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

Wuhan pull-net survey on the first day: count the lights from door to door at night, check the electricity meter and knock on the door








On February 17th, the city's general mobilization in Wuhan began to carry out a 3-day centralized pull-out investigation. Early in the morning, all communities in all districts of the city took action, using scientific methods, strict standards, timely admissions, and vigorously organized a 'pull-out investigation', 'not missing a household, not missing a person.'

Staff in Zhoutou Street, Hanyang District strictly controlled the take-out staff to enter the closed community. Correspondent Wang Lei Yin Juan

First day of investigation

Every community has its own tricks

'Weaving the Secret Network' with information technology

Then find ways to fill the gaps one by one.

Precisely check the number of lights in “no one person missed” and knock on the door with electricity meter

'Hello, how many people are there at home now?' 'How is the health of your family?' 'What is the temperature data measured today?' ... On the morning of the 17th, Taoyuan Community, Taipei Street, Jiang'an District was divided into grids. The grid arranged one grid member, one community cadre, one sinking cadre, and one volunteer to conduct a pull-up survey, knocking from door to door, and making key inquiries on the newly added household list.

In Hualou Community, Hanjiang District, Minjiang, the staff went from house to house and asked residents about their difficulties. Photo by Guo Liangshuo

The night before, after receiving the notice of the large-scale investigation, the community began to prepare. The community grid members all went down to the building and turned on the lights of the residents of the building.

'Some residents' lights are on, but they are not on the list. We will add them to the list for investigation. There are also some residents on the list who have no lights at home. We called to find out that they had returned to their hometown, but in the past when the body temperature was reported It has also been reported that such personnel will not be investigated if they do not return to the Han. 'Said Hu Junyan, secretary of the Taoyuan Community. The focus of the current work is to investigate the home visits that have not been listed in the previous period. At the same time, the returnees were followed up in time, re-incorporated into the investigation list, and asked about the situation during the isolation period.

'Now this meter matches our data. Room 1 and Room 4 are both people.' At 2 pm on the 17th, in the Vanke Golden City, Zhangjiawan Street, Hongshan District, Xu Qiusi, deputy secretary of the community, walked into 1805. Examine the building. She opened the meter box, and while checking the meter's working conditions, she carefully checked the check-in registration form in her hand.

Xu Qiusi introduced that the golden city community has more than 70 buildings, 9,547 households, and more than 20,000 residents. The pre-community investigation was mainly by telephone and online WeChat group. 'The base is too large and the number of staff is limited. In this way, it is inevitable that there is a' fish leaking from the Internet. ' We come home or call to ask about the situation and really make sure we don't miss one. '

秋 Xu Qiusi checking the meter while verifying the information against the check-in registration form.

Robot to detect fever patients

'We checked the residents of 25 gates one by one, and conducted investigations through various means such as Wechat neighborhoods, WeChat groups, QQ groups, doorbells, and telephone calls.' Li Yanmei, secretary of Liyuan in Donghu Scenic Area, told reporters that party members, civil servants, and state-owned enterprises Units and other sinking community personnel have joined the 'Wei Neighbourhood' community and maintained close contact at any time. Young residents in the community have purchased WeChat groups and qq groups through group purchases of food and medicines. Grid members and volunteers help and investigate. For the elderly who cannot use the Internet, the community arranges grid members to call and press the door. Doorbell way to keep in touch with old people.

In the East Lake High-tech Zone, more scientific and technological methods have been used to improve the efficiency of large investigations. At 9 am this morning, a family member of Dexinli Community, Jiufeng Street, Donghu High-tech Zone received an artificial intelligence voice follow-up from Donghu High-tech Zone. This conversation was transmitted in real time to the government service of Donghu High-tech Zone, which is 3 kilometers away, through a telephone line. Bureau (Big Data Administration) 's system back-office center, and is converted into text records in the computer.

At the same time, after Dexinli community staff members logged in to their account and checked the results of outbound feedback, they found that the key information of the thermometer was broken in the dialogue. The staff quickly brought the thermometer to the door for investigation. After investigation, the body temperature of the male owner of the household was normal, and the staff left the sterilized new thermometer and promised the district headquarters that they would continue to monitor the household every day and contact the other person's clear grid contact information again.

At the same time, the 'Integrated Support Platform for Smart Grassroots Social Governance' is also operating in the Foguling B Community of Optics Valley with 1,315 households. Relying on face recognition cameras, migrants cannot enter the community from the entrance. It is understood that starting from the 17th, 106 communities, 203 communities, and 881 grids in the East Lake High-tech Zone will conduct a bottom-up pull-up network investigation and a top-down reversal investigation, except for the past 'four categories' In addition to the large crowd investigation, Donghu High-tech Zone will also take advantage of this centralized investigation opportunity, and at the same time merge non-new crown patients (various diseases, conventional diseases, etc.) into one category, and focus on five categories of personnel to find out the number of non-new crown patients. And take corresponding rescue countermeasures.

...


http://news.china.com.cn/2020-02/18/content_75715912.htm
 
Incubation period of 94 days? Virus mutation? Expert response
Published: 2020-02-18 09:03:38 | Source: China News | Author: Guo Chaokai

In response to recent media reports in Xinyang, Henan, where two cases of unconventional cases with an incubation period of more than 14 days occurred, relevant experts said in an interview with a reporter from China News Agency that these two patients are ordinary cases and the source of infection is not yet clear.

According to reports, the confirmed case reported by Xinyang County, Henan Province, Wu Moumou returned to Wuhan from January 14 to the confirmed diagnosis, which took up to 34 days. Three consecutive nucleic acid tests were performed, and the first two were negative. Another confirmed case, Ning Moumou, took care of his father-in-law, Zhang Moumou, who returned from a medical treatment in Wuhan from November 13, 2019, and it lasted for 94 days. The above two confirmed cases have aroused heated discussions on major social media. Some netizens regarded the 34 and 94 days as the incubation period of two confirmed patients and considered these two patients to be ultra-conventional cases.

In this regard, Feng Zijian, deputy director of the China Centers for Disease Control and Prevention, said in an interview with the China News Agency that the source of infection in the two cases in Xinyang County, Henan Province is not yet clear and cannot be judged as an ultra-conventional case. Previously, Zhang Guojun, the group leader of Henan Province's medical treatment expert team and director of the first department of respiratory and critical care medicine of the First Affiliated Hospital of Zhengzhou University, also said in an interview with the media that after carefully checking the trajectory and onset time of confirmed patients, two cases were reported in Xinyang County, Henan Neocoronary pneumonia patients are common cases, and the incubation period is as long as 34 days and 94 days.

Feng Zijian pointed out that the confirmed case Wu Moumou returned to Wuhan from January 14th, developed fever symptoms on January 25th, and was hospitalized on January 28th. The latency time was normal. Zhang Guojun said that although Wu Moumou's first two nucleic acid tests were negative, because the clinical symptoms were consistent with the symptoms of new coronary pneumonia, the Xinxian People's Hospital has been treating patients in accordance with the procedures until the condition is confirmed. 'After the third nucleic acid test, The diagnosis is related to the situation of material collection, reagents, and inspection time, which is more common throughout the country. '

As for another confirmed patient, Ning Moumou, Zhang Guojun said: 'Although the source of the infection has not been determined, Ning Moumou has no direct association with his new father-in-law.' He said that on January 31, Xinxian had the first confirmed case. In 4 cases, Ning Mou returned to the county from January 31 to February 12 and developed fever symptoms, which conformed to the epidemiological rules of new crown pneumonia. Looking back at his activity trajectory, Ning Mo was likely to be infected with new crown pneumonia during going out .

At this stage, some people are worried about the emergence of unconventional cases with an incubation period of more than 14 days, which may indicate that the coronavirus is mutating and more infectious. Feng Zijian said that it is not yet possible to draw conclusions about the infectivity of the new crown virus. The common incubation period for new coronavirus is 14 days. Most cases develop within 7 days, and some cases exceed 7 days. 'About 95% of the cases are within the common incubation period, and some tailing data are not in it, which is related to individual differences.'

Previously, a paper published by the academician of the Chinese Academy of Engineering Zhong Nanshan's team had a case with a latency period of 24 days. The paper was based on a comprehensive analysis of the clinical characteristics of 1099 patients with new coronary pneumonia provided by 552 hospitals in 30 provinces, autonomous regions and municipalities across the country. Feng Zijian said that the longest incubation period of 24 days is a case, and there is no need to panic. 'According to the current situation, the close observation period of 14 days is still reasonable and appropriate.'

http://news.china.com.cn/2020-02/18/content_75716433.htm
 
Shanghai Announces Areas and Sites Involved in Confirmed Cases on February 17 (0-24 pm)
Published: 2020-02-18 09:08:08 | Source: Shanghai Government Network | Author: Anonymous
More News Enter News Center

The Municipal Health and Health Committee informed this morning (18th): Yesterday, February 17th 04:00, 2 new cases were confirmed in Shanghai. According to the epidemiological investigation, the areas and places involved in the confirmed cases on February 17 are as follows:

Pudong New Area: Dada Jiayuan

Minhang District: Oufeng Huadu, Century Lianhua (Longliao Road)

Xuhui District: Wal-Mart (Guilin Road)

Note: All identified close contacts have been isolated for medical observation, and the communities with confirmed cases have been notified to the local area, and relevant disinfection measures have been strictly implemented.

http://news.china.com.cn/2020-02/18/content_75716470.htm
 
Behind the cumulative number of cured and discharged patients, 'hardcore' tricks are working
Published: 2020-02-18 09:14:52 | Source: Xinhua | Author: Shi Yucen etc.
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Xinhua News Agency, Beijing, February 17th, Topic: Behind the cumulative number of 'discharged' cases cured and discharged

Xinhua News Agency reporters Shi Yucen, Qu Ting, Wu Yu

At the press conference of the Joint Prevention and Control Mechanism of the State Council held on the 17th, there were two good news that attracted attention: First, the cumulative number of cured and discharged patients was “broken 10,000”, and second, except for Hubei, the number of newly diagnosed cases declined for 13 consecutive days .

Increasing the cure rate and reducing the mortality rate, especially to strengthen the treatment of critically ill and critically ill patients, have always been the focus of medical treatment. A series of 'hard-core' tricks are working from the continuous 'overweight' of rescue forces to scientific research and plasma treatment.

'Reconstruction system' to undertake the ward, the strongest critical care medical force to support Wuhan

The state has allocated the elite 'troops' to assist Wuhan. The goal is to race against time and compete against illness.

At present, there are medical teams from many countries, provinces, and cities in the Tongji Hospital's Sino-French Metropolitan Hospital in Wuhan, fighting side by side to focus on treating patients with severe illness. Among them, the six 'national teams' of Beijing Hospital, Peking Union Medical College Hospital, China-Japan Friendship Hospital, Peking University First Hospital, Peking University People's Hospital, and Peking University Third Hospital are led by the Party Secretary and Dean and lead the intensive medicine department. Elite teams, such as the Respiratory Department, formulate medical treatment plans in accordance with the 'one person, one case' plan to improve the science and accuracy of treatment.

Han Ding, deputy director of Peking Union Medical College Hospital, said that each medical team 'undertook' a ward, formed a multi-disciplinary team to cooperate in treatment, and could conduct remote consultations with the rear. A medical office has also been set up between the medical teams, which is responsible for organizing expert consultations throughout the hospital complex, as well as the quality control and safety management of patient treatment.

According to statistics, there are currently more than 30,000 medical staff helping Wuhan, Hubei.

'They are mainly from the majors of respiratory, infection, and critical illness.' Guo Yanhong, the inspector of the State Administration of Health and Medical Administration, said, 'In view of the characteristics of Wuhan's severe illness, we have the strongest professional medical care strength, with 1.1 Ten thousand critical medical professionals are responsible for the treatment of critical illness. These 11,000 critical medical staff are close to 10% of the national critical medical staff resources. '

According to her, about 90% of discharged patients are mild and about 10% are critically and critically ill. By subdivision, the period from the onset of the patient to the diagnosis is 4.95 days on average across the country, indicating that shortening the diagnosis time, timely diagnosis and treatment, and early diagnosis and treatment are a very effective measure to improve the cure rate.




New methods are expected to be included in the sixth edition of the treatment plan

The treatment of critically ill patients has always impressed people. Since the outbreak, the team of Academician Zhong Nanshan, Academician Wang Chen and Academician Li Lanjuan has been working in the clinical front line, putting forward suggestions in the treatment of complex critical illnesses, exploring some new therapies and technologies, and incorporating them into the treatment plan. The sixth edition of the treatment plan is currently being formed to guide the nationwide diagnosis and treatment and improve the level of treatment.

A team of Chinese medicine experts led by three academicians, Zhang Boli, Huang Luqi, and Tong Xiaolin, and nearly 600 Chinese medical teams from four groups of Chinese medicine aided Wuhan as soon as possible. Jiang Jian, the director of the Department of Medical Affairs of the State Administration of Traditional Chinese Medicine, said at a press conference that as of February 17, in areas outside Hubei, Chinese medicine participated in the treatment of discharged cases and improved symptoms accounted for 87%.

As of 24:00 on February 16, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, a total of 10,844 discharged patients have been cured. Except for Hubei, the number of newly confirmed cases has dropped for 13 consecutive days.

'These are very good signals, indicating that our prevention and treatment efforts have achieved very good results.' Guo Yanhong said that relevant analysis shows that more than 90% of patients have adopted antiviral therapy and symptomatic treatment, including respiratory support and circulatory support. A series of comprehensive diagnosis and treatment methods such as improving immunity and accelerating the cure of patients.

Zhou Jun, Secretary of the Party Committee of the China-Japan Friendship Hospital, said that we have assumed the role of the National Research Center for Respiratory Diseases. The most important thing in this assistance is to give full play to our professional advantages.

According to reports, after coming to Wuhan, they first designed a series of procedures from receiving to transferring patients, the second was to establish strict systems such as handover, duty, and medical staff protection, and the third was to further classify the patients who received. Concentrate the resources of major experts to make more efforts in critically ill patients.


...


http://news.china.com.cn/2020-02/18/content_75716516.htm
 
Jinan, Shandong: Frozen cough medicines stored in retail pharmacies
Published: 2020-02-18 09:31:05 | Source: China News | Author: Anonymous
More News Enter News Center

According to the official Weibo news from the Jinan municipal affairs publishing platform in Shandong Province, the leading group for the treatment of pneumonia caused by a new type of coronavirus infection in Jinan issued a notice recently that retail drug stores in Jinan must suspend the sale of fever and cough medicines and store them in storage. All the people who bought medicines in the store were tested for body temperature and found that if the body temperature exceeded 37.3 ℃, they registered and guided the patients to drive by themselves or contact 120 ambulances to the hot clinic.

The notice said that at present, the epidemic prevention and control has entered a critical period. In order to further strengthen the management of personal reports and visits to patients with fever, and truly achieve 'early detection, early reporting, early isolation, early diagnosis, and early treatment', on February 17, the leading group for the treatment of pneumonia of new coronavirus infection in Jinan City ( (Headquarters) Urgently issued a notice on further strengthening of personal reports and management of fever patients' visits:

1. Citizens must take their own body temperature twice daily at home, work or go out. Those whose body temperature exceeds 37.3 ℃ must report truthfully. If there is a unit, they must report to the unit. If there is no unit, they must report to the village. And guide patients to drive or contact 120 ambulances to the fever clinic.

2. Schools, child care institutions, shopping malls, supermarkets, farmers' markets, office buildings, construction sites, agencies, enterprises and institutions must implement the main responsibilities of epidemic prevention and control, and organize special personnel to take body temperature twice a day at the entrance and inside the unit. If the temperature exceeds 37.3 ? C or if the individual reports fever, the unit shall register and guide the patient to drive or contact 120 ambulances to the fever clinic.

3. All retail pharmacies in the city must suspend the sale of fever and cough medicines and store them off the shelves. All the people who bought medicines in the store were tested for body temperature. If the body temperature was over 37.3 ℃, they should register and guide the patients to drive by themselves or contact 120 ambulances to the hot clinic, and report to the special class of the district and county headquarters.

4. Community health service stations and village clinics must suspend the admission of fever patients. It is strictly forbidden to sell fever and cough medicines. The existing fever and cough medicines shall be sealed and managed.

V. Community health service centers and town health centers should standardize pre-checking and triage. For patients with fever of unknown cause, they must make detailed registration in an isolation observation room, and guide patients to drive or contact 120 ambulances to the hot clinic for treatment.

6. All medical institutions must arrange senior doctors and experienced doctors to perform screening of fever patients at the pre-screening triage points.

Seventh, all medical institutions must implement the system of medical personnel holding ID cards or medical insurance cards. It is strictly forbidden to purchase fever and cough medicines. In addition to refusing to issue prescriptions for medicines, all medical institutions shall register the fever and cough patients in detail and report to the special class for screening and management of fever personnel in the jurisdiction where the medical institution is located. The special class is responsible for tracking management.

8. Units and individuals must strictly abide by the above-mentioned regulations, and shall be held responsible for those who fail to report, conceal or report late according to relevant regulations.

http://news.china.com.cn/2020-02/18/content_75716595.htm
 
Zhong Nanshan: The number of cases will reach its peak in mid-late February, but it does not mean that it has reached the 'inflection point'
Published: 2020-02-18 09:32:23 | Source: China Youth Daily | Author: Lin Jie
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The peak does not mean that the 'inflection point' has been reached. With the large turnover of migrant workers, will there be another 'peak'? Zhong Nanshan believes that 'personal estimates probably do not.' According to the model, the number of cases across the country will reach its peak in mid-late February, but this does not mean that it will decline immediately after reaching the peak.

On the afternoon of February 17, the ICU treatment team of the First Affiliated Hospital of Guangzhou Medical University and the Guangdong Medical Team in front of Wuhan again conducted a remote video consultation. Zhong Nanshan, director of the National Medical Research Center for Respiratory Diseases and an academician of the Chinese Academy of Engineering, sat on the scene to discuss the difficult cases. Treatment strategies, while expressing views on the development trend of the national epidemic situation and critical care.

Zhong Nanshan introduced that it is still uncertain whether the peak value has been reached, and it still needs to be observed for a few days. The whole country should be the end of April, this is just a very rough estimate.

On February 17, data released by the National Health and Health Commission showed that, with the exception of Hubei, the total number of newly confirmed cases nationwide has fallen for 13 consecutive days. Zhong Nanshan believes that this shows that the powerful intervention measures adopted by China have achieved obvious results. 'Because very strict detection measures have been taken in the process of flow, it is not easy to have a big peak.'

The mathematical model established by Zhong Nanshan's team takes into account the two variables of the country's strong intervention measures and the peak return of migrant workers after the Spring Festival. These two variables will change the natural development of the disease.

As for the prevention and control of the epidemic in Wuhan, Zhong Nanshan said that Wuhan is still in a high prevalence and mortality rate. The total number of patients accounts for 80% of the country and the mortality rate accounts for more than 95% of the country. Therefore, Wuhan is supported throughout the country. He pointed out that although great efforts have been made, Wuhan has not completely prevented human transmission. The construction of the square cabin hospital is very effective for controlling the transmission of people. At the same time, Wuhan is speeding up the investigation of suspected cases. These measures have a positive impact on the national epidemic prevention and control.

'We are fully committed to conducting two surveillances, one is to separate the new crown virus from the influenza virus, and the other is to increase the precision of nucleic acid detection and carry out IgM antibody detection.' Zhong Nanshan said that the team is currently developing IgM antibody detection reagents, and the results It is expected to be announced soon. After the announcement, Wuhan will be supported first.

Zhong Nanshan admits that there are indeed some difficulties in the treatment of severe illness, especially in the treatment of critically ill patients. 'For severe treatment, we are currently looking for more effective drugs and exploring new methods.' On February 18, the latest results of the recent use of traditional Chinese medicine for the treatment of new coronary pneumonia will be released.

Compared with other parts of the country, Wuhan has a higher case fatality rate. Zhong Nanshan believes that this is related to the repeated infection of patients at the initial stage and the rapid growth of infected cases. Medical staff could not provide patients with appropriate treatment such as oxygen therapy in the early stage. The disease progressed to the intensive care unit in the terminal stage, leading to a high mortality rate. As the country ’s measures for early prevention, early detection, and early isolation are deepened, Wuhan ’s “blocking” measures are more in place, and national support for Hubei is expected to improve. (Reporter Lin Jie)

http://news.china.com.cn/2020-02/18/...t_75716597.htm
 
Does collecting plasma from a healer affect health? What's the difference between donating blood? Expert response
Release time: 2020-02-18 09:48:50 | Source: CCTV

CCTV News: On February 17, the State Council's joint prevention and control mechanism held a conference on the progress of medical treatment.

At the meeting, Wang Guiqiang, the chief physician of Peking University First Hospital, answered some questions about new coronary pneumonia.

Collecting the recovery period of the cured patient's plasma. The patient has just recovered and is relatively weak. Will it affect health?

First, as long as the patient recovers and meets the criteria for discharge isolation, plasma can be collected. Plasma collection is a single plasma collection method. Plasma is taken out and red blood cells, white blood cells, platelets, etc. are returned back. After 200 to 300 ml of this plasma is collected, the patient's plasma completely recovers to its original condition after a week or two. The harm is very small. Don't worry too much. The plasma in the recovery period can treat severe and critically ill patients. I hope that all patients in the recovery period will actively contribute to the plasma and make a contribution to the treatment of severe patients and reduce the mortality rate.

What is the difference between collecting plasma and donating blood?

The first is that the subjects are different. Only recovery patients who have recovered after infection with neocoronavirus can be used as blood donors. Only such patients have integrated antibodies in the plasma, which can effectively treat the infection of neocoronavirus.

The second is to collect only plasma and not whole blood. Generally, blood donation is collected from whole blood, with red blood cells and platelets, and stratified. When used clinically, either plasma, platelets, or red blood cells are used for component transfusion. Only plasma was needed this time, and the others were returned to the patient.

Third, in addition to routine testing, nucleic acid testing of new coronaviruses should also be performed. Routine tests should be done, such as the detection of infectious disease indicators such as hepatitis B and C to avoid cross infection of blood transfusions. At the same time, the conditional units need to detect the antibodies of the new crown virus. The higher the comprehensive antibody titer, the better the treatment effect, which is different. Another is to do nucleic acid. To detect viral nucleic acid, it must be negative. Of course, the patients after the cure are all negative, but the test should be performed before blood donation to ensure that there is no new crown virus infection.

http://news.china.com.cn/2020-02/18/content_75716667.htm
 
Hubei: Comprehensive investigation of those who purchased fever-reducing fever and cough medicine since January 20
Published: 2020-02-18 11:46:15 | Source: China News | Author: Anonymous
More News Enter News Center

Chinanews.com, February 18th. Hubei Province New Coronavirus Infection Pneumonia Prevention and Control Headquarters issued a notice on the 17th to comprehensively investigate fever patients treated by various medical institutions since January 20th, purchase through physical pharmacies or order fever and fever online. Cough medicines.

Hubei Provincial New Coronavirus Infectious Pneumonia Prevention and Control Headquarters

Announcement on Comprehensively Launching Fever Patient Examination and Verification

At present, the epidemic prevention and control is in the most difficult and critical period. In order to further strengthen the inspection and screening of fever patients, cut off the source of infection, block the transmission route, and realize early detection, early reporting, early isolation, and early treatment. We will resolutely win the People's War, the General War, and the Blockade of the epidemic. According to the 'Emergency Response Law of the People's Republic of China', 'The Law of the People's Republic of China on the Prevention and Control of Infectious Diseases' and the 'Decision of the Standing Committee of the Hubei Provincial People's Congress on Providing Strong Legal Guarantee for Winning the Fight Against New Coronavirus Pneumonia Epidemic Prevention and Control' Relevant laws and regulations, combined with the needs of the epidemic prevention and control situation in our province, are hereby notified of the relevant matters regarding the comprehensive investigation and verification of fever patients:



I. The prevention and control headquarters of each city (prefecture), county (city, district), and township (street) shall coordinate the forces of public security, health, civil affairs, comprehensive management, and community, and take the community, village group as the unit, and go from household to household. Visit and verify the situation, comprehensively grasp the number of fever patients in the community and village group, basic information and the state of illness, and do a good job of information registration, daily summary report to the control headquarters.

2. Residents (villages) must do their own health monitoring. Once symptoms such as fever (≥37.3 ? C) and cough occur, they must report to the community (village) as soon as possible. The community (village) carefully checked the health information reported by the fever patients, and transferred the confirmed fever patients to the fever clinic nearby.

3. Comprehensive investigation Since January 20, fever patients treated by various medical institutions, people who purchased fever-reducing fever and cough medicines through physical pharmacies or ordered online, grasp the time when these people visit or purchase medicines, name, citizenship number, current residence Address, telephone number, etc., and organize on-site verification, follow-up testing, isolation and treatment.

4. Each designated hospital and sent-out clinic shall strictly implement the real-name registration system of the visitor for medical treatment, and report the information of the fever patient to the control headquarters under its control.

V. All pharmacies who purchase antipyretic and cough medicines (including western medicine and proprietary Chinese medicines) must check and register the identity information of the drug users, and the drug users must provide original valid IDs such as resident ID cards or medical insurance cards; The personnel shall present the original valid identity certificate such as the resident ID card or medical insurance card of the drug user, and register the information of the purchaser, and report to the control headquarters under their control daily.

6. Online purchase of antipyretic and cough medicines (including western medicine and proprietary Chinese medicines) must be registered in real names. Each delivery company will check and register the identity information of the people who deliver the medicines, and report them to the control headquarters under its control daily.

7. The masses can report issues such as fever not being reported, 'four types of personnel' being inadequately treated, and epidemic prevention and control measures not being implemented through the '12345' hotline and the APP epidemic prevention and control area of ​​the Ehui Office.

8. Units that have spread the epidemic due to inadequate prevention and control measures and inadequate investigation and verification will all be held accountable promptly and rigorously. Individuals who fail to report fever symptoms or refuse to cooperate with investigation and verification shall be investigated in accordance with laws and regulations. responsibility.

This notice will be implemented from now on, and the time for release will be announced separately.

Hubei Provincial New Coronavirus Infection Control Pneumonia Command

February 17, 2020

http://news.china.com.cn/2020-02/18/content_75717246.htm
 
Source: https://www.scmp.com/news/china/soc...inas-hubei-province-records-1807-new-cases-93

Coronavirus: vital to stop human-to-human spread in Wuhan, says China’s top expert as death toll hits 1,868
WHO delegation of medical experts heading to other regions after meetings in Beijing – but will not visit the outbreak’s epicentre of Hubei
Tourism and farming sectors assess impact, while 80 per cent of state-owned enterprises resume operations
SCMP
Robert Delaney , Gigi Choy , Lawrence Chung and Linda Lew
Published: 7:02am, 18 Feb, 2020

...Stopping human-to-human spread is key’

Zhong Nanshan, China’s top respiratory disease expert, said the situation in Wuhan, the epicentre of the outbreak, hinged on whether human-to-human transmission could be contained, which in turn depended on separating Covid-19 patients from those with seasonal influenza.

“How to separate Covid-19 patients from seasonal influenza patients, and how to separate healthy people from Covid-19 patients, and how to separate other patients from Covid-19 patients: if you don’t solve that problem, human-to-human transmissions will not stop,” Zhong told a briefing on Tuesday...

...Zhong said that the southern province of Guangdong was going to treat patients with severe cases using plasma extracted from the blood of recovered patients
, which contains antibodies they developed to fight the virus. It would not be used for critically ill patients, because their condition was more complex.

Use of antimalarial drug chloroquine diphosphate as a coronavirus cure merited further investigation after some patients responded to it, Zhong said...
 
CCTV News

[Wuhan Wuchang hospital president Liu Chi Ming infect new crown pneumonia death ] Wuhan Wuchang hospital deputy party secretary, president Liu Chi Ming comrades fall ill in the fight against the new coronavirus epidemic pneumonia, the full treatment ineffective, in 2020 February 18 He died at 10:54 , at the age of 51. # Wuchang hospital president Liu Chi Ming died # (CCTV reporter Xu Ping)

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

Surging news

[ # Farewell Wuchang hospital president Liu Zhiming # , peers: he is "a lot of people mad."] Before the vehicle arrived at the funeral home, many people remained silent, it was sometimes the mask is removed, wipe the tears. On the morning of February 18, Hubei Provincial Health Committee and Wuhan Municipal Health Committee issued announcements saying that Liu Zhiming, deputy secretary and dean of the Party Committee of Wuhan Wuchang Hospital , was unfortunately infected during the fight against the new crown pneumonia epidemic, but was not effective after full treatment. Died at the age of 51. In the fight against the new crown pneumonia epidemic, seven medical staff have previously died. Before Liu Zhiming's death, he was still most concerned about those who had contact with him. A colleague who bid farewell to Liu Zhiming told Peng Mei News that Dean Liu had asked everyone to take precautions first. He was worried about those who had contact with him. In case someone else is in trouble, he will feel guilty.
 
Source: http://wjw.hubei.gov.cn/fbjd/dtyw/202002/t20200219_2129954.shtml

Epidemic Situation of New Crown Pneumonia in Hubei Province on February 18, 2020

From 04:00 to 24:00 on February 18, 2020, 1693 new cases of new coronary pneumonia were confirmed in the province, of which: 1,660 in Wuhan, 24 in Xiaogan, 18 in Xiantao, 16 in Huanggang, 12 in Shiyan, and Ezhou 4 in Jingzhou, 4 in Jingzhou, 3 in Yichang, 2 in Suizhou, 2 in Xiangyang, 1 in Jingmen, 36 in Xianning, 14 in Tianmen, 2 in Huangshi, and 2 in Enshi 1 case.

There were 132 new deaths in the province, of which 116 were in Wuhan, 7 in Xiaogan, 5 in Huangshi, 1 in Huanggang, 1 in Xiangyang, 1 in Yichang, 1 in Ezhou, and 1 in Suizhou. 1, Enshi Prefecture reduced one case.

There were 1266 new hospital discharges in the province, including 676 in Wuhan, 118 in Huanggang, 70 in Jingzhou, 56 in Suizhou, 49 in Xiaogan, 48 in Xiangyang, 47 in Huangshi, and 38 in Jingmen. There were 36 cases in Ezhou, 28 in Xiantao, 22 in Yichang, 21 in Xianning, 20 in Shiyan, 18 in Tianmen, 13 in Qianjiang, and 6 in Enshi.

As of 24:00 on February 18, 2020, Hubei Province has reported a total of 61,682 cases of new coronary pneumonia, including 44,412 cases in Wuhan, 3,344 cases in Xiaogan, 2,844 cases in Huanggang, 1,541 cases in Jingzhou, 1,343 cases in Ezhou, and 1280 in Suizhou. Cases, 1165 cases in Xiangyang City, 983 cases in Huangshi City, 907 cases in Yichang City, 901 cases in Jingmen City, 832 cases in Xianning City, 638 cases in Shiyan City, 562 cases in Xiantao City, 486 cases in Tianmen City, 249 cases in Enshi Prefecture, Qianjiang City There were 185 cases and 10 cases in Shennongjia forest area.

A total of 9,128 patients were discharged from the hospital. A total of 1921 patients died in the province, including 1497 cases in Wuhan, 85 cases in Huanggang City, 82 cases in Xiaogan City, 38 cases in Jingzhou City, 37 cases in Ezhou City, 33 cases in Jingmen City, 26 cases in Suizhou City, 25 cases in Yichang City, There were 25 cases in Huangshi City, 22 cases in Xiangyang City, 19 cases in Xiantao City, 11 cases in Tianmen City, 10 cases in Xianning City, 6 cases in Qianjiang City, 3 cases in Enshi Prefecture, and 2 cases in Shiyan City.

Currently, 43,471 patients are still being treated in the hospital, of which 9289 are critically ill and 1957 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 3462 suspected cases, 596 were newly added that day, 1302 were excluded that day, and 3355 were concentrated and isolated. A total of 206,087 close contacts have been tracked, and 68,345 people are still undergoing medical observation.
 
Source: https://www.ntdtv.com/gb/2020/02/18/a102780303.html

94-day long-latency case suspected in Henan Zhong Nanshan: Not surprising
Coronavirus schematic. (Pixabay.com)
Beijing Time: 2020-02-19 06:45
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[NTD Beijing, February 19, 2020] Wuhan Xinguo virus continues to spread. Recently, Henan officially notified two suspected cases with an ultra-long incubation period, one of which lasted for 94 days, again aggravating external concerns about the uncontrollable epidemic. The Chinese Communist Party's official media has urgently rumored this. However, Zhong Nanshan, the leader of the expert group of the Health Commission of the Communist Party of China, responded that it was not surprising.

On February 18, Guangdong Province held an epidemic prevention conference. Zhong Nanshan, an academician of the Chinese Academy of Engineering, said that "not surprisingly, there are always exceptions" in the case of two cases of ultra-long latency in Henan.

Zhong Nanshan introduced that his previous research on 1099 cases showed that the incubation period was mostly 2-7 days, but one of them reached 24 days and 13 cases exceeded 14 days.

Prior to this, the Xinxian County Epidemic Prevention Office of Xinyang City, Henan Province, reported on the 16th that there were two confirmed cases in the county. In addition to the long incubation period, they also had unclear sources of infection, difficult diagnosis, and strong infectivity. One case of Wu Moumou took 34 days from infection to diagnosis, while the other Ning Moumou may reach 94 days.

The report stated that Ning Mou has been living at his father-in-law's house in Baiguoshu Neighborhood Committee of Jinlanshan Street, Xin County since November 13, 2019, and took care of his father-in-law, Zhang Moumou, who returned from medical treatment in Wuhan. After the death of his father-in-law on November 30 last year, Ning Mou continued to stay in his father-in-law's home until January 31, 2020, with his wife and son back to the home of the Chendian Township Government Family House opposite the county vocational school. After that, Ning Moumou only went out 2 times to buy food, 1 time to go out to buy medicine, and no other outing activities. On February 12, she developed fever symptoms. On February 14, she went to the county people's hospital for treatment and then was hospitalized for observation. Ning Mou took care of her father-in-law until the diagnosis was made, which lasted for 94 days. It is difficult to determine the infection trajectory and the source of the infection.

Xinxian accordingly announced that residents with a history of living, travelling, and contacting in Hubei had their home isolation and observation time extended from 14 days to 21 days.

The news quickly caught the attention of Lu media and caused heated discussions on social media. On the 17th, the party media have quoted "experts" as "dispelling rumors."

China News Agency quoted Feng Zijian, deputy director of the Chinese Communist Party Center for Disease Control and Prevention, as saying that there were 4 cases diagnosed for the first time in Xin County on January 31. After Ning Mou returned to the county on January 31, it was entirely possible that he was infected with the virus while traveling. Then on February 12, fever symptoms appeared, "consistent with the epidemiological rules of new coronary pneumonia."

Feng Zijian also affirmed, "Although the source of the infection has not yet been determined, Ning Mou has no direct association with his father-in-law." This statement is significantly different from the official Xinxian report.

At present, people at risk at home and abroad are generally isolated for 14 days. But the reality is that many patients have an incubation period of more than 14 days, and some people have no symptoms from beginning to end. And the virus can infect others efficiently during the incubation period. This has caused widespread worries about the effectiveness of the Communist Party ’s mandatory isolation measures.

(Reporter Zhong Gusheng Comprehensive Reporting / Responsible Editor: Ming Xuan)
 
Source: https://www.sinchew.com.my/content/content_2219425.html
2020-02-19 07:02:49 84
Symptoms in Lion City are less runny

(Singapore, 18th) Many local cases of Singapore infected with the new type of coronavirus pneumonia have fever, cough and diarrhea. Unlike ordinary flu, these patients are not much runny.

Su An, the clinical director and senior consultant of the National Infectious Diseases Center, who revealed the clinical characteristics of Singapore's new crown pneumonia patients to the media for the first time. He (Shawn Vasoo, 41) also revealed that they did research on 19 patients participating in the investigation and found that about half of the stool had the virus. He was not surprised by this and emphasized the main transmission channel of the crown disease virus. Still droplets of the respiratory tract.

This new outbreak, like SARS, is a coronavirus. "Some people with SARS also have a fever and cough, and some people have diarrhea."

Feces may not have symptoms

Dr. Warsaw speculates that the virus may enter the large intestine through the digestive system or blood, but some people have no symptoms even if the virus appears in their stool.

About one-third of crown disease cases at the Singapore Infectious Disease Centre have diarrhea, but diarrhea may not be caused by the new virus.


This is reminiscent of the fact that hundreds of people in Hong Kong's Amoy Gardens may have contracted SARS due to fecal transmission during SARS in 2003. Just last week, a team of Chinese infectious disease experts Zhong Nanshan and Academician Li Lanjuan also isolated the virus from the patient's stool samples, confirming that live virus does exist in the stool.

"To be on the safe side, we told patients to cover the toilet before flushing, because the stool may be infected with viruses."

The National Infectious Diseases Center, which was just completed last year, is the main town for controlling the epidemic and isolating multiple confirmed cases. Due to the large number of cases exposed, doctors can also see some preliminary trends.

Dr. Hua Su revealed that patients with new coronary pneumonia are different from common cold patients and do not have a runny nose, but the cause is unknown for the time being. The common symptoms of the patient are fever, muscle aches, and pneumonia of varying degrees in half.

"Some people say that you can tell whether a germ or a virus infection is based on the color of sputum or snot. In fact, it is not clear, let alone whether the color of the snot is different between the virus and the virus. We have to test before we know.

5 days before someone is diagnosed

Dr. Huasu said, "We have a few patients with preliminary symptoms such as fever and muscle soreness, but the genetic test could not detect it, and it was not detected until the fifth day. This is more complicated and not everyone is admitted to the hospital Or the diagnosis will be confirmed as soon as symptoms appear, so laboratory reports, patient visits, X-ray imaging, and physical examinations can be used to infer the possibility of infection. "

There are currently five infection groups in Singapore. He pointed out that these local cases are not necessarily related to people from China, but because they are close to each other.

New Crown Pneumonia Questions and Answers:

① Q: Will I get sick from eating hot pot?

A: If the food is cooked, it should not be a hot pot problem. I believe that one of them is sick and everyone sits close. The steam in the hot pot is also a possibility (to let the virus volatilize), but it should not be the reason, it should be relatively close contact.

In fact, droplets from a cough can be sprayed up to one meter away. If others breathe in, they can become infected. If you have a stronger cough, you may spray further.

②Q: Will the patient be able to pass from person to person without symptoms?

Answer: It is not impossible, but there is not enough medical evidence. In the case of influenza, the symptoms can be passed on to people the day before the symptoms are not too obvious, and they are contagious within 7 days after the symptoms appear. Measles can be transmitted to others 4 days before the symptoms appear, and it will not be transmitted a few days after the erythema appears. Measles can be transmitted to as many as 18 people per person, so the measles vaccination is mandatory.

New crown pneumonia may be transmitted from one person to three to four people, and it should be symptomatic. For example, the cough is transmitted to others.

③Q: Is the new coronary pneumonia more severe in the second week?

A: Not everyone does, and most people disappear within a week. Only a few, about 20%, will have inflammation of the lower respiratory tract (trachea and bronchi), and more severe ones have to be admitted to the intensive care unit.

However, entering the intensive care unit does not mean that it will not improve. We have patients in the intensive care unit. After the respirator is installed, the situation improves and the breathing tube has been drawn out. We are also very happy. We are also concerned about those who are still in the intensive care unit, and we must do our best to restore their lung function.

④Q: How do I distinguish between new coronary pneumonia and bone pain fever?

Answer: The body soreness of new crown pneumonia is different from bone sore fever. Patients with osteoarthritis are less likely to have cold symptoms such as dry cough, runny nose or sore throat. The main symptoms are fever for 5 to 7 days, muscle aches and headaches, especially eye socket pain, or back pain.
 
[h=1]Coronavirus Infections Jump to 57 in Sichuan's Tawu County[/h] 2020-02-18
Confirmed cases of coronavirus infection in Sichuan’s Tawu county have now climbed to 57, with seven new cases reported on Feb. 16 and five reported on Feb. 17, according to official Chinese health department reports.


The jump in numbers brings to 62 the total of confirmed infections in the Kardze (Ganzi) Tibetan Autonomous Prefecture, in which Tibetan-populated Tawu (Daofu) is located, the Kardze Prefecture Health Commission said.

Tawu county is now second only to Hubei province, where the infection first began to spread, as the area of China hardest-hit by coronavirus infection.

In response to the rising number of infections, county Public Security Bureau officials and traffic police on Feb. 17 imposed an area travel ban, closing a stretch of Highway 305 running from Tawu’s Palme township to the area of Khangsar, official media said.

Reached for comment on Tuesday, a staff worker at the Tawu County People’s Hospital declined to answer questions about the county’s current situation, saying, “Of course we have patients here, but if you want to know more about this, don’t call here,” before hanging up the phone,...:tiphat:https://www.rfa.org/english/news/tibet/infections-02182020173322.html
 
Source: http://www.kaixian.tv/gd/2020/0219/365842.html

Two new cases of pneumonia confirmed by new coronavirus infection in Chongqing
2020-02-19 07:26:56 Source: Hualong.com

Hualong.com-New Chongqing client at 7 o'clock on February 19 (Chief reporter Huang Yu) Today (19), Hualong.com-New Chongqing client reporter learned from the Chongqing Municipal Commission of Health and Health, February 18, 2020 12- At 2400 hours, Chongqing reported two new confirmed cases of new coronary pneumonia and 19 new cases of cured discharge.

The newly confirmed cases were 2 cases in Wanzhou District; among the newly cured cases, 2 were in Yuzhong District, 3 in Jiangbei District, 1 in Yubei District, 1 in Changshou District, 1 in Hechuan District, 3 in Qijiang District, and Dazu District. There were 3 cases, 1 case in Laoshan District, 1 case in Tongliang District, 1 case in Taonan District, 1 case in Rongchang District, and 1 case in Dianjiang County.

As of 24:00 on February 18, Chongqing has 296 confirmed cases (34 cases of severe cases and 13 cases of critical cases), 5 cases of deaths, 254 cases of discharged patients cured, and 555 confirmed cases. example. A total of 22,527 close contacts have been traced, 19,335 medical observations have been lifted, and 3,192 people are still receiving medical observations. Details are as follows:

Experts believe that in the near future, our city will further strengthen close contact to isolate medical observations, control the "walking source of infection", and vigorously promote the full coverage of nucleic acid testing in the "four types of people". Newly diagnosed cases will be maintained daily for 5 consecutive days. However, the situation of the epidemic has shown positive changes. However, with the resumption of work and production, the number of returnees to Chongqing has gradually increased, the mobility of personnel has increased, the risk of personnel gathering has increased, and the pressure for epidemic prevention and control has not been reduced.

The Chongqing Municipal Health and Health Committee reminded: During the epidemic, the general public must strengthen their self-protection, wear masks, wash their hands frequently, do not party, try not to take public transportation to work, try to take the stairs and take the elevator as little as possible, and keep the working environment clean and Ventilation, try to adopt a decentralized working style, try to avoid dense crowds when doing outdoor work, and keep a distance of more than 1 meter from others as much as possible to distribute meals. If you have suspicious symptoms such as fever, cough, or dyspnea, and you cannot take the job with you, you should stop working immediately and seek medical treatment in time.

Beginning on February 19, the epidemic situation in Chongqing was changed from twice daily to once daily in the morning.
 
Source: https://www.thenewhumanitarian.org/...twitter&utm_medium=social&utm_campaign=social

13 February 2020
Red tape, quarantines slow citizen aid on China’s coronavirus front lines
‘We had to assure people that we were reaching out to the hospitals directly.’
Ting Zhang
Researcher and social worker based in Shanghai and Shenzhen

SHENZHEN, China

Volunteer efforts to deliver badly needed medical supplies to hospitals at the epicentre of China’s coronavirus outbreak are being slowed by government red tape and city-wide lockdowns, organisers say.

The country’s hospitals are struggling to treat an outbreak that has now infected at least 60,000 people – roughly 15,000 new cases were announced on Thursday – and spread to two dozen countries.

Roughly three quarters of confirmed infections are found in Wuhan, where coronavirus cases were first reported in December. In January, more than 20 Wuhan hospitals posted open letters calling for supplies on social media – an unusual step that bypassed government-designated charity channels.

There is an urgent need for supplies like masks, protective suits, and safety goggles, Chinese authorities said on 4 February. One NGO, US-based Project Hope, said hospitals in Wuhan alone are going through more than 110,000 face masks every day...
 
Source: https://www.yicai.com/news/100511349.html

No new cases of new coronavirus pneumonia confirmed in Shanghai on the 18th!
Shanghai Municipal Health Commission 2020-02-19 07:50:08

Shanghai Municipal Health Commission announced this morning (19th) that from 12 to 24 o'clock on February 18, 2020, 26 suspected cases of new coronavirus pneumonia were ruled out in Shanghai; there were no new confirmed cases.

Shanghai Municipal Health Commission announced this morning (19th) that from 12 to 24 o'clock on February 18, 2020, 26 suspected cases of new coronavirus pneumonia were ruled out in Shanghai; there were no new confirmed cases.

As of 24:00 on February 18, Shanghai had eliminated 1880 suspected cases and found 333 confirmed cases. Among the confirmed cases, there were 173 males and 160 females; the oldest was 88 years old and the youngest was 7 months old; 144 had a history of living or traveling in Hubei, 33 had a history of living or traveling outside Hubei, and 156 had a history of contact with related cases; There were 110 foreigners coming to Shanghai and 223 of the city's resident population. Details are as follows:

At present, 137 patients are in stable condition, 14 are in critical condition, 4 are in severe condition, 177 are cured and discharged, and 1 died. There are still 127 suspected cases under investigation.
 
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