Public Health

The WHO outlines the Wuhan outcomes on the causes of the Covid pandemic

Peter Ben Embarek and Marion Koopmans (R) come to a press conference on February 9, 2021 to conclude a visit by an international team of experts from the World Health Organization (WHO) to the city of Wuhan in the Chinese province of Hefei.

HECTOR RETAMAL | AFP | Getty Images

An international team of scientists led by the World Health Organization said Tuesday that the search for the introduction of the coronavirus was still in progress. Further research is needed to investigate how and whether the disease circulated in animals prior to human infection.

Scientists have been working in the Chinese city of Wuhan, where the disease was first identified, for four weeks, looking for clues to the origins of the Covid-19 pandemic.

The research team has visited hospitals, laboratories, and markets including the Huanan Seafood Market, the Wuhan Institute of Virology, and the laboratory of the Wuhan Center for Disease Control.

During the secret visit, researchers were also supposed to speak to early responders and some of the early patients. The team completed two weeks of quarantine before starting visiting local locations.

Dr. Peter Ben Embarek, WHO food safety and animal diseases specialist and chairman of the investigation team, told a press conference that the “most likely” path for Covid is to transition from an intermediate species in humans. That hypothesis will “require more study and more specific (and) targeted research,” he said.

The first results of the investigation found no evidence of major Covid outbreaks in Wuhan or anywhere else before December 2019. However, researchers found evidence of wider Covid spread outside the Huanan seafood market in the same month, Ben Embarek said.

He added that it was not yet possible to determine the intermediate animal host for the coronavirus and described the results as “in the works” after nearly a month of meetings and site visits.

“To understand what happened in the early days of December 2019, we dramatically changed the image we had before? I don’t think so,” said Ben Embarek.

“Have we improved our understanding? Have we added details to this story? Absolutely,” he said.

WHO has tried to meet expectations for a definitive conclusion on the origins of the Covid pandemic. To put the mission in a broader context, it took more than a decade to find the origins of SARS, while the origins of Ebola – first identified in the 1970s – are not yet known.

It is hoped that information on the earliest known cases of the coronavirus, first discovered in Wuhan in late 2019, can help pinpoint the start of the outbreak and prevent similar pandemics in the future.

After concerns about access and delays in issuing visas, the team led by the World Health Organization arrived in Wuhan on January 14 to work with Chinese scientists to investigate the origin of the coronavirus.

Bats and psoriasis

Liang Wannian, head of the Chinese National Health Commission’s Covid Expert Panel, said on Tuesday, along with WHO’s Ben Embarek at the Hilton Optics Valley Hotel in Wuhan, ongoing research into the origins of the virus should focus on how the virus circulates in animals the infection of humans.

Animal hosts have yet to be identified, but bats and pangolins are both potential candidates for transmission, Liang said, but samples from these species have not been found “sufficiently similar” to the Covid virus.

Mink are seen on a farm in Gjol, Northern Denmark on October 9, 2020.

HENNING BAGGER | Ritzau Scanpix | AFP via Getty Images

The high susceptibility of minks and cats to the Covid virus suggests that there may be other animals that act as reservoirs, Liang continued, but research is currently insufficient.

China’s national health commission spokesman said there could have been an unreported spread of the coronavirus before it was first discovered in Wuhan. However, Liang said there was no evidence of significant spread of Covid in Wuhan prior to the outbreak in late 2019.

International concern

The WHO previously cited genetic sequencing that showed the coronavirus had started in bats and likely jumped to another animal before infecting the human.

Many of the people who contracted the new virus in Wuhan, a city of around 11 million people, are said to have had connections to the Huanan fish market.

Scientists initially suspected the virus came from wildlife sold in the fish market, which prompted China to swiftly restrict public access to the market early last year.

China’s CDC has since said samples from the fish market suggest that the virus has spread from where the outbreak first occurred.

Additionally, China’s Liang said Tuesday that the Huanan Fish Market was one of the places where the coronavirus first appeared. However, he added that with current evidence it is impossible to determine how the virus was first introduced to the fish market.

Security guards stand guard outside the Wuhan Institute of Virology in Wuhan as members of the World Health Organization (WHO) team investigating the origins of the COVID-19 coronavirus visit the institute in Wuhan, central China’s Hubei Province, on February 3, 2021.

HECTOR RETAMAL | AFP | Getty Images

The origins of the coronavirus remain important as the virus is constantly evolving, as demonstrated by highly infectious mutant strains in the UK and South Africa.

To date, more than 106 million people worldwide have contracted the coronavirus and it has caused at least 2.32 million deaths, according to Johns Hopkins University.

The US has by far reported the highest number of confirmed Covid cases and deaths, with more than 27 million reported infections and 465,072 deaths.

China has released little information about its research into the origins of the coronavirus, and there has been widespread international concern about what researchers in Wuhan are allowed to see and do as part of their research.

– CNBC’s Evelyn Cheng contributed to this report.

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