China has confirmed more than 4,500 cases of a new virus, with 106 deaths. Most have been in or near the central city of Wuhan where the illness first surfaced last month.

More than 50 cases have been confirmed in other places with nearly all of them involving Chinese tourists or people who visited Wuhan recently. Five cases have been reported in the United States and 14 in Thailand.

New cases were recently confirmed in Germany, Sri Lanka, Japan and Singapore.