Conclusion: “human-to-human transmission of the disease ‘on a large scale’.
We’re looking at very big trouble, globally.
Preparedness of the 2019-nCoV outbreak
• 2019-nCoV may be about to become a global epidemic
• Self-sustaining human-to-human spread is already present in all major Chinese cities
• Seeding outside mainland China and subsequent local establishment may become inevitable, unless some or all of the following interventions are deployed quickly
• Substantial, draconian measures limiting population mobility should be taken immediately
• Cancellation of mass gatherings, school closures and instituting workfrom-home arrangements
• Should containment fail and local transmission is established, mitigation measures during previous major outbreaks, e.g. SARS, MERS or pandemic influenza could serve as a useful reference template
• Regions with the closest travel links with major Chinese ports, preparedness plans should be readied for deployment at short notice