The number of coronavirus cases reported in Indonesia and Thailand is well below what scientists would expect, given how closely connected the countries are to the Chinese city of Wuhan, the epicenter of the outbreak. That raises concerns that the virus may be spreading undetected in those countries, potentially adding fuel to the epidemic that has so far killed over 600 people and sickened over 31,000.   “Indonesia has reported zero cases, and you would expect to have seen several already,” said epidemiologist Marc Lipsitch at the Harvard T.H. Chan School of Public Health, co-author of a Immigration officers wearing protective suits prepare immigration for Thai nationals evacuated from China’s Wuhan province, the center of the coronavirus epidemic, at the U-Tapao airport in Rayong province, Thailand, Feb. 4, 2020.Going undetected?Health systems in Indonesia and Thailand may not be catching cases, Lipsitch said, which could create problems for the rest of the world.  “Undetected cases in any country will potentially seed epidemics in those countries,” he added, which can spread beyond their borders. Lipsitch’s group’s research is one of FILE – Students line up to sanitize their hands to avoid the contact of coronavirus before their morning class at a high school in Phnom Penh, Cambodia, Jan. 28, 2020.Indonesia, Thailand and Cambodia are screening travelers from China at the border.   “Indonesia is doing what is possible to be prepared for and defend against the novel coronavirus,” the World Health Organization’s Indonesia representative, Dr. Navaratnasamy Paranietharan, told the Sydney Morning Herald.However, he added, “there is still more work to do in the areas of surveillance and active case detection.” ‘Beef things up’These countries are not the only places with shortcomings in their public health systems, said epidemiologist Art Reingold at the University of California-Berkeley’s School of Public Health. “I wouldn’t want people to think everyone else is doing a great job. We need to beef things up in a lot of places,” he added, and not just in the developing world. “We think we’re doing a good job,” he said. “People think they’re doing a good job in France or whatever, but I don’t think we can afford to make that assumption.” While some countries start to cut connections with China in hopes of keeping out the disease, Mores said, those measures may not help if the virus is spreading under the radar in countries that don’t. “There’s certainly plenty of places, especially in the developing world, that are not going to be able to shut down their economies because of this coronavirus outbreak,” he said. “And the danger there is that those countries are even more susceptible” because of weaker public health systems.   And that puts the world at risk, Mores added. 
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