Japan on Friday began allowing elderly passengers who test negative for the new coronavirus to leave a quarantined cruise ship and finish their isolation in government-designated lodging.
Japan's government has given passengers aged 80 or older in poor health or confined to windowless inner cabins on the Diamond Princess the chance to move from the ship to accommodation on land.
But only those who test negative for the virus that has so far infected more than 200 people on board the ship have the option to move.
The first of them departed the massive cruise ship on Friday afternoon, travelling in buses with blacked out windows.
At the wheel, one driver was dressed in a head-to-toe white protective suit, complete with goggles and mask.
A government official said 11 people had left, but declined to say whether more would depart Friday or offer further details.
The move comes a day after the number of infections diagnosed on the ship rose to 218.
Senior health ministry official Gaku Hashimoto boarded the ship Friday morning to announce that all passengers "who are considered to be high risk in general health" would now be tested for the virus.
"Those who test positive will be transferred to the hospital. Those who test negative will -- at the request of the individual -- disembark and be transferred to accommodation provided by the government," he said in a statement in English read out by the ship's captain in a public broadcast.
There were more than 3,700 people on the ship when it arrived off the Japanese coast last week, but those diagnosed with the virus have been taken off the boat, along with some people suffering other health conditions requiring medical attention.
Ten of those hospitalised are now in serious condition, Health Minister Katsunobu Kato said on Friday.
Excluding the cases on the ship, and an infected quarantine officer, Japanese authorities have so far diagnosed 36 people with the newly named COVID-19.
The newly diagnosed cases include a woman in her 80s whose positive test result emerged after she died in hospital.
The woman was reportedly the mother-in-law of a taxi driver in Tokyo who has also been diagnosed with the virus.
The Tokyo government announced on Friday two people who were at a new year party the taxi driver attended are also infected with the virus. One of the two had contact with tourists from Hubei, the Chinese province where the virus emerged, the government said.
A new case was also confirmed in southern Okinawa islands with a taxi driver in her 60s. She is likely to have had contact with passengers of the Diamond Princess when the ship stopped by at an Okinawan port, the prefecture said.
- Doctor, patient infected -
A doctor in Wakayama prefecture and a patient treated in the hospital where the doctor worked have also been diagnosed.
Officials in the region said they were still not sure if the doctor had infected the patient.
"It is difficult to trace the route of the infection", governor Yoshinobu Nisaka told reporters.
He said officials were asking people in the area "to report suspicious cases of pneumonia so that we can immediately conduct tests".
The hospital has been closed to visitors and medical staff are now being tested for the virus, Nisaka added.
Despite the new infections, government officials sought to play down concerns about the spread of the virus in Japan.
"There is not enough epidemiological evidence to suggest that the epidemic is spreading inside Japan," government spokesman Yoshihide Suga told reporters.
"We will keep collecting epidemiological information including on the routes of infection."
The Diamond Princess has been quarantined off Japan since early February after it emerged a former passenger who got off the boat in Hong Kong had tested positive for the virus.
The quarantine is due to end on February 19 and those on the ship have been mostly confined to their cabins and asked to wear masks and keep their distance from other passengers during brief outings on open deck.
Crew on board have expressed concern that their conditions -- including shared cabins, bathrooms and workspaces -- put them at greater risk of contracting the virus.
On Friday afternoon, the crew distributed iPhones to passengers on board, with the captain saying the handsets had been sent by the Japanese government and were loaded with an application that would help them get medical support.
Japan has evacuated hundreds of its citizens from Hubei Province, and officials said a fifth flight would be sent on Sunday to bring people home.
The government raised the travel warning for Hubei to level three from two on the country's four-point system, advising people not to travel for any reason.