On 25 February, a 47-year-old man tested positive in Erkelenz, Heinsberg at North Rhine-Westphalia.[1] He was previously treated at University Hospital of Cologne on 13 and 19 February for a pre-existing medical condition. 41 medical staff members and patients were identified to have had contact with him at the hospital; one person from medical staff showed symptoms and tested for SARS-CoV-2.[2][3]