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The US reported at least six deaths from the coronavirus on Monday as officials warned of a “substantial outbreak” in the state of Washington and states of emergency were declared in various parts of the country.

Both patients were being treated at the same health centre in Kirkland, east of Seattle, where six of the state’s 12 cases have now been confirmed and 50 others are being tested for the virus. As the number of nationwide cases approaches 100, sales of face masks have surged among the general population.

Meanwhile, at least one patient was mistakenly released by the CDC and later tested positive for the deadly Wuhan coronavirus, with the mayor of San Antonio describing the development as “unacceptable” in a statement. 

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Health officials in Washington state meanwhile said on Sunday night that a second person had died from the coronavirus — a man in his 70s from a nursing facility near Seattle where dozens of people were sick and had been tested for the virus.

Researchers said earlier the virus may have been circulating for weeks undetected in Washington state.

In a statement, Public Health—Seattle & King County said the man died Saturday. On Friday, health officials said a man in his 50s died of coronavirus, the first death from the virus in the US. 

Both had underlying health conditions, and both were being treated at a hospital in Kirkland, Washington, east of Seattle.

Washington state now has at least 13 confirmed cases.

State and local authorities stepped up testing for the illness as the number of new cases grew nationwide, with new infections announced in California, Florida, Illinois, Rhode Island, New York and Washington state.

Additional reporting by the Associated Press

Follow the latest updates below:

Good morning and welcome to The Independent's rolling coverage of the coronavirus outbreak in the US and further afield.
 
Here's the latest:
 
- Two deaths reported at a single hospital in Washington State, raising concerns of a cluster of cases within the area
- Number of confirmed infections up to 88
- 23 cases were announced on Saturday and Sunday in Washington, California, Illinois, Rhode Island, New York, Florida and Oregon
- Public health emergency declared in Florida
- US vice president Mike Pence and health and human services secretary Alex Azar call for calm among public
- Thousands of testing kits have been distributed to state and local officials, with thousands more to come, according to officials
- Patient in San Antonion tests "weakly positive" after initially appearing to recover from coronavirus
Fresh from his victory in the South Carolina primary, former vice-president Joe Biden criticised Donald Trump's reaction to the coronavirus crisis, writes Phil Thomas in New York.

Addressing the president's reference to the crisis as a "hoax" during a political rally, Mr Biden said: "The idea that Donald Trump said just several days ago this was a Democratic hoax -- now what in God's name is he talking about? What in God's name is he talking about?

"Has he no shame?"

Read more below:
 
US agency investigating production of faulty coronavirus test kits

The US Department of Health and Human Services has confirmed that it is investigating a manufacturing defect in some initial coronavirus test kits that prompted some states to seek emergency approval to use their own test kits.

On Saturday, New York Governor Andrew Cuomo said his state would immediately begin using its own test kit developed in-state after asking the US Food and Drug Administration (FDA) on Friday for permission to do so.

The FDA said on Saturday it would allow some laboratories to immediately use tests they have developed and validated to achieve more rapid testing capacity for the coronavirus.

On Sunday, New York confirmed its first case of coronavirus.

FDA Commissioner Stephen Hahn said in a statement that "upon learning about the test issue from CDC (the Centers for Disease Control and Prevention), FDA worked with CDC to determine that problems with certain test components were due to a manufacturing issue. We worked hand in hand with CDC to resolve the issues with manufacturing."
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'We're facing an already substantial outbreak in Washington State'

Health officials in Washington state said Sunday night that a second person had died from the coronavirus — a man in his 70s from a nursing facility near Seattle where dozens of people were sick and had been tested for the virus.

Researchers said earlier the virus may have been circulating for weeks undetected in Washington state.

In a statement, Public Health—Seattle & King County said the man died on Saturday. On Friday, health officials confirmed the death of another man in his 50s. Both had underlying health conditions, and both were being treated at a hospital in Kirkland, Washington, east of Seattle.

Washington state now has 12 confirmed cases, a number of which have come from the LifeCare nursing facility in Kirkland, where health officials said 50 people are sick and being tested for the virus.
 
(Healthcare workers transport a patient on a stretcher into an ambulance at the LifeCare Center in Kirkland, Washington)

Researchers at the Fred Hutchinson Cancer Research Center said on Sunday 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.

Trevor Bedford, an associate professor who announced the preliminary findings on the virus in Washington state, said that genetic similarities between the state's first case on 20 January and a case announced on Friday indicated the newer case may have descended from the earlier one.

"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.
Health emergency declared in Florida
 
A public health emergency has been declared in Florida after two cases of coronavirus were confirmed in the state on Sunday evening.
 
The patients, both adults from Florida's Gulf Coast, tested “presumptive positive” for the virus, health officials said.
 
The cases, tested by a public health laboratory, are now awaiting confirmation from the Centers for Disease Control and Prevention (CDC).
 
Shortly after the announcement, governor Ron DeSantis issued an executive order declaring a public health emergency, releasing resources to tackle the spread of coronavirus, otherwise known as Covid-19.
'Seriously people — STOP BUYING MASKS!'
 
America’s top doctor has urged people to stop buying face masks, insisting they “are not effective in preventing” the spread of coronavirus among the general population.
 
Dr Jerome Adams, the surgeon general of the US, has echoed the Centers for Disease Control and Prevention (CDC) in warning the public that they do not need to wear a mask if they are healthy or not caring for someone who is ill.
 
“Seriously people — STOP BUYING MASKS!” Dr Adams said in a tweet over the weekend. “They are NOT effective in preventing general public from catching #Coronavirus, but if health care providers can’t get them to care for sick patients, it puts them and our communities at risk!”
 
The warning comes amid a surge in demand for face masks across America, in particular the N95, which is thicker and fits more tightly around the mouth and nose.
 
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Worldwide cases

The latest figures reported by each government's health authority:

— Mainland China: 2,912 deaths among 80,026 cases, mostly in the central province of Hubei
— Hong Kong: 98 cases, 2 deaths
— Macao: 10 cases
— South Korea: 4,335 cases, 26 deaths
— Italy: 1,694 cases, 34 deaths
— Iran: 1,501 cases, 66 deaths
— Japan: 961 cases, including 705 from the Diamond Princess cruise ship, 12 deaths
— France: 130 cases, including one on the French Caribbean island of Guadeloupe, 2 deaths
— Germany: 130 cases
— Singapore: 106
— United States: 80 cases, 2 deaths
— Spain: 71
— Kuwait: 56
— Bahrain: 47
— Thailand: 43 cases, 1 death
— Taiwan: 41 cases, 1 death
— United Kingdom: 35 cases, 1 death
— Malaysia: 29
— Australia: 24 cases, 1 death
— Canada: 24
— Switzerland: 24
— Iraq: 21
— United Arab Emirates: 21
— Norway: 19
— Vietnam: 16
— Sweden, Austria: 14
— Israel, Lebanon, Netherlands: 10
— Belgium, Croatia: 8
— Greece: 7
— Finland, Oman: 6
— India, Russia: 5
— Denmark, Mexico, Pakistan: 4
— Philippines: 3 cases, 1 death
— Algeria, Czech Republic, Qatar, Romania: 3
— Belarus, Brazil, Egypt, Georgia, Indonesia: 2
— Afghanistan, Andorra, Armenia, Azerbaijan, Cambodia, Dominican Republic, Ecuador, Estonia, Iceland, Ireland, Lithuania, Monaco, Nepal, New Zealand, Nigeria, North Macedonia, Portugal, San Marino, Sri Lanka: 1
BREAKING
 
The president of the European Commission, Ursula von der Leyen, said on Monday that the EU's disease prevention agency had raised its assessment of the coronavirus risk from 'moderate' to 'high', as the virus continues to spread across the continent.
 
"The ECDC (European Centre for Disease Prevention and Control) has announced today that the risk level has risen from moderate to high for people in the European Union. In other words, the virus continues to spread," she told a news conference in Brussels.
 
Health commissioner Stella Kyriakides said 2,100 cases of coronavirus were confirmed in 18 of the 27 EU states, and 38 EU citizens had died from the disease.
 
This comes as Paolo Gentiloni, the European commissioner for economic and financial affairs, said the EU is ready to use all policy options to safeguard growth against the spread of Covid-19.
Two cases confirmed in India
 
India reported two more cases of coronavirus on Monday, taking the number of people who have tested positive in the country to five.

One of the new cases was detected in the capital, New Delhi, while the other was in the southern state of Telangana, the government said in a statement.

The patients had a travel history from Italy and Dubai in the United Arab Emirates, respectively, the government said. Both patients were stable and being closely monitored.

"The government is monitoring the situation at the highest-level," Health Minister Harsh Vardhan told a briefing in New Delhi.

Authorities were screening travelers arriving from 12 countries, Vardhan said, adding that more than 1 million people had been screened on the border with Nepal.
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South Korea officials press for murder charges against leaders of cult church
 
Officials in South Korea have asked prosecutors to launch a murder investigation into leaders of a cult church at the centre of a ballooning coronavirus outbreak in the country.
 
A total of 599 new cases were reported in South Korea on Monday, taking its nationwide tally to 4,335. There have been 26 confirmed deaths.
 
Of the new cases in South Korea, 377 were from the southeastern city of Daegu, home to a branch of the Shincheonji Church of Jesus, to which most of South Korea's cases have been traced.
 
According to local reports, members of the church had visited the central Chinese city of Wuhan, where the disease emerged late last year.
 
Now, the Seoul government is looking to take action against the church and its founder Lee Man-hee.
 
(South Korean medical workers wearing protective gear visit a residence home to a number of suspected patients in Daegu)

Seoul mayor Park Won-soon said that if Mr Lee and other heads of the church had cooperated, preventive measures could have saved the people who died.
 
"The situation is this serious and urgent, but where are the leaders of the Shincheonji, including Lee Man-hee, the chief director of this crisis?" Park said in a post on his Facebook page late on Sunday.
 
Seoul's city government said it had filed a criminal complaint with the Seoul Central District Prosecutors' Office, asking for an investigation of Mr Lee and 12 others on charges of murder and disease control act violations.
 
Mr Lee apologised on Monday that one of its members had infected many others, calling the epidemic a "great calamity".
 
"We did our best but was not able to stop the spread of the virus," he told reporters.
'Progress being made!'

Donald Trump has tweeted that "progress [is] being made" on the development of a coronavirus vaccine.
 
The US president said he would be meeting with "major pharmaceutical companies" at the White House today to discuss a cure for the virus.

According to reports, researchers have already developed vaccines and are starting to test them on animals. The next stage after that will be human trials later in the year.

However, it is unlikely that a safe vaccine, one that can be mass produced, will be available to the public until mid-way through next year at best.
 
Latest worldwide updates:

- As of Monday, there have been over 89,000 cases of the virus globally, the majority in China. Outside of China, it has spread to 66 countries, with more than 8,800 cases and 130 deaths. Globally, the illness has killed over 3,000 people.

- Chinese city of Wuhan closed the first of 16 specially built hospitals after it discharged its last recovered patients, as Hubei province reported 196 new cases on Sunday, sharply down from 570 cases a day earlier.

- Andorra, Armenia, Czech Republic, Dominican Republic, Iceland and Indonesia confirmed their first cases on Monday.

- South Korea postponed the start of all schools by two weeks as 599 new cases were reported on Monday, taking the national tally to 4,335 while the death toll rose to 26.

- The Italian government prepared to boost spending to help the fragile economy as the country's death toll rose to 34 on Sunday and confirmed cases to almost 1,700.

- Iran's death toll reached 54 on Sunday, the highest number outside of China, with the number of those infected rising to 978.
 
(Masked commuters at Shinagawa Station, Tokyo)

- Lebanon said three more people had tested positive for coronavirus after arriving from Iran, bringing the total in the country to 10. Iraq and Bahrain reported six new cases each, bringing the total tally to 19 and 47 respectively.

- Five more cases were confirmed in Japan's northern island of Hokkaido on Monday, taking the island's total tally to 77, days after it declared a state of emergency. Japan also raised its infectious disease advisory levels for parts of South Korea and Italy.

- France's confirmed cases rose to 130 on Sunday, up from 100 a day earlier, while Britain announced 13 new infections, taking the total to 36.

- A conference on the world economy due to take place in Italy later this month with Pope Francis taking part has been postponed until November because of the coronavirus outbreak, organizers said on Sunday.

- G7 finance ministers will discuss by phone this week how to best to limit the impact of the outbreak on economic growth, French Finance Minister Le Maire said on Monday.

- World stocks markets regained a measure of calm on Monday as hopes for a raft of global interest rate cuts to soften the economic blow of the coronavirus steadied nerves and drove US Treasury yields close to 1 per cent.
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Coronavirus taking toll on northern Italy's health services

The Covid-19 outbreak in northern Italy has so overwhelmed the public health system there that officials are taking extraordinary measures to care for the sick, seeking to bring doctors out of retirement and accelerate graduation dates for nursing students.

The region of Lombardy has been the epicentre of Italy's outbreak, registering the first positive test and now counting 984 of Italy's 1,694 cases.

Most alarmingly, 10 per cent of Lombardy's doctors and nurses are out of commission, because they tested positive for the virus and are in quarantine, said the region's top health official, Giulio Gallera.
 
(A masked tourist in Piazza del Duomo in central Milan)

With officials saying they expect Italy's numbers to continue rising for at least another week, until containment measures begin to take effect, the health care emergency in Lombardy has reached a crisis point.

Already, hospitals in hard-hit Lodi and Cremona were overwhelmed at times last week, with more patients arriving than could be accepted.

"Effectively some of the hospitals in Lombardy are under a stress that is much heavier than what this area can support and has trained for for years, to face this type of emergency," Dr Massimo Galli, head of infectious disease at Milan's Sacco Hospital, told Sky TG24.

"This epidemic is on a scale that is larger than anyone could have thought, imagined or prevented."

Good morning and welcome to another day of live coverage on the deadly coronavirus. I’m Chris Riotta, a US reporter for The Independent based in New York, and I’ll be guiding you through the day’s developments. 

The Wuhan coronavirus has reached at least 12 states, CBS News reported on Monday, after multiple cases were confirmed across the country and at least two Americans died as a result of the virus, according to the CDC. 

At least one patient was mistakenly released by the CDC, the mayor of San Antonio tweeted, calling the news “unacceptable” -

Meanwhile, fears continue to grow of a potential pandemic as health officials in Florida say at least two patients have "presumptive positive" results from tests for the coronavirus. 

Some analysts are meanwhile predicting the impact to the US economy could be detrimental as the Wuhan coronavirus continues spreading around the world, with critics of the president deriding him for already having "depleted the policy tools to face the coming coronavirus supply shock to the economy" -
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ICYMI: A woman in her late thirties who recently travelled to Iran has been confirmed as New York's first coronavirus case.

A statement from Governor Andrew Cuomo's office confirmed the case on Sunday night but did not reveal the exact location of the woman.

However, The New York Times reported the woman is being quarantined in her home in Manhattan raising fears the epidemic will take hold of the city.

First coronavirus case confirmed in New York

The IndependentFemale patient in her thirties is in quarantine in her Manhattan home, according to reports


 

US Secretary of State Mike Pompeo has tweeted the following statement concerning Italy and South America's "efforts to combat the COVID-19 outbreak" - 
Meanwhile on the other side of the pond, the number of coronavirus cases has shot up to 40 as fears of a potential global pandemic continue to grow: 
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Here's the latest from The Independent's Phil Thomas:

A second person has died from the coronavirus in King County, near Seattle, Washington, authorities have confirmed. 

The victim was a man in his 70s with an underlying health condition who was being treated at Evergreen Health hospital in Kirkland, the same facility at which a man in his 50s died late on Friday. 

Meanwhile, authorities have said three more people in Washington have tested positive for Covid-19, a man in his 70s, a woman in her 80s and another woman in her 90s.

A patient who was released from a facility in San Antonio, Texas operated by the US Centre for Disease Control (CDC) later tested positive for the Wuhan coronavirus, according to a statement from the mayor.

Ron Nirenberg, the mayor of San Antonio, suggested the development may have caused the public to be exposed to the mysterious virus in a tweet on Sunday.

“Today we learned that the CDC mistakenly released a patient from the Texas Center for Infectious Disease who later returned a positive COVID-19 reading”, the mayor wrote. 

He added: “The fact that the CDC allowed the public to be exposed to a patient with a positive COVID-19 reading is unacceptable.”

The new coronavirus was reportedly responsible for at least two deaths in the US and more than 3,000 worldwide — the majority of those occurring in China, where the virus was believed to have originated at a market in Wuhan. 

Story to come....

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