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A28    SCIENCE
               Thursday 27 February 2020
            How deadly is new coronavirus? It's still too early to tell




            By LAURAN NEERGAARD                                                                                                 the  U.S.  National  Institutes
            AP Medical Writer                                                                                                   of Health.
            WASHINGTON  (AP)  —  Sci-                                                                                           That's  far  lower  than  what
            entists  can't  tell  yet  how                                                                                      has been calculated so far
            deadly    the   new    virus                                                                                        for  COVID-19.  But  millions
            that's  spreading  around                                                                                           of  people  get  the  flu  ev-
            the  globe  really  is  —  and                                                                                      ery year around the world,
            deepening  the  mystery,                                                                                            leading to an annual death
            the fatality rate differs even                                                                                      toll in the hundreds of thou-
            within China.                                                                                                       sands.
            As  infections  of  the  virus                                                                                      WHO'S MOST AT RISK FROM
            that   causes    COVID-19                                                                                           COVID-19?
            surge  in  other  countries,                                                                                        Older  people,  especially
            even  a  low  fatality  rate                                                                                        those with chronic illnesses
            can  add  up  to  lots  of  vic-                                                                                    such  as  heart  or  lung  dis-
            tims,  and  understanding                                                                                           eases, are more at risk.
            why  one  place  fares  bet-                                                                                        Among  younger  people,
            ter than another becomes                                                                                            deaths  are  rarer,  Aylward
            critical to unravel.                                                                                                said.  But  some  young
            "You  could  have  bad  out-                                                                                        deaths  have  made  head-
            comes with this initially un-                                                                                       lines,  such  as  the  34-year-
            til  you  really  get  the  hang                                                                                    old  doctor  in  China  who
            of  how  to  manage"  it,  Dr.                                                                                      was    reprimanded      by
            Bruce  Aylward,  the  World   Bruce Aylward, Team Lead WHO-China joint mission on COVID-19, speaks to the media about the   communist  authorities  for
            Health Organization envoy    COVID-19 after returning from China, during a press conference, at the World Health Organization,   sounding  an  early  alarm
            who  led  a  team  of  scien-  WHO, headquarters in Geneva, Switzerland, Tuesday, Feb. 25, 2020.   Associated Press   about the virus only to later
            tists  just  back  from  China,                                                                                     succumb to it.
            warned Tuesday.              And  while  there  are  no   ting  infections  far  earlier  cases, just like Wuhan did.  In  China,  80%  of  patients
            WHAT DO WE KNOW ABOUT  specific treatments for CO-        in places where the medi-    HOW     DOES     COVID-19  are  mildly  ill  when  the  vi-
            THE DEATH RATE?              VID-19,  earlier  supportive   cal  system  wasn't  already  COMPARE  TO  OTHER  DIS-  rus is detected, compared
            In  the  central  China  city  care may help, too. China   strained.                   EASES?                       with  13%  who  already  are
            of Wuhan, where the new  went  from  about  15  days      That's  now  changing,  with  A  cousin  of  this  new  virus  severely ill. While the sickest
            coronavirus  first  exploded,  between  onset  of  symp-  clusters  of  cases  in  Japan,  caused  the  far  deadlier  to start with are at highest
            2%  to  4%  of  patients  have  toms  and  hospitalization   Italy  and  Iran,  and  the  severe  acute  respiratory  risk of death, Aylward said,
            died,  according  to  WHO.  early  in  the  outbreak,  to   death toll outside of China  syndrome outbreak in 2003,  a fraction of the mildly ill do
            But  in  the  rest  of  hard-hit  about three days more re-  growing.                  and about 10% of SARS pa-    go on to die — for unknown
            China, the death rate was  cently.                        Aylward  cautioned  that  tients died.                    reasons.
            strikingly lower, 0.7%.      Still,   Aylward   expressed   authorities should be care-  Flu is a different virus family,  On   average,   however,
            There's  nothing  different  frustration  at  people  say-  ful of "artificially high" death  and some strains are dead-  WHO says people with mild
            about  the  virus  from  one  ing:  "'Oh,  the  mortality   rates  early  on:  Some  of  lier  than  others.  On  aver-  cases recover in about two
            place  to  another.  Instead,  rate's not so bad because   those  countries  likely  are  age,  the  death  rate  from  weeks, while those who are
            the      never-before-seen  there's way more mild cas-    seeing  the  sickest  patients  seasonal  flu  is  about  0.1%,  sicker  can  take  anywhere
            strain of coronavirus struck  es.' Sorry, the same number   at  first  and  missing  milder  said  Dr.  Anthony  Fauci  of  from three to six weeks.q
            Wuhan fast — before any-     of people that were dying,
            one  knew  what  the  illness  still die."                  Satellite almost on empty gets
            was  —  and  overwhelmed  WHAT ABOUT DEATHS  OUT-
            health  facilities.  As  is  usual  SIDE OF CHINA?
            at  the  beginning  of  an  Until  the  past  week,  most  new life after space docking
            outbreak,  the  first  patients  people  diagnosed  outside
            were  severely  ill  before  of  China  had  become         By MARCIA DUNN              companion.     Company  telsat  901  satellite  and
            they sought care, Aylward  infected  while  traveling       CAPE  CANAVERAL,  Fla.  officials called it a historic  clamped onto it. The duo
            said.                        there.                         (AP) — A communication  moment  for  space  com-       will  remain  attached  for
            By  the  time  people  were  People  who  travel  gener-    satellite almost out of fuel  merce,  akin  to  the  three-  the next five years.
            getting  sick  in  other  parts  ally  are  healthier  and  thus   has gotten a new life after  spacewalker capture of a  This novel rescue was car-
            of  China,  authorities  were  may  be  better  able  to  re-  the first space docking of  wayward  Intelsat  satellite  ried out at a slightly higher
            better  able  to  spot  milder  cover, noted Johns Hopkins   its kind.                  28 years ago.              orbit  to  avoid  jeopardiz-
            cases  —  meaning  there  University  outbreak  spe-        Northrop  Grumman  and  “We’re        pushing     the  ing other satellites if some-
            were  more  known  infec-    cialist  Lauren  Sauer.  And   Intelsat  announced  the  boundaries of what many  thing  had  gone  wrong.
            tions for each death count-  countries began screening      successful  link-up  nearly  thought  would  be  impos-  The  Intelsat  satellite  was
            ed.                          returning  travelers,  spot-   22,500  miles  (36,000  kilo-  sible,”  said  Tom  Wilson,  never  designed  for  this
                                                                        meters)  above  Earth  on  president   of   SpaceLo-   kind  of  docking;  officials
                                                                        Wednesday.  It’s  the  first  gistics,  a  subsidiary  of  said everything went well.
                                                                        time two commercial sat-    Northrop  Grumman.  “The  Once  maneuvered  back
                                                                        ellites have joined in orbit  impossible is now a reality.  down  into  its  operational
                                                                        like this.                  Today is a great example  orbit,  the  Intelsat  satellite
                                                                        The  recently  launched  of that.”                     should resume operations
                                                                        satellite — Northrop Grum-  The  Northrup  Grumman  in  another  month  or  two.
                                                                        man’s  Mission  Extension  satellite  was  launched  MEV-1  will  move  on  to
                                                                        Vehicle,  or  MEV-1  —  will  from  Kazakhstan  in  Octo-  another  satellite  in  need
                                                                        serve  as  a  guide  dog  of  ber. On Tuesday, it closed  once  its  five-year  hitch  is
                                                                        sorts  for  its  aging  Intelsat  in  on  the  19-year-old  In-  over.q
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