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

[Shiloh]

Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2167398.shtml

Epidemic Situation of New Crown Pneumonia in Hubei Province on March 1, 2020

From 04:00 to 14:00 on March 1, 2020, 196 new cases of new coronary pneumonia were confirmed in the province, including 193 in Wuhan, 2 in Jingmen, 1 in Jingzhou, and 0 in the other 14 cities and prefectures.

There were 42 new deaths in the province, including 32 in Wuhan, 2 in Jingzhou, 2 in Jingmen, 2 in Xiaogan, 1 in Huangshi, 1 in Ezhou, 1 in Huanggang, and 1 in Tianmen. There were 0 cases in Shiyan City, Xiangyang City, Yichang City, Xianning City, Suizhou City, Enshi Prefecture, Xiantao City, Qianjiang City, and Shennongjia Forest District.

There were 2570 new hospital discharges in the province, including 1958 in Wuhan, 182 in Xiaogan, 89 in Huanggang, 62 in Jingzhou, 38 in Xianning, 35 in Xiangyang, 32 in Huangshi, and 30 in Suizhou. There were 30 cases in Ezhou, 29 in Yichang, 23 in Xiantao, 22 in Tianmen, 18 in Jingmen, 18 in Shiyan, 3 in Qianjiang, 1 in Enshi Prefecture, and 0 in Shennongjia Forest District.

As of 24:00 on March 1, 2020, Hubei Province has reported a total of 67,103 confirmed cases of new coronary pneumonia, of which 49,315 were in Wuhan, 3,518 were in Xiaogan, 2,905 were in Huanggang, 1,580 were in Jingzhou, 1,391 were in Ezhou, and Suizhou was in 1307 cases, 1175 cases in Xiangyang City, 1014 cases in Huangshi City, 931 cases in Yichang City, 927 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 33,757 patients were discharged from the hospital, including 21,185 in Wuhan, 2,397 in Xiaogan, 2,260 in Huanggang, 1096 in Jingzhou, 885 in Xiangyang, 865 in Suizhou, 814 in Ezhou, 730 in Xianning, There were 729 cases in Huangshi City, 622 cases in Jingmen City, 535 cases in Yichang City, 461 cases in Xiantao City, 459 cases in Shiyan City, 393 cases in Tianmen City, 193 cases in Enshi Prefecture, 122 cases in Qianjiang City, and 11 cases in Shennongjia Forest District.

The province has accumulated 2803 deaths, of which: 2227 in Wuhan, 120 in Xiaogan, 116 in Huanggang, 48 in Ezhou, 48 in Jingzhou, 40 in Suizhou, 39 in Jingmen, 35 in Huangshi, There were 34 cases in Xiangyang, 31 in Yichang, 19 in Xiantao, 14 in Tianmen, 12 in Xianning, 9 in Qianjiang, 7 in Shiyan, 4 in Enshi, and 0 in Shennongjia Forest District.

At present, 26,901 patients are still being treated in the hospital, of which 5646 are critically ill and 1,226 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 527 suspected cases, 80 were newly added on that day, 199 were excluded on that day, and 527 were concentrated and isolated. A total of 267,585 close contacts have been tracked, and 32,143 people are still undergoing medical observation.

[Shiloh]

Source: Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2171103.shtml

Epidemic Situation of New Crown Pneumonia in Hubei Province on March 2, 2020

From 04:00 to 24:00 on March 2, 2020, there were 114 newly confirmed cases of new coronary pneumonia in the province, including 111 in Wuhan, 2 in Huanggang, 1 in Jingmen, and 0 in the other 14 cities and prefectures.

There were 31 new deaths in the province, including 24 in Wuhan, 3 in Huanggang, 2 in Suizhou, 1 in Yichang, 1 in Xiantao, and 0 in the other 12 cities and prefectures.

There were 2410 new hospital discharges in the province, including 1846 cases in Wuhan, 163 cases in Xiaogan City, 83 cases in Huanggang City, 48 cases in Yichang City, 48 cases in Jingzhou City, 32 cases in Shiyan City, 28 cases in Xiangyang City, 28 cases in Jingmen City, There were 28 cases in Suizhou City, 26 cases in Ezhou City, 23 cases in Huangshi City, 21 cases in Tianmen City, 19 cases in Xianning City, 6 cases in Xiantao City, 6 cases in Qianjiang City, 5 cases in Enshi Prefecture, and 0 cases in Shennongjia Forest District.

As of 24:00 on March 2, 2020, Hubei Province has reported a total of 67,217 confirmed cases of new coronary pneumonia, including 49,426 cases in Wuhan, 3,518 cases in Xiaogan, 2907 cases in Huanggang, 1,580 cases in Jingzhou, 1,391 cases in Ezhou, and Suizhou. 1307 cases, 1175 cases in Xiangyang City, 1014 cases in Huangshi City, 931 cases in Yichang City, 928 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 36167 patients were discharged from the hospital, including: 23031 cases in Wuhan, 2560 cases in Xiaogan City, 2343 cases in Huanggang City, 1144 cases in Jingzhou City, 913 cases in Xiangyang City, 893 cases in Suizhou City, 840 cases in Ezhou City, 752 cases in Huangshi City, There were 749 cases in Xianning City, 650 cases in Jingmen City, 583 cases in Yichang City, 491 cases in Shiyan City, 467 cases in Xiantao City, 414 cases in Tianmen City, 198 cases in Enshi Prefecture, 128 cases in Qianjiang City, and 11 cases in Shennongjia Forest District.

The province has accumulated 2834 deaths, of which: 2251 in Wuhan, 120 in Xiaogan, 119 in Huanggang, 48 in Jingzhou, 48 in Ezhou, 42 in Suizhou, 39 in Jingmen, 35 in Huangshi, There were 34 cases in Xiangyang, 32 in Yichang, 20 in Xiantao, 14 in Tianmen, 12 in Xianning, 9 in Qianjiang, 7 in Shiyan, 4 in Enshi, and 0 in Shennongjia Forest District.

At present, 25,050 patients are still being treated in the hospital, of which 5,407 are critically ill and 1,186 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 434 suspected cases, of which 64 were newly added that day, 157 were excluded that day, and 434 were concentrated and isolated. A total of 268,546 close contacts have been tracked and 28,400 people are still under medical observation.

[Ronan Kelly]

Update on the epidemic situation of new coronavirus pneumonia as of 24:00 on March 2
Published: 2020-03-03Source : Health Emergency Office
At 04:00 on March 2nd, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 125 new confirmed cases, 31 new deaths (31 in Hubei), and 129 new suspected cases.
　　On the same day, 2742 cases were cured and discharged, and 7,650 close contacts were lifted from medical observation. The number of severe cases decreased by 304.
　　As of 24:00 on March 2, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 3,004 confirmed cases (of which 6,806 were severe cases), 47,204 were cured and discharged, and 2,943 were dead. A total of 80,151 confirmed cases have been reported, and there are currently 587 suspected cases. A total of 664,899 close contacts were traced, and 40,651 close contacts were still in medical observation.
　　114 newly confirmed cases in Hubei (111 in Wuhan), 2410 newly cured cases (1846 in Wuhan), 31 new deaths (24 in Wuhan), 28216 confirmed cases (24144 in Wuhan), Among them, 6,593 were severe cases (6020 in Wuhan). A total of 36,167 discharged patients were cured (23031 in Wuhan), 2834 were dead (in Wuhan, 2251), and 67,217 confirmed cases were in Wuhan (49,426). There were 64 new suspected cases (62 in Wuhan) and 434 suspected cases (316 in Wuhan).
　　A total of 151 confirmed cases were reported in Hong Kong, Macao and Taiwan: 100 cases in Hong Kong Special Administrative Region (36 cases discharged, 2 deaths), 10 cases in Macau Special Administrative Region (8 cases discharged), 41 cases in Taiwan (12 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/202003/c588ee20113b4136b27f2a07faa7075b.shtml

[sharon sanders]

China will promote biosecurity law as soon as possible

March 02, 2020 23:51

Xinhua News Agency, Beijing, March 2 (Reporters: Mei Changwei, Ding Peng) Ministry of National Defense spokesman Wu Qian said at a press conference on the army ’s support to fight the new crown pneumonia epidemic on the 2nd that China will promote the introduction of the Biosafety Law as soon as possible and accelerate Establish a national biosafety law and regulation system and an institutional guarantee system.

Wu Qian said that strengthening national biosafety is a common practice in various countries, and the international community has always attached great importance to biosafety issues. In 1992, the United Nations Conference on Environment and Development adopted Agenda 21 and the Convention on Biological Diversity, which specifically addressed the issue of biosafety. From the perspective of protecting people's health, safeguarding national security, and maintaining long-term public security, China has decided to incorporate biosafety into the national security system, systematically plan the construction of national biosafety risk prevention and control systems, and comprehensively improve national biosafety governance capabilities.

"The occurrence of this epidemic has further highlighted the importance of biosafety." Wu Qian said, "China will promote the promulgation of the biosafety law as soon as possible, and accelerate the establishment of a national biosafety legal and regulatory system and institutional guarantee system."

http://legal.people.com.cn/n1/2020/0302/c42510-31613435.html

[Shiloh]

Source: Source: https://www.plenglish.com/index.php?...tly-from-italy

China reports 12 imported COVID-19 cases, mostly from Italy
Beijing, Mar 3 (Prensa Latina) China on Tuesday reported at least 12 cases of people who arrived in the country, mainly from Italy, who were infected with the COVID-19 coronavirus, whose outbreak has killed 2,946 people and infected 80,302.

The largest number of cases was reported in eastern Zhejiang province with seven, all of them in Qingtian county, which is the home to 330,000 Chinese citizens who live overseas...

[Shiloh]

Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2171907.shtml

Epidemic Situation of New Crown Pneumonia in Hubei Province on March 3, 2020

From 04:00 to March 24, 2020, 115 new cases of new coronary pneumonia were confirmed in the province, including 114 in Wuhan, 1 in Ezhou, and 0 in the other 15 cities and prefectures. No imported cases abroad.

There were 37 new deaths in the province, including 31 in Wuhan, 2 in Huanggang, 2 in Xianning, 1 in Huangshi, 1 in Ezhou, and 0 in the other 12 cities and prefectures.

There were 2389 new hospital discharges in the province, including 1859 in Wuhan, 153 in Xiaogan, 71 in Jingzhou, 63 in Huanggang, 44 in Suizhou, 40 in Ezhou, 31 in Huangshi, and 27 in Xiangyang. There were 25 cases in Yichang City, 14 cases in Shiyan City, 14 cases in Jingmen City, 14 cases in Qianjiang City, 10 cases in Xianning City, 10 cases in Xiantao City, 7 cases in Enshi Prefecture, 7 cases in Tianmen City, and 0 cases in Shennongjia Forest District.

As of 24:00 on March 3, 2020, Hubei Province has reported a total of 67332 confirmed cases of new coronary pneumonia, including 49540 cases in Wuhan, 3518 cases in Xiaogan City, 2907 cases in Huanggang City, 1580 cases in Jingzhou City, 1392 cases in Ezhou City, and Suizhou City. 1307 cases, 1175 cases in Xiangyang City, 1014 cases in Huangshi City, 931 cases in Yichang City, 928 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 38,556 patients were discharged from the hospital, including 24,890 in Wuhan, 2,713 in Xiaogan, 2,406 in Huanggang, 1,215 in Jingzhou, 940 in Xiangyang, 937 in Suizhou, 880 in Ezhou, and 783 in Huangshi. There were 759 cases in Xianning City, 664 cases in Jingmen City, 608 cases in Yichang City, 505 cases in Shiyan City, 477 cases in Xiantao City, 421 cases in Tianmen City, 205 cases in Enshi Prefecture, 142 cases in Qianjiang City, and 11 cases in Shennongjia Forest District.

A total of 2871 patients died in the province, including 2282 cases in Wuhan, 121 cases in Huanggang City, 120 cases in Xiaogan City, 49 cases in Ezhou City, 48 cases in Jingzhou City, 42 cases in Suizhou City, 39 cases in Jingmen City, and 36 cases in Huangshi City. There were 34 cases in Xiangyang, 32 in Yichang, 20 in Xiantao, 14 in Tianmen, 14 in Xianning, 9 in Qianjiang, 7 in Shiyan, 4 in Enshi, and 0 in Shennongjia Forest District.

At present, 23,039 patients are still being treated in the hospital, of which 5,095 are critically ill and 1,137 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 340 suspected cases, 52 were newly added on that day, 145 were excluded on that day, and 340 were concentrated and isolated. A total of 269,379 close contacts have been tracked, and 25,290 people are still under medical observation.

[Ronan Kelly]

Update on the epidemic situation of new coronavirus pneumonia as of 24:00 on March 3
Published: 2020-03-04Source : Health Emergency Office
　　At 04:00 on March 3rd, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 119 new confirmed cases, 38 new deaths (37 in Hubei, and 1 in Inner Mongolia), and new suspected cases. 143 cases.
　　On the same day, 2652 cases were cured and discharged, 6,250 were close contacts of medical observation, and 390 severe cases were reduced.
　　As of 24:00 on March 3, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 27,433 confirmed cases (among which 6,416 were severe cases), a total of 49,856 discharged cases were cured, and 2,981 died. A total of 80,270 confirmed cases have been reported, and there are 520 suspected cases. A total of 666,397 close contacts were traced, and 36,432 close contacts were still in medical observation.
　　There were 115 newly confirmed cases in Hubei (114 in Wuhan), 2389 cured cases (1859 in Wuhan), 37 new deaths (31 in Wuhan), and 25905 confirmed cases (22368 in Wuhan). Among them, there were 6,232 severe cases (5723 in Wuhan). A total of 38,556 discharged patients were cured (24,890 in Wuhan), 2,871 deaths (2,282 in Wuhan), and 67,332 confirmed cases (49,540 in Wuhan). There were 52 new suspected cases (43 in Wuhan) and 340 suspected cases (234 in Wuhan).
　　A total of 152 confirmed cases were reported from Hong Kong, Macao, and Taiwan: 100 cases in the Hong Kong Special Administrative Region (37 cases discharged, 2 deaths), 10 cases in the Macau Special Administrative Region (9 cases discharged), and 42 cases in Taiwan (12 cases discharged, 1 death ).
 

 

(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/202003/7a5f57b3f1b94954b1fc25f81dacc874.shtml

[Shiloh]

Source: https://www.livemint.com/news/world/...324708824.html

Coronavirus update: Is COVID-19 has different strains? Scientists 'yes'
3 min read . Updated: 04 Mar 2020, 06:15 PM IST Andrew Galbraith , David Stanway , Reuters

Scientists say the preliminary study found that a more aggressive type of the coronavirus associated with the disease outbreak in Wuhan accounted for about 70% of analysed strains, while 30% was linked to a less aggressive type


SHANGHAI : Scientists in China studying the coronavirus outbreak said they had found two main types of the disease could be causing infections.

The researchers, from Peking University's School of Life Sciences and the Institut Pasteur of Shanghai under the Chinese Academy of Sciences, cautioned that their analysis examined a limited range of data, and said follow-up studies of larger data sets are needed to better understand the virus's evolution.

The preliminary study found that a more aggressive type of the new coronavirus associated with the disease outbreak in Wuhan accounted for about 70% of analysed strains, while 30% was linked to a less aggressive type.

The prevalence of the more aggressive virus decreased after early January 2020, they said.

"These findings strongly support an urgent need for further immediate, comprehensive studies that combine genomic data, epidemiological data, and chart records of the clinical symptoms of patients with coronavirus disease 2019 (COVID-19)," they wrote...

[sharon sanders]

Party members and cadres of Wuhan Branch system went to the frontline to fight epidemic situation in Biyuan community, Qingshan District

2020-03-01 Source:
At present, the situation of prevention and control of new crown pneumonia in Wuhan is still grim. In accordance with the requirements of the Hubei Provincial New Coronavirus Infectious Pneumonia Epidemic Prevention and Control Headquarters, the Hubei Provincial Party Committee Organization Department, and the Provincial Direct Work Committee, on February 29, the Party Committee of the Wuhan Branch of the Chinese Academy of Sciences set up a task force to go to Hongwei Road Street, Qingshan District. The Biyuan community reported and the sinking community assisted in the prevention and control of the epidemic.

more...

http://www.cas.cn/djcx/gz/202003/t20200301_4736095.shtml

[sharon sanders]

Source: https://www.livemint.com/news/world/...324708824.html

Coronavirus update: Is COVID-19 has different strains? Scientists 'yes'
3 min read . Updated: 04 Mar 2020, 06:15 PM IST Andrew Galbraith , David Stanway , Reuters

Scientists say the preliminary study found that a more aggressive type of the coronavirus associated with the disease outbreak in Wuhan accounted for about 70% of analysed strains, while 30% was linked to a less aggressive type


SHANGHAI : Scientists in China studying the coronavirus outbreak said they had found two main types of the disease could be causing infections.

The researchers, from Peking University's School of Life Sciences and the Institut Pasteur of Shanghai under the Chinese Academy of Sciences, cautioned that their analysis examined a limited range of data, and said follow-up studies of larger data sets are needed to better understand the virus's evolution.

The preliminary study found that a more aggressive type of the new coronavirus associated with the disease outbreak in Wuhan accounted for about 70% of analysed strains, while 30% was linked to a less aggressive type.

The prevalence of the more aggressive virus decreased after early January 2020, they said.

"These findings strongly support an urgent need for further immediate, comprehensive studies that combine genomic data, epidemiological data, and chart records of the clinical symptoms of patients with coronavirus disease 2019 (COVID-19)," they wrote...

Paper here:

NSR - On the origin and continuing evolution of SARS-CoV-2

[Pathfinder]

Translation Google

Interpretation of "New Coronavirus Pneumonia Diagnosis and Treatment Scheme (Trial Version 7)"

Published: 2020-03-04 Source : Medical Administration and Hospital Authority

On March 3, 2020, the National Health and Health Commission issued the "Diagnosis and Treatment of New Coronavirus Pneumonia (Trial Version 7)" (hereinafter referred to as "Seventh Version"), which is now read as follows.
　　I. Foreword:
　　In the foreword, add "Through the adoption of a series of preventive control and medical treatment measures, the rise of the epidemic situation in China has been contained to a certain degree, and the epidemic situation has eased in most provinces, but the number of cases outside the country has been increasing.
　　" With the deepening of the clinical manifestations and pathological understanding of the disease and the accumulation of experience in diagnosis and treatment, in order to further strengthen the early diagnosis and early treatment of the disease, improve the cure rate, reduce the mortality rate, and avoid hospital infections, it is also necessary to pay attention to overseas input. Transmission and spread caused by sexual cases. "
　　2.
　　Increasing transmission routes. " Because new coronavirus can be isolated in feces and urine, attention should be paid to aerosol or contact transmission caused by fecal and urine pollution to the environment. "
　　3. Add" pathological changes " "
　　Describe the organs such as the lungs, spleen and hilar lymph nodes, heart and blood vessels, liver and gallbladder, kidneys, brain tissue, adrenal glands, esophagus, stomach, and intestines according to the general and microscopic views." Mainly lung and immune system damage. Other organs are different due to different underlying diseases, and most of them are secondary damage.
　　4. Clinical manifestations
　　(1) Added descriptions of clinical manifestations of pregnant women and children.
　　For example, "the clinical course of pregnant women is close to that of patients of the same age." "Some children and neonatal cases may have atypical symptoms, manifested as gastrointestinal symptoms such as vomiting, diarrhea, or only manifested as mental weakness and shortness of breath."
　　(2) Etiological testing.
　　Delete "To increase the positive rate of nucleic acid detection, it is recommended to take sputum as much as possible and implement tracheal intubation to collect lower respiratory tract secretions", add "using RT-PCR or / and NGS methods" for nucleic acid detection, and emphasize "the detection of Respiratory specimens (sputum or airway extracts) are more accurate. "
　　(3) Serological tests were added.
　　Most of the new coronavirus-specific IgM antibodies are positive after 3-5 days of onset, and the recovery period of IgG antibody titers is 4 times or more higher than that of the acute phase.
　　V. Diagnostic Criteria
　　(1) Explain the "aggregative onset" in the epidemiological history, that is, "two cases of fever and / or respiratory tract in a small area such as home, office, school class, etc. within 2 weeks Symptoms. "
　　(B) The" lymphocyte count reduction "in clinical manifestations was changed to" normal or decreased lymphocyte count ".
　　(3) In the confirmed cases, a “serological test” was added as a basis on the basis of the original nucleic acid detection and sequencing, that is, “new coronavirus-specific IgM antibodies and IgG positive” or “new coronavirus-specific IgG antibodies changed from negative to positive or "The recovery period is 4 times higher than that of the acute period."
　　6. The clinical classification is
　　still divided into "light, ordinary, heavy and critical."
　　Heavy is defined separately as "adult" and "child".
　　Adult heavy standard has not changed, the increase in childhood Heavy criteria:
　　1. Shortness of breath (<2 months of age, RR≥60 beats / min; 2 to 12 months of age, RR≥50 beats / min; 1 to 5 years old, RR≥40 beats / min;> 5 years old, RR≥30 beats / min Points), except for the effects of fever and crying;
　　2. Oxygen saturation ≤ 92% in resting state;
　　3. Assisted breathing (groaning, nasal fan movement , triple concave sign), cyanosis, intermittent apnea;
　　4. Lethargy Convulsions;
　　5. Refuse to feed or feed, with signs of dehydration.
　　7. Increase the "Critical and Critical Clinical Warning Indicators" for adults and children, respectively.
　　(I) Adults
　　1. Peripheral blood lymphocytes have progressively decreased;
　　2. Peripheral blood inflammatory factors such as IL-6 and C-reactive protein have progressively increased;
　　3. Progressive elevation of lactic acid;
　　4. Intrapulmonary disease progresses rapidly in the short term.
　　(2) Children
　　1. Increased breathing rate;
　　2. Poor mental response and drowsiness;
　　3. Progressive increase in lactic acid;
　　4. Imaging showing bilateral or multilobe infiltration, pleural effusion, or rapid progression of lesions in the short term;
　　5.3 Infants under the age of one month may have underlying diseases (congenital heart disease, bronchopulmonary dysplasia, respiratory malformations, abnormal hemoglobin, severe malnutrition, etc.), and immunodeficiency or low (prolonged use of immunosuppressive agents)
　　8. Increase the exclusion criteria for suspected cases.
　　The exclusion of suspected cases should meet the following requirements: two consecutive tests of the novel coronavirus nucleic acid test are negative (sampling time interval of at least 24 hours), and the new coronavirus-specific antibodies IgM and IgG are still negative 7 days after the onset of illness.
　　Nine, treatment
　　(1) Oxygen therapy measures in general treatment, adding "Hydrogen-oxygen mixed inhalation gas (H ₂ / O ₂ : 66.6% / 33.3%) can be used for treatment if possible."
　　(2) Antiviral treatment.　
　　Delete "Lipinavir / ritonavir-related diarrhea, nausea, vomiting, liver damage and other adverse reactions", and replace it with "note the problems of adverse reactions, contraindications, and interactions with other drugs." Add "The treatment of pregnant women should consider the number of weeks of pregnancy, choose medicines that have less impact on the fetus as much as possible, and whether to treat after termination of pregnancy, and inform them."
　　(3) In severe and critical cases treatment.
　　1. According to the pathological airway visible mucus and mucus plug formation, in order to improve ventilation, invasive mechanical ventilation increases "choose closed sputum suction according to airway secretions, if necessary, bronchoscopy to take appropriate treatment."
　　2. increase "ECMO-related indications": ① in FiO₂ > 90%, the oxygenation index is less than 80mmHg, lasting more than 3-4 hours; ② airway plateau pressure ≥35cmH ₂ O.
　　3. Circulation support emphasizes "perform non-invasive or invasive hemodynamic monitoring, and pay attention to fluid balance strategies during treatment to avoid overdose and inadequacy."
　　4. Add "renal failure and renal replacement therapy": In addition to finding kidneys In addition to the causes of functional impairment, continuous renal replacement therapy (CRRT) can be selected for severe patients with renal failure, and treatment indications are given.
　　5. For severe and critically ill patients with cytokine storms, in order to remove inflammatory factors, block "cytokine storms" and increase "blood purification treatment".
　　6. Add "tocilizumab" for immunotherapy: the indication is "those with extensive lung disease and severe patients, and those with elevated IL-6 levels detected by the laboratory". The specific usage and dosage are given. Pay attention to allergic reactions, and those with active infection such as tuberculosis are prohibited.
　　7. The addition of other treatment measures "Intravenous infusion of gamma globulin may be considered in children with severe and critical cases as appropriate. Patients with pregnancy or severe or severe cases should actively terminate pregnancy, and cesarean delivery is preferred."
　　(4) TCM treatment has increased the criticality Type of Chinese medicine with mechanical ventilation accompanied by abdominal distension, constipation or poor stool, and human-machine synchronization.
　　X. "Release quarantine standards" changed to "discharge standards"
　　(1) Discharge standards are still four, the first three remain unchanged. Article 4 added "sputum, nasopharyngeal swabs, etc." airway nucleic acid test for two consecutive negative, the sampling time was at least "interval of 1 day", changed to "at least 24 hours".
　　(2) Precautions after discharge. In view of the fact that a small number of discharged patients have positive nucleic acid test retest results, in order to strengthen the health management and isolation of discharged patients, the "should continue to monitor the self-health condition for 14 days" was changed to "the 14-day isolation management and health should continue "Condition monitoring", while wearing a mask, conditionally living in a well-ventilated single room, reducing close contact with family members, sharing meals, doing good hand hygiene, and avoiding outing activities.


 

 

Related Links: Notice on Issuing a New Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial Version 7)

http://www.nhc.gov.cn/yzygj/s7652m/2...79d5af95.shtml

[Treyfish]

曾錚 Jennifer Zeng
@jenniferatntd
?
Mar 3
#Wuhan Huanan Seafood Market was claimed to be the origin of #COVID2019 #Coronavirus #CoronavirusOutbreak, although we may never be able to find out, as the market was closed and everything cleaned up on Jan 1. It was said that this market is now going to be demolished.https://twitter.com/jenniferatntd/st...eak-demolished

[Shiloh]

Source: http://wjw.hubei.gov.cn/fbjd/dtyw/20..._2172562.shtml

Epidemic Situation of New Crown Pneumonia in Hubei Province on March 4, 2020

From 04:00 to March 24, 2020, 134 new cases of new coronary pneumonia were confirmed in the province, including 131 in Wuhan, 2 in Ezhou, 1 in Huangshi, and 0 in the other 14 cities and prefectures. No imported cases abroad.

There were 31 new deaths in the province, including 23 in Wuhan, 3 in Ezhou, 1 in Xiangyang, 1 in Yichang, 1 in Xiaogan, 1 in Enshi, 1 in Tianmen, and 10 other cities. The states were 0 cases.

There were 1,923 new hospital discharges in the province, of which 1426 were in Wuhan, 108 in Xiaogan, 66 in Huanggang, 54 in Jingzhou, 40 in Xiangyang, 39 in Huangshi, 38 in Suizhou, and 32 in Ezhou. There were 30 cases in Yichang, 22 cases in Shiyan City, 22 cases in Jingmen City, 17 cases in Xianning City, 14 cases in Tianmen City, 9 cases in Qianjiang City, 4 cases in Xiantao City, 2 cases in Enshi Prefecture, and 0 cases in Shennongjia Forest District.

As of 24:00 on March 4, 2020, Hubei Province has reported a total of 67,466 confirmed cases of new coronary pneumonia, including: 49,671 cases in Wuhan, 3,518 cases in Xiaogan, 2907 cases in Huanggang, 1,580 cases in Jingzhou, 1394 cases in Ezhou, and Suizhou 1307 cases, 1175 cases in Xiangyang City, 1015 cases in Huangshi City, 931 cases in Yichang City, 928 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 40479 patients were discharged from the hospital, including 26316 cases in Wuhan, 2821 cases in Xiaogan City, 2472 cases in Huanggang City, 1269 cases in Jingzhou City, 980 cases in Xiangyang City, 975 cases in Suizhou City, 912 cases in Ezhou City, 822 cases in Huangshi City, There were 776 cases in Xianning City, 686 cases in Jingmen City, 638 cases in Yichang City, 527 cases in Shiyan City, 481 cases in Xiantao City, 435 cases in Tianmen City, 207 cases in Enshi Prefecture, 151 cases in Qianjiang City, and 11 cases in Shennongjia Forest District.

The province has accumulated 2902 deaths, including: 2305 cases in Wuhan, 121 in Huanggang, 121 in Xiaogan, 52 in Ezhou, 48 in Jingzhou, 42 in Suizhou, 39 in Jingmen, and 36 in Huangshi. There were 35 cases in Xiangyang, 33 in Yichang, 20 in Xiantao, 15 in Tianmen, 14 in Xianning, 9 in Qianjiang, 7 in Shiyan, 5 in Enshi Prefecture, and 0 in Shennongjia Forest District.

At present, 20765 cases are still being treated in the hospital, of which 4747 cases are critically ill and 1041 cases are critically ill. They are all under isolation treatment at designated medical institutions. There were 315 suspected cases, 67 were newly added that day, 91 were excluded that day, and 315 were concentrated and isolated. A total of 270593 people have been tracked and 22801 people are still under medical observation.

[tetano]

Update on the epidemic situation of new coronavirus pneumonia as of 4:00 on March 4
Posted: 2020-03-05 Source: Health Emergency Office

0 At 04:00 on March 4, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 139 new confirmed cases, 31 new deaths (31 in Hubei), and 143 suspected cases.
On the same day, 2189 new cases were cured and discharged, and 6,854 close contacts were released from medical observation, and 464 severe cases were reduced.
As of 24:00 on March 4, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 25,352 confirmed cases (among which, 5,952 were severe cases), 52,045 were cured and discharged, and 30,12 were dead. A total of 80,409 confirmed cases have been reported, and there are 522 suspected cases. A total of 669,025 close contacts were tracked, and 32,870 close contacts were still in medical observation.
There were 134 newly confirmed cases in Hubei (131 in Wuhan), 1923 newly cured cases (1426 in Wuhan), 31 new deaths (23 in Wuhan), and 24,085 confirmed cases (in Wuhan, 21,050). Among them, 5788 cases were severe cases (5342 cases in Wuhan). A total of 40,479 discharged patients were cured (26,316 in Wuhan), a total of 2,902 deaths (2,305 in Wuhan), and a total of 67,466 confirmed cases (49,671 in Wuhan). There were 67 new suspected cases (61 in Wuhan) and 315 suspected cases (247 in Wuhan).
0On March 4th, from 04:00 to 20:00, 2 newly diagnosed imported cases were reported (2 in Zhejiang). As of 24:00 on March 4, a total of 20 imported confirmed cases were reported overseas.
A total of 156 confirmed cases were reported in Hong Kong, Macao and Taiwan: 104 cases in Hong Kong Special Administrative Region (43 cases discharged, 2 deaths), 10 cases in Macao Special Administrative Region (9 cases discharged), 42 cases in Taiwan (12 cases discharged, 1 case died ).


http://www.nhc.gov.cn/xcs/yqfkdt/202...5b80b5a0.shtml

[Shiloh]

Source: https://www.theolivepress.es/spain-n...ven-all-clear/

COVID-19: Fears of coronavirus RELAPSES after man, 36, dies from disease in China five days after being given all clear
By Laurence Dollimore (Digital Editor) -
5 Mar, 2020 @ 13:420

A 36-YEAR-OLD man has died from coronavirus five days after being given the all clear by doctors in China.

According to the South China Morning Post, Li Liang was admitted to hospital on February 12 before being released two weeks later.

But two days later he began suffering symptoms again and was sent back to the health centre on March 2 and died the same day from respiratory failure.

The death certificate issued by the Wuhan health commission lists COVID-19 as the direct cause of death, reported the South China Morning Post...