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> ROME (Reuters) - The new coronavirus was circulating in Italy in September 2019, a study by the National Cancer Institute (INT) of the Italian city of Milan shows, signaling that it might have spread beyond China earlier than thought.

https://www.reuters.com/article/health-coronavirus-italy-tim...

It is plausible that the virus was spread before recognized and treated as a global pandemic. Few flights were banned for months. Chinese tourists were in Italy up until the lockdowns.

But very often this "appeared outside China" is deflection and falsely invoked. Mind you that Reuters write: "it might have spread beyond China earlier than thought". Not: It came from Italy to China, and only became problematic in Wuhan. Every time China is reluctantly forced to move back the timeline on its patient 0, it starts pushing a narrative of COVID outside of China just a few months before their patient 0. It is a tiring use of an obvious and plausible bait-and-switch.

We already knew that Western expats and their relations in Wuhan got viral pneumonia in November 2019, while by January 2020, China did not consider it wise to inform the world of human-to-human transmission.

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> We already knew that Western expats and their relations in Wuhan got viral pneumonia in November 2019, while by January 2020, China did not consider it wise to inform the world of human-to-human transmission.

We now know about viral pneumonia in November 2019, but hindsight is a very comfortable position to judge from.

Going from that to establishing that by January 2020 China should know everything about the virus and disease is reaching quite a bit.

That whole argument reminds me way too much of that propaganda narrative by Fox citing a WHO tweet [0] about one preliminary Chinese investigation not finding evidence for H2H, in that particular investigation, to turn that around into: "WHO and China say there is no H2H!".

But a lack of evidence in one particular investigation is not the same as claiming there's no H2H.

H2H isn't just some binary thing, it's a spectrum of vectors that take time and effort to properly establish, that's why all the official recommendations from the WHO at the time was to treat this as very H2H.

[0] https://twitter.com/who/status/1217043229427761152?lang=en

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It was not hindsight. Those expats were interviewed ("locked in Wuhan") and broke the "official" timeline.

In my mind, it can not be excused that China either: did not know about H2H, when the West, as an outsider, was well aware of the raging crisis. Or worse, it did know, but tried to stall. I am not giving China the benefit of incompetence, so in my mind, it is worse.

I did not say: China claimed there is no H2H. I said: China did not thought it was wise to inform of H2H. I agree that these are different, and that Fox pushed a narrative there.

It takes time to establish patient 0, and find epidemiological explanations. But they had doctors falling severely sick at start of December! That should ring a bell about H2H!

> official recommendations from the WHO at the time was to treat this as very H2H

No, WHO sat in China's lap, and tweeted out your quote tweet: No strong evidence for H2H. We had to trust that China could keep this internal, without outside help, but they completely botched one of the basic things to figure out. WHO official messaging was: Do not wear masks, only wear one if you are ill, when China was already buying up protective equipment en masse.

[freeflight]

> It was not hindsight. Those expats were interviewed ("locked in Wuhan") and broke the "official" timeline.

Do you have anything concrete on that? Because right now I'm drawing a blank what you are even trying to allude to.

But for additional context I should point out that in November 2019 China also recorded an outbreak of the pneumonic plague [0], something that gets conflated a lot with the COVID-19 narrative.

> I said: China did not thought it was wise to inform of H2H. I agree that these are different, and that Fox pushed a narrative there.

How is it different when you are pretty much exactly pushing the Fox narrative there? You stipulate that China knew about H2H in January and allegedly had it well established but didn't share it with the rest of the world, where is your actual evidence for that?

Sounds a lot like that whole Taiwan e-mail to WHO mess where Taiwan claimed to have warned the WHO about H2H, when the actual e-mail didn't say anything like that.

> But they had doctors falling severely sick at start of December! That should ring a bell about H2H!

"Ringing bells" is not the same as having solid and established H2H vectors. Which, as I mentioned before, is not something that's binary. Something isn't just "H2H or not", there are different vectors and different gradients, establishing them is not easy, that's why even one year after the fact we still struggle to fully map out transmission routes and vectors.

You can't hand-wave such a complicated problem away when it persists to this day.

> No, WHO sat in China's lap, and tweeted out your quote tweet: No strong evidence for H2H.

This is 100% the Fox news interpretation. The WHO tweet was about that one particular Chinese investigation, all it said how that particular investigation didn't yield evidence.

Which is not the same as saying "there is no H2H", interpreting it like that is misinterpreting very concise language on purpose while ignoring literally every other release from the WHO at the time. Case in point: Here are the WHO interim guidance for laboratory testing of human suspect cases of NCoV infection from 10 January 2020 [1].

Read trough them and you will realize that the WHO was and is very vocal about respiratory transmission and how to best prevent it. That's only one out of the many WHO releases at the time that warn about the very real, but yet having to be established with actual evidence, H2H nature of the virus.

> Do not wear masks, only wear one if you are ill, when China was already buying up protective equipment en masse.

This is once again completely wrong, WHO messaging was to prioritize masks for at risk groups and HCWs due to the massive mask shortages at the time. Case in point: Here are the WHO's interim guidance on use of masks from 29 January 2020 [2]

It's astounding that over one year after the fact this kind of misinformation is still circulated, out of all the places here on HN.

The reality is that the WHO was a bit slow to react for one simple reason: They have become way more reluctant about "crying wolf" after the 2009 pandemic didn't turn into the deadly thing they feared it would. Which back then resulted in wide-spread criticism of the WHO for allegedly being "alarmist" when the multi-million death toll didn't actually materialize.

Trying to turn this into "WHO in pocket of China!" is just trying to tie this whole narrative into the current US foreign policy context of antagonizing China. That's also why US officials were among the first [3] to globally spread conspiracy theories about this being an engineered Chinese bio-weapon escaped from a lab.

[0] https://www.theguardian.com/world/2019/nov/18/china-records-...

[1] https://apps.who.int/iris/bitstream/handle/10665/330374/WHO-...

[2] https://www.who.int/docs/default-source/documents/advice-on-...

[3] https://www.nytimes.com/2020/02/17/business/media/coronaviru...

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> This is once again completely wrong, WHO messaging was to prioritize masks

A tale of two billboards:

https://i.redd.it/uv1iz4w4sgk41.jpg

https://cdn.newsapi.com.au/image/v1/28ce46391425d4b406fe55a2...

> bit slow to react for one simple reason: They have become way more reluctant about "crying wolf" after the 2009 pandemic didn't turn into the deadly thing they feared it would.

That is not the simple reason you think it is. It is the WHO, who should prioritize world health above all, not worry about "crying wolf" when every graph with heavily underreported numbers showed that COVID was going to crash Swine Flu and leave it as nothing but a memory. But they were slow to react, due to politics.

When the CDC was confronted with an outbreak of Hantavirus in 1993, they found some relations to Indian tribes, and news media picked up on that. This lead to panic and fear of Indian tribes. They learned lessons there that they now implementing.

> This is 100% the Fox news interpretation

Just because US media is ugly, showtime, broken, and partisan, does not give you the right to beat down anything when it happens to align with one of your hated "news" channels. But perhaps CNBC is more to your liking: https://www.cnbc.com/2020/06/02/china-delayed-releasing-coro...

Yes, there is a logical difference between: "China knew masks would help. China communicated that masks would not help, but started hoarding protective equipment" and "China knew masks would help. China communicated nothing about that to the WHO or the world, but started hoarded protective equipment."

We saw that unwillingness to communicate with masks and H2H. (The doctors who treated the doctors who fell ill in start of December, treating pneumonia patients, started falling ill mid-end December, can you not hear the bell toll?). We saw blatant lying when China was fighting interdomestic flight of 5 million people from Wuhan, threatening to nail them on the pillars of shame for eternity, while actively instructing the WHO to say there was zero reason to ban flights from China. This was repeated every meeting, alongside the "decreasing window to act", up until having to call a pandemic (all technical qualifications were already there, this was not WHO acting rapidly and decisively). Mike Ryan was far from happy with the pressures applied on the WHO.

Not talking about the expats, as I realized there are some things too dangerous to speculate about. You can ignore that.

[Uberphallus]

> > This is once again completely wrong, WHO messaging was to prioritize masks

> A tale of two billboards:

And? Many countries had the progression of "only health workers" to "only health workers and people with symptoms" to "everyone" according to the available supply, even though many others skipped the mid step.

[Uberphallus]

> But very often this "appeared outside China" is deflection and falsely invoked. Mind you that Reuters write: "it might have spread beyond China earlier than thought". [...] We already knew that Western expats and their relations in Wuhan got viral pneumonia in November 2019

Let's backtrack a bit.

First patient in France confirmed to be in late December 2019[0].

Retrospective wastewater analysis in Brazil shows the virus was present from November 2019 onwards, 3 months before their first reported case.[1]

Further down the line we have SARS-CoV-2's RdRP specific antibodies found during retrospective testing of samples of 111 (of 959) healthy volunteers of a lung cancer study in Italy[1]; samples taken in October 2019, meaning they got infected at least at some point in September 2019, 4-5 months before the first detected case. These antibodies also target RaTG13's RdRP, given that this protein is identical in both.

Even further down the line, and widely interpretable, we have the Barcelona case:

> "Coronavirus traces found in March 2019 sewage sample, Spanish study shows. The discovery of virus genome presence so early in Spain, if confirmed, would imply the disease may have appeared much earlier than the scientific community thought." [2]

The paper is here [3]. The fact that IP2/IP4 fragments of the RdRP gene are perfect match means that at least a virus very similar to SARS-CoV-2 (and RaTG13, its closest relative) was present in Spain back in March 2019.

It's not conclusive, as other markers tested negative, but it's also true that these other markers tend to degrade faster (for example, N1 marker wasn't detectable in May 25 2020, despite the pandemic ongoing). But this fact also rules out a case of sample contamination, because then N1 would have been detectable. It's also remarkable that the positive sample is from 2 weeks after the World Mobile Congress, leading to a self-contained outbreak hypothesis.

Now take all that information and combine it with the fact that no trace of SARS-CoV-2 has been found on any sample from Wuhan before December 1st, 2019.

While there's high probability that SARS-CoV-2 appeared within Chinese borders, mainly because the closest viral relatives have been known to live there (or Japan and South East Asia, if you ignore RaTG13), it's still highly speculative.

What is clear is that everything points in the direction of Wuhan, and the Huanan Seafood Market in particular, being just the first detected superspreading event, and the WIV was the reason why it was detected first, rather than the source of the virus itself.

[0] https://www.reuters.com/article/us-health-coronavirus-france...

[1] https://www.news-medical.net/news/20200701/SARS-CoV-2-circul...

[2] https://www.reuters.com/article/health-coronavirus-italy-tim...

[3] https://www.reuters.com/article/us-health-coronavirus-spain-...

[4] https://www.medrxiv.org/content/10.1101/2020.06.13.20129627v...

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Interesting, thanks. Lots of information there, and this should all be investigation better.