The streets of South Korea’s fourth-largest city were abandoned on Thursday, with residents holed up indoors after dozens of people caught the coronavirus in what the authorities described as a “super-spreading event” at a church.
The deserted shopping malls and cinemas of Daegu, a city of 2.5 million people, became one of the most striking images outside China of an outbreak that international authorities are trying to prevent from spreading into a global pandemic.
New research suggesting the virus was more contagious than previously thought added to the alarm. And in China, where the virus has killed more than 2,100 people, officials changed their methodology for reporting infections, creating new doubt about data they have cited as evidence their strategy is working.
Daegu Mayor Kwon Young-jin told residents to stay indoors after 90 people who worshipped at the Church of Jesus the Temple of the Tabernacle of the Testimony showed symptoms of infection and dozens of new cases were confirmed.
The church had been attended by a 61-year-old woman who tested positive, known as “Patient 31”. Korea’s Centers for Disease Control and Prevention described the outbreak there as a “super-spreading event”.
“We are in an unprecedented crisis,” Kwon told reporters, adding that all members of the church would be tested. “We’ve asked them to stay at home isolated from their families.”
Describing the abandoned streets, resident Kim Geun-woo, 28, told Reuters by telephone: “It’s like someone dropped a bomb in the middle of the city. It looks like a zombie apocalypse.”
South Korea now has 104 confirmed cases of the flu-like virus, and reported its first death.
In China, officials have been pointing to evidence that new cases are declining as proof they are succeeding in keeping the virus largely contained to Hubei province and its capital, Wuhan, where the virus initially emerged.
“We are encouraged by this trend but this is no time for complacency,” World Health Organization Director General Tedros Adhanom Ghebreyesus told a briefing in Geneva.
He noted that the number of coronavirus cases in the rest of world was very low compared to inside China, but added: “That may not stay the same for very long”.
Revisions to China’s methodology have raised doubts about its data. Under the latest methodology, which excludes chest X-rays, China reported fewer than 400 new cases over the past day, less than a quarter of the number it had been finding in recent days under the previous method.
Epidemiologists said there could be good reasons to adjust methodology to ensure resources were being used where most needed. No official tally was likely to record all cases.
“For every case we are aware of in China, there will be several more clinical cases by many factors,” said Bharat Pankhania, of Britain’s University of Exeter Medical School.
“It’s important that authorities do not interpret this as a slowing of the outbreak and let their guard down prematurely.”
Only last week, another change in Chinese methodology created an overnight spike of nearly 15,000 new cases, reversing a trend of falling numbers.
Scientists in China who studied nose and throat swabs from 18 patients infected with the virus said it behaves much more like influenza than other closely related viruses, suggesting it may spread more easily than previously believed.
In at least in one case, the virus was present even though the patient had no symptoms, suggesting symptom-free patients could spread the disease, they wrote in preliminary findings published in the New England Journal of Medicine.
“If confirmed, this is very important,” said Dr Gregory Poland, a vaccine researcher with the Mayo Clinic in Rochester, Minnesota, who was not involved with the study.
China has imposed severe controls in Wuhan, a city of 11 million people, to halt the spread of the virus, and has taken urgent steps to keep the overall economy from crashing.
On Thursday, its central bank cut a borrowing rate, while the authorities extended an order for businesses in Wuhan to shut down until March 11. Schools in the city, which had been due to re-open on Friday, will also stay shut.