Rwanda is closely working with WHO to implement necessary preparedness activities and will keep strengthening surveillance for pneumonia. Symptoms include fever, cough and difficulty breathing. Most patients have been linked to a large wholesale fish and live animal market in Wuhan, Hubei province of China. The market has been decontaminated and closed since January 1, 2020. The Government of China confirmed the spread from human to human on this January 20, 2020.