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China - Original COVID-19 coronavirus news thread: weeks 1 - 4 (December 30, 2019 - January 25, 2020)

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  • #76
    Taiwan Center For Disease Control
    Release Date: 2020-01-05

    In response to the outbreak of pneumonia in Wuhan, Mainland China, the CDC has started boarding and quarantine on direct flights from Wuhan on December 31, 2019. It has carried out 8 flights and quarantined a total of 747 passengers and crew members, including 8 passengers with mild symptoms. After the assessment, they returned home to rest, including 2 people who were diagnosed with flu after medical treatment, 1 had a common cold, 1 had a fever, 1 had bronchitis and had a fever, and the other 3 were followed up and cared for by the local government health bureau. People are reminded that they will travel to Wuhan, China and its adjacent areas in the near future. Avoid visiting South China seafood markets and contact with birds and maintain good personal hygiene.

    The CDH once again called for the current season of respiratory diseases such as influenza and pneumonia. People and local Taiwanese businessmen who plan to visit Wuhan or nearby areas in mainland China in the near future should implement personal protective measures such as washing hands with soap and coughing, and wearing masks. Contact with wild animals and birds, access to live poultry markets, or public places such as hospitals. If you have fever or flu-like symptoms when returning to China, you should take the initiative to inform airline personnel and airport and port quarantine personnel; if you experience the above symptoms after returning to China, you should wear a mask to seek medical treatment as soon as possible, and inform the physician of your travel history, occupation, and contact History and clustering (TOCC). For related information, please refer to the CDC website (https://www.cdc.gov.tw/), or call the toll-free epidemic prevention line 1922 (or 0800-001922) for inquiries.

    Comment


    • #77
      Taiwan Center For Disease Control

      CDC Holds "Expert Consultation Meeting on Pneumonia of Unknown Cause in China" to Complete Response Strategy and Action


      Release Date: 2020-01-05
      On this (5) day, Minister of Health and Welfare Chen Shizhong visited the Department of Disease Control and held the "Consultation Meeting of Experts on Pneumonia of Unexplained Reasons in China", instructing to maintain an attitude of "emphasis on the enemy and strictness on the enemy" in this outbreak, and Various contingency measures such as strengthening laboratory diagnostic capacity, strengthening notification and inspection must not be taken lightly.

      The conclusions of this expert consultation meeting are as follows:
      1. People returning from Wuhan within 14 days, if they have fever and respiratory symptoms, they should seek medical treatment as soon as possible, and the physician should report the examination.
      2. Define the relevant notification definition and follow-up treatment process of the medical institution, and ask the medical institution to cooperate with it, and ask to strengthen the infection control measures.
      3. Complete China's strategies and actions in response to the epidemic situation. It is recommended to strengthen the ability to diagnose the pathogens of emerging infectious diseases, and adjust contingency measures in a timely manner in accordance with the epidemic situation.

      The CDH once again called for the current season of respiratory diseases such as influenza and pneumonia. People and local Taiwanese businessmen who plan to visit Wuhan or nearby areas in mainland China in the near future should implement personal protective measures such as washing hands with soap and coughing, and wearing masks. Contact with wild animals and birds, access to live poultry markets, or public places such as hospitals. If you have fever or flu-like symptoms when returning to China, you should take the initiative to inform airline personnel and airport and port quarantine personnel; if you experience the above symptoms after returning to China, you should wear a mask to seek medical treatment as soon as possible, and inform the physician of your travel history, occupation, and contact History and clustering (TOCC). For related information, please refer to the CDC website (https://www.cdc.gov.tw/), or call the toll-free epidemic prevention line 1922 (or 0800-001922) for inquiries.

      Comment


      • #78
        Source: https://www.who.int/csr/don/05-janua...ause-china/en/

        Pneumonia of unknown cause – China

        Disease outbreak news
        5 January 2020

        On 31 December 2019, the WHO China Country Office was informed of cases of pneumonia of unknown etiology (unknown cause) detected in Wuhan City, Hubei Province of China. As of 3 January 2020, a total of 44 patients with pneumonia of unknown etiology have been reported to WHO by the national authorities in China. Of the 44 cases reported, 11 are severely ill, while the remaining 33 patients are in stable condition. According to media reports, the concerned market in Wuhan was closed on 1 January 2020 for environmental sanitation and disinfection.
        The causal agent has not yet been identified or confirmed. On 1 January 2020, WHO requested further information from national authorities to assess the risk.
        National authorities report that all patients are isolated and receiving treatment in Wuhan medical institutions. The clinical signs and symptoms are mainly fever, with a few patients having difficulty in breathing, and chest radiographs showing invasive lesions of both lungs.
        According to the authorities, some patients were operating dealers or vendors in the Huanan Seafood market. Based on the preliminary information from the Chinese investigation team, no evidence of significant human-to-human transmission and no health care worker infections have been reported.
        Public Health Response

        National authorities have reported the following response measures:
        • One hundred and twenty-one close contacts have been identified and are under medical observation;
        • The follow-up of close contacts is ongoing;
        • Pathogen identification and the tracing of the cause are underway;
        • Wuhan Municipal Health Commission carried out active case finding, and retrospective investigations have been completed;
        • Environmental sanitation and further hygiene investigations are under way.
        WHO is closely monitoring the situation and is in close contact with national authorities in China.
        WHO risk assessment

        There is limited information to determine the overall risk of this reported cluster of pneumonia of unknown etiology. The reported link to a wholesale fish and live animal market could indicate an exposure link to animals. The symptoms reported among the patients are common to several respiratory diseases, and pneumonia is common in the winter season; however, the occurrence of 44 cases of pneumonia requiring hospitalization clustered in space and time should be handled prudently.
        Wuhan city, with a population of 19 million, is the capital city of Hubei province, with a population of 58 million people. WHO has requested further information on the laboratory tests performed and the differential diagnoses considered.
        WHO advice

        Based on information provided by national authorities, WHO’s recommendations on public health measures and surveillance of influenza and severe acute respiratory infections still apply.
        WHO does not recommend any specific measures for travellers. In case of symptoms suggestive of respiratory illness either during or after travel, travellers are encouraged to seek medical attention and share travel history with their healthcare provider.
        WHO advises against the application of any travel or trade restrictions on China based on the current information available on this event.
        For more information:

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        • #79
          Wuhan Municipal Health and Health Committee's Report on Unexplained Viral Pneumonia
          Issuing authority: Wuhan City health committee | Published: 2020-01-05 20:33:24 | Hits: 6312 | Font Size: Da Zhong Small
          Since December 31, 2019, our committee has carried out search and retrospective investigation of viral pneumonia cases of unknown cause in the city.

          As of 8:00 on January 5, 2020, a total of 59 patients with unexplained diagnosis of viral pneumonia were reported in our city, including 7 critically ill patients, and the remaining patients' overall vital signs were stable.

          At present, all patients are being isolated in medical institutions in Wuhan Treatment, no deaths. Among the 59 patients, the earliest onset of the case was December 12, 2019, and the latest onset was December 29; 163 close contacts have been followed up for medical observation, and the follow-up of close contacts is still in progress .

          An epidemiological survey showed that some patients were operating households in Wuhan South China Seafood City (South China Seafood Wholesale Market). As of now, preliminary investigations have shown no clear evidence of human-to-human transmission and no medical staff infections.

          Respiratory pathogens such as influenza, avian influenza, adenovirus, infectious atypical pneumonia ( SARS) and the Middle East Respiratory Syndrome (MERS) have been excluded . Pathogen identification and cause tracing are still underway.

          At present, with the support of the state and Hubei Province, Wuhan has adopted the following main prevention and control measures: First, it is to treat patients with all its strength. The second is to carry out isolation treatment for all cases. The third is to continue to conduct relevant case searches and retrospective investigations in medical institutions throughout the city. The fourth is to carry out close contact tracking seriously, implement medical observation on the close contacts that have been tracked according to regulations, and have not found any abnormal symptoms such as fever. Fifth, we will take measures to suspend the market for South China Seafood City, and carry out environmental sanitation and further hygiene investigations. Sixth, actively carry out epidemiological investigations. Seventh, cooperate with the state and province to carry out pathogen identification (including nucleic acid detection and virus isolation and cultivation) and trace the cause of the cause, and prevention and control work is proceeding in an orderly manner.

          Experts suggest that the city is currently in the season of high incidence of infectious diseases in winter and spring. Citizens should pay attention to maintaining indoor air circulation to avoid closed and airless public places and crowded places. Wear masks when necessary. If you have fever, respiratory infection symptoms, especially persistent fever, go to a medical institution in time.
          http://wjw.wuhan.gov.cn/front/web/sh.../2020010509020
          Last edited by sharon sanders; January 5, 2020, 09:40 AM.
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • #80
            Originally posted by penguinsix View Post
            Eight more fall ill in Hong Kong after visiting Wuhan, bringing the total to 16 cases in Hong Kong.

            https://news.rthk.hk/rthk/en/compone...8-20200105.htm

            note: 10 have tested positive for known flu strains or the common cold according to the report.
            There is a slight difference in the count between the media and government reports. I think the government report is missing the latest case recently referred by a private doctor, according to the media report above.

            Here is the gov report -




            7 Wuhan-related cases reported


            January 5, 2020


            Public hospitals, as of noon today and over the past 24 hours, admitted seven people who had been to Wuhan in the past 14 days, the Hospital Authority announced.



            The patients presented symptoms of fever, respiratory infection or pneumonia.



            The authority explained that the patients, four males and three females aged between two and 55, are in stable condition and are being treated in isolation at Princess Margaret, Queen Elizabeth, Ruttonjee & Tang Shiu Kin and Tseung Kwan O hospitals.



            The patients had not been to a wet market in Wuhan before their symptoms appeared.



            The authority has sent specimens to the Department of Health for testing and will keep monitoring their conditions.



            Public hospitals have reported 15 such cases to the department since December 31. Five of these patients have been discharged.


            https://www.news.gov.hk/eng/2020/01/...ml?type=ticker

            Comment


            • #81
              Originally posted by Ronan Kelly View Post
              Wuhan Municipal Health and Health Committee's Report on Unexplained Viral Pneumonia
              Issuing authority: Wuhan City health committee | Published: 2020-01-05 20:33:24 | Hits: 6312 | Font Size: Da Zhong Small
              Since December 31, 2019, our committee has carried out search and retrospective investigation of viral pneumonia cases of unknown cause in the city. As of An 8:00 on January 5, 2020, a total of 59 patients with unexplained diagnosis of viral pneumonia were reported in our city, including 7 critically ill patients, and the remaining patients' overall vital signs were stable. At present, all patients are being isolated in medical institutions in Wuhan Treatment, no deaths. Among the 59 patients, the earliest onset of the case was December 12, 2019, and the latest onset was December 29; 163 close contacts have been followed up for medical observation, and the follow-up of close contacts is still in progress .

              An epidemiological survey showed that some patients were operating households in Wuhan South China Seafood City (South China Seafood Wholesale Market). As of now, preliminary investigations have shown no clear evidence of human-to-human transmission and no medical staff infections. Respiratory pathogens such as influenza, avian influenza, adenovirus, infectious atypical pneumonia ( SARS) and the Middle East Respiratory Syndrome (MERS) have been excluded . Pathogen identification and cause tracing are still underway.

              At present, with the support of the state and Hubei Province, Wuhan has adopted the following main prevention and control measures: First, it is to treat patients with all its strength. The second is to carry out isolation treatment for all cases. The third is to continue to conduct relevant case searches and retrospective investigations in medical institutions throughout the city. The fourth is to carry out close contact tracking seriously, implement medical observation on the close contacts that have been tracked according to regulations, and have not found any abnormal symptoms such as fever. Fifth, we will take measures to suspend the market for South China Seafood City, and carry out environmental sanitation and further hygiene investigations. Sixth, actively carry out epidemiological investigations. Seventh, cooperate with the state and province to carry out pathogen identification (including nucleic acid detection and virus isolation and cultivation) and trace the cause of the cause, and prevention and control work is proceeding in an orderly manner.

              Experts suggest that the city is currently in the season of high incidence of infectious diseases in winter and spring. Citizens should pay attention to maintaining indoor air circulation to avoid closed and airless public places and crowded places. Wear masks when necessary. If you have fever, respiratory infection symptoms, especially persistent fever, go to a medical institution in time.
              http://wjw.wuhan.gov.cn/front/web/sh.../2020010509020
              Good. SARS and MERS ruled out. An increase to 59 cases, but all cases with onset before December 29. I hope they are still testing for things other than viruses, and I hope we get an explanation for what now appears to be a false-positive for SARS. This looks like a single, perhaps ongoing, mass exposure.

              Comment


              • #82
                BEIJING (AP) — The mysterious respiratory illness that has infected dozens of people in a central Chinese city is not SARS, local authorities said Sunday.


                Local authorities: Mysterious illness in China is not SARS

                BEIJING (AP) — The mysterious respiratory illness that has infected dozens of people in a central Chinese city is not SARS, local authorities said Sunday.
                [snip]

                Comment


                • #83
                  Singapore announced they have one case of a girl who traveled to Wuhan and came down with some symptoms.

                  https://www.straitstimes.com/singapo...dentified-here

                  A Google Translation of a Chinese news article states that they now feel her case is not related to the Wuhan outbreak.

                  https://www.singtao.ca/4018562/2020-...?variant=zh-hk

                  Singapore's Ministry of Health: Chinese girl confirmed to be unrelated to unknown pneumonia


                  Unknown viral pneumonia outbreak in Wuhan, the Ministry of Health of Singapore announced that earlier suspected cases of Chinese girls have been confirmed to have nothing to do with Wuhan pneumonia. As of 3 pm today, no new suspicious cases of Wuhan viral pneumonia have appeared in Singapore.

                  The Ministry of Health of Singapore said that yesterday ’s epidemiological survey, clinical evaluation and laboratory results showed that a 3-year-old Chinese girl who had been to Wuhan has been confirmed to have nothing to do with Wuhan pneumonia. (MERS) was also negative. The girl was infected with respiratory syncytial virus, which is common in children with respiratory infections.

                  Here is the English announcement from the Singapore Health Ministry:

                  https://www.moh.gov.sg/news-highligh...in-wuhan-5-jan

                  5TH JAN 2020 UPDATE

                  As of 3pm, 5 January 2020, the Ministry of Health (MOH) has not been notified of any new suspect cases.

                  Epidemiological investigations, clinical assessment and laboratory test results from the suspect case reported on 4 January 2020 involving a 3 year-old female Chinese national with pneumonia and travel history to Wuhan have found that the case is not linked to the pneumonia cluster in Wuhan. The case has also tested negative for SARS and MERS-CoV. The cause of her pneumonia is Respiratory Syncytial Virus, a common cause for childhood respiratory infection.

                  As medical practitioners are on the lookout for cases with pneumonia who have recently returned from Wuhan, Singapore is likely to see more suspect cases that will need to be investigated for possible links to the Wuhan cluster. MOH will continue to monitor the situation closely. We urge the public to remain vigilant and to adopt good personal hygiene practices at all times. Travellers to Wuhan should monitor their health closely and seek medical attention promptly if they feel unwell, and also inform their doctor of their travel history.

                  Comment


                  • #84
                    Contacts increased slightly to 163. It seems some of the more seriously ill cases might be recovering, as only 7 severe cases now, down from 11 two days ago.

                    The Wuhan Municipal Health Commission said a total of 59 cases of unknown viral pneumonia had been reported as of Sunday, including seven in a critical condition. Read more at straitstimes.com.


                    BEIJING (REUTERS) - Chinese healthcare authorities in Wuhan said an outbreak of viral pneumonia was not Severe Acute Respiratory Syndrome (Sars), Middle East respiratory syndrome (Mers) or bird flu, and that they were still working to identify the cause and source.
                    In a statement posted on its website on Sunday night (Jan 5), the Wuhan Municipal Health Commission said a total of 59 cases of unknown viral pneumonia had been reported as of Sunday, including seven in a critical condition.
                    It also said it had put 163 people who had had contacts with the patients under medical observation.

                    [snip]

                    Comment


                    • #85
                      Translation Google

                      [Wuhan pneumonia] He Bailiang expects that the virus has been latent in patients in early December.

                      Society 22:28 2020/01/05

                      The number of unexplained pneumonia cases in Wuhan City of Hubei Province has increased. The Wuhan Municipal Health and Health Committee recently notified that as of 8:00 tonight (59th), 59 cases have appeared, of which 7 are in serious condition and no deaths. Some of the patients are in South China Wuhan Seafood City operator. Some experts believe that the virus has lurked in the patients of the first case at the beginning of last month. They also believe that a large number of cases have occurred in a short period of time, and it is expected that the South China Seafood City has "super spread".

                      He Bailiang, director of the Center for Infection and Infectious Diseases of the University of Hong Kong, believes that only 24 days have elapsed since the first case broke out last month. There have been 59 cases, and most of them are related to South China Seafood City. The situation of "super spread" and even "super spreaders" is similar to the pattern of transmission of SARS's 8A Ward and Amoy Gardens in 2003. It is expected that the incident will continue to develop.

                      First case expected to be infected in early December

                      How to take the coronavirus incubation period of SARS and Middle East Respiratory Syndrome as an example, it is estimated that most of the incubation period is within one week. He believes that the first suspected animal-to-human incident should occur between the first week of December and the beginning of the second week.

                      He pointed out that the mainland authorities are still conducting further virus identification and believe that it is likely that they have grasped the initial clues and are in the process of confirmation. In the case of newly emerging infectious disease viruses, according to international practice, two high-standard laboratories are required to independently test the same results. Is it appropriate to announce that the virus is the causative agent of this outbreak.

                      Looking for a quick test of viral gene map design

                      He hopes that the Mainland will adopt a more transparent approach, issue more epidemiological information on 59 cases, and release the genetic map of the virus as soon as possible once the virus is confirmed. He pointed out that the map can be used to design rapid tests to detect a large number of suspected cases.

                      He suggested that the public should start immediately. Improving personal hygiene measures is believed to be an effective way to prevent illness, including wearing surgical masks in hospitals and many places. In addition, it is not ruled out that new viruses are suspected of being transmitted by animals. People should avoid visiting mainland hospitals and wet markets. , Especially places where game and wildlife are sold.

                      Editor-in-chief: Wu Zhuofeng

                      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                      -Nelson Mandela

                      Comment


                      • #86
                        Originally posted by Pathfinder View Post
                        Translation Google

                        [Wuhan pneumonia] He Bailiang expects that the virus has been latent in patients in early December.

                        Society 22:28 2020/01/05

                        The number of unexplained pneumonia cases in Wuhan City of Hubei Province has increased. The Wuhan Municipal Health and Health Committee recently notified that as of 8:00 tonight (59th), 59 cases have appeared, of which 7 are in serious condition and no deaths. Some of the patients are in South China Wuhan Seafood City operator. Some experts believe that the virus has lurked in the patients of the first case at the beginning of last month. They also believe that a large number of cases have occurred in a short period of time, and it is expected that the South China Seafood City has "super spread".

                        He Bailiang, director of the Center for Infection and Infectious Diseases of the University of Hong Kong, believes that only 24 days have elapsed since the first case broke out last month. There have been 59 cases, and most of them are related to South China Seafood City. The situation of "super spread" and even "super spreaders" is similar to the pattern of transmission of SARS's 8A Ward and Amoy Gardens in 2003. It is expected that the incident will continue to develop.

                        First case expected to be infected in early December....

                        https://topick.hket.com/article/2534...82%B3%E6%92%AD
                        In regard to the above comments please see this thread:

                        China - Doctor, 51, with severe pneumonia moved to isolation on Dec. 31 - on experimental drugs - Dongguan, Guangdong province - January 4, 2020


                        Not the same province but the onset of his disease was early December and after a month of hospitalized non-productive treatment they moved him into isolation on the same day that the news broke about the Wuhan mystery pneumonia situation. He is also newly on an experimental treatment. Possibly standard treatment failed.

                        Comment


                        • #87
                          CUHK woman goes to private hospital for suspected pneumonia

                          January 6, 2020 (Mon)

                          A CUHK girl who developed symptoms after arriving in Wuhan was finally sent to Weiyuan for treatment.

                          The number of suspected pneumonia cases in Wuhan in Hong Kong has so far totaled 16. However, it is understood that a 20-year-old girl who had visited Wuhan recently and had symptoms such as fever went to a private hospital for treatment this morning (5th). The hospital asked to go to a public hospital for treatment by herself, but she He did not seek medical advice afterwards. The Centre for Health Protection confirmed the incident and stated that after learning of the case, the centre had taken the initiative to contact the relevant hospital to follow up and arranged for her to be sent to Prince of Wales Hospital for further treatment. According to the information released by the Centre for Health Protection, the currently published case does not include the girl. It is expected that this case is the 17th suspected case in Hong Kong.
                          The student union of the CUHK United College quoted school news in the evening as saying that a student of the United College Bethlehem dormitory had fever and cough. A staff of the Department of Health also visited the dormitory this evening.
                          CUHK confirmed that a student returned to Hong Kong on the 29th of last month and felt unwell last Saturday (4th). After returning to the dormitory on Sunday (5th), he went out to a private hospital for treatment, and then went to Shenzhen on his own. At the hospital inspection, the student returned to the dormitory in the evening. Accompanied by the ambulance staff, she went to the public hospital with her roommate for further examination.
                          According to the guidelines of the Center for Health Protection, the university cleaned the student's room, living floor and public places with bleach. The dormitory will also provide surgical masks and alcohol hand rubs for the students.
                          The Centre for Health Protection wrote letters to doctors and private hospitals on 31st and 3rd of this month to inform them of the information about Wuhan pneumonia case groups, calling on them to pay more attention and refer suspected cases to public hospitals for isolation and laboratory tests. And require private doctors and private hospitals to immediately notify the on-site health director of the Department of Health when reporting any compliance with enhanced surveillance to arrange for patients to be directly transferred to public hospitals for admission and isolation, and to implement corresponding infection control measures while patients are waiting for transfer .https://hk.on.cc/hk/bkn/cnt/news/202...00822_001.html
                          CSI:WORLD http://swineflumagazine.blogspot.com/

                          treyfish2004@yahoo.com

                          Comment


                          • #88
                            A girl from CUHK dormitory went to Wuhan for a time and went to a private hospital for medical treatment

                            1/5/2020 — 22:24


                            Wuhan pneumonia continues to cause public concern. A 20-year-old woman who had been to Wuhan today went to Shatian Ren'an Hospital for medical treatment because of a fever. The hospital said that she would be isolated and transferred to the public hospital. She said she would go to a public hospital for medical treatment. The woman later went to the urban area of ​​Mong Kok, but did not go to the public hospital until the CHP contacted the woman and arranged for treatment at the Prince of Wales Hospital.

                            At night, some netizens found that there were three persons wearing protective clothing in the Bethlehem dormitory of CUHK United College, suspected of cleaning. A Weiyuan staff member disclosed to the "Stance News" that a female student of CUHK had gone to Weiyuan for medical treatment, and the same woman who had gone to Ren'an Hospital for medical treatment.

                            Ren'an Hospital responded. On the 5th of this month, a female patient who claimed to have visited Wuhan for medical treatment. During the shunting process, the nurse explained to the patient. After the consultation, she was to be quarantined and transferred to the public hospital. The patient later said that she would go there by herself. Seek medical advice from the public court. The hospital emphasized that none of the patients refused to seek medical treatment during the process.

                            According to the Oriental Daily and Apple Daily reports, a 20-year-old woman went to a private hospital for treatment due to pneumonia, but was refused by the hospital and asked to go to a public hospital on her own. According to the news quoted by "Apple", the woman went to Shatian Ren'an Hospital for medical treatment at 9 am this morning, stating that she had been to Wuhan, but did not go to a wet market or seafood market, but was asked to go to a public hospital And left her.

                            "Apple Daily" reported that a medical staff called the woman, but the woman claimed that she was in the urban area of ​​Mong Kok and did not want to go to a public hospital. She also claimed to the medical staff that she had returned to the mainland and did not seek medical treatment. The CHP then contacted the patient and arranged for her to go to Victoria Hospital for treatment.

                            The CHP responded to "Stance News" and stated that no relevant notification had been received. After learning about the case, the center has taken the initiative to contact the relevant hospital to follow up and successfully contacted the patient. The center stated that the patient was a 20-year-old woman who reported fever and symptoms of upper respiratory tract infection and had visited Wuhan within 14 days before the onset of the disease. The centre has arranged for her to be sent to Prince of Wales Hospital for further treatment...https://www.thestandnews.com/society...8%81%E9%99%A2/
                            CSI:WORLD http://swineflumagazine.blogspot.com/

                            treyfish2004@yahoo.com

                            Comment


                            • #89
                              A long story on 6 different patients and their onsets dates and conditions and symptoms

                              2020-01-05
                              On January 2 and 3, in order to understand the daily work and diagnosis of patients, China Business News The reporter Bingfenduo stationed in the South Building of the Inpatient Department of Jinyintan Hospital (Wuhan Medical Treatment Center) and had at least 6 families of isolated patients who came to the 4th and 6th floors to get a lot of first-hand information.

                              At the end of 2019, an "unknown viral pneumonia" epidemic in Wuhan was touching.
                              Wuhan South China Seafood Wholesale Market, which was the earliest found and concentrated case of patients with "unknown cause of viral pneumonia" diagnosis, has been closed on the early morning of January 1, 2020 for environmental sanitation.

                              According to an official report by the Wuhan Health and Medical Commission on January 3, an epidemiological investigation revealed that some of the cases were merchants operating in South China Seafood Wholesale City. No clear evidence of human-to-human transmission was found, and no medical staff infection was found.

                              The market is located in the downtown area of ​​Hankou, Wuhan. It has been in business for more than 15 years, and its low and messy image contrasts with the high-rise buildings around Hankou Railway Station. The South China Seafood Wholesale Market has a total construction area of ​​50,000 square meters. It is the largest aquatic products wholesale market in central China. It is a seafood wholesale market that integrates seafood, chilled fish, aquatic products, and dry goods. It has more than 1,000 operating booths. The market is divided into east and west districts, separated by Xinhua Road.
                              The west district is mainly engaged in seafood and aquatic products, while the east district is dominated by poultry, shrimp and fresh seasonings.


                              Inside the market, mostly east-west cross streets are named, followed by east district first street and west district first street. "China Business Daily" reporters have repeatedly penetrated the market to see that the internal operating environment is forced, and each shop has an area of ​​less than 10 square meters. Because the market is mainly seafood and chilled, although the market will be disinfected regularly, the interior is slippery and dark, and the sanitary situation is not optimistic.

                              South China Seafood Wholesale City operates merchants and migrant workers. This originally ordinary group has recently received unprecedented attention. What kind of work and daily life do they have? How will they be resettled after the market closes? What kind of disease and treatment process did they experience? On January 2 and 3, in order to understand the daily work and diagnosis of patients, China Business News The reporter Bingfenduo stationed in the South Building of the Inpatient Department of Jinyintan Hospital (Wuhan Medical Treatment Center) and had at least 6 families of isolated patients who came to the 4th and 6th floors to get a lot of first-hand information.

                              I. Sister Wang (hereinafter referred to as "Sister Wang"):

                              My brother works at a stall that sells frozen products. The monthly salary is 5,000 yuan.


                              It is understood that the sister Wang family is from the Northeast and has been in Wuhan for more than 20 years. My brother works at a stall in Wuhan South China Seafood Wholesale Market that sells frozen products such as chicken, duck and fish. He goes to work at 3 a.m. every day, purchases from the Wuhan Baishazhou Agricultural and Sideline Products Market, and then ships it to the South China Seafood Wholesale Market for sale. In the evening Get off at 5:30.

                              "My younger brother works in the seafood market. He earns 5,000 yuan a month and works more than 12 hours a day." Sister Wang told a reporter from China Business Daily that her younger brother's job is to handle frozen products every day, and her hands have become a bit stiff. Numb. "My brother's working environment is not optimistic. The market is dirty all year round. I cover my nose every time I go, but even so, the market ’s passenger traffic is still considerable because the price is cheap."

                              Sister Wang said that her younger brother was transferred from Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology to Jinyintan Hospital at 2pm on December 31, 2019, and was admitted to the fourth floor of the South Building of the hospital's inpatient department. Whenever a patient transfers from another hospital to Jinyintan Hospital, the medical staff will ask "Is it a merchant in the South China Seafood Market" or have you ever visited the market and eaten seafood?

                              According to Sister Wang, her brother started to have fever symptoms on December 16 or 17, 2019, and after staying at home for “8 days”, she was admitted to Wuhan No. 6 Hospital because of a persistent high fever of about 40 degrees Celsius. "I was admitted to the hospital on December 24, 2019. On the day of the doctor's CT scan, I found that my brother's lungs had white shadows of nearly 1/3 area. On December 27, the area of ​​white shadows spread to 2/3, and we were immediately asked. Transfer to hospital. "Sister Wang told reporters.

                              Sister Wang said that now her brother is taking 7 bottles of medicines, including albumin and other drugs, at Jinyintan Hospital. On January 3, 2020, in addition to carrying items to her brother and the patient next door, Sister Wang also paid 10,000 yuan in advance to Jinyintan Hospital, and in the previous three days, she had spent a total of 4,000 at Jinyintan Hospital. yuan. Up to now, plus the previous treatment expenses, the Wang family spends about 43,000 yuan.

                              "My brother is 44 years old and has been renting a house in Wuhan." Sister Wang told reporters, "Now my brother has no money to treat the illness. It is our two sisters who are helping to collect money." According to his understanding, the patients admitted to Jinyintan Hospital Most of them worked hard, and many people tried their best to borrow money for medical treatment.

                              Second, the seafood market merchant Huang surname (Hua) surname:

                              Husband wife in the Eastern market selling pork has more than thirty years

                              At Wuhan Jinyintan Hospital, Mr. Huang told China Business Daily that her husband is 52 years old. Both husband and wife are working in the South China Seafood Wholesale Market and selling pork non-staple food products in the Eastern District.

                              "We have been in the meat wholesale business for a lifetime, and it has been more than 30 years. In recent years, we have been in the South China Seafood Wholesale Market." Said Mr. Huang.

                              The market was closed and her husband was hospitalized, but Mr. Huang did not stop working. She could only go to the hospital to learn about her husband's illness, deliver meals or daily supplies. "After the market was closed and some markets were closed, some of the goods from the business owners inside could not get out. I got up at 12 o'clock in the evening to pick up the goods outside and then send them to the hotel." Mr. Huang told reporters that many merchants in the market Many customers have accumulated over the years.

                              During the exchange, the reporter saw that Mr. Huang's hand was rough, and his fingers were frozen very red and swollen.

                              "My husband was transferred from another hospital to Jinyintan Hospital on December 31, 2019. The fever was not very serious before, more than 38 degrees, but the symptoms have not improved. After transferring to Jinyintan Hospital, he still has a fever. Mrs. Huang said.

                              According to Mr. Huang, her husband started to have symptoms of a cold and fever around December 25, 2019, and it has been more than a week now. At that time, I went to the Wuhan Central Hospital nearest to the South China Seafood Wholesale Market. I went to see that there was no hospitalization. Medical staff heard that the merchants in the seafood market suggested that we go directly to Jinyintan Hospital.

                              "When my husband first came, he lived on the 6th floor. When I heard that he was a merchant in the South China Seafood Wholesale Market, he moved to the fourth floor." Mr. Huang told reporters that most of the merchant patients in the South China Seafood Wholesale Market live in the fourth floor floor. After three days, the hospital paid 6,000 yuan in advance for hospitalization.

                              According to its introduction, patients in the South China Seafood Wholesale Market are mainly from the Western District, and less from the Eastern District. The Western District mainly sells seafood, chicken, duck and poultry frozen products, while the Eastern District sells more pork. "The goods in the market are the same in all parts of the country, and they are common in all parts of the country." Mrs. Huang said, "We are not sure whether the illness is related to the goods."

                              "I had a cold two or three days after my husband had a fever, and it took me two days to get an injection." Aunt Huang said. According to the reporter's understanding, the South China Seafood Wholesale Market environment has not been very good. Although it is also disinfected from time to time, the ventilation is poor. Most of the products sold are frozen products. After freezing, the environment is very humid.

                              Mr. Huang told reporters that a fire broke out in the western part of the market more than two months ago. A shop selling dry goods caught fire. It started to burn at 2:30 in the morning and burned to more than 7 o'clock before the fire was put out. "It was dried spices such as hot peppers. It was very smokey at the time, and it was particularly sultry. The 11th and 12th streets in the West District were completely burned.

                              3. Family members of the hotel chef :

                              "Pak Choi" often goes to the seafood market to buy goods almost every day

                              At noon on January 2, 2020, a reporter from the China Business Daily saw at the Jinyintan Hospital in Dongxihu District of Wuhan that the gate of the fourth floor of the South Building of the Inpatient Department was closed, and a notice to the family was posted on the door: "3pm to 4pm Focus on daily necessities. "

                              The reporter saw on the fourth and sixth floors that at present, family members who came to deliver meals and supplies could only be handed over to medical staff at the door, and could not enter. According to a patient's family member, her husband was a chef in a hotel in Wuhan, and he would come to the South China Seafood Market every two or three days to buy goods.

                              The family member told the reporter that her husband started to have a fever on December 23, 2019. He started to burn for three days and was treated in a small clinic. On the fourth day, he went to Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology to check his blood, and his blood and white blood cells were falling. During the hospitalization, the fever reached 41 degrees Celsius, and the body temperature did not decrease significantly during the treatment.

                              On the morning of January 1, 2020, I had a fever of about 40 degrees Celsius. After the injection from Tongji Hospital, I was transferred to the sixth floor of Jinyintan Hospital in the afternoon. When I turned around, I had no obvious fever symptoms, but I did n’t eat well for more than a week. Some are yellow.

                              "When I first arrived, the hospital ward was just vacated, and there were no pillow cases. When I first arrived, there were two patients in the ward. After paying the money, the room was full, and there were five or six people. The fourth floor was basically Patients who have been in contact with the South China Seafood Market. "The patient's family told reporters that patients who had contact with the South China Market were sent to the fourth floor of Jinyintan Hospital. This way, centralized management and treatment were better, but the patients also belonged to the victims and their families. Apart from being under great pressure mentally, I hope relevant departments can bear the cost of treatment.

                              Another family member of the patient named Zheng told reporters that his husband is 69 years old and is also a hotel staff. He went to the South China Seafood Market to purchase goods and sent them to Jingzhou. "Purchase seafood for a restaurant specializing in seafood in Jingzhou. There is a special car over Jingzhou. After the purchase, they will be transported together."

                              According to his introduction, his husband first had a fever on December 12, 2019, and began to think that he had a cold. He had an infusion in a small clinic, but he could keep having fever repeatedly. He then transferred to Wuhan Youfu Hospital for infusions and blood tests. The index was somewhat high. It is recommended that we transfer to Wuhan Red Cross Hospital (Wuhan Eleventh Hospital). After seven days in the hospital, the fever did not return. I felt dizzy and had no strength. Later, I was transferred to the Department of Respiratory Medicine of Tongji Hospital, but had a fever and no cough. .

                              The patient's medical certificate issued by Tongji Hospital showed that Zheng's patient was admitted to the hospital at about 15:00 on December 24, 2019, and discharged at 11:00 on December 31, 2019. "The initial diagnosis was severe viral Pneumonia, hypertension is grade 2, high risk. "

                              "The patient was admitted to the hospital for 11 days due to repeated chills and fever. Considering the possibility of viral infection (adenovirus), the possibility of externalized pneumonia is not ruled out. It is recommended to review it after clinical treatment." Tongji Hospital diagnosed. According to the family members of the surnamed Zheng, after treatment, there are no obvious fever symptoms at present, and he was going to be discharged, but was transferred to Jinyintan Hospital and currently lives on the fourth floor of the hospital.

                              Another family member of the patient who lives on the fourth floor of the South Building of the Inpatient Department of Jinyintan Hospital introduced his son. His son went to the South China Seafood Wholesale Market to buy meat on December 15, 2019. He started to have a fever on the 25th. He had been injected at Wuhan Changjiang Hospital before. Not good. After a week's injection, it was delivered here. Right now, family members are not allowed to visit. They can only give things to medical staff. I heard that they are in good condition.

                              Family members of patients on the fourth and sixth floors :

                              My son works at a nearby medicinal company and just graduated to work

                              On January 3, 2020, Liu Jie ’s mother told the China Business Daily that their family is from the countryside of Sanliqiao Street, Huanghua District, Wuhan. The son is 23 years old (born in 1996) and was near Hankou Railway Station just after graduating last year. A medicinal company is doing sales.

                              Liu Jie's condition affected the hearts of the whole family. On January 3, his parents rushed to the hospital, brought in daily necessities, and took Liu Jie's social security card to pay the "advance payment for hospitalization", while her sister stayed in the hospital ward to accompany her.

                              According to Liu Jie ’s mother, "Probably on December 24, 2019, my son told me that he was sick. He had headaches, dizziness, shortness of breath, and could not breathe. He asked him to return from work and sent him to Sanlitiao Hospital for two. Day needle, the third day was ready to go back to work, but did not go to the company after returning, he went to the downstairs clinic where he rented an injection, but it still did not improve. On the New Year's Day, the son burned to 38 degrees, 39 degrees, and the temperature was always lowered. Going on, he couldn't walk, we sent him to the Union Hospital of Tongji Medical College of Huazhong University of Science and Technology for rescue for two days, and transferred to the sixth floor of Jinyintan Hospital on the evening of January 2. "

                              A CT examination report issued by Tongji Hospital on January 2 showed: "Multiple patchy consolidation and ground glass density shadows in both lungs, and some lobular spaces thickened. Considering the possibility of infectious lesions, it is recommended to return to the clinic after treatment."

                              "My son is very ill and can only keep his sister in the hospital ward to take care of him. His sister can't come out while taking care of him. He has to wait until his son is diagnosed and discharged." Liu Jie's mother said.

                              "At the time of the rescue at Xiehe Hospital, I knelt on the ground and begged the doctor to rescue my son. He was only 23 years old. He just graduated from college to work and paid a few thousand yuan a month. He still rented a house in Wuhan. "Liu Jie's mother told reporters," We are all rural people and do n’t have much money. We were rescued at Xiehe Hospital for two days, and paid 15,000 yuan in two advances. The first time we paid 5,000 yuan, and the next day After paying 10,000 yuan, Xiehe Hospital has not yet completed the discharge checkout. I don't know how much it cost. "

                              "We are a rural hukou, and we can only reimburse 30%. We can reimburse more in small hospitals." According to Liu Jie's mother, after transferring to Jinyintan Hospital, he paid another 3,000 yuan in advance for hospitalization. The hospital settlement bill presented by him showed that Liu Jie was admitted to the Influenza Department of Jinyintan Hospital, and the payment method of advance payment for hospitalization was "Alipay."

                              "My dad and I have come here today. We only know the bed number and can't go in. The delivered items need to be brought in by the hospital staff." Liu Jie's mother told reporters, "Now my daughter is better, but just now. We talked to Jie Liu and we were still short of breath. I couldn't breathe a bit and couldn't take a deep breath. Then I kept coughing. "http://news.wenweipo.com/2020/01/05/IN2001050012.htm
                              CSI:WORLD http://swineflumagazine.blogspot.com/

                              treyfish2004@yahoo.com

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                              • #90
                                Referring to above article - a doctor friend of FluTrackers on twitter:

                                Marlene Millen
                                @marlene_mmm
                                Replying to
                                @FluTrackers
                                Looks like about 8 days till symptoms severe enough for hospital per the patient’s families interviews. Lots of high fever mentioned. Low white count also mentioned. #WuHanPneumonia

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