The inclusion of a Notice means only that an order was entered with monetary sanctions exceeding $1 million. 2018ZX107130ZX10104001).We post Notices of Covered Action for each SEC action where a final judgment or order, by itself or together with other prior judgments or orders in the same action issued after July 21, 2010, results in monetary sanctions exceeding $1 million. This study was supported by the National Key Technology R&D Programs of China (Project Nos. Suggestions to strengthen the control of fecal oral transmission of 2019-nCoV include strengthening health publicity and education maintaining environmental health and personal hygiene drinking boiled water, avoiding raw food consumption, and implementing separate meal systems in epidemic areas frequently washing hands and disinfecting of surfaces of objects in households, toilets, public places, and transportation vehicles and disinfecting the excreta and environment of patients in medical facilities to prevent water and food contamination from patients’ stool samples. This finding has important public health significance. This study also verified that the nucleic acids of 2019-nCoV can be detected from stool samples ( 2). This virus has many routes of transmission, which can partially explain its strong transmission and fast transmission speed. This means that stool samples may contaminate hands, food, water, etc., and may cause infection by invading the oral cavity, respiratory mucosa, conjunctiva, etc. In addition to close contact and contact with respiratory secretions of patients, the virus can also be transmitted through the potential fecal-oral route. These results confirm that COVID-19 patients have live virus in stool specimens, which is a new finding in the transmission routes of 2019-nCoV. In the Vero cells, viral particles with typical morphology of a coronavirus could be observed under the electron microscope ( Figure 2).Ī virus particle with typical morphology of coronavirus was observed using electron microscopy after inoculating stool suspension into Vero cells. The full-length genome sequence indicated that the virus had high-nucleotide similarity (99.98%) to that of the first isolated novel coronavirus isolated from Wuhan, China ( Figure 1). The interval between sampling and onset was 15 days. A 2019-nCoV strain was isolated from a stool specimen of a laboratory-confirmed COVID-19 severe pneumonia case, who experienced onset on Januand was sampled on February 1, 2020. In Biosafety Level 3 (BSL-3) Laboratory of the National Institute for Viral Disease Control and Prevention, Vero cells were used for viral isolation from stool samples of COVID-19 patients sent by Heilongjiang CDC. Respiratory droplets and contact transmission are considered to be the most important routes of transmission of 2019-nCoV, but do not fully account for the occurrence of all coronavirus disease 2019 (COVID-19) cases, previously known as novel coronavirus pneumonia (NCP), and the reasons for the rapid spread of this virus ( 1). As of February 14, 2020, 51,986 confirmed cases (including laboratory-confirmed cases and clinically-confirmed cases) were reported in Hubei Province, and 1,318 of them died. The novel coronavirus (2019-nCoV) is spreading very fast in Hubei Province of China.
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