Advice for travellers from Wuhan
If you have returned from Wuhan in the last 14 days:
Stay indoors and avoid contact with other people as you would with other flu viruses
Call NHS 111 to inform them of your recent travel to the city
Please follow this advice even if you do not have symptoms of the virus.
What this means in practice
We are asking people to take simple, common-sense steps to avoid close contact with other people as much as possible, like they would with other flu viruses.
This means remaining at home for 14 days after arriving from Wuhan and not going to work, school or public areas.
Where possible, you should avoid having visitors to your home, but it’s ok for friends, family or delivery drivers to drop off food.
You should not use public transport or taxis until 14 days after your return from Wuhan.
Getting food and medicine
We recommend that you stay at home for 14 days after arriving from Wuhan, and avoid public places. Where possible, contact a friend, family member or delivery services to carry out errands on your behalf.
Taking children to school
We recommend that you stay at home for 14 days after arriving from Wuhan, and avoid public places. Where possible, contact a friend or family member to take your children to school.
Why the advice has changed
This is an evolving situation and the advice has changed based on emerging information from China about the number of cases and spread of the infection from person to person.
This is a highly precautionary measure to limit the potential spread of infection.
If you develop symptoms
If you develop a fever, cough, runny nose, sore throat or difficulty breathing, you should continue to follow the advice above. Please do not leave your home until you been given advice by a clinician.
Summary of action taken
We have introduced advanced monitoring at airports with direct flights from China.
A team of public health experts has been established in Heathrow to support anyone travelling in from China who feels unwell. These hubs will bring in rotational teams of 7 clinicians, working in shifts, who will be on hand to support patients on arrival. This is in addition to medical staff who are already permanently in place at all UK airports and the advice issued to all UK airports for people travelling to and from China.
The government has issued clinical guidance for the detection and diagnosis of novel coronavirus (2019-nCov), and infection prevention and control.
The Chief Medical Officer, Medical Director at PHE and Medical Director at NHSE/I have issued advice via a CAS (Central Alerting System) alert to frontline staff to increase awareness of the situation and any actions to take.
Most people who develop symptoms will get them after leaving the airport and so the priority is providing UK residents and travellers with the latest information to make sure they know what to do if they experience symptoms, and the NHS and PHE have an established plan to respond to someone who becomes unwell.
China has also introduced port-of-exit screening so people already exhibiting symptoms are not allowed to leave the country.
Diagnosis and analysis
Based on current evidence, novel coronavirus (2019-nCov) presents with flu-like symptoms including a fever, a cough, or difficulty breathing. The current evidence is that most cases appear to be mild. Those who have died in Wuhan appear to have had pre-existing health conditions.
The UK is now one of the first countries outside China to have a prototype specific laboratory test for this new disease. Healthcare professionals who are contacted by a patient with symptoms following travel to Wuhan have been advised to submit samples to PHE for testing. Individuals should be treated in isolation
After the experience of severe acute respiratory syndrome (SARS) in 2003, PHE developed a series of diagnostic tests to detect any member of the family of coronaviruses. These have been used for several years, and were able to detect the first UK case of Middle East respiratory syndrome (MERS) in 2012.
With the first reported publication of the genome sequence of a 2019 novel coronavirus, PHE was able to rapidly develop further specific tests for this virus, working with WHO and global network of laboratories.
When a clinician suspects novel coronavirus (2019-nCov), they take samples from the nose, throat and deeper respiratory samples, package and send them safely to PHE Colindale. PHE can provide a laboratory result from this specific virus on the same working day.
PHE also has the capability to sequence the viral genome and compare this to published sequences from China, if a case occurs. This will provide valuable information on any mutations in the virus over time and allow an improved understanding of how it spreads.