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

[Ronan Kelly]

Update on the epidemic situation of new coronavirus pneumonia as of 24:00 on February 18
Published: 2020-02-19Source : Health Emergency Office
　　At 04:00 on February 18, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 1749 new confirmed cases, 236 severe cases, and 136 new deaths (132 in Hubei, Heilongjiang, 1 in Shandong, Guangdong, and Guizhou respectively), with 1185 new suspected cases.
　　On the same day, 1,824 cases were cured and discharged, and 25,014 close contacts were lifted from medical observation.
　　As of 24:00 on February 18, according to reports from 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps, there were 57805 confirmed cases (among which, 11977 were severe cases), a total of 14,376 discharged cases were cured and a total of 2004 died A total of 74,185 confirmed cases have been reported, and 5248 suspected cases have been reported. A total of 574,418 close contacts were traced, and 135,881 close contacts were still in medical observation.
　　There were 1693 new confirmed cases in Hubei (1660 in Wuhan), 1266 new cases cured and discharged (676 in Wuhan), 132 new deaths (116 in Wuhan), and 50633 confirmed cases (38020 in Wuhan). Among them, 11,246 were severe cases (9562 in Wuhan). A total of 9,128 discharged patients were cured (4895 in Wuhan), a total of 1921 deaths (1497 in Wuhan), and a total of 61,682 confirmed cases (44,412 in Wuhan). There were 596 new suspected cases (234 in Wuhan) and 3462 suspected cases (1649 in Wuhan).
　　A total of 94 confirmed cases were reported from Hong Kong, Macao and Taiwan: 62 cases in Hong Kong Special Administrative Region (4 cases discharged, 1 death), 10 cases in Macao Special Administrative Region (5 cases discharged), 22 cases in Taiwan (2 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/202002/8f2cfd17f4c040d89c69a4b29e99748c.shtml

 

[sharon sanders]

Translation Google

[Wuhan Pneumonia] Latest News Says Liu Zhiming, President of Wuchang Hospital, Is Being Rescued
China
Compose: Gao Jiangjin
2020-02-18 02:27:00

The new media information platform "Red Star News" opened by the Chinese media "Chengdu Commercial News" on February 17th, Beijing time, Weibo was certified as the secretary and director of the Hubei Provincial Health and Health Committee Mission Center @ 全 科 健康On the news that "the director of Wuchang Hospital Liu Zhiming died on February 17 due to infection with new coronary pneumonia" and in this news the president Liu Zhiming was described as "the first hospital sacrifice".

Weibo account general health published the news on the evening of the 17th Beijing time about "the director of Wuchang Hospital Liu Zhiming died of new crown pneumonia" (Weibo @ 医疗 界 网站)
Weibo account general health published the news on the evening of the 17th Beijing time about "the director of Wuchang Hospital Liu Zhiming died of new crown pneumonia" (Weibo @ 医疗 界 网站)

In addition, the reporter of the newspaper confirmed from multiple sources in Wuchang Hospital about the death of President Liu Zhiming. Some doctors stated that Liu Zhiming had previously been the vice president of Wuhan Third Hospital, and had been transferred to Wuchang Hospital as the director in previous years and was usually in good health.

It is important to note here that the Red Star News WeChat client deleted the report after it was published and @ 全 科 健康 also deleted the previously published message, but a screenshot of the message can still be found on the Internet and The matter has been reported by some Chinese media, and the introduction of Liu Zhiming on Baidu Search has also changed from the original "Wuchang Hospital Dean" to "the former Dean of Wuchang Hospital".

Subsequently, new developments occurred in the early morning of the 18th Beijing time, that is, @ 全 科 健康 released the news that "the hospital is still doing its best to rescue Director Liu" and explained the reason for deleting the post. At present, there are certain variables in this matter. I hope Dean Liu Zhiming is safe.

https://www.dwnews.com/中国/60168860/武汉肺炎最新消息称武昌医院院长刘智明正被抢救

A hospital director in Wuhan died on Tuesday, state media said, the latest medical worker to fall victim to the coronavirus which has spread across the country.

Liu Zhiming, the director of Wuchang Hospital in Wuhan, died on Tuesday morning after "all-out rescue efforts failed", state broadcaster CCTV reported.

He is the first known hospital director to have died from the coronavirus.

https://news.rthk.hk/rthk/en/component/k2/1509233-20200218.htm

 

[tetano]

Guangdong chloroquine phosphate treatment plan: 128 cases of 93 cases were negative, 26 were discharged
Published: 2020-02-19 07:47:46 | Source: surging News | Author: Wu Yi
More News Enter News Center

On the afternoon of February 18th, the Guangdong Provincial Government Information Office held the twenty-fourth news conference on epidemic prevention and control, informing the Guangdong province of the new crown pneumonia epidemic prevention and control related situation, focusing on the current progress of the Guangdong epidemic prevention and control technology research.

At the press conference, Professor Jiang Shanping, Director of Respiratory Department of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, introduced that from January 23, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou Provincial Laboratory of Regenerative Medicine and Health, and the Fifth Hospital Affiliated to Sun Yat-sen University began to discuss the use of chloroquine phosphate. On the possibility of clinical treatment of new type of coronary pneumonia, and the clinical study of this drug treatment was officially launched on January 29. As of February 10, the first 10 cases treated with this method have been completed as planned. At present, the nucleic acid tests in all 10 cases are negative, of which 6 have been discharged and 3 have been transferred from the isolation ward to the general ward.

Jiang Shanping said that chloroquine phosphate is an antimalarial drug that has been on the market for many years, so its safety in treating a wide range of people is controllable.

Surging News (www.thepaper.cn) learned from Sun Yat-sen Memorial Hospital of Sun Yat-sen University that the treatment plan for 'chloroquine phosphate in the treatment of new type of coronary pneumonia' was first proposed and proposed for clinical research by Professor Jiang Shanping. It is reported that since February 8, Guangdong designated hospitals have expanded the clinical treatment of chloroquine phosphate. In the 10 designated hospitals in the province, 128 patients with new coronary pneumonia have participated in the treatment. Currently, 93 cases of the virus have turned negative. By the afternoon of 18 26 people were discharged.

Jiang Shanping said that based on the above effects, and did not see any serious drug-related adverse reactions during the treatment, Guangdong will prepare to assist the medical institutions in Hubei to carry out the clinical application of chloroquine phosphate. Clinical scope.

At the press conference, in response to the issue that chloroquine phosphate is not a specific medicine, Zhong Nanshan, director of the National Medical Research Center for Respiratory Diseases and an academician of the Chinese Academy of Engineering, said that chloroquine phosphate is not a specific medicine, but it is worth exploring. The study of chloroquine phosphate is not the first to be done in China. It has been done in Belgium and other countries. Chloroquine is effective against coronavirus. But it is really used in the human body in this epidemic. In open studies, we found that it can turn patients negative in about 15 days. In general, the special effects are not enough, but does it help? From the current perspective, it is helpful.

http://news.china.com.cn/2020-02/19/content_75719927.htm

 

[tetano]

4 new cases of new coronary pneumonia confirmed in Hebei
Release time: 2020-02-19 07:55:22 | Source: China News Network

According to the website of the Hebei Provincial Health and Health Committee, from February 0 to 20:00 on February 18, 2020, Hebei Province reported 4 new confirmed cases of new coronavirus pneumonia (Tangshan City). Thirteen new cases were cured and discharged, including 6 in Zhangjiakou, 2 in Langfang, 2 in Handan, 1 in Qinhuangdao, 1 in Tangshan, and 1 in Baoding. No new suspected cases.

As of 24:00 on February 18, Hebei Province had reported a total of 306 confirmed cases, including 4 deaths, 20 existing severe cases, and a total of 136 patients discharged from hospital. Of the confirmed cases, 55 were in Tangshan, 48 in Cangzhou, 34 in Zhangjiakou, 32 in Baoding, 31 in Handan, 30 in Langfang, 28 in Shijiazhuang, 23 in Xingtai, 10 in Qinhuangdao, and Hengshui. There were 8 cases in Chengde City and 7 cases in Chengde City. Among the deaths, 2 cases were in Cangzhou City, 1 in Tangshan City, and 1 in Xingtai City. Among the severe cases, 4 cases were in Cangzhou City, 3 in Shijiazhuang City, 3 in Qinhuangdao City, and 3 in Tangshan City. Cases, 2 cases in Langfang City, 2 cases in Handan City, 1 case in Baoding City, 1 case in Hengshui City, 1 case in Xingtai City; among the discharged patients, 27 cases were in Baoding City, 18 cases were in Langfang City, 18 cases were in Cangzhou City, and 15 cases were in Zhangjiakou City. There were 12 cases in Handan City, 11 cases in Shijiazhuang City, 11 cases in Tangshan City, 10 cases in Xingtai City, 6 cases in Hengshui City, 4 cases in Chengde City and 4 cases in Qinhuangdao City. There are 0 suspected cases.

At present, a total of 10,500 close contacts have been tracked, 358 people were separated from medical observation on that day, and 2027 people were currently receiving medical observation from isolation.

http://news.china.com.cn/2020-02/19/content_75719971.htm

 

[tetano]

Jilin added 1 new case of newly diagnosed coronary pneumonia, accumulatively confirmed 90 cases
Release time: 2020-02-19 08:08:16 | Source: China News Network

According to the website of the Jilin Provincial Health and Health Commission, from 10:00 to 20:00 on February 18, one new case was confirmed in the province (Siping City). 2 cases were cured and discharged (2 cases in Yanbian Prefecture).

As of 24:00 on February 18, the province has reported a total of 90 confirmed cases and 36 cases of hospital discharge (19 in Changchun City, 4 in Yanbian Prefecture, 4 in Siping City, 3 in Jilin City, 2 in Gongzhuling City, and Tonghua City). 1 case, 1 case in Liaoyuan City, 1 case in Songyuan City, 1 case in Meihekou City), 1 case died (Siping City), and 53 cases have been diagnosed and treated in hospital. Among them, there were 26 cases in Changchun, 10 in Siping, 6 in Liaoyuan, 4 in Gongzhuling, 2 in Jilin, 2 in Tonghua, 1 in Yanbian, 1 in Baicheng, and 1 in Songyuan.

Among the confirmed cases treated in the hospital, 47 cases were ordinary cases, 3 cases were severe cases (2 cases in Changchun City, 1 case in Songyuan City), and 3 cases were critical cases (1 case in Changchun City, 1 case in Baicheng City, and 1 in Gongzhuling City). example). There were 3,619 close contacts of the above confirmed cases, 3,345 medical observations have been lifted, and 474 medical observations are being quarantined or isolated at designated places. A total of 13 confirmed patients were actively screened for nucleic acid testing among close contacts.

At 00:00 on February 18th, out of the 34 suspected cases in the province, 1 was confirmed and 8 cases were excluded; 11 suspected cases were newly added; 36 existing suspected cases were all isolated and treated. Currently, The diagnosis is being further clarified.

Case, male, born in 1940. The father of the confirmed case in Shuangliao City, which was notified by Jilin Province on February 14, has a history of common life. It was diagnosed as a suspected case on February 15 and turned into a confirmed case on February 18. The address is Heli Village, Namu Township, Shuangliao City.

http://news.china.com.cn/2020-02/19/content_75720146.htm

 

[tetano]

Six newly confirmed cases of new coronary pneumonia in Heilongjiang, cumulative 470
Published: 2020-02-19 08:10:50 | Source: China News | Author: Shi Yifu Lin
More News Enter News Center

Heilongjiang Provincial Health and Health Committee released the news on the 19th. At 00:00 on the 18th, Heilongjiang Province reported 6 new confirmed cases of new coronavirus pneumonia. 23 new cases were cured and discharged. One new death was reported. 21 new suspected cases were added.

As of 24:00 on February 18, Heilongjiang Province reported 470 confirmed cases of new coronavirus pneumonia, of which 192 were in Harbin, 52 in Shuangyashan, 47 in Suihua, 46 in Jixi, 43 in Qiqihar, and 23 in Daqing. There were 17 cases in Qitaihe City, 15 cases in Jiamusi City, 14 cases in Heihe City, 13 cases in Mudanjiang City, 5 cases in Hegang City, 2 cases in Daxinganling District, and 1 case in Yichun City. There were 72 cases of severe cases. There were 12 dead cases, including 4 confirmed cases in Suihua City, 1 confirmed case in Daqing City, 3 confirmed cases in Shuangyashan City, 1 confirmed case in Qiqihar City, and 3 confirmed cases in Harbin City. 108 cured cases were discharged, including 10 cases of Provincial Infectious Disease Prevention and Control Hospital, 36 cases of Harbin Infectious Disease Hospital, 4 cases of Shuangyashan People's Hospital, 12 cases of Jiamusi Infectious Disease Hospital, 16 cases of Suihua First Hospital, and Mudanjiang City 1 case of People's Hospital, 2 cases of Hegang Infectious Diseases Hospital, 3 cases of Jixi Infectious Diseases Hospital, 6 cases of Qiqihar City Seventh Hospital, 4 cases of Qiqihar City First Hospital, 7 cases of Daqing City Second Hospital, Qitaihe There were 6 cases in the Municipal People's Hospital and 1 case in the Greater Xing'an Mountains. There are 75 suspected cases.

The number of hot clinics in the province was 2,236. At present, 15,474 close contacts have been traced, 11,909 people have been released from medical observation, and 3,442 people are still receiving medical observation.

http://news.china.com.cn/2020-02/19/content_75720165.htm

 

[tetano]

According to the official Weibo news from the Beijing Municipal Commission of Health, 6 new cases of new coronary pneumonia were confirmed in Beijing from 08:00 to 24:00 on February 18, all of whom were close contacts of confirmed cases and have been sent to designated medical institutions for treatment. There were 58 new suspected cases and 145 existing suspected cases. 108 new close contacts were added, and a total of 2075 close contacts were identified, of which 1372 were released from medical observation. 23 patients were cured and discharged.

As of 24:00 on February 18, Beijing had accumulated 393 confirmed cases. Of these, 145 were discharged and 4 died. 12 cases in Dongcheng District, 52 cases in Xicheng District, 58 cases in Chaoyang District, 61 cases in Haidian District, 40 cases in Fengtai District, 14 cases in Shijingshan District, 3 cases in Mentougou District, 16 cases in Fangshan District, 18 cases in Tongzhou District, 10 cases in Shunyi District, There were 29 cases in Changping District, 39 cases in Daxing District, 7 cases in Huairou District, 7 cases in Miyun District, 1 case in Yanqing District, and 26 cases came from overseas. No cases have been reported in Pinggu District.

http://news.china.com.cn/2020-02/19/content_75720547.htm

 

[tetano]

National Health Commission: Outbreak data reached 'three first'
Published: 2020-02-19 09:20:40 | Source: Beijing Youth Daily | Author: Liu Yi Meng Yaxu Long
More News Enter News Center

National Health and Medical Commission: Outbreak data reached 'three first'

Among them, the number of newly confirmed cases in a single day fell to less than 2000 for the first time.

As of 24:00 on February 17, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 58016 confirmed cases (including 11,741 severe cases), and a total of 12,552 discharged cases (7 cases increased by Beijing Nuclear Power) ), A total of 1,868 deaths, 72,436 confirmed cases (2 cases of Xinjiang Production and Construction Corps nuclear increase), and 6,242 suspected cases. A total of 560,901 close contacts were tracked, and 141,552 close contacts were still in medical observation.

On February 18, the State Council's joint prevention and control mechanism held a press conference to introduce the situation of the 'vegetable basket' to stabilize production and supply.

Mi Feng, a spokesperson for the National Health and Health Commission and deputy director of the Department of Publicity, said that compared with the high point, on February 17, the number of newly confirmed cases in a single day nationwide fell to less than 2,000 for the first time, and the number of newly diagnosed cases outside Hubei Province was newly confirmed on a single day. The number of cases fell to less than 100 for the first time, and the number of newly-increased deaths in a single day fell to less than 100 for the first time, achieving 'three firsts', and the situation of the epidemic situation has further improved.

'In the next step, we need to continue to consolidate the existing prevention and control achievements, and at the same time grasp the treatment of severe cases, close the treatment of mild cases, optimize the diagnosis and treatment plan, strengthen the integration of traditional Chinese and western medicine, prevent the mild to severe cases, and improve the cure rate.'

Doubt 1

Will the price rise due to the epidemic in the future?

Song Danyang, deputy director of the Department of Market and Information Technology of the Ministry of Agriculture and Rural Affairs, said that from the national situation, the market supply of key 'vegetable basket' products is generally sufficient, the market operation is basically stable, and market prices have risen and fallen.

He said that since the Spring Festival, the average wholesale price of pork rose slightly and stabilized at around 50 yuan per kilogram. On February 17, the average price of pork in the national wholesale market was 50.8 yuan per kilogram, an increase of 7.6% over that before the Spring Festival. The time before the Spring Festival was January 23; the price of vegetables fluctuated slightly, and 28 kinds of vegetables were monitored on February 17. The average price was 5.83 yuan per kilo, an increase of 7.2% over the Spring Festival; the price of fruits did not change much, and the average wholesale price of the six kinds of fruits monitored on February 17 was 5.65 yuan per kilo, which was the same as before the Spring Festival and fell slightly; eggs and chicken Prices are weaker, and they are lower than before the Spring Festival.

Judging from the situation in Wuhan, Hubei, after a brief rise in early February, vegetable prices remained stable and slightly declined.

He mentioned that from the perspective of the existing problems, affected by the epidemic situation, the production, distribution and consumption of vegetables, fruits, livestock and aquatic products in some areas were blocked, and prices fluctuated to some extent.

'The Ministry of Agriculture and Rural Affairs will organize local agricultural and rural departments to guide relevant associations and enterprises to carry out production and sales docking and marketing, unblock the circulation channels, and strive to minimize the impact of the epidemic.' He said.

Doubt 2

Is there a relationship between the source of new crown pneumonia and poultry and livestock?

Yang Zhenhai, director of the Animal Husbandry and Veterinary Bureau of the Ministry of Agriculture and Rural Affairs, said at the press conference that 'the previous two days, the press conference has been released to preliminarily rule out the relationship between the source of new pneumonia and known poultry and livestock.'

In addition, Yang Zhenhai introduced that China implemented compulsory immunization against H5 subtype avian influenza nationwide in 2005, and implemented compulsory immunization against H7 subtypes from the fall of 2017. H5 and H7 subtype highly pathogenic avian influenza outbreaks were quickly controlled. In 2019, four outbreaks were reported nationwide.

'Corresponding to this, infections and deaths of highly pathogenic avian influenza in the population have also fallen sharply. It can be said that the incidence of avian influenza in our country is very low, both in the bird and the human world, and it is not necessary for everyone. ' Talking about poultry's discoloration, you can safely consume poultry products that have passed the quarantine inspection and are legally marketed. '

He mentioned that in February, a highly pathogenic avian influenza outbreak occurred in Shaoyang, Hunan and South Sichuan. At present, the epidemic disposal work has been completed, and a total of 28214 birds have been culled. After investigation by the local animal husbandry and veterinary department, there were no abnormalities in the surrounding poultry farms. After monitoring by the local health department, the close contacts are currently clinically healthy and the sampling and monitoring are negative.

It is reported that according to expert analysis, the two outbreaks are more likely to be caused by wild bird transmission, and it can be said that 'causes come from heaven and poison comes from birds.'

He said that in the next step, he will go all out to do a good job in the spring immunization of major animal diseases such as highly pathogenic bird flu, earnestly implement the key measures, deal with sudden epidemics in a timely manner, and ensure that the epidemic does not spread.

Doubt 3

How long can boiled water kill the new crown pneumonia virus?

At the press conference, Zhang Liubo, a researcher at the Chinese Center for Disease Control and Prevention, also responded to external concerns.

He said that disinfection must be moderate, and it should be ensured that it does not cause harm to the body and does not pose a long-term risk of pollution to the environment. To disinfect items, do not use chemical disinfectants if you can use physical methods.

'The hot water at 56 degrees Celsius for 30 minutes can kill the virus. In this case, you can use physical heating and disinfection as much as possible for tableware. It is recommended to boil for 10 minutes. The water may not be opened at 100 degrees Celsius in some places. The water in the plateau may be boiling at 70-80 degrees Celsius. '

He mentioned that the disinfection of tableware should also consider other highly resistant microorganisms, so it is recommended to boil for 10 minutes with boiling water. This is the disinfection of tableware.

Zhang Liubo said, 'A large number of sprays of disinfectant on the human body, including forced passage through the disinfection channel, may cause the disinfectant to be absorbed through the breath and absorbed through the skin. In this case, there may be a risk of harm to human health.' )

http://news.china.com.cn/2020-02/19/content_75720569.htm

 

[tetano]

Before closing the city, Zhang Wen, a tourist from Jiangxi who came out for leisure, thought Wuhan was a very healing city.

He went to Huanghelou and Hanzheng Street, and there were many tourists, 'without masks' 'I didn't hear any wind at that time, it happened too suddenly.'

After closing the city, he stayed in the hotel for 150 yuan a day for 24 days, and finally dragged his suitcase and walked to Wuchang Railway Station for more than two hours. 'All my feet were swollen.' At that time, he had only left in his pocket. For a ticket, there is no ticket for sale at the train station.

On February 12, he moved into the underground garage of Wuchang Railway Station. Two days later, Zhang Wen became a volunteer at Fangcai Hospital. He said that being a volunteer can help others little by little. Here he is in charge of security work, with food and accommodation-at the age of 34, he lived in a three-star hotel for the first time.

He joined several WeChat groups stranded by foreigners in Wuhan and found that more than 200 people were trapped: some because they came to Wuhan for surgery, some with their children's art exams, and others just transferred to Fengcheng the same day and could never go out ... … Now they only have one goal in common: waiting for Wuhan to get better and out of town.

1

The closure of the city at 2 am on January 23 made many people suddenly feel.

That night, Zhang Wen learned the news. He didn't read the news and knew nothing about the epidemic. When he went out at night, he was stopped by the hotel owner and said that there was an epidemic situation and the city was closed. Don't go out these days. You must wear a mask when you go out, otherwise you won't come back.

He thought it would be unblocked soon, but did not expect to live for nearly a month.

Liu Yanfang didn't expect to stay for so long, thinking that 'it would be awful for a week.' When she saw the news of Fengcheng, she was with her husband in the ward. They went from Kaifeng, Henan, to Wuhan for treatment on January 10, and she thought, 'Since you are here, you will be cured here.'

Liu Yanfang later regretted that she missed the opportunity to go out of the city. On January 21, her brother wanted to pick her up. She didn't let him, 'Don't be blind and nervous.' She told her brother, 'Wuhan can be lively here.' She looked out of the window on the 9th floor, and people from the mall opposite the hospital.

'In the beginning, the news said that it was preventable and controllable. It gave me the impression that it was similar to the flu.' Chen Lian didn't care. Until the day before her closure, she felt a bit wrong, and the hospital began to negotiate with patients to discharge. 'Our floor is basically half gone.'

Unlike these foreigners who entered Wuhan early, Li Zuqing entered Wuhan the same day he closed the city.

On January 22, he departed from Jieyang, Guangdong, and arrived at Wuchang Railway Station at 10 o'clock on the 23rd, preparing to transfer to Shaanxi for Chinese New Year. However, after leaving the station, Li Zuqing found that the entrance was closed and the car could not be driven, and he was notified to refund the ticket.

Still others entered Wuhan after closing the city. They were intercepted on the highway. On January 24, Zhu Yanyan drove back to Anhui from Guangxi and passed the toll gate of Wuhan Expressway. The police told them that the highway in front was closed and he could take the national or provincial highway. Zhu Yanyan then got off the highway and drove to Wuhan. When I was on the border of Fenghuang Town, Xinzhou District, I couldn't find out.

He phoned the local government, the public security bureau, and the police station to no avail. A policeman said that it is Macheng to go further, and even if you let it go here, you can't get through. The Zhu Yanyan family had to stay at a local hotel.

2

For stranded people in this city, the wait has just begun.

On January 24, Zhang Wen went out to buy two masks, but never left the hotel door. At first, he could go to a convenience store. Later, the area where the hotel was located was closed. He could only order a takeaway, and asked the hotel owner to buy vegetables online and borrowed a pot to cook.

Zhang Wen, who stayed at home, spent time watching a TV show. 'Bao Qingtian finished watching it and watched the legend of the new white lady again.' Zhang Wen asked the take-away brother every day to bring cigarettes. When he was upset, he could smoke two or three packets.

After the transfer failed, Li Zuqing also checked into a hotel near the train station. He picked the cheapest one, 60 yuan a day, and went to a restaurant outside to eat when he was hungry.

Liu Yanfang can only eat box lunch in the hospital. She is most worried about her husband's condition. Her husband needed daily hyperbaric oxygen to treat brain damage, but on January 23, the rehabilitation department of the hospital stopped. At that time, the hospital informed her that she would resume work on the fifth day of the first month, but she has not resumed work until now. The surgery scheduled a year ago was postponed.

From February 5th, her husband became more and more irritable, pulled out needles, and noisy to go home. Someone kindly hugged and discouraged him and was punched. Once, she followed her husband to the bathroom. The husband suddenly impatiently pushed her and rushed into the bathroom to lock herself until several nurses came to help and opened the door.

Liu Yanfang was worried that her husband's illness was getting worse and he 'missed the best treatment period.'

There are not a few foreigners seeking medical treatment in Wuhan. Wang Jing's husband also stopped hyperbaric oxygen treatment on the day of Fengcheng. On January 13, she accompanied her husband to Wuhan to see a doctor and has been in the hospital till now.

The 7th floor where Wang Jing is located has been locked. The patient can only move around on the 7th floor. Wang Jing has hardly ever left the ward. She was scared when she saw the ambulance and transporter at the hot clinic downstairs. She wears a mask every day and dares not pick it up when she sleeps.

Since closing the city, Chen Lian watched the equipment of the medical staff around her change from a mask to a two-layer mask, plus a hat, and then put on goggles after the hat.

The 4-month-old baby has been breastfeeding. Due to anxiety, Chen Lian's milk has become less transparent and she can only ask her husband to buy milk powder online. Chen Lian was afraid to hear the sound of an ambulance coming from the bottom of the building every night.

On January 28, the hospital began to receive fever patients, and Chen Lian was immediately discharged. Many hotels have stopped accepting new guests. Because there was nowhere to go, a family of four spent the night in the car on the night of discharge.

The next day, some netizens saw the help message released by Chen Lian and provided her with a vacant room. The family has finally settled. Being able to give the house to a stranger made Chen Lian, a sleepy, feel warm for a long time.

Because he only carried more than 8,000 yuan, Zhang Wen's money was almost spent. On February 12, he left the hotel and went to the train station. The conductor at the station told him that he had a ticket to enter the station, but he couldn't buy it at all.

He called the mayor's hotline for help. The other party said that he would 'refuse the above' and provided him with a call to the rescue station, but Zhang Wen called many times and no one answered. Zhang Wen called 110 again, the other party said that he was not in his jurisdiction.

At first sight, he was wandering. Someone told him that he could go to the underground garage of the train station. Zhang Wen went there and found that there were a lot of people living in the garage. Others have pots for cooking.

Zhang Wen learned that most of these people came here because they could n’t afford the room rate. Quilt. That night, he sat in the garage all night and chilled.

...

http://news.china.com.cn/2020-02/19/content_75720224.htm

 

[Shiloh]

Source: https://www.thestar.com.my/news/reg...led-hospitals-put-into-use-in-virus-hit-wuhan


Two more military-led hospitals put into use in virus-hit Wuhan
ASEAN+
Wednesday, 19 Feb 2020
7:06 PM MYT

WUHAN: Two more hospitals under the control of military medics have been put into use Wednesday (Feb 19) in the city of Wuhan, capital city of Hubei Province and the epicentre of the Covid-19 (coronavirus) outbreak.

Following the operation model of Huoshenshan Hospital, 2,600 medical personnel from the armed forces are tasked with treating patients infected with the virus in Taikang Tongji Hospital and a branch of Hubei's Maternity and Child Health Care Hospital in Wuhan...

 

[Shiloh]

Source: http://m.stnn.cc/pcarticle/717824

Wuhan Virus Institute responds to 6 rumors
2020-02-19 20:01

On the evening of February 19th, the Wuhan Institute of Virology of the Chinese Academy of Sciences issued a "letter to all staff and graduate students", in response to six recent rumors, such as "new crown virus originated from artificial synthesis", "the virus was leaked from P4", "military Fang took over P4, "a researcher died because of a virus leak," "a graduate student is 'Patient Zero'," "a researcher's real-name reporting agency leader," and so on.

Wuhan Virus Institute reviewed the work done since the outbreak, such as quickly determining the entire genome sequence of the new crown virus, isolating the virus strain, and submitting the virus sequence to the WHO, etc., and said "looking back at the hard work of the past month or so, We have a clear conscience. "

Earlier, the Jiangsu Internet Police issued a message saying that the recent rumored account login IP is overseas. Please open your eyes and beware of being misled by others!

WeChat picture_20200219200045

The following is the full text of the open letter--

All staff and graduate students:

Since the outbreak of the new crown pneumonia epidemic, party members, cadres, workers, and graduate students of the institute have resolutely implemented the Party's central decision-making and the deployment of academic party groups, strictly guarded against the epidemic, and took the initiative to undertake scientific and technological research. But recently, Internet rumors have involved some rumors of our institute, such as "new crown virus originated from artificial synthesis", "the virus was leaked from P4", "the military took over P4", "a researcher died because of a virus leak", "a graduate student is 'Zero' Patients', "a researcher's real-name report to the leadership of the institute", etc., have caused continuous attention from all walks of life, causing great harm to our research staff who adhere to the front line of scientific research, and also seriously interfered with the emergency scientific research that I undertook during the "epidemic" task.

Since the outbreak, our institute has gone all out to carry out scientific research. Our colleagues and classmates responded to the call of the institute and took the initiative to abandon the Spring Festival holiday to overcome many difficulties, strictly implement the provisions of epidemic prevention and control and laboratory biosafety management, and race against time and night. Struggle in the front line of the "epidemic", and fulfill the responsibilities and responsibilities of scientific and technological workers in "innovating science and technology, serving the country and serving the people." The high-level biosafety cluster platform of our institute adheres to the purpose of opening up to domestic and foreign countries, and also provides a strong support for the relevant scientific research of New Coronaviruses at home and abroad.

On the evening of December 30, 2019, after receiving samples of unexplained pneumonia from the Jinyintan Hospital of Wuhan, our institute organized the forces overnight to tackle the problem for 72 consecutive hours. On January 2, 2020, the whole genome sequence of the new crown virus was determined. The virus strain was isolated on May 5. The national virus resource bank was put into storage and standardized preservation on January 9. As one of the designated agencies of the National Health Commission, the virus sequence was submitted to the World Health Organization on January 11. At the same time, a lot of work has been carried out in the areas of pathogen identification, virus traceability, pathogen detection, antiviral drugs and vaccine development, animal model establishment, etc., and good progress has been made.

In addition, as one of the designated institutions in Wuhan, our institute has participated in the pathogenic testing of new crown virus pneumonia. Since January 26, a total of about 4,000 throat swab samples have been detected from patients with suspected new crown pneumonia. A team of staff and graduate students supports the detection of pathogens in Huanggang City and contributes to epidemic prevention and control.

Looking back on the hard work of the past month or so, we have a clear conscience!

Epidemic situation At present, scientific and technological research is the front line of fighting the "epidemic". Let us closely unite around the Party Central Committee with Comrade Xi Jinping at its core, resolutely respond to the call of the Party Central Committee, and give full play to the role of the fighting fortress of Party organizations at all levels and the exemplary role of Party members and cadres in the scientific research frontline! I ask everyone to strengthen their confidence, eliminate interference, unite, and do a good job in scientific and technological research and epidemic prevention and control. Use solid results to reflect the mission and responsibilities of the "national team" in science and technology. Powerful technology support!

At present, China is cheering! Come on in Wuhan! Our Wuhan Virus Institute must also refuel!

All members of the leadership team of Wuhan Institute of Virology, Chinese Academy of Sciences

February 19, 2020

 

[Treyfish]

[h=1]Coronavirus: Chief Physician of another Wuhan hospital infected[/h] 19 February, 2020 17:31
The chief physician at the Eighth Hospital in Wuhan has been tested positive for coronavirus and hospitalized, her condition assessed as critical.

Beijing Bao writes that a woman named Wang Ping is in the intensive care unit of the Jintan People's Hospital in Wuhan...:tiphat:https://report.az/en/other-countries/coronavirus-chief-physician-of-another-wuhan-hospital-infected/

 

[Treyfish]

[h=1]New virus points out possibility of Chinese health authorities 'aerosol' infection[/h] February 19, 2020 23:32China's health authorities have issued new guidelines on the new coronavirus, which, in addition to droplet and dense contact infections, which have previously been identified as the main routes of transmission, have been exposed to prolonged, high concentrations in closed environments. He pointed out that exposure to "aerosols" could result in "aerosol" transmission.

China's health authority, the National Board of Health and Health, released new guidelines on how to diagnose and treat the new coronavirus on the 19th....:tiphat:https://www3.nhk.or.jp/news/html/20200219/k10012292631000.html?utm_int=news_contents_news-main_001

 

[Treyfish]

On May 19, the Chinese government partially revised and announced the treatment policy for new types of pneumonia for the domestic market. Under certain conditions, it has been specified for the first time that infection can also be due to fine particulate "aerosols" floating in the air. Aerosol infection is considered to occur easily during medical procedures such as tracheal intubation, and further caution is required to prevent hospital-acquired infections..:tiphat:https://www.chunichi.co.jp/s/article/2020021901002186.html

 

[Shiloh]

Wuhan coronavirus could cause male infertility: Chinese study
Chinese study finds Wuhan coronavirus could do heavy damage to male reproductive system
By Keoni Everington, Taiwan News, Staff Writer
2020/02/19 15:31

AIPEI (Taiwan News) — As scientists race to unravel the mysteries of the Wuhan coronavirus in an effort to stem its spread, a Chinese study has found the disease could lead to male infertility.

Fan Caibin, a urologist at Nanjing Medical University Affiliated Suzhou Hospital, on Feb. 12 posted the results of a scientific research project which found that the disease not only damages the lungs, but also the kidneys and testes, potentially leading to male infertility. The team summarized the clinical data of three previous studies, which included six patients, 41 patients, and 99 patients, respectively.,,,

Read more: https://www.taiwannews.com.tw/en/news/3878295

 

[Shiloh]

Source: https://www.upi.com/Top_News/World-...-disinfectants-authorities-say/3591582127195/

Mass animal die-off in China due to disinfectants, authorities say
By
Elizabeth Shim

Feb. 19 (UPI) -- China is using all available measures to stop the spread of the new strain of coronavirus that has killed more than 2,000 people, but some of the state's policies are provoking backlash and unintended consequences...

...The Chongqing Forestry Bureau said the 135 wild animals, representing 17 species, included wild boar, weasels, blackbirds and other bird species.

Following sampling and tests, Chinese authorities said some of the animals appeared to have been poisoned. Disinfectants may have been the cause of the deaths, they said. Authorities also ruled out the possibility the animals died from diseases, including COVID-19, bird flu or Newcastle disease...

 

[sharon sanders]

hat tip Shiloh to the change

hat tip to a FluTracker for the translation


Apparently diagnostic criteria for Hubei province changed again. 3rd change in 12 days.

Link to 6th version:
http://www.gov.cn/zhengce/zhengceku/...nt_5480948.htm


from page 4 of the attached pdf at the link above


SUSPECTED CASE - either fulfills one of the criteria under epidemiology and 2 under clinical; or no epidemiological evidence but fulfills all 3 of clinical signs

1 EPIDEMIOLOGY up to 14 days before symptom onset, has
1) history of travel to Wuhan or other places with reported cases, or reside in such areas
2) contact with confirmed case, by RT-PCR
3) contact with patients with fever or respiratory symptoms from Wuhan and adjacent areas or other areas with confirmed cases
4) part of a cluster with other confirmed cases

2 CLINICAL SIGNS
1) fever and/or respiratory symptoms
2) radiological evidence of coronavirus infection
3) normal or low white cell counts in early stage of illness, with low lymphocytes

CONFIRMED CASE

suspected case, plus either RT-PCR or genome sequence confirmation.

 

[Pathfinder]

Translation Google

Interpretation of "New Coronavirus Pneumonia Diagnosis and Treatment Scheme (Trial Version 6)"

Published: 2020-02-19Source : Medical Administration and Hospital Authority

On February 19, 2020, the National Health and Health Commission issued the "Diagnosis and Treatment of New Coronavirus Pneumonia (Trial Version 6)" (hereinafter referred to as the "Sixth Version"). The interpretation is as follows.
　　I. Route of
　　transmission The route of transmission is changed from "Respiratory droplets and contact transmission is the main transmission route" to "Respiratory droplets and close contact transmission is the main transmission route." The word "close" is added before "contact". Increase "the possibility of aerosol transmission in long-term exposure to high concentrations of aerosols in a relatively closed environment."
　　Second, the clinical manifestations of
　　patients with severe illness in addition to "rapidly progressing to acute respiratory distress syndrome, sepsis In addition to shock, difficult to correct metabolic acidosis and coagulopathy, "multi-organ failure" can also occur.
　　Laboratory tests, stressing that "in order to improve nucleic acid testing positive rate of sputum specimens is recommended as far as possible, intubating patients with lower respiratory tract secretions collection, submission as soon as possible after sample collection."
　　Third, the diagnostic criteria for
　　the sixth edition of the diagnostic criteria Cancel The difference between Hubei Province and Hubei Province. They are divided into two categories: "suspected cases" and "confirmed cases".
　　There are two cases of suspected cases. The first is "have any one of the epidemiological history, and meet any two of the clinical manifestations (fever and / or respiratory symptoms; with the imaging characteristics of the pneumonia mentioned above; the total number of white blood cells in the early stage of disease is normal or decreased, and the lymphocyte count is reduced). The second is "without a clear epidemiological history and conforms to 3 of the clinical manifestations (fever and / or respiratory symptoms; with the aforementioned imaging characteristics of pneumonia; the total number of white blood cells in the early stage of disease is normal or decreased, and the lymphocyte count is reduced).
　　Confirmed cases need to have a positive result of pathogenic evidence (real-time fluorescent RT-PCR detection of new coronavirus nucleic acid positive; or viral gene sequencing, highly homologous to known new coronavirus).
　　Fourth, the clinical classification is
　　still divided into "light, ordinary, heavy and critical", the arterial blood oxygen partial pressure (PaO [SUB]2[/SUB] ) / oxygen concentration (FiO [SUB]2[/SUB]) ≤300mmHg (1mmHg = 0.133kPa) increased "Pao [SUB]2[/SUB] / FiO [SUB]2 should[/SUB] be corrected according to the following formula in high altitude (above 1000 meters) : PaO [SUB]2[/SUB] / FiO [SUB]2[/SUB]  ? [Atmospheric Pressure (mmHg) / 760]".
　　"Pulmonary imaging showed significant progression of lesions> 50% within 24-48 hours" was managed as heavy.
　　V. Differential diagnosis: Differential diagnosis of
　　related diseases based on mild coronavirus infection and new coronavirus pneumonia.
　　For example, the mild manifestation of new coronavirus infection needs to be distinguished from other upper respiratory tract infections caused by other viruses; new coronavirus pneumonia is mainly distinguished from other known viral pneumonia and mycoplasma pneumoniae infections such as influenza virus, adenovirus, and respiratory syncytial virus.
　　It emphasizes that "for suspected cases, methods such as rapid antigen detection and multiplex PCR nucleic acid detection should be adopted as far as possible to detect common respiratory pathogens."
　　6. Case discovery and reporting
　　Delete "About Hubei Province's requirements for the treatment of clinically diagnosed cases".
　　The "suspected case" exclusion criterion was deleted, and the de-isolation criteria for suspected cases were consistent with the "de-isolation criteria".
　　Seven, treatment
　　1. Determine the treatment place according to the condition. Delete "suspected and confirmed cases" and replace it with "should be treated in isolated hospitals with effective isolation and protection conditions, and confirmed cases may be admitted to the same ward."
　　2. Antiviral therapy: Delete "No effective anti-coronavirus treatment is currently confirmed." In the trial drugs, add "chloroquine phosphate (500mg for adults, twice daily) and Abidol (200mg for adults, daily 3 times) "two drugs. Ribavirin is recommended in combination with interferon or lopinavir / ritonavir. The duration of trial of the drug is less than 10 days. It is recommended to further evaluate the efficacy of the currently tested drugs in clinical applications. It is not recommended to use 3 or more antiviral drugs at the same time, and the use of related drugs should be stopped when there are intolerable side effects.
　　3. Treatment of severe and critical cases. Add "Plasma Treatment for Rehabilitated Patients", which is recommended for patients with rapid disease progression, severe and critically ill patients. For usage and dosage, please refer to "Clinical Treatment Plan for Recovery Period of New Coronary Pneumonia Rehabilitation Patients (Trial Version)".
　　4. Other treatment measures: For critically ill patients with high inflammatory response, "extracorporeal blood purification technology can be considered if possible." Amended to "conditional can be considered using plasma exchange, adsorption, perfusion, blood / plasma filtration, etc. Extracorporeal blood purification technology. "
　　5. About traditional Chinese medicine treatment. Based on the in-depth observation and treatment of patients, on the basis of summarizing and analyzing TCM diagnosis and treatment programs throughout the country, combing and screening TCM treatment experience and effective prescriptions, combined with the issued "Recommendation for the use of traditional Chinese and western medicine in the treatment of pneumonitis infected by new coronavirus" Notice of Qingfei Paidu Decoction "," Diagnosis and Treatment of New Coronary Virus Pneumonia Severe and Critical Cases (Trial Version 2) "and" Specifications for the Management of Mild and Common Cases of New Coronavirus Pneumonia "etc. The pneumonia diagnosis and treatment plan (trial version of the fifth trial) was adjusted and supplemented. Continuing the staging of the entire process of the disease in the previous edition, the TCM treatment was divided into the medical observation period and the clinical treatment period (confirmed cases), and the clinical treatment period was divided into light, ordinary, heavy, critical, and recovery periods. The use of proprietary Chinese medicines is recommended during the medical observation period. The general prescription "Qingfei Paidu Decoction" is recommended during the clinical treatment period, and the light, common, heavy, critical, and recovery periods are explained from three aspects: clinical manifestations, recommended prescriptions and dosages, and administration methods. At the same time, specific usages of Chinese patent medicines (including traditional Chinese medicine injections) that are suitable for heavy and critical cases have been added to the plan. Different regions can refer to the recommended scheme for dialectical treatment according to the condition, local climate characteristics, and different physical conditions.
　　Eight, precautions after de-isolation and discharge The
　　criteria for de-isolation must meet the following 4 conditions:
　　1. The body temperature has returned to normal for more than 3 days;
　　2. The respiratory symptoms have improved significantly;
　　3. The pulmonary imaging shows that the acute exudative lesions have significantly improved absorption ;
　　4. nucleic twice respiratory specimens tested negative for (at least 1 day sampling interval).
　　Add "Post-discharge notes":
　　1. The designated hospitals should make contact with the primary medical institutions where the patients live, share medical records, and promptly push the discharged patients' information to the patient's jurisdiction or the residential committees and primary medical institutions.
　　2. After the patient is discharged from the hospital, due to the low immune function in the recovery period and the risk of infection with other pathogens, it is recommended that the self-health monitoring should be continued for 14 days, wearing a mask, and living in a well-ventilated single room conditionally to reduce the relationship with the family. Keep close contact, share meals and meals, do good hand hygiene, and avoid going out.
　　3. It is recommended to follow up and return to the hospital in the 2nd and 4th week after discharge.


 

 

Related Links: Notice on Issuing a New Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial Version 6)

http://www.nhc.gov.cn/yzygj/s7652m/2...9bf637e9.shtml

 

[Shiloh]

Source: https://bingepost.com/a-beijing-dis...er-one-confirmed-coronavirus-infection/36347/

A Beijing district govt quarantines 69 staff after one confirmed coronavirus an infection
Published 2 seconds ago
on February 19, 2020
By Team BingePost


A Beijing district official confirmed on Tuesday that one in all its authorities staff has been contaminated with the novel coronavirus (COVID-19), inflicting 69 extra in quarantine, however denied rumors that the an infection case has led to a shutdown of the district authorities.

The contaminated authorities worker was recognized with COVID-19 in delicate circumstances after he resumed work from the Spring Competition vacation when he traveled again to his hometown in North China’s Hebei Province to go to members of the family, Solar Shuo, head of the Xicheng district authorities, stated at a press convention on COVID-19 epidemic management in Beijing on Tuesday.

The worker confirmed no apparent symptom and his temperature remained regular when he obtained again to work on the frontline of preventive and management in opposition to the epidemic within the district till he was notified that one in all his kinfolk in his hometown was confirmed with COVID-19 an infection on February 11, Solar stated...

 

[Pathfinder]

Translation Google

[Wuhan Pneumonia] Absolutely not like flu! A picture to understand the new coronavirus is unusual

health
Written by: Heho Health
2020-02-19 07:24
Last updated:2020-02-19 12:48

The outbreak of Wuhan Pneumonia International is getting worse. Recently, there is a saying that "Wuhan pneumonia is almost the same as flu." Former Zhang Nanyi, a professor at the Institute of Microbiology and Immunology of Yangming University in Taiwan, disagreed. He pointed out that the characteristics of the new coronavirus are different In the previous SARS and MERS, how can it be compared with influenza viruses with completely different genes.

Professor Zhang Nanzhang, a former dean of the Machu Medical College in Taiwan, said that the new coronavirus that causes Wuhan pneumonia belongs to the RNA (+) virus, which is easily mutated in the host. Once a person is infected, it is difficult to recover. Many people need to be rescued. Of patients is enough to paralyze a city or even a country, so don’t mistake Wuhan pneumonia “it doesn’t seem to really kill a lot of people”, just think it ’s not as deadly as the flu, but it ’s not a fear; in fact it It's definitely not the same thing as the flu.
...
The number of people diagnosed with pneumonia in Wuhan is “moving upwards”, and the large patient population will bring down medical units.

Zhang Nanzhang pointed out that as of (15/2), there have been more than 60,000 patients with Wuhan pneumonia in the world. When the normal distribution curve rises, the number of deaths will increase, so the number of deaths has now reached more than 1368. People.

"But you will find that the most serious problem is that the number of people recovering has been very small, only a few thousand people have accumulated, but it has been more than 4 weeks, and the number of people in the continuous treatment of intermediate illness is still more than 50,000. We and I don't know how long this time will be delayed. "

These people may need a respirator or even Ye Kemian. Regardless of the respirator, the number of patients alone is so large. It is conceivable that even beds are not enough. How can they be treated carefully? "If the number of cases in Taipei suddenly increases due to a community infection, it will paralyze the entire city like Wuhan," Zhang said. "It is difficult for us to imagine the urgent situation in Wuhan now."

Professor Zhang Nanxuan emphasized that the most serious thing in the course of the disease is that the patients are stuck in the "ill" state. Except that the patients themselves are very distressed, the manpower and medical expenses required are huge. Just as Wuhan has now built two hospitals and even dispatched troops, the factories have stopped working. "The most difficult thing to solve is" panic ". The sick panic and the caregivers panic. The panic makes everyone rush to grab supplies and masks."
...
Next Zhang Nanzheng analyzed the possible normal distribution of the course of the flu. The total number of illnesses in the flu is high. Although the mortality rate is low, it still kills a lot of lives. In just two weeks, almost all people who are sick in the middle will move to the right and become fully recovered.
...
"The reason why we don't feel anything is because the disease is coming and going fast on the individual. After just 2 weeks, the patient will recover to health and return to work. The curve of the number of people who are cured will move to the right instead of stagnation like Wuhan pneumonia Don't move forward, "Zhang Nanxun pointed out.

He said with emotion, although it was said to stabilize the people and avoid panic, doctors can't claim that Wuhan pneumonia is similar to the flu. The severity is extraordinary. "

Zhang Nanxun said that it is not yet known whether the disease can be completely cured in the future. If the epidemic is prolonged, the death toll will continue to rise and the consequences will be serious. In addition, a coronavirus infection will have permanent damage to the body. As long as the lungs are inflamed, they will leave traces for a lifetime, unlike flu, which is unlikely to have sequelae. Therefore, Professor Zhang Nanxun appealed that Wuhan pneumonia must not be underestimated.

https://www.hk01.com/健康/436254/武漢肺炎-絕對不像流感-一張圖看懂新冠狀病毒不尋常