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

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Source: http://www.chinanews.com/sh/2020/02-08/9083238.shtml

68 new cases of pneumonia confirmed by new coronavirus infection in Anhui
February 08, 2020 08:39 Source: China News Network

Langzhong Xinwang, February 8th According to the official Weibo news of the Anhui Internet Information Office, at 04:00 on the 7th, Anhui Province reported 68 new confirmed cases, 70 new suspected cases, and 13 new cases were discharged from the hospital.

Among the newly confirmed cases, 13 were in Hefei, 9 in Luzhou, 1 in Suzhou, 11 in Bengbu, 8 in Fuyang, 7 in Huainan, 10 in Luan, 1 in Maanshan, 2 in Wuhu, 1 in Tongling, and 5 in Anqing. . Both were in stable condition.

Among the new suspected cases, 11 were in Hefei, 1 in Huaibei, 9 in Bengbu, 4 in Fuyang, 1 in Huainan, 1 in Luzhou, 25 in Lu'an, 3 in Tongling, 3 in Chizhou, and 12 in Anqing.

Among the newly cured discharged cases, 2 were in Hefei, 1 in Bengbu, 2 in Fuyang, 1 in Wuhu, 3 in Tongling, 3 in Anqing, and 1 in Huangshan.

As of 24:00 on February 7, a total of 733 confirmed cases were reported in Anhui Province, 47 cases were cured and discharged, and there were no deaths. A total of 15,611 people who were in close contact with medical observation.

Of the total confirmed cases, 128 cases were in Hefei, 22 in Huaibei, 81 in Luzhou, 28 in Suzhou, 99 in Bengbu, 113 in Fuyang, 21 in Huainan, 11 in Luzhou, 51 in Lu'an, 31 in Ma'anshan, 29 in Wuhu, There were 5 cases in Xuancheng, 23 in Tongling, 11 in Chizhou, 71 in Anqing, and 9 in Huangshan.

As of 24:00 on February 7, 686 confirmed cases were treated in hospital in Anhui Province, including 6 critical cases.

1212 patients will be cured and discharged on February 8, including 2 in Hefei, 1 in Huaibei, 1 in Suzhou, 2 in Fuyang, 1 in Huainan, 1 in Lu'an, 2 in Ma'anshan, and 2 in Tongling.
[Edit: Ye Pan]

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Source: http://www.wxrb.com/news/ywtx/202002..._1516410.shtml


31 new cases of new coronavirus pneumonia confirmed in Jiangsu
2020-02-08 08:42:00 Source: Health Jiangsu 9

0 At 04:00 on February 7, 2020, Jiangsu Province reported 31 newly confirmed cases of new coronavirus pneumonia. Among them, 2 were light cases and 29 were ordinary cases. 5 new cases were discharged.

Among the newly confirmed cases, there were 8 cases in Nanjing, 3 in Wuxi, 3 in Xuzhou, 2 in Changzhou, 3 in Suzhou, 2 in Nantong, 3 in Lianyungang, 3 in Huai'an, and 1 in Yancheng. 2 cases in Zhenjiang City and 1 case in Taizhou City. Among them, the oldest is 89 years old and the youngest is 18 years old. There were 18 males and 13 females. All cases have been treated in designated hospitals.

As of 24:00 on February 7, Jiangsu Province has reported a total of 439 confirmed cases of new coronavirus pneumonia. Among them, 18 were mild cases, 415 were ordinary cases, 4 were severe cases, and 2 were critical cases. 43 cases were discharged. Among the confirmed cases, 65 were from Nanjing, 34 from Wuxi, 52 from Xuzhou, 31 from Changzhou, 72 from Suzhou, 31 from Nantong, 27 from Lianyungang, 40 from Huaian, 17 from Yancheng, and Yangzhou. There were 17 cases in Beijing, 11 cases in Zhenjiang, 30 cases in Taizhou, and 12 cases in Suqian. Among the severe cases, one was in Nanjing, two in Suzhou, and one in Nantong. Among the severe cases, one was in Xuzhou and one was in Lianyungang. Among the discharged patients, there were 15 cases in Nanjing, 1 in Wuxi, 3 in Xuzhou, 5 in Changzhou, 4 in Suzhou, 2 in Nantong, 2 in Lianyungang, 2 in Huai'an, 3 in Yancheng, and Yangzhou. There were 2 cases in city, 1 case in Zhenjiang city and 3 cases in Taizhou city.

At present, Jiangsu Province has traced 8,533 close contacts, 3,077 medical observations have been lifted, and 5,456 are still receiving medical observations.

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Source: http://www.chinanews.com/sh/2020/02-08/9083241.shtml

31 new cases of pneumonia confirmed by new coronavirus infection in Hunan
February 08, 2020 08:40 Source: China News Network

China News Service, February 8. According to the official WeChat news of Hunan Provincial Health and Welfare Commission, on February 7, 2020, at 04:00, Hunan Province reported 31 new cases of pneumonia with new coronavirus infection and 11 new cases of severe cases. There were 0 new deaths and 28 new discharges. among them:

Among the newly confirmed cases, 6 were in Changsha, 2 in Zhuzhou, 3 in Xiangtan, 3 in Shaoyang, 4 in Yueyang, 2 in Changde, 1 in Yiyang, 2 in Shengzhou, and 2 in Yongzhou. 6, Loudi City.

Among the newly added severe cases, there were 9 cases in Changsha City, 1 case in Hengyang City, and 1 case in Shaoyang City.

Among the newly discharged cases, there were 9 cases in Changsha City, 3 cases in Hengyang City, 1 case in Zhuzhou City, 2 cases in Shaoyang City, 2 cases in Yueyang City, 2 cases in Shengzhou City, 2 cases in Yongzhou City, and 7 cases in Huaihua City.

As of 24:00 on February 7th, Hunan Province has reported a total of 803 confirmed cases of pneumonitis with new coronavirus infection, a total of 106 severe cases, 57 existing severe cases, 0 death cases, and 119 discharged patients. among them:

Of the confirmed cases, 196 were in Changsha, 43 in Hengyang, 48 in Zhuzhou, 28 in Xiangtan, 86 in Shaoyang, 111 in Yueyang, 66 in Changde, 5 in Zhangjiajie, 44 in Yiyang, and Quzhou. There were 31 cases in Yongcheng City, 40 cases in Yongzhou City, 38 cases in Huaihua City, 59 cases in Loudi City, and 8 cases in Xiangxi Autonomous Prefecture.

Among the current severe cases, there were 19 cases in Changsha, 3 in Hengyang, 5 in Zhuzhou, 2 in Xiangtan, 5 in Shaoyang, 2 in Yueyang, 6 in Changde, 3 in Yiyang, and 3 in Yongzhou. 3 cases in Huaihua City, 5 cases in Loudi City, and 1 case in Xiangxi Autonomous Prefecture.

Among the discharged patients, there were 19 cases in Changsha, 11 in Hengyang, 8 in Zhuzhou, 7 in Xiangtan, 11 in Shaoyang, 6 in Yueyang, 14 in Changde, 2 in Zhangjiajie, 6 in Yiyang, and Quzhou. There were 6 cases in city, 10 cases in Yongzhou city, 14 cases in Huaihua City, 4 cases in Loudi City, and 1 case in Xiangxi Autonomous Prefecture.

At present, there are 20119 close contacts, 10778 people have been released from medical observation, and 9341 people are still receiving medical observation.
[Edit: Ye Pan]

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Source: http://www.bjd.com.cn/a/202002/08/WS...fe9941b54.html

19 new confirmed cases in Sichuan, cumulative 363 confirmed cases
Time: 8 February 2020 Source: CCTV news client Author: Editor: High CNR

At 04:00 on February 7th, 19 new cases of new coronavirus pneumonia were confirmed in Sichuan Province, 13 new cases were cured and discharged, and there were no new deaths.

Among the newly confirmed cases, 7 were in Chengdu, 2 in Dazhou, 2 in Liangshan, 1 in Panzhihua, 1 in Deyang, 1 in Mianyang, 1 in Suining, 1 in Nanchong, and 1 in Guang'an. 1 case in Bazhong City and 1 case in Meishan City.

Among the newly added cured cases, 5 were from Chengdu, 2 from Zigong, 2 from Guangan, 1 from Panzhihua, 1 from Neijiang, 1 from Ya'an, and 1 from Bazhong.

As of 24:00 on February 7, Sichuan Province had reported a total of 363 confirmed cases of new coronavirus pneumonia, involving 21 cities (prefectures) and 122 counties (cities and districts).

Of the 363 confirmed patients, 312 were being hospitalized and isolated (including 20 critically ill), 50 had been discharged, and 1 died. 1,237 people were released from medical observation on the same day, and 7207 people were receiving medical observation.

Beijing Daily

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Source: http://zjnews.zjol.com.cn/zjnews/zjx...11645979.shtml

Epidemic situation of new coronavirus infection in Zhejiang Province on February 8, 2020
February 08, 2020 08:59:34 Source: Health Zhejiang

0 On February 7, 2020, at 04:00, Zhejiang Province reported 42 new confirmed cases of pneumonia and 29 new discharged cases. among them:

Among the newly confirmed cases, 6 were in Hangzhou, 5 in Ningbo, 17 in Wenzhou, 1 in Huzhou, 2 in Jiaxing, 2 in Shaoxing, 4 in Jinhua, 4 in Taizhou, and 1 in Lishui. ; Among the newly discharged cases, there were 6 cases in Hangzhou, 3 in Ningbo, 13 in Wenzhou, 2 in Shaoxing, 1 in Luzhou, 1 in Zhoushan, and 3 in Taizhou.

As of 24:00 on February 7th, Zhejiang Province has reported a total of 1,048 confirmed cases of pneumonitis with new coronavirus infection, 78 severe cases (25 critical cases), and 127 discharged from hospital. among them:

Among the confirmed cases, there were 162 cases in Hangzhou, 141 in Ningbo, 438 in Wenzhou, 10 in Huzhou, 37 in Jiaxing, 36 in Shaoxing, 52 in Jinhua, 15 in Shengzhou, 7 in Zhoushan, and Taizhou. There were 133 cases in Lishui City and 17 cases in Lishui City. Among the severe cases, there were 13 cases in Hangzhou, 8 cases in Ningbo, 31 cases in Wenzhou, 1 case in Huzhou, 4 cases in Jiaxing, 6 cases in Shaoxing, 5 cases in Jinhua, and Zhoushan. 1 case, 8 cases in Taizhou, 1 case in Lishui; among the discharged patients, 22 cases were in Hangzhou, 12 cases were in Ningbo, 49 cases were in Wenzhou, 1 case was in Huzhou, 1 case was in Jiaxing, 5 cases were in Shaoxing, and 9 were in Jinhua. There were 3 cases in Chuzhou City, 5 cases in Zhoushan City, 17 cases in Taizhou City, and 3 cases in Lishui City.

936 A total of 25,936 close contacts were tracked throughout the province. 1,864 medical observations were lifted that day, and 14,526 were still undergoing medical observations.
Tags: Editor-in-chief: Yu Jinye

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Source: http://finance.jrj.com.cn/2020/02/08090528796198.shtml

[Jiangxi added 37 new cases, 698 cases were diagnosed cumulatively] On February 7, 2020, at 04:00, Jiangxi Province reported a new type of coronavirus infection ...
2020-02-08 09:05:58 Source: FX168

[Added 37 new cases in Jiangxi, 698 cases were diagnosed cumulatively] On February 7, 2020, at 0-24, Jiangxi Province reported 37 new cases of pneumonia infected with new coronavirus infection, and 10 new cases were cured and discharged.

Among the newly confirmed cases, 8 were in Xinyu City, 6 in Nanchang City, 6 in Shangrao City, 5 in Ganzhou City, 5 in Yichun City, 3 in Fuzhou City, 2 in Jiujiang City, 1 in Yingtan City, and 1 in Ji'an City. . Among the newly added cured cases, 6 were from Nanchang, 3 from Xinyu, and 1 from Yichun.

As of 24:00 on February 7, Jiangxi Province has reported a total of 698 confirmed cases of pneumonia due to new coronavirus infection, including 61 severe cases and 55 discharged patients.

Of the confirmed cases, 168 were in Nanchang, 97 in Jiujiang, 95 in Xinyu, 92 in Shangrao, 67 in Yichun, 64 in Ganzhou, 59 in Fuzhou, 24 in Pingxiang, 17 in Ji'an, and Yingtan There were 11 cases in Beijing and 4 cases in Jingdezhen. Among the cured and discharged patients, 20 were in Nanchang, 8 in Xinyu, 7 in Fuzhou, 6 in Yichun, 5 in Shangrao, 4 in Jiujiang, 2 in Ganzhou, 1 in Jingdezhen, 1 in Pingxiang, One case in Ji'an.

At present, 17,856 close contacts have been traced, 6783 people have been released from medical observation, and 11073 people are still receiving medical observation.

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Source: http://news.southcn.com/gd/content/2..._190261111.htm
57 new cases were confirmed in Guangdong on February 7, and a total of 1075 cases were confirmed
2020-02-08 09:06 Source: Southern Network

As of 24:00 on February 7th, Guangdong Province has reported a total of 1,075 confirmed cases of pneumonia due to new coronavirus infection. On February 7th, 57 new cases were confirmed in the province. Among the newly confirmed cases, there were 17 cases in Shenzhen, 14 in Guangzhou, 9 in Zhuhai, 3 in Shantou, 3 in Jiangmen, 3 in Foshan, 3 in Dongguan, 2 in Huizhou, and 1 in Zhanjiang. 1 case in Meizhou City and 1 case in Heyuan City. There were 195 suspected cases. 3,412 close contacts are under medical observation.

Among the cumulative confirmed cases, there were 351 cases in Shenzhen, 298 in Guangzhou, 82 in Zhuhai, 60 in Foshan, 56 in Dongguan, 46 in Zhongshan, 41 in Huizhou, 25 in Shantou, and 20 in Zhanjiang. , 14 cases in Zhaoqing, 14 cases in Jiangmen, 13 cases in Yangjiang, 13 cases in Meizhou, 10 cases in Qingyuan, 7 cases in Jieyang, 6 cases in Shaoguan, 6 cases in Maoming, 5 cases in Shanwei, and 5 cases in Chaozhou 3 cases in Heyuan City. There were 527 males and 548 females, aged between 2 months and 86 years.

As of 24:00 on February 7, among the 977 confirmed cases in the hospital, 42 were light, 813 were normal, 85 were heavy, and 37 were critical. There were 29 new discharges and a total of 97 discharges. Cumulative death occurred in 1 case.

Source: Website of Guangdong Health Committee

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Source: http://www.bjd.com.cn/a/202002/08/WS...fe9941b5b.html

67 new confirmed cases in Henan, cumulative 981 cases
Time: 8 February 2020 Source: CCTV news client Author: Editor: Li Tuo

At 04:00 on February 7, 2020, Henan Province added 67 new cases of pneumonia confirmed by new coronavirus infection, 29 new discharged cases, and 1 new death. Among the newly confirmed cases, 16 cases were in Xinyang City (including 1 case in Gushi County), 10 cases were in Nanyang City (including 1 case in Dengzhou City), 8 cases were in Zhengzhou City, 7 cases were in Zhumadian City (including 1 case in Xincai County), 4 cases in Shangqiu City (including 3 in Yongcheng City), 3 cases in Luohe City, 3 cases in Anyang City (including 1 case in Hua County), 2 cases in Pingdingshan City, 2 cases in Hebi City, 2 cases in Jiaozuo City, 2 cases in Xuchang City, and Zhoukou City There were 2 cases in Liyang City, 2 cases in Liyang City, 2 cases in Xinxiang City, 1 case in Kaifeng City, and 1 case in Luoyang City.

As of 24:00 on February 7th, the province has reported a total of 981 confirmed cases of pneumonitis with new coronavirus infection, 58 cases of severe cases, 28 cases of critical cases, 4 cases of deaths, and 97 cases of cured cases. Among them: 192 cases were confirmed in Xinyang City (including 18 cases in Gushi County), 128 cases in Nanyang City (including 17 cases in Dengzhou City), 120 cases in Zhengzhou City (including 8 cases in Gongyi City), and 113 cases in Zhumadian City (including 10 cases in Xincai County), 76 cases in Shangqiu City (including 13 cases in Yongcheng City), 62 cases in Zhoukou City (including 6 cases in Luyi County), 48 cases in Pingdingshan City (including 1 case in Ruzhou City), and 43 cases in Anyang City ( 2 cases in Huaxian County), 43 cases in Xinxiang City (including 4 cases in Changyuan City), 30 cases in Xuchang City, 29 cases in Luohe City, 25 cases in Luoyang City, 21 cases in Kaifeng City (including 5 cases in Lankao County), and 20 in Jiaozuo City There were 13 cases in Hebi City, 7 cases in Liyang City, 7 cases in Sanmenxia City, and 4 cases in Jiyuan Demonstration Area.

At present, 20,928 close contacts have been traced. On February 7, 3,516 people have been released from observation. 56 suspected cases were diagnosed, and a total of 10,187 people are undergoing medical observation.

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Translation Google

2020-02-08 09:00:31Beijing News reporter: Dai Xuan editor: Liu Mengjie

"New Crown" diagnosis challenge: Pharyngeal swab nucleic acid test to detect "Sanyin" infection

Experts said that this case should be considered and valued in the management of discharged patients.

The Beijing News (Reporter Dai Xuan) yesterday (February 7) afternoon, a news report said that a patient with a negative throat swab test on three occasions in China and Japan Hospital was diagnosed with "new crown pneumonia" through lower respiratory tract samples. The reporter verified that the case was true. Experts said that it should be based on this case to give consideration and attention to the management of discharged patients.

In the afternoon of February 7, a message spread on the Internet.

Sources said that a febrile pneumonia patient who came to Beijing from Wuhan was confirmed to have four new-type coronavirus-infected pneumonia on February 5 at the China-Japan Hospital and is currently awaiting transfer to the designated hospital. This patient was negative for pharyngeal swab neocoronavirus nucleic acid tests three times before admission, and was positive for influenza A nucleic acid tests. Therefore, she was admitted to the hospital as "severe influenza A" on January 30. After admission to the hospital, the ventilator was intubated, and the new coronavirus was found to be positive by alveolar lavage.

Its deposit is "China-Japan Hospital New Crown Prevention and Control Leading Group".

A respiratory doctor at a top three hospital in Beijing revealed that the case had been notified to employees inside the hospital and should be true. The reporter verified from the relevant person in charge of the health department that the case did exist.

A doctor from the respiratory department of a top three hospital in Beijing told reporters that two routine throat swab nucleic acid tests are performed on suspected patients. If a positive result is detected, a diagnosis is confirmed. If there are two negative results, the infection can be basically ruled out. The pharyngeal swab neo-crown virus nucleic acid tests were negative, indicating that the virus is highly occult.

"The disease occurs in the lungs, that is, the lower respiratory tract, and sometimes the pathogen is not found in the throat of the upper respiratory tract." Ding Xinmin, chief physician of the Department of Respiratory Medicine at Beijing Shijitan Hospital, explained that the case was diagnosed positive by alveolar lavage Situation, and now it is difficult to take samples of lower respiratory tract samples for each suspected patient, which also brings certain challenges to the diagnosis.

However, he also said that similar cases are just a case at present, ordinary people do not need to panic, and during the epidemic, personal protection should not be lax. In addition, more attention should be paid to how to judge and manage discharged patients.


Beijing News reporter Dai Xuan

Editor Liu Mengjie proofreads Liu Jun

http://www.bjnews.com.cn/news/2020/02/08/686236.html

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Why do patients with new coronary pneumonia die suddenly the day before?


2020 at 11:55 on February 8th 1952 times reading the source: think tank Outlook

Why did it look good the day before and suddenly passed away one day later? Wang Fusheng (Academician of the Chinese Academy of Sciences, expert of the scientific research group of the new coronavirus joint prevention and control working mechanism, director of the Infectious Disease Diagnosis and Research Center of the Fifth Medical Center of the PLA General Hospital, and director of the National Infectious Disease Clinical Medical Research Center) are accepting reporters from Xinhua This issue was addressed in the interview.

Wang Fusheng:

There may be so many reasons. The main reason is that there are many patients and the incidence is relatively concentrated. In addition, some patients do not pay special attention to the onset of disease, and only go to see when they are seriously ill.

There is another reason, because there are so many patients at once, the whole medical resources should be said to be insufficient. In other words, there were so many patients at the time and there was no direct treatment experience, which put a lot of pressure on clinical medical staff.

In addition, there is another situation. Among the patients who die now, there are some basic diseases, such as diabetes, hypertension, and other diseases, as well as older factors. Therefore, it is possible that these factors have caused the slightly higher mortality rate in Hubei.

According to some media reports in the past few days, the day before the death of some of these people looked good, and after a day they were declared dead.

Why does the disease progress so fast?

Zhong Ming, the first medical expert in Shanghai to assist Wuhan, deputy director of the Department of Critical Medicine, Shanghai Zhongshan Hospital, Zhou Zheng, the medical team leader of the first batch of Henan medical team, deputy director of respiratory medicine in the Second Affiliated Hospital of Zhengzhou University, affiliated to Zhejiang University Medical College Professor Sheng Jifang, the director of the Department of Infectious Diseases at the First Hospital and a member of the Zhejiang Provincial Experts Group for the Diagnosis and Treatment of New Crown Pneumonia, mentioned the term inflammatory storm.

1 Some early onsets are not very dangerous, but suddenly they will die at an accelerated rate in the later stages

On January 24, Zhong Ming, deputy director of the Department of Critical Care Medicine at Shanghai Zhongshan Hospital, entered the Wuhan Jinyintan Hospital to carry out work. Jinyintan is the first batch of designated hospitals in Wuhan and one of the main choices for critically ill patients with new coronary pneumonia in Wuhan.

Two days ago, in an interview with Southern People Weekly, he said that he had faced many difficulties in the early stage of treatment.

First of all, new coronary pneumonia is not the same as SARS or avian influenza. In many cases, SARS is very severe when the patient comes up. However, the early onset of new crown patients is not very dangerous, but in the later period, there will be an acceleration, and the patient will soon enter a state of multiple organ failure, which will be a storm of inflammation. Once in this state, it is difficult for our treatment to pull it back. This is completely different from the past. Many patients do not die from the lungs. Because the hospital has ECMO (Extracorporeal Cardiopulmonary Support), a ventilator, and various treatment strategies, which can replace the patient's lung function. But many patients die of multiple organ failure outside the lungs, which is very different from the past.

Why is there such a sudden acceleration?

Zhong Ming said that the patient's body may have initiated an inflammatory storm, which caused the failure of various organs. What they observed is that many patients have elevated markers of myocardial damage, so the virus is likely to damage the heart muscle itself, similar to myocarditis, and may damage many other organs.

Some of the patients they treated were mixed with other diseases. After getting pneumonia, the original diseases worsened. For example, there is a patient with acute myocardial infarction who has placed a stent in his body. After his pneumonia has come, there may be severe myocardial ischemia. The people who transferred to them were all deteriorated in ordinary wards or other hospitals, and they were very, very critical, and they would die at any time.

Zhong Ming said that there are still many ECMO equipment at Jinyintan Hospital, but not all critically ill patients can save their lives with ECMO. Many patients die from multiple organ failure outside the lung, which is not an ECMO replacement. If patients are in this state, ECMO cannot save their lives.

2 Excessive damage to immune cells caused by the inflammatory storm is not just the lungs

It can also cause damage to the kidneys, liver, and heart muscle.

The first group of Henan Province medical team leader of Henan Province and the deputy director of the department of respiratory medicine of the Second Affiliated Hospital of Zhengzhou University were on January 26, that is, at 7 pm on the second day of the new year, arrived in Wuhan by high-speed rail, and then in Wuhan. The Fourth People's Hospital started rescue work.

In an interview with a Dahe newspaper reporter on February 4, he said that in the morning of January 28, the ward they took over was officially opened to treat patients. It was an empty ward at that time, and as a result, 30 beds were filled in half an hour. The patient came over like a tide. The first patient I saw was an unconscious old lady who was a critically ill patient with diabetes combined with a new type of coronavirus pneumonia (suspected). It was fever, cough, shortness of breath, and blood oxygen saturation was only about 75%. They simply divided patients into two categories. Over 65 years of age, with basic diseases such as diabetes, coronary heart disease, renal insufficiency, chronic bronchiectasis, chronic obstructive pulmonary disease, etc., are usually heavier. Indeed, heavier patients are basically older. The vast majority of people under 45 are relatively light.

However, this disease has a characteristic that some patients may be relatively mild in the first two days, and suddenly worsen on the third day or later. If it is not treated in time, it may die. This may be related to patient infection and the resulting "inflammatory storm".

"Inflammation storm" is that the patient's infection activates the body's immune cells, causing excessive damage to the immune cells. Normal immunity is protection, and excessive immunity is damage, which not only causes damage to the lungs, but also causes damage to the kidneys, liver, and heart muscle.

For example, after our body is infected, the body's white blood cells and lymphocytes will start secreting a cytokine. The cytokine acts like a correspondent or herald, attracting these spare white blood cells and lymphocytes distributed in other parts of the muscle to the site of the lesion, killing the microbial virus and bacteria. In the middle, it will release an inflammatory mediator. Moderate release is normal. Excessive release will not only kill viruses and bacteria, but also cause damage to normal cells.

Zhou Zheng said that after the "inflammatory storm", the patient's condition tends to turn sharply, and soon he will have unconsciousness, rapid breathing, and then there will be decreased blood oxygen saturation, even coagulation dysfunction, oliguria and anuria, and elevated transaminase . Various organs fail, not just the lungs, which is the reason for the high mortality and mortality of many patients with new coronary pneumonia, especially the elderly.

There are basic diseases. Under the action of the "inflammatory storm", many patients cause multiple organ failure and cause death. This is more likely to occur in critically ill and critically ill patients, and it is very scary. low.

At present, no statistics have been done. According to the condition of their ward, from January 28 to February 4, more than half of the inflammatory storms accounted for more than a dozen severe patients.

Zhou Zheng said that in a certain period of time, a small amount of hormones can be used to suppress this inflammatory response, but this varies from person to person.

3 If a second inflammatory storm comes, patients will soon be defeated

As of 24:00 on February 5, a total of 954 confirmed cases had been reported in Zhejiang Province, and a total of 81 patients had been discharged. No deaths were reported.

The First Affiliated Hospital of Zhejiang University School of Medicine is the designated hospital for the diagnosis and treatment of new coronary pneumonia in Zhejiang Province, and it is also the only provincial designated comprehensive hospital. It is responsible for the diagnosis and treatment of critically infected people in the province. Both were severe and critically ill who were referred from all over the province.

Professor Sheng Jifang, director of the Department of Infectious Diseases of Zhejiang University First Hospital and a member of the Zhejiang Provincial Expert Group for the Diagnosis and Treatment of New Coronary Pneumonia, said that specific programs for patients with severe and critical illness are mainly antiviral, nutritional support, and control of cytokine storms. One is to control the cytokine storm, and the other is to inhale high flow oxygen so that there is not a large amount of exudation in the lungs.

Professor Sheng Jifang introduced that during the test, it was found that the indicators of inflammation of patients with new coronary pneumonia are very high. High indicators can cause human cytokine storms, leading to consequences such as multiple organ failure. Therefore, for critically ill patients, we must properly control the inflammatory factor storm. Some patients' disease progresses rapidly, and it may be mainly a secondary inflammatory factor storm, and the patients are quickly defeated. Because the target organ of the inflammatory factor storm is the lung, the lungs ooze in large quantities and form white lungs. At this time, if there is no corresponding respiratory support treatment, the mortality rate will increase.

In addition to controlling the storm of inflammatory factors, another is oxygen therapy. "We found this time that with a high volume of oxygen inhalation, patients could inhale for a day or two or two or three with a special device, and the situation would stabilize."

Director Sheng Jifang told reporters that the team was closely monitoring the patient's lung CT every day. For patients with new coronary pneumonia, the lung images gradually changed from solid to light, and they gradually became cloud-like, just like the clouds in the sky.

If it ’s like a dark cloud, then this person is dangerous; if it ’s such a thin tile cloud, it ’s better; if it ’s scattered, it ’s not a big problem. In addition, it depends on the CT of the patient where the affected lung is. Patients with upper and middle lung involvement are better, this patient is better; those with upper, middle, and lower lung involvement, especially those with middle and lower lung involvement, are often heavier. Because our human lungs are large in the lower middle area, oxygen exchange also relies mainly on the lower middle area.

In response to these experiences, Director Sheng Jifang has developed a set of methods to identify severe patients with new coronary pneumonia. "The key is to move the pass forward, identify it early, assess it in place, and treat it in place."

Director Sheng Jifang specially reminded that the diagnosis must be made early. The earlier you go to the hospital, the better the effect, and the later the delay, the heavier it is. "In addition, the severity of new coronary pneumonia has a lot to do with the underlying conditions of the patients themselves. For example, those who are older and have basic diseases often have a relatively severe condition."

During this time, Professor Sheng Jifang had remote consultations with a dozen or twenty patients from all over the province every day, and each hospital had to go through the treatment plan. "For the treatment of critically ill patients, it must be homogenized with our Zhejiang University First Hospital."

Professor Sheng Jifang said that after the homogenization treatment plan, many patients gradually recovered in the local designated hospitals. However, if you encounter patients with rapid disease progression and basic diseases, you must transfer them to the First Hospital of Zhejiang University for further treatment. "Most of the patients we are currently treating are severe and critically referred from all over the province, which is our responsibility and mission."

https://www.cnbeta.com/articles/tech/941011.htm

[Commonground]

Daily novel coronavirus pneumonia cases drop outside epicenter province

2020-02-08 13:34:11

BEIJING, Feb. 8 (Xinhua) -- China's new confirmed cases of novel coronavirus pneumonia outside Hubei Province, where the epicenter city of Wuhan is located, has been dropping for four consecutive days, according to data released by the National Health Commission.

A total of 558 new confirmed cases were reported on Friday outside Hubei.

The numbers of new confirmed cases in these provinces during the past days were 890 (Monday), 731 (Tuesday), 707 (Wednesday) and 696 (Thursday).

The commission received reports of 3,399 new confirmed cases and 86 deaths on Friday from 31 provincial-level regions and the Xinjiang Production and Construction Corps.

http://www.xinhuanet.com/english/2020-02/08/c_138765751.htm

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U.S. citizen died from coronavirus in China's Wuhan

FEBRUARY 8, 2020 / 12:14 AM
BEIJING (Reuters) - A 60-year old U.S. citizen diagnosed with coronavirus died at Jinyintan Hospital in China’s Wuhan on Feb. 6, a U.S. embassy spokesman in Beijing said on Saturday, in what appeared to be the first death of an American from the outbreak.
“We offer our sincerest condolences to the family on their loss,” the spokesman told Reuters. “Out of the respect for the family’s privacy, we have no further comment.”

https://www.reuters.com/article/us-china-health-usa/u-s-citizen-died-from-coronavirus-in-chinas-wuhan-idUSKCN20206O

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FEBRUARY 7, 2020 / 11:57 PM / UPDATED 5 HOURS AGO
Japanese man hospitalized with pneumonia in Wuhan dies, coronavirus suspected


TOKYO (Reuters) - A Japanese man hospitalized with pneumonia in the Chinese city of Wuhan, the epicenter of a coronavirus outbreak, has died, Japan’s foreign ministry said in a statement on Saturday.

The man in his sixties was suspected of having been infected with the coronavirus but due to difficulties in diagnosing the disease the cause of death was given as viral pneumonia, the foreign ministry said citing Chinese medical authorities.
...https://www.reuters.com/article/us-c...-idUSKCN20206C

[Commonground]

FEBRUARY 7, 2020 / 7:35 PM / UPDATED 7 HOURS AGO New cases of coronavirus infections rise in China after two-day decline

BEIJING (Reuters) - The number of new confirmed infections from a coronavirus in mainland China rose on Friday after falling for two consecutive days, while the number of deaths from the outbreak once again hit a daily record, pushing the death toll past 700.
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In mainland China, excluding the 2,050 people who had recovered and the 722 who had died, the total number of outstanding cases stood at 31,774.
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https://www.reuters.com/article/us-china-health/new-cases-of-coronavirus-infections-rise-in-china-after-two-day-decline-idUSKBN202012

[Shiloh]

Source: https://news.xmnn.cn/xmnn/2020/02/08/100665576.shtml

Emergency proliferation! From now on, all personnel entering Fuzhou must register online in advance!
2020-02-08 23: 03Source: Southeast Network-Strait Metropolis Daily

Announcement of the Emergency Command of Fuzhou City on Prevention and Control of New Coronavirus Infection and Pneumonia

加强 In order to strengthen the prevention and control of pneumonia caused by new coronavirus infection, Fujian Province has initiated a first-level response to major public health emergencies. According to the requirements of the National Health Committee of the People's Republic of China No. 1 of 2020 and related laws and regulations such as the International Health Regulations (2005) and the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases, the city has decided to officially implement online pre-registration for people entering the country. Registration system.

公告 Announcement on related matters is as follows: Anyone who enters the ficus through expressways, national and provincial roads, airports, and railway stations should apply for self-declaration and advance registration through the "e Prevention and Control" WeChat mini-program. Fill in the relevant information truthfully and do not hide it. After arriving in Ficus, you should take the initiative to take a temperature test, and cooperate with safety inspection and classification. All persons who have entered the ficus have the obligation to cooperate in accepting the epidemic prevention and control measures. For those who refuse to implement, the law enforcement department will assist the health and administrative departments, medical institutions and disease prevention and control institutions to take corresponding compulsory measures according to law, please cooperate! This announcement comes into effect on the date of its release.

Fuzhou Emergency Command for Prevention and Control of New Coronavirus Infected Pneumonia

February 8, 2020