Top White House official Larry Kudlow questions approach of Politburo as China brings in ‘wartime’ measures in more cities

A senior White House official has called on Beijing to be more transparent over its handling of the coronavirus outbreak as Chinese authorities expanded “wartime” measures to limit its spread.

“We are a little disappointed that we haven’t been invited in and we’re a little disappointed in the lack of transparency coming from the Chinese,” said Larry Kudlow, the director of the US National Economic Council.

His comments came after Chinese authorities said they had altered how they count cases, resulting in confusion amid dramatic changes to the reported figures for two days in a row, and dampening hopes that the outbreak may peak later this month.

On Thursday, Hubei officials reported a large spike in cases after including those confirmed by CT scans, not just lab tests. The revision added 254 deaths to the overall Chinese toll.

Then on Friday, China added 121 new deaths – but also removed 108 fatalities from the total, due to what China’s National Health Commission said were “duplicate statistics”.

In its latest update, the commission reported 121 new deaths and 5,090 new coronavirus cases, bringing the total number of people infected to more than 64,000 worldwide, with 63,851 of the cases in China.

The death toll stands at 1,383 – with three of those deaths outside of mainland China, one in Hong Kong, one in Japan and one in the Philippines.

The commission did not give further explanation of the double-counted cases on Friday.

“Based on the current trend in confirmed cases, this appears to be a clear indication that while the Chinese authorities are doing their best to prevent the spread of the coronavirus, the fairly drastic measures they have implemented to date would appear to have been too little, too late,” said Adam Kamradt-Scott, an infectious diseases expert at the Centre for International Security Studies at the University of Sydney.

Quick guide What are coronavirus symptoms and should I go to a doctor? Show Hide What is Covid-19? Covid-19 is caused by a member of the coronavirus family that has never been encountered before. Like other coronaviruses, it has come from animals. The World Health Organization (WHO) has declared it a pandemic. What are the symptoms this coronavirus causes? According to the WHO, the most common symptoms of Covid-19 are fever, tiredness and a dry cough. Some patients may also have a runny nose, sore throat, nasal congestion and aches and pains or diarrhoea. Some people report losing their sense of taste and/or smell. About 80% of people who get Covid-19 experience a mild case – about as serious as a regular cold – and recover without needing any special treatment. About one in six people, the WHO says, become seriously ill. The elderly and people with underlying medical problems like high blood pressure, heart problems or diabetes, or chronic respiratory conditions, are at a greater risk of serious illness from Covid-19. In the UK, the National health Service (NHS) has identified the specific symptoms to look for as experiencing either: a high temperature - you feel hot to touch on your chest or back

a new continuous cough - this means you’ve started coughing repeatedly As this is viral pneumonia, antibiotics are of no use. The antiviral drugs we have against flu will not work, and there is currently no vaccine. Recovery depends on the strength of the immune system. Should I go to the doctor if I have a cough? Medical advice varies around the world - with many countries imposing travel bans and lockdowns to try and prevent the spread of the virus. In many place people are being told to stay at home rather than visit a doctor of hospital in person. Check with your local authorities. In the UK, NHS advice is that anyone with symptoms should stay at home for at least 7 days. If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home.

Chinese authorities also announced that 1,716 health workers had been infected as of 11 February. Six had died. Officials on Friday, responding to questions about how those cases are counted, said that when asymptomatic patients show symptoms during quarantine they would be included as confirmed.

While public health experts have greeted the change in reporting – in order to capture more cases and get more patients needed treatment – positively, others say it raises more questions about the data. The change in diagnostic criteria has been applied only to Hubei province.

“Is the politburo really being honest with us?” Kudlow asked, referring to communist China’s top leadership body. Kudlow said President Xi Jinping had assured Donald Trump that Beijing would accept US help, but “they won’t let us”.

“I don’t know what their motives are. I do know that apparently more and more people are suffering over there,” he said.

At a meeting of senior leaders in Beijing on Thursday, officials called for other areas to “adopt quarantine and rescue measures equal to that of Wuhan”, which has been under lockdown for the past three weeks. The meeting, chaired by the Chinese premier, Li Keqiang, called on Wuhan to speed up classifying and quarantining residents suspected or confirmed of contracting the virus.

Coronavirus latest updates: China cuts death toll after 'double-counting' – live news Read more

In Huanggang, one of the worst-hit areas outside of Wuhan with more than 2,000 cases and at least 59 deaths, authorities issued an emergency measures for 14 days, “fully sealing” all residential areas and banning vehicles, except for those for emergency, medical or official purposes.

Checkpoints would be set up and public security deployed to enforce the measures. Local district committees are to organise residents’ food and supplies. “All residents must not enter or leave their communities without authorisation,” the notice said.

Q&A How can I protect myself and others from the coronavirus outbreak? Show Hide The World Health Organization is recommending that people take simple precautions to reduce exposure to and transmission of the coronavirus, for which there is no specific cure or vaccine. The UN agency advises people to: Frequently wash their hands with an alcohol-based hand rub or warm water and soap

Cover their mouth and nose with a flexed elbow or tissue when sneezing or coughing

Avoid close contact with anyone who has a fever or cough

Seek early medical help if they have a fever, cough and difficulty breathing, and share their travel history with healthcare providers

Advice about face masks varies. Wearing them while out and about may offer some protection against both spreading and catching the virus via coughs and sneezes, but it is not a cast-iron guarantee of protection Many countries are now enforcing or recommending curfews or lockdowns. Check with your local authorities for up-to-date information about the situation in your area. In the UK, NHS advice is that anyone with symptoms should stay at home for at least 7 days. If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home.

In Dawu county in central Hubei, home to more than 600,000 people, officials also issued an emergency notice on Thursday afternoon that residential areas and buildings would be sealed and vehicles banned. Those who violate the rules “will be detained, according to wartime regulations”. “In extraordinary times, extraordinary actions are needed,” the notice said.

In Zhangwan district in Shiyan city, authorities placed similar restrictions and said public security would help enforce the measures. Gucheng county and Yunmeng county also implemented the same measures for a period of 14 days.

On Friday, China’s ministry of finance said the country was earmarking 80.5bn yuan (£8.5bn) for fighting the epidemic. So far, about half of that has been spent.

Researchers at China National Biotech, a state-owned company, said that human antibodies from survivors had helped patients who were critically ill, prompting calls for recovered patients to donate blood plasma.

Michael Smith (@MikeSmithAFR) I have been put under Home quarantine for 14 days after returning to Shanghai. For my neighbours, only 1 person per household is allowed out once a day. Some renters are being denied access to their homes. This is a city increasingly in lockdown. #coronavirus pic.twitter.com/UMEmbTa8PN

The next few weeks are critical for judging whether quarantine measures have worked, and as residents return to work in major cities. Officials said this year would not see a “peak” in return journeys after the lunar new year holiday and that all parts of the country should “continue protection and control measures”.

Containing the coronavirus in Wuhan, where the virus emerged in December, is still of “utmost importance” in order to achieve “economic and societal development” this year, officials said.

Coronavirus: the epidemic that gripped the world Read more

Outside China, one person died in Japan from the virus on Thursday night. Japan’s health ministry said a woman in her 80s living in Kanagawa prefecture, west of Tokyo, had died. She had been transferred between hospitals as her condition worsened and she was confirmed to have had the coronavirus after her death.

Her death was the third fatality from the virus outside mainland China.

Meanwhile, the US state department expressed deep concern about North Korea’s vulnerability to the outbreak. The statement comes as Pyongyang scrambles to strengthen quarantine and preventive measures.

North Korea has yet to report a case of the virus, but state media reports have hinted that an uncertain number of people have been quarantined after showing symptoms. Experts say an epidemic in North Korea could be dire because of its chronic lack of medical supplies and poor healthcare infrastructure.

Passengers on a cruise ship that spent two weeks at sea after being turned away by five countries over coronavirus fears started disembarking in Cambodia on Friday.

The MS Westerdam, carrying 1,455 passengers and 802 crew, docked in the Cambodian port town of Sihanoukville on Thursday. The Cambodian prime minister, Hun Sen, greeted the passengers with handshakes and bouquets of roses as they stepped off the ship and boarded a waiting bus.

Additional reporting by Pei Wu Lin