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

Former Chinese rowing world champion Pei Jiayun loses her husband to coronavirus
Pei, the 1993 world champion, spends 14 days in quarantine in Wuhan
Olympian’s son and mother-in-law also diagnosed with the disease but are recovering
Chan Kin-wa
Published: 9:31am, 20 Feb, 2020

Like everyone in Wuhan and beyond, life will never be the same for former rowing world champion Pei Jiayun, who has lost her husband, Liu Weidong, also a rower, to the coronavirus.

When the epidemic hit Wuhan, the retired rower and her family were exposed to the virus. On February 1, Pei, Liu and Liu’s mother went to hospital for a nucleic acid test after some coughing and fever but two days later Liu died at home before the test results were known.

While Pei, 49, was still mourning the sudden death, her son, Liu Liwei, also developed a high fever and just two days after the passing away of his father, the 20-year-old was sent to hospital and diagnosed with coronavirus.

Pei was assigned to a hotel for a 14-day period of quarantine, along with her mother-in-law. The older woman’s condition deteriorated but it was not until February 12 that she became a confirmed case. Liu’s mother was sent to the newly built Huoshehshan Hospital, while Pei remained in quarantine...

Read more: https://www.scmp.com/sport/china/ar...g-world-champion-pei-jiayun-loses-her-husband
 
Source: http://news.bandao.cn/a/347922.html
Hubei revised case confirmed on the 19th: revised from 349 to 775
2020-02-21 23:42 Hubei Health and Health Commission Reading (1367)
Scan to phone

According to the official website of the Hubei Health and Medical Commission, on the 21st, a statement on the revision of the confirmed cases of new crown pneumonia on February 19 was issued. The following is the full text:

From February 13, according to the "New Coronavirus Pneumonia Diagnosis and Treatment Program (Trial Fifth Edition)" issued by the General Office of the National Health and Health Commission and the Office of the State Administration of Traditional Chinese Medicine, Hubei Province will include all clinically diagnosed cases into the confirmed cases for statistics Announcement and treatment. On February 18, the General Office of the National Health and Health Commission and the Office of the State Administration of Traditional Chinese Medicine issued the "New Coronary Virus Pneumonia Diagnosis and Treatment Plan (Trial Version 6)". Compared with the fifth version of the diagnosis and treatment plan, the original clinical diagnosis of Hubei The category was cancelled. On February 19, some cities and prefectures revised the previously reported clinically diagnosed cases in accordance with the sixth edition of the diagnosis and treatment plan, and reduced some confirmed cases. This wrong practice was discovered and stopped in time on February 20. The number of cases reduced on February 19 is now added back to confirmed cases, and the number of new cases on that day is revised. At 04:00 on February 19, the number of newly confirmed cases in the province was revised from 349 to 775, and the cumulative number of confirmed cases was revised from 62,013 to 62,457. At the same time, the province's cumulative number of confirmed cases as of 24:00 on February 20 was revised from 62,662 to 63,088.
 
Source: http://www.cqn.com.cn/zj/content/2020-02/22/content_8256162.htm

Qiqihar, Heilongjiang: Pharmacies suspend sales of anti-fever, cough and antiviral drugs during epidemic
2020-02-22 00:40:11 China Quality News Network

China Quality News Network News At present, the epidemic prevention and control is in a critical period. According to the Heilongjiang Provincial New Coronary Pneumonia Command "Notice on Implementing the Most Strict Management and Control Measures in Key Coronary Epidemic Areas in Our Province" ] No. 55) and the Heilongjiang Provincial Bureau of Drug Administration's "Notice on Strengthening the Drug Store's" Antipyretic, Antitussive and Antiviral "Drug Management and the Work of Epidemic Prevention and Control, and in accordance with local conditions, Qiqihar City has adopted a suspension of sales The practice of "viral" drugs, Qiqihar City Market Supervision Bureau specially reminded:

I. "Antipyretic, antitussive and antiviral" drugs refer to drugs that include fever (antipyretic), cough (cough), antiviral, etc. in indications or functional indications, and drugs that treat fever, headache, nasal congestion, sneezing, cough, fatigue, etc. (Including chemical preparations, proprietary Chinese medicines).

Twenty-two, pharmacy operators and purchasers must all wear protective equipment such as masks for temperature measurement.

3. All retail pharmacies in the city must promptly remove the "antipyretic, antitussive and antiviral" medicines that have been suspended from sale, seal them in place, register them, and announce relevant suspension of regulations in a prominent location in the pharmacy to guide drug buyers in need to Appointed medical institutions.

Qiqihar City Market Supervision Bureau requires market supervision departments at all levels to immediately go deep into the publicity of various pharmacies and supervise pharmacies to do a good job of removing drugs from the shelves, storing them, and registering them. Pharmacies that do not strictly implement the regulations shall be dealt with seriously according to law and regulations.

供 (Contributed by Market Supervision Bureau of Qiqihar City, Heilongjiang Province)
 
Peng Yinhua, 29, was admitted to the Jiangxia District First People’s Hospital on Jan. 25 before being transferred to a larger facility, Wuhan Jinyintan Hospital, five days later after his condition had worsened. According to domestic media, Peng’s plans to get married in early February had been put on hold because of the city’s urgent need for doctors. http://www.sixthtone.com/news/1005112/coronavirus-latest-updates
 
Source: https://dushi.singtao.ca/toronto/健康/接触哪些动物容易染病?人和动物接触的界线在哪/

Home disinfection methods Learn about these to keep you away from infectious diseases!
Canadian Metro Network

February 21, 2020 16:25

With the increasing number of confirmed and suspected cases of new coronavirus pneumonia, various suggestions for personal protection measures have emerged. In addition to common protective measures such as wearing a mask and washing hands frequently, the issue of household disinfection has also received much attention.

A few days ago, a message proclaiming "Mr. Zhong Nanshan's anti-virus tricks" was widely spread on the Internet. It was stated that "washing the throat with fresh saline can prevent virus infection".

However, this news is not the opinion of Academician Zhong Nanshan, nor is there any scientific basis. Academician Zhong Nanshan's team openly rumored that salt water gargle is good for cleaning the mouth and throat and is helpful for pharyngitis. However, the area invaded by the new coronavirus is in the respiratory tract, and mouthwashing cannot clean the respiratory tract. Secondly, there are no research results suggesting that saline has a killing effect on the new coronavirus.

So what can we do with the increasingly important situation of virus protection?

Medical alcohol is most commonly used and is available for general occasions

The most common virus killer is medical alcohol.

According to the "Diagnosis and Treatment of Pneumonia Caused by a New Coronavirus (Trial Version 3)", 75% alcohol can effectively inactivate the virus. Therefore, under the general requirements of killing, such as ordinary daily necessities, medical alcohol can be used for disinfection. It is best to buy commercial medical alcohol directly, and it is difficult to master the concentration.

Note that white wine cannot be used as a disinfectant, let alone bathing!


Figure 丨 Weibo @ 游 识 猷

Medicinal alcohol refers specifically to 75% alcohol. Alcohol can denature proteins, so it has the effect of killing microorganisms. However, the low-concentration alcohol has a poor killing effect, and the high-concentration alcohol can cause the protein on the surface of the microorganism to solidify too quickly, and the alcohol cannot penetrate into it, and the effect is poor. Practical research has found that alcohol with a concentration of around 75% has a strong killing effect.

Bacteria and viruses are two different types of organisms. Medical alcohol has a strong killing effect on bacteria, but it may not be effective on viruses and may not be effective on many viruses. 2019-nCov can be killed by alcohol because of its protein envelope.

Hand Sanitizer and "Sterilizing Hand Sanitizer"

Wash your hands frequently with hand sanitizer or soap, and wash your hands with flowing water for more than 20 seconds. It has a certain effect on blocking the spread of the virus and can be used in combination with other protective measures. Hand washing methods can refer to effective prevention of pneumonia, proper hand washing and wearing a mask.

Among all hand washing products, hand sanitizers containing "fungicide" are particularly popular. However, like medical alcohol, the germicide in hand sanitizers is not necessarily effective against viruses. For new types of coronaviruses, there is no accurate research conclusion about how effective these fungicides are.

Common hand sanitizers generally use two types of fungicides (or bacteriostatic agents). One is chlorine-containing phenols. The representative substance is p-chloro-xylenol (PCMX). The other is quaternary ammonium salts. Representative substance is benzalkonium chloride (BAC). The common germicidal hand sanitizers on the market are almost all formulated from these two substances.

In some scientific tests, both PCMX and BAC can kill some viruses, such as common influenza viruses. However, the concentration used in experiments is often high, and the elimination effect is strongly related to the type of virus. For example, another common virus, HIV, these fungicides are just for fun.

The active ingredients of disposable hand sanitizers and hand disinfection products are relatively diverse, some are alcohol, some are cetrimonium chloride, hypochlorous acid, etc. They can be used as an alternative when it is not convenient to wash your hands with running soap and your hands are not significantly dirty.

Efficient and high destructive 84 disinfectant

In many people's homes, there is also a common type of disinfectant, which is 84 disinfectant.

The main component of 84 disinfection solution is hypochlorous acid (and hypochlorite). Its disinfection principle is strong oxidizing, which will cause many components in microorganisms to be oxidized and eventually lose their function, unable to reproduce or infect.

Similar to 84 disinfectant is chlorine dioxide. This is also a type of chlorine-containing disinfectant, which can also kill viruses with the help of strong oxidizing properties. At present, it is generally used as a disinfectant for tap water.


Because it has strong oxidizing properties, it also has a bleaching effect.

These disinfectants need to be diluted before use. When diluting, pay attention to the concentration (available chlorine content). In general household disinfection, you can refer to the instructions for disinfection solution to wipe and soak related items. Hypochlorous acid is unstable and easy to decompose. When using 84, pay attention to the expiration date; if you use a disinfection tablet for water, remember to use the "existing mix".

However, the use of chlorine-containing disinfectants is strongly irritating. Always follow the instructions when using, pay attention to ventilation, do not get in the eyes and contact the mucous membranes. Another side effect is that because they both generate chlorine atoms, if used on some metal materials, the chlorine atoms will cause long-term corrosion; some equipment related to circuits, such as mobile phone, computer and other equipment, use this type of disinfectant Need to be careful.

Also, it must be noted that 84 disinfectant solutions cannot be used with toilet cleaners. They will chemically generate chlorine gas, which will not only cause disinfection failure, but also the toxicity of chlorine gas will cause harm to the body.

Peracetic acid is cost-effective but has poor stability

During the SARS epidemic in 2003, many people heard about the prestige of peracetic acid, which became the main force for disinfecting public places.

From the perspective of molecular structure, peroxyacetic acid has only one more oxygen than acetic acid, which makes it super oxidizing and has the effect of sterilization. Under normal circumstances, peroxyacetic acid only needs to be formulated into an aqueous solution with a concentration of about 0.005%, which can be used for killing, and it can kill almost all viruses within one minute, and it is very efficient.

However, there is also a significant disadvantage of peroxyacetic acid, which is that it is less stable and easily decomposes. As a dangerous product, it is difficult to buy peracetic acid directly on the market, and for most people, it is not practical to prepare a peroxyacetic acid solution.

Peroxyacetic acid is also corrosive, so be careful when using it. However, it will not have a significant impact on all types of equipment in life.

Physical kill method, need to consider the occasion

Generally speaking, there are no more than two methods for physically killing viruses. One is to use light, usually ultraviolet light; the other is to use heat. Most viruses are sensitive to ultraviolet light and high temperatures.

Relatively speaking, high-temperature anti-virus has high operability in a domestic environment. For example, some items can be boiled in hot water, and clothing can be washed at the highest temperature indicated on the label. According to the guidance of the National Health Commission, heating at 56 ? C for 30 minutes can effectively kill the 2019-nCov virus.

Ultraviolet light is a simple method of disinfection. In the laboratory, it is usually only necessary to turn on the ultraviolet lamp to disinfect the operating table. However, the current domestic UV lamp equipment is usually not designed to kill, and the ultraviolet light they emit may not be suitable for killing viruses. In addition, the side effects of ultraviolet light are very large, it will produce many toxic and harmful substances such as ozone, and may directly cause harm to the human body (electrical ophthalmitis and dermatitis will occur after 20 minutes of exposure). Therefore, the use of UV lamps as a means of eliminating viruses is not recommended.

Other less common disinfectants

In addition to some of the common disinfection methods mentioned above, there are many substances or methods that can also be used to kill viruses, such as ether, chloroform, etc., which have also been identified as effective for new types of coronaviruses.

However, because these substances are often hazardous, such as ether, which is flammable and explosive, and chloroform can easily produce highly toxic phosgene when it is not stored properly, which can cause death. Therefore, they are difficult to purchase and extremely Recommended for non-professionals.
 
[h=1]Coronavirus: Wuhan to build 19 more makeshift hospitals as China struggles to contain epidemic[/h]
WUHAN (XINHUA) – Wuhan, the epicentre of the coronavirus outbreak, plans to build another 19 makeshift hospitals to receive more infected patients, local authorities said Friday (Feb 21).

Upon their completion, all the makeshift hospitals in Wuhan are expected to offer 30,000 beds on Feb 25, said Mr Hu Yabo, deputy mayor of Wuhan at a press briefing on epidemic prevention and control.

To date, Wuhan has converted 13 existing venues into temporary hospitals, with a total of 13,348 beds, and about 9,313 beds have been put into use to treat patients with mild symptoms, said Mr Hu.

To improve their medical treatment capability, every makeshift hospital will be supplied with CT scanners and other medical equipment including ECG monitors, Mr Hu added.
..

https://www.straitstimes.com/asia/e...BRuODJzoTDMJWHueF9gTc06u1IM9nM2u-3VTpohOtFt7s
 
Hubei: New crown pneumonia epidemic statistics do not allow subtraction of confirmed cases
Release time: 2020-02-21 17:50 Source: Hubei Daily [Font: Tai Zhong small ]
On February 20 and 21, Hubei Province continuously adjusted the data on reported cases of new coronary pneumonia, which aroused great concern from all walks of life. Has the number of reported cases in Hubei and Wuhan really decreased, or did it decrease due to statistical caliber? In response, Tu Yuanchao, deputy director of the Hubei Provincial Health and Health Commission, responded at a press conference on the prevention and control of the new crown pneumonia epidemic in the province on February 21.

Tu Yuanchao said that the epidemic in Hubei Province, especially Wuhan, affected the hearts of the people throughout the country, and all sectors of the society have paid close attention to it. Recently, the Provincial Government of the Hubei Provincial Party Committee and the Wuhan Municipal Party Committee and Municipal Government have followed the important instructions of General Secretary Xi Jinping and the decision-making arrangements of the Party Central Committee and the State Council. , Fatality rate, firmly grasp the two key links of treatment and blocking, and strive to achieve three full coverage of screening and screening, community (village) closed management, public area management and control. By adopting a series of the most decisive and severe measures, the overall situation of the epidemic situation has changed positively, and the number of reported cases has indeed decreased.

Why is the data adjusted for two consecutive days? Tu Yuanchao introduced two main reasons.

First, from February 13, according to the fifth edition of the diagnosis and treatment plan issued by the General Office of the National Health and Health Commission and the Office of the State Administration of Traditional Chinese Medicine, Hubei Province will include all clinically diagnosed cases into the confirmed cases for statistical publication and treatment. On February 18, the General Office of the National Health and Health Commission and the Office of the State Administration of Traditional Chinese Medicine issued the "New Coronary Virus Pneumonia Diagnosis and Treatment Plan (Trial Version 6)". Compared with the fifth version of the diagnosis and treatment plan, the original clinical diagnosis in Hubei Province The case category was cancelled. In order to cope with the adjustment of the diagnosis and treatment plan, some city and state organizations on February 19 revised the previously reported clinically diagnosed cases in accordance with the sixth edition of the diagnosis and treatment plan and reduced some cases. "We have stopped this practice on February 20." Tu Yuanchao said.

Second, because the prison department of our province does not currently have access to the infectious disease epidemic network reporting system, after receiving a manual report card from the prison department late at night on February 20, it was confirmed through careful review. As of 24:00 on February 20, the prison department reported Of the 271 newly diagnosed cases of new pneumonia, 51 cases have been included in the statistics of the relevant areas and published beforehand. The remaining 220 confirmed cases and 10 suspected cases were included in the epidemic data on February 20 to be revised and announced.

"The adjustment of these data has aroused great attention from the society and cast doubt on the numbers." Tu Yuanchao introduced that Comrade Ying Yong, Secretary of the Provincial Party Committee, attached great importance to non-standard reductions in some cities and prefectures, and explicitly requested that reductions in confirmed cases should not be allowed. All deductions must be added back, and facts must be clarified and accountable to those responsible.

Tu Yuanchao introduced that in the next step, the Provincial Health and Health Commission will further discipline and manage the situation to ensure that the epidemic data is open, transparent, timely and accurate. "Finally, I would like to thank all sectors of the society for their care and support for the epidemic prevention and control work in Hubei and Wuhan." (Liao Zhihui)

Editor-in-chief: Li Xueying
http://www.hubei.gov.cn/zhuanti/2020/gzxxgzbd/zxtb/202002/t20200221_2144623.shtml
 
Source: http://www.bjd.com.cn/a/202002/22/WS5e5072cce4b05998c6eb7322.html

3 new confirmed cases in Guangxi and 4 new cases cured and discharged
Time: 22 February 2020 Source: CCTV news client Author: Editor: High CNR

At 04:00 on February 21, 3 new cases of new coronavirus pneumonia were confirmed in Guangxi (1 in Nanning, 1 in Guilin, and 1 in Hechi); 6 were suspected; and 4 were cured and discharged Cases (1 in Nanning, 2 in Guilin, and 1 in Hezhou); there were no new deaths.

At present, Guangxi has reported 249 confirmed cases, 99 discharged patients, and 2 deaths (1 in Hechi City and 1 in Beihai City). There are currently 148 confirmed cases in the hospital, of which 3 are severe cases. Cases (1 in Nanning, 1 in Guilin, 1 in Hechi), 8 cases of critical cases (1 in Nanning, 1 in Guilin, 1 in Beihai, 4 in Fangchenggang, and 1 in Hechi). There are 56 suspected cases.

Among the confirmed cases, 55 were in Nanning, 24 were in Liuzhou, 32 were in Guilin, 5 were in Wuzhou, 44 were in Beihai, 19 were in Fangchenggang, 8 were in Qinzhou, 8 were in Guigang, 11 were in Yulin, There were 3 cases in Baise City, 4 cases in Hezhou City, 25 cases in Hechi City, and 11 cases in Laibin City.

97 close contacts were tracked today, and 1356 are currently undergoing medical observation.
 
Source: http://www.chinanews.com/sh/2020/02-22/9100426.shtml

Two new cases of new coronary pneumonia confirmed in Hunan
08:26, February 22, 2020 Source: China News Network

China News Service, February 22. According to the website of Hunan Provincial Health and Health Commission, at 04:00 on February 21, 2020, Hunan Province reported 2 new confirmed cases of new coronavirus pneumonia and 0 new severe cases. New There were 0 deaths and 32 new discharges. among them:

Among the newly confirmed cases, one was in Zhuzhou City and one in Xiangtan City.

Among the newly discharged cases, 5 were in Changsha, 1 in Zhuzhou, 2 in Xiangtan, 2 in Shaoyang, 5 in Yueyang, 6 in Changde, 3 in Yiyang, 1 in Chenzhou, and 5 in Yongzhou. 1 in Loudi City and 1 in Xiangxi Autonomous Prefecture.

As of 24:00 on February 21, Hunan Province has reported a total of 1013 confirmed cases of new coronavirus pneumonia, a total of 144 severe cases, 37 existing severe cases, 4 deaths, 670 discharged patients, and 339 treated in hospital. . among them:

Of the confirmed cases, 242 were in Changsha, 48 in Hengyang, 79 in Zhuzhou, 36 in Xiangtan, 102 in Shaoyang, 156 in Yueyang, 80 in Changde, 5 in Zhangjiajie, 59 in Yiyang, and Quzhou. There were 39 cases in Yongzhou City, 43 cases in Yongzhou City, 40 cases in Huaihua City, 76 cases in Loudi City, and 8 cases in Xiangxi Autonomous Prefecture.

Among the current severe cases, 13 were in Changsha, 7 in Zhuzhou, 2 in Xiangtan, 6 in Shaoyang, 1 in Yueyang, 3 in Changde, 1 in Yiyang, 1 in Chenzhou, and 3 in Loudi. .

Among the deaths, 2 were in Changsha, 1 in Shaoyang, and 1 in Yueyang.

Among the discharged patients, there were 130 cases in Changsha, 37 in Hengyang, 47 in Zhuzhou, 19 in Xiangtan, 80 in Shaoyang, 77 in Yueyang, 58 in Changde, 5 in Zhangjiajie, 51 in Yiyang, and Quzhou. There were 30 cases in Yongzhou City, 35 cases in Yongzhou City, 38 cases in Huaihua City, 55 cases in Loudi City, and 8 cases in Xiangxi Autonomous Prefecture.

644 At present, 26,644 close contacts have been traced, 24,834 medical observations have been lifted, and 18,10 people are still receiving medical observations.
 
Update on the epidemic situation of new coronavirus pneumonia as of 24:00 on February 21
Published: 2020-02-22Source : Health Emergency Office
At 04:00 on February 21, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 397 new confirmed cases and 109 deaths (106 cases in Hubei, Hebei, Shanghai, and Xinjiang Production and Construction Corps). 1 case), 1361 suspected cases were newly added.
  On the same day, 2393 cases were cured and discharged, 26,441 were close contacts of medical observation, and 156 severe cases were reduced.
  As of 24:00 on February 21, according to reports from 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps, there were 53284 confirmed cases (among which, 11,477 were severe cases), a total of 20659 discharged cases were cured, and a total of 2345 deaths were reported. A total of 76,288 confirmed cases have been reported and 5365 suspected cases have been reported. A total of 618,915 close contacts were traced, and 113,564 close contacts were still in medical observation.
  There were 366 new confirmed cases in Hubei (314 in Wuhan), 1767 new cases cured and discharged (992 in Wuhan), 106 new deaths (90 in Wuhan), and 47647 confirmed cases (36,680 in Wuhan). Among them, 10,892 cases were severe cases (9,558 cases in Wuhan). A total of 13,557 discharged patients were cured (7,206 in Wuhan), 2,250 deaths (1,774 in Wuhan), and 63,454 confirmed cases (45,660 in Wuhan). There were 1125 new suspected cases (927 in Wuhan) and 4490 suspected cases (3,414 in Wuhan).
  A total of 104 confirmed cases were reported in Hong Kong, Macao and Taiwan: 68 cases in Hong Kong Special Administrative Region (6 cases discharged, 2 deaths), 10 cases in Macau Special Administrative Region (6 cases discharged), 26 cases in Taiwan (2 cases discharged, 1 case died) ).

  Note: Hubei Province added the number of cases reduced on February 19 back to confirmed cases, and adjusted the number of new cases on the day. Accordingly, from 04:00 to 24:00 on February 19, the number of newly confirmed cases nationwide was revised to 820, the cumulative number of confirmed cases nationwide was revised to 75002, and the cumulative number of discharged patients nationwide was revised to 16,157. At 04:00 on February 20, the cumulative number of confirmed cases nationwide was 75,891, and the cumulative number of discharged cases nationwide was 18,266.




(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/yqtb/202002/543cc508978a48d2b9322bdc83daa6fd.shtml
 
Source: http://www.kaixian.tv/gd/2020/0222/392007.html

Yesterday at 12-24, no new confirmed cases of coronavirus pneumonia in Shanghai
2020-02-22 08:34:52 Source: Shanghai Health Commission

From 12:00 to 24:00 on February 21, 2020, 35 suspected cases of new coronavirus pneumonia were ruled out in Shanghai; there were no new confirmed cases; 1 new death. The death case was a male, 25 years old, obese, combined with influenza B, and was diagnosed with a new severe case of neo-pneumococcal pneumonia on January 29. The city's multi-disciplinary expert team continued to go all out to rescue, and eventually it was invalid due to multiple organ failure. He died on the evening of February 21.

As of 24:00 on February 21, Shanghai had eliminated 2065 suspected cases and found 334 confirmed cases. Among the confirmed cases, there were 173 males and 161 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 157 had a history of contact with related cases; There were 110 foreigners coming to Shanghai and 224 permanent residents in this city...
 
Source: http://www.hinews.cn/news/system/2020/02/22/032284373.shtml

As of 24:00 on February 21, 168 cases have been confirmed in Hainan, with no new cases
Source: Committee of the Hainan Provincial health: Time: 2020-02-22 08:34:34

Epidemic situation of new coronavirus pneumonia in Hainan Province

时 On February 21, 2020, from 04:00 to 24:00, Hainan Province reported 0 new confirmed cases of new coronavirus pneumonia, 0 new severe cases, 0 new deaths, and 7 new discharged cases. Among the newly discharged cases, one was in Haikou City, five in Sanya City, and one in Chengmai County.

As of 24:00 on February 21, Hainan Province has reported a total of 168 confirmed cases of new coronavirus pneumonia, 8 severe cases, 4 deaths, and 96 discharged patients. Of the confirmed cases, 39 were in Haikou, 54 in Sanya, 15 in Luzhou, 3 in Wenchang, 6 in Qionghai, 13 in Wanning, 3 in Dongfang, 9 in Chengmai County, and Lin Gao. There were 6 cases in counties, 7 cases in Changjiang County, 4 cases in Lingshui County, 3 cases in Ding'an County, 3 cases in Baoting County, 2 cases in Ledong County, and 1 case in Qiongzhong County.

As of 24:00 on February 21, 5,792 close contacts have been traced, 4905 medical observations have been lifted, and 887 people are still receiving centralized medical observations.
Editor-in-chief: Xu Hairuo
 
Source: https://sichuan.scol.com.cn/ggxw/202002/57491317.html

1 new confirmed case of new coronavirus pneumonia in Sichuan, 20 new cases cured and discharged
2020-02-22 08:35:56 Source: Sichuan Online Editor: Tan Yihua
Mobile access

Sichuan Online News (Reporter Shi Xiaohong, Yin Peng) At 04:00 on February 21, 1 new case of new coronavirus pneumonia was confirmed in Sichuan, 20 new cases were cured and discharged, 21 were suspected cases, and no new death Case.

Among the newly confirmed cases, one was from Ganzi Prefecture.

As of 00:00 on February 22, Sichuan Province has reported a total of 526 confirmed cases of new coronavirus pneumonia, involving 21 cities (states). The province has 84 cases of asymptomatic cases, 98 cases of sporadic cases, and 1 community outbreak and local epidemic area.

Of the 526 confirmed patients, 281 (18 critically ill) are being hospitalized and isolated, 242 have been cured and 3 have died.

There are 81 suspected cases.

There were 278 medical observations released on the same day, and 2169 people were receiving medical observations.
 
Source: http://www.ce.cn/xwzx/gnsz/gdxw/202002/22/t20200222_34327715.shtml

Update on the epidemic situation of new coronavirus pneumonia as of 24:00 on February 21
February 22, 2020 08:37 Source: Official website of the National Health Commission


At 04:00 on February 21, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 397 new confirmed cases and 109 deaths (106 cases in Hubei, Hebei, Shanghai, and Xinjiang Production and Construction Corps). 1 case), 1361 suspected cases were newly added.

393 On the same day, 2393 new cases were cured and discharged, and 26,441 close contacts were released from medical observation, and 156 severe cases were reduced.

As of 24:00 on February 21, according to reports from 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps, there were 53284 confirmed cases (among which, 11,477 were severe cases), a total of 20659 discharged cases were cured, and a total of 2345 deaths A total of 76,288 confirmed cases have been reported and 5365 suspected cases have been reported. A total of 618,915 close contacts were traced, and 113,564 close contacts were still in medical observation.

There were 366 new confirmed cases in Hubei (314 in Wuhan), 1767 new cases cured and discharged (992 in Wuhan), 106 new deaths (90 in Wuhan), and 47647 confirmed cases (36,680 in Wuhan). Among them, 10,892 cases were severe cases (9,558 cases in Wuhan). A total of 13,557 discharged patients were cured (7,206 in Wuhan), 2,250 deaths (1,774 in Wuhan), and 63,454 confirmed cases (45,660 in Wuhan). There were 1125 new suspected cases (927 in Wuhan) and 4490 suspected cases (3,414 in Wuhan).

A total of 104 confirmed cases were reported in Hong Kong, Macao and Taiwan: 68 cases in Hong Kong Special Administrative Region (6 cases discharged, 2 deaths), 10 cases in Macau Special Administrative Region (6 cases discharged), 26 cases in Taiwan (2 cases discharged, 1 case died) ).

Note: Hubei Province added the number of cases reduced on February 19 back to confirmed cases, and adjusted the number of new cases on the day. Accordingly, from 04:00 to 24:00 on February 19, the number of newly confirmed cases nationwide was revised to 820, the cumulative number of confirmed cases nationwide was revised to 75002, and the cumulative number of discharged patients nationwide was revised to 16,157. At 04:00 on February 20, the cumulative number of confirmed cases nationwide was 75,891, and the cumulative number of discharged cases nationwide was 18,266.
 
Source: http://wjw.hubei.gov.cn/fbjd/dtyw/202002/t20200222_2144956.shtml

Epidemic Situation of New Crown Pneumonia in Hubei Province on February 21, 2020

From 04:00 to 24:00 on February 21, 2020, there were 366 new confirmed cases of new coronary pneumonia in the province, including: 314 in Wuhan, 16 in Huanggang, 6 in Jingzhou, 5 in Huangshi, 4 in Suizhou, and Shiyan. 3 cases in Xiancheng City, 3 cases in Xiantao City, 2 cases in Xiangyang City, 2 cases in Xiaogan City, 2 cases in Jingmen City, 2 cases in Ezhou City, 2 cases in Xianning City, 1 case in Enshi Prefecture, 1 case in Tianmen City, 1 case in Qianjiang City, There was 1 case in Shennongjia Forest District, 1 case in prison and 0 case in Yichang.

There were 106 new deaths in the province, of which 90 were in Wuhan, 5 in Huanggang, 4 in Xiaogan, 2 in Xiangyang, 1 in Huangshi, 1 in Yichang, 1 in Xianning, and 1 in Suizhou. There were 1 case in Qianjiang City, 0 cases in Shiyan City, Jingzhou City, Ezhou City, Jingmen City, Enshi Prefecture, Xiantao City, Tianmen City, Shennongjia Forest District and Prison.

There were 1767 new hospital discharges in the province, including: 992 in Wuhan, 146 in Xiaogan, 134 in Huanggang, 81 in Jingzhou, 67 in Jingmen, 59 in Xiangyang, 57 in Suizhou, and 52 in Huangshi. There were 45 cases in Xianning City, 33 cases in Tianmen City, 28 cases in Shiyan City, 23 cases in Yichang City, 21 cases in Xiantao City, 11 cases in Ezhou City, 10 cases in Qianjiang City, 5 cases in Enshi Prefecture, 3 cases in Prison, and 0 cases in Shennongjia Forest District. .

As of 24:00 on February 21, 2020, Hubei Province has reported a total of 63,454 confirmed cases of new coronary pneumonia, including 45660 cases in Wuhan, 3429 cases in Xiaogan City, 2899 cases in Huanggang City, 1566 cases in Jingzhou City, 1375 cases in Ezhou City, and Suizhou City. 1296 cases, 1173 cases in Xiangyang City, 997 cases in Huangshi City, 914 cases in Yichang City, 914 cases in Jingmen City, 836 cases in Xianning City, 659 cases in Shiyan City, 571 cases in Xiantao City, 493 cases in Tianmen City, 251 cases in Enshi Prefecture, and 221 prisons Cases (another 51 cases have been included in the statistical report of confirmed cases in relevant cities and prefectures), 189 cases in Qianjiang City, and 11 cases in Shennongjia Forest District.

A total of 13,557 patients were discharged from the hospital, including: 7,206 in Wuhan, 1,408 in Huanggang, 917 in Xiaogan, 612 in Jingzhou, 443 in Suizhou, 402 in Xiangyang, 391 in Huangshi, 386 in Ezhou, There were 358 cases in Xianning City, 296 cases in Jingmen City, 273 cases in Yichang City, and 239 cases in Shiyan City (the two clinically diagnosed cases were discharged on the 21st when they were confirmed, and they were counted as cumulative discharges), 231 in Xiantao City, and Tianmen City There were 198 cases, 117 cases in Enshi Prefecture, 67 cases in Qianjiang City, 10 cases in Shennongjia Forest District, and 3 cases in prison.

The province has a cumulative total of 2,250 deaths, of which: 1774 in Wuhan, 98 in Xiaogan, 95 in Huanggang, 40 in Jingzhou, 39 in Ezhou, 37 in Jingmen, 29 in Yichang, 29 in Suizhou, There were 28 cases in Huangshi City, 26 cases in Xiangyang City, 19 cases in Xiantao City, 12 cases in Tianmen City, 11 cases in Xianning City, 8 cases in Qianjiang City, 3 cases in Enshi Prefecture, 2 cases in Shiyan City, and 0 cases in Shennongjia Forest District and Prison.

At present, 41,036 patients are still being treated in the hospital, of which 8,400 are critically ill and 2,492 are critically ill. They are all receiving isolation treatment at designated medical institutions. There were 4,490 suspected cases, of which 1,125 were newly added that day, 677 were excluded on that day, and 4,275 were concentrated and isolated. A total of 234,217 close contacts have been tracked, and 62,787 people are still under medical observation.
 
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A rehabilitated patient in Chengdu was positive for nucleic acid. Is it a relapse? Expert response

Time: 21 February 2020 Source: People's Daily Client Author: Sung New Editor: Xie Yongli

On February 21, the Chengdu Public Health Clinical Medical Center issued a notice saying that on February 19, a patient with a new type of coronavirus pneumonia recovered and discharged from home after being discharged from the hospital in Wangjiang Jinyuan, Jinjiang District, Chengdu, received a review of positive nucleic acid by the relevant institution.

The report stated that on February 10, in accordance with the National "New Coronavirus Pneumonia Diagnosis and Treatment Program" (trial implementation of the fifth edition), the patient met the relevant discharge indication requirements and was allowed to discharge. The discharged doctor ordered to continue home isolation and rehabilitation for 14 days. Follow up. After a positive retest on the 19th, the patient is now admitted to the Chengdu Public Health Center for further review.

It is understood that the patient's condition is relatively stable now. In this regard, Lei Xuezhong, a member of the Sichuan Provincial New Crown Pneumonia Medical Treatment Expert Group and deputy director and chief physician of the Infectious Diseases Center of the West China Hospital of Sichuan University, said in an interview with reporters that the most likely cause of similar situations is the detection of specimen differences. "According to the previous" New Coronavirus Pneumonia Diagnosis and Treatment Program "(trial implementation of the fifth edition), patients previously discharged from the hospital received upper respiratory nasopharyngeal swabs for testing. Such testing may be appropriate in the early stages of the disease, but with the The disease develops late, and the virus is most likely to be detected in the lower respiratory tract (specimen). "

Now, with the release of the "New Coronary Virus Pneumonia Diagnosis and Treatment Plan" (trial version 6), they have also revised the discharge standards. "Now patients discharged have taken the detection of specimens of lower respiratory alveolar lavage fluid as discharge standards. This makes it possible to be more accurate. "And patients who have been discharged twice from negative tests in the past have also been following up and following up. Once similar situations occur, they will be further processed immediately.

So, is this patient a relapse? Or is it a pre-existing condition with persistent positive and incomplete negative conversion?

Lei Xuezhong believes that the greater possibility is that the virus persists with a small amount of persistence, resulting in a continuous state. Because the new coronavirus is a new pathogen, and scientific cognition is still being improved, they are also carrying out patient rescue work in strict accordance with the requirements of the national diagnosis and treatment program. Days to achieve self-health monitoring and follow-up and follow-up visits as required. "

Lei Xuezhong said that they will now have stricter requirements on specimens. "For example, the original discharge test was met by two consecutive negative tests to meet the discharge standard, which has now increased to three times." At the same time, he also reminded the public that they do not have to respond to this. Too nervous, "First, the case is a very small number of people, and second, even if the test is positive again, it is not a serious type in terms of disease performance. As long as further isolation and treatment are available, such patients can Get better treatment. "At the same time, they will further strict discharge standards to prevent similar cases.

http://www.bjd.com.cn/a/202002/21/WS5e4fdad4e4b0b1db6f9b8c5d.html
 
Source: http://www.bjnews.com.cn/news/2020/02/22/693563.html

2020-02-22 22:20:48 Beijing News reporter: Li Yukun Zhang Lu editor: Bai Shuang
New research: New crown virus passed from mid to late November, non-source in South China market

The spread of cases now comes from at least three routes.

Beijing News (Reporter Li Yukun Zhang Lu) The latest research results of scientific researchers show that the South China seafood market in Wuhan is not the origin of the new crown virus.

The new crown virus may enter Wuhan as early as mid-to-late November last year and begin interpersonal transmission in South China Seafood. The market has accelerated interpersonal communication. The spread of cases now comes from at least three routes. The new coronavirus had two significant population expansions before February 12 (December 8 and January 6 respectively).


Paper analyzes the complete genomes of 93 new coronaviruses


Yu Wenbin, associate researcher of the Xishuangbanna Tropical Botanical Garden, Chinese Academy of Sciences, and others submitted a paper entitled Decoding the evolution and transmissions of the novel pneumonia coronavirus (SARS-CoV-2) using whole genomic data ( Decoding a novel coronavirus evolution and transmission based on genome-wide data) (resubmitted January 21).


Researchers have collected genomic data (up to February 12) of 93 new coronavirus samples that are shared in the GISAID EpiFluTM database and cover 12 countries on four continents in various fields around the world. Through the analysis of whole genome data, trace the source and spread of infection path.


The study found that the 93 samples received contained 58 haplotypes (which can be understood as genotypes composed of multiple linked genes that determine the same trait on the nucleic acid strand), which can be grouped into five groups, including three ancient superinfector singles Haplotypes (H1, H3, and H13) and 2 new super communicator haplotypes (H56 and mv2). Among them, 31 haplotypes were found in Chinese samples and 31 haplotypes were found in samples from other countries.


The haplotype evolution relationship shows that the haplotypes H13 and H38 are relatively "old" haplotypes, through an intermediate carrier (mv1, may be an ancestral haplotype, may be from an intermediate host or "patient zero") Associated with bat coronavirus RaTG13 and derived haplotype H1 through haplotype H3.


Yu Wenbin explained to the media that this is an analysis method based on population genetics. One genotype is not equal to one patient. There may be multiple or even hundreds of carriers of a new coronavirus haplotype. For example, H1 haplotype corresponds to 19 samples, but it can be traced through this because A haplotype means that the infection may be from the same source.


New virus in South China market was introduced from elsewhere


The study found that the patient sample haplotypes associated with the South China seafood market were H1 and its derived haplotypes H2, H8-H12, while a Wuhan sample haplotype H3 had nothing to do with the South China seafood market.


The H3 haplotype has only one sample from Wuhan and has no connection with the South China market, while other samples containing H3 are from other countries and regions. It is worth noting that all samples in the South China market have H1 haplotypes or their derived haplotypes (H2, H8-H12), which indicates that there is a short-term transmission of infection in the market. The new crown virus in the South China market may be transmitted from other places, or at least the South China market does not have the original source of the virus. Since the earliest identified infected patients are not connected to the market, the infected people are likely to spread the new crown virus to workers or sellers on the market and then quickly circulate on the market. Crowded markets accelerated the spread of the virus to buyers and spread throughout the city in early December 2019, corresponding to the estimated time of population expansion.


Based on the patient's onset time records and population expansion time inference, it also confirms that the South China seafood market is not the source of the virus.


A study published online by The Lancet on January 24th showed that the first confirmed case of new-type coronavirus pneumonia developed on December 1st last year and had no history of exposure to the South China seafood market. At the time, the study analyzed the first 41 confirmed cases of infection with the new coronavirus admitted to Wuhan between December 16, 2019 and January 2, 2020. The results showed that of the first 41 confirmed cases, 27 had been to the South China Seafood Market and 14 had no history of exposure to the South China Seafood Market.


The virus in Guangdong may have three sources


In order to be able to subdivide the source, the researchers divided 58 haplotypes into five groups, which were 3 central (old super communicators) haplotypes (H1, H3, and H13) and 2 new super communicator haplotypes. Type (H56 and mv2). This identified three sources of viruses in Guangdong and two sources of viruses in Chongqing and Taiwan.


Among them, the Shenzhen family of Guangdong spread it from person to person early. There are more samples in Australia, France, Japan and the United States, and their patients have at least two sources of infection, especially the United States includes five sources. Of great concern is the haplotype of H56, which is also the source of infection for patients in Australia, France, and the United States, as well as Taiwan.


The haplotype H13 and H38 virus samples were traced to patients from Shenzhen (the first case in Guangdong) and patients in Washington State (the first case in the United States). Their travel records indicate that they should have been infected during their visits to relatives in Wuhan from the end of December 2019 to early January 2020. However, no H13 and H38 haplotypes were detected in the existing Wuhan samples.


The paper explained that it may be because the existing samples were mainly collected from several designated hospitals, and the sample collection time was limited to December 24, 2019 and January 5, 2020. If these two haplotypes can be detected in early patients in other hospitals in Wuhan, it will be very helpful to find the source of the virus.


Human-to-human transmission in mid-to-late November, no viral genome recombination


Based on the novel coronavirus genomic data, the paper estimated that two significant population expansions occurred before February 12. The population expansion before January occurred on December 8. This result suggests that the virus may have spread from person to person in early December, or even mid to late November, and then accelerated the human-to-human transmission in the South China seafood market. The study estimates that the population expansion time before February is January 6th, which may be related to the New Year's Day holiday.


The paper states that on this day the National Center for Disease Control and Prevention issued a Level 2 emergency response. Early warnings at that time served as a warning, and public activity and travel were reduced. If the warnings at that time could attract wider attention, the number of cases spreading nationally and globally in mid-to-late January would be reduced. Researchers further confirmed that infection cases in other nine provinces and 11 other countries in China were basically directly or indirectly imported from Wuhan.


Researchers have found that no recombination event has occurred in the genome of the new coronavirus, but there are mutations between the genomes. It is unclear whether this mutation will affect the activity of the new coronavirus and it needs to be verified by other professionals in proteomics and structural biology. .



Beijing News reporter Li Yukun Zhang Lu
 
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China - Doctor, 51, with severe pneumonia moved to isolation on Dec. 31 - on experimental drugs - Dongguan, Guangdong province - January 4, 2020

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China - Surge in respiratory patients in Kunming, Yunnan province - December 5, 2019 - weather blamed

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China - Number of children with fever and cough has increased dramatically at Xi'an Children's Hospital, Shaanxi province - weather blamed - October 27, 2019
 
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