mar Found in Spain Unib SARS-CoV-2 detected in waste waters in Barcelona on March 12, 2019 Medrxiv Sentinel surveillance of SARS-CoV-2 in wastewater anticipates the occurrence of COVID-19 cases sep In Italy in September Italy Covid-19 was present in Italy as early as SEPTEMBER 2019, study of lung cancer screenings shows 2020 Apolone " This study shows an unexpected very early circulation of SARS-CoV-2 among asymptomatic individuals in Italy several months before the first patient was identified"

nov Cases in France and China 16 first france French patients were sick with Covid-19 Nov 16, before China 17 first china China’s first confirmed Covid-19 case traced back to November 17 25 first brit Nov 27 - Welsh coronavirus patient, 25, reveals how he was left 'suffocating' and unable to move dec Identified in China 31 cluster On December 31, 2019, Chinese authorities reported a cluster of pneumonia cases in Wuhan, China France "...the disease was already spreading among the French population at the end of December 2019." 18 italy Coronavirus was already in Italy by December, waste water study finds