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  • China: 2019nCov - Cases, Outbreak News and Information Week 8 (February 16 - February 22, 2020)

    Please see previous week thread here. (week 7)

    ---------------------------------------------------------

    Source: https://www.shine.cn/news/metro/2002162155/

    No new virus cases in the city reported on Sunday morning (Shanghai)
    Wu Ruofan
    19:09 UTC+8, 2020-02-16

    No new coronavirus case was reported in the city on Sunday morning, with another 32 suspected cases ruled out and 16 patients discharged from hospital, the Shanghai Health Commission announced.

    So far, the city has reported 328 infections and ruled out 1,692 suspected cases.

    Among the 328 confirmed patients, aged between 7 months and 88 years old, 170 male and 158 female, 144 have travelled or lived in Hubei Province before, 33 have travelled or lived in non-Hubei regions, and 151 have contact history with the infected. A total of 109 patients are from outside the city, while 219 are local residents, which include those with registered residency or people staying in the city for over six months.

    According to the Shanghai Health Commission, 170 patients are stable, four are in serious condition and 13 are critical. A total of 140 patients have recovered and been discharged from hospital. There has been one local fatality. Another 157 suspected cases are undergoing tests...
    Last edited by sharon sanders; February 16th, 2020, 10:57 AM. Reason: added top line

  • #2
    hat tip Hawkeye -

    Circular of the People's Government of Hubei Province on Further Strengthening the Prevention and Control of the Epidemic Situation of New Coronary Pneumonia

    • Release time: 2020-02-16 15:46
    • Source: Hubei Provincial New Crown Pneumonia Epidemic Prevention and Control Headquarters
    • [Font: Tai Zhong small ]

    At present, the province's epidemic prevention and control has entered the most strenuous period, and the epidemic situation is still severe. In order to effectively cut off the source of infection, block the route of transmission, and curb the spread of the epidemic, according to the "Emergency Response Law of the People's Republic of China" " Law of the People's Republic of China on Prevention and Control of Infectious Diseases, Law of the People's Republic of China on Public Security Management Punishments, Emergency Regulations on Public Health Emergencies, and the Standing Committee of the Hubei Provincial People's Congress to provide powerful support for winning the fight against new-type coronavirus pneumonia epidemic prevention and control Relevant laws and regulations, such as the Decision on the Protection of the Rule of Law, are hereby notified of matters related to further strengthening the prevention and control of the epidemic situation as follows:

    1. Strengthen the responsibility for territorial control and prevention. All cities (states, municipalities directly under the Central Government, and Shennongjia Forest District), counties (cities, districts), and towns (streets) should further tighten up their compaction responsibilities, coordinate and integrate forces, and strengthen community (village) joint defense and group control. Communities (villages) need to improve linkage mechanisms such as on-site visits, personnel verification, and community management in accordance with actual conditions.

    2. Strengthen the closed management of urban and rural communities (villages). All village groups, communities, communities, and residential areas in urban and rural areas implement the most stringent closed-loop management for 24 hours. Strictly control external vehicles, do not enter or exit; Strictly control external people, do not enter inside; Strictly control outdoor exits, centralized procurement and distribution of drugs and essential daily necessities; Strictly manage stores, regulate body temperature detection, and control Traffic flow; strict control of illegal acts, and those who do not comply with relevant provisions of major public health emergency level I response, take compulsory measures according to law.

    3. Strengthen vehicle traffic control. Comprehensively strengthen the traffic control in each city (prefectures, municipalities under direct management, and Shennongjia Forest District), and adopt temporary traffic control measures to reduce motor vehicle travel. Except for epidemic-resistant vehicles, official vehicles, public transportation, medical personnel's vehicles, transportation of daily necessities vehicles, and special vehicles such as ambulance, fire fighting, emergency, sanitation, and police vehicles, all vehicles are prohibited from passing.

    Fourth, strengthen the management of key areas. All non-essential public places will be closed and all mass gathering activities will cease. Supermarkets, pharmacies and other places must be open. Reasonably arrange business hours, strictly control the flow of people, and conduct personnel diversion and temperature detection. Implement a retail pharmacy drug registration system. Persons who purchase cold medicine, fever cough medicine, antipyretics, and other medicines must truthfully fill in information such as name, contact information, ID number, address, and temperature. The information must be fully entered into the computer system to purchase. To strengthen risk management and control. For communities (villages), communities, residential areas, buildings, and workplaces with confirmed (including clinical diagnosis) cases of new coronary pneumonia, 14-day closed hard isolation is resolutely implemented.

    Fifth, strengthen the comprehensive investigation of residents' health. A dynamic rolling screening of all residents was carried out to ensure that “one household is not missed, one person is not dropped, and one day is continued” to ensure full coverage and no blind spots. To strengthen the epidemiological investigation of "four types of personnel", the units and individuals involved must cooperate unconditionally in accordance with the law, not conceal the medical history, close contact history, or escape from isolation medical observation. If they refuse to cooperate, the public security organ shall take compulsory measures according to law. Residents who have symptoms such as fever and cough must report to the community (village) as soon as possible. The community (village) carefully checked the health information reported by the fever patients, and the confirmed fever patients were transferred to the fever clinic nearby.

    6. Strengthen management and services for key populations. All close contacts of suspected and confirmed (including clinical diagnosis) cases of new coronary pneumonia and fever patients who cannot be explicitly ruled out of new coronary pneumonia must be sent to a single isolation room for observation at a centralized isolation point, and not for observation at home. Townships (streets) should set up special working classes to do a good job in medical treatment, living services, health management, psychological counseling, and humanistic care for the isolated personnel. It is necessary to strengthen police forces, maintain order of diagnosis and treatment, and prevent secondary incidents. Where the "quarantine personnel" cannot be treated and isolated in time due to the inadequate construction of the isolation point and the inadequate raising of beds, the secondary incidents caused by the inadequate safeguards such as medical staff, living materials, and safety protection at the isolation point, Treat them all seriously. The community (village) should strengthen the care for the old, the young, the weak, and the family members of the medical staff, and provide good service guarantee.

    Seventh, strengthen the guarantee of residents' necessities. All localities should adapt to local conditions and adopt various methods flexibly to ensure the supply of necessary materials for the people's lives after the implementation of closed management. It is necessary to expand community distribution services, vigorously develop e-commerce, strengthen supply and marketing docking guarantees, carry out "e-commerce + chain distribution", implement contactless distribution services, promote community group (village group) online group purchases, and purchase documents at wrong peaks.

    8. Strengthen the protection of medical protective materials. All products of key medical and nursing material production enterprises in the province are uniformly deployed by the provincial people's government. We will give full support to key medical and nursing material production enterprises to expand production capacity, and support qualified enterprises for technological transformation and production conversion. Strengthen the protection of medical supplies for front-line staff of epidemic prevention and control.

    Nine, strengthen environmental sanitation management. Implement the environmental disinfection system, and regularly ventilate and preventive disinfection of key places. Domestic garbage and medical waste in all communities (villages), hospitals, and isolation points must be collected and disposed of separately to ensure that Nissan and Nissan are cleared.

    X. Strengthen the unit's main responsibility. An enterprise resumption and resumption reporting system is implemented, and no resumption of resumption of production is allowed without the approval of the county (city, district) epidemic prevention and control headquarters. Enterprises that have been approved to resume work and resume production shall fully implement epidemic prevention and control measures. Offices, parks, buildings, and resumption of production in enterprises and institutions should strengthen their body temperature monitoring, carefully screen fever personnel, and report any abnormalities in a timely manner.

    11. Strengthen the work responsibilities of party members and cadres in sinking communities (villages). Party members of government agencies and institutions must sink to village groups and communities to participate in epidemic prevention and control, and accept the management and dispatch of towns (streets). Those who do not take the initiative to report or disobey the deployment shall be dealt with resolutely and seriously, and the principal responsible person of the unit shall be held accountable. Each unit shall manage its own personnel and optimistic about its own door, establish a list of the sinking of the village team and community of party members and cadres of its own unit, and report to the epidemic prevention and control headquarters at all levels for the record.

    Twelve, strengthen personal legal responsibility. All residents must consciously abide by the regulations for epidemic prevention and control. Strictly abide by the rules of wearing masks in public places, do not go out if not necessary, do not participate in parties and group activities. For those who violate the level I response control measures for major public health emergencies and hinder the epidemic prevention and control work, the public security organs shall take compulsory measures according to law.

    13. Strengthen the demonstration drive. All party members and cadres, deputies to the people's congresses at all levels, and members of the CPPCC National Committee must play a leading role in driving family and relatives and neighbours to consciously abide by various regulations for epidemic prevention and control. All party members, cadres and residents must obey unified leadership and dispatch, and actively participate in epidemic prevention work.

    14. Strengthen work discipline. For those who do not take responsibility, inaction, or slow action in the prevention and control work, for those who have lost control of the fighter planes, who have violated the law, and who have responded negatively, for those who have spread the epidemic due to inadequate closed management and inadequate prevention and control measures, they have not obeyed unified dispatch and affected the epidemic All control measures will be implemented promptly and severely. If it has caused serious consequences, accountability shall be implemented to "upgrade".

    15. Strengthen supervision of complaints. All localities must publicize the local epidemic prevention and control service hotline and online service window, accept public consultation, complaints, reports, and ask for help, respond to appeals in a timely manner, and feedback the results. Issued a report reward policy, the masses can use the "12345" hotline, the Ehui Office APP epidemic prevention and control area, and other channels to report on fever patients in a timely manner, "four types of personnel" inadequate implementation of isolation and treatment, outbreak prevention and control measures Make a report.

    It is hoped that the broad masses of the people will continue to understand and cooperate, actively participate in the prevention and control of the epidemic, support front-line personnel to carry out their work, watch and help each other, work together to overcome difficulties, and resolutely win the province's epidemic prevention and control of the people's war, general war, and obstruction.

    Hubei Provincial People's Government

    February 16, 2020
    Editor-in-chief: Yao Pan

    http://www.hubei.gov.cn/zhuanti/2020..._2039051.shtml

    Comment


    • #3
      There has been a striking shift in the Chinese news reporting.
      Whereas Xi was essentially absent from the front page of Xinhua for the first two weeks of February, he is today featured in all 4 lead articles.
      Separately, Foreign Minister Wang Yi highlighted the third straight day of decline in new cases and claimed the outbreak was being managed effectively.

      It may be that the Chinese leadership is in fact now confident that they have turned the corner. Of course, if they are mistaken, they will bear the blame as well.
      Still, this is an unusual note of optimism.

      Comment


      • #4
        Originally posted by etudiant View Post
        There has been a striking shift in the Chinese news reporting.
        Whereas Xi was essentially absent from the front page of Xinhua for the first two weeks of February, he is today featured in all 4 lead articles.
        Separately, Foreign Minister Wang Yi highlighted the third straight day of decline in new cases and claimed the outbreak was being managed effectively.

        It may be that the Chinese leadership is in fact now confident that they have turned the corner. Of course, if they are mistaken, they will bear the blame as well.
        Still, this is an unusual note of optimism.
        It is all propaganda. They stated that 2 of their top 5 goals in this outbreak was to manage society and manage the message. I read this as Xi realizes this situation is a threat to his dictatorship and he is getting "out there" to give the appearance that everything is fine. This is not my political opinion. I have no political opinion about China. I have am not knowledgeable about their politics except I know that Xi is the president and chairman of their one party system. I have seem many, many government announcements about how well they are handling a particular disease event and it usually means there is a problem. I especially like the denials. I try to post all of those. Very informative.

        I think, generally, we have almost no idea what is going on there. We are collecting data points in an effort to try to understand the situation.

        Comment


        • #5
          They will be unable to tell what is happening behind those doors they have welded shut! https://www.taiwannews.com.tw/en/news/3874495
          “The only security we have is our ability to adapt."

          Comment


          • #6
            Agree entirely, this is all very much propaganda.
            That said, the reemergence of Xi after a two week eclipse suggests that the current efforts are their best shot. Xi is sure to be blamed in any case if it fails, so taking ownership now is smart.
            That way, he also gets the credit if the draconian lock down restrictions work.
            The evolution of the outbreak over the next couple of weeks will determine that outcome.

            Comment


            • #7
              No mahjong, no card games: Hubei province in full lockdown as China battles coronavirus

              • 58 million people – including 24 million rural residents – told to stay home until further notice
              • Businesses to close and road traffic limited to official vehicles

              Jun Mai

              Published: 12:05am, 17 Feb, 2020
              Hubei province, the epicentre of the
              deadly coronavirus outbreak , announced Sunday that it will impose tough new travel restrictions on all residents in the province to stop the spread of the disease.

              Under the new rules, all businesses will close and the province’s 58 million people will not be able to leave their residential community or village.

              No vehicles or visitors should be allowed into any residential community or villages unless “necessary”....
              ...The government called on all “unnecessary” stores in the province to close down and all public events to be cancelled. It also now requires all pharmacies to record details – including their real names, phone number, ID and address – of customers who buy medicines for a cold, cough or fever.

              Any village, community or office building that has a confirmed case of the virus, will be quarantined for 14 days...
              ...“All civilian airlines, railways, roads and waterways out of Hubei have been closed, which has been crucial in containing the disease nationwide,” Xi said during a meeting with the seven-strong Politburo Standing Committee on February 3. “But we should not neglect the risk of outflow of individual travellers.”...https://www.scmp.com/print/news/chin...lockdown-china
              CSI:WORLD http://swineflumagazine.blogspot.com/

              treyfish2004@yahoo.com

              Comment


              • #8
                China's Hubei Province Orders Citizens to Stay Home Amid Coronavirus Epidemic
                By Hunter Moyler On 2/16/20 at 5:29 PM EST

                The Chinese government has ordered residents of the province of Hubei—the epicenter of the outbreak of a novel coronavirus that has killed over a thousand people and infected thousands more—to follow new rules to stymie its contagion...

                Read more: https://www.newsweek.com/chinas-hube...idemic-1487579

                Comment


                • #9
                  Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2039346.shtml

                  Epidemic Situation of New Crown Pneumonia in Hubei Province on February 16, 2020

                  From 04:00 to 24:00 on February 16, 2020, 1933 new cases of new coronary pneumonia were confirmed in the province, including 1690 cases in Wuhan, 78 cases in Xiaogan City, 44 cases in Ezhou City, 38 cases in Tianmen City, 16 cases in Qianjiang City, 13 in Suizhou, 11 in Xiangyang, 11 in Jingzhou, 10 in Shiyan, 9 in Xianning, 8 in Huanggang, 8 in Xiantao, 6 in Jingmen, 2 in Enshi, and 5 in Huangshi 6 cases were reduced in Yichang City.

                  There were 100 new deaths in the province, of which 76 were in Wuhan, 5 in Xiaogan, 3 in Huanggang, 3 in Yichang, 3 in Jingmen, 2 in Suizhou, 2 in Xiantao, and 2 in Xianning. 1 case in Jingzhou City, 1 case in Huangshi City, 1 case in Xiangyang City, and 1 case in Ezhou City.

                  There were 1,016 new hospital discharges in the province, including: 543 in Wuhan, 122 in Huanggang, 96 in Xiaogan, 42 in Jingzhou, 37 in Xiangyang, 29 in Xianning, 27 in Suizhou, 22 in Ezhou, There were 20 cases in Xiantao City, 16 cases in Yichang City, 15 cases in Jingmen City, 14 cases in Huangshi City, 12 cases in Tianmen City, 10 cases in Shiyan City, 6 cases in Qianjiang City, and 5 cases in Enshi Prefecture.

                  As of 24:00 on February 16, 2020, Hubei Province has reported a total of 58182 cases of new coronary pneumonia, including: 41152 cases in Wuhan, 3279 cases in Xiaogan City, 2831 cases in Huanggang City, 1501 cases in Jingzhou City, 1274 cases in Ezhou City, and 1267 in Suizhou City. Cases, 1155 cases in Xiangyang City, 983 cases in Huangshi City, 915 cases in Jingmen City, 895 cases in Yichang City, 861 cases in Xianning City, 612 cases in Shiyan City, 531 cases in Xiantao City, 485 cases in Tianmen City, 249 cases in Enshi Prefecture, Qianjiang City There were 182 cases and 10 cases in Shennongjia forest area.

                  A total of 6,639 patients were discharged from the hospital. The province has accumulated 1696 deaths, of which: 1309 cases in Wuhan, 78 cases in Huanggang City, 70 cases in Xiaogan City, 37 cases in Jingzhou City, 35 cases in Ezhou City, 33 cases in Jingmen City, 24 cases in Suizhou City, 24 cases in Yichang City, There were 20 cases in Xiangyang City, 19 cases in Xiantao City, 15 cases in Huangshi City, 10 cases in Tianmen City, 10 cases in Xianning City, 6 cases in Qianjiang City, 4 cases in Enshi Prefecture, and 2 cases in Shiyan City.

                  At present, 40814 cases are still being treated in the hospital, including 8024 cases of severe cases and 1773 cases of critical cases, all of which are receiving isolation treatment at designated medical institutions. There were 4826 suspected cases, 909 were newly added on that day, 1,260 were excluded on that day, and 4384 were concentrated and isolated. A total of 191,434 close contacts have been tracked and 71,613 people are still undergoing medical observation.


                  Comment


                  • #10
                    Source: http://news.ycwb.com/2020-02/17/content_30585867.htm

                    Guangdong epidemiological experts Holmes cracked the epidemic of the epidemic—why were they infected?
                    Source: Jinyang Author: Fu Cheong, Tan Zheng, Feng West, Sui Wei Jian Xuan Published: 2020-02-17 06:50
                    share to

                    Correspondents from Jinyang Net Fu Chang Tan Ye Feng Xixi Correspondent Sui Jianxuan

                    Haven't been to Wuhan, why is it infected with the new crown virus? In a residential building, why are there multiple confirmed cases of new coronary pneumonia?

                    Since the outbreak of the new crown pneumonia epidemic, Guangdong epidemiological experts have been fighting the forefront of fighting the epidemic. It is like a "swordman" on the battlefield of anti-epidemic. Using scientific analysis and meticulous "surveillance" methods, the nearest Localities searched for clues related to the virus, "digging" the truth out of the cocoon, struggling for more time for epidemic prevention and control, and preventing the epidemic from spreading to the maximum extent possible.

                    So how did they find the "truth"?

                    A How do you get sick if you do n’t know each other?

                    In a jurisdiction, there are two strange families who have never met. All members of the family have not recently traveled far away, and have not contacted the people in the affected area. They were all diagnosed with new crown pneumonia. What exactly is going on? Recently, two local cases in Guangzhou have drawn great attention from the staff of the CDC.

                    One night in early February, a disease control center in a district of Guangzhou received a specimen of a case submitted from a large three-level hospital. After testing, the case specimen was positive for a new type of coronavirus. Disease control experts conduct epidemiological investigations to confirm the source of the infection.

                    The confirmed patient Ms. A is a native of Guangzhou. She said that she had not lived or traveled to Hubei or Wuhan in the 14 days before the onset, and had been living in Guangzhou, and had not contacted the personnel in the affected area. CDC investigators are routinely aware of their activity trajectories and exposure prior to onset. Apart from mentioning the situation of dining out in the thirties, experts could not find any clues to confirm the source of his infection.

                    Soon, Ms. A's husband and daughter were also diagnosed with new coronary pneumonia. They had been in Guangzhou for 14 days before the onset of illness, and had not contacted the personnel in the affected area.

                    This confuses disease control experts. Therefore, the epidemiological investigation of Ms. A's family was not conclusive at the moment.

                    Just then, Ms. B from another family in the same jurisdiction was also diagnosed. Similar to family A, Ms. B had no contact history with the affected people and had not traveled far away.

                    So how did Ms. B get infected? Disease control experts have once again fallen into a "mystery." After careful inquiry, Ms. B's husband suddenly mentioned that on the 30th day of the year, their family went to a restaurant for dinner.

                    "The name of a restaurant caught the attention of one of our staff: the name is familiar and seems to have been heard somewhere."

                    It turned out that the two unfamiliar families mentioned above dine at the same restaurant and on the same floor next to the window at the same time of the year.

                    But what exactly is causing them to be infected at the same time? The disease control experts started to look back at the previous case, and a case of a Hubei family who went to Guangzhou to enter their field of vision. The hotel where this family lives is near this restaurant!

                    Experts found that at the same time in the thirteenth year of the New Year, the family also drank at the restaurants where Family A and Family B ate, and they were sitting between A and B. The three families were within 1 meter of each other.

                    The riddle was finally revealed, and A and B were not local cases, but had contact with personnel from the key areas of the epidemic without being aware of it.

                    Those who inadvertently contracted the virus were not just A and B. Previously, a 57-year-old man from Foshan was infected by five friends from a severely infected area at a party.

                    B What "contagion" does the same building depend on?

                    Recently, in a residential building in a certain district of Guangzhou, five confirmed cases of new coronary pneumonia have appeared one after another. How did they get infected? Experts from the Guangzhou Centers for Disease Control and Prevention tried to restore the process and find out the truth.

                    Three of the five cases (confirmed cases A, B, and C in Guangzhou) belonged to family member No. 1. They were a family of three. All three said they had no contact with confirmed cases of new coronary pneumonia and people from the affected areas. However, after an epidemiological investigation, disease control experts learned that the couple A and B had traveled to Guangzhou by train from another province in mid-January to find their child (case C). The train stopped in Wuhan on the way. It was speculated that there might be unknown patients with neo-coronary pneumonia among the same passengers. The two were infected due to close contact in the carriage, and then passed on to case C through close family contact.

                    Family No. 2 is another occupant of the same building and is a couple (case D, case E). They also stated that there was no history of contact with confirmed cases and people in the affected areas.

                    What's so strange about two "fights" in the same building? After inquiry, family No. 1 and Family No. 2 usually do not intersect. Is family number two infected by other means? The investigation was temporarily stuck.

                    Subsequently, CDC experts sampled the elevator, air, and door handles of the building, and found that the test results of the door handle of the first family were positive for nucleic acids, and the rest of the samples were negative. This suggests that the case of Family No. 1 may spread droplets with the new crown virus into the building's external environment through coughing, sneezing, and contact.

                    Experts from the Guangzhou City and District Centers for Disease Control and Prevention also used big data technology to carry out traceability investigations of cases. It was found that before January 23rd, residents in this building basically did not wear masks and were accustomed to press the "close button" to speed up the elevator door closing; through careful observation, Case B had a snot in the elevator, which may have caused the new crown virus Spread inside the elevator; Case E went in and out of the elevator twice before and 1 minute before Case B, and used a toothpick to floss after pressing the elevator button.

                    Linking these three findings, CDC experts reasoned that case E was most likely due to the same elevator used as case B, and exposure to the new crown virus caused by poor personal hygiene habits. Case D was then transmitted through close family contact.

                    So why is the environmental sampling of the elevator negative? Disease control experts said that it may be because the time has passed too long and the interior of the elevator has undergone multiple rounds of disinfection, so viral nucleic acids cannot be detected.

                    Experts from the Centers for Disease Control and Prevention of Guangzhou reminded that if patients with new coronary pneumonia do not do self-protection and wear masks, they will spread droplets, etc. to the outside environment by coughing, sneezing, contacting, etc., and it is very likely that new coronavirus will remain in the articles Surface or confined space in the air. Experts call on the general public to develop good hygiene habits, do a good job of personal protection, protect themselves and others.

                    C "Choose" after a short meeting?

                    Girl Y is engaged in clothing wholesale in Guangzhou. His hometown Zhanjiang lives with two brothers in Guangzhou.

                    On January 18, Y's boss went to a Wuhan branch for a business trip and returned to Guangzhou on the 19th. On the same day, he called the store manager to have a short one-hour meeting with Y. No masks were worn during the meeting.

                    That night, Y felt sore throat and took cold medicine on her own. She felt that her symptoms had improved.

                    On January 23, Y and two brothers returned to Zhanjiang for Chinese New Year. On the 24th, the boss told the staff that on the 21st he went to Canada with fever and is currently taking medicine. As soon as Y was informed of this news, his boss was alert and the boss had been to Wuhan a few days ago! No one was wearing a mask at the time, and they could be infected! Therefore, Y went to the hospital in the afternoon even if he had no symptoms. After visiting the clinic, go home and observe in a separate room, and eat alone. Don't go out and keep away from your family.

                    In the early morning of January 27, Y developed fever, chills, and sore throat, accompanied by fatigue and muscle soreness. She immediately felt inappropriate, and went to the hospital again in the morning to receive isolation treatment. On the 28th, Y was diagnosed with new coronary pneumonia. On the 29th, Y learned that his boss was also diagnosed.

                    Due to Y's strong awareness of disease prevention, after returning to his hometown, he learned that his boss had fever and other symptoms and took corresponding measures. Y's family did not experience any discomfort and were not infected with the new coronavirus.

                    Experts from the Provincial Center for Disease Control and Prevention said that at the time of rework, they should truthfully inform the unit of their travel history (whether to return to Guangdong from a high-infection area), and actively cooperate with the unit to do isolation and health registration.

                    Office space should be more ventilated and disinfected. If there are multiple people working together, everyone must wear a mask, wash their hands frequently, and drink plenty of water. If the unit has a canteen, it must implement a meal-sharing system and off-peak meals. In addition, there should be fewer meetings and short meetings. The place should be disinfected and ventilated before the meeting. Don't have too many participants. Wear a mask during the meeting. Site cleaning, disinfection and ventilation should also be done after the meeting.
                    Edit: alan





                    Comment


                    • #11
                      Source: https://sichuan.scol.com.cn/dwzw/202002/57484758.html
                      Sichuan responds to new crown pneumonia report No. 9: entering the commercial supermarket requires wearing a mask to measure body temperature
                      2020-02-17 07:04:22 Source: Chengdu Daily 日 Editor: Liu Bo
                      Mobile access

                      Yesterday, Sichuan Provincial Emergency Response Command for New Coronavirus Pneumonia Epidemic Issued Announcement 9 (hereinafter referred to as "Announcement"). Make arrangements for the management of crowded places such as shopping malls and supermarkets in the prevention and control of new-type coronavirus pneumonia.

                      The "Announcement" pointed out that shopping malls and supermarkets should strengthen ventilation, maintain air circulation and freshness, and ensure that indoor air hygiene quality meets specifications. We must strengthen cleaning and disinfection, do a good job in garbage removal and transportation, and keep the environment clean and hygienic. Special temperature measurement facilities or special personnel shall be set up at the entrance of the shopping mall and supermarket. The temperature of each employee and customer shall be measured, and a mask shall be supervised. The body temperature is normal, only wear a mask to enter. Do not remove the mask when communicating with each other. Sales personnel must maintain a distance of 1 meter or more when talking with customers, and wireless payment by QR code is preferred.

                      The "Announcement" requires that entertainment areas will continue to be closed and large-scale promotional activities are not allowed. Our province will continue to close the crowded entertainment areas such as bars, dance halls, cinemas, and electronic game halls in shopping malls. Suspend services for maternity rooms, children's playgrounds, and indoor entertainment venues. It is not allowed to organize large-scale promotional activities, exhibitions and other gathering activities.

                      The Announcement also recommends that safe shopping is recommended for lower floors. Elevators are preferred for higher floors. Owners should disinfect elevators and buttons in time. Shopping malls and supermarkets should also set up emergency areas. When customers or employees have suspected symptoms or are unwell, they should be temporarily quarantined in the emergency area and dealt with in a timely manner in accordance with relevant regulations.

                      In addition, the "Announcement" also pointed out that the specific operational measures refer to the "Guidelines for Hygienic Protection of New Coronavirus Pneumonia during the Epidemic of New Coronaviruses" and "Guidelines for Hygienic Protection of Supermarkets during the New Epidemic Coronavirus Pneumonia" issued by the State Council in response to the Joint Prevention and Control Mechanism for New Coronavirus Pneumonia See www.nhc.gov.cn.

                      Our reporter Zhao Rongchang Zhang Jiahua

                      Comment


                      • #12
                        Source: http://cq.cqnews.net/html/2020-02/17..._50818258.html

                        Four new cases of pneumonia confirmed by new coronavirus infection in Chongqing
                        2020-02-17 07:02:00 Source: Hualong.com-New Chongqing client 0 comments

                        Hualong.net-New Chongqing client 7:01 on February 17 (Chief reporter Huang Yu) Today (17), Hualong.com-New Chongqing client reporter learned from the Chongqing Municipal Commission of Health and Health, February 16, 2020 From 12 to 24 hours, Chongqing reported 4 new cases of newly diagnosed pneumonia and 20 new cases were cured and discharged.

                        Among the newly confirmed cases, there were 2 cases in Wanzhou District, 1 in Jiangbei District, and 1 in Changshou District. Among the newly cured cases, 5 were in Yuzhong District, 1 in Dadukou District, 1 in Shapingba District, 1 in Jiulongpo District, There was 1 case in Nan'an District, 2 cases in Yubei District, 1 case in Qijiang District, 1 case in Dazu District, 1 case in Laoshan District, 1 case in Tongliang District, 3 cases in Rongchang District, 1 case in Kaizhou District, and 1 case in Dianjiang County.

                        As of 24:00 on February 16, there were 339 confirmed cases in hospital in Chongqing (including 37 cases of severe cases and 13 cases of critical cases), 5 cases of deaths, 207 cases of discharged patients, and 551 confirmed cases. example. A total of 22,026 close contacts have been traced, 17,825 medical observations have been lifted, and 4201 people are still receiving medical observations. Details are as follows:

                        Experts believe that recently, the number of newly diagnosed cases in our city has been on a downward trend for 7 consecutive days, and the number of newly added cases has been less than 10 in the last 3 days. The number of patients cured and discharged daily for 5 consecutive days has exceeded the number of newly confirmed cases. From February 11th, both "increased cases" and "in-hospital cases" have been reduced, indicating that the early epidemic prevention and control measures have achieved significant results. However, with the increase in the number of workers returning to work and production, the epidemic prevention and control is still facing the severe challenge of “foreign defense import and internal proliferation prevention”. There have been imported cases of returning to Chongqing in non-key areas. It is warned that during the return to Chongqing, the return of personnel will put new pressure on epidemic prevention and control.

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                        • #13
                          Translation Google

                          Hubei Daily: We are in an extremely important window period

                          Release time: 2020-02-17 00:30 Source: Hubei Daily

                          Hubei and Wuhan are the top priorities for epidemic prevention and control. Hubei and Wuhan are the decisive places to win the fight against epidemic prevention and control. "Top priority", how important is our work? "The Land of Victory" Is there any key to our responsibility? The epidemic is in a period of continuous growth at a high level. How urgent is our time for action? To race against time, we must grasp this extremely important window period and concentrate all resources and forces to fight the epidemic.

                          We are in an extremely important window. At present, the full implementation of personnel flow control measures such as closed traffic, closed quarters in villages (villages), and delayed resumption of work and labor is the window period for blocking transmission channels. The Party Central Committee mobilized medical personnel and related materials to assist Hubei. The window period for the convergence of medical resources; the strength of all parties to focus on the prevention and control of the epidemic is the window period for the era of annihilation.

                          But the window period does not open all the time. When it is extraordinary, it is extraordinary, but only when it is as short as possible can the impact and cost of all aspects be reduced as much as possible. Only by holding fast to the time window created by this "absolute move" can the situation be stabilized and the situation reversed at an early date.

                          The window period is called "window" because the time left by the epidemic is very limited. From the perspective of the whole province, the tasks of preventing and controlling epidemic epidemic reduction and increase are still very arduous. The vast number of medical staff and grassroots cadres are in an overloaded state of work. Every day, human and material resources are consumed hugely. It will inevitably cause passiveness, and the price paid is extremely heavy. Time does not wait for people, and the spread of the epidemic does not wait for everyone. All prevention and control work must run ahead of the development of the epidemic, and all work must be moved forward, racing against time and speeding up.

                          The reason why this window period is extremely critical is because the situation is stuck against each other, and there is no room for loss. Hubei and Wuhan are early and frequent epidemics. The evolution of the epidemic is a wake-up call for us. If the prevention and control is not thorough and strict enough, the epidemic will spread beyond our imagination. Soberly seeing the severity and complexity of the current epidemic, in this battle to prevent and control the annihilation, we must back the battle and have no retreat.

                          The place of victory must be the place of decisive battle. Epidemic prevention and control is the top priority in the province at present, and it is the most important and top-ranking work in the overall situation. Hold fast to this extremely critical window period. The whole province will have a unified understanding, a unified pace, and a unified action to make work more intense, stricter and more effective. Victory "lays a decisive foundation for" national victory ". (Hubei Daily Commentator)

                          Editor-in-chief: Hu Fanghua

                          http://www.hubei.gov.cn/zhuanti/2020..._2039340.shtml
                          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                          -Nelson Mandela

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                          • #14
                            Source: https://tech.sina.com.cn/roll/2020-0...f2003941.shtml

                            The accomplice of the new coronavirus-what is the pathogenic fungus?

                            Original title: The "accomplice" of the new coronavirus-what is the pathogenic fungus? Source: Institute of Microbiology, Chinese Academy of Sciences

                            Since 2020, the continuous outbreak of new crown pneumonia has been affecting the hearts of hundreds of millions of Chinese people. In the face of the epidemic, the Chinese people turned into fighters, and a vigorous People's War "epidemic" was set off across the country. In the course of treatment, in addition to the clear virus "devil", our opponents also have many other pathogenic microorganisms, which can also contribute to the situation, leading to combined infections and increasing the difficulty of the entire treatment process.

                            Figure 1. Article published in Wuhan Jinyintan Hospital, retrospective analysis of 99 new crown cases [1]

                            Among the "killers" that cause co-infection, pathogenic fungi are an important member. On January 29, 2020, Wuhan Jinyintan Hospital published an article in the famous medical journal "The Lancet". They conducted a retrospective analysis of previous cases and found that 5 of the 99 patients with new-type coronavirus infection appeared suspicious. Status of combined fungal infections. Clinical treatment found that among these co-infected patients, pathogenic fungi such as Candida albicans, Candida glabrata, and Aspergillus flavus were isolated. One patient with bacterial infection was [1 ]. The reported bacterial infections are well known to the public and have caused catastrophic epidemics such as plague and cholera on the historical stage many times. However, there is very limited knowledge about fungal infections.

                            Fungi and pathogenic fungi

                            Fungus is a eukaryote. Unlike plants, animals, and bacteria, fungal cells have cell walls on their surface. Chitin (also called chitin) is the main component, which is different from cellulose in plant cells. There are about 300 species of fungi that can cause human disease.

                            When it comes to pathogenic fungal infections, "beriberi" is often the first related word that comes to mind. In fact, in addition to superficial infections in humans, pathogenic fungi can cause deeper and more severe infections, and even death. According to the focus of fungal infection, the pathogenic fungi can be divided into two categories: shallow infection fungus and deep infection fungus. The pathogenic fungi isolated from patients with new coronavirus infections are opportunistic fungi among the deep-infecting fungi.

                            Figure 2. Superficial mycosis (left) [2] and deep fungal infections (right) [3]

                            As the name suggests, opportunistic fungi belong to "opportunist", that is, they cannot cause disease under the condition of human health, but they will come in when the immune system is damaged or suppressed, which will cause fatal depth. infection. The infection of the new coronavirus and the use of hormones during its treatment will break the patient's own immune balance, allowing these "opportunists" to find opportunities to invade the body.

                            Three Chance Pathogenic Fungi

                            These "opportunists" can come from our own symbiotic microorganisms (climbing inside and outside) or from the environment (falling down the rocks).

                            Candida albicans is typical of "eating inside and crawling outside". It is a common member of the human symbiotic microbial community and is distributed in the oral cavity, upper respiratory tract, intestinal tract and vagina of healthy humans. It will teach us how powerful it is as an "invisible killer": Candida albicans can be transformed from a yeast form to an infectious mycelium form, which allows it to march from the shallow surface of the human body to deeper tissues "Its excessive growth may lead to superficial infections (such as thrush), and even fatal deep infections (such as sepsis).

                            The vast majority of pathogenic fungi actually come from the environment. They appear to be mediocre in the environment. They seem harmless to humans and animals, but they can invade the body through our respiratory system, causing pneumonia and even systemic infections. Cryptococcus neoformans, which are environmental pathogenic fungi, can emit their own "offspring" spores into the environment, or they can form lightweight dry yeast due to the dry environment. These two forms facilitate their spread in the air and pass through human breathing The system enters the lung colonization and waits for opportunity.

                            Three major opportunities for pathogenic fungi, from left to right are Candida albicans, Cryptococcus neoformans, Aspergillus fumigatus [4]

                            Aspergillus fumigatus, the last of the three opportunities, is also from the environment, and is one of the important culprits causing food spoilage. Aspergillus fumigatus spores are widespread in the environment. Therefore, in addition to destroying food and causing economic losses, it can also invade the body and cause aspergillosis in the bronchi and lungs. Among them, invasive aspergillosis is the most deadly, with a mortality rate of 30%. Although the hospital has taken a number of measures to reduce the level of Aspergillus in the air, the interior of the hospital is still the hardest hit area for invasive aspergillosis, which directly leads to infection and even death of hospitalized patients. What's more serious is that in recent years, Aspergillus fumigatus isolated from many countries has begun to show resistance to its "buster" -azole drugs. The mortality rate of invasive aspergillosis caused by these resistant bacteria can rise to 88%. -100%, which brings great difficulties to clinical treatment [5].

                            Black history of pathogenic fungi

                            In fact, the fungal co-infection of patients with new coronavirus infections is not the first appearance of pathogenic fungi on the historical stage. In the long war against viruses, fungi have repeatedly appeared, causing severe damage to humans. During the fight against SARS from 2002 to 2003, cases of co-fungal infections were repeatedly reported, and their occurrence greatly increased mortality. After sputum specimens from 33 patients with severe SARS were detected by the 309 Hospital of the PLA, 6 cases of fungal infection and 3 cases of bacterial and fungal infection were found [6]. Every appearance of fungal co-infection is another threat to the life of critically ill patients.

                            In addition to being "accomplices", pathogenic fungi have also posed a huge threat to human health as the main force. In 2001, Cryptococcus neoformans, the twin brother of Cryptococcus neoformans, swept across Vancouver Island, Canada, causing a large number of animal infections and deaths, and subsequently infecting local residents. Outbreaks continued until 2012, causing a total of 337 infections in British Columbia, with a mortality rate of approximately 30% [8].

                            Candida ear infections continue to increase nationwide [7]

                            Coincidentally, the infection of "super fungus" Candida albicans in recent years also has a very high lethality (nearly 50%), which has once again caused worldwide attention to pathogenic fungi. As of the end of February 2019, the fungus caused 587 cases of infection in the United States [9]. Due to its resistance to broad-spectrum antifungal azoles, Candida auricularia makes clinical treatment more difficult.

                            Why is it difficult to eliminate fungi?

                            Pathogenic fungi pose a huge threat to human life and health. Fungi are different from bacteria and viruses. As eukaryotes, fungi have a unique "upgrade procedure"-sexual reproduction. Sexual reproduction enables fungi to reorganize genetic material, thereby producing diversified descendants, which provides an important driving force for the production of highly virulent and drug-resistant strains, and lays a hidden danger for the emergence of outbreaks of infection. Because of its increasingly strong ability to adapt, the range of targets for pathogenic fungi is also widening. Cryptococcus neoformans, which originally only infected immunocompromised patients, has shown a tendency to infect immunocompetent people in China. Faced with such a huge threat, the types of treatments are far from matching.

                            Both fungi and human hosts are eukaryotes. Evolutionally, they came from a common eukaryotic ancestor. As a result, fungi are closer to our genome and cell structure than bacteria (prokaryotes). Therefore, antifungal drugs obtained through traditional screening methods are often more toxic and cannot be used for clinical treatment. This has made the development of new antifungal drugs extremely difficult, and no new drugs have been available for nearly two decades.

                            Pathogenic fungal infections are so tricky, in large part because they are not given enough attention. In recent years, many fungal outbreaks have sounded the alarm in the world. In drug development, the US FDA has allowed the market franchise of new drugs to treat the three major pathogenic fungi (Candida albicans, Cryptococcus neoformans, Aspergillus fumigatus) infections to be extended for 5 years, and approved the drugs to be listed as "orphan status" To reduce the limits of clinical trials. In addition, the concept of fungal control has also been upgraded. The concept of One Health provides a new idea for the prevention and control of pathogenic fungal infections. People are gradually realizing that fungal outbreak infection is not a simple public health safety event. The reason is that the environment-animal-plant-human interaction chain is imbalanced. Animal health and environmental health are closely related to human health. If we know nothing about the pathogens in the ecological environment and animals and plants, we cannot predict the harm of infection and spread in the population. Therefore, in order to be able to deal with "powerful" pathogenic fungi, it is essential to ensure the coordinated health of humans, animals and the environment. Achieving collaborative health requires interdisciplinary cooperation between scientists studying human, animal and plant and environmental health, establishing appropriate institutional mechanisms, strengthening research and collaboration between scientists, doctors, and personnel from different government departments, preventing micro-fading, and stifling the "fungi demon" in Germination stage.

                            As a severely affected area of ​​pathogenic fungal infection, China needs to pay more attention to pathogenic fungi, actively carry out exchanges between hospitals and scientific research institutions, promote the rapid development of new diagnosis and treatment methods, and establish a comprehensive fungal control system based on the characteristics of fungal infections in China. In terms of publicity, we must strengthen science popularization and popularize the public's awareness of pathogenic fungi and their awareness of prevention and control. It is believed that with these efforts, we can finally solve the threats and problems that pathogenic fungi bring to us.

                            references:

                            1.Chen, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. LANCET. 2019

                            2.Reddy, et al. Epidemiological, Clinical and Cultural Study of Onychomycosis. American Journal of Dermatology and Venereology. 2012

                            3.Kradin. 2009. The Pathology of Aspergillus Infection. In: Comarú Pasqualotto A. (eds) Aspergillosis: From Diagnosis to Prevention. Springer, Dordrecht

                            4.Centers for Disease Control and Prevention (CDC) website: https://www.cdc.gov/fungal/diseases/index.html

                            5. Chen Yong, et al. Recent advances in studies on resistance of Aspergillus fumigatus to azoles. Chinese Journal of Epidemiology.

                            6. Lei Hong et al. Analysis of bacterial and fungal infections in SARS patients. Chinese Journal of Clinical Laboratory Science. 2004

                            7.CDC website: https://www.cdc.gov/fungal/candida-a...ets/index.html

                            8. The lethality rate is nearly 30%, triggering panic in North America: how the "mild" yeast that has been in the dormancy for half a century becomes a deadly toadstool. 2017. Public account "Global Science".

                            9. Be vigilant! The spread of "Candida candidiasis" is listed in the United States as a serious global health threat, with 104 cases in NSW. 2019. Sohu News.

                            10.Konopka, et al. 2019. One health: fungal pathogens of humans, animals, and plants.

                            Author unit: Institute of Microbiology, Chinese Academy of Sciences
                            Key words: fungal microbial neocrown pneumonia

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                            • #15
                              Source: http://www.chinanews.com/sh/2020/02-17/9093939.shtml

                              1 new case of new coronary pneumonia confirmed in Hebei
                              February 17, 2020 07:33 Source: China News Network

                              Langzhong New Network, February 17. According to the website of the Hebei Provincial Health and Health Committee, from February 0 to 24:00 on February 16, 2020, Hebei Province reported one new confirmed case of new coronavirus pneumonia (Xingtai City). Nine new cases were cured and discharged, including 4 in Cangzhou, 2 in Chengde, 2 in Baoding, and 1 in Handan. Two new suspected cases (Tangshan City) were added.

                              As of 24:00 on February 16th, Hebei Province has reported a total of 301 confirmed cases, including 3 deaths, 23 existing severe cases, and a total of 109 discharged from the hospital. Among the confirmed cases, 51 were in Tangshan, 47 in Cangzhou, 34 in Zhangjiakou, 32 in Baoding, 31 in Handan, 30 in Langfang, 28 in Shijiazhuang, 23 in Xingtai, 10 in Qinhuangdao, and Hengshui. There were 8 cases in Chengde City and 7 cases in Chengde City. Among the deaths, 2 were in Cangzhou City and 1 in Xingtai City. Among the severe cases, 4 were in Tangshan City, 4 in Cangzhou City, 3 in Shijiazhuang City, 3 in Qinhuangdao City, and 2 in Zhangjiakou City. Cases, 2 cases in Langfang City, 2 cases in Handan City, 1 case in Baoding City, 1 case in Hengshui City, 1 case in Xingtai City; among the discharged patients, 21 cases were in Baoding City, 18 cases were in Cangzhou City, 14 cases were in Langfang City, and 10 cases were in Xingtai City. There were 10 cases in Handan City, 9 cases in Zhangjiakou City, 9 cases in Tangshan City, 7 cases in Shijiazhuang City, 4 cases in Chengde City, 4 cases in Hengshui City and 3 cases in Qinhuangdao City. There are 13 suspected cases.

                              At present, 10,435 close contacts have been tracked. Of the 709 people who were released from the quarantine medical observation on the same day, 2900 people are currently receiving quarantine medical observation.

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