Since arriving at the Japanese port of Yokohama on Monday, the Diamond Princess has been quarantined at sea while all passengers and crew undergo health screenings. At least 61 people have tested positive for the newly identified coronavirus. The patients, who include elderly people and foreign nationals, were taken ashore to a hospital in the coastal prefecture of Kanagawa, according to Japan’s Ministry of Health, Labor and Welfare.
A spokesperson for Princess Cruises, which operates the ship, told ABC News that those infected include 28 Japanese nationals, 11 Americans, seven Australians, seven Canadians, three people from Hong Kong, one person from Argentina, one from the Philippines, one from Taiwan, one from the United Kingdom and one person from New Zealand.
The Japanese government has mandated the Diamond Princess and all those still on board to remain under quarantine at sea until Feb. 19.
“The Japanese government is also providing our ship and team members additional manpower support,” a spokesperson for Princess Cruises said in a statement Thursday night. “During the remainder of the time onboard, guests will continue to be provided complimentary internet and telephone service to stay in contact with their family and loved ones. In addition, we have added additional live TV channels and a large selection of in-room movies available in multiple languages. The cruise activities staff is packaging games, puzzles and trivia and delivering them to guest staterooms.”
There are 2,666 guests and 1,045 crew members aboard the Diamond Princess. Approximately half are from Japan, with more than 400 passengers from the United States, according to the cruise line spokesperson.
Speaking to ABC News on Friday morning from their cabin suite aboard the Diamond Princess, U.S. citizens Roger and Karey Maniscalco described the conditions and mood on the ship as “somber” and “quiet.”
“I think everybody is still initially in shock,” Karey Maniscalco said. “Everybody’s still in their rooms.”
“It’s been tough,” her husband, Roger, added.
Apart from being confined to their 211-square-foot room, the couple said they are feeling “absolutely fine” and “healthy.”
The Maniscalcos told ABC News that passengers have been given thermometers to self-monitor their temperatures throughout the day and must report any temperature above 37.5 degrees Celsius. Anyone who is granted access outside their room must wear a mask and gloves.
“They’re keeping us safe,” Roger Maniscalco said.
The first cases of the new coronavirus were detected back in December in the central Chinese city of Wuhan. Since then, 28,060 people in China have been infected with the disease and 564 of them have died. An additional 216 people in two dozen other countries and territories have also been infected, and one patient in the Philippines has died, according to the latest data from World Health Organization, the global health arm of the United Nations.
The WHO has declared the outbreak a global health emergency.
Two newborns in China are believed to be the youngest to contract the novel coronavirus. The infants, one just 30 hours old, tested positive for the newly discovered virus on Wednesday at a children’s hospital in Wuhan, the outbreak’s epicenter, according to the state-owned China Daily newspaper.
Both babies were reported in stable condition, but now concerns have been raised over whether mother-to-fetus transmissions are possible.
Meanwhile, a Chinese doctor who was reprimanded by authorities for sounding an early warning about the outbreak in Wuhan at the end of December died Friday after falling ill with the disease. The Wuhan Central Hospital said on its social media account that Dr. Li Wenliang, a 34-year-old ophthalmologist, was “unfortunately infected during the fight against the pneumonia epidemic of the new coronavirus infection.”
“We deeply regret and mourn this,” the hospital added.
The WHO took to Twitter in light of the doctor’s death, saying, “We all need to celebrate work that he did.”
Speaking at a press conference in Geneva on Thursday, WHO Director General Dr. Tedros Adhanom Ghebreyesus said there are still many unknowns about the virus. Scientists are working to find the original source of the outbreak, and they still don’t fully understand how the virus is transmitted nor its severity.
“To put it bluntly: we’re shadowboxing,” Ghebreyesus told reporters. “We need to bring this virus out into the light so we can attack it properly.”
The new coronavirus causes symptoms similar to pneumonia — sometimes mild, such as a slight cough, to more severe, including fever and difficulty breathing, according to the CDC. There is no vaccine yet for the virus, nor any known effective therapeutics.
In the United States, 12 confirmed coronavirus cases have been reported in Wisconsin, California, Washington, Arizona, Massachusetts and Illinois. The U.S. Centers for Disease Control and Prevention has shipped newly approved coronavirus tests to labs across the country so states can begin their own diagnostic testing instead of shipping all samples to CDC headquarters in Atlanta.
The outbreak has caused several major U.S. airlines to suspend all flights to China, and American companies and government agencies have evacuated staff from the country. The U.S. Department of State issued a Level 4 travel advisory for China on Jan. 30, warning people to avoid all travel to the country.
A Royal Caribbean cruise ship returning from the Bahamas has docked in Bayonne, New Jersey, with around a dozen passengers who were isolated on board due to concerns over possible coronavirus infection. The passengers, all Chinese nationals, were experiencing breathing problems and other pulmonary issues aboard the Anthem of the Seas, according to a federal official, who noted that there’s no indication the passengers are infected with the new coronavirus and the response was out of an abundance of caution.
When asked for comment, a spokesperson for Royal Caribbean told ABC News, “Like airlines, we are participating in elevated levels of guest screening to check the spread of coronavirus. We are closely monitoring developments regarding coronavirus and have rigorous medical protocols in place onboard our ships. We continue to work in close consultation with the CDC, the WHO and local health authorities to align with their guidance and ensure the health and wellbeing of our guests and crew.”
A CDC spokesperson told ABC News that the agency is “aware of two family members on a cruise ship that became ill on board.” The family recently traveled to mainland China but not to Hubei province, the heart of the outbreak. CDC staff consulted with the New Jersey Department of Health and decided to test all four family members for the novel coronavirus “out of an abundance of caution,” according to the spokesperson.
“The New Jersey Department of Health will facilitate the specimen collection, and the samples will be sent to the CDC for testing,” the spokesperson said.
Two people briefed on the matter told ABC News that the four people being evaluated have been taken to University Hospital in Newark. Another 23 people showed some concerning symptoms but they have been cleared. The rest of the passengers will go through screenings while disembarking the ship Friday.
New Jersey Gov. Phil Murphy confirmed in a statement Friday that CDC personnel had boarded the cruise ship and screened 27 passengers who recently traveled from mainland China. Following the assessment, 23 of those passengers were cleared and the others were taken to a local hospital for further evaluation.
“The hospital is following proper infection control protocols while evaluating these individuals,” Murphy said. “New Jersey currently has no confirmed cases of novel coronavirus and the risk to residents remains low.”
Meanwhile, the U.S. Department of State has identified about 1,000 Americans in China’s Hubei Province, which includes Wuhan, who have requested help in evacuating, according to Capt. Jennifer McQuiston, deputy director of CDC’s Division of High Consequence Pathogens and Pathology. A number of U.S. citizens have already been evacuated from China in recent days.
In a series of tweets early Friday morning, President Donald Trump said he had a “long and very good” telephone conversation with Chinese President Xi Jinping.
“He is strong, sharp and powerfully focused on leading the counterattack on the Coronavirus,” Trump said. “He feels they are doing very well, even building hospitals in a matter of only days.”
“Great discipline is taking place in China, as President Xi strongly leads what will be a very successful operation,” Trump added in another tweet. “We are working closely with China to help!”
ABC News’ Mark Crudele, Josh Margolin, Erin Schumaker and Eric Strauss contributed to this report.