Britons on coronavirus airlift from Wuhan WILL be quarantined

Britons flying home from Wuhan on an emergency evacuation flight tomorrow are expected to have to sign a waiver allowing the Government to keep them in military quarantine for two weeks in case they’re infected.

Up to 200 British expats with a place on the emergency flight out have finally been told the Government has chartered a plane to rescue them on the condition they agree to be isolated and treated if they turn out to be sick.

Evacuees offered seats on the flight, on which they will be treated as contagious cargo, will be transported by guards and shuttled around by heavily-protected government workers.

When the plane takes off tomorrow morning, passengers can expect to be met by hazmat-wearing officials who will check their health and lead them to a secure safehouse away from the British public. 

Anyone who gets off the flight sick with the coronavirus, which has killed 133 people in China and infected more than 6,000 around the world, will be the first person known to have brought the contagion onto UK soil. 

As an extra precaution the flight crew manning the plane – which is expected to be supplied by an Asian commercial airline – will be isolated in the UK alongside the passengers, reports suggest.

In a tweet today, Health Secretary Matt Hancock said: ‘We are working hard to get British nationals back from Wuhan. Public safety is the top priority.

‘Anyone who returns from Wuhan will be safely isolated for 14 days, with all necessary medical attention.’ 

Mr Hancock chaired a meeting of the Government’s Cobra emergency committee at 4.30pm this afternoon to discuss the fast-developing situation. 

The EU said earlier today that the UK was among 14 countries which had asked for its assistance in arranging evacuation flights from China – the brazen move comes just two days before Britain is set to leave in Brexit.

Nobody in the UK has yet been diagnosed with the condition, although experts do expect a case – at least 130 people have been tested and got the all-clear.  

In other developments in the Wuhan coronavirus crisis:

• The UK’s Foreign & Commonwealth Office is reportedly urging the Chinese government to allow Chinese-British dual citizens to flee to the UK 
• Some 133 people have now died across China and more than 6,000 around the world have caught the infectious virus
• Cases of coronavirus have tripled since Sunday and jumped 30 per cent in the last 24 hours – now infecting people in 19 different countries 
• The outbreak in mainland China is now bigger than the 2003 SARS epidemic, when 5,327 cases of the killer virus were confirmed
• Finland and the United Arab Emirates today confirmed their first cases – one in Finland, four in UAE 
• Sudan said it is expecting its first cases in sick passengers travelling back from China today – in confirmed it will be the first African country to be dragged into the crisis
• World Health Organization will meet tomorrow for a third time to reconsider its decision not to declare a global emergency
• Lufthansa became the latest airline to stop flying to China, following British Airways earlier today
• A US evacuation flight that took off from Wuhan has landed in Ontario, California, after its passengers all passed health screening at a layover in Anchorage, Alaska, last night
• Health officials in Beijing fear the epidemic will continue to get worse and peak ‘in the next 10 days’  
• Four people in Germany who contracted coronavirus after a colleague from China visited their workplace only had ‘very mild’ symptoms

Details are scant about the UK’s landmark evacuation tomorrow but it is expected that it will follow a similar procedure to ones carried out by the US and Japan.

A source inside Downing Street told the Press Association people who would be boarding the flight had already agreed to be put in ‘assisted isolation’, suggesting arrangements have been made with the passengers.

The Government source said: ‘We are expecting about 200 British nationals to be on board, there is capacity on the flight for everybody. 

‘On arrival passengers will be safely isolated for two weeks with all necessary medical attention.’ 

People will be responsible for making their own way to the airport in Wuhan through a deserted city without any functioning public transport and with police roadblocks and traffic stops throughout the Hubei province.

If they manage that leg of the journey in time they will be met by Chinese officials, potentially armed soldiers, at the airport. 

Wearing face masks is now believed to be mandatory in Wuhan so everyone they encounter will be wearing one of those at a minimum.

Once in the care of staff at the airport, the British passengers will probably have their temperatures checked to see whether any of them have a fever.

On the plane, all flight attendants will likely be wearing face masks in a thoroughly disinfected cabin, which will probably have cleaning products on board for people to use during the long-haul journey.

Commercial flights between London and Wuhan typically take around 13 hours, split across two legs. The passengers will endure this alongside strangers, any one of whom could be infected with the coronavirus. 

Upon landing at an unspecified airport in London, the passengers will probably then have medical checks again before being taken to a military base, the location of which is unknown.

It’s not clear whether the plane will go to an RAF airstrip or whether people will be taken from a cordoned-off area of a public airport such as Heathrow, Gatwick or Stansted. 

Japanese people who were evacuated by their own nation were met on the runway by coaches which then ferried them away from the airport. 

Once out of the airport and at the quarantine location the passengers will be confined and looked after by health workers, government employees and possibly the military. Medical facilities will be set up on site to avoid having to take any infected patients to a public hospital.

They won’t be allowed out in public for two weeks, it is reported – this is because scientists have worked out the virus has an incubation period of around this long. 

An incubation period is the time between someone becoming infected and starting to show symptoms. During this time someone could be contagious without knowing they’re sick, making them extra dangerous. 

Details emerging about the flight tomorrow have been hazy and largely unconfirmed by the Government. 

The timing of the flight, which passengers had until 11am this morning to register for, is still unknown, and so is its final destination. 

Ben Pinkerton, a teacher from Dungannon, Northern Ireland, is stuck in Wuhan and today told MailOnline he was cooped up in his flat in the city waiting to arrange a way home on the evacuation flight.  

He said earlier that the Government had given him ‘very little practical advice’ and he wasn’t sure when he was supposed to be heading to the airport – or how. 

‘We were told that an evacuation was happening Thursday morning, but we haven’t been given a time or anything,’ he said. ‘It’s quite nerve wracking, just sitting here waiting.

‘A vague time doesn’t help us. We have travel arrangements planned with the company we work with, but the driver needs rest and we can’t assure him of what time we get picked up. The whole arrangement seems like a shambles.’

Mr Pinkerton added that morale among British people in the city seemed high but that he figured their families at home would be worried. 

He said: ‘I implore those at the top to think not only of us but also our families still at home. In the majority of cases I would wager they are more worried than we are and want nothing more than their relatives to return to safety.’

British PE teacher Kharn Lambert, who has since decided he won’t come back on the flight, told Sky News: ‘This morning I was on the phone to the embassy and they’ve basically told us via a script they were given by the Foreign Office that the flight will be leaving tomorrow, they’re not sure what time.’ 

Mr Lambert said he decided to stay in Wuhan so he didn’t ‘put everybody’s health at risk’ but said his grandmother would have to fly home because she was frail.  

British teacher Jeff Siddle is among those due to be evacuated from Wuhan with his nine-year-old daughter Jasmine tomorrow.

But Chinese officials are reportedly barring his wife Sindy, a Chinese citizen, from boarding the rescue flight. 

Mr Siddle’s family flew to Hubei province to spend time with his partner’s relatives and celebrate the Chinese New Year before warnings were in place about the deadly coronavirus epidemic.

Mr Siddle said today: ‘My wife’s a Chinese citizen, although she’s got a permanent residency visa for the UK as a spouse.

‘But what the Foreign Office is saying is they are going to be doing an airlift, possibly tomorrow, but it’s only [for] British citizens.

‘Chinese authorities are not allowing any Chinese residents to leave.

‘I was put in the position to make a decision to either leave my wife here in China, or the three of us stay here [in Wuhan]. 

‘We have to basically have a nine-year-old child separated from their mother. Who knows how long that is going to be for?’

Mr Siddle told the Guardian there were no health warnings in place when they flew out on January 15. ‘My head is spinning,’ he said. ‘It’s just horrendous.

‘This ordeal just turned into our worst nightmare. How can they put a family in this position? Having to leave Sindy in China would be the worst thing that anyone could be put through. How am I going to tell Jasmine that her mum has to stay behind?’

Mr Siddle said he and his daughter will have to make their own way to Wuhan Tianhe International Airport, where the US and Japan have flown residents out of the city from. But he added that he is a three-hour drive away from the airport and that all the roads are on lockdown.

Another expat stranded in the region, Malcolm Lanyon, said he has chosen to stay in the region because he doesn’t want to leave his Chinese wife behind. 

British Airways today announced it would be stopping all flights to and from mainland China for the forseeable future. It runs daily flights to Beijing and Shanghai from London Heathrow.

The airline said in a statement: ‘We have suspended all flights to and from mainland China with immediate effect following advice from the Foreign Office against all but essential travel. 

‘We apologise to customers for the inconvenience, but the safety of our customers and crew is always our priority. 

‘Customers due to travel to or from China in the coming days can find more information on ba.com.’

Virgin Atlantic said it would continue to run flights between Heathrow and Shanghai as scheduled, but passengers will be able to rebook or get a refund for free.

The airline issued a statement which read: ‘We continue to monitor the situation regarding coronavirus and will always follow guidance as set out by relevant authorities. 

‘The Foreign and Commonwealth Office is advising against all but essential travel to mainland China, excluding Hong Kong.

‘For customers who have booked to travel to China, including Hong Kong, and would like to discuss their travel plans further, we would invite them to contact our customer care team via our SMS messaging system, on +44 (0)7481 339184.’ 

Airlines around the world have announced they are reducing services to China or stopping them altogether: action has been taken by Air France, Air KBZ (Myanmar), Cathay Pacific, Finnair, Lion Air, Myanmar Airways International, Myanmar National Airlines and Urals Airlines (Russia).

Kazakhstan has also announced it will stop all flights from February 3, and Hong Kong will halve the number of planes travelling to mainland China.

In the US, United Airlines said it would ‘trim’ its services to China because of a drop in demand. 

US health officials have advised against all but essential travel to China as a whole, the same measure taken by the UK Government. 

United said flights from the US to Beijing, Shanghai and Hong Kong from February 1 were currently unaffected. 

For US citizens stranded in the crisis-hit Wuhan, a flight chartered by the US Government yesterday retrieved 240 people and flew them back to America.

The plane first landed in Anchorage, Alaska to refuel.

It was then due to fly on to Ontario, California, but was diverted to a military base in Riverside.

San Bernardino County Supervisor Curt Hagman said: ‘The CDC just let us know the flight [would] be directed to March Air Force Base.’ 

He offered no explanation as to why, adding: ‘We were prepared for the worst.’ 

In the US there have been five cases of the Wuhan coronavirus confirmed already, and dozens more people have been tested in more than 20 states. 

The Japanese government has also evacuated citizens from Wuhan and flown them to Tokyo.

One of the evacuees, Takayuki Kato, said the atmosphere had turned dark inside Wuhan after it became clear how quickly the virus was spreading.

Mr Kato said: ‘Everyone in the city began wearing masks. On the 23rd, when transport was shut down, I became very alarmed.

He said the evacuation went smoothly and added: ‘The flight was quiet. People were cool-headed’. 

Five passengers who said they felt unwell were hospitalised on arriving in Japan but there has not yet been confirmation of whether they were infected with the virus. 

The Japan flight arrived in Wuhan overnight, carrying emergency relief supplies including 15,000 masks, 50,000 pairs of gloves and 8,000 protective glasses, the country’s  foreign ministry said.

Four medical officials were also on board to monitor returning passengers and administer health questionnaires. 

All passengers will be tested for the new strain of coronavirus, which has killed more than 130 people and infected thousands. 

Everything we know we know about the deadly coronavirus in China: But how worried should we be? 

Someone who is infected with the Wuhan coronavirus can spread it with just a simple cough or a sneeze, scientists say.

At least 133 people with the virus are now confirmed to have died and more than 6,000 have been infected in at least 18 countries and regions. But experts predict the true number of people with the disease could be 100,000, or even as high as 350,000 in Wuhan alone, as they warn it may kill as many as two in 100 cases.  Here’s what we know so far:

What is the Wuhan coronavirus? 

A coronavirus is a type of virus which can cause illness in animals and people. Viruses break into cells inside their host and use them to reproduce itself and disrupt the body’s normal functions. Coronaviruses are named after the Latin word ‘corona’, which means crown, because they are encased by a spiked shell which resembles a royal crown.

The coronavirus from Wuhan is one which has never been seen before this outbreak. It is currently named 2019-nCoV, and does not have a more detailed name because so little is known about it.

Dr Helena Maier, from the Pirbright Institute, said: ‘Coronaviruses are a family of viruses that infect a wide range of different species including humans, cattle, pigs, chickens, dogs, cats and wild animals. 

‘Until this new coronavirus was identified, there were only six different coronaviruses known to infect humans. Four of these cause a mild common cold-type illness, but since 2002 there has been the emergence of two new coronaviruses that can infect humans and result in more severe disease (Severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) coronaviruses). 

‘Coronaviruses are known to be able to occasionally jump from one species to another and that is what happened in the case of SARS, MERS and the new coronavirus. The animal origin of the new coronavirus is not yet known.’ 

The first human cases were publicly reported from the Chinese city of Wuhan, where approximately 11million people live, after medics first started seeing infections on December 31.

By January 8, 59 suspected cases had been reported and seven people were in critical condition. Tests were developed for the new virus and recorded cases started to surge.

The first person died that week and, by January 16, two were dead and 41 cases were confirmed. The next day, scientists predicted that 1,700 people had become infected, possibly up to 4,500.

Just a week after that, there had been more than 800 confirmed cases and those same scientists estimated that some 4,000 – possibly 9,700 – were infected in Wuhan alone. By that point, 26 people had died. 

By January 27, more than 2,800 people were confirmed to have been infected, 81 had died, and estimates of the total number of cases ranged from 100,000 to 350,000 in Wuhan alone.

By January 29, the number of deaths had risen to 133 and cases were in excess of 6,000. 

Where does the virus come from?

Nobody knows for sure. Coronaviruses in general tend to originate in animals – the similar SARS and MERS viruses are believed to have originated in civet cats and camels, respectively.

The first cases of the virus in Wuhan came from people visiting or working in a live animal market in the city, which has since been closed down for investigation.

Although the market is officially a seafood market, other dead and living animals were being sold there, including wolf cubs, salamanders, snakes, peacocks, porcupines and camel meat.

Bats are a prime suspect – researchers at the Chinese Academy of Sciences said in a recent statement: ‘The Wuhan coronavirus’ natural host could be bats… but between bats and humans there may be an unknown intermediate.’

And another scientific journal article has suggested the virus first infected snakes, which may then have transmitted it to people at the market in Wuhan.

Peking University researchers analysed the genes of the coronavirus and said they most closely matched viruses which are known to affect snakes. They said: ‘Results derived from our evolutionary analysis suggest for the first time that snake is the most probable wildlife animal reservoir for the 2019-nCoV,’ in the Journal of Medical Virology.

So far the fatalities are quite low. Why are health experts so worried about it? 

Experts say the international community is concerned about the virus because so little is known about it and it appears to be spreading quickly.

It is similar to SARS, which infected 8,000 people and killed nearly 800 in an outbreak in Asia in 2003, in that it is a type of coronavirus which infects humans’ lungs.  

Another reason for concern is that nobody has any immunity to the virus because they’ve never encountered it before. This means it may be able to cause more damage than viruses we come across often, like the flu or common cold.

Speaking at a briefing in January, Oxford University professor, Dr Peter Horby, said: ‘Novel viruses can spread much faster through the population than viruses which circulate all the time because we have no immunity to them.

‘Most seasonal flu viruses have a case fatality rate of less than one in 1,000 people. Here we’re talking about a virus where we don’t understand fully the severity spectrum but it’s possible the case fatality rate could be as high as two per cent.’

If the death rate is truly two per cent, that means two out of every 100 patients who get it will die. 

‘My feeling is it’s lower,’ Dr Horby added. ‘We’re probably missing this iceberg of milder cases. But that’s the current circumstance we’re in.

‘Two per cent case fatality rate is comparable to the Spanish Flu pandemic in 1918 so it is a significant concern globally.’

How does the virus spread?

The illness can spread between people just through coughs and sneezes, making it an extremely contagious infection. And it may also spread even before someone has symptoms.

It is believed to travel in the saliva and even through water in the eyes, therefore close contact, kissing, and sharing cutlery or utensils are all risky. 

Originally, people were thought to be catching it from a live animal market in Wuhan city. But cases soon began to emerge in people who had never been there, which forced medics to realise it was spreading from person to person.

There is now evidence that it can spread third hand – to someone from a person who caught it from another person.

What does the virus do to you? What are the symptoms?

Once someone has caught the virus it may take between two and 14 days for them to show any symptoms – but they may still be contagious during this time.

If and when they do become ill, typical signs include a runny nose, a cough, sore throat and a fever (high temperature). The vast majority of patients – at least 97 per cent, based on available data – will recover from these without any issues or medical help.

In a small group of patients, who seem mainly to be the elderly or those with long-term illnesses, it can lead to pneumonia. Pneumonia is an infection in which the insides of the lungs swell up and fill with fluid. It makes it increasingly difficult to breathe and, if left untreated, can be fatal and suffocate people. 

What have genetic tests revealed about the virus? 

Scientists in China have recorded the genetic sequences of around 19 strains of the virus and released them to experts working around the world. 

This allows others to study them, develop tests and potentially look into treating the illness they cause.   

Examinations have revealed the coronavirus did not change much – changing is known as mutating – much during the early stages of its spread.

However, the director-general of China’s Center for Disease Control and Prevention, Gao Fu, yesterday said the virus was mutating and adapting as it spread through people.

This means efforts to study the virus and to potentially control it may be made extra difficult because the virus might look different every time scientists analyse it.   

More study may be able to reveal whether the virus first infected a small number of people then change and spread from them, or whether there were various versions of the virus coming from animals which have developed separately.

How dangerous is the virus?  

The virus has so far killed 133 people out of a total of at least 6,000 officially confirmed cases – a death rate of around two per cent. This is a similar death rate to the Spanish Flu outbreak which, in 1918, went on to kill around 50million people.

However, experts say the true number of patients is likely considerably higher and therefore the death rate considerably lower. Imperial College London researchers estimate that there were 4,000 (up to 9,700) cases in Wuhan city alone up to January 18 – officially there were only 444 there to date. If cases are in fact 100 times more common than the official figures, the virus may be far less dangerous than currently believed.

Experts say it is likely only the most seriously ill patients are seeking help and are therefore recorded – the vast majority will have only mild, cold-like symptoms. For those whose conditions do become more severe, there is a risk of developing pneumonia which can destroy the lungs and kill you.  

Can the virus be cured? 

The Wuhan coronavirus cannot currently be cured and it is proving difficult to contain.

Antibiotics do not work against viruses, so they are out of the question. Antiviral drugs can, but the process of understanding a virus then developing and producing drugs to treat it would take years and huge amounts of money.

No vaccine exists for the coronavirus yet and it’s not likely one will be developed in time to be of any use in this outbreak, for similar reasons to the above.

The National Institutes of Health in the US, and Baylor University in Waco, Texas, say they are working on a vaccine based on what they know about coronaviruses in general, using information from the SARS outbreak. But this may take a year or more to develop, according to Pharmaceutical Technology.

Currently, governments and health authorities are working to contain the virus and to care for patients who are sick and stop them infecting other people.

People who catch the illness are being quarantined in hospitals, where their symptoms can be treated and they will be away from the uninfected public.

And airports around the world are putting in place screening measures such as having doctors on-site, taking people’s temperatures to check for fevers and using thermal screening to spot those who might be ill (infection causes a raised temperature).

However, it can take weeks for symptoms to appear, so there is only a small likelihood that patients will be spotted up in an airport.

Is this outbreak an epidemic or a pandemic?   

The outbreak has not officially been confirmed as either an epidemic or a pandemic yet. This is likely because, despite the global concern, the number of people who have been confirmed to be infected is still relatively low.

A pandemic is defined by the World Health Organization as the ‘worldwide spread of a new disease’.

An epidemic is when a disease takes hold of a smaller community, such as a single country, region or continent.