference that he was thinking about closing the southern border with Mexico as a precaution. Azar said Sunday that Mexico has few coronavirus cases and that it would take a dramatic change in the circumstances there to prompt serious consideration of a border shutdown.
The president, Azar said, “was trying to say everything’s on the table.”
“We will take whatever measures are appropriate and necessary to protect the American people, but we don’t forecast doing that any time soon,” he said of closing the border.
Pence noted that an infectious disease expert is joining an existing White House coronavirus task force on Monday. Last week, Pence announced the addition of Debbie Birx, a State Department ambassador-at-large and medical doctor who is the administration’s global HIV/AIDS response coordinator, to the virus panel.
Despite calls by Trump and Pence for political unity in the face of the viral threat, the issue has become mired in the partisan rancor in Washington, with both Republicans and Democrats accusing each other of mining the issue for political gain.
Trump, at a political rally last week, accused Democrats of “politicizing” the issue and said their criticism of his handling of the public health challenge was their new “hoax.”
At the White House on Saturday, Trump said he was not trying to minimize the threat from the virus.
“Again, the hoax was used in respect to Democrats and what they were saying,” he said Saturday.
Democratic presidential candidate Joe Biden, who emerged victorious Saturday night from South Carolina’s primary, criticized the administration over the availability of testing kits.
Biden also panned the administration’s decision to have political appointees Pence and Azar, neither of whom are scientists by training, appear on the Sunday shows, instead of an expert like Dr. Anthony Fauci, the National Institutes of Health infectious disease chief.
Biden claimed the administration doesn’t have testing kits. Pence and Azar said thousands of kits had been distributed.
Azar said he didn’t know what Biden was talking about when the former vice president said testing kits didn’t exist. Azar said the Centers for Disease Control and Prevention had developed a lab test for coronavirus with “historic speed.”
Pence was interviewed on CNN’s “State of the Union” and Azar commented on “Fox News Sunday,” CBS’ “Face the Nation” and ABC’s “This Week.” Biden commented on CNN.
Genetic clues hint at hidden virus cases in Washington state
https://arab.news/5m7jn
Genetic clues hint at hidden virus cases in Washington state

- Health officials said 50 more people in a nursing facility in Kirkland, Washington, are sick and being tested for the virus
- The first US case was a Washington state man who had visited China, where the virus first emerged
Malta offers to repair Gaza aid ship in drone strike row

But Prime Minister Robert Abela said the Freedom Flotilla Coalition must first allow a maritime surveyor on board to inspect the “Conscience” and determine what repairs are needed.
The pro-Palestinian activists had pointed the finger at Israel, which has blockaded the Gaza Strip throughout its military campaign against Hamas, for the attack.
If the ship can be fixed at sea, it will be, but otherwise it will be towed under Maltese control to the Mediterranean island for repairs, paid for by Malta.
“In the last few hours there was insistence that first the boat comes into Maltese waters and then the surveyor is allowed onboard,” Abela said.
“Before a vessel — any vessel — is allowed to enter Maltese waters then control must be in the hands of Maltese authorities, especially when we are talking about a vessel with no flag, no insurance.”
In an online press conference, members of the coalition who had been due to board the Conscience in Malta — including Swedish activist Greta Thunberg — said they had agreed to allow the inspection.
“When we received this offer from the Maltese government, we consulted with all of our Flotilla Coalition committee members who are on board,” said Brazilian FFC volunteer Thiago Avila.
“And their decision is that this is a good proposition from the Maltese government,” he said.
“As long as they can guarantee ... Conscience will not be stopped when it wants to leave on the humanitarian mission to take aid to Gaza.”
The activists explained the Conscience has no flag because the government of the Pacific nation of Palau had announced that they were withdrawing their registration on Friday, the day of the alleged strike.
Otherwise, they insisted they had made every effort to comply with international maritime law when embarking on the mission to take aid to Palestinians in Gaza.
According to the Flotilla Coalition, the Conscience was attacked in international waters as it headed for Malta on Friday, causing a fire that disabled the vessel and minor injuries to crew members.
Maltese and Cypriot rescuers responded. No government has confirmed the Conscience was the victim of drones, but Cyprus’s rescue agency said it had been informed by the island’s foreign ministry of an Israeli strike.
The Israeli military did not provide an immediate response when contacted by AFP.
First reported by CNN, a flight tracking service showed that an Israeli C-130 military cargo plane had been in the area immediately before the incident and had made several low altitude sweeps over the area.
Israel is known for conducting covert operations beyond its borders, including several during the Gaza war that it only acknowledged later.
The activists said the strike appeared to target the boat’s generator.
Thunberg told reporters that the incident should not distract from the focus of the boat’s mission to Gaza.
“What we are doing here is to try our very best to use all the means that we have to do our part, to keep trying to break the inhumane and illegal siege on Gaza and to open up humanitarian corridors,” she said.
Ukraine’s Zelensky: Ceasefire with Russia possible at any moment

PRAGUE: Ukrainian President Volodymyr Zelensky said on Sunday that a ceasefire with Russia in its more than three-year-old war is possible at any moment.
Zelensky, speaking at a joint news conference in Prague alongside Czech President Petr Pavel, also said that Ukraine hopes to receive 1.8 million shells in 2025 under a Czech initiative to provide military assistance.
Indonesian president inaugurates Hajj and Umrah airport terminal in Jakarta

- Indonesian Hajj pilgrims have started departing for Saudi Arabia since Friday
- Kingdom’s Makkah Route initiative will be implemented at new Hajj and Umrah terminal
JAKARTA: Indonesian President Prabowo Subianto inaugurated on Sunday a special terminal for Hajj and Umrah pilgrims at Jakarta’s international airport, where travel will also be facilitated under Saudi Arabia’s Makkah Route initiative.
Indonesia, which has the world’s largest Muslim-majority population, sends the highest number of Hajj and Umrah pilgrims every year.
As pilgrims around the world have already begun to make their way to Saudi Arabia for Hajj this year, about 221,000 people will be coming from Indonesia.
“The government wants to give the best service for our pilgrims. We also understand that many of our pilgrims are seniors, and so we must take very good care of them,” Subianto said during the inauguration ceremony at Soekarno-Hatta International Airport.
“We understand that our pilgrims have saved up for a long time, and even waited for a long time, and so the government under my leadership will do our very best to give the best services and work hard to lower the cost of Hajj.”
The airport’s 2F terminal area, which has undergone renovations, has been transformed into a dedicated area for Indonesia’s Hajj and Umrah pilgrims. It was developed to serve 6.1 million travelers annually, according to a statement issued by the Cabinet Secretariat.
The launch event was attended by Saudi Ambassador to Indonesia Faisal Abdullah Amodi, as well as other Indonesian ministers, including Religious Affairs Minister Nasaruddin Umar and State-Owned Enterprises Minister Erick Thohir.
Special counters for Saudi immigration, which are part of the Kingdom’s Makkah Route initiative, have also been set up at the new terminal.
The program launched in Muslim-majority countries in 2019 allows Hajj pilgrims to fulfill all visa, customs and health requirements in one place, at the airport of origin, and save long hours of waiting before and upon reaching the Kingdom.
In Indonesia, pilgrims departing from the cities of Jakarta, Surabaya and Solo are benefiting from the Makkah Route initiative.
“As President Prabowo said, this is proof of the government’s commitment to give the best service, especially for our senior pilgrims. He is also proud of the modern and comfortable facilities that have been set up,” Umar, the religious affairs minister, said on social media.
Thousands of Indonesian pilgrims have begun to depart for Saudi Arabia, after the first Hajj flights commenced last Friday.
Though the pilgrimage itself can be performed over five or six days, many pilgrims arrive early to make the most of the once-in-a-lifetime opportunity to fulfill their religious duty.
In 2025, the Hajj is expected to take place on June 4 and end on June 9.
Five policemen kidnapped in southwestern Pakistan

QUETTA: A separatist militant group in southwestern Pakistan on Sunday claimed an attack on a prison van in which five police officers were taken hostage.
Between 30 and 40 gunmen blocked a major highway that cuts across Balochistan province overnight on Friday, intercepting a prison van being transported by a police team, a police official said.
“The prisoners were released later but five policemen have been kidnapped,” a senior police official in the area, who was not authorized to speak to the media, told AFP on Sunday.
He said a rescue operation was underway.
The gunmen also set fire to government buildings and a bank in the area.
A senior government official, who asked not to be named, said that two gunmen were killed by security forces.
Pakistan has been battling a separatist insurgency in Balochistan for decades, where militants target state forces, foreign nationals, and non-locals in the mineral-rich southwestern province bordering Afghanistan and Iran.
The Baloch Liberation Army (BLA), the most active group in the region, claimed the assault in Kalat district.
The BLA has previously targeted energy projects receiving foreign financing — most notably from China.
In March, the group seized a train, taking hundreds of passengers hostage and killing off-duty security forces in a three-day seige.
Two dead, 31 injured in Croatia bus crash

- he health ministry, cited by state news agency Hina, said several badly hurt people had undergone operations in hospital
ZAGREB: Two people died and 31 people were injured when a Bosnian-registered coach and a car crashed into each other in Croatia on Sunday, police and medical staff said.
The accident occurred at 3:00 am (0100 GMT) on a busy freeway some 50 kilometers (30 miles) east of the capital, Zagreb.
The casualties were taken to nearby hospitals, police spokeswoman Maja Filipovic told AFP, adding that an investigation had been launched to determine the causes.
The health ministry, cited by state news agency Hina, said several badly hurt people had undergone operations in hospital.
Photos published by local media showed a double-decker bus lying on its side in the middle of the freeway with its windows broken.