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China - Original COVID-19 coronavirus news thread: weeks 1 - 4 (December 30, 2019 - January 25, 2020)
Several suspected SARS cases in Wuhan according to China Central Television.
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There were 7 cases of viral pneumonia outbreak in Wuhan. Most of them came from the merchants in Wuhan South China Seafood City. When this station asked Song Shuli, the director of the Publicity Department of the National Health and Health Commission, she said she was still learning about the situation.
The People's Daily quoted news that since December, 27 cases of viral pneumonia have been confirmed in Wuhan, all of which are viral pneumonia or lung infections, and the authorities are conducting virus typing tests, isolation treatment, and terminal disinfection. Many people in Wuhan Hospital believe that the current cause is not clear and cannot be judged to be SARS virus rumored on the Internet. Other severe pneumonia is more likely. Even SARS virus has a mature prevention and treatment system and the public need not panic.
CCTV quoted news that the expert group of the National Health and Medical Commission arrived in Wuhan this morning and is conducting relevant inspection and verification work.
The Wuhan Municipal Health and Health Committee's Medical Affairs and Medical Administration Department issued the "Emergency Notice on Doing a Good Job in the Treatment of Unknown Cause of Pneumonia", requiring some local medical institutions to make timely statistics and report the treatment situation in a timely manner.
zhttps://news.rthk.hk/rthk/ch/compone...ate=2019-12-31 -
Please see these otther Hubei province threads:
China - 2000 children admitted each day to Wuhan Children's Hospital - 30% are respiratory fever related due air conditioning, Hubei province - August 9, 2019
China - Major hospitals seeing small outpatient peak in several disease areas? - Jiangcheng - July 10, 2019
China - Odd entry in search engine, removed link, possible respiratory illness in Hubei province - June 12, 2019
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2019-12-31 12:01:41 27 cases of viral pneumonia found in Wuhan
According to people's daily news, sources from relevant departments in Hubei Province said that since December, Wuhan has continued to carry out surveillance of influenza and related diseases and found 27 cases of viral pneumonia, all of which were diagnosed with viral pneumonia / pulmonary infection. Of the 27 cases, 7 were critically ill, and the remaining cases were controllable. Two of them improved and were expected to be discharged soon.
The investigation found that most of the pneumonia cases were from South China Seafood City operators. At present, related virus typing, isolation treatment, public opinion control, and terminal disinfection are underway.
A number of people from hospitals in Wuhan said that the current cause is not clear, and it cannot be concluded that it is the SARS virus rumored on the Internet. Other severe pneumonia is more likely. And even for the SARS virus, there has been a mature prevention and treatment system before, and citizens do not need to panic.
zhttp://www.bjnews.com.cn/news/2019/12/31/668465.htmlComment
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There is a video at the link -
Video | Reporter visits South China seafood market where pneumonia appears
December 31, 2019 13:10 surging news
00:24/ 01:06
Autoplay visit Wuhan "unexplained" pneumonia or seven ring to _ video _ surging News -The Paper, emerging
Visits to Wuhan of "unknown cause" pneumonia patients
On December 31, according to the "Emergency Notice" issued by the Wuhan Health and Medical Commission, patients with unexplained pneumonia appeared in the South China Seafood Market.
The surging news visited the seafood market overnight, and most merchants have heard of it and are still ordering goods overnight.
Editor-in-chief: Jiang Xiaotong
zhttps://finance.sina.com.cn/chanjing/cyxw/2019-12-31/doc-iihnzhfz9452319.shtmlComment
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I have been trying to log onto the Wuhan Municipal Health site but it is really slow to load.
zhttp://wjw.wuhan.gov.cn/Comment
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Too early to say Sars is back: HKU expert
A Hong Kong University virologist says it is too soon to say whether an outbreak of a pneumonia-like illness in the mainland city of Wuhan marks the re-emergence of the deadly Sars virus, and further tests are needed.
Mainland state media on Tuesday quoted health officials as saying a number of hospitals and clinics in Wuhan are dealing with people suffering from pneumonia where the cause isn't known.
The 27 patients, who have been placed in isolation, had all visited a seafood market in Wuhan, reports said. Seven of the patients were reported to be seriously ill.
Media outlets on the mainland also quoted experts from a Shanghai university as saying the virus the patients have been infected with appears to be very similar to Sars.
But HKU professor Leo Poon, who was one of the first scientists to decode the Sars coronoavirus sequence after the 2003 epidemic which killed 286 people in Hong Kong, said it is too early to draw any conclusions.
"So far there is no evidence to say these are Sars cases and so I think it is just premature to say this is a Sars event. But, of course, it will be very important to actually find out what is the aetiology of this disease," Poon said.
Comment
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CHP closely monitors cluster of pneumonia cases on Mainland
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The Centre for Health Protection (CHP) of the Department of Health is today (December 31) closely monitoring a cluster of pneumonia cases in Wuhan, Hubei Province, and has contacted the National Health Commission for further information.
According to an announcement from the Health Commission of Hubei Province, a number of pneumonia cases related to a local seafood market was recently reported in Wuhan. The Wuhan Municipal Health Commission has commenced investigation and so far identified 27 cases. Among them, seven cases were serious and the remaining were stable. Symptoms were mainly fever while a few had presented with shortness of breath. All patients are isolated and receiving treatment. Contact tracing of close contacts and medical surveillance are ongoing.
The Wuhan Municipal Health Commission announced that assessment by relevant experts revealed that the cases were compatible with viral pneumonia. For the time being, no obvious human-to-human transmission has been observed and no healthcare workers have been infected. The causative pathogen and cause of infection are still under investigation.
Locally, while surveillance, prevention and control measures are in place, the CHP will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments.
The CHP's Port Health Division conducts health surveillance measures at all boundary control points. Thermal imaging systems are in place for body temperature checks on inbound travellers. Suspected cases with serious infectious diseases identified will be immediately referred to public hospitals for isolation, treatment and follow-up. The CHP has also informed the Hospital Authority about the cluster of pneumonia cases in Wuhan.
Travellers are reminded to wear surgical masks and seek medical attention if they present with respiratory symptoms, and reveal their travel history to doctors. The CHP will continue to closely monitor the latest situation of the cluster of pneumonia cases in Wuhan and update the surveillance criteria and testing strategies accordingly.
To prevent pneumonia and respiratory tract infection, members of the public should maintain good personal and environmental hygiene. They are advised to:- Perform hand hygiene frequently, especially before touching the mouth, nose or eyes; after touching public installations such as handrails or door knobs; or when hands are contaminated by respiratory secretion after coughing or sneezing.
- Wash hands with liquid soap and water, and rub for at least 20 seconds. Then rinse with water and dry with a disposable paper towel or hand dryer. If hand washing facilities are not available, or when hands are not visibly soiled, hand hygiene with 70 to 80 per cent alcohol-based handrub is an effective alternative.
- Cover your mouth and nose with tissue paper when sneezing or coughing. Dispose of soiled tissues into a lidded rubbish bin, then wash hands thoroughly.
- When having respiratory symptoms, wear a surgical mask, refrain from work or attending class at school, avoid going to crowded places and seek medical advice promptly.
The public should take heed of the health advice below when travelling outside Hong Kong:- Avoid touching poultry/birds or their droppings, and avoid visiting wet markets, live poultry markets or farms;
- Avoid making close contact with patients, especially those with symptoms of acute respiratory infections;
- Adhere to food safety and hygiene rules such as avoiding consuming raw or undercooked animal products, including milk, eggs and meat, or foods which may be contaminated by animal secretions, excretions (such as urine) or contaminated products, unless they have been properly cooked, washed or peeled.
- If feeling unwell when outside Hong Kong, especially if having a fever or cough, wear a surgical mask, inform the hotel staff or tour escort and seek medical advice at once.
- After returning to Hong Kong, consult a doctor promptly if having a fever or other symptoms, inform the doctor of recent travel history and wear a surgical mask to help prevent spread of the disease.
Ends/Tuesday, December 31, 2019
Issued at HKT 19:06
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from Taiwan CDC:
In response to the outbreak of pneumonia in Wuhan, Mainland China, the CDC has continued to implement border quarantine and boarding quarantine for Wuhan inbound flights
Release Date: 2019-12-31
Regarding a number of cases of pneumonia reported in Wuhan, Mainland China, the CDC has confirmed the epidemic information to the Mainland China Centers for Disease Control and Prevention and the World Health Organization (WHO) IHR window today (31). In the evening, Lu Fang sent experts to Wuhan in response. Conducted pathogen detection and investigation of the cause of infection, and provided information released by the Wuhan Municipal Health and Health Committee on December 31, stating that 27 cases of pneumonia were recently discovered in the local area and 7 cases were critically ill. All of them have been treated in isolation and 2 cases have improved. The clinical manifestations are mainly fever, a few patients have difficulty breathing, and have bilateral lung infiltrative lesions. Most of the cases were operated by South China Seafood City, Jianghan District, Wuhan City. No obvious human-to-human transmission and medical staff infection have been found. Lu indicated that if there is further information, he will inform us in time.
In response to the epidemic of pneumonia in Wuhan, Mainland China, in order to prevent cases from moving abroad, China has initiated contingency measures for border quarantine in accordance with standard operating procedures, strengthened fever screening for inbound tourists, implemented travel history, occupation type, contact history of suspected cases, Inquiries about the gathering situation, health assessment and health education, the assessment of the epidemic can be effectively prevented from overseas, but for the sake of prudence, boarding and quarantine will be carried out for flights departing directly from Wuhan, Mainland China, except for proactive assessment of passenger health In addition to this situation, relevant preventive measures were also introduced to passengers on the flight.
The Department of Disease Control will continue to monitor the epidemic situation in Wuhan, Mainland China, and adjust the prevention and control according to the epidemic situation. As the local epidemic situation is not yet clear, the public is urged to receive information on unknown or unproven epidemic situations. Do not distribute or repost it at will. Article 63 of the Law on the Prevention and Control of Infectious Diseases stipulates that the spread of rumors or false information about the epidemic situation of infectious diseases, which is caused to the public or others in full, is subject to a fine of up to NT $ 3 million; and in accordance with the Law on the Maintenance of Social Order Article 63, paragraph 5, provides that those who spread rumors enough to affect public peace may be detained for less than three days or fined less than NT $ 30,000.
The Department of Disease Control stated that in addition to the flu epidemic season, winter is also a period of pneumonia. It reminds the public to take good personal hand hygiene and cough etiquette, and try to avoid crowded and airless public places. People in the Wuhan area of mainland China who have fever or acute respiratory symptoms within 10 days of returning to China should take the initiative to report the 1922 epidemic prevention line and wear a mask to seek medical treatment as soon as possible. When seeking medical treatment, please actively inform the history of tourism activities, timely diagnosis notification and obtain a complete Medical care.
https://www.cdc.gov.tw/Bulletin/Deta...WBrLQ?typeid=9Comment
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Published Date: 2019-12-30 23:59:00
Subject: PRO/AH/EDR> Undiagnosed pneumonia - China (HU), RFI
Archive Number: 20191230.6864153
UNDIAGNOSED PNEUMONIA - CHINA (HUBEI), REQUEST FOR INFORMATION
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A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
[1]
Date: 30 Dec 2019
Source: Finance Sina [machine translation]
Wuhan unexplained pneumonia has been isolated test results will be announced [as soon as available]
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On the evening of [30 Dec 2019], an "urgent notice on the treatment of pneumonia of unknown cause" was issued, which was widely distributed on the Internet by the red-headed document of the Medical Administration and Medical Administration of Wuhan Municipal Health Committee.
On the morning of [31 Dec 2019], China Business News reporter called the official hotline of Wuhan Municipal Health and Health Committee 12320 and learned that the content of the document is true.
12320 hotline staff said that what type of pneumonia of unknown cause appeared in Wuhan this time remains to be determined.
According to the above documents, according to the urgent notice from the superior, some medical institutions in Wuhan have successively appeared patients with pneumonia of unknown cause. All medical institutions should strengthen the management of outpatient and emergency departments, strictly implement the first-in-patient responsibility system, and find that patients with unknown cause of pneumonia actively adjust the power to treat them on the spot, and there should be no refusal to be pushed or pushed.
The document emphasizes that medical institutions need to strengthen multidisciplinary professional forces such as respiratory, infectious diseases, and intensive medicine in a targeted manner, open green channels, make effective connections between outpatient and emergency departments, and improve emergency plans for medical treatment.
Another piece of emergency notification, entitled "City Health and Health Commission's Report on Reporting the Treatment of Unknown Cause of Pneumonia" is also true. According to this document, according to the urgent notice from the superior, the South China Seafood Market in our city has seen patients with pneumonia of unknown cause one after another.
The so-called unexplained pneumonia cases refer to the following 4 cases of pneumonia that cannot be diagnosed at the same time: fever (greater than or equal to 38C); imaging characteristics of pneumonia or acute respiratory distress syndrome; reduced or normal white blood cells in the early stages of onset The number of lymphocytes was reduced. After treatment with antibiotics for 3 to 5 days, the condition did not improve significantly.
It is understood that the 1st patient with unexplained pneumonia that appeared in Wuhan this time came from Wuhan South China Seafood Market.
12320 hotline staff said that the Wuhan CDC went to the treatment hospital to collect patient samples as soon as possible, specifically what kind of virus is still waiting for the final test results. Patients with unexplained pneumonia have done a good job of isolation and treatment, which does not prevent other patients from going to the medical institution for medical treatment. Wuhan has the best virus research institution in the country, and the virus detection results will be released to the public as soon as they are found.
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Communicated by:
ProMED-mail
<promed@promedmail.org>
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[2]
Date: 31 Dec 2019
Source: Sina Finance Mobile
Patients with unknown cause of pneumonia in Wuhan have been isolated from multiple hospitals
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Whether or not it is SARS has not yet been clarified, and citizens need not panic.
On [31 Dec 2019], various hospitals in Wuhan held an emergency symposium on the topic of the treatment of patients with pneumonia of unknown cause in some medical institutions. The 21st Century Business Herald reporter learned from multiple cross-examinations that these patients have gradually appeared in the South China Seafood Market in Wuhan. At present, the patients have been isolated at the hospital where they saw them. At the scene of the South China Seafood Market, the scene has been isolated and medical staff have confirmed Preventive treatment on site. However, several hospital sources said that at present, the etiology of these patients is not clear, and it cannot be concluded that it is the SARS virus [presently] rumored online. Even if the SARS virus is eventually diagnosed, there is a mature prevention and treatment system in place, and citizens need not panic.
On [31 Dec 2019], an official report from Hubei Province said: "Following the report of the Provincial Health and Health Commission, since December [2019], Wuhan has continued to monitor influenza and related diseases, and 27 cases of viral pneumonia have been found, all of which were diagnosed with viral pneumonia / pulmonary infection. Of the 27 cases, 7 were critically ill, and the remaining cases were controllable. Two of them improved and were expected to be discharged soon. The investigation found that most of the cases were operated by South China Seafood City in Jianghan District, Wuhan. The National Health and Health Commission has decided to send an expert group to our province to guide the epidemic disposal on the morning of [31 Dec 2019]. At present, related virus typing, isolation treatment, public opinion control, and terminal disinfection are underway.
On the evening of [30 Dec 2019], an "Urgent Notice on Doing a Good Job in the Treatment of Unknown Cause of Pneumonia" issued by the Wuhan Municipal Health Commission circulated. The document was verified by cross-examination. "We are holding a special meeting on this," said a medical worker at a famous 3rd-level hospital in Wuhan on the morning of [31 Dec 2019], but it was clear that the cause of the patient was not clear. For more detailed information, it is temporarily inconvenient to disclose. At present, Wuhan Health and Health Commission official phone 12320 and official website are busy and unable to log in respectively.
Baidu encyclopedia information shows that human diseases caused by SARS virus are mainly respiratory infections (including severe acute respiratory syndrome). The virus is sensitive to temperature and grows well at 33 C, but it is suppressed at 35 C. Because of this characteristic, winter and early spring are the epidemic seasons of the virus disease. SARS virus is one of the main pathogens of the common cold in adults. The infection rate in children is high, mainly upper respiratory tract infection, and it rarely spreads to the lower respiratory tract. In addition, it can cause acute gastroenteritis in infants and newborns. The main symptoms are watery stools, fever, and vomiting. It can be pulled more than 10 times a day. In severe cases, bloody stools can occur. In rare cases, it also causes nervous system syndrome. .
The serotype and antigenic variability of SARS virus is unknown. SARS virus can be repeatedly infected, indicating that it has multiple serotypes (at least 4 are known) and antigenic variations, and its immunity is difficult.
The SARS virus is mainly excreted through respiratory secretions, transmitted through oral fluids, sneezing, and contact, and transmitted through air droplets. The peak of infection occurs in autumn, winter, and early spring. Sensitive to heat, UV, Lysol water, 0.1% peroxyacetic acid, and 1% keliaolin [?] can kill the virus in a short time. [studies on removal of the SARS-CoV from surfaces demonstrated that the virus was rapidly killed by bleach, ethanol, acetone, and formaldehyde. http://www.cidrap.umn.edu/news-persp...aces-and-feces. - Mod.MPP]
There is specific prevention for SARS virus prevention, that is, targeted preventive measures, that is, prevention through vaccines, but there is no preventive vaccine against SARS. In addition, non-specific preventive measures can be taken, that is, measures to prevent respiratory infections in the spring, such as keeping warm, washing hands, ventilating, avoiding excessive fatigue and contacting patients, and going to less public places.
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[Having been involved in moderating the SARS-CoV (Severe acute respiratory syndrome - coronavirus) and the MERS-CoV (Middle Eastern Respiratory Syndrome - coronavirus), the type of social media activity that is now surrounding this event, is very reminiscent of the original "rumors" that accompanied the SARS-CoV outbreak. The exception is the transparency of the local government in responding to this currently undiagnosed outbreak. While this report does not contain the tweets, there have been numerous tweets about this as yet undiagnosed outbreak.
Returning to the rumor mill, the discussion of this outbreak (a cluster of 4 or 7 cases) involves an "atypical pneumonia". and now additional information of apparently 27 cases, with 7 severe cases. We do not know if influenza tests were performed, or if tests for the SARS-CoV are underway (but presumably are according to section [2] media report) in addition to other known (or unknown) respiratory viruses. As one of the tweets mentioned, another unusual pneumonia could be associated with infection with the bacteria _Yersinia pestis_ (plague) which has been diagnosed in Inner Mongolia in November 2019, but presumably has already been ruled out. the most recent report refers to the outbreak as a "viral pneumonia", suggesting bacterial agents have been ruled out. But has legionellosis been ruled out? or have viral panels been performed?
More information on this outbreak including demographics of cases, possible known common contacts, and a clinical description of the illness would be greatly appreciated. And if results of testing are released.
According to Wikipedia, Wuhan city is the capital city of Hubei province. It has an estimated population over 11 million inhabitants and is the largest city in central China, and the 7th largest city in all of China. Geographically it is located in the eastern Jianghan Plain, on the Yangtze river's intersection with the Han river.
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SARS (or a related animal coronavirus) seems incredibly unlikely, unless a laboratory accident has occurred. Nevertheless:
https://news.rthk.hk/rthk/en/compone...1-20191231.htm
Some mainland media have also quoted sources from Shanghai’s Tongji University as saying the new cases of pneumonia and the Sars virus appear to be very similar, with both belonging to the coronavirus category.
(It should take very little time, perhaps less than 24 hours, to confirm or rule out SARS and influenza A. - alert)Comment
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Translation Google
Wuhan Municipal Health and Health Commission's briefing on the current pneumonia epidemic situation in our city
Issuing authority: Wuhan City health committee | Published: 2019-12-31 13:38:05 | Hits: 48254 |
Recently, some medical institutions found that many of the pneumonia cases received were related to South China Seafood City. After receiving the report, the Municipal Health and Health Commission immediately launched a case search and retrospective investigation related to South China Seafood City in the city's medical and health institutions. Twenty-seven cases have been found , of which 7 are in serious condition, and the remaining cases are stable and controllable. Two patients are expected to be discharged in the near future. The clinical manifestations of the cases were mainly fever, a few patients had difficulty breathing, and chest radiographs showed bilateral lung infiltrative lesions. At present, all cases have been isolated for treatment, follow-up investigations and medical observations of close contacts are ongoing, and hygiene investigations and environmental sanitation disposals for South China Seafood City are ongoing.
Wuhan organized consultations with clinical medical, epidemiological, and virological experts from Tongji Hospital, Provincial CDC, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan Infectious Diseases Hospital, and Wuhan CDC. According to the analysis of epidemiological investigations and preliminary laboratory tests, the above cases are considered to be viral pneumonia. Investigations so far have not revealed any apparent human-to-human transmission or infection by medical staff. Detection of the pathogen and investigation of the cause of the infection are ongoing.
Viral pneumonia is more common in winter and spring, and can be spread or outbreak. The clinical manifestations are fever, soreness, dyspnea in a small part, and lung infiltration. Viral pneumonia is related to the virulence of the virus, the route of infection, and the age and immune status of the host. Viruses that cause viral pneumonia are common with influenza viruses, others are parainfluenza virus, cytomegalovirus, adenovirus, rhinovirus, and coronavirus. Confirmation depends on pathogenic tests, including virus isolation, serological tests, and viral antigen and nucleic acid tests. The disease can be prevented and controlled, and indoor air circulation can be prevented to prevent the public places and crowded places where there is no air circulation. People can wear masks when going out. Symptomatic treatment is the main clinical practice, and bed rest is required. If you have the above symptoms, especially the persistent fever, you should go to the medical institution in time.
December 31, 2019
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Many pharmaceutucal stocks hit daily high limits on news of the pneumonia outbreak. Newspaper warns of pullback if situation is not serious.
snip
"Judging from the current news, although many pharmaceutical stocks have been hit with daily limit due to capital outbreaks due to "unknown cause pneumonia" cases in Wuhan, the situation may not have been so serious. Investors need to pay attention to the stock price Risk of callbacks."
more...
zhttp://finance.sina.com.cn/roll/2019-12-31/doc-iihnzahk1219428.shtmlComment
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Visiting Wuhan Seafood City with multiple cases of viral pneumonia: booths are littered with garbage
At 16:24 on December 31, 2019 (or about 10 hours ago)
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A staff member of a tertiary hospital in Wuhan City told Peng Mei News that the Wuhan Municipal Health and Medical Committee held a meeting for further deployment this morning, and pointed out that the seafood market was dark and humid and had infectious conditions. The patient is currently being treated at Wuhan Jinyintan Hospital, Houhu District of the Central Hospital, and Tongji Hospital.
snip
A shop owner told Peng Mei News that the cpatients in the eastern district had a fever and cough about a week ago and were sent to the hospital. They were isolated. The specific cause is unknown. Most people in the western district have pneumonia. , Do not know the specificause, has been sent to the hospital.
zhttps://k.sina.com.cn/article_5568876550_14bee500602001qx3k.html?cre=tia nyi&mod=pcpager_fin&loc=6&r=9&rfunc=74&tj=none&tr= 9Comment
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I don't know who this is, but this person is tweeting that SARS has been confirmed:
https://twitter.com/HongbaoChen
陈宏葆 @HongbaoChen31 Dec 2019 More
陈宏葆 Retweeted 曹山石
.听说确诊的危重的7例，就是SARS，武汉同济医院，华大基因公司都查了病原体确认是冠状病毒。武汉二医 院后湖院区也确认冠状病毒。
[COLOR=rgba(0, 0, 0, 0.87)]Chen Hongzhang[/COLOR]
[COLOR=rgba(0, 0, 0, 0.87)][/COLOR][COLOR=rgba(0, 0, 0, 0.87)]@HongbaoChen[/COLOR][COLOR=rgba(0, 0, 0, 0.87)][/COLOR][COLOR=rgba(0, 0, 0, 0.87)][/COLOR][COLOR=rgba(0, 0, 0, 0.87)]31 Dec 2019[/COLOR][COLOR=rgba(0, 0, 0, 0.87)][/COLOR][COLOR=rgba(0, 0, 0, 0.87)]More[/COLOR][COLOR=rgba(0, 0, 0, 0.87)]陈宏 葆 Retweeted Cao Shanshi[/COLOR][COLOR=rgba(0, 0, 0, 0.87)]. I heard that the 7 critical cases diagnosed were SARS, Wuhan Tongji Hospital, and Huada Gene.[/COLOR][COLOR=rgba(0, 0, 0, 0.87)][/COLOR][COLOR=rgba(0, 0, 0, 0.87)]Coronavirus has also been confirmed in the Houhu District of Wuhan Second Hospital.[/COLOR]Comment
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