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China: Covid-19: Cases, Outbreak News and Information Week 9 + (February 23 - ) Please be aware that there is no independent verification of China's numbers

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  • #31



    Update on the outbreak of new coronavirus pneumonia as of 24:00 on February 26
    Posted: 2020-02-27 Source: Health Emergency Office

    At 04:00 on February 26, 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps reported 433 new confirmed cases and 29 new deaths (26 in Hubei and 1 in Beijing, Heilongjiang, and Henan). 508 new suspected cases were added.
    On the same day, 2,750 new cases were cured and discharged, and 12,823 people who had been in close contact with medical observation were released. The number of severe cases decreased by 406.
    As of 24:00 on February 26, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 43,258 confirmed cases (among which, 8,346 were severe cases), 32,495 were cured and discharged, and 2,744 were dead. A total of 78,497 confirmed cases have been reported, and there are currently 2358 suspected cases. A total of 652,174 close contacts were traced, and 71,572 were close contacts in medical observation.
    There were 409 new confirmed cases in Hubei (383 in Wuhan), 2288 new cured cases (1,535 in Wuhan), 26 new deaths (19 in Wuhan), and 39,755 confirmed cases (32,392 in Wuhan). Among them, 7984 were severe cases (7049 in Wuhan). A total of 23,200 discharged patients were cured (13,328 in Wuhan), 2,641 died (2,104 in Wuhan), and 65,596 confirmed cases (47,824 in Wuhan). There were 403 new suspected cases (341 in Wuhan), and 2019 suspected cases (1459 in Wuhan).
    A total of 133 confirmed cases were reported in Hong Kong, Macao and Taiwan: 91 cases in Hong Kong Special Administrative Region (24 cases discharged, 2 deaths), 10 cases in Macao Special Administrative Region (7 cases discharged), 32 cases in Taiwan (5 cases discharged, 1 case died) ).





    (Note: When quoted by the media, please mark 'Information comes from the official website of the National Health and Health Commission.')

    http://www.nhc.gov.cn/xcs/yqfkdt/202...9c8ceb40.shtml

    Comment


    • #32
      https://english.alarabiya.net/en/New...thorities.html
      ReutersThursday, 27 February 2020
      Text size A A A

      A city in China's Hubei province, the epicenter of the global coronavirus epidemic, will pay residents as much as 10,000 yuan ($1,425.96) if they proactively report symptoms of the illness and it is confirmed after testing.

      Qianjiang, a city of around one million people located about 150 km (90 miles) from the stricken provincial capital of Wuhan, has reported a total of 197 cases so far and is stepping up efforts to ensure its infected people are confined and treated.

      It is the latest of a number of regions to offer cash rewards to encourage members of the public to volunteer for medical checks.
      ...snip
      “The only security we have is our ability to adapt."

      Comment


      • #33
        Translation Google

        Zhong Nanshan: The epidemic first appeared in China may not necessarily originate in China

        2020-02-27 11:52 United Daily News / Reporter Dai Ruifen / Real Time Report

        The new crown pneumonia epidemic has spread globally and the mainland has become the target of public criticism. However, Zhong Nanshan, an expert on continental epidemic resistance and director of the National Respiratory Diseases Clinical Medical Research Center, said that the epidemic first appeared in China, not necessarily its origin in China.

        Zhong Nanshan attended the press conference on the prevention and control of the epidemic at the Guangzhou Medical University in the morning at the Guangzhou Municipal Government Information Office. He pointed out: For the prediction of the epidemic, we will first consider China, but not foreign countries. Now China does not necessarily originate in China.

        He also pointed out that the current condition in Wuhan is extremely serious, and infections outside the country are very fast. At the same time, it was emphasized that in China, only large-scale outbreaks occurred in Wuhan, and not in other cities such as Guangdong. At present, it is judged that the RO value is between 2 and 3 (that is, one person can infect 2-3 people). Severe patients are more contagious and less severe, but the infection is very fast.

        https://udn.com/news/story/120936/4374490

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

        Translation Google

        Where is the new crown virus source? Will China become an import destination? Zhong Nanshan responded


        Where is the source of the new crown virus? Will China become a destination for new crown pneumonia? Can other countries refer to the Chinese solution?

        On February 27, the Guangzhou Municipal Government Information Office held a special news briefing for the prevention and control of epidemics in Guangzhou Medical University. Zhong Nanshan, the leader of the high-level expert group of the National Health and Medical Commission and an academician of the Chinese Academy of Engineering, responded to public concerns.

        New crown virus source remains unclear

        Zhong Nanshan: There is a clue that the bats in Zhoushan, Zhejiang, carry the virus, and pangolins have a high degree of homology, and may be related to bats in Guangxi, but how exactly the new crown virus came from is still unclear. I do n’t believe that the pangolin is the only host. There should be something else.

        Talking about eating wild animals: It was originally not eaten, why now?

        Zhong Nanshan: Nearly 80% of infectious diseases come from animals. Especially in the south, when eating wild animals, there is a lot of contact, and the virus brought by animals will be transmitted to people. The bad habits of eating wild animals were originally not eaten. Why now? ?

        No epidemic data rise after return to work

        Zhong Nanshan: It was predicted that there will be a peak after the return to work, but as of the 27th, no epidemic data has been seen. Because getting on the train to check the plane, getting off the train to check the plane, interrupted the spread of infectious diseases.

        In the case of resumption of work, workers must undergo nucleic acid testing and IGM testing. Secondly, taps and sewers in all factories must be kept very smooth.

        In case of resumption of work in large enterprises, agglomerated infections may cause a great negative impact, so it is necessary to maintain a safe distance of more than 1.5 meters.

        Will China become a destination for new crown pneumonia?

        Zhong Nanshan: Will China become an epidemic input place after another stage? possible. My view is to strengthen international cooperation and joint prevention and control. Communicate the development of the epidemic situation and some effective treatment methods in a timely manner, so that it is believed that the epidemic situation will not expand.

        Countries with rapid epidemic situation can refer to China's plan

        Zhong Nanshan: China's new crown pneumonia epidemic came down shortly after reaching its peak. Countries with rapid spread can refer to China's plan to achieve early detection and isolation. This is a disease of humans, not a country.

        http://news.sciencenet.cn/htmlnews/2020/2/436340.shtm
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #34
          Translation Google

          Wuhan pneumonia / children's symptoms and infection rates are different from adults! Physician reveals 6 epidemic prevention myths

          2020-02-27 | Headlines , Health Tips , Wuhan Pneumonia , Instant News , Latest Articles

          The pneumonia epidemic in Wuhan continued to spread, and in Taiwan on the 25th, there was a case when the diagnosis was only 11 years old, making the school and parents starting on February 25 very nervous; except in accordance with the provisions of the Ministry of Education, the body temperature was measured once in the morning and evening In addition, there is even an "alcohol disinfection channel" in schools, requiring each student to disinfect before class.

          In fact, Wuhan pneumonia has different infection rates and symptoms for children and adults. If judged according to the same standard, some special warnings may be missed, and there is no way to correctly diagnose early. Wu Changteng, a children's emergency physician at the Changkou Hospital of Linkou, shared on Facebook. In fact, according to the "34 children with new coronary pneumonia diagnosed by Shenzhen Children's Hospital", there are 9 places that can be paid special attention to.

          Children and adults have different symptoms and infection rates! Physician reveals 9 epidemic prevention myths

          First, children are not easily infected with Wuhan pneumonia!


          In the clinical experience of Shenzhen Children's Hospital, child cases account for approximately 9.2% of all cases, and there are no severe and critical cases. And if the confirmed cases are generally seen, the incidence of Wuhan pneumonia in the age of 0 to 9 years is about 1%; about 1% in the age of 10 to 19 years, indicating that children are less likely to be infected with coronavirus.

          Second, children infected with Wuhan pneumonia, almost no fever or cough, if there is a fever, the main low fever

          Wu Changteng said that children infected with Wuhan pneumonia hardly cause symptoms. If they have symptoms, they have low fever and are not likely to cause neurological complications like flu, such as myelitis, paralysis or paralysis of hands and feet.

          And if you have a high fever and have obvious respiratory symptoms, Wu Changteng believes that it is more likely to be caused by children's flu and adenovirus, and it is more likely to cause neurological complications and gastrointestinal infections.

          Huang Xuan, a specialist in intensive medicine, also shared that for children, 98.2% are actually asymptomatic and mild; only 1.4% will become severe.

          3. If children have symptoms, 50% of them will have a low fever, followed by flu-like symptoms

          If symptoms occur, the clinical rate is about 50%, followed by cough, stuffy nose, runny nose, sputum, shortness of breath, wheezing, and vomiting.

          4. Most children are infected by their families, not their classmates. Vaccination at home is more important than school.

          According to statistics, if children get Wuhan pneumonia, more than 70% of the main transmission sources come from families, because adults in the home are more likely than children to have Wuhan pneumonia. Frequent and close contact will be transmitted to children; More important than school.

          Five children children the symptoms are too mild, asymptomatic and more, almost no laboratory tests, travel history, contact history is more important than the means of laboratory confirmed

          In particular, when diagnosing Wuhan pneumonia, in addition to looking at viral indicators, other biochemical indicators in the body will also be looked at. However, of the 34 cases, 33 cases of CRP (C-reactive protein, one of the inflammation indicators) are normal, 82% of patients have normal white blood cell index, and "laboratory indicators are abnormally small", so it is very important to ask for a detailed history of epidemics (TOCC). TOCC: Travel, Occupation, Contact, and Cluster.

          Six, the most difficult child prevention is: how to make children wash their hands

          At present, the best way to prevent Wuhan pneumonia is to wash your hands, especially children often grab food with their hands, or fight with classmates. Even if they do not get pneumonia, there may be infections such as enterovirus. It is recommended to Let the children develop the habit of washing their hands, but Wu Changteng also knows that it will not be easy, and can only say "as far as possible."

          Text, illustration / Lu Yingci

          https://heho.com.tw/archives/70991
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

          Comment


          • #35
            Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2161407.shtml

            Epidemic Situation of New Crown Pneumonia in Hubei Province on February 27, 2020

            From 04:00 to 24:00 on February 27, 2020, 318 new cases of new coronary pneumonia were confirmed in the province, including 313 in Wuhan, 2 in Yichang, 1 in Jingmen, 1 in Xiaogan, and 1 in Qianjiang. There were 0 cases in Huangshi, Shiyan, Xiangyang, Jingzhou, Ezhou, Huanggang, Xianning, Suizhou, Enshi, Xiantao, Tianmen, and Shennongjia forest areas.

            There were 41 new deaths in the province, including 28 in Wuhan, 4 in Huanggang, 3 in Shiyan, 1 in Xiangyang, 1 in Yichang, 1 in Jingzhou, 1 in Ezhou, and 1 in Xiaogan. There were 1 case in Suizhou City, 0 cases in Huangshi City, Jingmen City, Xianning City, Enshi Prefecture, Xiantao City, Tianmen City, Qianjiang City, and Shennongjia Forest District.

            There were 3203 new hospital discharges in the province, including 2498 cases in Wuhan, 173 in Xiaogan, 93 in Huanggang, 74 in Ezhou, 52 in Xiangyang, 47 in Suizhou, 46 in Jingzhou, and 40 in Huangshi. There were 37 cases in Xianning City, 33 cases in Yichang City, 32 cases in Xiantao City, 26 cases in Jingmen City, 25 cases in Tianmen City, 17 cases in Shiyan City, 8 cases in Enshi Prefecture, 2 cases in Qianjiang City, and 0 cases in Shennongjia Forest District.

            As of 24:00 on February 27, 2020, Hubei Province has reported 65914 confirmed cases of new coronary pneumonia, including: 48137 cases in Wuhan, 3517 cases in Xiaogan City, 2904 cases in Huanggang City, 1579 cases in Jingzhou City, 1389 cases in Ezhou City, and Suizhou City. 1307 cases, 1175 cases in Xiangyang City, 1013 cases in Huangshi City, 931 cases in Yichang City, 924 cases in Jingmen City, 836 cases in Xianning City, 671 cases in Shiyan City, 575 cases in Xiantao City, 496 cases in Tianmen City, 251 cases in Enshi Prefecture, Qianjiang City There were 198 cases in the city and 11 cases in the Shennongjia forest area.

            A total of 26403 patients were discharged from the hospital, including: 15826 cases in Wuhan, 2041 cases in Huanggang City, 1795 cases in Xiaogan City, 913 cases in Jingzhou City, 753 cases in Xiangyang City, 740 cases in Suizhou City, 685 cases in Ezhou City, 653 cases in Huangshi City, There were 644 cases in Xianning City, 534 cases in Jingmen City, 429 cases in Yichang City, 389 cases in Shiyan City, 388 cases in Xiantao City, 332 cases in Tianmen City, 172 cases in Enshi Prefecture, 99 cases in Qianjiang City, and 10 cases in Shennongjia Forest District.

            There were 2682 deaths in the province, of which 2132 were in Wuhan, 114 in Xiaogan, 114 in Huanggang, 46 in Jingzhou, 43 in Ezhou, 38 in Suizhou, 37 in Jingmen, and 33 in Huangshi. There were 32 cases in Xiangyang, 31 in Yichang, 19 in Xiantao, 13 in Tianmen, 11 in Xianning, 9 in Qianjiang, 6 in Shiyan, 4 in Enshi, and 0 in Shennongjia Forest District.

            At present, 32,878 patients are still being treated in the hospital, of which 6270 are critically ill and 1363 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 1989 suspected cases, 332 were added that day, 360 were excluded that day, and 1989 were concentrated and isolated. A total of 262,195 close contacts have been tracked, and 43,122 are still undergoing medical observation.





            Comment


            • #36
              Update on the outbreak of new coronavirus pneumonia as of 24:00 on February 27
              Published: 2020-02-28Source : Health Emergency Office
                At 04:00 on February 27, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 327 new confirmed cases and 44 new deaths (41 in Hubei, 2 in Beijing, and Xinjiang Production and Construction Corps 1 Cases), newly added 452 suspected cases.
                On the same day, 3,622 cases of discharged patients were cured, 10,525 close contacts were released from medical observation, and 394 severe cases were reduced.
                As of 24:00 on February 27, according to reports from 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps, there were 39,919 confirmed cases (among which 7,952 were severe cases), 36,117 cases were discharged from the hospital, and 2,788 were dead cases A total of 78824 confirmed cases were reported, and 2308 suspected cases were reported. A total of 656,054 close contacts were traced, and 65,225 close contacts were still in medical observation.
                There were 318 newly confirmed cases in Hubei (313 in Wuhan), 3203 cases of cured discharges (2498 in Wuhan), 41 deaths (28 in Wuhan), and 36,829 confirmed cases (30,179 in Wuhan). Among them, 7633 cases were severe cases (6775 cases in Wuhan). A total of 26403 discharged patients were cured (15826 in Wuhan), a total of 2682 deaths (2132 in Wuhan), and 65914 confirmed cases (48137 in Wuhan). There were 332 new suspected cases (295 in Wuhan) and 1989 suspected cases (1488 in Wuhan).
                A total of 135 confirmed cases were reported from Hong Kong, Macao, and Taiwan: 93 cases in the Hong Kong Special Administrative Region (26 cases discharged, 2 deaths), 10 cases in the Macau Special Administrative Region (8 cases discharged), and 32 cases in Taiwan (6 cases discharged, 1 case died). ).




              (Note: When quoted by the media, please mark "Information comes from the official website of the National Health and Health Commission.")
              http://www.nhc.gov.cn/xcs/yqfkdt/202...1ea5235f.shtml
              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

              Comment


              • #37
                Considerable mucus found in small airways of COVID-19 patients: expert

                Source: Xinhua| 2020-02-27 14:39:47
                GUANGZHOU, Feb. 27 (Xinhua) -- The novel coronavirus has a prominent feature whereby patients have a large amount of very sticky mucus in their small airways, said renowned Chinese respiratory specialist Zhong Nanshan at a press conference in Guangzhou on Thursday.

                Obstruction of the airway can lead to secondary infections, said Zhong. "We are working to solve the problem," he said.

                The mortality rate among critically ill patients in Wuhan, the epicenter of the outbreak, is close to 60 percent, Zhong said, adding that experts are searching for solutions to hypo
                x...http://www.xinhuanet.com/english/202..._138823909.htm
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • #38
                  Chinese laboratory that first shared coronavirus genome with world ordered to close for ‘rectification’, hindering its Covid-19 research
                  No reason was given for the closure of Shanghai facility, which released information about the virus ahead of authorities
                  One source at the laboratory said the closure has hampered scientists’ research when they should be ‘racing against the clock’
                  Zhuang Pinghui in Beijing
                  Published: 11:00pm, 28 Feb, 2020
                  Updated: 12:49am, 29 Feb, 2020

                  Read more: https://www.scmp.com/news/china/soci...-world-ordered

                  Comment


                  • #39
                    Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2162537.shtml

                    Epidemic Situation of New Crown Pneumonia in Hubei Province on February 28, 2020

                    From 04:00 to 24:00 on February 28, 2020, 423 new cases of new coronary pneumonia were confirmed in the province, including: 420 in Wuhan, 1 in Ezhou, 1 in Xiaogan, 1 in Enshi, Huangshi, Shiyan, There were 0 cases in Xiangyang City, Yichang City, Jingzhou City, Jingmen City, Huanggang City, Xianning City, Suizhou City, Xiantao City, Tianmen City, Qianjiang City, and Shennongjia Forest District.

                    There were 45 new deaths in the province, including: 37 in Wuhan, 2 in Suizhou, 1 in Huangshi, 1 in Shiyan, 1 in Xiangyang, 1 in Ezhou, 1 in Xiaogan, and 1 in Huanggang. There were 0 cases in Yichang, Jingzhou, Jingmen, Xianning, Enshi, Xiantao, Tianmen, Qianjiang, and Shennongjia forest areas.

                    There were 2492 new hospital discharges in the province, of which 1726 were in Wuhan, 252 in Xiaogan, 78 in Huanggang, 62 in Ezhou, 57 in Suizhou, 52 in Jingzhou, 49 in Xiangyang, and 33 in Xianning. There were 33 cases in Yichang City, 32 cases in Shiyan City, 30 cases in Tianmen City, 29 cases in Jingmen City, 22 cases in Huangshi City, 20 cases in Xiantao City, 9 cases in Enshi Prefecture, 8 cases in Qianjiang City, and 0 cases in Shennongjia Forest District.

                    As of 24:00 on February 28, 2020, Hubei Province has cumulatively reported 66,337 confirmed cases of new coronary pneumonia, including 48557 in Wuhan, 3518 in Xiaogan, 2904 in Huanggang, 1579 in Jingzhou, 1390 in Ezhou, and Suizhou. 1307 cases, 1175 cases in Xiangyang City, 1013 cases in Huangshi City, 931 cases in Yichang City, 924 cases in Jingmen City, 836 cases in Xianning City, 671 cases in Shiyan City, 575 cases in Xiantao City, 496 cases in Tianmen City, 252 cases in Enshi Prefecture, Qianjiang City There were 198 cases in the city and 11 cases in the Shennongjia forest area.

                    A total of 28,895 patients were discharged from the hospital, including: 17552 in Wuhan, 2119 in Huanggang, 2047 in Xiaogan, 965 in Jingzhou, 802 in Xiangyang, 797 in Suizhou, 747 in Ezhou, 677 in Xianning, There were 675 cases in Huangshi City, 563 cases in Jingmen City, 462 cases in Yichang City, 421 cases in Shiyan City, 408 cases in Xiantao City, 362 cases in Tianmen City, 181 cases in Enshi Prefecture, 107 cases in Qianjiang City, and 10 cases in Shennongjia Forest District.

                    There were 2727 fatalities in the province, of which 2169 were in Wuhan, 115 in Xiaogan, 115 in Huanggang, 46 in Jingzhou, 44 in Ezhou, 40 in Suizhou, 37 in Jingmen, and 34 in Huangshi. There were 33 cases in Xiangyang, 31 in Yichang, 19 in Xiantao, 13 in Tianmen, 11 in Xianning, 9 in Qianjiang, 7 in Shiyan, 4 in Enshi, and 0 in Shennongjia Forest District.

                    At present, 31,064 patients are still being treated in the hospital, of which 6056 are critically ill and 1,314 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 1171 suspected cases, 159 were newly added that day, 977 were excluded on that day, and 1171 were concentrated and isolated. A total of 263,916 close contacts have been tracked, and 39,303 people are still undergoing medical observation.

                    Comment


                    • #40
                      Translation Google

                      Zhang Wenhong's new crown pneumonia review (2): thought it was a black swan, but it was actually a gray rhino

                      First Financial 2020-02-27 10:53:14

                      Zhang Wenhong

                      The best time may be in the first week of January. If you can start a clinical diagnosis or a direct online report of a suspected diagnosis, this should be the last time point in the early stage that the disease can spread widely.

                      Everyone thought it was a Black Swan incident. We were attacked by the sudden and unpredictable Black Swan incident, and the misfortunes we passed today were all because of bad luck. If we all think so, then we really live up to this crisis and live up to the nation's efforts to make a living.

                      Today we walked from the darkest moment, but the whole world seems to be back to the time when Wuhan was popular in the early days, so China's review and experience are of vital importance to the world and ourselves .

                      Review of Wuhan before December 1, last year: the birth of the black swan

                      According to the current panel's review of early cases, the earliest recorded cases were December 1 and December 8 last year.

                      Now the whole society is tangled before December 1st? Where is patient 0?

                      Conspiracy theories are all over the Internet. In short, the three words "don't believe". No patient 0, no so-called intermediate host, I'll be with you.

                      The author's team sequenced the entire genome of the virus strain that was imported into Shanghai around January 20, and compared with the Wuhan strain, there was no mutation. This conclusion was published in the International Journal of Emerging Microbes and Infections. It is confirmed that the virus said by WHO is still authentic and has not become more virulent or easier to spread .
                      ...
                      The author also read the international team's data on the genome analysis of this new crown virus. In short, molecular biology experts mean that the genetic evolution of this virus must be a bat coronavirus source.

                      From the classification of the whole genome sequencing results published by the author, you don't understand anything. It can also be seen that this time the virus and the coronavirus carried by the bat are the same family, so it also caused some SARS-like clinical manifestations in 2003. . The new type of coronavirus and bat SARS-like coronavirus (bat-SL-CoVZC45) have more than 85% homology. On February 11, 2020, the International Virus Classification Commission (ICTV) named the virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
                      ...

                      But what is certain is that it was estimated to be an accidental chance before December last year, when the virus from bats entered human society.

                      Humans themselves opened Pandora's box. Now I endure the consequences silently. After the epidemic, I think humans will deeply reflect on this. But now, the origin of the virus (including which wildlife it came from) is not the most important, because it has come to earth.

                      It was a gray rhino from December 1st to December 30th last year.

                      Dr. Li Wenliang warned that the incident shocked the world. But from a technical point of view, what exactly did Dr. Li see and let him issue this alert?

                      From December 1st to December 30th last year, clinicians represented by Dr. Li have actually warned. But this warning failed to produce a systematic scientific report. Reported through conventional channels until the first batch of national expert groups were stationed in early January.

                      There is nothing wrong with the procedure. But in the early prevention and control of imported diseases, the first and most critical time point was missed.

                      So why can't clinicians form a systematic scientific report, which can greatly shorten the whole process from warning to implementation?

                      Academician Wen Yumei and the writer, a famous virologist at Fudan University, often talk about how to build a system for warning. Clinicians are the first pass. The enemy has just arrived at the village entrance. At this time, the alarm is sounded, and the hospital network system of the whole society is quickly established . Just like Singapore today, even if it is controlled by the “Buddha Department”, it can do better than other parts of Asia ( we will talk about the construction of the early system in more detail in the next issues ).

                      Why did the national direct reporting system for infectious diseases ignite at this time? The reason is that the front-line infectious disease prevention system is not powerful enough to distinguish which signals need to be reported directly and which signals do not need to be reported directly. In the winter, influenza-based viral pneumonia is tens of thousands in each city. Now new crown pneumonia appears and is mixed in. If it is reported, it means that you are calling a wolf every year. Will passivate failure. Only when the outbreak of infectious diseases that form the entire city and the enemy forces fully occupy the city will it start.

                      Therefore, Dr. Li Wenliang's warning left us with a valuable legacy and made us aware of the shortcomings and vacancies in our country's current early warning system for new infectious diseases.

                      This loophole is not blocked, and the discovery of new infectious diseases must be after the outbreak, not early.

                      So, where is this a black swan, this is a solid gray rhino , the danger is always there, and the result of turning a blind eye is horrible once it happens.

                      What kind of warning system should we establish? You can see the author's discovery of the transboundary transmission of swine herpes virus on the Huashan public account.
                      ...
                      In fact, what we need is not only that Dr. Li Wenliang can see, but all doctors should be able to see this alert, we can greatly move the risk point forward. This is the so-called first safety window, which was opened by Dr. Closed by our own ignorance.

                      Why did Dr. Li Wenliang see it, but other doctors couldn't? Saw it, but couldn't convince the superior department? Where is the technical link inside? In the review of the later issues, I will talk about the missing technical links in this issue, especially in the last issue of "Living to the Light."

                      Have we ever had a chance from January 1st to January 24th?

                      According to the currently available data and published papers, China CDC and Chinese scientists confirmed that this is a new type of coronavirus in the shortest time, and the virus was published in the internationally renowned Lancet Journal and the New England Journal of Medicine, respectively. The genetic structure and potential host receptors have also revealed the main clinical features of the disease. Virus receptors are mainly distributed on the alveolar cells of the lower respiratory tract. This predestined that the dominant disease of the disease is mainly pneumonia. Since the proportion of severe patients is low, and the proportion of mild or asymptomatic diseases may be large, it is very easy to cause great transmission without knowing it. These tasks were fully completed during the first week of January.

                      But until January 20, when the National High-level Expert Group announced the existence of human-to-human cases, did we still have enough security windows to fight the epidemic? In fact, the number of cases in Wuhan had increased significantly at that time, and no simple and effective rapid diagnostic method was established at this time. At the time, reporting of new coronary pneumonia across the country also required full-gene sequencing data, which brought technical obstacles to the direct reporting of the disease on the Internet.

                      In fact, the best time may be in the first week of January. If the direct diagnosis of clinical diagnosis or suspected diagnosis can be started, this should be the last time point in which the disease can be widely spread in the early stage.
                      ...

                      January 24-present, reviewing the strategy of closing the city and its subsequent trends

                      On January 24, after the city was closed in Wuhan, all provinces and cities across the country started a first-level response, and the national battle against new crown pneumonia started in an all-round way. Wuhan has implemented unprecedented measures to close the city, and other provinces and cities across the country have also adopted a number of measures, including strict prevention of imported cases, fever screening and screening, crossing control, community control, traffic epidemic prevention, and public place epidemic prevention. The entire Wuhan has undergone a LOCK DOWN, and the entire Chinese SLOW DOWN has come down. As a result, everyone has seen that the epidemic in China was effectively controlled within one month.

                      The data will not deceive, but in the early days of Wuhan ’s closure, many foreign public health scholars and flu experts have analyzed that the LOCK DOWN of external traffic in a region can only delay the peak of the epidemic and not completely stop the arrival of the epidemic. Are these experts wrong? No, because their analysis is based on the most rigorous mathematical model. Are these experts correct? Nor is it, because in their mathematical model, an important factor is ignored, that is, the potential for revision and improvement of an urban epidemic prevention system. It was during this period of delay in the precious epidemic that was created after the city was closed. China, a country that is good at learning and hard work, took advantage of the national system to quickly respond to it. The epidemic prevention system was re-established in an all-round way, and the epidemic situation was initially controlled during this precious window period.
                      ...
                      China's warning system is certainly imperfect, but China has the fastest self-correction effort. Behind this is the advantage of the national system, and it is also a demonstration of the unselfish dedication of countless medical workers, government functional departments, community workers, workers in other industries, volunteers, and the public. And these cannot be estimated by mathematical models.

                      Admittedly, this is not the best result, and we hope to establish an earlier and better direct reporting system in the future. In that case, everything may be killed earlier, and "slightly Buddhist control" can achieve the same result. However, there is no one-size-fits-all answer to the prevention and control of infectious diseases. The policy of each country should be based on its current medical resources and the actual situation of epidemic changes to make the most correct choice (a detailed analysis will be discussed with you in later issues). As the WHO inspection expert group said: " It is precisely because China has adopted this classic traditional, seemingly old-fashioned method of the entire government and society that it has avoided the occurrence of as few as tens of thousands and as many as hundreds of thousands of cases. This is an amazing achievement. "

                      Wuhan is a heroic city, and its sacrifice has won a valuable window for the whole of China. And China's efforts have also given the world time to understand the virus and the spread and clinical characteristics of the disease. Next, whether the respective prevention and control systems of the countries in the world can effectively curb the epidemic of new crown pneumonia will become the new key. The joint defense in Europe and the strong control in East Asia will also be rapidly implemented based on their national conditions. And we also expect that when the spring flowers bloom, the global village will be far away from the virus and show their joy.

                      Wen / Zhang Wenhong (Leader of Shanghai Medical Treatment Experts Group, Director of Infectious Diseases Department of Huashan Hospital)

                      This article is reproduced from the "Huashan Infection" public account with authorization, and the copyright belongs to the Department of Infectious Diseases, Huashan Hospital, Fudan University.

                      Editor-in-chief: Ren Shaomin

                      https://www.yicai.com/news/100524021.html
                      "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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                      • #41



                        Update on the outbreak of new coronavirus pneumonia as of 24:00 on February 28




                        At 04:00 on February 28, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 427 new confirmed cases and 47 new deaths (45 in Hubei, 1 in Beijing, and 1 in Henan). There were 248 new suspected cases.
                        On the same day, 2885 new cases were cured and discharged, 10193 close contacts were released from medical observation, and 288 severe cases were reduced.
                        As of 24:00 on February 28, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 37,414 confirmed cases (of which 7,664 were severe cases), 39,002 were cured and discharged, and 2,835 were dead. A total of 79,251 confirmed cases have been reported, and 1,418 suspected cases have been reported. A total of 658,587 close contacts were traced, and 58,233 close contacts were still in medical observation.
                        There were 423 newly confirmed cases in Hubei (420 in Wuhan), 2492 cured cases (1726 in Wuhan), 45 new deaths (37 in Wuhan), and 34,715 confirmed cases (28,836 in Wuhan). Among them, 7370 cases were severe cases (6585 cases in Wuhan). A total of 28,895 discharged patients were cured (17,552 in Wuhan), a total of 2,727 deaths (2,169 in Wuhan), and a total of 66,337 confirmed cases (48,557 in Wuhan). There were 159 new suspected cases (114 in Wuhan) and 1171 suspected cases (788 in Wuhan).
                        A total of 138 confirmed cases were reported in Hong Kong, Macao and Taiwan: 94 cases in Hong Kong Special Administrative Region (30 cases discharged, 2 deaths), 10 cases in Macao Special Administrative Region (8 cases discharged), 34 cases in Taiwan (9 cases discharged, 1 case died) ).




                        http://www.nhc.gov.cn/xcs/yqfkdt/202...c37e68ed.shtml

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                        • #42
                          Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2164964.shtml

                          Epidemic Situation of New Crown Pneumonia in Hubei Province on February 29, 2020

                          From 04:00 to 24:00 on February 29, 2020, 570 new cases of new coronary pneumonia were confirmed in the province, including: 565 in Wuhan, 1 in Huangshi, 1 in Shiyan, 1 in Jingmen, 1 in Ezhou, and Huanggang One case was reported in Xiangyang, Yichang, Jingzhou, Xiaogan, Xianning, Suizhou, Enshi, Xiantao, Tianmen, Qianjiang, and Shennongjia.

                          There were 34 new deaths in the province, including: 26 in Wuhan, 3 in Ezhou, 3 in Xiaogan, 1 in Xiangyang, 1 in Xianning, Huangshi, Shiyan, Yichang, Jingzhou, and Jingmen. , Huanggang City, Suizhou City, Enshi Prefecture, Xiantao City, Tianmen City, Qianjiang City, and Shennongjia Forest District were all 0 cases.

                          There were 2292 new hospital discharges in the province, including: 1675 cases in Wuhan, 168 cases in Xiaogan City, 69 cases in Jingzhou City, 52 cases in Huanggang City, 48 cases in Xiangyang City, 44 cases in Yichang City, 41 cases in Jingmen City, 38 cases in Suizhou City, There were 37 cases in Ezhou, 30 cases in Xiantao City, 22 cases in Huangshi City, 20 cases in Shiyan City, 15 cases in Xianning City, 12 cases in Qianjiang City, 11 cases in Enshi Prefecture, 9 cases in Tianmen City, and 1 case in Shennongjia Forest District.

                          As of 24:00 on February 29, 2020, 66,907 confirmed cases of new coronary pneumonia have been reported in Hubei Province, including: 49,122 cases in Wuhan, 3,518 cases in Xiaogan, 2905 cases in Huanggang, 1579 cases in Jingzhou, 1391 cases in Ezhou, and Suizhou 1307 cases, 1175 cases in Xiangyang City, 1014 cases in Huangshi City, 931 cases in Yichang City, 925 cases in Jingmen City, 836 cases in Xianning City, 672 cases in Shiyan City, 575 cases in Xiantao City, 496 cases in Tianmen City, 252 cases in Enshi Prefecture, Qianjiang City There were 198 cases in the city and 11 cases in the Shennongjia forest area.

                          A total of 31,187 patients were discharged from the province, including 19,227 in Wuhan, 2,215 in Xiaogan, 2,171 in Huanggang, 1034 in Jingzhou, 850 in Xiangyang, 835 in Suizhou, 784 in Ezhou, and 697 in Huangshi. There were 692 cases in Xianning City, 604 cases in Jingmen City, 506 cases in Yichang City, 441 cases in Shiyan City, 438 cases in Xiantao City, 371 cases in Tianmen City, 192 cases in Enshi Prefecture, 119 cases in Qianjiang City, and 11 cases in Shennongjia Forest District.

                          The province has accumulated 2761 fatalities, including 2195 cases in Wuhan, 118 cases in Xiaogan City, 115 cases in Huanggang City, 47 cases in Ezhou City, 46 cases in Jingzhou City, 40 cases in Suizhou City, 37 cases in Jingmen City, and 34 cases in Huangshi City. There were 34 cases in Xiangyang, 31 in Yichang, 19 in Xiantao, 13 in Tianmen, 12 in Xianning, 9 in Qianjiang, 7 in Shiyan, 4 in Enshi Prefecture, and 0 in Shennongjia Forest District.

                          At present, 28,912 patients are still being treated in the hospital, of which 5858 are critically ill and 1,249 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 646 suspected cases, 64 were newly added that day, 588 were excluded that day, and 646 were concentrated. A total of 265,617 close contacts have been tracked, and 35,766 people are still undergoing medical observation.









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                          • #43
                            Update on the outbreak of new coronavirus pneumonia as of 24:00 on February 29
                            Published: 2020-03-01Source : Health Emergency Office
                            At 04:00 on February 29, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 573 new confirmed cases, 35 new deaths (34 in Hubei, and 1 in Henan), and new suspected cases. 132 cases.
                              On the same day, 2,623 cases were cured and discharged, 8,620 were close contacts of medical observation, and 299 cases of severe cases were reduced.
                              As of 24:00 on February 29, according to reports from 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps, there were 35,329 confirmed cases (of which 7,365 were severe cases), 41,825 were cured and discharged, and 2,870 were fatal cases. A total of 79,824 confirmed cases have been reported, and there are 851 suspected cases. A total of 660,716 close contacts were traced, and 51,856 close contacts were still in medical observation.
                              There were 570 new confirmed cases in Hubei (565 in Wuhan), 2292 new cured cases (1675 in Wuhan), 34 new deaths (26 in Wuhan), and 32959 confirmed cases (27,700 in Wuhan). Among them, 7107 were severe cases (6393 in Wuhan). A total of 31,187 discharged patients were cured (19,227 in Wuhan), a total of 2,761 deaths (2,195 in Wuhan), and a total of 66,907 confirmed cases (49,122 in Wuhan). There were 64 new suspected cases (50 in Wuhan) and 646 suspected cases (393 in Wuhan).
                              A total of 144 confirmed cases were reported from Hong Kong, Macao, and Taiwan: 95 in the Hong Kong Special Administrative Region (33 discharged, 2 died), 10 in Macau Special Administrative Region (8 discharged), and 39 in Taiwan (9 discharged, 1 died). ).




                            (Note: When quoted by the media, please mark "Information comes from the official website of the National Health and Health Commission.")
                            http://www.nhc.gov.cn/xcs/yqfkdt/202...8e4c8039.shtml
                            Twitter: @RonanKelly13
                            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                            Comment


                            • #44
                              Translation Google

                              New crown coronavirus asymptomatically infected, study says

                              First Financial 2020-02-29 22:53:
                              Ma Xiaohua

                              Some experts believe that the epidemic situation has shifted from the emergency treatment stage to the epidemic peak and continuous prevention and control stage. Before the immune barrier is formed, much work remains to be done.

                              In recent days, the number of new crown pneumonia cases and the number of affected countries has continued to increase. Can new crown pneumonia be controlled? When can it be controlled? This may be a question in the minds of many people.

                              On February 27, the Director-General of the World Health Organization (WHO) Tan Desai said: "Our message remains that this virus has a pandemic potential. WHO is providing various tools to help each country respond accordingly. ready."

                              As of 18:00 on February 29th Beijing time, a total of 6,246 confirmed cases of new coronary pneumonia have been reported in 55 countries and regions outside China, with 94 deaths and 424 cures. Earlier, WHO raised the level of global risk of neo-crown pneumonia to "very high."

                              In addition, some studies have also shown some new ways of transmission of New Coronavirus, such as those with asymptomatic infection are more infectious. Are these manifestations of its potential for pandemic?

                              Are they eligible for a pandemic?

                              "Is it worth thinking about the long-term nucleic acid positive of Newcastle virus in feces?" This is a new problem discovered during clinical treatment by Hu Bijie, an expert of Newcastle Pneumonia Medical Treatment Team and director of Shanghai Zhongshan Hospital's Department of Infectious Diseases. But then the feces continued to be positive. "

                              The discovery of this problem is different from previous scientists who found live viruses in feces. "Pneumonia is good, fecal nucleic acid is still positive, and it is not uncommon. The clinical significance of long-term fecal positive is unclear, but it is worrying that there may be risks. You need to find the cause. Regular testing, antiviral treatment, attention to the plan, Further research is needed. "Hu Bijie expressed his concerns.

                              Although some clinical experts believe that this feature of neocrown virus is expected, other viral diseases have similar situations. Pay attention to disinfection of feces after washing and wash your hands. However, for rural areas, the challenge may be greater, and potential environmental pollution may bring further spread.

                              The latest research data show that the new crown virus can survive on the surface of objects for up to 9 days. The pollution of the external environment, especially the extensive living and working environment, makes it more difficult to cut off the transmission channels.

                              In addition to this feature, asymptomatic infection as a source of infection is also a feature of early coronavirus. However, how contagious are asymptomatic infections, we didn't know much before, and we don't even know how it spreads when asymptomatic.

                              However, this feature is also gradually being understood-asymptomatic infection is highly contagious, which makes subsequent prevention and control more difficult.

                              Recently, the Nanjing Centers for Disease Control and Prevention reported the clinical manifestations and epidemiological characteristics of 24 cases of asymptomatic new crown virus disease (COVID-19) on the preprinted service platform medRxiv. The title is "Clinical Characteristics of 24 Asymptomatic Infections with COVID-19 Screened among Close Contacts in Nanjing, China".

                              This study tracked 24 patients with asymptomatic patients through longitudinal observations of the history of close contact with confirmed patients, and revealed the potential for transmission of asymptomatic COVID-19 patients.

                              "The significance of this study is that asymptomatic carriers are found to be highly infectious, and the period of infection may be as long as 3-4 weeks, and patients infected by them may develop severe illness. The results highlight the use of viral nucleic acid testing for patients The importance of close contact tracking and longitudinal surveillance. At the same time, research suggests that it is necessary to return visits to nucleic acid testing for some discharged patients. In addition, the higher the viral load in the body, the more infectious it is. " Scholar Wang Yuge, a doctor of immunology, told First Financial.

                              It is precisely because of the contagious nature of such asymptomatic infected persons that when our containment policy ends, there will always be a fish that misses the net. It has become a difficult point to completely cut off its spread among humans. In addition, the conversion of nucleic acids to nucleic acid in some rehabilitation patients also requires us to reconsider the criteria for cure and discharge.

                              These characteristics will inevitably increase the difficulty of future prevention and control, and research on the trend of the epidemic situation will also add some uncertain factors.

                              Can it be completely blocked?

                              For the current prevention and control of new coronary pneumonia, WHO believes that the role of vaccines and antivirals in prevention and control should not be overemphasized at this time. In the absence of a vaccine, the most effective way to protect vulnerable populations is to reduce the chance of infection.

                              "The mutation of the virus has not yet been monitored. According to the characteristics of the current clinical manifestations of the virus, the only way to block transmission is the vaccine. However, the country is now working on the development, and before the vaccine comes out, it can only do a good job of public Prevent and control, "said a virologist.

                              A few days ago, Li Liming and other experts on the prevention and control of the new coronavirus pneumonia of the Chinese Preventive Medicine Association published "Thoughts on the countermeasures of the epidemic emergency management phase transition to the epidemic peak and continuous prevention and control". The expert group believes that although the epidemic pattern of the new coronavirus pneumonia is not clear, However, the epidemic of infectious diseases follows its own rules. During the spread of the disease, as the susceptible and immunized populations grow and fall, the epidemic situation has risen, peaked, plateaued, and fallen. The epidemic tends to stop when the herd immunity forms the immune barrier.

                              However, in view of the difficulty in controlling the source of infection of the new crown virus pneumonia, the complexity of the transmission route, the epidemic law, and the impact of the epidemic on the national economy and social order, the expert group believes that the epidemic situation has shifted from the emergency treatment stage to the epidemic peak continuous prevention and control stage. Before the immune barrier is formed, much work still needs to be done to prevent and control it.

                              The expert group recommends that epidemic prevention and control in Wuhan and Hubei Province is still the top priority, and more intensive and decisive measures should be adopted to resolutely curb the spread of the epidemic and build on the rapid implementation of various measures deployed by the central government. To strengthen the research and judgment of the epidemic. If the epidemic situation has not been effectively contained, it is recommended that the traffic blockade be postponed as appropriate; after the epidemic situation is effectively controlled, adjustments to prevention and control countermeasures may be considered to gradually restore external traffic and normal urban life and work order. Hubei epidemic-stricken areas should adopt the same strategies and measures mentioned above.

                              In other provinces across the country, early detection and control of infectious sources, timely treatment of clustered epidemics, and strict prevention of community proliferation are the top priorities of current work. Establish an acute respiratory infectious disease surveillance and control system as soon as possible: conducting outbreak surveillance, influenza surveillance, and unexplained pneumonia surveillance are the foundation and important measures for detecting and preventing new respiratory infectious diseases. Rely on scientific and technological strength and big data analysis systems to increase the detection and prevention of infection sources.

                              Editor-in-chief: Liu Zhanchao

                              https://www.yicai.com/news/100527836.html
                              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                              -Nelson Mandela

                              Comment


                              • #45
                                Update on the epidemic situation of new coronavirus pneumonia as of 14:00 on March 1

                                Published: 2020-03-02Source : Health Emergency Office
                                At 04:00 on March 1, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 202 new confirmed cases, 42 new deaths (42 in Hubei), and 141 new suspected cases.
                                  On the same day, 2837 cases were cured and discharged, 8154 were close contacts of medical observation, and 255 severe cases were reduced.
                                  As of 24:00 on March 1, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 32,652 confirmed cases (of which 7,110 were severe cases), 44,462 were cured and discharged, and 2,912 had died. A total of 80026 confirmed cases have been reported and 715 suspected cases have been reported. A total of 663,240 close contacts were traced, and 46,219 close contacts were still in medical observation.
                                  There were 196 new confirmed cases in Hubei (193 in Wuhan), 2570 new cases cured and discharged in Wuhan (1958), 42 new deaths (32 in Wuhan), and 30,543 confirmed cases (25,903 in Wuhan). There were 6872 severe cases (6225 cases in Wuhan). A total of 33,757 discharged patients were cured (21,185 in Wuhan), a total of 2,803 deaths (2,227 in Wuhan), and a total of 67,103 confirmed cases (49,315 in Wuhan). There were 80 new suspected cases (70 in Wuhan) and 527 suspected cases (340 in Wuhan).
                                  A total of 148 confirmed cases were reported from Hong Kong, Macao and Taiwan: 98 in the Hong Kong Special Administrative Region (36 discharged, 2 died), 10 in the Macau Special Administrative Region (8 discharged), and 40 in Taiwan (12 discharged, 1 died). ).






                                (Note: When quoted by the media, please mark "Information comes from the official website of the National Health and Health Commission.")
                                http://www.nhc.gov.cn/xcs/yqfkdt/202...b55b66ba.shtml
                                Twitter: @RonanKelly13
                                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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