Symptoms of viral conjunctivitis can include: A feeling like something is stuck in your eye. These drugs are no longer recommended for the emergency treatment of COVID-19. Treatment for burning eyes depends on whats causing them. Contact an eye doctor if you need medical attention. October 2020. Heart failure: Could a low sodium diet sometimes do more harm than good? Burning eyes refers to irritated, stinging sensations in one or both eyes. Epub 2020 Jul 24. The doctor will examine the eyes for signs of irregularities, dryness, and damage. It could just be a coincidence that eye issues have been reported simultaneously as a patient having a positive case of COVID-19. In addition to burning eyes, the symptoms may include: Ocular rosacea is a condition that causes inflammation of the eyelids. Sunscreen is an absolute must for both children and adults to protect skin from the suns dangerous UV rays. 2005-2023 Healthline Media a Red Ventures Company. Center for Disease Control and Prevention. 2021 Mar 1;40(3):348-350. doi: 10.1097/ICO.0000000000002562. Blepharitis is not contagious. If you dont have a fever or other typical symptoms of COVID-19, its more likely that youre dealing with allergies or another eye issue. For example, children and adults often get sunscreen in their eyes during the warmer months. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Other interventions that a doctor may recommend for burning eyes include: For very dry eyes, a doctor may prescribe lubricating eye drops or artificial tears. Are contact lenses a good choice for kids? In addition to burning eyes, you may have other symptoms. Based on data so far, doctors believe that 1%-3% of people with COVID-19 will get conjunctivitis, also called pinkeye. The https:// ensures that you are connecting to the More than loss of taste and smell: Burning watering eyes in coronavirus disease 2019, Whether you have other symptoms, including symptoms occurring elsewhere in your body, What treatments you've tried so far, if any, Using artificial tears four to six times daily, Avoiding allergy triggers, if you suspect that allergens are causing your burning eyes, Washing eyelids with baby shampoo if there are crusts on the eyelids (this would be appropriate for blepharitis). Eight of the 932 patients with eye symptoms reported burning, and 83 reported pain. Burning eyes can be both uncomfortable and concerning. Allergy Asthma Clin Immunol. BioMed Research International. In some cases, COVID-negative patients actually had a higher rate of certain eye problems than those with the virus. Identification of SARS-CoV-2 on the ocular surface in a cohort of COVID-19 patients from Brazil. The .gov means its official. But, then again, it can also occur due to a viral infection or fungal or bacterial growth within the nasal cavities. An eye twitch is an uncontrollable spasm of the eyelid that usually lasts a few minutes but can last longer. If you wear contact lenses, the first thing you should do if you get sunscreen in your eyes is remove your contacts. Burning eyes is a term that describes a burning or stinging feeling in one or both of your eyes. See if your symptoms point to chronic dry eye, and learn about other potential signs. Symptoms, causes and treatment. (2021). Viral conjunctivitis (pink eye) usually lasts about one to two weeks, however, if it occurs in conjunction with COVID-19, other symptoms may persist longer, depending on the severity of the infection. eCollection 2022. Examples of surgery include the insertion of plugs into the tear ducts to prevent tears from draining away from the eyes and the removal of the pterygium if it interferes with vision. You should still contact your doctor if you notice eye symptoms, especially if you have: Contact your doctor if you have any COVID-19 symptoms or if youve had contact with people who are sick. This may include questions about: Treatment for burning eyes will depend on the cause. The disease is transmitted from person to person through air droplets or contact with contaminated surfaces. COVID-19 doesnt have a cure. But excess eye discharge, or yellowish discharge, can be a sign of conjunctivitis and many types of eye infections. A contemporary look at allergic conjunctivitis. Chen L, Deng C, Chen X, Zhang X, Chen B, Yu H, Qin Y, Xiao K, Zhang H, Sun X. Acta Ophthalmol. When should I be concerned about burning eyes? Eye swelling is a common symptom of conjunctivitis and could also be a sign of chemosis. COVID-19, allergies, and pink eye share some common symptoms. According to the Centers for Disease Control and Prevention (CDC), common coronavirus symptoms generally include the following: 10, One study from China, published in the New England Journal of Medicine, evaluated hospitalized patients with confirmed diagnoses of COVID-19. Burning eyes can have many causes. Eyeglass temples: How do you know if they're the right length? Download a printable version of this article in English (PDF). Symptoms of viral conjunctivitis such as that caused by the coronavirus may include: Like any viral conjunctivitis, a COVID eye infection should be considered very contagious. However, COVID-19 may cause neurological symptoms in some patients. Some people with COVID-19 have reported developing pink eye, among other allergy symptoms.2 Conjunctivitis may be either allergic or viral. Inspired to help readers see the world more clearly, she writes about everything from finding the appropriate eyeglasses and contacts to treating and preventing eye diseases to getting corrective surgeries to improve vision. Some patients with coronavirus (COVID-19) were treated with the malaria drugs Plaquenil (hydroxychloroquine) or Aralen (chloroquine). You might be able to get a 3-month supply. See a healthcare provider if your eyes sting or burn and you dont know why. View our latest multi-pair offers. Verywell Health's content is for informational and educational purposes only. Ask your doctor or pharmacist for any help. Medicaid: Eligibility and Vision Benefits. But these products cause more than their fair share of burning eyes. However, for some people, it also can cause redness in or around the eyes. Allergic conjunctivitis usually affects both eyes, which may feel itchy and burn. Common causes of burning eyes include: Flaky, dandruff-like skin at the base of the eyelids characterizes blepharitis, which is usually the result of a bacterial infection. But you may treat the symptoms of COVID toes if they bother you. Available at selected Essilor Experts. If you have eye symptoms that may be related to COVID-19, call your eye doctor and describe your symptoms before making an appointment. Those who have epiphora will experience an overflow of tears from the eyes along with other symptoms, including: Eye twitching has not been identified as a symptom of COVID-19. COVID-19 could cause itchy eyes, sore eyes and sensitivity to light within your body. Are contact lenses a good choice for kids? Learn about causes, symptoms, and treatments. (https://www.cdc.gov/conjunctivitis/infographics/protect-yourself.html), (https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/blepharitis), (https://www.niams.nih.gov/health-topics/sjogrens-syndrome), Visitation, mask requirements and COVID-19 information. The symptoms of pink eye are burning and red eyes, along with a watery discharge. This condition can produce eye symptoms such as: Other potential causes of burning eyes include: If you dont have other typical symptoms of COVID-19, you can try treating your eyes at home with eye flushing, cold compresses, or over-the-counter pain medications or eye drops. Conjunctivitis is inflammation or an infection of the conjunctiva, a thin membrane that covers the whites of the eyes (sclera) and the inside of the eyelids. It is an inflammatory condition that affects the episcleral tissue between the conjunctiva and the sclera, or white part of the eye. You can help the burning subside even more quickly by frequently applying preservative-free lubricating eye drops (every 20 minutes or so) until you feel better. You can potentially reduce eye pain with home remedies, such as: If your eye pain is caused by allergies or irritants, rinsing your eyes with lukewarm water can help remove the particles from your eyes. Too much exposure to ultraviolet (UV) light can cause photokeratitis. Although doctors and scientists are still researching and investigating the effects Coronavirus can have on our eyes, some interestingstudieshave highlighted common eye issues found amongst COVID-19 patients. How older drivers can improve their driving at night, Schedule an appointment with an eye doctor, Blurry vision and the COVID-19 coronavirus, Sore eyes as the most significant ocular symptom experienced by people with COVID-19: a comparison between pre-COVID-19 and during COVID-19 states. If you are taking an allergy medication, or any other medication that you believe is causing your eyes to burn, make sure you discuss your concerns with your doctor before discontinuing use. (2020). If a person has more severe symptoms, such as vision loss, they should see an eye doctor immediately. Most people have described this as having runny eyes, and others have said their eyes had felt goopy or gooey, describing the eye discharge they are experiencing more frequently with their case of COVID-19. Some medicines, such as decongestants, can contribute to burning eyes. It can strip them of these barriers and increase your risk of infection.1. Dry eye and eye allergies can lead to uncomfortable symptoms, but they're not the same thing. Thank you, {{form.email}}, for signing up. The eyes may also appear puffy. In this case, home remedies and over-the-counter treatments are likely enough to address the symptoms youre experiencing. Supposedly, a genetic mutation can turn a person into a, Itchy eyes are rarely a symptom of a serious condition, but they can cause irritation and impact quality of life. Simple annoyance or the sign of a problem? However, it is important to note that this is not always a symptom of COVID-19 and can be very normal. If you dont wear glasses, try sunglasses. It affects people who have rosacea, a skin condition that causes flushing on the face. We avoid using tertiary references. Eye swelling may be a symptom of conjunctivitis or a sign of chemosis. They will likely ask when the symptoms started, what makes them worse or better, and whether the person has a history of any other eye-related conditions. All rights reserved. Page published on Thursday, March 14, 2019. READ NEXT: Blurry vision and the COVID-19 coronavirus. What do the numbers on your eyeglass frames mean? Rosacea: who gets and causes. The treatment options for burning eyes will depend on the underlying cause. COVID-19 has the potential to affect your eyes, causing symptoms similar to eye allergies. Dry eyes tend to occur more often in females and older people. However, the general aim of treatment is to relieve eye dryness. By Allie Johnson; reviewed by Alan Glazier, OD, FAAO. Case studies have reported rare cases of pink eye being the only symptom of COVID-19. Frequently, burning eyes are caused by unavoidable environmental influences, such as strong winds or high pollen counts. It also may be a good idea to: Contact lenses: There is no evidence wearing contactsputs you at more risk for COVID-19 than those who wear eyeglasses. For example, when burning eyes occur with itching, it may signal allergies; or if you have burning and eye discharge, this could mean an infection. COVID-19 can affect your whole body with mild to severe symptoms. The COVID-19 vaccine: Will it affect your vision? The link between COVID-19 and episcleritis may include vasculo-immunological factors and coagulation disorders. Are you experiencing sore eyes or itchy eyes or a sensitivity to light and worry that your symptoms might be a sign of COVID-19? There are treatments that can help provide relief. For example, if burning eyes are due to a bacterial infection, a doctor may. Call or go online to find out whether your doctors office is accepting routine visits. Whether you are COVID positive or not, a case of viral conjunctivitis should be taken seriously and make efforts to prevent this from spreading. Other possible symptoms of eye allergies include: Overexposure to the UV light from the suns rays can cause eye sunburn, which is also known as photokeratitis. All rights reserved. Its thought that the virus may enter your eyes through this enzyme, which leads to eye symptoms. But if your eyes dont feel better within a day or two, contact your provider. Melody Huang is an optometrist and freelance health writer. While usually not serious, dont ignore this symptom. ABC. Eye discharge found in your eye when you wake up is commonly known as "sleep.". 2021 Mar;31(2):NP161-NP166. To find COVID-19 vaccine locations near you: Search vaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233. Often this will go away on its own. 2020 Dec;98(8):e951-e959. In a 2021 review of studies in the Journal of Ophthalmic & Vision Research, 11 percent of over 8,200 people with COVID-19 had symptoms affecting the eyes. 2000-2023 AAV Media, LLC. More than loss of taste and smell: Burning watering eyes in coronavirus disease 2019. If your discomfort continues, let your doctor know, since there are other dry eye treatments that may be more effective and also help relieve your burning eyes. All rights reserved. Wash your hands for 20 seconds before and after you do it. Epub 2020 May 14. If eye irritation is your only symptom, however, it probably isnt caused by COVID-19, according to the American Academy of Ophthalmology. Learn about what causes these visual disturbances. According to a study by the American Academy of Ophthalmology, conjunctivitis has been found in 1% - 3% of adults with a positive case of COVID-19. To select appropriate treatment, its important to first establish the cause (or causes) of your burning eyes. Burning eyes can have many different causes, some of which are serious and require specialized treatment. Burning eyes can have several possible causes, ranging from simple to complex. And if youre caring for someone ill, don safety glasses or goggles. Keywords: This is described as the swelling of the conjunctiva, which is the thin membrane covering the front of your eye and the insides of the eyelids. If you have epiphora, tears may overflow from your eyes and run down your cheeks. November 2020. The new coronavirus, named SARS-CoV-2, gets passed on primarily through droplets from a cough or a sneeze. COVID-19 has several side effects that range from uncomfortable to fatal. We may earn commissions if you purchase something via one of our links. Eye discharge: What causes "sleep" in your eyes? Cold, wet compresses over closed eyes also help ease the sting of sunscreen in the eyes. Watery eyes can be caused by a variety of conditions, including bacterial keratitis, corneal ulcers, eye infections, glaucoma and macular degeneration. In some patients with a COVID-19 infection, pink eye may occur, according to the American Academy of Ophthalmology. Pterygium is a noncancerous growth that covers the membrane of your eye. According to the experts, around 1 per cent to 3 per cent of the. Find an eyecare professional and book online in minutes! This is what leads to allergic symptoms. eCollection 2022. It may feel scary, and quite possibly painful, to have burning eyes. National Library of Medicine For example, your eyes might burn if you get chemicals in them, such as shampoo ingredients, chlorine from a swimming pool or sunscreen. Dry eye specifically has not been identified as a symptom of the virus, and if you . You can try home remedies for mild eye stinging from allergies, dryness or allergic pink eye. 2005 - 2023 WebMD LLC. Remedies for dry eyes include: Prevent eye pain by reducing your chances of eye injuries and following good eye hygiene: To reduce your chances of developing COVID-19, the Centers for Disease Control and Prevention recommends: Burning eyes can potentially be a sign of COVID-19, but its relatively uncommon. You should see an eye doctor or other healthcare provider for burning eyes if you have eye pain, sensitivity to light, discharge from the eye, or vision changes. Moistening drops may help ease itchiness. All About Vision does not provide medical advice, diagnosis or treatment. One study of non-hospitalized COVID patients in Europe showed that more than 36% of people with eye-related symptoms reported burning eyes. Eye discharge plays an integral part in keeping our eyes healthy, so this isnt always something to be concerned about. 2022 Nov 9;13:1024124. doi: 10.3389/fimmu.2022.1024124. In very rare cases of COVID-19, it is possible to develop eye symptoms with no other symptoms of COVID-19. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. For example, conditions such as ocular rosacea, dry eyes and blepharitis can cause symptoms like burning eyes. However, because of the medication's drying effect. Blepharitis is an inflammation of the eyelids caused by excess bacteria on the eyelashes or clogged oil glands in the eyelashes. COVID-19 symptoms. Treatment for burning eyes will depend on the cause. Using good protection for the eyes in bright conditions can help protect against photokeratitis. Although some studies have encountered COVID-positive patients with eye problems, these are not necessarily directly linked to one another. People have been seriously harmed and even died after taking products not approved for use to treat or prevent COVID-19, even products approved or prescribed for other uses. 2020 Dec;98(8):859-863. doi: 10.1111/aos.14456. Last reviewed by a Cleveland Clinic medical professional on 01/13/2023. Let them know over the phone if: You're waiting for coronavirus test results. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Rosacea is a skin disease that causes redness on the face. If you have other symptoms, they might include sensitivity to light, redness in the eyes, or a change in vision. Essilor lenses are the number one brand in spectacle lenses recommended by opticians around the world. HHS Vulnerability Disclosure, Help The same small study mentioned above found that some coronavirus patients experience overly watery eyes (epiphora), but wasn't able to definitively conclude they are a symptom of coronavirus. Ocular manifestations of COVID-19: A systematic review and meta-analysis. Also available in Spanish: Gua de coronavirus para pacientes oftlmicos. Diagnosis. Disclaimer. First and foremost: It's unlikely that SARS-CoV-2the virus that causes COVID-19directly causes dry eye. Many forms of conjunctivitis go away with over-the-counter treatments in about 1-2 weeks. Many people will take an antihistamine to help relieve the discomfort of the allergy symptoms. Here are some of the most common causes of burning eyes. After 12 studies on the symptoms of COVID-19, however, COVID-19 has been shown to cause neurological symptoms in some patients, such as facial spasms, which could cause eye twitching. NIH launches database to track neurological symptoms associated with COVID-19. COVID toes is a condition that causes swelling and discoloration of the toes and fingers. If someone infected sneezes, coughs, or breathes around you, the tiny particles can enter your eyes. Which Antihistamine Does Not Cause Dry Eye? American Academy of Ophthalmology. How Long Do Coronaviruses Live on Surfaces? The content on this site is for informational purposes only. If at-home treatments dont work, contact your healthcare provider. You should see a healthcare provider for burning in the eyes if you also have pain, discharge from the eyes, or swelling. Anything that causes inflammation can create a burning sensation in your eyes. Eye-related symptoms of coronavirus can include burning eyes, itchy eyes, red eyes, sore eyes, puffy eyes, swollen eyelids and watery eyes. Home remedies like eye drops or cool compresses can be soothing for allergies or everyday dryness. doi:10.1016/j.cmi.2020.08.018. A very small study of 38 COVID-19 patients found that chemosis was also present. Learn more: How to Choose Artificial Tears. Its most common symptoms are a fever, coughing, and breathing problems. However, similar sensations can be symptoms of a more serious eye problem that requires medical attention. Antihistamines, cool compresses, changing contact lenses and taking a break from staring at screens may help resolve watery eyes, but see an eye doctor if the problem persists. Its also possible to catch the virus if you touch a contaminated countertop, doorknob, or other surfaces. The doctor will also review the medications the person is taking. According to clinical studies and ongoing research studies, burning in the nose is commonly reported by COVID patients, who are experiencing a blocked sinus and nasal congestion. COVID-19-induced vestibular neuritis, hemi-facial spasms and Raynaud's Phenomenon: A case report. Often, burning eyes occur alongside other symptoms that can give your eye doctor clues about the root cause of your discomfort. Those symptoms will depend on the exact cause of your burning eyes. Therapeutic potential of the MDM2 inhibitor Nutlin-3 in counteracting SARS-CoV-2 infection of the eye through p53 activation. But you shouldcontinue to practice safehygiene habits for wearing and caring for them. Some of the treatments used include eye drops or eye ointments that help with: Some things you can try at home to help your burning eyes include: Do your best to avoid touching the eyes when using your home treatments. These symptoms include burning eyes, red eyes, sore eyes, puffy eyes, and watery eyes. However, if someone contracts viral conjunctivitis from the common cold, they are likely to have other symptoms (e.g., sore throat, sneezing, and stuffy nose). Through her writing, Dr. Huang enjoys educating patients on how to lead healthier and happier lives. How can you relieve itchy or dry, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. They may include signs. Allergic conjunctivitis usually affects both eyes, which may feel itchy and burn. He works in private practice in New York City. All About Vision does not provide medical advice, diagnosis or treatment. Sources used at the time of publication are provided in the Notes and References section. In rare instances, burning eyes can be a sign of a serious sight- or life-threatening condition such as uveitis or orbital cellulitis (a sudden infection of the tissues immediately surrounding the eye, resulting in pain, swelling, discomfort when moving your eyes and decreased vision; orbital cellulitis is a medical emergency that requires prompt treatment to prevent vision loss). (2021). Bookshelf But this is a relatively rare symptom. Some eye discharge is normal in fact, it plays an important part in eye health because it removes debris and helps to keep the eye healthy. Getting sunscreen in your eyes at the beach is a common cause of burning eyes. Epiphora is excessive tearing not caused by crying. To protect yourself and your eyes from COVID-19, practice good hygiene habits. Appointments 216.444.2020 Appointments & Locations Request an Appointment Copyright 2022 VisionCenter.org. Advice for Patients with Macular Degeneration, A Pandemic Is No Time To Ignore Diabetes Care. Burning is a common symptom associated with eye allergies. Dupuis P, Prokopich CL, Hynes A, et al. Burning eyes is one possible symptom of COVID-19. Our team thoroughly researches and evaluates the recommendations we make on our site. Experiencing eye pain without flu symptoms is unlikely to be a sign of COVID-19. A COVID-19 runny nose can last anywhere from a few days to a week or more. According to the American Academy of Ophthalmology, itchiness, watering, or redness of your eyes is usually a sign of allergies rather than COVID-19. A missing link between SARS-CoV-2 and the eye? Symptoms of viral conjunctivitis can include: Burning eyes Stinging eyes Eye redness Clear discharge Watery eyes Mild sensitivity to light But if you also have a fever, cough, or shortness of breath, ask your doctor what, if anything, you should do. COVID eye is an umbrella term that includes all the symptoms that the eyes may show up after an individual catches the virus. If you are an allergy sufferer, your doctor may prescribe specific eye drops that can minimize the burning you might usually experience during allergy season. Causes. Even a common cold or the flu can cause your eyes to burn. If you must touch your eyes, use a tissue instead of your fingers. Do People With AMD Have a Higher Risk of COVID Complications? All About Vision and AllAboutVision.com are registered trademarks of AAV Media, LLC. It is possible to contract and spread the virus through your eyes, but it is rare. Patients with persistent eye twitching should see an eye doctor. Some coronavirus symptoms include eye-related symptoms similar to allergy symptoms. Is the ketogenic diet right for autoimmune conditions? Learn the causes and treatment options. Many common household products can lead to burns, such as vinegar, bleach, or glass polish. Many people say they see stars when they are notice flashes of light in their field of vision. For example, its difficult to avoid all allergens and viruses. Burning eyes can be a symptom of an illness that needs medical treatment. Both pink eye and dry eye are common conditions that can make your eyes feel itchy and uncomfortable. Coronavirus mainly spreads through the airborne respiratory droplets that leave your mouth when you cough, sneeze, laugh or even talk. Pink Eye May Be a Symptom of COVID-19 in Children, How to Wear a Face Mask Without Fogging Your Glasses, Don't Skip Preschool Vision Screens During COVID-19, Gene Therapy for Blindness May Hold Key to Coronavirus Vaccine, Facedown Treatment for COVID-19 Poses Risk of Vision Loss, What to Know If You Took Aralen and Plaquenil for COVID-19. It also causes itchy, burning red eyes. If you also experience other symptoms of COVID-19, you should isolate yourself from other people and contact a healthcare professional. Medically Reviewed by Dr. Melody Huang, O.D. If your symptoms dont respond to home remedies, its important to make an appointment with a primary care physician or an ophthalmologist. American College of Allergy, Asthma, & Immunology. For fast relief consider these natural remedies at home: Rinse your eyelids with lukewarm water. If your eye problem isn't an emergency, you might need to wait to visit an eye doctor. For example, COVID-19 and allergies can both cause: Some people with COVID-19 have reported developing pink eye, among other allergy symptoms.2 Conjunctivitis may be either allergic or viral. (2020). Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Talk to a doctor if you have pink eye in combination with any of the above COVID-19 symptoms. Here are some simple ways to keep yourself healthy: 4, Remember that the ocular surface of your eyes already has protective barriers, like antimicrobial proteins and natural lubricants. Federal government websites often end in .gov or .mil. But this type of coronavirus infection almost always comes with other symptoms, too. The latest in prevention, diagnostics and treatment options for a wide spectrum of eye conditions - from the routine to the complex. The same study found some positive coronavirus patients experiencing epiphora, also known as watery eyes. Retina: Retinal microvascular changes have been noted on ocular imaging in people with COVID-19. By Vanessa Caceres For example, if burning eyes are due to a bacterial infection, a doctor may recommend antibiotic eye drops to treat the infection. In many cases, it goes away on its own. Your glasseslenses may help protect your eyes from any respiratory droplets. Even if none of these additional symptoms occur, you should contact your eye doctor if your eyes continue to burn for more than a few days. What is photokeratitis--including snow blindness? 2020 Nov; 26(11): 1560.e51560.e8. What's the Treatment for COVID Toes? Find an eyecare professional and book online in minutes! Frequently washing your hands can help prevent pink eye. Get the Essilor lenses best suited to your lifestyle and needs by using our digital tools. They may use scopes or other specialized equipment to view the eyes more clearly and closely. Researchers believe that percentage is growing. Doctors still are learning about how the coronavirus affects the eyes. Characteristics of ocular findings of patients with coronavirus disease 2019 (COVID-19) in Hubei Province, China.