I think it's tempting to believe it was here all along, because that indicates that strict measures are unnecessary at best, but potentially very harmful. The truth is that cases and deaths explode in a one-two punch wherever this has become a serious problem. Over sixty doctors have died in Italy over the last month, for example, along with many other medical personnel, and thousands of seriously sick people working in the field. If this had been in their population late last year, it would have been hard to miss.