Updated at 9:50 p.m. ET
Wuhan's public health authorities say they are in a "state of war" as they quarantine the Chinese city in an attempt to halt the spread of a never-before-seen strain of coronavirus.
"Strictly implement emergency response requirements, enter into a state of war and implement wartime measures to resolutely curb the spread of this epidemic," urged a committee of Wuhan's top officials. "Homes must be segregated, neighbors must be watched."
Later Thursday, health officials from the World Health Organization decided not to declare the outbreak an international health emergency. WHO Director-General Tedros Adhanom Ghebreyesus said that after two days of meetings in Geneva with the organization's Emergency Committee, the group was divided.
"Make no mistake. This is an emergency in China, but it has not yet become a global health emergency," Tedros said. "It may yet become one."
The WHO is not recommending any international restrictions on trade or travel, but does recommend exit screenings at airports.
Beginning at 10 a.m. local time (9 p.m. Wednesday ET), authorities in Wuhan, about 500 miles west of Shanghai, started sealing off public transportation, including its metro system, airport, train station and long-haul bus hubs. Livestreamed videos from the city show soldiers wearing face masks barricading the entrances to the city's train station Thursday morning to prevent passengers from entering and leaving the city.
As of early afternoon, cars were still allowed to exit Wuhan, the epicenter of a rapidly growing outbreak of a coronavirus that has sickened 830 people within China and killed 25, according to health authorities.
But officials also began sealing off highways entering the city. Authorities said they were screening passengers leaving and entering Wuhan, checking for fever and the illegal transport of wild animals thought to be the original vector for the virus.
Online, people expressed doubt about whether the quarantine came in time to check the disease's spread. Influential bloggers have been calling on the mayor of Wuhan, Zhou Xianwang, to step down after he admitted the city government's initial public health responses "were not sufficient." The disease has spread to virtually all other Chinese provinces as well as Hong Kong, none of which has been quarantined.
The sudden decision to lock down the city of 11 million residents, who were given less than eight hours' notice of the suspension of public transportation, suggests the severity of the outbreak has alarmed China's leaders. Wuhan's lockdown comes only two days before the official start of Lunar New Year, a major, weeklong holiday during which hundreds of millions normally travel within and outside China.
The recent jump in the number of confirmed cases in China has also raised suspicions among both researchers and residents that authorities have delayed reporting the true extent of a public health threat.
Isolated cases of the virus, known as 2019-nCoV, also have been found in Japan, Thailand, South Korea, the U.S., Macao and Hong Kong. On Thursday, Singapore announced its first confirmed case — a 66-year-old Chinese national from Wuhan, according to the Ministry of Health.
Thursday's front page of the People's Daily, the official newspaper of the Chinese Communist Party, made no mention of the viral outbreak and focused instead on the country's leadership. The top story covered Chinese leader Xi Jinping's New Year's wishes to former senior officials.
A London Imperial College study published Wednesday estimated that the number of those infected in China with the new coronavirus should be at least 4,000 based on past outbreaks of similar viral diseases, far more than the 570 or so officially acknowledged as of Thursday.
"This is a mathematical model. The number you were referring to was the maximum in the range predicted. Faced with viruses like this, facts must be facts and theories are just theories," Gao Fu, the director of China's Bureau of Disease Prevention and Control, told reporters Wednesday when asked about a similar study from the same authors.
Part of the problem with reaching an accurate count may be that overstretched hospitals have been unable to cope with the numbers of potential cases needing to be screened. Hundreds of residents with fevers posted on social media Wednesday night that they had been turned away from overloaded Wuhan hospitals while seeking screening. The posts were deleted by the following morning.
In one case, a man from Liaoning province who sought treatment in a Wuhan hospital on Jan. 12 was simply prescribed oral medication and turned away, according to a notice posted by the Liaoning Public Health Commission. Five days later, he flew to Dalian, a major city in Liaoning, for further care as his symptoms worsened and were diagnosed as coronavirus pneumonia. He is currently in critical condition.
Wuhan says it will add 3,400 more beds to hospitals that are equipped to treat the virus, bringing the overall number to 5,400 and indicating that authorities expect the scale of the outbreak to grow. Caixin, an independent Chinese-language outlet, quoted doctors in Wuhan saying they expected the outbreak to eventually infect as many as 6,000 people, though they did not give a timeline. SARS, which also belongs to the coronavirus family, infected more than 8,000 from 2002 to 2003.
Hospitals are struggling to find enough doctors to treat the growing numbers of patients. An account of a 23-year-old man who was treated for the virus and eventually released last week described how his doctors had been transferred from other institutions within Wuhan and even from as far away as Beijing. As the crisis worsened, they worked 16 hours a day, "from dawn to dusk."
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