Information from the Hokkaido Prefectural Government (As of February 21, 2020) Confirmed Cases of COVID-19 in Hokkaido

No. Date Confirmed Age Gender Location Connected Cases of Infection Close Contacts 2 contacts, health observation

1 1/28/2020 40s F China (Wuhan ) None and inspection complete 43 contacts, currently under

2 2/14/2020 50s M Sapporo City None health observation and inspection No. 5 3 2/18/2020 40s M Sapporo City No.5 Other contacts under investigation Oshima (Nanae 48 contacts, currently under 4 2/19/2020 60s M None ) investigation No. 3 5 2/19/2020 40s M Sapporo City No.3 Other contacts under investigation. Kamikawa Subprefecture 6 2/21/2020 Under 10 M Under investigation Under investigation (Nakafurano Town) Kamikawa Subprefecture 7 2/21/2020 10s M Under investigation Under investigation (Nakafurano Town) Ishikari Subprefecture (Chitose 8 2/21/2020 40s F Under investigation Under investigation City)

Information from the Hokkaido Prefectural Government (As of February 21, 2020) February 21, 2020 Announcement (1) Age: under 10 (2) Gender: Male (3) Nationality: Japanese (4) Location: Kamikawa Subprefecture (Nakafurano Town) (5) Occupation: Elementary School Student (Nakafurano Elementary School) (6) Symptoms, Development: 2/15/2020 Onset of fever (37.7-degrees C) Received examination at Medical Facility A in Kamikawa subprefecture. 2/17/2020 Received second examination at Medical Facility A in Kamikawa Subprefecture. 2/18/2020 Received examination at Medical Facility B in Kamikawa subprefecture 2/19/2020 Received second examination at Medical Facility B in Kamikawa Subprefecture, hospitalized. 2/21/2020 Condition is currently improving. *Did not attend school from February 15th onward. (7) Activity / Travel History: ・ No history of overseas travel. ・ Close contacts and other activity currently under investigation.

(1) Age: 10s (2) Gender: Male (3) Nationality: Japanese (4) Location: Kamikawa Subprefecture (Nakafurano Town) (5) Occupation: Elementary School Student (Nakafurano Elementary School) (6) Symptoms, Development: 2/18/2020 Onset of fever (37.7-degrees C) Information from the Hokkaido Prefectural Government (As of February 21, 2020) Sent home early from school, cared for at home. 2/19/2020 Received examination at Medical Facility B in Kamikawa Subprefecture, hospitalized. Moved to wing for specified infectious diseases within same Medical Facility B. 2/21/2020 Condition is currently improving. (7) Activity / Travel History: ・ No history of overseas travel. ・ Close contacts and other activity currently under investigation.

(1) Age: 40s (2) Gender: Female (3) Nationality: Japanese (4) Location: Ishikari Subprefecture (Chitose City) (5) Occupation: Quarantine Officer (Otaru Quarantine, Chitose Airport Branch) (6) Symptoms, Development: 2/16/2020 Slight fever (37.5-degrees C) 2/17/2020 Fever (38-degrees C) 2/18/2020 Received examination at Medical Facility A in Ishikari subprefecture. 2/21/2020 Test done at Prefectural Public Health Institute came back positive for COVID-19. (7) Activity/Travel History: ・ According to patient, no history of overseas travel. ・ Close contacts and other activity currently under investigation.

February 20, 2020 Announcement (1) Age: 40s (2) Gender: Male Information from the Hokkaido Prefectural Government (As of February 21, 2020) (3) Nationality: Japanese (4) Location: Sapporo City (5) Occupation: Company Employee (6) Symptoms, Development: 2/15/2020 Onset of chills, sweat, fatigue, muscle and joint pain. 2/18/2020 Onset of fever, muscle pain, cough, and phlegm. 2/19/2020 Received examination at Medical Facility C in Sapporo City. Told to immediately go home and stay there. Medical Facility C contacted Public Health Center and relayed patient information. Sapporo Public Health Center advises patient to seek treatment at Sapporo City General Hospital where samples are taken for testing. Patient again told to go home and stay there. Test done at Sapporo Public Health Institute came back positive for COVID-19 at around 11pm. 2/20/2020 Hospitalized at Sapporo City General Hospital (a designated medical institution for specified infectious diseases.) (7) Activity / Travel History: ・ From February 1 to February 12, worked with Case No. 5 at the Sapporo Snow Festival venue (Odori Nishi 2 chome) (As of Feb. 20) ・ No history of overseas travel. ・ Close contacts and other activity currently under investigation (as of Feb. 20).

February 19, 2020 Announcement (Updated on February 20, 2020) (1) Age: 60s (2) Gender: Male (3) Nationality: Japanese (4) Location: Oshima Subprefecture (Nanae Town) (5) Occupation: Nanae Town Assemblyman (6) Symptoms, Development: 2/3/2020 Slight fever, sore throat. 2/7/2020 Received examination at Medical Facility A in Oshima subprefecture. Information from the Hokkaido Prefectural Government (As of February 21, 2020) 2/13/2020 Received second examination at Medical Facility A, diagnosed with pneumonia in both lungs after an x-ray, 37.5 degree fever. 2/14/2020 Referred to a designated medical institution for specified infections diseases within same subprefecture. 2/18/2020 Hospitalized at a designated medical institution for specified infectious diseases within same subprefecture. 2/19/2020 Test done at Prefectural Public Health Institute came back positive for COVID-19. (7) Activity / Travel History: ・ No history of overseas travel, according to patient. ・ 48 close contacts will be under health observation by Public Health Center. [Activity after Symptom Onset] 2/10/2020 Attended an ad hoc committee meeting for Nanae Town Assembly. 2/17/2020 Attended a meeting for Hakodate Bay Sewer Administration Union (rough translation) Currently still under investigation.

(1) Age: 40s (2) Gender: Male (3) Nationality: Japanese (4) Location: Sapporo City (5) Occupation: Company employee (6) Symptoms, Development: 2/8/2020 Onset of fatigue, muscle and joint pain. 2/12/2020 Onset of fever and cough. 2/13/2020 Received examination at Medical Facility A in Sapporo City, began treatment using medicine from Pharmacy B. 2/15/2020 Received second examination at Medical Facility A, tested negative for influenza, no abnormalities revealed in x-ray, received medicine from Pharmacy B. 2/17/2020 Received third examination at Medical Facility A, CT scan revealed pneumonia in both lungs. Evening of same day, Medical Facility A consulted with Public Health Center, sent out test for COVID-19, and told patient to stay at Information from the Hokkaido Prefectural Government (As of February 21, 2020) home. 2/18/2020 Test done at Sapporo City Public Health Institute came back positive for COVID-19. 2/19/2020 Hospitalized at a designated medical institution for specified infectious diseases in Sapporo City. (7) Activity / Travel History: ・ From February 1 to February 12, worked with Case No. 5 at the Sapporo Snow Festival venue (Odori Nishi 2 chome) (As of Feb. 20) ・ No history of overseas travel. ・ Close contacts and other activity currently under investigation (as of Feb. 19).

February 14, 2020 Announcement (1) Age: 50s (2) Gender: Male (3) Nationality: Japanese (4) Location: Ishikari Subprefecture (5) Occupation: self-employed (6) Symptoms, Development: 1/31/2020 Onset of fever, cough, and sense of fatigue. 2/3/2020 Received examination at Medical Facility A. 2/4/2020 Received second examination at Medical Facility A, diagnosed with pneumonia after an x-ray. Referred to Medical Facility B within same subprefecture, began antibacterial Treatment. 2/11/2020 No improvement in symptoms, hospitalized at Medical Facility C within same subprefecture. CT-scan revealed signs of pneumonia in both lungs. 2/12/2020 No improvement in respiratory condition, placed in the ICU on ventilatory support. 2/14/2020 Test done at Ishikari Subprefectural Public Health Institute came back positive for COVID-19. Information from the Hokkaido Prefectural Government (As of February 21, 2020) 2/15/2020 Hospitalized at a designated medical institution for specified infectious diseases within same subprefecture. 2/17/2020 (Present) Continues to be hospitalized on ventilatory support. (7) Activity / Travel History: ・ No history of overseas travel. ・ Currently 43 individuals (family, coworkers, etc.) have been designated as close contacts and are under health observation. ・ January 28, 2020 Announcement (1)Age: 40s (2)Gender: Female (3)Location: China (Wuhan City, Hubei ) (4)Symptoms, Development: 1/21/2020 Arrived in Japan on 1/21, began sightseeing in Hokkaido from 1/22. 1/26/2020 Felt unwell, didn’t leave room. Developed fever and cough overnight. 1/27/2020 Received examination at medical facility in Hokkaido, hospitalized. X-ray examination revealed signs of pneumonia. 1/28/2020 Fever remains, but condition is stable. (5)Activity / Travel History: 1/21/2020 Arrived in Japan with one other traveler, stayed at an acquaintance’s house in Tokyo. 1/22/2020 The three traveled together to Hokkaido for sightseeing. 1/26/2020 Felt unwell and didn’t go outside. ・ Wore a mask while in Japan. ・ No history of visiting the Huanan Seafood Wholesale Market in Wuhan City.