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Coronavirus Has Become a Pandemic, W.H.O. Says

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The spread of the coronavirus is now a pandemic, officials at the World Health Organization said on Wednesday.

“We have rung the alarm bell loud and clear,” said Tedros Adhanom Ghebreyesus, the W.H.O.’s director-general.

Dr. Tedros called for countries to learn from one another’s successes, act in unison and help protect one another against a common threat.

“Find, isolate, test and treat every case, and trace every contact,” Dr. Tedros said. “Ready your hospitals. Protect and train your health care workers.”

“Let’s all look out for each other, because we’re in this together to do the right things with calm and to protect the citizens of the world.”

Although this is the first pandemic caused by a coronavirus, “we also believe that this is the first pandemic that is able to be controlled,” Dr. Tedros added.

He pointed several times to the success of China, which has cut new infections from over 3,500 a day in late January to a mere 24 in the most recent daily count. The world is watching to see whether China can keep its numbers down as it gradually releases millions of city dwellers from quarantine and lets them go back to work.

South Korea and Singapore have also begun to see cases drop. But the rest of the world is seeing alarmingly rapid rises.

The W.H.O. is emphatically not suggesting that the world should give up on containment, Dr. Tedros said.

“We are suggesting a blended strategy,” he said, referring to a blend of containment and mitigation. “We should double down. We should be more aggressive.”

China, South Korea and Singapore have shown that aggressive contact tracing and rapid isolation of the sick can work. Unlike Western nations, all three rejected the idea of home quarantine, because cases rapidly spread in families.

Some alarmed public health experts have described Beijing’s approach as draconian or brutal, but the W.H.O. has referred to it simply as aggressive.

In China, anyone infected, including children with mild cases, is moved out of the home and into hospitals or isolation wards with hundreds of others of the same sex.

That can “reduce the number of cases that are wheeled through the doors of hospitals,” said Dr. Michael Ryan, head of the agency’s emergencies program.

Although declaring a pandemic is largely symbolic, given that the virus has been spreading around the world for weeks, health officials hope the action will raise public awareness of the approaching danger.

Many countries have been slow to prepare, and the W.H.O.’s appeals for funds to help the poorest countries get ready have largely gone unanswered as the world’s wealthiest countries struggle to protect themselves.

Declaring a pandemic does not change what the W.H.O. will do, Dr. Ryan said. It is an effort “to galvanize the world to fight.”

A lot of thought was given to finally using the word, he said, because of the fear that it would cause countries to give up the fight as hopeless.

As of Wednesday, the virus had infected more than 120,000 people in 114 countries, killing about 4,300 of them.

For many days, when pressed on whether the disease is a pandemic, W.H.O. officials have drawn a distinction between “uncontrolled spread” and “uncontrollable spread.” They argued that China’s thus far successful effort to drive new cases down proved that the global outbreak could be controlled in places even without a vaccine.

Although Dr. Tedros said some countries were not moving fast enough or taking the threat seriously enough, Dr. Ryan declined to name them.

“The W.H.O. does not criticize its member states in public,” he said. “You know who you are.”

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Declaring a pandemic has no legal meaning and does not impose any new measures.

On Jan. 30, the W.H.O. declared the virus a public health emergency and said that distinction was more important than whether to call it a pandemic.

Agency officials have often declared themselves frustrated by pressure — which often comes from journalists — to say exactly when a pandemic is officially underway.

After the 2009 pandemic of H1N1 swine flu from Mexico to the Americas to Europe and beyond, the W.H.O. gave up its old definition of a pandemic: “sustained human-to-human transmission of a novel pathogen in two or more W.H.O. regions.”

Journalists quibbled with a W.H.O. media representative over the judgment that the spread in both North America and South America did not qualify as pandemic. (They comprise a single W.H.O. region.) And reporters wondered how many cases in Britain constituted “sustained transmission.”

In February, W.H.O. media representatives said they had given up declaring pandemics so as not to reopen a never-ending discussion.

But the usefulness of the term for raising alarm apparently proved irresistible.

The W.H.O. has sought $675 million for the fight against the coronavirus. It has received only $100 million in pledges and $51 million in cash, according to its website.

Dr. Ryan urged countries to hire thousands more contact-tracers, who find everyone known to have come in contact with an infected person and isolate anyone who may be infected. At the height of its outbreak, the city of Wuhan, China, where the pandemic began, had 18,000 contact-tracers working in teams of five.

Many were government employees who had been reassigned from various government departments and retrained on the job, according to Dr. Bruce Aylward, a W.H.O. assistant director-general who led the agency’s mission to China in February.


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