CDC: How Americans should prepare for school and workplace closures due to coronavirus

Public health officials, concerned about the possible spread of the COVID-19 coronavirus in U.S. communities, are urging Americans to ask schools and workplaces about contingency plans.

This may include questions about the possibility of school and day care closures, policies around working at home and using videoconferencing tools for meetings, and telehealth options for medical care.

“I contacted my local school superintendent this morning with exactly those questions,” Dr. Nancy Messonnier, director of the Centers for Disease Control and Prevention’s National Center for Immunization and Respiratory Diseases, told reporters on Tuesday.

The impact of the COVID-19 outbreak has largely been confined to China, which accounts for the majority of deaths. The illness has sickened at least 80,238 people in 34 countries and caused 2,700 deaths since it was first detected in December in Wuhan, China. The impact outside of China so far has been limited, with the majority of cases occurring in people who had recently traveled to Wuhan, the surrounding Hubei Province, or mainland China.

See now: Coronavirus update: 80,238 cases, 2,700 deaths, CDC warns Americans to prepare for disruption

However, the rapid jump in cases in Iran, Italy and South Korea over the last four days has tripped up markets and has now prompted U.S. health officials to warn Americans about potential disruption at home if people start getting sick in their communities. Messonnier cited examples of “community spread” in Hong Kong, Iran, Italy, Japan, Singapore, South Korea, Taiwan and Thailand.

See also: If the coronavirus isn’t contained, a severe global recession is almost certain

In Italy, there are at least 227 cases and six people have died, according to figures published Tuesday by the World Health Organization (WHO). (The WHO website tracking COVID-19 cases and deaths is currently down.) The health organization said Monday that Italy has closed schools and bars and canceled events, including the Venice Carnival, in regions where clusters of infections have been reported.

The U.S. has 57 confirmed cases of the novel coronavirus, according to Messonnier. That includes 40 passengers who tested positive for COVID-19 after returning to the U.S. from the Diamond Princess cruise ship in Yokohama, Japan; three people who had been repatriated from Wuhan; 12 individuals who had recently traveled to China; and two of their spouses. The transmission of the virus between the two married couples has been the only instances of familial spread in the U.S.

“Ultimately, we expect we will see community spread in this country,” Messonnier said. “It’s not so much a question of if…but rather more a question of exactly when this will happen and how many people in this country will have severe illness.”

She cited three forms of “nonpharmaceutical interventions” that can be applied during a pandemic of a respiratory disease to lessen the spread of an illness. These include staying home if you’re sick (personal), closing schools or canceling large gatherings of people (community), and routinely cleaning surfaces (environmental).

It could also include delaying elective medical surgeries.

“Secondary consequences of some of these measures might include missed work and loss of income,” Messonnier said.

Meanwhile, White House economist Larry Kudlow said Tuesday he’s confident the U.S. would be able to avoid a recession even if other countries experience one. Speaking on CNBC, Kudlow said China would take “an awfully big hit” economically from the coronavirus but that recent data shows the U.S. is holding up well.

The Dow Jones Industrial Average DJIA, -3.10% was down another 785 points on Tuesday, after shedding more than 1,000 points on Monday. The S&P 500 SPX, -2.96% was down 3%.

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