World Health Organization Provides Update On Coronavirus | NBC News (Live Stream Recording)

yes and thank you very much for waking up with us sorry for the delay today we continue with our press conferences regarding the

coronavirus

disease we cover 90 dr. The terrorist has returned from his trips to the Democratic Republic of Congo and the Munich conference. You got to see the speech he gave on a significant Saturday. Again we have a journalist following us on our Twitter account with a journalist dialing online and seeing what Darling Truffaut is and what she is. he's back online he's a zero star if he's on the phone and it's a click on a career hand if he's online we'll have an audio file and we'll have a transcript of this press conference today he decided to tell us that we can have dr again .

Mike Ryan - executive director of

health

emergencies the young civilian director of global infectious hazards preparedness I give you the floor immediately - doctor Tetris thank you thank you Tarek and good afternoon everyone let me start I always do it with the latest data at 6 :00 Geneva time today, China has reported seventy thousand six hundred thirty-five cases of kovat 19 - double h o, including 1772 deaths in the last 24 hours new cases continue to arrive from Hebei province outside of China, which has received reports of 694 cases from 25 countries and three do so as more data comes in from China we are starting to get a clearer picture of the outbreak, how it is unfolding and where it might be headed today China has released a document with detailed data on more of 44,000 confirmed cases of Corbett 19 this gives us a better understanding of the age range of people affected the severity of the disease and the fatality rate ity as such are very important to enable whu-oh to provide good evidence based advice to countries we encourage all countries to share their data publicly the data also seems to show a decline in new cases this trend should be interpreted very cautiously.

Trends may change as new populations are affected. and MERS more than 80 percent of patients have mild illness and will recover in about 14 percent of cases the virus causes severe illness including pneumonia and shortness of breath and about five percent of patients have illnesses critical including respiratory failure septic shock and multi-organ failure in two percent of reported cases virus is Faton and risk of death increases as you age we see relatively few cases among children more research is needed to understand why this new data addresses some of the gaps in our understanding but others remain the international team of experts now on the ground in china is working with their chinese counterparts to better understand those gaps and improve our understanding of the outbreak we thank you all the partners who have met with the experts available through that goal framework whu- oh continues to work around the clock on multiple fronts to prepare countries by shipping test kits to labs around the

world

we are protecting workers by shipping personal protective equipment to many countries and working with manufacturers to ensure supply with the training of

health

workers who advise countries on how to test, contact trace and treat, and we've put out a call for $675 million to help countries prepare.

I thank the donors who have contributed but we haven't seen the urgency of the funding we need while I still say we have a window of opportunity now we need resources now to ensure countries are ready now we don't know how long this window will stay open of opportunity let's not waste it thank you terrorists we have about 20 minutes for questions no more than that so I would ask everyone to ask one and very short questions asterisk nine if you are dialing clicking raise your hand if you are online we will start as always here in the room we have one two three and then we'll continue please and if you can run Ryan on wealth risk assessments for

coronavirus

disease on the 19th of 2019 if I'm wrong I understand the ratio uses the word and then we specifically say the August 19 influenza earthquake case assessment, which is high, now becomes in very high in the future it would be safe for us in general if they call it endemic in general terms thank you yes i think we need to be extremely cautious using the term and we had a lot of controversies during the h1n1 situation. when it was a pandemic and when it wasn't a pandemic and I think we need to be careful the real issue here is are we seeing efficient community transmission outside of China and right now we're not watching them and as such we're not in a position to have that discussion, what we're seeing is again, as we said earlier, most of the cases outside of China still have a direct link to China and of that transmission that occurred in countries outside of China, most of that transmission can be traced to through existing transmission chains, so I think we need to be very careful not to create fear in the

world

right now and be very cautious about using the words that you've used, we've said it, the risk is very high in China this is high regionally and it is high worldwide that is not the risk is high of a pandemic the risk is high of the disease spreading further and I think on the face of it that is true I don't know if Sylvia now I think you're true I think the difficulty with certain words is that their interpretation varies and for the general public very often the pandemic is really the worst case scenario so I think we need to sooner of qualifying the event as the worst case, we need a lot more evidence and a lot more data about and so I think we have to be cautious because it can really create panic unnecessarily because the important thing is that we all agree on the risk so that we can yes the series of team face to face meetings with Chinese counterparts and it is great to see such eminent international experts working hand in hand with their Chinese counterparts.

Much of the work over the last 72 hours has been designing and agreeing on one of those open questions that we've been talking about on those unknowns. and you agree on what we do not agree on what we do not know and agree on the best way to access the information what we do not know the team will be able to visit provinces and see things on the ground, they will continue those who work together and again we reflect on the fact that this is a collaboration between Chinese scientists and scientists from the international community and should be seen as such, he said recently that the new virus could in fact 2/3 still today is a concern for the world.

What is your comment? comment on this WHO or hmm works with a lot of people around the world and people can express that we use unlikely scenarios or many of you have seen the various ranges of r0 or it hasn't been proposed and all of that is important to generate hypotheses for possible scenarios in the future, but we've covered this before because we had some of the same predictions last week from other scientists all the predictions matter most of the predictions are wrong today Other Chinese officials are calling on former patients who have recovered to give your broth to extract the plasma and give it to the patients who are still here do you think this is a good option the use of convalescent plasma or hyperimmunoglobulin has been part of the treatment of severe infectious diseases since almost the beginning when we understood viral infection we have seen as we see it in rabies we have seen it in other infections and it has proven to be effective and saves

live

s in a number of different diseases.

Difference theory has been gained more recently where we use a similar approach, so that is a very important area to follow and we will again. you will have to see how it is used which patients are most likely to benefit from its use when during the course of the disease it will be beneficial because what hyperimmunoglobulin does is it concentrates the antibodies in a recovering patient and it is essentially giving the immune system new victims a booster you are giving them an antibody booster to hopefully get them through the very difficult phase so it needs to be given at the right time because it clears the virus in the system and just gives us the immune system of the new patient a vital nudge at the time they need it but it has to be timed carefully and it's not always successful so it's a very important area of ​​discovery and I think they're starting trials on that in China but it's a very valid to explore therapies, especially when we do not have vaccines or specific antivirals and just to add that, of course, the protocol that I will use is very important and especially safety because as you know please that blood products can also transmit other diseases so the purification protocol is very important and also the scale of how many patients can receive this therapy because it is not easy to produce and so all those aspects should be carefully evaluated before we use it widely, thank you very much, we will go online for some questions, let's start with China Daily, can you hear us please, we have someone online from China Daily if he can not? n tracked someone from switzerland online and then back online due to any doubts about the effectiveness of testing for the virus, given Kumano Kodo, a case where people with multiple text change or found that were negative and ultimately not the diagnostic test is foolproof, we have seen that with screening programs and others around the world, especially when tests are new that invalidate dose tests, there is always a small chance of a false positive or a false negative and someone being told they are positive when they don't.

You don't have the virus or sometimes someone told you that you don't have the virus and then it turns out that you have that virus so that's an important consideration and that's why clinical suspicion and intent to treat diagnosis is always very Important if there is an epidemiological link to the previous case and if the person is extremely sick and gets a negative texture, I would always retest that patient to retest the protocols and then validate from those samples and reference labs, especially where countries are testing for the first time we require internal countries to share the first hundred samples with an international reference laboratory so we can validate their testing protocols so there are a lot of checks and balances in place but again we are relying on the common sense, no test is foolproof because what it does allow is busy doctors and others to identify the patients who called mid nineteen and treated them and consequently once again to get connected we have someone calling us from Canada. let me try let me try can you hear it yes in montreal there are reports that passengers have not been inspected on board princess diamond what else can you tell us on that front and if wallet quartet would like to hear about tickle me very briefly on this matter thank you yes on I think what is clear on this issue is that it is very difficult to ensure that infection prevention and control measures are difficult to implement in the internal environment of the ship because there are a number of factors that are very difficult to control and we have seen on many other occasions for other infections like non-viruses or other types of infections, so it's not specific to kovat 19:00 and that's why we're working very closely with the various competencies of the Japanese authorities, but also with the medical director on those cruises to see what would be the best measure to protect the people on the ships, but also to make sure that t Let's still stick to our goal which is containment of the virus and I think this is what we're going to do I mean what we're currently doing is also very conscious that we need to make sure that we focus on our goal Health goal which is to contain the virus and not contain the people and to make sure that we can have the right balance between the health of the population in Japan and other countries, but also the health of the people who are currently on this ship, so we need to have that balance and right now it's quite difficult because there are still a lot of unknowns about this virus so measures are currently being put in place and evaluated and monitored almost every hour because we are learning every day and if we are more about these disease responses virus 50 mantra value the conservatory to Mayo Japanese fool tea I mean the the toxic limits reproduce the tip the bottle with the quasi-press in front of a tool is le monkey fundamentally so risk so cub camellia uncle in a moment of truth Konkani possible recourse in disease Omiya mechanismnovel Lumiere possible to put a jealous aunt - aunt stencil bottom AOC cote de la santé de la Population The Japanese still do not see some contaminants available, for example, the liberal module patootie a congressional target as company nervous palaces around almost a percentage of nobility nip at least appreciate the journey that mi-young is used to to preserve an earth to gritty physical assault on a different community because they have been exceptionally open, transparent and cooperative throughout this entire process and that is something we deeply appreciate.

Thank you so much. Let's try to get to Sarah serving from demux Sark. cases start of any arrest conference you can use in the lab plus i wonder what the means should be with more tea for clinical cases the data we got this morning is not broken down between lab and clinically confirmed cases that's why we report that raw number. I think we'll continue to report both numbers as they become available, but I think the combined total number of both will probably be a better number in the future, but we're working. with our colleagues in China to see if they will report both numbers daily from now on thank you very much let's try to quickly get one or two more questions before we can use encourage openness we say the same from our own principle here is we don't when we get Misinformation Our job is not to go after people who spread misinformation it's to publish good information and give people the best information, so it's not about going after the messenger, we encourage openness and transparency. at all levels it's the best way for public health to do its job and it doesn't matter what urine it doesn't matter what level it represents so openness and transparency is the way to go and we always like e in cases where we mean quarantine ships, we always have to balance the public and common good with the rights of the individual and sometimes that is a very difficult balance to strike and that has been a historical balance to strike and we have seen it in 1918 and the great pandemic where governments, including yours and the US, had to make some very difficult decisions about quarantining, very difficult decisions to share information and that's something you can't ignore and it's very important that all governments can balance the good of society and the community against the rights of individuals to communicate openly thank you very much i think we have time for one more question please dr.

Ryan, you're just talking about protecting people's rights, and while travel advisories should be taken very seriously and not entered lightly, it's too early to talk about any kind of suggestive travel ban on cruise ships, even within certain regions to stay clear. from Asia to avoid the situation where you have to make I get your point but even the conflict of your sanctions to get away we have a group the same we need to get away from cruise ships or get away from airports or get away from certain ethnic groups the groups stayed away from other things we have to be very careful here there is zero risk in the world at all but we still mentioned that we needed an approach to managing risk that allows us to continue to operate as a society while minimizing the risks that we know about and it doesn't matter , we are talking about travel or meetings, it does not matter if we are talking about cruise ships, these are manageable risks and again we must reflect on the fact that the vast majority of these cases are within China when you look at the attack rates of the population within China, even within us we're talking about an overall attack rate of around 400,000, you know this is a bro It is very serious and it has the potential to grow but we need to balance that in terms of the number of people infected out there that can this epidemic is affecting a very small proportion of people so if we are going to disrupt all cruises in the world by chance that there could be some potential contact with some potential pathogen, so where do we stop, we send the buses around the world and what happens when other countries are affected. we do and all you need to do should be based on public health should be based on evidence should be based on a principle is that there is no such thing as zero risk and every single person on this under er planet understands that it is impossible to reduce the risk of anything to zero and that measures proportional to the situation should be taken based on signs and public health evidence and blanket measures may not help so that's what we're trying to say otherwise you know how Mike said no there is zero risk but it has to be proportional to the situation but again some specific risks associated with a small number of cruises and again the risk of that has waived so I think we need to be realistic about what has happened but very often unlike what happened doesn't determine what you need to do next so i think we need to part quickly from where we are now what is the evidence from time to time a d where do we go from here?

I fully take your concern but again we need to stay very balanced before we have to rush into unfortunate situations and in particular I would say in the case of the stigma and if we put the cruise thing aside if I don't g and take my vacation in a cruise ship may not be the end of the world, but there are a lot of people around the world who suffered from stigma and profiling and other things, and maybe we should care about that and make sure that people around the world show solidarity with those affected and don't spread the risk beyond what is reasonable and, again, we must avoid stigma at all costs.

Thank you very much Jim. We will have an audio file and a transcript. Follow us on our social media platforms and on the website. The status report will be back tonight. Thank you so much.