A mystery virus – previously unknown to science – is causing severe lung disease in the Chinese city of Wuhan.
More than 50 people have been infected. Seven are currently in critical condition.
A new virus arriving on the scene, leaving patients with pneumonia, is always a worry and health officials around the world are on high alert.
But is this a brief here-today-gone-tomorrow outbreak or the first sign of something far more dangerous?
What is this virus?
Viral samples have been taken from patients and analysed in the laboratory.
And officials in China and the World Health Organization have concluded the infection is a coronavirus.
Coronaviruses are a broad family of viruses, but only six (the new one would make it seven) are known to infect people.
Severe acute respiratory syndrome (Sars), which is caused by a coronavirus, killed 774 of the 8,098 people infected in an outbreak that started in China in 2002.
“There is a strong memory of Sars, that’s where a lot of fear comes from, but we’re a lot more prepared to deal with those types of diseases,” says Dr Josie Golding, from the Wellcome Trust.
Is it serious?
Coronaviruses can cause symptoms ranging from a mild cold all the way through to death.
This new virus appears to be somewhere in the middle.
“When we see a new coronavirus, we want to know how severe are the symptoms – this is more than cold-like symptoms and that is a concern but it is not as severe as Sars,” says Prof Mark Woolhouse, from the University of Edinburgh.
Where has it come from?
New viruses are detected all the time.
They jump from one species, where they went unnoticed, into humans.
“If we think about outbreaks in the past, if it is a new coronavirus, it will have come from an animal reservoir,” says Prof Jonathan Ball, a virologist at the University of Nottingham.
Sars jumped from the civet cat into humans.
And Middle East respiratory syndrome (Mers), which has killed 858 out of the 2,494 recorded cases since it emerged in 2012, regularly makes the jump from the dromedary camel.
Which animal?
Once the animal reservoir where the virus normally camps out is detected, the problem becomes much easier to deal with.
The cases have been linked to the South China Seafood Wholesale Market, in Wuhan.
But while some sea-going mammals can carry coronaviruses (such as the Beluga whale), the market also has live wild animals, including chickens, bats, rabbits, snakes, which are more likely to be the source.
Why China?
Prof Woolhouse says it is because of the size and density of the population and close contact with animals harbouring viruses.
“No-one is surprised the next outbreak is in China or that part of the world,” he says.
How easily does it spread?
Perhaps the single most reassuring fact about this outbreak is that the new virus does not appear to spread from one person to another.
This is a major concern with new viruses that infect the lungs, as coughs and sneezes are a highly effective way for a virus to spread.
If it was going person-to-person, then you would expect cases in healthcare workers as they come into close contact with sick patients.
Chinese officials say that has not happened.
However, some experts have cautioned it may be too soon to know whether there is a human-to-human transmission.
Prof Ball says: “There would have to be 59 animal-to-human transmission events in a short amount of time, intuitively that does seem quite high, it is still an open question.”
Prof Woolhouse says: “I’m cautious rather than sceptical, it is early too tell – most coronaviruses are actually transmissible and that would be my initial concern.”
How fast is it spreading?
So far, not very.
All the 59 patients had symptoms start between 12 December and 29 December 2019.
And there have been no further cases reported.
“It’s positive that we’ve not seen an expansion in cases,” Dr Golding says.
“China is taking it seriously and it could be contained, we have to wait and see.”
Concerns remain, however, that the virus could be spread by the hundreds of millions of people travelling for Chinese New Year later this month.
How have Chinese authorities responded?
Infected people have been treated in isolation to minimise the risk of the bug spreading.
More than 150 people who have had contact with infected patients are being monitored for signs of the disease.
Extra checks such as temperature scans have been put in place to screen travellers.
And the seafood market was closed for cleaning and disinfection.
How worried are the experts?
Dr Golding says: “At the moment, until we have more information, it’s really hard to know how worried we should be.
“Until we have confirmation of the source, that’s always going to make us uneasy.”
Prof Ball says: “We should be worried about any virus that explores humans for the first time, because it’s overcome the first major barrier.
“Once inside a [human] cell and replicating, it can start to generate mutations that could allow it to spread more efficiently and become more dangerous.
“You don’t want to give the virus the opportunity.”
