https://www.politico.com/news/2020/02/20/cdc-coronavirus-116...
For example, if you're a doctor with a case of atypical pneumonia, there's no way to actually test a patient for it unless there's clear China (possibly Hubei!) travel history. And that could take 3-7 days. However, consider the Canadian ER doctor who a few days ago decided to ask for a test for a woman who had traveled back from Iran recently - turned out she had it, and it revealed to us unexpected, but very real vectors of transmission.
These technical issues have to be solved, otherwise there's no way to distinguish this from regular seasonal flu cases and pneumonias, until - like in Wuhan - the atypical cases bubble up. At that point, it's really too late to do much containment.