A Japanese man who appeared to have recovered from coronavirus tested positive again less than three weeks after he left a medical facility where he was being treated.
The man, in his seventies, was a passenger on the Diamond Princess cruise ship and first tested positive for the virus on 14 February while onboard the then-quarantined vessel.
He was put in further quarantine and treated at the medical facility in Tokyo and tested negative on 2 March, reported Japanese news agency NHK.
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But after returning to his home in the Mie Prefecture, within the Kansai region, he began exhibiting symptoms of the virus again and developed a fever of 39C on Thursday.
The following day, he went to a hospital to be retested, and reportedly was confirmed to be infected again on Saturday.
His is not the only case of apparent coronavirus reinfection. On 27 February, a Japanese woman tested positive for the virus for a second time after seemingly recovering from the illness several weeks before.
The woman, an Osaka resident in her forties, was believed to be the first person to have tested positive for Covid-19 a second time outside of China.
Earlier this month, doctors from different parts of China reported some patients who recovered from the illness and were discharged had tested positive for a second time.
As a new virus, there is still much experts don’t know about how Covid-19 behaves. Some experts said it could be bi-phasic, meaning the disease could appear to go away before recurring. Certain individuals, including those who are immunocompromised, may also be at higher risk of contracting the virus again, a hospital director in Beijing, Li Qingyuan, told USAToday.
Dr Edward Wright, a virologist at Sussex University's School of Life Sciences, told The Independent: "There's still a lot we don't know about this virus and there could be several reasons why a person could test positive, then negative, then positive again. It could have been a mistake in the diagnostic test, or there are some examples of viruses becoming persistent - coronaviruses are not known to become persistent but we just don't know yet.
"Getting reinfected is unlikely, but it's also not something that can be ruled out."
The Centres for Disease Control and Prevention (CDC) explained: “The immune response to Covid-19 is not yet understood. Patients with Mers-CoV infection are unlikely to be reinfected shortly after they recover, but it is not yet know whether similar immune protection will be observed for patients with Covid-19.”
Leading scientists also said there is no guarantee of people becoming permanently immune to the virus after being infected and recovering.
Coronavirus fears lead to empty streets and shelves across UK
Show all 15
Coronavirus fears lead to empty streets and shelves across UK
1/15
The usually busy Royal Mile in Edinburgh is empty as people stay away from public areas amid the coronavirus outbreak on 13 March
Katielee Arrowsmith/SWNS
2/15
Ho bart's Amusement Arcade in Westward Ho!, Devon is offering toilet roll and soap as prizes in grabber machines
Rob Braddick/SWNS
3/15
An empty platform at Farringdon Station in London the morning after the Prime Minister said that Covid-19 "is the worst public health crisis for a generation"
PA
4/15
Shopkeepers Asiyah Javed and husband Jawad from Day Today Express, in Stenhousemuir, Falkirk are giving away facemasks, antibacterial hand wash and cleaning wipes to the elderly in a bid to stop the spread of Coronavirus
Katielee Arrowsmith/SWNS
5/15
A usually busy street in Cambridge is empty as people stay away from public areas amid the coronavirus outbreak on 2 March
James Linsell-Clark/SWNS
6/15
A hand sanitiser dispenser is seen inside the stadium during the Premier League match between Manchester United and Manchester City at Old Trafford on 8 March
Getty
7/15
Maaya Indian Kitchen in Milton Keynes is offerig customers a free roll of toilet paper with every takeaway order
SWNS
8/15
Oliver Cooper[L], was sent home from school for selling spurts of handsanitiser to fellow pupils at 50p a time. He poses with mum Jenny Tompkins by their home in Leeds
Ashley Pemberton/SWNS
9/15
Empty toilet paper shelves at a supermarket in London on 12 March
EPA
10/15
A member of the public is swabbed at a drive through Coronavirus testing site set up in a car park in Wolverhampton
Getty
11/15
A passenger wears a protective face mask as she travels on a bus in the City of London
AFP/Getty
12/15
A Southampton fan wears a face mask before the match against Newcastle United on 7 March
Reuters
13/15
A loudspeaker placed in grounds of St Mary's Catholic Church in Broughattin, Dundalk, County Louth ahead of funeral mass later this morning. The loudspeaker has been placed in the grounds after the Catholic Archdiocese said that funerals and weddings should not exceed 100 attendees within the church building
PA
14/15
A hand sanitising station set up outside Cheltenham Racecourse during day four of the Cheltenham Festival on 13 March
PA
15/15
People wearing protective face masks walk across London Bridge on 11 March
AFP/Getty
1/15
The usually busy Royal Mile in Edinburgh is empty as people stay away from public areas amid the coronavirus outbreak on 13 March
Katielee Arrowsmith/SWNS
2/15
Ho bart's Amusement Arcade in Westward Ho!, Devon is offering toilet roll and soap as prizes in grabber machines
Rob Braddick/SWNS
3/15
An empty platform at Farringdon Station in London the morning after the Prime Minister said that Covid-19 "is the worst public health crisis for a generation"
PA
4/15
Shopkeepers Asiyah Javed and husband Jawad from Day Today Express, in Stenhousemuir, Falkirk are giving away facemasks, antibacterial hand wash and cleaning wipes to the elderly in a bid to stop the spread of Coronavirus
Katielee Arrowsmith/SWNS
5/15
A usually busy street in Cambridge is empty as people stay away from public areas amid the coronavirus outbreak on 2 March
James Linsell-Clark/SWNS
6/15
A hand sanitiser dispenser is seen inside the stadium during the Premier League match between Manchester United and Manchester City at Old Trafford on 8 March
Getty
7/15
Maaya Indian Kitchen in Milton Keynes is offerig customers a free roll of toilet paper with every takeaway order
SWNS
8/15
Oliver Cooper[L], was sent home from school for selling spurts of handsanitiser to fellow pupils at 50p a time. He poses with mum Jenny Tompkins by their home in Leeds
Ashley Pemberton/SWNS
9/15
Empty toilet paper shelves at a supermarket in London on 12 March
EPA
10/15
A member of the public is swabbed at a drive through Coronavirus testing site set up in a car park in Wolverhampton
Getty
11/15
A passenger wears a protective face mask as she travels on a bus in the City of London
AFP/Getty
12/15
A Southampton fan wears a face mask before the match against Newcastle United on 7 March
Reuters
13/15
A loudspeaker placed in grounds of St Mary's Catholic Church in Broughattin, Dundalk, County Louth ahead of funeral mass later this morning. The loudspeaker has been placed in the grounds after the Catholic Archdiocese said that funerals and weddings should not exceed 100 attendees within the church building
PA
14/15
A hand sanitising station set up outside Cheltenham Racecourse during day four of the Cheltenham Festival on 13 March
PA
15/15
People wearing protective face masks walk across London Bridge on 11 March
AFP/Getty
Responding to the UK government’s policy of allowing large swathes of the British population to fall ill with the virus in hopes of creating “herd immunity”, officials warned it is too soon to know if people will become permanently immune to Covid-19.
Dr Nicola Rose, head of virology at the National Institute for Biological Standards and Control, said: “We don’t know how the pandemic will evolve. With flu, for example, it comes and goes in waves. This may well be the case here. We really don’t know whether there will be herd immunity or not.”
People who have been infected should follow hygiene steps outlined by CDC and other health authorities, said Mr Wright, including keeping a distance away from people who are sick, washing hands often with soap and water, and covering coughs and sneezes.
"At the moment, people really need to think about if they really need to make that trip, or what they can do to limit the risk of passing the virus on to someone else who could seriously be affected by it," he said.
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