China: 2019nCov - Cases, Outbreak News and Information Week 6 (February 2 - February 8, 2020)

[tetano]

Beijing Municipal Education Commission: New scheme for new college entrance examination
Published: 2020-02-04 16:56:28 | Source: CCTV | Author: Anonymous

With the epidemic continuing, the Ministry of Education and other regions have recently issued urgent notices requesting that the start of school be postponed for elementary, middle, and primary schools, and kindergartens. So, are all kinds of exams, especially the middle and college entrance examinations, postponed? The reporter learned from the Beijing Municipal Education Commission that Beijing will cancel the new college entrance examination mock test to be conducted at the end of February and set up two alternatives. At the same time, it is recommended that candidates prepare for the college entrance examination in accordance with the normal plan.

According to reports, in 2020, Beijing will implement the new college entrance examination. It was originally planned to have a full-element, whole-process mock exam at the end of February, but now the mock exam will be cancelled. At present, there are two alternatives. If time permits after the start of the school, a full-element mock exam will be organized to familiarize students with the process. Another option is for students to “practice the test” at home and pass it to the teacher for examination. At the same time, it is recommended that candidates prepare for the college entrance examination in accordance with the normal plan.

Special type exam replacement program in Beijing universities will be released within one week

In addition, according to the practice of previous years, special types of examinations in universities are usually arranged from February to March. Due to the epidemic, 2020 special type admission examinations in Beijing universities have been postponed. Currently, there are two alternatives. One solution is to replace the longer-lasting mode such as the initial test and retest with a 'never meet, no gather' test, such as taking an online test. Another option is a mandatory interview, which will delay the exam time. According to the plan, within one week, alternative programs for 46 special examinations at Beijing universities will be released one after another.

http://news.china.com.cn/2020-02/04/content_75672254.htm

[tetano]

A confirmed patient from Anhui went to a banquet for 60 people and five cases went to the same mall
Published: 2020-02-04 16:33:17 | Source: CCTV | Author: Wang Ning
More News Enter News Center

A few days ago, Anhui has continuously released information about confirmed cases. The information in Huaibei and Hefei attracted attention.

According to the information released by the People's Government of Huaibei City, a local patient in Suixi County had taken care of his father who was hospitalized in Suoxi County Traditional Chinese Medicine Hospital before the onset of the disease, and had attended a banquet dinner of about 60 people. The specific information is:

From January 17th to 21st, the patient took care of his inpatient father in Luxi County Traditional Chinese Medicine Hospital. On the morning of January 22, I went to Zhaoji to buy New Year's products. At noon, the family went to Sipu Town, Suixi County to have a happy noodle, and we had a dinner in the same room for about 60 people. Activities in Shanxi Village, Gurao Town, January 23-25. From January 26 to 27, the patient was treated in the clinic of Shanxi Village in Gurao Town due to chest tightness and shortness of breath. On January 28, the patient rode an electric vehicle to the Xixi County Traditional Chinese Medicine Hospital for examination and returned home. The infusion treatment was continued in the health clinic of Shanxi Village, Gurao Town for 2 days. On February 1, 120 ambulances were transferred to Huaibei People's Hospital for isolation and treatment.

At present, Huaibei City has urgently activated residents' travel control. Local residents are required to stay at home, and each family can have a relatively fixed person go out to buy necessities every two days.

According to the detailed information of confirmed cases released by the people of Hefei in the past two days, five confirmed cases have entered and exited the White Horse Clothing City in Hefei. The mall is adjacent to Hefei Railway Station and Hefei Tourist Bus Station.

The specific information is:

Li Moumou, female, 46 years old, currently living in Shushan District, Hefei City, a salesman in Baima Clothing City. She developed fever, headache, nausea and other symptoms on January 25. She took medication on her own. The ambulance was referred to the First Affiliated Hospital of An Medical University. The diagnosis was confirmed on February 3 and the condition is stable.

Ge Moumou, female, 56 years old, currently lives in Changfeng County, Hefei City. On January 21st, she went to Baima Clothing City for shopping. On January 24th, she developed fever and fatigue. She was admitted to Luzhou Hospital of Integrated Traditional Chinese and Western Medicine, January 26— Infusion in the community clinic on the 29th. On January 31, I took a taxi to the First Affiliated Hospital of the Chinese University of Science and Technology and was referred to the Municipal Infectious Diseases Hospital by 120 ambulances that night. The diagnosis was confirmed on February 3 and the condition is stable.

Niu Moumou, female, 47 years old, currently living in Yaohai District, Hefei City, sales staff of Baima Clothing City, headache and fever symptoms on January 25, self-driving consultation at the First Affiliated Hospital of the Chinese University of Science and Technology on January 26, January 27-29 Rest at home, self-driving at the First Affiliated Hospital of the Chinese University of Science and Technology on January 30, and referral to the Municipal Infectious Diseases Hospital by 120 ambulances on January 31. The diagnosis was confirmed on February 3 and the condition is stable.

Wu, male, 32 years old, currently living in Baohe District, Hefei City, visited a store in Baima Clothing City where a confirmed case occurred on January 18, and developed fever, chills, cough and other symptoms on January 25, January 25-28 He lives in his home and visited the Anyi First Affiliated Hospital on January 28. The diagnosis was confirmed on February 2 and the condition is stable.

Li, female, 43 years old, currently living in Yaohai District, Hefei City, shopping in Baima Clothing City on January 22, fever symptoms on January 26, consultation at An TCM First Affiliated Hospital on January 27, and consultation on January 30 In the First Affiliated Hospital of the Chinese University of Science and Technology, on February 2, the 120 ambulance was referred to the Municipal Infectious Diseases Hospital. The diagnosis was confirmed on February 2 and the condition is stable.

http://news.china.com.cn/2020-02/04/content_75672032.htm

[Treyfish]

People's Daily, China

@PDChina
#Wuhan plans to convert another 8 existing venues, including gymnasiums, exhibition centers and sports centers, into hospitals by Feb. 5 to receive patients infected with the novel #coronavirus, local authorities said Tuesday

[tetano]

Inventory | Multi-provincial disclosure of 'gathered epidemic' of new coronary pneumonia, case schedule announced
Published: 2020-02-04 16:31:39 | Source: Beijing News | Author: Sha Qi Deng Xueliang
More News Enter News Center

Beijing News (Reporter Sha Xueliang, Deng Qi) On the afternoon of February 3, a press conference on the prevention and control of pneumonia in a new type of coronavirus infection in Beijing revealed that an infectious epidemic situation occurred in the intensive care unit of the Department of Cardiology, Fuxing Hospital. 4 Suffering from infection.

The previous day, Shandong Province informed at a press conference that the province had discovered 60 clustered epidemics, and close contacts accounted for 35.1% of the province's confirmed cases.

The Beijing News reporter combed and found that as the epidemic in many places across the country transitioned from imported to diffuse, related cases and data were disclosed in government news conferences and epidemic notifications. Guangdong, Chongqing, Hebei and other provinces have successively released confirmed diagnoses. Cases set foot in places to remind the public to strengthen protection.

In response, Beijing, Shanghai, Chongqing and other places wrote to citizens on February 3, suggesting to minimize outing activities, avoid participating in parties and group activities, and pay attention to the environment and personal hygiene.




Wards, department stores, and green leather trains

At a press conference in Beijing on the afternoon of February 3, Miao Jianhong, deputy head of the Xicheng District of Beijing, introduced that there were 9 cases of pneumonia with new coronavirus infection in the intensive care unit of the Cardiology Department of Fuxing Hospital. Nine cases were diagnosed, including 5 medical staff , 4 cases of hospitalized patients, have been transferred to designated hospitals for treatment, mainly mild.

The so-called 'aggregated epidemic', according to He Xiong, deputy director of the Beijing Centers for Disease Control and Prevention, refers to the discovery of 2 or more cases of the same case infection within a certain range, and 'is the focus and difficulty of community prevention and control.' He introduced that there are currently 41 new cases of pneumonia clustering in Beijing, involving more than 120 cases, more than half of the total confirmed cases.

According to reports, as of 2 pm on February 2, a total of 212 confirmed cases in Beijing (three reductions).

In Shandong, cluster epidemics have also become the focus of government press conferences. A Shandong press conference in the afternoon of February 2 revealed that among the 225 confirmed cases in the province, the proportion of imported cases dropped to 64.89%, and the number of close contacts rose to 35.1%, with 4 cases of the original source of infection. Still to be determined. There have been 60 cases of clustering outbreaks in Shandong Province, of which 49 were clusters of families, 6 clusters of colleagues, and 5 were collectively exposed. The average number of cases of clustered epidemic transmission was 2.15.

At the press conference, Kou Qiang, Director of the Institute of Virology, Shandong Provincial Center for Disease Control and Prevention, introduced a cluster epidemic. K1068 is a green-skin train from Hankou, Wuhan, Hubei to Weihai, Shandong, because the green-skin carriages are not well ventilated, and the driving time is long, and the exposure risk is extremely high. An epidemiological survey showed that of the 24 confirmed cases in Weihai, 2 were flight attendants, 8 were passengers, 6 were family members of the above-mentioned personnel, and a total of 16 people. The cases of this chain of transmission alone accounted for the local confirmed cases. 66.67%.

At a press conference held in Tianjin on February 2, Zhang Ying, director of the Tianjin Centers for Disease Control and Prevention's Infectious Disease Prevention and Control Office, conducted a detailed analysis of the incidence of five confirmed cases in a department store in Baodi District.

Recently, confirmed cases have appeared in a department store in Baodi District, Tianjin (the 34th, 36th, 37th, 43th, and 48th cases of cumulative diagnosis in the city), which has become a cluster epidemic. The Tianjin Health and Health Commission website has reported the cases.

Zhang Ying introduced that the 34th case was a salesperson in the small home appliances area, the 36th case was the former husband, the 37th case was a jewelry salesperson, the 43rd case was a shoe salesperson, and the 48th case was a customer. From 15:00 to 18:00 on January 23, the customer went to the shoe sales area of the department store (the area where the fourth case is located) and the jewelry area (the area where the third case was located) for shopping. After careful investigation, the disease control experts found that the 43th case of shoe sales was infected in a foreign country and became ill after returning to Tianjin, causing the virus to spread in the department store, and it happened that this customer was also infected.

In addition, in Hefei, Anhui Province, six people were diagnosed after attending the same classmate gathering; two family dinners in Heilongjiang Province caused 20 people to be diagnosed as infected.

How to protect yourself? Zhang Ying reminded that family and friends should not get together, do not go to public places, go to the hot clinic for fever, do not take medicine by yourself.

In the afternoon and evening of February 3, Beijing, Shanghai, Chongqing and other places wrote to citizens, suggesting to minimize outing activities, avoid participating in parties and group activities, and pay attention to the environment and personal hygiene.




Ji-Yue-Guang-Min-Gan announces case itineraries and locations

In the past two days, the Handan, Shijiazhuang, and Zhangjiakou Government Information Offices in Hebei Province have successively released four reminders on the itinerary of local confirmed cases, involving a total of 29 confirmed cases.

Take the sixth example published by Shijiazhuang City as an example: a male, 31 years old, from Nanjing, reunited with his family from Nanjing to Wuhan on January 17, and took a T254 train (11 cars) from Wuchang with his family to Shijiazhuang on January 20 , Living in my brother's house (Qiaoxi District, Shijiazhuang City). She had runny nose and fever on January 24th and went to the Fifth Hospital of Shijiazhuang City for treatment. The diagnosis was confirmed on January 26th.

There are more than 90,000 reads of the 4 messages at least, and more than 100,000+. This move won a lot of praise from netizens, saying that 'it is necessary to be open and transparent' 'such a reminder can have a spread effect'.

The Beijing News reporter found that recently, Guangdong, Jiangxi, Fujian and many other places have begun to announce the places and communities where confirmed cases are involved.

Shenzhen was the first city in the country to release relevant information. On January 30, a total of 31 communities or places where confirmed cases had been active during the onset were announced.

Previously, the relevant person in charge of the Shenzhen Municipal Health and Health Commission told the media that information disclosure not only helps citizens understand the development of the epidemic, but also reduces panic and avoids rumors. The clearer the information is, the more citizens have the right to know and be safe. A sense of awareness can also help the public understand how to manage themselves and be more vigilant. To this end, the Shenzhen Municipal Health and Health Commission will make the public information accurate from the administrative area where the case is located to the specific residential area.

'It will definitely be better when it is announced.' Ms. Shang, who has worked and lived in Shenzhen for nearly 20 years, told reporters that the more the information is published, the more targeted the ordinary citizens will be.

Following Shenzhen, Guangdong, Zhongshan, Zhuhai, Meizhou, Foshan, Fujian Xiamen, Putian, Jiangxi Xinyu, Chongqing Wanzhou, Zhongxian, Changshou and other places have also announced the locations and areas involved in the case.

On February 1, Nanchang City, Jiangxi Province announced the “detailed addresses” of 83 confirmed cases. The reporter found from the published form that the published address was down to the street, town, community, and village levels. On February 2nd, Nanchang City announced the addresses of 6 additional confirmed cases.

'Responding to the epidemic with information transparency and avoiding social panic.' A few days ago, Wang Hongwei, an expert in the construction of the national health emergency system and a researcher at the National Development and Strategic Research Institute of Renmin University of China, wrote in the Beijing News that from the experience of SARS in the past year, When the authoritative information is absent, the gossip news will occupy a vacuum and satisfy people's informed mentality, but it will also cause huge social panic and trigger a panic buying of medicines and commodities such as banlangen, vinegar and anti-viral oral liquid.

Some provinces have not released specific case information. At a press conference on the prevention and control of epidemics in Linyi City, Shandong Province on February 1, a reporter once asked whether the name of the quarantined community could be announced. Relevant leaders of Linyi City said that considering personal privacy issues, it is currently inconvenient to release.

A staff member of the Provincial Government Information Office told the Beijing News reporter that protecting privacy is indeed an important consideration for not publishing more detailed information.

'New patients live upstairs previously confirmed patients' Jin Meng and other places revealed the connection between the cases

The release of epidemic information is a national legal arrangement for the prevention and control of infectious diseases. In terms of the frequency of notification of pneumonia outbreaks of new coronavirus infections, the health committee websites of most provinces such as Beijing, Shanghai, Chongqing, Tianjin, Guangdong, and Liaoning now report twice a day; Zhejiang, Hebei, Tibet, Guangxi and other provinces and regions The committee is notified once a day. The specific contents include the total number of cases, the number of new cases, cured and discharged cases, critical cases, and death cases.

Each province's health and health committees have different levels of detailed information on epidemic notifications every day, and some have very rich information. For example, the Inner Mongolia Autonomous Region Health and Health Commission ’s epidemic report on February 2 was widely disseminated because of the statement “Living Upstairs in a Certain Case”.

The content of this notification is: newly diagnosed cases. Bailao, Dalate Banner, Ordos City, male, 40 years old, born in Dalait, lived upstairs in the confirmed case, there is no history of going out in this city and no contact with fever patients. , Have not been to the farmer's market, no history of wildlife contact. On January 29, the patient was conscious of chest tightness, nausea and fever, and arrived at Lat Qi People's Hospital by car on the 31st. On February 1, a confirmed case of pneumonia of a new coronavirus infection was identified after expert consultation.

The recent outbreak report from the Inner Mongolia Autonomous Region Health and Health Committee has detailed the basic information of the cases and the results of epidemiological investigations.

Similar to Inner Mongolia, the morning bulletin of the Health and Health Committee of Gansu Province on February 3 detailed the 11 new cases. The notification not only introduced the basic information and condition of the case, but also explained the hospital and epidemiology Findings. Of the 11 cases, 6 had close contact with the diagnosed relatives; 3 had no clear history of contact; the other 2 returned from Taizhou, Jiangsu and Wuhan, Hubei, respectively.

The Beijing News reporter found that the Tianjin Municipal Health and Health Commission's epidemic report was also more detailed. The two confirmed cases notified on the afternoon of February 3 both identified close contacts. Among them, the 55-year-old female patient aged 56 lived in Nankai District, Tianjin, and was the family member of the 9th and 21st confirmed cases, who were close contacts. The 56-year-old female patient, 32 years old, lived in Lutai Town, Ninghe District, Tianjin, and was the family member of the 38th confirmed case, who was a close contact.

Observed

27 provinces have held a special conference on epidemic notification

According to incomplete statistics from Beijing News reporters, as of February 3, out of 31 provinces in mainland China, except Hebei, Liaoning, Guizhou, and Gansu, 27 provinces held press conferences on the epidemic situation, and established routines in many places. The press release system has held daily press conferences from late January and invited multiple functional departments to answer questions on the spot.

Earlier press conferences were held in Shanghai and Guangdong Province, both of which started in the afternoon of January 21, and then a routine release system was formed. Hubei Province has held a regular press conference every day since January 23, and held a total of 13 as of February 3.

Beijing's response time is also relatively early. On January 24th, New Year's Eve held a press conference. As of February 3, a total of 9 conferences were held. Also held daily daily press conferences in Zhejiang, Shanghai, Tianjin and other places.

At the conferences in various places, multi-functional departments and professionals jointly released the situation and answered questions on the spot. For example, up to now, a total of 9 routine press conferences in Beijing have invited functional departments such as the Health and Medical Commission, Education Commission, Transportation Commission, and Medical Insurance Bureau to report on the diagnosis data, school arrangements, traffic control, and medical supplies.

Expert interpretation is essential. For example, at the eighth conference in Zhejiang Province, Qiu Yunqing, an infectious disease expert, executive vice president and doctoral supervisor of the First Affiliated Hospital of Zhejiang University Medical College, interpreted pneumonia-related prevention and control knowledge on the spot. At the first press conference in Guangdong Province, Zhong Nanshan, an academician of the Chinese Academy of Engineering, came to answer questions from reporters.

In response to hot issues or online news that people are most concerned about, many places can respond in a timely manner at the press conference.

For example, at a regular press conference in Hubei Province, we responded to hot issues such as the 6% commission charged by the Red Cross and the shortage of protective clothing and masks. At the regular press conference in Beijing, they responded to why the suspected cases were not released and whether the city was closed.

In Hubei, in order to minimize the gathering of people and ensure the safety of publishers and media, a new method was adopted at the conference. According to CCTV reports, in the evening of February 2, the Hubei Provincial Press Conference used video remote questioning for the first time. At the scene, only the publisher, host, and staff who provided network signal transmission, media reporters asked questions remotely through video connections.

http://news.china.com.cn/2020-02/04/content_75672030.htm

[tetano]

China releases 丨 new cases of new coronavirus pneumonia in Shanghai
Published: 2020-02-04 14:44:20 | Source: China Network | Author: Guo Zehan

China Net, February 4th According to the Shanghai Municipal Health and Health Commission, at 02:00 on February 4th, 11 new cases of coronavirus pneumonia were newly added in Shanghai, and a total of 219 cases were confirmed.

At 02:00 on February 4th, 4 suspected cases of pneumonia of new coronavirus infection were ruled out in Shanghai; 2 new cases were cured and discharged; 11 confirmed cases were added, including 1 severe case. Among the newly confirmed cases, 2 were foreigners coming to Shanghai and 9 were permanent residents in Shanghai.

As of 12:00 on February 4th, Shanghai had eliminated 527 suspected cases and found 219 confirmed cases. Of the confirmed cases, there were 112 males and 107 females; the oldest was 88 years old and the youngest was 7 months old; 121 had a history of living or traveling in Hubei, 8 had a history of living or traveling outside Hubei, and 90 had a history of contact with related cases; There were 81 foreigners coming to Shanghai and 138 permanent residents in Shanghai.

Currently, 191 patients are in stable condition, 8 patients are critically ill, 7 patients are critically ill, 12 patients are cured and discharged, and 1 patient has died. There are still 229 suspected cases under investigation.

http://news.china.com.cn/txt/2020-02/04/content_75671791.htm

[tetano]

Released by China 丨 China Civil Aviation Administration: Major domestic airlines ensure continuous international flights
Published: 2020-02-04 14:15:31 | Source: China Network | Author: Guo Zehan

China Net News, February 4th According to the China Civil Aviation Administration, affected by the new coronavirus epidemic, the international aviation market demand has dropped sharply, and some countries have implemented restrictions on the entry and exit of Chinese citizens. At present, 46 foreign airlines have announced the suspension of flights to and from mainland China. In order to meet the needs of passengers in and out of the country and international transportation of materials during special periods, the Civil Aviation Administration requires domestic airlines to cancel some flights in consideration of market demand, and in addition to the implementation of navigation restrictions by the other country, to ensure continuous navigation in the navigating countries.

As of February 3, a number of airlines including Lufthansa, Air KLM, British Airways, Austrian Airlines, Swiss Air, British Airways and United Airlines, American Airlines, Air Canada, El Al, Scandinavian Airlines, Finnair Fly China.

(Edit: Guo Zehan)

http://news.china.com.cn/txt/2020-02/04/content_75671693.htm

[Treyfish]

@disclosetv
Chinese authorities have enforced a full community lockdown in #Nanjing Province now amid #CoronavirusOutbreak - reports

[NawtyBits]

They forgot about the death in Hong Kong...still watching.....

Maybe they don't know about it yet....

[sharon sanders]

live video update WHO https://www.youtube.com/watch?v=XgBz...ature=emb_logo

They forgot about the death in Hong Kong...still watching.....

[Treyfish]

live video update WHO https://www.youtube.com/watch?v=XgBz...ature=emb_logo

[Pathfinder]

Translation Google

[Yangtze River Cloud] How long can the virus survive in the air? Experts from the Central Steering Group respond to eight issues
2020-02-04 09:18  |  Chutian Metropolis Daily

At 21:00 on February 3, the Hubei Provincial New Coronary Virus Infection Pneumonia Prevention and Control Headquarters held a regular press conference, and medical experts from the Central Steering Group answered questions from the media on issues of public concern.

How long can the virus survive in the air?

Expert: Viruses don't float in the air

Jiang Rongmeng, a member of the expert group of the National Health and Medical Commission and the chief physician of the Second Division of Infectious Diseases at Beijing Ditan Hospital, said: First, the virus is transmitted through droplets or contact. The droplets usually pass through coughing and sneezing, and its transmission distance in the air is limited. One meter or two meters, it settles out of the human body quickly, and will not float in the air. In this sense, there will be no virus in the air, and there is no question of how long the virus will survive.

"Since the droplets can settle, there may be viruses on the surface of the surrounding objects or through our hands. It will contaminate the surfaces of the objects we touch. For example, door handles, elevator buttons, viruses will contaminate it." Jiang Rongmeng said that research has now found that the virus can survive for several hours on smooth surfaces. If the temperature and humidity are appropriate, it can survive for several days. For example, in a 20 ? C environment with a humidity of 40%, studies have shown that the new coronavirus can survive for up to 5 days. If a person sneezes, if he does not pay attention to cover it, he will have virus. The virus will contaminate the door handle and the elevator button. If the next person does not wash his hands, he rubs his eyes and buckles his nose after contact. The virus can spread through contact. Often the droplets of respiratory infectious diseases are spread by hand, and everyone must wash their hands. This is a very important point.

How strong is the body's resistance to self-healing to the new coronavirus?

Expert: Only a few patients can develop severe or minor

Qiu Haibo, a member of the expert group of the National Health and Medical Commission and deputy director of the Zhongda Hospital affiliated to Southeast University, said: First of all, for the new coronavirus, it is said to be new because it is different from the traditional coronavirus. In other words, we have no immunity to such a virus in the past. It is precisely because of such a premise that such a virus is generally susceptible to people. This is the consensus of everyone today.

But from another perspective, it does not mean that everyone is susceptible, everyone will be infected, and everyone will be sick. Now we can at least see that some people who have come into contact with the virus may have several different reactions: one has sufficient resistance and can clear the virus itself. Many patients are mild, showing weakness, low fever, fever, and thirst. Only a few patients develop severe or mildly severe. That is to say, although the body is susceptible, the body's immune system responds to it in most cases. Only a few abnormal reactions or large numbers of viruses can develop into severe or slightly severe.

Does asymptomatic confirmed cases require special treatment? Jiang Rongmeng, a member of the expert group of the National Health and Health Committee and the chief physician of the Second Department of Infectious Diseases of Beijing Ditan Hospital: Asymptomatic infections have been found throughout the country. He has no clinical symptoms, but can detect the new crown virus. Some people say that asymptomatic infection is contagious or that there is a mutation in the virus, but no mutation has been found. In addition, he does not need special treatment, but also needs some isolated observation. Since he has no symptoms, but has a nucleic acid-positive condition, and is not contagious, from our general understanding of infectious diseases, his contagion is very weak, even if there is. As a respiratory infectious disease, excretion of pathogens requires symptoms to be transmitted, such as a cough, he can excrete the virus. If there is no symptoms, it is generally considered that its infectiousness is very weak even if there is, so we do not need to worry too People with no symptoms.

Has the coronavirus mutated?

Expert: No evidence of virus mutation found

Qiu Haibo, a member of the expert group of the National Health and Medical Commission and deputy director of Zhongda Hospital Affiliated to Southeast University, said: Coronavirus is a single-stranded RNA virus, which is relatively stable and may mutate, but has a lower mutation probability than influenza viruses. . Influenza viruses mutate over several months, and the probability of coronavirus mutations is relatively low. "But we still have to be vigilant about whether it will mutate. Throughout the course of the disease, we have recently noticed that the degree of infection of patients in the second and third generations seems to be declining. Is there a change in the virus or other reasons? Closely monitor whether the virus is mutating, at least from the current evidence, no evidence of virus mutation is found. Of course, if the virus mutates during this process, relatively speaking, we need to deal with it medically, and the virus mutates at the same time After that, there are corresponding measures in epidemiological and disease control. "

How to reduce the mortality rate of new pneumonia?

Expert: Antiviral therapy is key

Qiu Haibo, a member of the expert group of the National Health and Medical Commission and deputy director of the Zhongda Hospital affiliated to Southeast University, said that how to reduce the mortality rate and reduce the development of patients with severe and critical illness is the key and focus of medical treatment.

First of all, when this new type of coronavirus coronavirus pneumonia actually develops from ordinary or mild to severe, it often takes a long time compared with influenza A and avian influenza. Second, often the symptoms are not so strong. The patient's performance this time was fever, dry cough, and generalized body strength. The performance was not so typical, and it would take a while to develop into a severe condition. Such a patient would take time to develop into a severe condition. Such patients were fine a week ago, but after one week and ten days later they became severe, which is a difficult point.

"In the fifth edition of the treatment guidelines, we particularly emphasized how to detect severe diseases early. In addition to clinical observations, we particularly emphasized the monitoring of blood oxygen saturation. Because the monitoring of blood oxygen saturation is conducive to our discovery, give him early intervention, which It is the first one. "Second, as viral infection, etiology treatment, antiviral treatment should be the key. However, it is very regrettable that there is currently no fully proven effective antiviral treatment. This does not mean that we cannot treat without antiviral treatment. At present, there are some anti-AIDS drugs or other therapeutic drugs. We noticed that it may have been found in cells or in vitro experiments to have anti-new coronavirus replication effect. These things are being researched accordingly, and we look forward to the results. In antiviral treatment, viral infections can cause fever and fatigue. Many drugs, injections of traditional Chinese medicine, and antipyretic and analgesic drugs all play an important role, and it is also important to relieve symptoms. Third, the treatment of patients with respiratory failure. The sign that a patient develops into a severe condition is that the patient has respiratory failure, fast breathing, and hypoxic manifestations, which is severe or critically ill. In this process, conventional oxygen therapy, nasal high-flow therapy, non-invasive ventilation, mechanical ventilation, and ECMO therapy have been formed today. The patient often enters the severe disease with a slower time to develop symptoms, and some patients are not so typical, and they manifest as hypoxemia. Early detection of hypoxemia, he is given non-invasive ventilation intervention to prevent the severe patient from becoming critically ill. The essential.

Is Shuanghuanglian effective for preventing new crown virus?

Experts: There is no suitable drug prevention for new crown virus

Zhang Boli, an expert of the National Health and Medical Commission and an academician of the Chinese Academy of Engineering, said: "At present, what medicine is stored in the home and what medicine to take are two concepts. We do not advocate that people who are not sick take medicine, and there is no suitable drug prevention for new crown virus."

Zhang Boli said that the so-called traditional Chinese medicine treatment does not target the virus, but regulates the immune state of the body. We get sick. It is the result of the game and struggle between the virus and the human immune system. Often, the virus wins and we get sick. The infection is also mild. Therefore, it is not advisable for everyone to take Chinese medicine for prevention. However, some medicines stored in the home are effective for common cold and flu.

Shuanghuanglian was very hot a while ago. Shuanghuanglian is relatively cold and is not suitable for ordinary people. If the body has no internal heat, it is easy to diarrhea after eating. And this medicine has a inhibitory effect on the new coronavirus. How is clinical? No evaluation. It is too early to use it for prevention and treatment. Without sufficient evidence, we do not advocate that patients who do not get sick use it for prevention, it is not necessary.

What is the effect of Chinese medicine on the treatment of new coronary pneumonia?

Expert: Traditional Chinese medicine plays a significant role in the treatment of new coronary pneumonia

Zhang Boli, a member of the expert group of the National Health and Medical Commission, an academician of the Chinese Academy of Engineering, and president of Tianjin University of Traditional Chinese Medicine said, "Not long ago, the National Health and Medical Commission and the National Bureau of Traditional Chinese Medicine issued a notice calling on us to produce The method of combining Chinese and Western medicine. We believe that the epidemic is a disease of wet evil, and this time we will give full play to the advantages of traditional Chinese medicine. "

First, in terms of improving symptoms, the symptoms of this disease are mainly fever, cough, fatigue, and some symptoms of the digestive tract. The treatment of cough with traditional Chinese medicine has better effects in the early and early stages, and the improvement of fatigue is more obvious. At the same time, the improvement of nausea and diarrhea is easier. Traditional Chinese medicine also has a role. Some patients are anxious and irritable. After taking the traditional Chinese medicine, the improvement is more obvious.

Second, we have summarized mild patients, which are easily cured after treatment with Chinese medicine. Moderate patients have significantly reduced their conversion to severe cases, and they have not been controlled to switch to severe or critical cases after taking the medicine.

Third, for severe and critically ill patients, the addition of traditional Chinese medicine can stabilize blood oxygen saturation, stabilize blood oxygen saturation, improve dyspnea, and has an adjuvant treatment effect in this regard.

"We now find that the nucleic acid of the patient during the recovery period is negative for both tests, but the patient still has symptoms, such as fatigue, cough, and poor appetite. In particular, the changes in the lung film and the symptoms and signs are not symmetrical. Synchronization. Even so, sometimes the lung film still has some inflammation that is not absorbed. In this case, although it is not contagious and can be discharged, it does not mean that the disease has been cured. This stage of treatment with traditional Chinese medicine is more obvious. Therefore, it is a good idea to adopt the method of integrating Chinese and Western medicine. "

Will the recovered patients be reinfected?

Expert: Will not be re-infected for at least six months

Qiu Haibo, a member of the expert group of the National Health and Medical Commission and deputy dean of the Zhongda Hospital affiliated to Southeast University, said that more and more patients with mild, severe and mildly severe diseases have been discharged. The rehabilitation of these patients is actually a matter of great concern to everyone. problem.

After being discharged from the hospital, this type of patients must first perform comprehensive recovery and rehabilitation. This type of rehabilitation includes physical rehabilitation, proper activities, appropriate rest, and overall physical recovery. On the other hand, psychological and spiritual recovery.

The coronavirus infection has a relatively obvious impact on immune function. Even after being discharged from the hospital, this type of patients, especially those with severe illness, still need to be protected to avoid secondary virus infections. The appearance of other secondary bacterial infections is one aspect.

Will such patients be contagious after discharge? Qiu Haibo said: "At least from our years of research or clinical experience, in fact, patients in the rehabilitation period are not infectious, and discharged patients are not infectious. Viral diseases will produce antibodies after a week or two, and the recovered patients have produced After the anti-virus antibody, as long as the antibody is present for a period of time, it can resist the infection of the new coronavirus. Although the antibody is not a lifetime, it has a sufficient degree of resistance for at least half a year or longer, that is, half a year No re-infection of this new type of coronavirus will be found.

(Source: "Chutian Metropolis Daily" February 3, 2020)

http://wjw.hubei.gov.cn/bmdt/ztzl/fkxxgzbdgrfyyq/jkkp/202002/t20200204_2018788.shtml

[Pathfinder]

Foreign Ministry Spokesperson Hua Chunying's Daily Briefing Online on February 4, 2020

Q: China said this morning that it hopes the relevant assistance from the United States will be provided as soon as possible. Are China and US now discussing the details of this assistance? What kinds of assistance are involved?

A: We noted that the US repeatedly expressed readiness to offer China assistance. We hope such assistance will materialize at an early date.

Q: Can you provide more details (age, nationality, etc.) on the foreigners in China who have been infected with the novel coronavirus?

A: To protect the privacy of the people involved, we don’t think it appropriate to disclose their personal information, including their nationalities.

Q: In the 146th WHO Executive Board Meeting yesterday, Director-General Dr. Tedros stressed again that where precaution is necessary, there’s no need for overreaction. WHO advises against travel or trade restrictions, calls on all countries to implement decisions that are evidence-based and convincing, and warns of the dangers posed by the spread of rumors and misinformation. I wonder if you have any comment?

A: As we noted, WHO Director-General Dr. Tedros repeatedly stressed that this is the time for facts, not fear. Virus is horrible. What’s more horrible is rumors and panic. WHO has been calling on countries to implement decisions that are evidence-based.

The fact is that since the onset of the outbreak, China has taken unprecedentedly strict prevention and control measures, many of which far exceed WHO recommendations and IHR requirements. According to a WHO report released on February 3, there are altogether 153 confirmed cases of the 2019-nCoV outside China, which is less than one percent of the number in China. In contrast, in 2009, the H1N1 flu in the US spread to 214 regions and countries. Thanks to China’s efforts, we have effectively contained the cross-border spread of the 2019-nCoV. WHO applauded China, saying it’s setting a new standard for outbreak response.

The fact is that according to media reports, the 2009 H1N1 flu had a mortality rate of 17.4%. The mortality rate of MERS of 2012 was 34.4% and Ebola 40.4%. With China’s unrelenting efforts, the 2019-nCoV mortality rate in China is about 2.1%, much lower than the figures above. Since February 1, cured cases began to outnumber deaths. As of 12am February 3, a total of 632 patients have been cured and discharged. We have the confidence and the capability to win this battle.

The fact is that the major purpose that the WHO declared the 2019-nCoV a public health emergency of international concern is to help ill-prepared countries with weaker health systems to get necessary international assistance. The WHO doesn’t approve of and even rejects travel and trade bans on China. It has said repeatedly that China has taken firm and strong actions, and that it is confident in China winning this battle. However, it was precisely some developed countries with sound health systems and advanced public health capabilities that imposed excessive restrictions on China, which clearly runs counter to WHO advice. Even American media and experts doubted the government’s decision, saying that the US government’s restrictions on China are precisely what the WHO rejects and cannot really reduce risks of virus spreading. German media stated that in front of the epidemic, if we are compassionate and ready to help, fear and panic will fade away. If we lose humanity, it will not just be a battle against disease that we lose.

I want to stress that virus knows no borders. The epidemic is temporary, but cooperation lasts. Faced with the public health crisis, countries should work together to tide over the difficulties. It serves the common interests of all.

Q: The world is watching the epidemic in China with care and concern. We have seen many Japanese netizens gathering under social media accounts of the Chinese embassy in Japan, telling China to stay strong and showing support to Wuhan. Do you have a comment?

A: I have also seen relevant reports and I am deeply touched. Since the outbreak of the epidemic, the Japanese government and people have expressed sympathy, understanding and support to us.

The Japanese government made it clear very soon since the outbreak of the epidemic that it will do whatever needed to help China fight the epidemic. The Japanese government and businesses have donated to China masks, goggles, protective suits and other supplies for epidemic prevention and control. On the packages donated to Wuhan read the words “Though miles apart, we are under the same sky” “Together we stand, my armors thine”. Going online, I saw photos with slogans put up at many drug stores in Japan reading “Stay strong, China” “Come on, Wuhan”. The Tokyo Skytree has been lit up in red and blue to cheer up and pray for China. An official from the Japanese Ministry of Health, Labor and Welfare denounced extreme and discriminatory remarks from some countries at a press conference, saying what is at fault here is virus, definitely not people. I heard that one headmaster of a Japanese school sent a letter to parents, telling pupils that this is not the time to badmouth China and Wuhan.

I believe many Chinese netizens have also noticed these heartwarming details. We thank all the countries for their sympathy, understanding and support during this difficult time. We will keep these in our heart.

What the virus has done is cruel and will not last. What the people has done is touching and will be remembered forever. We will continue to work with the international community to fight against the epidemic with all-out efforts. We will strive to return to normal life at an early date and continue our friendly exchanges with people from all countries.

Q: According to media reports, on February 3 local time, IMF Managing Director Kristalina Georgieva expressed deep sympathies to all those affected by the serious situation related to the coronavirus, support for China’s efforts to respond , and confidence that China’s economy remains resilient. What’s your comment?

A: We have also seen relevant reports and appreciate Ms. Georgieva’s remarks. The deputy head of the NDRC Lian Weiliang said at the State Council press conference on February 3 that the epidemic is influencing China’s economy, especially consumption, and such influence is increasing. But it is temporary and will not change the fundamentals of China’s economy which will remain sound for a long term. We are capable of and confident in winning this hard battle against the epidemic and will strive to minimize its impact on China’s economy. We are fully confident in the prospect of China’s economy.

Q: Do you think Italy “overreacted” considering that it stopped flights with China?

A: As you may know, the WHO has made it clear that it does not recommend and even opposes travel restrictions against China.

The Chinese government is making all-out efforts to combat the epidemic, releasing information in an open, transparent and responsible manner, and taking the most comprehensive and rigorous prevention and control measures. All this has been fully recognized and highly appreciated by the international community.

China understands that some countries have taken appropriate measures to prevent and control the spread of the epidemic, but hopes that all countries can assess the epidemic situation in an objective, fair, calm and rational manner, understand and support China's epidemic control efforts. The measures they take should be in line with WHO recommendations rather than exceed reasonable levels, and should not affect normal personnel exchanges and practical cooperation in various fields.
...

Q: Yesterday you mentioned that some countries have overreacted. Does this include Germany seeing that Germany has sent a plane to evacuate its citizens from Wuhan?

A: Germany has donated supplies to help us fight the epidemic, and German leaders expressed their support for us. China has also assisted Germany in flying some of its nationals out of Wuhan.

Q: Does China have plans to invite Latin American and Caribbean experts to join investigations on the coronavirus and the development of a vaccine?

A: China has been cooperating with the WHO and the international community in an open, transparent and responsible manner. I refer you to the National Health Commission for more information.

Q: A Chinese delegation canceled its participation at a defense expo in India this week. Could you confirm this?

A: I’m not aware of that and refer you to the competent authorities.

Q: First, the Japanese government has confirmed that a 60-year-old Japanese man contracted pneumonia and was admitted to a hospital in Wuhan. Did the 16 foreigners infected in China as you said yesterday include this man in his 60s? Second, speaking of the cases of foreigners in China, does that include places outside China’s mainland or only refer to the mainland?

A: On your first question, we are not in a position to disclose such information for the protection of the privacy of the people involved.

On your second question, my understanding is that it is China’s mainland.

Q: In recent days, some media reported that Russia may repatriate patients with the new coronavirus pneumonia. Have China and Russia discussed this issue? What is China's comment?

A: We have noted that on the evening of February 3, the Russian government leader clarified that the patients in Russia will make their own decisions on leaving or staying after they are cured.

At present, there are two confirmed cases in Russia, and both are Chinese citizens. They are receiving professional treatment from the Russian side and are in good conditions. We appreciate that. Going forward, we will continue our close coordination with the international community, including Russia.

https://www.fmprc.gov.cn/mfa_eng/xwfw_665399/s2510_665401/2511_665403/t1740278.shtml

[Shiloh]

Source: https://www.cnnphilippines.com/news/...te-lower-.html

Novel coronavirus’ death rate going down – WHO
By Catherine A. Modesto, CNN Philippines
Published Feb 4, 2020 5:49:44 PM

Metro Manila (CNN Philippines, February 4) – The case fatality rate of the novel coronavirus (2019-nCoV) is “going down,” the World Health Organization said Tuesday.

WHO representative to the Philippines Dr. Rabindra Abeyasinghe noted that the 2019-nCoV’s death rate fell to about 2 percent, during a Senate hearing on the government's preparations in addressing the 2019-nCoV outbreak, which originated in the Chinese city of Wuhan.

The WHO previously said that the death rate was slightly higher -- at 2.3 percent.

As of Tuesday, a total of 427 people have been reported to have died after getting infected with the virus, with two of the deaths reported outside of China. On the other hand, 2019-nCoV afflictions have soared to more than 20,400, according to WHO data.

“We are testing the people who are less severely affected, who have mild symptoms,” he added...

[Shiloh]

Source: http://www.bjnews.com.cn/news/2020/02/04/684397.html

2020-02-04 20:36:42 Beijing News Reporter: Xu Wen Editor: Chen Si
Outbreak reporting system behind new pneumonia

The four cases reported on December 29 last year unveiled the tip of the iceberg for the discovery of the epidemic.

In the ongoing epidemic of new coronavirus pneumonia, a "system" is quietly operating.


The history of this system can be traced back to the "SARS" period-it cost 1.1 billion yuan, and has continuously monitored 39 legal infectious diseases in China in the past 15 years. Among them, Class A infectious diseases can be directly reported within 2 hours.


After SARS, China has established the world's largest online direct reporting system for infectious diseases and public health emergencies (referred to as the direct online reporting system). On January 20, pneumonia infected with a new type of coronavirus was included in the management of statutory infectious diseases by the National Health Commission, and the direct online reporting function was officially opened 4 days later.


A reporter from the Beijing News learned from the local disease control department that suspected cases of new pneumonia admitted to hospitals across the country should be reported online. The confirmed cases after nucleic acid testing should be reported again. The data in the system goes directly to the CDCs at all levels, including the China CDC.


The world's largest outbreak reporting system


Fill in the case report card and submit.


Almost as soon as this operation is completed on the hospital side, the disease control agencies, health administrations and governments at all levels across the country will receive information on the same cases.


This infectious disease network direct reporting system that covers the whole country and is directly reported by the central government is the world's largest network direct reporting system for infectious diseases and public health emergencies. It has continuously monitored 39 legal infectious diseases in China in the past 15 years.


The origin of this system can be traced back to the period of SARS.


Although China introduced the statutory infectious disease reporting system in 1959, for a long time, the "original" method of manually filling in infectious disease report cards was used. The information of a case needs to pass a filled-in card, go through the township, county, city, province, country and other levels of reporting and summary statistics. The initial outbreak information often takes more than a month, or even months, to reach decision makers. It is very difficult to obtain the outbreak data like a needle in the sea.


In 2003, the Chinese Center for Disease Control and Prevention set up this direct network reporting system. As of April 1, 2004, it was officially put into operation, with a total investment of more than 1.1 billion yuan.


At present, the online direct reporting system covers all disease prevention and control institutions at or above the county level, as well as 98% of medical institutions at or above the county level and 96% of township health centers.


With the online direct reporting system, medical and health institutions at all levels can report directly to the national level when they discover infectious diseases or public health emergencies that are required to be reported. The average reporting time for infectious disease information was shortened from 5 to 7 days to 2 to 4 hours.


The first direct network report


On December 29, 2019, Zhang Jixian, director of the Department of Respiratory and Critical Care Medicine, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, and the hospital reported 4 cases of "unknown cause of pneumonia". A report from the Changjiang Daily revealed the news.


This is currently available for public examination, the earliest online direct report of this new pneumonia. This direct report opened the tip of the iceberg for the discovery of the epidemic.


Experts from the Chinese Center for Disease Control and Prevention have also confirmed this information in the paper "The dynamics of the initial transmission of new coronavirus-infected pneumonia in Wuhan, China" published by The Lancet. The paper mentioned that on December 29, 2019, the local hospital used the "unknown cause pneumonia" monitoring mechanism and found the earliest reported 4 cases, all of which are related to the South China Seafood Wholesale Market.


As a new disease that is poorly understood in humans, pneumonia infected with a new coronavirus was not originally listed in the direct network reporting system. Inside the system, its initial figure was "unknown cause of pneumonia."


"Unknown cause of pneumonia" is a term put forward after the SARS epidemic in 2003, and a monitoring mechanism has been established in order to detect new pathogens as soon as possible. The new coronavirus is one such case.


According to the "unknown cause pneumonia" case monitoring and reporting system, hospitals at all levels and various types of cases of "unknown cause pneumonia" should immediately report to the hospital, and the hospital will organize hospital expert consultations and investigations within 12 hours. If the diagnosis is still not clear after the consultation, you must indicate "unknown cause of pneumonia" for direct online reporting.


However, in the early stage of the new pneumonia epidemic, because the management of legal infectious diseases was not clearly conducted, it was not ruled out that doctors were not reported due to insensitivity.


The above paper disclosed that from December 8 to December 31, 2019, a total of 41 cases of infection were reported.


Report within 2 hours


On January 15, Shenzhen reported its first case through the direct network reporting system. "Reported as other diseases because at that time (new coronary pneumonia) was not listed as a Class B infectious disease report." Shenzhen health system insiders told reporters.


On January 20, pneumonia infected with a new type of coronavirus was included in the management of class B infectious diseases, and measures for the prevention and control of class A infectious diseases were adopted. This means that the state has raised the prevention and control response to the new pneumonia epidemic to the highest level.


"For the direct reporting of new coronaviruses, adjustment of system information settings and personnel training require a process." Feng Zijian, deputy director of the China Centers for Disease Control and Prevention said in an interview with a reporter from the Beijing News.


According to Shan Guangliang, a professor at the Institute of Basic Medical Sciences of the Chinese Academy of Medical Sciences, in accordance with the national requirements for a new pneumonia prevention and control program, the China Centers for Disease Control and Prevention has completed the development and testing of the dynamic monitoring function of the new crown pneumonia network reporting system.


On January 24, the online reporting function of New Crown Pneumonia was officially launched. This means that local hospitals can report information on new cases of coronary pneumonia in the direct network reporting system.


According to the "Administrative Measures for the Reporting of Information Reports on Surveillance of Public Health Emergencies and Infectious Diseases" revised by the former Ministry of Health in 2006, the epidemic of Class A infectious diseases should be reported within 2 hours.


The person in charge of a disease control center of a city in Hubei Province told reporters that the specific process of reporting is: Suspected cases of new coronary pneumonia found by various medical institutions after consultation, are submitted to the expert group for consultation every day, and the consultation can be reported directly to the Internet through the suspected case. Later, those who were positive were reported by the designated hospital as confirmed cases, and those who were negative were excluded, and reported or dealt with according to the revised other diseases. The data reported by the designated hospitals to the system can go directly to the CDCs at all levels, including the China CDC.


24/7 operation monitoring


In addition to the basic personal information such as name and occupation, the information in the reported cases is also recorded in the direct reporting system.


Shan Guangliang, a professor at the Institute of Basic Medical Sciences of the Chinese Academy of Medical Sciences, believes that such direct network reporting enables rapid reporting of case information, diagnosis and treatment information and sources of infection of new types of coronavirus pneumonia infection cases, improving the timeliness and speed of epidemic surveillance. Monitor the accuracy of the information.


"Simply put, it is early detection, accurate detection, and complete detection of the new coronavirus pneumonia infection." Shan Guangliang said that any case found in a hospital was directly reported to the Chinese Center for Disease Control and Prevention, and the data was reported. Analysis, you can understand how many mild, severe or dead cases have occurred, the gender and age distribution of the cases, and the number of cases in various regions, etc., you can grasp the status and epidemic situation of the epidemic in a timely and accurate manner, which is beneficial to Make scientific prevention and control decisions.


Surveillance of the virus will not stop after the epidemic is over.


Shan Guangliang said that after the surveillance system is operated, it will be monitored 24 hours a day. Even if the epidemic situation has passed, it will be fully monitored in the "peacetime" to prevent the epidemic from returning.



Beijing News reporter Xu Wen
Editing Chen Si Proofreading Zhang Yanjun

[Shiloh]

Source: https://tech.sina.com.cn/roll/2020-0...e8838054.shtml

Local infection cases increase in Chongqing, CDC experts report 3 cases worth attention

Original title: Local infection cases increase in Chongqing, CDC experts tell 3 cases worth attention Source: People's Daily Online

Text ｜ People's Network Chen Qi, Liu Min, Yao Yu

On February 4th, the Chongqing Municipal Government Information Office held a routine news briefing on the prevention and control of pneumonia epidemic of new coronavirus infection. Zhao Han, deputy chief physician of the Infectious Disease Prevention and Control Center of the Municipal Center for Disease Control and Prevention, told three cases on the spot, and introduced the cases and clues of the cluster virus transmission route to the citizens in detail.

Zhao Han said that the current situation of prevention and control of pneumonia of new coronavirus infection in the city is very grim. The vast majority of confirmed cases during the Spring Festival are imported cases of infection in Hubei or Wuhan. The number of family or friend gathering cases increased, and the second- and third-generation cases of interpersonal transmission chains increased. Community infection cases in which no clear source of infection has been found in some areas, and the risk of community transmission of pneumonia epidemic of new coronavirus infection in the city is increasing.

Case 1: Aggregated transmission caused by classmates gathering

Patient Peng, took a train from Jingzhou, Hubei, to Chongqing on January 20, attended a class reunion on the evening of January 21, and served hot pot at a table. After eating, several people met to play mahjong until early in the morning, without wearing masks during this period. After Pengmou became ill on the 25th, his classmates who played Mahjong also became ill.

At the same time, in a family gathering in another district, one of the members, Zhou Mou, was a classmate playing mahjong with Peng Mou. During the investigation, it was found that Peng Mou concealed Zhou Mou's information at the time and quietly by phone Zhou was told that Zhou had a chance to conduct self-isolation medical observation at home, but later caused a family of four to have their illness. This is the transmission of family gatherings caused by the reunion of classmates and spread to the third generation.

Case warning:

1. After Peng Mou arrived in Chongqing, he did not report the situation of returning from Hubei in time, did not report, and also attended classmates party, which led to the spread among classmates.

Second, Peng Mou concealed Zhou's situation during the investigation. If Peng Mou explained the situation in time, Zhou's family gathering might not have happened.

3. Zhou thought that there was no risk in implementing self-family isolation, but he did not know that without professional behavior guidance during isolation, he could not truly achieve isolation with his family.

"The virus doesn't talk about emotions. People who have more feelings and people who are in close contact are more likely to get infected." Zhao Han reminded that not cooperating with professional investigations and concealing the real situation would lead to greater transmission consequences.

Case 2: Transmission caused by a clinic infusion

Patient Li, who returned to Chongqing from Wuhan on the 20th for the Spring Festival, had respiratory symptoms on the 22nd, and went to a nearby clinic for an infusion on the morning of the 22nd.

At the same time, due to intestinal diseases, Yang also went to this clinic for infusion at the same time during the period. He did not wear a mask during the infusion, which caused Yang to be infected by Lee, a returnee.

Case warning:

At present, fever district clinics have been established in all districts and counties of the city. It is recommended that citizens not have fluke when they have fever and respiratory symptoms. They must go to the medical institutions to conduct fever clinics. These medical institutions have dedicated patient channels and professional staff. There are a series of diagnosis and treatment procedures to prevent cross-infection in the hospital.

Case 3: Aggregated transmission during a colleague's work

The patient Xu was a staff member of the restaurant. She had symptoms on the 21st, and she did not get noticed. She continued to work. Since then, between his family and restaurant colleagues, 10 positive patients have appeared.

Case warning:

If fever and upper respiratory symptoms occur, you must seek medical treatment in a timely manner. This is responsible to the people around you and to yourself.

"In our epidemiological investigation, the vast majority of patients cooperated with us, but a small number of patients did not cooperate, did not tell us detailed trajectories or deliberately concealed, resulting in many loopholes in the prevention and control process. Cause further spread of the disease. "Zhao Han said that this behavior is irresponsible to himself, but also to others and society.

Zhao Han also mentioned that during the investigation, it was found that no party is currently promoted, but many people think that if they do not party, they do not come to the restaurant for dinner, and they invite relatives and friends to dinner at home. They think there is no risk. "This is a big misunderstanding. Many cases of family-confirmed transmission that are currently diagnosed are caused by eating at home. "