In response to an outbreak of respiratory illness, Chinese officials have closed transport within and out of Wuhan and other cities in Hubei province, including buses, subways, trains, and the international airport. Additional restrictions and cancellations of events may occur.

A new coronavirus is causing an outbreak of respiratory illness that began in the city of Wuhan, Hubei Province, China. This outbreak began in early December 2019 and continues to grow. Initially, some patients were linked to the Wuhan South China Seafood City (also called the South China Seafood Wholesale Market and the Hua Nan Seafood Market).

Chinese health officials have reported thousands of cases in China and severe illness has been reported, including deaths. Cases have also been identified in travelers to other countries, including the United States. Person-to-person spread is occurring in China. The extent of person-to-person spread outside of China is unclear at this time.

Coronaviruses are a large family of viruses. There are several known coronaviruses that infect people and usually only cause mild respiratory disease, such as the common cold. However, at least two previously identified coronaviruses have caused severe disease — severe acute respiratory syndrome (SARS) coronavirus and Middle East respiratory syndrome (MERS) coronavirus.

What can travelers do to protect themselves and others?

CDC recommends avoiding nonessential travel to China. If you must travel:

Avoid contact with sick people.
Discuss travel to China with your healthcare provider. Older adults and travelers with underlying health issues may be at risk for more severe disease.
Avoid animals (alive or dead), animal markets, and products that come from animals (such as uncooked meat).
Wash hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available.

Symptoms

Report to CDC travelers with specific symptoms arriving from China.

Fever (person feels warm to the touch, gives a history of feeling feverish, or has an actual measured temperature of 100.4°F [38° C] or higher)
Persistent cough
Difficulty breathing
Appears obviously unwell

Report, as soon as possible before arrival, by one of the methods described in the Guidance for Air Travel Industry Reporting of Onboard Death or Illnesses to CDC.

Protecting Cabin Crew

CDC recommends the following measures for cabin crew to protect themselves, manage a sick traveler, clean contaminated areas, and take actions after a flight.

Practice routine handwashing.
- Wash hands often with soap and water for at least 20 seconds after assisting sick travelers or touching potentially contaminated body fluids or surfaces.
Identify sick travelers
- Minimize contact between passengers and cabin crew and the sick person. If possible, separate the sick person from others (2 meters or 6 feet is ideal) and designate one crew member to serve the sick person.
- Offer a facemask, if available and if the sick person can tolerate it. If a facemask is not available or cannot be tolerated, ask the sick person to cover their mouth and nose with tissues when coughing or sneezing.
Treat all body fluids (such as respiratory secretions, diarrhea, vomit, or blood) as if they are infectious
- Wear disposable gloves when tending to a sick traveler or touching body fluids or potentially contaminated surfaces. Remove gloves carefully to avoid contaminating yourself, then wash hands.
- When tending to a sick traveler from China who has fever, persistent cough, or difficulty breathing, use additional protective equipment in the Universal Precaution Kit: face mask, eye protection, and a gown to cover clothing.
- Properly dispose of gloves and other disposable items that came in contact with the sick person or body fluids in biohazard bag or a secured plastic bag labeled as “biohazard.”
Clean and disinfect contaminated surfaces according to airline protocol.

Wuhan Airport/ZHHH has been closed, only flights that picking up foreigners to leave or sending back natives can be accepted.

ZHHH

Wuhan Airport/ZHHH has been closed, only flights that picking up foreigners to leave or sending back natives can be accepted.

If any passenger on board international flights has fever symptoms, all people on board must be quarantined and the whole International Arrival Terminal will be closed for disinfection.

ZSHC

If any passenger on board international flights has fever symptoms, all people on board must be quarantined and the whole International Arrival Terminal will be closed for disinfection.

Crew and passengers of GA flights have to go through Main Terminal for both domestic and international flights. VIP Lounge are out of service.

ZSPD

Crew and passengers of GA flights have to go through Main Terminal for both domestic and international flights. VIP Lounge are out of service.

If on board passengers or flights are from Hubei Province, operator shall report in advance, and aircraft is prohibited to open the cabin door before members of Airport Operation Center arrive.

ZSSS

If on board passengers or flights are from Hubei Province, operator shall report in advance, and aircraft is prohibited to open the cabin door before members of Airport Operation Center arrive.

Macau International Airport

MIA updated measures to be applied for ALL arrival and departure flights with immediately effect:

GA / BA arrival flights:
-   All passengers / crews are required to fill up the health declaration form
-   Ground handling agent will distribute the health declaration form to crew at the aircraft upon arrival
-   Passengers / crews have to present the filled health declaration form with the passport to the immigration officer at FBO customs and immigration hall
-   Immigration officer will carry out body temperature measure for the passengers / crews, reading lower than 37.5°C can entry Macau as usual
-   If the passengers / crews body temperature is reading higher than 37.5°C, the Macau Health Bureau will be contacted for further handling

ALL GA / BA departure flights:
- Immigration officer will carry out body temperature measure for the passengers / crews at FBO customs and immigration hall
- If the passengers / crews body temperature is reading higher than 37.5°C, they will not be allowed to exit Macau and Health Bureau will be contacted for further handling

All crew and passengers operating/taking domestic and international flights are required to take body temperature after landing or before departure. For international arrival and departure, crew and passengers have to fill in attached HEALTH DECLARATION FORM.

Travel & Immigration Disruption

Various countries have implemented restrictions on entry and exit, visa and work permit issuance, closed ports, tightened quarantine rules and taken other measures in an attempt to slow the spread of coronavirus. These restrictions may affect international business travel and assignment plans.

China
Australia
Hong Kong, China
India
Indonesia
Japan
Macao
Malaysia
New Zealand
Philippines
Russia
Singapore
South Korea
Taiwan, China
Thailand
US
Vietnam
Elsewhere

Japan, China & Taiwan

Japan
New entry Requirement (English) | New Entry Requirement (Japanese)

New restriction was published in Japan due to coronavirus. From 1st February 2020, the following people are not permitted to enter Japan for the time being unless there are exceptional circumstances.

Foreigners who have travelled to Hubei Province in the People's Republic of China within 14 days before arriving in Japan.
Foreigners who have Chinese passports issued by Hubei Province in the People's Republic of China.

China - Hong Kong
Additional Measures for Hong Kong

January 27, except for Hong Kong residents, residents from Hubei Province and persons who visited the Hubei Province in the past 14 days will not be permitted to enter Hong Kong until further notice. To facilitate the implementation of the above-mentioned measure, all the self-service clearance channels (i.e. e-Channels) at control points will only be open to Hong Kong residents. Non-Hong Kong residents have to use normal immigration counters for immigration clearance. The clearance process may take longer time and the Hong Kong Special Administrative Region (HKSAR) Government appeals for travellers' understanding for the inconvenience caused. Read More

Taiwan
Read the Measures

In response to the expanding novel coronavirus outbreak, as well as to safeguard public health security and strengthen management of the flow of people entering Taiwan, the Taiwan government will adopt measures for foreign nationals seeking to enter the country.

United States & Cayman Islands

United States
Read More

On January 31, 2020, the President of the United States signed a Presidential Proclamation entitled:
“Suspension of Entry as Immigrants and Nonimmigrants of Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus and Other Appropriate Measures to Address this Risk.”
- Effective at 5:00 p.m. eastern standard time (EST) on February 2, 2020, in accordance with this Proclamation, the entry into the United States of all aliens, with certain exceptions, who have been physically present in the People’s Republic of China (excluding the Special Autonomous Regions of Hong Kong and Macau), during the 14-day period preceding their entry or attempted entry into the United States, is suspended.
- CBP began enforcement of this Proclamation as it relates to any travelers that arrive in the United States after 5:00 p.m. EST on February 2, 2020

Cayman Islands
Read More | Q&A

Cabinet has approved that the 2019 novel Coronavirus (2019-nCoV) be added to the Schedule of Notifiable Diseases of the Public Health Law (2002 Revision). Once an illness has been added to this schedule, it provides for additional powers under the law to manage outbreaks of certain diseases.

Australia, Micronesia & Papua New Guinea

Australia
Read More

The Australian Government has announced that as of 1 February 2020, all travellers arriving from any part of mainland China, regardless of nationality, will be subject to enhanced border control measures to ensure the health, safety and well-being of the Australian community.
Australia will deny entry to anyone who has left or transited mainland China from 1 February, with the exception of:
- Australian citizens
- permanent residents
- immediate family members of Australian citizens and permanent residents including spouses, minor dependents and legal guardians

Federated States of Micronesia
Read More

Papua New Guinea
Read More

With immediate effect, all international non-scheduled flights, intending to operate into any Papua New Guinea airport(s) other than Port Moresby, even if it is a Customs Declared Port, must flight plan to indicate Port Moresby International Airport (PMIA) as their first port of entry for mandatory cross-border checks, including novel Coronavirus (2019-nCoV) tests.

New Visitors in Hubei

New visitors with travel history in Hubei OR with PRC passports issued in Hubei

1. From 29 January 2020, 12pm, all new visitors with recent Hubei travel history within the last 14 days, or those with PRC passports issued in Hubei, will not be allowed entry into Singapore, or transit through Singapore.

2. The Immigration and Checkpoints Authority (ICA) will suspend the issuance of all forms of new visas to those with PRC passports issued in Hubei with immediate effect.

3. Previously issued short-term and multiple-visit visas, as well as visa-free transit facilities, for those with PRC passports issued in Hubei, will also be suspended with immediate effect. During this period of suspension, they will not be allowed entry into Singapore.

CDC Recommends

While the immediate risk of this new virus to the American public is believed to be low at this time, everyone can do their part to help us respond to this emerging public health threat:

For everyone: It’s currently flu and respiratory disease season and CDC recommends getting vaccinated, taking everyday preventive actions to stop the spread of germs, and taking flu antivirals if prescribed.
For healthcare professionals:
- Be on the look-out for people with travel history to China and fever and respiratory symptoms.
- If you are a healthcare professional caring a 2109-nCoV patient, please take care of yourself and follow recommended infection control procedures.
For people who may have 2019-nCoV infection: Please follow CDC guidance on how to reduce the risk of spreading your illness to others.
For travelers: Stay up to date with CDC’s travel health notices related to this outbreak.

CDC Response

CDC is closely monitoring this situation and is working with WHO and state and local public health partners to respond to this emerging public health threat.
The goal of the ongoing U.S. public health response is to contain this outbreak and prevent sustained spread of 2019-nCov in this country.
CDC established a 2019-nCoV Incident Management Structure on January 7, 2020. On January 21, 2020, CDC activated its Emergency Response System to better provide ongoing support to the 2019-nCoV response.
On January 27, 2020 CDC issued updated travel guidance for China, recommending that travelers avoid all nonessential travel to all of the country (Level 3 Travel Health Notice).
CDC is monitoring for illness among travelers and providing educational materials for any travelers arriving in the United States from China at 20 U.S. airports with quarantine stations in the United States.
CDC issued an updated interim Health Alert Notice (HAN) Advisory to inform state and local health departments and health care providers about this outbreak on January 17, 2020.
CDC has deployed multidisciplinary teams to Washington, Illinois, California, and Arizona to assist health departments with clinical management, contact tracing, and communications.
CDC has developed a real time Reverse Transcription-Polymerase Chain Reaction (rRT-PCR) test that can diagnose 2019-nCoV in respiratory and serum samples from clinical specimens. On January 24, 2020, CDC publicly posted the assay protocol for this test. Currently, testing for this virus must take place at CDC, but in the coming days and weeks, CDC will share these tests with domestic and international partners through the agency’s International Reagent Resourceexternal icon.
CDC uploaded the entire genome of the virus from the first and second reported cases in the United States to GenBank.
CDC also is growing the virus in cell culture, which is necessary for further studies, including for additional genetic characterization.

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