A Russian national who is quarantined in a Moscow hospital after recently returning from northern Italy, a hub for the coronavirus outbreak, has the coronavirus, the state-run RIA Novosti reported. The man is the first known Russian national to test positive for coronavirus while in the country. The patient, 29-year-old Moscow resident David Berov, traveled to northern Italy for a ski trip on Feb. 14 and returned on Feb. 23. On Thursday, feeling ill, he visited a local hospital, which transferred him to Moscow’s Infectious Diseases Hospital No. 1, a public hospital. There, he was placed in a room with five other men who had also recently returned from hubs for the outbreak: Italy, Iran and South Korea. Berov was tested for the virus twice and each time the test came back negative. Then, on Sunday afternoon, a third test came back positive. “When we got there we asked the medical staff why we are all lying together in the same room — any one of us could infect the others,” Berov told The Moscow Times by phone from the hospital. “They didn’t tell us.” The hospital staff appeared to realize they had made a mistake. According to Berov, when the clinic’s head doctor called him on Sunday afternoon to give him the positive test result, she asked him not to mention to staff from Russia’s federal consumer protection watchdog Rospotrebnadzor, which would be doing its own test later in the day, that it had kept a group of suspected patients all in one room. Berov also noted that the doctor said she did not know whether he had caught the coronavirus in Italy or from one of the patients with whom he had shared the hospital room.

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In the days after he returned from Italy, Berov said that he was in close contact with family and friends, but avoided the office and his regular recreational sports activities. On Sunday evening, the Baza news outlet reported that coronavirus tests in Russia go through three stages. The first test is done by the hospital, a second is conducted by Rospotrebnadzor and the third is then done by a medical center called Vektor located in the Siberian city of Novosibirsk. According to the outlet, which has close ties to security services, Berov’s Rospotrebnadzor test has come back positive and is now being sent for testing by Vektor. On Monday afternoon, a doctor returned to Berov and said that they were having trouble confirming whether or not he had actually caught the virus. When the news of the confirmation that Berov has the coronavirus came through, he told The Moscow Times that he had not yet been informed. One of the patients who was in the room with Berov, Aslan Subkhankulov, told Baza that medical staff had asked the patients not to tell anyone that they were kept together. Berov also told The Moscow Times that he and the five other patients were allowed to go to the bathroom unsupervised and roam down corridors frequented by other staff and patients. In a video shot by a patient in the hospital viewed by The Moscow Times, a doctor is seen walking down the hallway without protective gear. A representative of Moscow’s Infectious Diseases Hospital No. 1 declined a request for comment from The Moscow Times over the phone, adding that that all questions should be directed to the federal consumer protection watchdog Rospotrebnadzor. Rospotrebnadzor, in turn, did not respond to a request for comment. “In an ideal world you would never put people who might just have the flu with patients who actually might have the coronavirus,” said Ian Brierly, who heads the virology department at Cambridge University in the UK. “In essence, it is not the right thing to do and not logical.”

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Up to this point, the coronavirus has not spread in Russia, and no Russian nationals had tested positive on home soil. In late January, two Chinese nationals infected with the coronavirus were found in Russia, and released from hospital when their health improved. In February, three Russian nationals were found to have the coronavirus onboard a quarantined cruise ship in Japan. Russia has taken measures to prevent the coronavirus, which has killed upward of 2,800 people worldwide, from crossing its borders. It has closed its 4,209-kilometer land border with China, where the outbreak began at the end of 2019, to most passengers, and limited flights between the countries. It has also suspended some flights between South Korea and Russia, banned some citizens from Iran from entering the country and started to round up stray animals. But Berov’s case highlights how unprepared Russia’s teetering healthcare system is to combat a coronavirus outbreak, from hospitals not having effective quarantining procedures in place to clinics lacking the right testing equipment. Asking to speak anonymously, another Russian national who was on the ski trip with Berov told The Moscow Times that they had returned to Moscow with a fever after the vacation. The person went to their local clinic Bud Zdorov — Be Healthy — and took a standard blood test. It came back negative. “They said everything was fine, that it was just ordinary flu,” the person told The Moscow Times by phone from Hungary, where they are currently on a work trip. They have not yet been contacted by any health authorities.

But if the person was just given a standard test, that would not be enough to determine whether or not they picked up the coronavirus. “The tests for the coronavirus are very specific — you can’t just check it at a normal hospital,” said Brierly. “Nasal and throat swaps are the best; blood is less effective.” According to Berov, a third passenger who travelled with him to Italy has decided to “hide” from the authorities. The person did not answer calls from The Moscow Times. On Feb. 26, Moscow resident Evgeniy Berg told the story of how he tried to get tested for the coronavirus after returning from Iran in a post on his Facebook page. A dozen clinics and labs told him they do not test for the virus. So he called Rospotrebnadzor, which said it would send a doctor to test him, but only if he had symptoms. “Checking all suspicious patients is ‘impractical,’” Berg wrote that he was told. Berov is now isolated in a separate room, as are the other patients.