States scramble to carry out Trump’s coronavirus travel order
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After a weekend of panicked calls and emergency meetings, federal and state officials were still struggling Monday with how to carry out stringent new travel restrictions ordered by the Trump administration and where to quarantine passengers arriving from China to control the spread of the coronavirus in the United States.

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In interviews, state officials said the order came on Friday with no advance notice and little planning.

The restrictions ban non-U.S. citizens who recently visited China from entering the country and quarantine Americans who visited Hubei province, the epicenter of the outbreak, within the past 14 days. (Immediate relatives of U.S. citizens, permanent residents, and flight crew members are exempted from the ban.)

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The administration is also requiring screening and self-monitoring of symptoms for Americans who recently visited other parts of China. All flights from China as of Sunday evening are being funneled to 11 airports: in New York, Chicago, San Francisco, Los Angeles, Seattle, Atlanta, Honolulu, Newark, Detroit, Dallas and just outside the District.

Among the options being considered for housing quarantined travelers are hotels, military bases and trailers, officials said Monday.

New York state health officials said one person who is not displaying symptoms will be quarantined until Wednesday because of travel history and exposure to someone with a confirmed case of coronavirus.

The hastily issued restrictions and ensuing scramble to execute them underscores how quickly health officials are trying to move to prevent the virus’s spread in the United States as the crisis enters its second month. The World Health Organization reported 153 confirmed cases in 23 countries outside China, including 11 in the United States.

Within China, the country’s National Health Commission reported 20, 438 confirmed cases, including 15 in Hong Kong and eight in Macao through the end of Monday. The self-governing island of Taiwan reported 10 cases. On that news, China’s reopened stock market plunged about 8 percent on Monday. Economists revised the country’s growth forecasts downward and warned about ripple effects on the global economy.

In another sign of the White House’s escalating response, the Department of Health and Human Services notified Congress on Sunday that it may need to transfer up to $136 million to help combat the fast-moving epidemic. The notification came as the Centers for Disease Control and Prevention is quickly draining $105 million that was set aside for emergency public-health responses to infectious disease outbreaks.

“The way this was rolled out is concerning. This is not the kind of thing you want to do on the fly because that creates chaos.” said Hawaii Lt. Gov. Josh Green. “When you rush, you make mistakes, and this isn’t a case where we can afford mistakes.”

Flights carrying passengers subject to the new screening and quarantine requirements began arriving in the United States on Monday. It is not yet clear how many new people have been placed in quarantine or how many have been denied entry to the United States.

Local jurisdictions are responsible for quarantine once people leave airports, officials have said. That has left authorities struggling to implement a system they had less than three days to devise. On Sunday, federal, state and local officials spent hours on conference calls to work out plans for different scenarios amid much confusion, said one local public health official who spoke on the condition of anonymity to speak candidly.

“There was no advance notice,” the official said. “This has not been thought through.”

Green, who also works as an emergency doctor, said Hawaii’s leaders did not know about the order ahead of a news conference by Trump administration officials on Friday.

“I got an emergency call from a friend in D.C. five minutes before, telling me about it,” Green said. Following the Friday news conference, Green said, federal officials hosted a hurried teleconference meeting with state leaders where the affected airports are located.

“The kind of questions people were asking were just basic things, like what is your protocol for routing planes into our airports? What is CDC’s standard for quarantine? Where are we supposed to put these people?” Green said.

On Monday, Green said Hawaii officials were still waiting on the Defense Department to tell them whether it had a location to house people under quarantine. State health officials have identified three possible places but prefer to use a designated military location farther away from the general population.

“We are an island state that is 80 percent dependent on tourism. This isn’t a case where we can just put people up in hotels without great collateral risk,” Green said.

In Loudoun County, a D.C. suburb that includes Dulles International Airport, officials said they want to make any quarantine as comfortable as possible. Depending on a person’s travel history, quarantine could take place in someone’s home or another location.

“There is not a lone location that has been chosen in Loudoun for this purpose,” said David Goodfriend, director of Loudoun County’s Health Department. “The best answer could be different for different individuals.” 

Nancy Messonnier, the top official overseeing the CDC response, said Monday that federal officials are working with states to “determine where travelers will be quarantined. Some states have already made plans for hotels” to be used as part of the state’s response to control the virus’s spread, she said.

CDC officials also did not receive much advance notice, according to an HHS official who requested anonymity to speak candidly. Messonnier acknowledged that plans were put together “on an incredibly tight timeline.”

Michael Fraser, chief executive of the Association of State and Territorial Health Officials, said: “This is fast-moving and we just learned about it Friday afternoon. We are working with federal partners and states and territories to assure they get the guidance they need to effectively monitor and potentially implement isolation or quarantine measures” in accordance with state and local laws and regulations.

Messonnier said the rapidly expanding cases in China and new information suggesting that a person with mild symptoms may be able to spread the disease were among “worrisome data points” that justified the administration’s escalated response.

  • Slide 1 of 50: Stewardesses take temperatures of passengers as a preventive measure for the coronavirus on an Air China flight from Melbourne to Beijing before it land at Beijing Capital International Airport in China, Tuesday, Feb. 4, 2020. China said Tuesday the number of infections from a new virus surpassed 20,000 as medical workers and patients arrived at a new hospital and President Xi Jinping said

  • Slide 2 of 50: A TV crew film a cruise ship Diamond Princess anchoring off the Yokohama Port Tuesday, Feb. 4, 2020, in Yokohama, near Tokyo. Japanese health officials are conducting extensive medical checks on all 3,700 passengers and crew of the cruise ship that returned to the country after one passenger tested positive for the new coronavirus.

  • Slide 3 of 50: Medical workers hold a strike outside the Hospital Authority as they demand for Hong Kong to close its border with China to reduce the coronavirus spreading, in Hong Kong, China February 4, 2020.

  • Slide 4 of 50: A medical worker wearing protective gear (C) waits to take the temperature of people in an entrance of Princess Margaret Hospital in Hong Kong on February 4, 2020. - Hong Kong on February 4 become the second place outside of the Chinese mainland to report the death of a patient being treated for a new coronavirus that has so far claimed more than 400 lives.

  • Slide 5 of 50: This handout photo taken and released by Malaysia's Ministry of Health shows Malaysian nationals being directed onto a bus by health officials in protective suits as they arrived at Kuala Lumpur International Airport in Sepang, Malaysia, Tuesday, Feb. 4, 2020, after being evacuated from China's Wuhan, the epicenter of the novel coronavirus outbreak.

  • Slide 6 of 50: A dog wears a paper cup over its mouth on a street in Beijing on February 4, 2020. - The number of total infections in China's coronavirus outbreak has passed 20,400 nationwide with 3,235 new cases confirmed, the National Health Commission said on February 4.

  • Slide 7 of 50: Workers set up beds at an exhibition centre that was converted into a hospital in Wuhan in China's central Hubei province on February 4, 2020. - The Wuhan government said it plans to convert three existing venues, including a gymnasium and an exhibition centre, into hospitals to take in patients with mild symptoms of the new coronavirus that has so far claimed more than 400 lives.

  • Slide 8 of 50: South Korean young men wear masks to protect against the new coronavirus as they take part in a conscription examination for the national service in Seoul, South Korea, February 3, 2020.   REUTERS/Heo Ran

  • Slide 9 of 50: HANOI, VIETNAM - FEBRUARY 03: People wear face mask while waiting to buy gold from a gold shop on the day of the God of Wealth on February 3, 2020 in Hanoi, Vietnam. Vietnam confirms its 8th case of coronavirus today. The new patient, a Vietnamese blue-collar worker recently returned to Vietnam after having attended a vocational training program in the central Chinese city of Wuhan. As per Vietnamese tradition and custom, the tenth day of the Lunar New Year, which is today (February 3), is the day when the God of Wealth returns to heaven, creating the belief that buying gold then will bring good luck and prosperity throughout the year.

  • Slide 10 of 50: Pedestrians wear face masks as they cross a road in Hong Kong on February 3, 2020, as a preventative measure following a virus outbreak which began in the Chinese city of Wuhan. - Hundreds of Hong Kong medical workers walked off their jobs on February 3, demanding the city close its border with China to reduce the coronavirus spreading -- with frontline staff threatening to follow suit in the coming days. (Photo by Anthony WALLACE / AFP) (Photo by

  • Slide 11 of 50: SUINING, CHINA - FEBRUARY 03 2020: Medical staff pose for photos with a woman patient who has been cured of 2019-nCoV and her husband who has stayed healthy in the 14-day quarantine in a hospital in Suining in southwest China's Sichuan province Monday, Feb. 03, 2020.- PHOTOGRAPH BY Feature China / Barcroft Media (Photo credit should read

  • Slide 12 of 50: Travellers wearing facemasks arrive from various provinces at the Beijing Railway Station on February 3, 2020. - China said February 3 it urgently needed medical equipment and surgical masks as the death toll from a new coronavirus jumped above 360, making it more deadly than the SARS crisis nearly two decades ago. (Photo by NOEL CELIS / AFP) (Photo by

  • Slide 13 of 50: MOSCOW, RUSSIA - FEBRUARY 3, 2020: An employee of the Russian Emergency Siatuations Ministry in a medical mask waiting for a Beijing-Moscow train arriving at Yaroslavsky Railway Station. An outbreak of pneumonia-like disease caused by a coronavirus was registered in Wuhan, a port city of 11 mln people, the administrative center of the Hubei province, in the end of December 2019. As of February 3, 2020, over 17 thousand people are infected, the death toll is over 300.

  • Slide 14 of 50: People wearing protective facemasks visit the Durbar Square in Kathmandu on February 3, 2020. - China said on February 3 it urgently needed medical equipment and surgical masks as the death toll from a new coronavirus jumped above 360, making it more deadly than the SARS crisis nearly two decades ago. The World Health Organization has declared the crisis a global health emergency, and the first foreign death from the virus was confirmed in the Philippines on February 2. (Photo by Jewel SAMAD / AFP) (Photo by

  • Slide 15 of 50: MANILA, PHILIPPINES - FEBRUARY 03: Signs indicating that face masks are sold out are seen at a medical supply shop, as public fear over China's Wuhan Coronavirus grows, on February 3, 2020 in Manila, Philippines. The Philippine government has been heavily criticized after failing to immediately implement travel restrictions on China, the source of a deadly coronavirus that has now killed more than 300 people and infected thousands more. On Sunday, the first coronavirus death outside of China was reported in the Philippines. (Photo by

  • Slide 16 of 50: HONG KONG, CHINA, FEBRUARY 3, 2020: People wearing masks seen in the Mass Transit Railway (MTR). Hong Kong epidemic situation hit economic hard. The Financial Secretary Paul Chan said that Hong Kong may record a budget deficit this financial year.- PHOTOGRAPH BY May James / Echoes WIre/ Barcroft Media (Photo credit should read

  • Slide 17 of 50: Military personnel go through disinfecting procedures prior to handle Italian citizens repatriated from the coronavirus hot-zone of Wuhan, at the Mario De Bernardi military airport in Pratica di Mare, south of Rome, on February 3, 2020 prior to be placed in quarantine at the nearby Cecchignola center. (Photo by ANSA / AFP) (Photo by

  • Slide 18 of 50: MANILA, PHILIPPINES - FEBRUARY 03: Chinese nationals, whose flight was cancelled after the Philippine government imposed travel restrictions to and from China amid the outbreak of the Wuhan Coronavirus, wait outside the closed ticketing office of China Eastern Airlines at the Ninoy Aquino International Airport on February 3, 2020 in Manila, Philippines. The Philippine government has been heavily criticized after failing to immediately implement travel restrictions on China, the source of a deadly coronavirus that has now killed more than 300 people and infected thousands more. On Sunday, the first coronavirus death outside of China was reported in the Philippines. (Photo by

  • Slide 19 of 50: BERLIN, GERMANY - FEBRUARY 03: A passenger wears a face mask at Airport Tegel on February 03, 2020 in Berlin, Germany. As more cases of coronavirus are being confirmed across the globe fears are rising that the virus is reaching the category of a pandemic. Germany so far has ten confirmed cases of the infection.  (Photo by

  • Slide 20 of 50: In this photo released by the Indonesian Foreign Ministry, Indonesians who arrived from Wuhan, China, are sprayed with antiseptic at Hang Nadim Airport in Batam, Indonesia Sunday, Feb. 2, 2020. Indonesians evacuated from Wuhan, the Chinese city at the center of a deadly virus outbreak, were transported to a quarantine zone on a remote island at the edge of the South China Sea, shortly after landing on Batam, an island near Singapore on Sunday morning. (Indonesian Foreign Ministry via AP)

  • Slide 21 of 50: People wearing protective masks to prevent the spread of the SARS-like virus put a facemask on a snowman at the Jingshan park after a snowfall in Beijing on February 2, 2020. - A virus similar to the SARS pathogen has killed more than 300 people in China and spread around the world since emerging in a market in the central Chinese city of Wuhan. (Photo by NICOLAS ASFOURI / AFP) (Photo by NICOLAS ASFOURI/AFP via Getty Images)

  • Slide 22 of 50: Staff members wearing protective masks check a passenger at Shanghai railway station in Shanghai, China, as the country is hit by an outbreak of a new coronavirus, February 2, 2020. REUTERS/Aly Song

  • Slide 23 of 50: Indonesian migrant workers wearing masks practice an instrument called

  • Slide 24 of 50: Indian nationals sitting in a bus are transported out of Indira Gandhi International Airport following their evacuation from the Chinese city of Wuhan, in New Delhi, India, February 2, 2020. REUTERS/Anushree Fadnavis

  • Slide 25 of 50: Portuguese nationals who were in the coronavirus-stricken Chinese city of Wuhan are pictured at Figo Maduro military airbase in Lisbon, Portugal February 2, 2020.  Mario Cruz/Pool via REUTERS

  • Slide 26 of 50: This aerial photo taken on February 2, 2020 shows the Huoshenshan hospital, which means

  • Slide 27 of 50: LOS ANGELES, CA - FEBRUARY 02: Young travelers arrive to LAX Tom Bradley International Terminal wearing medical masks for protection against the coronavirus outbreak on February 2, 2020 in Los Angeles, California. The United States has declared a public health emergency and will implement strict travel restrictions later today. Foreign nationals who have been in China in the last two weeks and are not immediate family members of U.S. citizens or permanent residents will be barred from entering the U.S. Meanwhile, about 195 U.S. citizens who were evacuated from China to March Air Reserve in California are under under quarantine at the base, prohibited from leaving until it is determined that they will not develop symptoms of the disease. (Photo by David McNew/Getty Images)

  • Slide 28 of 50: A woman wears a mask as a preventive measure against the coronavirus outbreak, in Bangkok, Thailand February 3, 2020. REUTERS/Soe Zeya Tun

  • Slide 29 of 50: A woman wears a mask to prevent the spread of the new coronavirus as she walks in Chinatown at Bangkok, Thailand February 2, 2020.

  • Slide 30 of 50: An employee (L) puts a protective face mask on a child at a railway station in Hanoi on February 2, 2020. - The death toll from China's coronavirus epidemic soared to 304 on Feburary 2, as an increasing number of countries imposed extraordinary Chinese travel bans to combat the spread of the disease.

  • Slide 31 of 50: Medical staff wearing protective suits check Myanmar students who were evacuated on a chartered flight from the Chinese city of Wuhan, at a hospital in Mandalay on February 2, 2020. - The death toll from China's coronavirus epidemic soared to 304 on Feburary 2, as an increasing number of countries imposed extraordinary Chinese travel bans to combat the spread of the disease.

  • Slide 32 of 50: Mexican students wear protective masks upon their arrival at the Del Bajio International Airport, after the Guanajuato state government arranged the return from China for Mexican students due to the coronavirus outbreak, in Silao, Mexico February 1, 2020.

  • Slide 33 of 50: A German Air Force plane, carrying evacuated citizens, returns from China's coronavirus-struck Wuhan to Frankfurt, Germany, February 1, 2020.

  • Slide 34 of 50: Police tape blocks access to a staircase in a hospital in San Sebastian, where the first case of coronavirus in the country has been confirmed, in La Gomera, Spain February 1, 2020.

  • Slide 35 of 50: A person holds a child as passengers grab their luggages as they disembark a Turkish cargo plane at the Etimesgut military Airport in Ankara on February 1, 2020, after being repatriated from the Chinese city of Wuhan, the epicentre of the new coronavirus outbreak.

  • Slide 36 of 50: An Iraqi Health Ministry employee checks passengers' temperature, amid the new coronavirus outbreak, upon their arrival at Basra airport, in Basra, Iraq February 1, 2020. REUTERS/Essam al-Sudani

  • Slide 37 of 50: A woman wears a protective mask in light of the coronavirus outbreak in China as she walks at the Trocadero esplanade in front of the Eiffel Tower in Paris, France, February 1, 2020. REUTERS/Gonzalo Fuentes

  • Slide 38 of 50: Students and family members of Pakistani students living in the Chinese city of Wuhan,  protest demanding their return home, in Islamabad on February 1, 2020. - Chinafaced deepening isolation over its coronavirus epidemic on February 1 as the death toll soared to 259, with the United States and Australia leading a growing list of nations to impose extraordinary Chinese travel bans. (Photo by Farooq NAEEM / AFP) (Photo by FAROOQ NAEEM/AFP via Getty Images)

  • Slide 39 of 50: ANKARA, TURKEY - FEBRUARY 1: A footage captured from a video shows two passengers holding Turkish flag in Turkish cargo plane carrying 42 passengers from the Chinese city of Wuhan, the epicenter of the deadly coronavirus outbreak, after landing at Etimesgut Military Airport in Ankara, Turkey on February 1, 2020. (Photo by AA Video/Anadolu Agency via Getty Images)

  • Slide 40 of 50: GUANGZHOU, CHINA - FEBRUARY 1: People are seen out of the shop to buy mask on February 1,2020 in Guangzhou, China. At present, people infected with the new coronavirus are spread all over China. Citizens wear masks to protect against the virus. Currently, masks on the market are in short supply. Many citizens wait in line early. Due to the large number of people, businesses have adopted a policy of purchasing 2 per person. (Photo by Stringer/Anadolu Agency via Getty Images)

  • Slide 41 of 50: NEW DELHI, INDIA  FEBRUARY 1: Crew members and officials of an Indian airline carry their belongings while wearing protective masks as a precaution against a possible coronavirus infection on their return from China, at Indira Gandhi International Airport, on February 1, 2020 in New Delhi, India. The passengers, mostly students, who were evacuated from Wuhan, will be kept in isolation for 14 days at the ITBP centre in Chhawla in the national capital. Chinese authorities did not allow six Indians on board after they reported high temperatures during screening. A screening camp has been set up at the Delhi Airport where they will be screened before they are put under quarantine.(Photo by Amal KS/Hindustan Times via Getty Images)

  • Slide 42 of 50: Workmen use a jet wash to clean the outside of a block at Arrowe Park Hospital in Merseyside, where British nationals from the coronavirus-hit city of Wuhan in China are being quarantined. (Photo by Danny Lawson/PA Images via Getty Images)

  • Slide 43 of 50: Family members of one of the Sri Lankan students evacuated from Wuhan province in China and brought to Sri Lanka hold candles during a vigil to pray for people who are suffering from the coronavirus in the world, in Colombo, Sri Lanka February 1, 2020. REUTERS/Dinuka Liyanawatte

  • Slide 44 of 50: A total of 316 Bangladeshi citizens were brought back from China's Wuhan, the epicenter of the new coronavirus outbreak, on 1st February 2020 and seven of them were sent to Kurmitola General Hospital. Biman Bangladesh Airlines managing director Mokabbir Hossain said 316 Bangladeshis, including three infants, arrived in Dhaka from Wuhan in the morning. (Photo by Sony Ramany/NurPhoto via Getty Images)

  • Slide 45 of 50: Mandatory Credit: Photo by ANGELO CARCONI/EPA-EFE/Shutterstock (10544575n) Tourists wear protective masks in front of the Coliseum in Rome, Italy, 31 January 2020. According to the Italian health authorities, first two cases of the coronavirus infection has been registered in the country. The coronavirus, called 2019-nCoV, originating from Wuhan, China, has spread to all the 31 provinces of China as well as more than a dozen countries in the world. The outbreak of coronavirus has so far claimed 213 lives and infected more than 8,000 others, according to media reports. Cases of Coronavirus in Italy, Rome - 31 Jan 2020

  • Slide 46 of 50: MANILA, PHILIPPINES - JANUARY 31: Filipinos hoping to buy face masks crowd outside a medical supply shop that was raided by police for allegedly hoarding and overpricing the masks, as public fear over China's Wuhan Coronavirus grows, on January 31, 2020 in Manila, Philippines. The Philippine government has been heavily criticized after failing to immediately implement travel restrictions from China, the source of a deadly coronavirus that has now killed hundreds and infected thousands more. The World Health Organization (WHO) on Thursday declared the coronavirus a public health emergency of international concern. (Photo by Ezra Acayan/Getty Images)

  • Slide 47 of 50: BRIZE NORTON, ENGLAND - JANUARY 31: Coaches transport eighty-three Britons and 27 foreign nationals who have been evacuated from Wuhan following a Coronavirus outbreak, from RAF Brize Norton to Arrowe Park Hospital in Merseyside, where they will be quarantined, on January 31, 2020 in Brize Norton, England. Two people in the same family have been diagnosed with the Coronavirus in the UK, which has killed at least 213 people in China. (Photo by Leon Neal/Getty Images)

  • Slide 48 of 50: SINGAPORE - JANUARY 31:  People undergo temperature checks at the entrance during the 'Colours in Harmony', Chingay Parade at the F1 Pit Building on January 31, 2020 in Singapore. Singapore has confirmed 16 cases of the deadly coronavirus as of January 31, which emerged last month in the city of Wuhan in China. (Photo by Suhaimi Abdullah/Getty Images)

  • Slide 49 of 50: Volunteers in protective suits disinfect a residential compound, as the country is hit by the outbreak of a new coronavirus, in Taizhou, Zhejiang province, China January 30, 2020. Picture taken January 30, 2020. China Daily via REUTERS  ATTENTION EDITORS - THIS IMAGE WAS PROVIDED BY A THIRD PARTY. CHINA OUT. - RC2VQE9QTC2P

  • Slide 50 of 50: Hong Kong Chief Executive Carrie Lam, front, and other government officials wear protective face masks before a press conference in Hong Kong, Friday, Jan. 31, 2020. China has moved to lock down at least three big cities in an unprecedented effort to contain the deadly new virus that has sickened hundreds of people and spread to other parts of the world. (AP Photo/Achmad Ibrahim)

China has confirmed human-to-human transmission of a new SARS-like coronavirus linked to the Wuhan pneumonia outbreak. With the number of cases soaring and spreading to countries beyond China, the World Health Organization has declared an international public health emergency.

A TV crew film a cruise ship Diamond Princess anchoring off the Yokohama Port Tuesday, on Feb. 4, in Yokohama, near Tokyo. Japanese health officials are conducting extensive medical checks on all 3,700 passengers and crew of the cruise ship that returned to the country after one passenger tested positive for the new coronavirus.

Medical workers hold a strike outside the Hospital Authority as they demand for Hong Kong to close its border with China to reduce the coronavirus spreading, in Hong Kong, on Feb. 4.

A medical worker wearing protective gear (C) waits to take the temperature of people in the entrance of Princess Margaret Hospital in Hong Kong on Feb. 4. Hong Kong became the second place outside of the Chinese mainland to report the death of a patient being treated for coronavirus that has so far claimed more than 400 lives.

Malaysian nationals being directed onto a bus by health officials in protective suits as they arrive at Kuala Lumpur International Airport in Sepang, Malaysia, on Feb. 4, after being evacuated from China’s Wuhan, the epicenter of the novel coronavirus outbreak.

A dog wears a paper cup over its mouth on a street in Beijing on Feb. 4. 

Workers set up beds at an exhibition centre that was converted into a hospital in Wuhan in China’s central Hubei province on Feb. 4. The Wuhan government said it plans to convert three existing venues, including a gymnasium and an exhibition centre, into hospitals to take in patients with mild symptoms of the new coronavirus that has so far claimed more than 400 lives.

Young men wear masks to protect against the new coronavirus as they take part in a conscription examination for the national service in South Korea, on Feb. 3.

People wear face masks while waiting to buy gold on the day of the God of Wealth on Feb. 3, in Hanoi, Vietnam.

Pedestrians wear face masks as they cross a road in Hong Kong, on Feb. 3.

Medical staff pose for photos with a patient who has been cured of 2019-nCoV and her husband who has stayed healthy in the 14-day quarantine in a hospital in Suining, China, on Feb. 3.

Travellers wearing facemasks arrive from various provinces at the Beijing Railway Station on Feb. 3, in Beijing, China.

An employee of the Russian Emergency Situations Ministry in a medical mask waits for a Beijing-Moscow train to arrive at Yaroslavsky Railway Station on Feb. 3.

People wearing protective face masks visit the Durbar Square in Kathmandu, on Feb. 3.

Signs indicating that face masks are sold out are seen at a medical supply shop on Feb. 3, in Manila, Philippines.

People wearing masks are seen in the Mass Transit Railway in Hong Kong, on Feb. 3.

Military personnel go through disinfecting procedures prior to handleing Italian citizens repatriated from the coronavirus hot-zone of Wuhan, at the Mario De Bernardi military airport in Pratica di Mare, Rome, on Feb. 3.

Chinese nationals, whose flight was cancelled after the Philippine government imposed travel restrictions to and from China amid the outbreak of the Wuhan coronavirus, wait outside the closed ticketing office of China Eastern Airlines at the Ninoy Aquino International Airport on Feb. 3, in Manila, Philippines.

A passenger wears a face mask at Airport Tegel on Feb. 3, in Berlin, Germany.

Indonesians who arrived from Wuhan, are sprayed with antiseptic at Hang Nadim Airport in Indonesia on Feb. 2. 

People wearing protective masks to prevent the spread of the SARS-like virus put a facemask on a snowman after a snowfall in Beijing on Feb. 2,

Staff members wearing protective masks check a passenger at Shanghai railway station in Shanghai on Feb. 2, as the country is hit by an outbreak of a new coronavirus.

Indonesian migrant workers wearing masks practice an instrument called “gendang” in Hong Kong on Feb. 2. 

Indian nationals sitting in a bus are transported out of Indira Gandhi International Airport following their evacuation in New Delhi on Feb. 2.

Portuguese nationals who were in the coronavirus-stricken Chinese city of Wuhan are pictured at Figo Maduro military airbase in Lisbon on Feb. 2.

This aerial photo shows the Huoshenshan hospital, which means “Fire God Mountain”, after handed over to China’s army in Hubei province on Feb. 2, was given control of a nearly-finished field hospital that will treat patients at the epicentre of a deadly virus epidemic.

Young travelers arrive to LAX Tom Bradley International Terminal wearing medical masks for protection against the coronavirus outbreak on Feb. 2 in Los Angeles. The United States has declared a public health emergency and Foreign nationals who have been in China in the last two weeks and are not immediate family members of U.S. citizens or permanent residents will be barred from entering the U.S.

A woman wears a mask as a preventive measure against the coronavirus outbreak, in Bangkok on Feb. 3.

A woman wears a mask to prevent the spread of the coronavirus as she walks on Feb. 2 at Chinatown in Bangkok.

An employee (L) puts a protective face mask on a child at a railway station on Feb. 2 in Hanoi, Vietnam. The death toll from China’s coronavirus epidemic soared to 304 on Feb. 2, as an increasing number of countries imposed extraordinary Chinese travel bans to combat the spread of the disease.

Medical staff wearing protective suits check Myanmar students who were evacuated on a chartered flight from the Chinese city of Wuhan, at a hospital on Feb. 2 in Mandalay.

Mexican students wear protective masks upon their arrival at the Del Bajio International Airport, after the Guanajuato state government arranged the return from China for Mexican students due to the coronavirus outbreak, in Silao, Mexico on Feb. 1.

A German Air Force plane, carrying evacuated citizens, returns from China’s coronavirus-struck Wuhan to Frankfurt, Germany, on Feb. 1.

Police tape blocks access to a staircase in a hospital in San Sebastian, where the first case of coronavirus in the country has been confirmed, in La Gomera, Spain, on Feb. 1.

A person holds a child as passengers grab their luggage as they disembark a Turkish cargo plane at the Etimesgut military Airport on Feb. 1 in Ankara, after being repatriated from the Chinese city of Wuhan, the epicentre of the new coronavirus outbreak.

An Iraqi Health Ministry employee checks passengers’ temperature, amid the new coronavirus outbreak, upon their arrival at Basra airport in Iraq, on Feb. 1.

A woman wears a protective mask in front of the Eiffel Tower in Paris, France, on Feb. 1.

Students and family members of Pakistani students living in the Chinese city of Wuhan protest, demanding their return home in Islamabad, Pakistan, on Feb. 1.

Two passengers holding the Turkish flag in a Turkish cargo plane carrying 42 passengers from the Chinese city of Wuhan, after landing in Ankara, Turkey, on Feb. 1.

People line up to buy masks on Feb. 1, in Guangzhou, China. 

Crew members and officials of an Indian airline carry their belongings while wearing protective masks as a precaution against a possible coronavirus infection on their return from China, on Feb. 1, in New Delhi, India. 

Workmen clean the outside of a hospital block in Merseyside, England, on Feb. 1, where British nationals from the coronavirus-hit city of Wuhan in China are being quarantined. 

Family members of one of the Sri Lankan students evacuated from Wuhan province in China and brought to Sri Lanka hold candles during a vigil to pray for people who are suffering from the coronavirus, in Colombo, Sri Lanka, on Feb. 1.

A total of 316 Bangladeshi citizens were brought back from China’s Wuhan, the epicenter of the new coronavirus outbreak on Feb. 1, in Dhaka, Bangladesh.

Tourists wear protective masks in front of the Coliseum in Rome, Italy, on Jan. 31. 

People hoping to buy face masks crowd outside a medical supply shop that was raided by police for allegedly hoarding and overpricing the masks, as public fear over China’s Wuhan coronavirus grows, on Jan. 31, in Manila, Philippines.

Coaches transport 83 Britons and 27 foreign nationals who have been evacuated from Wuhan following a coronavirus outbreak, from RAF Brize Norton to Arrowe Park Hospital in Merseyside, where they will be quarantined, on Jan. 31, in Brize Norton, England. 

People undergo temperature checks at the entrance during the Chingay Parade on Jan. 31, in Singapore. 

Volunteers in protective suits disinfect a residential compound, as the country is hit by the outbreak of a new coronavirus, in Taizhou, Zhejiang province, China, on Jan. 30.

Hong Kong Chief Executive Carrie Lam, front, and other government officials wear protective face masks before a press conference in Hong Kong, on Jan. 31. 

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There are 11 confirmed cases in the United States, and 82 people are being monitored, she said. Testing of suspected cases is expected to accelerate by the end of this week. A diagnostic test developed by CDC scientists was sent Monday to the Food and Drug Administration to be approved for emergency use by state labs. Currently, all specimens must be sent to CDC headquarters in Atlanta for the virus testing.

“This is an unprecedented situation and we have taken aggressive measures,” Messonnier said, noting that other countries as well as China have also taken aggressive measures. “The goal is to slow this thing down before it gets into the United States.”

Under quarantine in the United States are 195 people who were evacuated from Wuhan last week and are staying at a military base in California. State Department officials plan to evacuate more Americans from Wuhan, Messonnier said. Those evacuees will stay at facilities operated by the Defense Department, she said.

For commercial flights, officials initially announced seven airports that would handle passengers from China. Four more were added Sunday. Virginia was notified late Sunday that Dulles Airport would be added.

At Dallas-Fort Worth International Airport, health officials said they were similarly caught off-guard and spent Sunday trying to develop protocols for screening travelers. As of Monday afternoon, they said, they were still waiting for the CDC to issue final guidance for assessing and monitoring travelers.

At least a dozen countries have put travel restrictions on people coming from China.

Because of flights that have already been canceled by airlines, the vast majority of the 11 airports included in the new restrictions are no longer getting direct arrivals from China, transportation officials said. That may give many of them some breathing room to work out the logistics. Dulles, for example, has no more flights coming in from China. The airport may still receive some travelers via connecting flights, but the numbers won’t be significant.

The airports that are still getting flights, and will probably face more pressing housing issues, are Los Angeles, San Francisco and Chicago.

As of Monday, airport officials in San Francisco were expecting five flights arriving Monday, three Tuesday and four on Wednesday. But those numbers could go down, because some flights may still be canceled. Chicago’s O’Hare International Airport had two arrivals listed — a flight that landed Monday morning from Beijing and one expected Monday evening from Shanghai.

The U.S. carriers will stop all direct service starting Wednesday.

According to Transportation Department data analyzed by Airlines for America, an industry trade group, there were an average of about 49 daily passenger flights between the United States and China for the 12-month period that ended in July. That number includes flights on both U.S. and foreign carriers.

However, the number of flights between the United States and China has dropped dramatically since the outbreak of the virus after Chinese officials closed the airport in Wuhan and began restricting travel in the country.

Three major U.S. carriers — American, Delta and United — also announced last week that they would stop flying to and from China. American began halting flights on Friday, but Delta and United said they would continue operating some flights until this week to give customers and their own employees the ability to leave China.

Delta officials said their last China-bound flight will leave the United States on Monday. Delta’s last flight from China is set to depart Wednesday. United said it will suspend all operations between its hub cities in Beijing, Chengdu and Shanghai beginning Thursday.

Lenny Bernstein, Yasmeen Abutaleb and Erica Werner contributed to this report.

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