Nick Robinson and Jon Snow self-isolating in coronavirus precaution

Coronavirus precautions have forced Radio 4’s Nick Robinson and the Channel 4 News presenter Jon Snow to self-isolate, raising concerns that the spread of the virus could threaten the ability of journalists to do their jobs.

Sky News has told staff that guests entering any of its properties must give a formal declaration that they have not recently been to any infected area, a move which could limit the number of guests available to the channel.

The World Health Organization is recommending that people take simple precautions to reduce exposure to and transmission of the Wuhan coronavirus, for which there is no specific cure or vaccine.

The UN agency advises people to:

  • Frequently wash their hands with an alcohol-based hand rub or warm water and soap

  • Cover their mouth and nose with a flexed elbow or tissue when sneezing or coughing

  • Avoid close contact with anyone who has a fever or cough

  • Seek early medical help if they have a fever, cough and difficulty breathing, and share their travel history with healthcare providers

  • Avoid direct, unprotected contact with live animals and surfaces in contact with animals when visiting live markets in affected areas

  • Avoid eating raw or undercooked animal products and exercise care when handling raw meat, milk or animal organs to avoid cross-contamination with uncooked foods.

Despite a surge in sales of face masks in the aftermath of the outbreak of the coronavirus outbreak, experts are divided over whether they can prevent transmission and infection. There is some evidence to suggest that masks can help prevent hand-to-mouth transmissions, given the large number of times people touch their faces. The consensus appears to be that wearing a mask can limit – but not eliminate – the risks, provided they are used correctly.

Justin McCurry

Robinson said his decision to stay at home and away from colleagues came after a “routine precautionary check on doctors’ advice” following a holiday in Vietnam and Cambodia.

The Today programme presenter said NHS staff had told him to stay at home until the end of the week. He tweeted: “Thoughts go to all those on NHS frontline working to keep us safe from coronavirus. Thanks to staff at WhitHealth who tested me last night on return from great holiday in Vietnam & Cambodia. Routine precautionary check on doctors advice. Hope for all clear within 48 hours.”

According to the latest World Health Organization report on the Covid-19 outbreak, issued on Wednesday morning, there were 16 confirmed cases in Vietnam and one in Cambodia.

On Tuesday night Jon Snow announced he would be in precautionary self-isolation for two weeks after visiting Iran to cover the country’s election. The country has been badly hit by the virus in recent days, with even the deputy health minister announcing he was infected – shortly after giving a press conference about the risks of the virus.

What is Covid-19 - the illness that started in Wuhan?

It is caused by a member of the coronavirus family that has never been encountered before. Like other coronaviruses, it has come from animals. Many of those initially infected either worked or frequently shopped in the Huanan seafood wholesale market in the centre of the Chinese city.

Have there been other coronaviruses?

Severe acute respiratory syndrome (Sars) and Middle Eastern respiratory syndrome (Mers) are both caused by coronaviruses that came from animals. In 2002, Sars spread virtually unchecked to 37 countries, causing global panic, infecting more than 8,000 people and killing more than 750. Mers appears to be less easily passed from human to human, but has greater lethality, killing 35% of about 2,500 people who have been infected.

What are the symptoms caused by the new coronavirus?

The virus can cause pneumonia. Those who have fallen ill are reported to suffer coughs, fever and breathing difficulties. In severe cases there can be organ failure. As this is viral pneumonia, antibiotics are of no use. The antiviral drugs we have against flu will not work. Recovery depends on the strength of the immune system. Many of those who have died were already in poor health.

Should I go to the doctor if I have a cough?

UK Chief Medical Officers are advising anyone who has travelled to the UK from mainland China, Thailand, Japan, Republic of Korea, Hong Kong, Taiwan, Singapore, Malaysia or Macau in the last 14 days and who is experiencing a cough or fever or shortness of breath to stay indoors and call NHS 111, even if symptoms are mild.

Is the virus being transmitted from one person to another?

China’s national health commission has confirmed human-to-human transmission, and there have been such transmissions elsewhere.

How many people have been affected?

As of 20 Februrary, China has recorded 2,118 deaths from the Covid-19 outbreak. Health officials have confirmed 74,576 cases in mainland China in total. More than 12,000 have recovered.

The coronavirus has spread to at least 28 other countries. Japan has 607 cases, including 542 from a cruise ship docked in Yokohama, and has recorded one death. There have also been deaths in Hong Kong, Taiwan, France and the Philippines.

There have been nine recorded cases and no fatalities to date in the UK. As of 17 February, a total of 4,501 people have been tested in the UK, of which 4,492 were confirmed negative.

Why is this worse than normal influenza, and how worried are the experts?

We don’t yet know how dangerous the new coronavirus is, and we won’t know until more data comes in. The mortality rate is around 2% at the centre of the outbreak, Hubei province, and less than that elsewhere. For comparison, seasonal flu typically has a mortality rate below 1% and is thought to cause about 400,000 deaths each year globally. Sars had a death rate of more than 10%.

Another key unknown is how contagious the coronavirus is. A crucial difference is that unlike flu, there is no vaccine for the new coronavirus, which means it is more difficult for vulnerable members of the population – elderly people or those with existing respiratory or immune problems – to protect themselves. Hand-washing and avoiding other people if you feel unwell are important. One sensible step is to get the flu vaccine, which will reduce the burden on health services if the outbreak turns into a wider epidemic.

Is the outbreak a pandemic?

A pandemic, in WHO terms, is “the worldwide spread of a disease”. Coronavirus cases have been confirmed outside China, but by no means in all 195 countries on the WHO’s list. It is also not spreading within those countries at the moment, except in a very few cases. By far the majority of cases are travellers who picked up the virus in China.

Should we panic?

No. The spread of the virus outside China is worrying but not an unexpected development. The WHO has declared the outbreak to be a public health emergency of international concern. The key issues are how transmissible this new coronavirus is between people, and what proportion become severely ill and end up in hospital. Often viruses that spread easily tend to have a milder impact. Generally, the coronavirus appears to be hitting older people hardest, with few cases in children.

Sarah BoseleyHannah Devlin and Martin Belam

Snow, who said he did not have any symptoms of the virus, told Channel 4 News by video-link from home: “I woke up this morning feeling rather tired, but that was from the trip. But we weren’t actually anywhere near where the main virus outbreak has occurred.”

His producer and cameraman are also self-isolating after the trip to Iran.

Other news organisations are preparing contingency plans for dealing with the virus. Foreign reporters pose a particular risk as they have a high level of travel involved in their jobs. They also have the potential to introduce the virus to a newsroom filled with other journalists who will may head off to other parts of the world.