Announcement

Collapse
No announcement yet.

China - Original 2019-nCov news thread: weeks 1 - 4 (December 30, 2019 - January 25, 2020)

Collapse
This is a sticky topic.
X
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Source: http://www.nbd.com.cn/articles/2020-01-23/1402518.html

    Translation:

    Three new cases of pneumonia confirmed for the first time in Shaanxi

    People's Daily 2020-01-23 18:24:31

    On January 23, according to the National Health and Medical Commission's latest diagnosis of pneumonia in the first case of new coronavirus infection in each province and the "Pneumonitis Diagnosis and Treatment Program for New Coronavirus Infection" (trial version 3), it was approved by the Shaanxi Provincial Expert Group During consultation, among 4 patients from Wuhan who had contact with Wuhan cases and developed respiratory symptoms such as fever, 3 confirmed cases of pneumonia imported with new coronavirus infection were confirmed.

    Patient 1, male, 42 years old, from Xianyang. Traveled in Wuhan from January 12th to 15th, and returned to Xi'an in the afternoon on the 15th. On January 20th, he developed fever symptoms. On the 21st, he was treated in the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine. He was referred to the Infectious Hospital of Xianyang City for isolation and treatment that afternoon.

    Patient 2, female, 32 years old, from Xi'an. During a business trip in Hangzhou from January 12th to 14th, during a meeting with a fever patient in Wuhan. He returned to Xi'an on the 14th and developed fever symptoms on the 16th. He went to the Second Affiliated Hospital of Xi'an Jiaotong University on the 20th and was referred to the Provincial Infectious Disease Hospital (Xi'an Eighth Hospital) for isolation and treatment on the 21st.

    Patient 3, male, 22 years old, from Xi'an. Orthodontics was performed at Wuhan Tongji Hospital from January 15 to 17, and he returned to Xi'an on the evening of the 17th. Fever symptoms occurred on the 20th, and were isolated and treated in the Provincial Infectious Hospital (Xi'an Eighth Hospital) on the 21st.

    Currently, three patients are in stable condition. Isolation medical observation has been conducted on 53 people who have close contact with 3 patients.
    Editor-in-chief

    Comment


    • Source: https://www.bbc.com/news/world-asia-china-51217455

      China coronavirus: Wuhan and Huanggang on lockdown
      13 minutes ago

      A second Chinese city will go into lockdown in an effort to control the spread of a new virus which has left 17 dead in the country.

      Authorities have suspended planes and trains in and out of Wuhan - a city of 11 million people - as well as buses, subways and ferries.

      Similar measures will take effect in nearby Huanggang, a city of more than seven million, as of midnight...

      Comment


      • Source: http://news.workercn.cn/32843/202001...84050888.shtml

        Translation:
        1 confirmed case and 2 suspected cases of pneumonia caused by imported new coronavirus infection in Fujian
        2020-01-23 18:40:50 CCTV News Client CCTV News Client

        16 At 16:00 on January 23, 2020, Fujian Province reported one new confirmed case of pneumonia and two suspected cases of imported new coronavirus infection. Among them: 1 new confirmed case in Fuzhou, and 2 new suspected cases in Xiamen. The new patients are returnees from Wuhan. At present, the patient is in stable condition and is undergoing isolation treatment. The close contacts tracked are receiving medical observation.

        As of 16:00 on January 23, Fujian Province has reported 5 confirmed cases of pneumonia and 2 suspected cases. (CCTV reporter Huang Shan)



        Comment


        • Source: http://www.bjd.com.cn/a/202001/23/WS...58393bc0b.html

          After Wuhan, there will be two more "closed cities"
          Time: 23 January 2020 Source: Chang'an Avenue governor micro-channel public Author: Editor: Guo Tao

          Following the closure of Wuhan this morning, Huanggang and Ezhou in the metropolitan area also announced the temporary closure of urban corridors in order to effectively cut off the transmission of new coronaviruses.

          The Governor of Chang'an Street noticed that there is good news today. Two patients with pneumococcal infection with new type of coronavirus in Shenzhen were cured and discharged. A 35-year-old male patient and a 10-year-old male patient were discharged.

          In the early hours of this morning, Wuhan issued an announcement saying that since 10 am on January 23, bus, subway, ferry, and long-distance passenger transport have been suspended. The airport and railway station are temporarily closed from the Han corridor. For no special reason, citizens should not leave Wuhan.

          At the same time, traffic control was implemented at the entrances of 39 toll stations in Hubei, and expressways exiting Wuhan were closed one after another.

          The Ministry of Transport also issued an emergency notice, announcing the suspension of road and water passenger transport lines entering Wuhan, and suspended inter-provincial and inter-city chartered passenger services to Wuhan, while strictly controlling the operation of vehicles and vessels leaving Wuhan.

          The above-mentioned measures for "strong men to break their wrists" have also been implemented in Huanggang and Ezhou in the Wuhan metropolitan area. This afternoon, Huang Gang announced--

          From 24:00, the operation of urban buses and long-distance passenger transport will be suspended; urban railway stations and railway stations will be temporarily closed from the urban area. For no special reason, citizens should not leave the urban area.

          From now on, at all entrances to and from the urban roads in Huanggang City, passing vehicles and personnel will be checked and controlled in accordance with laws and regulations, and one person and one vehicle will not be missed.

          Ezhou said that from 11:20 on the 23rd, the railway station channel in the city will be temporarily closed, and the recovery time will be notified separately.

          The Governor of Chang'an Street noticed that pneumonia cases suspected of a new type of coronavirus infection occurred in Ezhou, while Huanggang was more serious, with 12 confirmed cases and 16 suspected cases. Among the confirmed cases, there were 1 doctor, 4 nurses, and 7 others. The youngest patients were 24 years old and the largest was 76 years old. There were no deaths.

          In addition to Hubei, Beijing and Xinjiang have also released the latest outbreaks. Among them, 22 cases were accumulated in Beijing and 8 cases were newly added. Xinjiang has confirmed two confirmed cases for the first time. Both men are 47 years old and 52 years old. They are both studying or working in Wuhan for a long time. They are currently in stable condition.

          In addition, there is 1 good news. On January 23, two patients with pneumonitis infected with new-type coronavirus in Shenzhen recovered and were discharged. It is reported that the discharged patients were a 35-year-old male patient and a 10-year-old boy patient, and both were confirmed cases reported by the Guangdong Provincial Health and Health Commission.

          After the doctors' treatment of Shenzhen Third People's Hospital, the temperature of the two patients returned to normal, the symptoms of cough disappeared, and the lung lesions were significantly better than when they were admitted. On January 23, two patients have reached the discharge indication, and patients need to be reviewed regularly after discharge.



          Comment


          • Source: http://news.southcn.com/china/conten..._190124827.htm

            Translation:

            National Health Commission confirms first confirmed pneumonia case of imported new coronavirus infection in Jilin Province
            2020-01-23 18:47 Source: Xinhua Net


            Xinhua News Agency, Changchun, January 23rd (Reporter Zhao Dandan) The Jilin Provincial Health and Health Commission released the news on the 23rd that the National Health and Health Commission confirmed the first confirmed case of pneumonia imported from Jilin Province.

            患者 The patient is a 42-year-old female. She returned to Wuhan from Changchun on January 19 and went to a designated medical institution due to fever and cough. The medical institution highly suspected that it was a suspected case and treated it in isolation. After reviewing the laboratory of the Chinese Center for Disease Control and Prevention, combined with the clinical manifestations and epidemiological history of the patient, the diagnostic expert group of the National Health and Health Commission evaluated and confirmed that it was a confirmed case of pneumonia with new coronavirus infection. At present, the patient's condition is stable. Medical observation has been carried out on those who have been in close contact with him, and no abnormalities such as fever have been found.

            Jilin Province has established a provincial, city, and county level three medical treatment expert group to determine 68 new-type coronavirus-infected pneumonia treatment sites for medical institutions, and 131 medical institutions have launched fever clinics.

            Comment


            • China coronavirus outbreak could be 10 times worse than Sars, expert says


              A leading Chinese virology expert has warned that the Wuhan coronavirus epidemic
              could be 10 times as bad as the Sars outbreak that killed almost 800 people around the world in 2002-03.

              Guan Yi, director of the State Key Laboratory of Emerging Infectious Diseases at Hong Kong University, said in an interview with Caixin magazine on Thursday that after a brief visit to the central China city on Tuesday and Wednesday, he “chose to become a deserter” and left.

              “My conservative estimate is that this epidemic could end up at least 10 times the scale of Sars [severe acute respiratory disease],” he said.







              https://www.scmp.com/news/china/arti...chinese-health

              Comment





              • The 'unknown cause of pneumonia' that broke out in the South China Seafood Market in Wuhan, China last December (2019), belongs to the same family as the culprits that caused the outbreaks of the deadly severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS). The World Health Organization (WHO) has renamed Wuhan Pneumonia as 2019 New Coronavirus (2019-nCoV).

                Wuhan pneumonia continues to spread with human deaths:

                ▌Official name: 2019 New Coronavirus (2019-nCoV)

                ▌ Outbreak time: December 2019

                ▌ Epidemic situation: A total of 628 cases have been diagnosed worldwide and 17 have died.

                A total of 617 cases were confirmed in mainland China (17 deaths), 2 cases were confirmed in Macau, 2 cases were confirmed in Hong Kong, 1 case was confirmed in Taiwan, 4 cases were confirmed in Thailand, and 1 case was confirmed in Japan, South Korea, and the United States.

                All known overseas cases are from Wuhan, or people who have traveled to and from Wuhan

                https://udn.com/news/story/120936/4299961

                Comment


                • Coronavirus: How do you quarantine a city - and does it work?

                  Wuhan is a huge place - the 42nd biggest city in the world, according to UN data - and cannot easily be turned into an isolation ward.

                  More than 20 major roads come into Wuhan, plus dozens of smaller ones. Even with public transport closed, sealing the city would require a massive military effort.

                  "The only way you could do it, realistically, would be to ring-fence the city with the PLA [Chinese military]," says Professor Adam Kamradt-Scott, a health security expert from the University of Sydney.

                  But even if they do it, where - literally - would they draw the line? Like most modern cities, Wuhan sprawls into smaller towns and villages.

                  "Cities are shaped in unorthodox ways," says Professor Mikhail Prokopenko, a pandemics expert also from the University of Sydney,

                  "You can't really block every road and every connection. It may be possible to an extent... but it's not a foolproof measure."

                  Gauden Galea, the World Health Organization's representative in China, puts it more bluntly.

                  "To my knowledge, trying to contain a city of 11 million people is new to science," he told the Associated Press. "We cannot at this stage say it will or it will not work."

                  And - even if it proves possible to shut the stable door on Wuhan - the horse may already have bolted.


                  https://www.bbc.com/news/world-asia-...ZqS29iHbvRntL4

                  Comment


                  • Source: https://www.straitstimes.com/asia/ea...ovts-to-detect

                    Several Wuhan virus victims did not have fever; it may be harder for govts to detect infections
                    Published
                    5 hours ago

                    BEIJING (BLOOMBERG) - Several people who have died from a new virus in China did not display symptoms of fever, potentially complicating global efforts to check for infected travellers as they arrive at airports and other travel hubs.

                    Details released by China's National Health Commission show five of the 17 people who died after being infected with novel coronavirus displayed other symptoms such as breathing difficulty, chest tightness and coughing.

                    The oldest victim, an 89-year-old man, was suffering from drowsiness and incontinence, as well as a fever. He sought medical help on Jan 5 and died on Jan 18. He had pre-existing conditions, including hypertension.

                    The absence of fever in some cases indicates that temperature screening, the most common measure being used at transport links and airports to check travellers, may not identify some infected people...

                    Comment


                    • New coronavirus-infected pneumonia diagnosis and treatment plan (trial version 3) released

                      January 23, 2020 13:59 Source: People's Daily Online -Beijing Channel


                      People's Daily Online, Beijing, January 23 (Reporter Bao Congying) According to the website of the National Health and Medical Commission, the General Office of the National Health and Health Commission and the Office of the State Administration of Traditional Chinese Medicine announced on the 22nd the pneumonia diagnosis and treatment plan for the new type of coronavirus infection. Version). The notice said that in order to further guide the national scientific standard to do a good job in the diagnosis and medical treatment of pneumonia cases of new coronavirus infection, we organized experts to revise the diagnosis and treatment plan, and formed the "New Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial Implementation)" ".

                      Attachment: pneumonia diagnosis and treatment plan for new coronavirus infection (trial version 3)

                      Since December 2019, some hospitals in Wuhan City, Hubei Province have successively found multiple cases of unexplained pneumonia with a history of exposure to the South China Seafood Market, which have now been confirmed as an acute respiratory infection caused by a new type of coronavirus infection. The cases collected so far show that the number of cases without a history of market exposure in South China is increasing, and there are clustered cases and confirmed cases without a history of travel in Wuhan, and no clear market exposure from Wuhan has been found in many countries and regions overseas History of confirmed cases. Given that the source of the virus, the time of detoxification after infection, and the pathogenesis are not clear, in order to better control the epidemic, reduce and reduce the probability of the disease's domestic and international transmission, and further strengthen the early detection, isolation and treatment of cases, The greatest possible reduction in nosocomial infections is the key to controlling the source of infections and reducing the incidence, improving the ability to treat, and at the same time the largest possible reduction in nosocomial infections. Our "Pneumonitis Diagnosis and Treatment Program for New Coronavirus Infection (Trial Version 2)" Was revised.

                      I. Coronavirus characteristics

                      Coronavirus is a single-stranded positive-stranded RNA virus without segmentation. It belongs to the Orthocoronavirinae subfamily of the Coronaviridae family of the order Nidovirales, and is divided into α subfamilies according to serotype and genome , Β, γ and δ four genera. There are six known coronaviruses in humans, including 229E and NL63 in the alpha genus, OC43 and HPU in the beta genus, and Middle East respiratory syndrome.

                      Syndrome-associated coronavirus (MERSr-CoV) and severe acute respiratory syndrome-associated coronavirus (SARSr-CoV). The coronavirus isolated from the lower respiratory tract of patients with unexplained pneumonia in Wuhan is a new type of coronavirus belonging to the genus β.

                      Coronaviruses have an envelope, and the particles are round or oval, often polymorphic, with a diameter of 50 to 200 nm. S protein is located on the surface of the virus to form a rod-like structure. As one of the virus's major antigen proteins, S protein is the main gene used for typing. The N protein encapsulates the viral genome and can be used as a diagnostic antigen.

                      Most of the understanding of the physical and chemical properties of coronavirus comes from the research of SARS-CoV and MERS-CoV. The virus is sensitive to heat. Lipid solvents such as ether, 75% ethanol, chlorine-containing disinfectant, peroxyacetic acid, and chloroform can effectively inactivate the virus for 30 minutes at 56 C. Chlorhexidine cannot effectively inactivate the virus.

                      Clinical characteristics of the outbreak

                      (A) clinical manifestations

                      Main symptoms are fever, fatigue, and dry cough. Nasal congestion and runny nose are rare. About one-half of the patients develop dyspnea after one week. In severe cases, they progress rapidly to acute respiratory distress syndrome, septic shock, difficult to correct metabolic acidosis, and coagulation dysfunction. It is worth noting that in the course of severe and critically ill patients, there can be moderate to low fever, even without obvious fever.

                      Some patients have mild onset symptoms and no fever. They usually recover after 1 week. Most patients have a good prognosis, and a few patients are critically ill and even die.

                      (Two) laboratory inspection

                      In the early stages of the disease, the total number of white blood cells in the peripheral blood was normal or decreased, the lymphocyte count decreased, and some patients had increased liver enzymes, muscle enzymes, and myoglobin. Most patients had elevated C-reactive protein and erythrocyte sedimentation rate and normal procalcitonin. In severe cases, D-dimer increases and peripheral blood lymphocytes progressively decrease.

                      (Three) chest imaging

                      Multiple small patchy shadows and interstitial changes appeared early, and the extrapulmonary bands were obvious. Furthermore, it develops multiple ground glass infiltration and infiltrates in both lungs. In severe cases, pulmonary consolidation and pleural effusion are rare.

                      Case definition

                      (I) Suspected cases (original observation cases)

                      Meet the following 2 at the same time:

                      Epidemiological history

                      Patients with a history of travel or residence in Wuhan within two weeks before the onset of illness or who had been exposed to fever from Wuhan with respiratory symptoms within 14 days before the onset of illness, or had clustered onset.

                      Clinical manifestations

                      (1) Fever ﹔

                      (2) With the above imaging characteristics of pneumonia ﹔

                      (3) The total number of white blood cells is normal or decreased, or the lymphocyte count is decreased in the early stage of onset.

                      (B) confirmed cases

                      On the basis of meeting the criteria for suspected cases, sputum, throat swabs, lower respiratory tract secretions, and other specimens were tested by real-time fluorescent RT-PCR to detect novel coronavirus-positive nucleic acids or viral gene sequencing, which is highly homologous to known new coronaviruses.

                      (Three) severe cases

                      Meet any of the following:

                      1. Increased breathing rate (≧ 30 beats / min), difficulty breathing, cyanosis of lips

                      2. When inhaling, it means oxygen saturation ≦ 93% ﹔

                      3. Arterial blood oxygen partial pressure (PaO2) / oxygen concentration (FiO2) ≦ 300mmHg (1mmHg = 0.133kPa) ﹔

                      4. Pulmonary imaging shows multilobular lesions or lesion progression within 50 hours> 50% ﹔

                      5. Combining other clinical conditions that require hospitalization.

                      (4) Critical cases

                      One of the following:

                      1. Respiratory failure occurs and requires mechanical ventilation ﹔

                      2. Shock appears

                      3. Combining other organ failures requires ICU monitoring and treatment.

                      Fourth, differential diagnosis

                      It is mainly distinguished from other known viral pneumonias such as influenza virus, parainfluenza virus, adenovirus, respiratory syncytial virus, rhinovirus, human metapneumovirus, SARS coronavirus, and mycoplasma pneumoniae, chlamydia pneumonia, and bacterial pneumonia. In addition, it should be distinguished from non-infectious diseases such as vasculitis, dermatomyositis, and organizing pneumonia.

                      V. Case Discovery and Reporting

                      When medical staff at all levels and types of medical institutions find suspected cases that meet the definition of a case, they should immediately conduct isolation and treatment and report to the relevant departments of the medical institution and the disease control center under their jurisdiction. The medical institution will organize the hospital or district (county) within 2 hours. Relevant expert consultation, if it is not diagnosed with viral pneumonia caused by common respiratory pathogens, specimens should be collected in time for pathogen detection.

                      Suspected cases can be ruled out after two consecutive negative tests for respiratory pathogenic nucleic acid (sampling interval of at least 1 day).

                      Treatment

                      (1) Determine the treatment place according to the severity of the disease

                      Suspected and confirmed cases should be isolated and treated in designated hospitals with effective isolation and protection conditions. Suspected cases should be treated in isolation and in a single room. Confirmed cases can be admitted to the same ward. Critical cases should be admitted to ICU as soon as possible.

                      (B) general treatment

                      1. Rest in bed, strengthen supportive treatment, ensure sufficient heat, pay attention to water and electrolyte balance, maintain internal environment stability, closely monitor vital signs, oxygen saturation, etc.

                      2. Monitor blood routine, urine routine, C-reactive protein (CRP), biochemical indicators (liver enzyme, myocardial enzyme, renal function, etc.), coagulation function according to the condition, and perform arterial blood gas analysis if necessary, and review chest imaging

                      3. According to the change of oxygen saturation, timely provide effective oxygen therapy measures, including nasal catheter, mask oxygen, nasal high-flow oxygen therapy if necessary, non-invasive or invasive mechanical ventilation, etc.

                      4. Antiviral treatment: There are no effective antiviral drugs. Try aerosol interferon inhalation (5 million U each time for adults, add 2ml of sterile water for injection, 2 times a day) ﹔ lopinavir / ritonavir 2 times a day, twice a day.

                      5. Antibacterial drug treatment: Avoid blind or inappropriate use of antibacterial drugs, especially the combination of broad-spectrum antibacterial drugs. Strengthen bacteriological surveillance, and timely apply antibacterial drugs when there is evidence of secondary bacterial infection.

                      6. Others: According to the patient's dyspnea and chest imaging progress, glucocorticoids should be used within a short period (3 to 5 days) as appropriate. The recommended dose is not to exceed 1 to 2 mg / kg d of methylprednisolone.

                      (III) Treatment of severe and critical cases

                      1. Treatment principle: Based on symptomatic treatment, actively prevent complications, treat basic diseases, prevent secondary infections, and provide organ function support in a timely manner.

                      2. Respiratory support: Non-invasive mechanical ventilation for 2 hours, no improvement in the condition, or the patient cannot tolerate non-invasive ventilation, increased airway secretions, severe cough, or hemodynamic instability, and should be promptly transitioned to invasive mechanical ventilation.

                      Invasive mechanical ventilation uses a small tidal volume "pulmonary protective ventilation strategy" to reduce ventilator-related lung injury.

                      If necessary, prone ventilation, lung retension, or extracorporeal membrane oxygenation (ECMO) are used.

                      3. Circulation support: based on adequate fluid resuscitation, improve microcirculation, use vasoactive drugs, and monitor hemodynamics if necessary.

                      (IV) Traditional Chinese Medicine Treatment

                      The disease belongs to the category of traditional Chinese medicine epidemic disease. The disease is caused by the epidemic disease, and the disease is located in the lungs. The basic pathogenesis is "wet, hot, poisonous, and stasis." The following schemes are used for dialectical treatment (this scheme cannot be used for prevention).

                      Wet evil depression lung

                      Clinical manifestations: low fever or no fever, dry cough, less phlegm, dry throat, sore throat, fatigue, chest tightness, nausea, or vomiting, diarrhea. The tongue is pale or red, the fur is white or greasy, and the veins are pulsating.

                      Governing law: detoxification and detoxification, declaring lungs through evil.

                      Recommended prescription: Ma Xing Zhi Gan Decoction, Lifting and Falling Powder, Dayuan Drink.

                      Basic prescriptions: ephedra, almond, grass fruit, betel nut, cicada weeping, forsythia, atractylodes, Chinese bellflower, scutellaria baicalensis, burdock, raw licorice

                      2. Fever heat and lungs

                      Clinical manifestations: fever, thirst, do not want to drink, chest tightness, dry throat and less phlegm, poor appetite, poor stool or loose stools. Red tongue, yellow fur, floating pulse.

                      Governing Law: clearing away heat and detoxifying, declaring the lungs and demonstrating evil.

                      Recommended prescription: Ma Xing Shi Gan Tang, Yin Qiao San.

                      Basic prescriptions: ephedra, almond, gypsum, mulberry peel, honeysuckle, forsythia, scutellaria baicalensis, Fritillaria cirrhosa, raw licorice.

                      3. The evil poison closes the lungs

                      Clinical manifestations: high fever, no sputum cough, or yellow sputum, chest tightness, shortness of breath, bloating and constipation. Red tongue, yellow greasy or yellow dry fur, slippery pulses.

                      Governing Law: Xuanfei detoxification, Tongxie fever.

                      Recommended prescriptions: Xuanbai Chengqi Decoction, Huanglian Jiedu Decoction, Jiedu Huoxue Decoction.

                      Basic prescriptions: almond, gypsum, melon, rhubarb, ephedra, gardenia, peach kernel, red scallion, raw licorice.

                      4. Closed out

                      Clinical manifestations: dizziness, irritability, burning of chest and abdomen, coldness of hands and feet, shortness of breath or need for auxiliary ventilation. Tongue quality Aster, moss yellow-brown or dry, veins floating large without roots.

                      Governing Law: Open and close Gutu, detoxification and rescue.

                      Recommended prescription: Sini plus ginseng soup, An Gong Niuhuang Wan, Zixue San.

                      Basic prescription: ginseng, aconite, dogwood, take An Gong Niu Huang Wan or Zi Xue San.

                      Seventh, lift the isolation and discharge standards

                      The body temperature returned to normal for more than 3 days, the respiratory symptoms improved significantly, the lung imaging showed obvious absorption of inflammation, and two consecutive consecutive respiratory pathogen nucleic acid tests were negative (sampling interval of at least 1 day). The patient can be released from isolation or transferred to the appropriate department for treatment according to the condition. other illnesses.

                      Eight, the principle of transshipment

                      Patients should be transported in special vehicles, and personal protection and vehicle disinfection of transporters should be done.

                      Nine, hospital infection control

                      In accordance with the requirements of the "Guidelines for the Prevention and Control of New Coronavirus Infection in Medical Institutions (First Edition)".

                      Issued by the General Office of the National Health Commission on January 22, 2020
                      http://bj.people.com.cn/BIG5/n2/2020...-33741652.html
                      Twitter: @RonanKelly13
                      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                      Comment


                      • Source: https://news.sina.com.cn/o/2020-01-2...a4352487.shtml

                        Translation:


                        Dialogue with frontline medical staff in Wuhan: All isolation wards are saturated and colleagues have been infected

                        Interface News Dialogue A nurse at a hospital in Wuhan participated in the treatment of patients infected with the new coronavirus.
                        Image source: Hero Creative. Image source: Hero Creative.

                        Reporter | Chen Xin Ma Qiao Intern reporter Ou Yun Belek

                        Wuhan became the focus of public opinion due to the epidemic.

                        As of 24:00 on January 22, the National Health Commission had received a total of 571 confirmed cases of pneumonia of new coronavirus infection in 25 provinces (autonomous regions, municipalities) in China, including 95 severe cases and 17 deaths (both from Hubei Province). . A total of 393 suspected cases were reported in 13 provinces (autonomous regions and municipalities).

                        武汉 After Wuhan announced the "closing of the city", the interface news dialogue with a well-known local hospital is on the front line to participate in the treatment of nurses infected with the new coronavirus.

                        According to the medical staff, the number of patients began to increase sharply after the hospital discovered the first case of new coronavirus infection in Wuhan at the end of December 2019. "During this time, doctors and nurses are overloaded and work overtime every day."

                        "All the isolation wards are already saturated." The medical staff said that if many patients have unclear symptoms, the doctor will prescribe some oral medications or infusions during the day. Because the beds are very tight, some of them need to be separated from home. Even some patients have reached the standard of hospitalization, but because they do not have a bed, they can only implement home isolation.

                        Interface news: When did your hospital first have the first suspected case and confirmed case?

                        Nurse :: It was discovered by our department around the end of December 2019. After knowing the news of the South China Seafood Wholesale Market, we started to screen our patients and asked them if they had a related contact history.

                        Interface news: How did the hospital and the local health department judge when the pneumonia first appeared? How did you get nervous step by step after that?

                        Nurse: Everyone is starting to be vigilant, we don't treat it as ordinary flu. On December 31, 2019, the hospital released documents on how to investigate, consult and identify suspected cases of pneumonia of unknown origin. After we reported to the CDC, the CDC did not take samples at that time. Sampling and diagnosis need to be notified, and sampling confirmation cannot be performed without notification.

                        Hospital set up a special fever clinic on January 4, 2020 to prevent these patients from mixing with emergency patients.

                        Interface news: It has been circulating on the Internet that some hospitals in Wuhan have refused admission.

                        Nurse :: I think there may be a situation where the beds are full and it ca n’t be received. All the isolated wards in our hospital are already saturated.

                        As far as I know, even the patients who have been hospitalized for observation in the fever clinic are sitting in the infusion. But I don't believe any hospital will refuse to accept it with a bed.

                        Interface news: What doctors would recommend for home isolation?

                        Nurse: If there are many patients with unclear symptoms, the doctor will prescribe some oral medications according to his condition, or he will receive hot fluids during the day. Because the beds are very tight now and there are no beds, some of them may be separated from their homes. Some patients have even reached the standard of hospitalization, but because they do not have a bed, they can only implement home isolation.

                        There should still be a large number of people at home. At present, we recommend that patients at home be separated for a two-week observation period, mainly with oral medications. If you feel worse, you can go to the hospital at any time. As far as I know, there are cases where home isolation has turned into a confirmed diagnosis.

                        Interface News: What treatment options are currently used for diagnosed or critically ill patients? For example, in the news report, the use of ECMO (External Membrane Oxygenation) to successfully cure patients.

                        Nurse: At present, our mainstream treatment plan is mainly anti-virus and anti-infection, and then symptomatic treatment is performed according to other symptoms of patients. ECMO (Extracorporeal Pulmonary Oxygenation) is a first aid technique used primarily in emergency departments. ECMO technology can be used in severe cases, this technology is not a conventional treatment of this disease. What the news says should not cure the patient, but it may be that this patient successfully rescued the patient after using ECMO technology after the viral pneumonia became critical. It should be temporarily stabilized.

                        Interface news: What do you do in the process of contacting suspected or confirmed cases?

                        Nurse: We mainly care for patients. The usual care should be the same as other patients, except that we have isolated them for observation. We must also protect ourselves.

                        Interface news: Are there any upgrades in protection measures for medical staff?

                        Nurse: The emergence of this infectious disease is regulated for protection standards. From the very beginning, our department has been standard prevention, and what kind of protection to take according to the degree of contact with your patients. For example, if the patient is in the isolation ward, he can only wear isolation clothing if he only enters the corridor of the isolation ward. If you are in close contact with the patient for operation, you need to wear protective clothing, goggles, or a face shield or helmet. What kind of protection you take depends on what kind of contact you have with the patient.

                        Interface News: There are now reports that many protective supplies are out of stock. Is the hospital's material reserves adequate in this regard?

                        Nurse :: Our hospital should have sufficient reserves. Protective equipment has been prepared in advance. Disposable protective equipment is applied for by each department or isolated ward according to its own demand. There is also a certain standard procedure for the disposal of used medical waste.

                        Interface news: So far, are the medical staff in your hospital more infected?

                        Nurse: Medical staff in the infection department have the most infections. The staff of our department went to check today that there were 3 suspected cases, and they are all being observed in isolation.

                        Interface news: How strong is the work?

                        Nurse: There are fewer medical staff than patients. The number of patients is increasing rapidly, doctors and nurses are overloaded, and they have to work overtime every day. Take our department as an example. Recently, all employees have been working overtime. Many doctors and nurses may work more than 10 hours a day, like today I work 13 hours faster. The head of our department is shifting from fever to fever. There is no time to eat, drink water or go to the toilet.

                        Interface news: How long does it take for isolation to be confirmed?

                        Nurse :: The incubation period for the median isolation of this disease is about 14 days. Our colleagues in the department had no fever symptoms at first, but CT detected that there was indeed a change in suspected viral pneumonia. Therefore, Isolation was performed at home. Because they have no related symptoms, they are still working normally today.

                        Interface news: Do you worry about bringing some viruses or bacteria to your home after you return home every day?

                        Nurse :: To be honest, I am very worried. As a mother, my children are all very young. I told my colleague that I was not even afraid of being infected, but I was afraid of bringing the virus home to the child. So most of the medical staff in the departments I know sent their children to other places and stayed in Wuhan alone.

                        Interface news: Will you worry about the next infected person appearing next to you?

                        Nurse :: There are already infected people around me, and each of us will worry about the next one to be identified, and we can only remind ourselves to take precautions at all times. I try not to go out after work now, soak and wash with disinfectant after going home for UV disinfection. I was afraid that I could spread the virus to others and endanger the health of others.

                        As medical personnel, we are also ordinary people. We are also afraid of death due to old age, sickness of death, and fear of infection. But since we did this, that is our responsibility. In front of patients, we have to do our own thing. I don't think doctors can be said to be particularly great or noble, but at least they are brave occupations. In such a difficult time, as a medical staff, I must be on the front line, and it is also worthy of being respected.

                        鑫 Chen Xin Stella / Interface Reporter
                        Editor-in-Chief: Zhao Ming
                        Keywords: medical staff

                        Comment


                        • Source: http://www.gxnews.com.cn/staticpages...19208261.shtml

                          Translation:

                          Four new cases of new coronavirus pneumonia confirmed in Shandong
                          Time: January 23, 2020 11:18 Source: China News Network Editor: Wei Xingwen

                          Langzhong New Network, January 23rd. According to the official WeChat public account of the Shandong Provincial Health and Health Committee, on January 22, 2020, at 04:00, Shandong Province reported 4 new confirmed cases of pneumonia infected with a new coronavirus. Among them: Linyi City reported 2 confirmed cases for the first time, and Qingdao City added 2 confirmed cases.

                          As of 24:00 on January 22, 6 cases of pneumonia confirmed by new coronavirus infection have been reported in Shandong Province. Among them: 3 in Qingdao, 1 in Weihai, and 2 in Linyi.

                          87 At present, 87 close contacts have been tracked, and 87 people are under medical observation.

                          Comment


                          • Source: http://www.chinanews.com/sh/2020/01-23/9068352.shtml

                            Translation:

                            Hubei notified new cases of new coronavirus pneumonia in Jingzhou and Jingmen
                            January 23, 2020 19:35 Source: China News Network

                            New cases of pneumonia infected by new coronavirus in Jingzhou and Jingmen, Hubei Province

                            China News Service, Wuhan, January 23rd. According to the Hubei Provincial Health and Health Committee's report on the 23rd, from 02:00 to 24:00 on January 22, 2020, Hubei Province will add 69 new cases of pneumonia with new coronavirus infection, including Wuhan City There were 62 cases and 8 deaths; 6 cases were added in Jingzhou City and 1 case was added in Jingmen City.

                            As of 24:00 on January 22, Hubei Province has reported a total of 444 cases of pneumonia caused by new-type coronavirus infection, 28 cases have been discharged from the hospital, and 17 cases have died. At present, 399 patients are still being treated in the hospital, of which 71 cases are critically ill and 24 cases are critically ill. They are all under isolation treatment at designated medical institutions. A total of 2,556 close contacts have been tracked, 863 people have been released from medical observation, and 1693 people are still receiving medical observation.

                            Briefing introduction, the deceased
                            Yuan, female, 70 years old. He was admitted to the hospital on January 13, 2020. At the time of admission, he was confused and had severe respiratory failure. After admission, he was given symptomatic treatment such as anti-infection and oxygen inhalation, but respiratory failure was difficult to correct. On January 21, he died of respiratory failure.

                            The deceased Lei Mou, male, 53 years old. Onset on January 10, 2020, and transferred to Wuhan Jinyintan Hospital for treatment on January 20. After admission, he received anti-infective and anti-shock, ventilator-assisted respiratory support treatment, and his condition did not improve. Respiratory failure continued to worsen. He died after rescue at 4 o'clock on January 21st.

                            Wang Wang, male, 86 years old. He was admitted to hospital on January 9, 2020. After admission, CT of the lungs showed multiple ground glass shadows in both lungs. Three days after treatment, CT lesions in the lungs increased. At 17:50 on January 21, heartbeat and respiratory arrest declared clinical death. The deceased had undergone colon cancer surgery 4 years ago and suffered from diabetes and hypertension.

                            周 The dead Zhou, male, 65 years old. He was admitted on January 11, 2020. At the time of admission, the patient had difficulty breathing, chest tightness, shortness of breath, and acute illness. He was diagnosed with severe pneumonia, acute respiratory failure, and liver damage. He was treated with anti-virus, anti-infection, liver protection, non-invasive ventilator-assisted ventilation and other treatments after admission, and died at 19:54 on January 21 after rescue.

                            Zhan Mou, male, 84 years old. Onset on January 7, 2020, and admitted to hospital on January 10. Fever, cough, lung infection, respiratory failure on admission. He was transferred to the ICU on January 18 and underwent mechanical ventilation with tracheal intubation. Clinical death was declared at 10:52 on January 22. The deceased had coronary heart disease, hypertension, renal insufficiency, hyperuricemia, lacunar infarction, hyperlipidemia and other diseases during his lifetime.

                            Zhang Mou, male, 81 years old. He was admitted on January 18, 2020. On admission, chest CT showed infectious lesions in both lungs. He was treated with non-invasive ventilator-assisted breathing, anti-virus, and anti-infection. The patient's renal function and pulmonary infection continued to deteriorate. January 22, 10 At 56 minutes, the respiratory heartbeat stopped, and clinical death was declared.

                            Hu Mou, female, 80 years old. Onset on January 11, 2020, he was admitted on January 18, and transferred to Wuhan Jinyintan Hospital on January 20. After admission, she was in critical condition, intensive care, anti-infection, ventilator-assisted breathing, and symptomatic supportive treatment. She died after rescue at 16:00 on January 22. The deceased had hypertension, diabetes, and Parkinson's disease during his lifetime.

                            Zhang Mou, female, 82 years old. Onset on January 12, 2020, and transferred to Wuhan Jinyintan Hospital on January 20. After admission, she was critically ill, resistant to infection, non-invasive ventilator support treatment, and no improvement in respiratory failure. She died after rescue at 18:00 on January 22. The deceased had Parkinson's disease during his lifetime. (Finish)

                            Comment


                            • Source: http://www.bjnews.com.cn/news/2020/01/23/678570.html

                              Translation:

                              Nine rumors about new coronavirus pneumonia
                              Do not believe rumors, do not pass rumors.

                              Beijing News (Reporter Zhang Lu Xu Nuo Wang Yipeng Cheng Wang Shuangxing) In the near future, the new coronavirus pneumonia has caused continuous concern. There are rumors that supplementing VC can resist the virus, and Wuhan ’s entire city is “oil-cut” and sky-high vegetables ... Make it difficult for netizens to distinguish between true and false.

                              The Beijing News reporter sorted out the false information that had been clarified and restored the truth.

                              The host of the Hubei Economic TV program demonstrated after the news broadcast

                              How to wear a mask properly

                              . Network screenshot

                              Rumor ① The host broadcasts the news wearing a mask?

                              The truth: After the news broadcast, show the audience how to wear a mask properly

                              Some netizens posted pictures that some hosts and reporters of Hubei Jingshi TV and Hubei Public News Channel wore masks in the broadcast. This news quickly appeared on Weibo's hot search, and some people lamented that this was "the first time in the history of TV" and believed that this move could provide a better public health demonstration for the audience.

                              However, the host then posted a Weibo post to clarify the truth: "This is the end of the" Economic Broadcasting "at 19:25 on January 22, and we call on the majority of Wuhan citizens to start with me, from now on, from every health It ’s better to get used to it. It ’s best not to leave Wuhan and not go to densely crowded people. Wear masks, wash hands at home, and ventilate the room. Work with medical staff to win the epidemic prevention and control battle. The picture shows me a demonstration for the audience You must wear a mask when you go out, and how to wear it properly. I hereby declare that I do n’t wear a mask to broadcast the news. Please do n’t pass it on!

                              Rumor ② Analysis data of operator overtime “Tracking Wuhan people”

                              Truth: There is no such data, and the reference is not significant

                              There are rumors that the three major operators are analyzing data overtime, and can judge the area where mobile phone users from Wuhan have flowed to other places.

                              The Beijing News reporter verified the three major operators and their Beijing companies. As of press time, both China Unicom and Beijing Unicom informed the Beijing News that such data are not currently available.

                              Beijing Unicom insiders further stated that in theory, operators can do some big data analysis, but such data as "tracking Wuhan people" can only be a reference, and the actual guidance is of little significance. And users who pass Wuhan by train or car will also be counted, and the actual destination may be less than one-tenth. Take China Unicom's Internet card as an example. In reality, cards will be chained everywhere, and the cards belonging to Wuhan will be sold to Shandong people for use.

                              Peking Union Medical College official Weibo rumor information. Network screenshot

                              Rumors ③ A New Coronavirus Pneumoniae Flees from Peking Union Medical College Hospital

                              Truth: The patient did not lose contact and was negative for the new coronavirus after a Beijing CDC review

                              It is reported that a patient identified as a new type of coronavirus pneumonia escaped from Peking Union Medical College Hospital and lost contact, causing a certain degree of panic.

                              In contrast, the Peking Union Medical College Hospital official Weibo notification said that after multiple investigations and verifications, the patient has not lost contact. Confirmed or ruled out cases of new coronavirus infection require multiple reviews and retests. The case was negative after a Beijing CDC review.

                              Rumors ④ Mouthwash can prevent new coronavirus

                              Truth: No research results suggest saline can kill new coronavirus

                              There are rumors that "an academician Zhong Nanshan suggested salt water mouthwash to prevent virus."

                              In contrast, the official Weibo post of the First Medical College of Guangzhou Medical University stated that "the academician Zhong Nanshan's team formally rumored: saline mouthwash is good for cleaning the mouth and throat and is helpful for pharyngitis. However, the area invaded by the new coronavirus is in the respiratory tract, and mouthwash is not Methods to clean the respiratory tract. Secondly, there are no research results suggesting that saline has a killing effect on the new coronavirus.

                              Rumorous information released by Sinopec. Network screenshot

                              Rumors ⑤ "Broken Oil" in Wuhan

                              Truth: All gas stations owned by Wuhan Petroleum Branch are operating normally

                              It is reported that the city of Wuhan has been "oil-cut". On January 23, Sinopec stated that during the Spring Festival, Sinopec's sales of petrol stations affiliated to Hubei Wuhan Petroleum Branch were operating normally and did their best to ensure market supply. The news of the “fuel cut” on the Internet is not true. The citizens need not panic, and do not have to concentrate

                              Comment


                              • Source: http://finance.jrj.com.cn/2020/01/23200528729009.shtml

                                Translation:

                                31 cases of pneumonia suspected with new coronavirus infection have been accumulated in Xiangyang
                                2020-01-23 20:05:00 Source: China Securities Journal CSI website

                                Zhongzheng Securities News (Reporter Fu Suying) On January 23, the official website of the Xiangyang Municipal Health and Health Commission announced that recently, due to the concentrated return of personnel in Han, suspected cases of pneumonia caused by new coronavirus on the 22nd rose rapidly. As of 20:00, January 22, 2020, 28 new suspected pneumonia cases of new coronavirus infection were added in Xiangyang City, with a total of 31 cases (including 20 in Xiangcheng District, 5 in Fancheng District, 3 in Zaoyang City, and Nanzhang 3 cases in counties), Xiangyang City has adopted measures for isolation diagnosis and treatment at local designated medical institutions in accordance with the requirements of the National Health and Health Commission's work plan for pneumonia prevention and control of new coronavirus infection. At the same time, an epidemiological investigation was carried out on suspected patients and medical observations were carried out on those who were in close contact with them.
                                Editor-in-chief: Robot RF13015

                                Comment

                                Working...
                                X