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China CDC - Press Releases regarding 2019-nCov + real time case count and graph link

Guidelines for public prevention of pneumonitis due to new coronavirus infection (home observation)

  Close contacts of confirmed cases of pneumonitis with new coronavirus infection should take medical observation for 14 days from the last day of contact with the patient. It is necessary to keep in touch with medical observers during observation at home, and to understand the key points of observation and care of the disease, and to master the hand washing, ventilation, protection and disinfection measures at home.

  Specific recommendations during home medical observations are as follows:

  (1) Place close contacts in well-ventilated single rooms and refuse all visits.

  (2) Restrict the activities of close contacts, and minimize the areas where close contacts and family members share activities. Make sure the shared area (kitchen, bathroom, etc.) is well ventilated (keep windows open).

  (3) Family members should live in different rooms. If conditions do not permit, keep a distance of at least 1 meter from close contacts. Breastfeeding mothers can continue breastfeeding their babies.

  (4) When other family members enter the living space of close contacts, they should wear masks. The masks should be close to the face. Do not touch and adjust the masks in the living space. Masks must be replaced immediately due to wet and dirty secretions. After removing and discarding the mask, wash your hands.

  (5) If you have any direct contact with close contacts, or leave the living space of close contacts, clean your hands. Clean your hands before preparing food and before and after meals. If your hands are not very dirty, use alcohol-free lotion. If hands are dirty, wash with soap and water. (Always use alcohol safely to avoid accidental swallowing or fire.)

  (7) When using soap and water to wash your hands, it is best to use disposable paper towels. If not, wipe with a clean towel, which needs to be replaced when it gets wet.

  (8) The materials used to cover the nose and mouth when accidentally coughing or sneezing can be discarded directly, or washed properly after use (such as washing handkerchiefs with ordinary soap / detergent and water).

  (9) Family members should minimize contact with close contacts and their supplies. For example, avoid sharing toothbrushes, cigarettes, cutlery, meals, drinks, towels, bath towels, sheets, etc. Dishware should be washed with detergent and water after use.

  (10) It is recommended to use chlorine-containing disinfectant and peracetic acid disinfectant, and frequently clean and disinfect items frequently touched by family members, such as bedside tables, bed frames and other bedroom furniture. Clean and disinfect bathroom and toilet surfaces at least once a day.

  (11) Use ordinary laundry soap and clean water to wash close-contact clothes, sheets, bath towels, towels, etc., or use a washing machine at 60-90 degrees Celsius and ordinary household laundry detergent, and then completely dry the above items. Put the bedding used by close contacts in the laundry bag. Do not shake clothing and avoid direct contact with skin and your clothes.

  (12) Wear disposable gloves and protective clothing (such as plastic apron) before cleaning and touching the surface, clothing or bedding contaminated by human secretions from close contacts. Clean and disinfect hands before wearing gloves and after removing them.

  (13) If there are suspicious symptoms in close contacts of confirmed cases, including fever, cough, sore throat, chest tightness, dyspnea, mild anorexia, fatigue, weaker spirit, nausea and vomiting, diarrhea, headache, palpitation, conjunctivitis 5. Mild soreness of limbs or lower back muscles, etc., should seek medical treatment immediately. Specific guidance recommendations are as follows:

  1. On the way to the hospital, patients should wear medical surgical masks or N95 masks.

  2. If possible, avoid taking public transport to the hospital and open windows on the road.

  3. Wear a mask at all times and maintain hand hygiene at all times. Stay as far away as possible (at least 1 meter) while on the road and in the hospital.

  4. If the vehicle is polluted on the road, it is recommended to use chlorine disinfectant or peracetic acid disinfectant to disinfect all surfaces contaminated with respiratory secretions or body fluids.
 
  China CDC reminds: What to do in public places?

  Guidelines for public prevention of pneumonia due to new coronavirus infection (Public place prevention)

  New coronavirus-infected pneumonia is a new-onset disease. This guideline is based on current knowledge of the disease and is applicable to shopping malls, restaurants, theaters, KTVs, Internet cafes, public baths, stadiums, exhibition halls, train stations, subway stations, Airports, bus stations and other public places.

  I. Workers in public places should monitor their health by themselves. If there are suspicious symptoms of new coronavirus infection (such as fever, cough, sore throat, chest tightness, dyspnea, mild appetite, fatigue, slightly worse spirit, nausea and vomiting, diarrhea, Headaches, palpitation, conjunctivitis, mild sore limbs or lower back muscles, etc.), do not go to work with illness.

  2. If suspicious symptoms of new coronavirus infection are found, staff should ask them to leave.

  3. Public items and public contact items or parts should be cleaned and disinfected regularly.

  4. Maintain air circulation in public places. Ensure that the air-conditioning system or exhaust fan operates normally, clean the air-conditioning filter regularly, and strengthen window ventilation.

  Fifth, the toilet should be equipped with sufficient hand soap to ensure the normal operation of water supply facilities such as faucets.

  6. Keep the environment sanitary and clean, and clean up the garbage in time.

  7. In disease-endemic areas, the public should try their best to avoid going to public places, especially avoid places with dense crowds and poor air circulation.
 
China CDC reminds: What to do at home?

  Guidelines for public prevention of pneumonia due to new coronavirus infections (family prevention)

  New coronavirus-infected pneumonia is a new-onset disease, and this guideline was developed based on current knowledge of the disease and is applicable in home settings.

  I. Daily prevention

  (1) Avoid going to areas where the disease is endemic.

  (2) Reduce activities to crowded public places, especially places with poor air mobility, such as public baths, hot springs, cinemas, Internet cafes, KTVs, shopping malls, stations, airports, terminals, exhibition halls, etc.

  (3) Do not contact, purchase and eat wild animals (ie game), avoid visiting markets that sell live animals (poultry, seafood, wild animals, etc.), poultry and eggs should be cooked thoroughly before consumption.

  (4) Keep the room clean, open windows frequently, and ventilate frequently.

  (5) Maintain hand hygiene at all times. Reduce contact with public items and parts in public places; return from public places, cover your hands with coughing, before or after meals, wash your hands with hand sanitizer or soap running water, or use alcohol-free hand sanitizer; not sure if your hands are clean Avoid touching the nose, mouth and eyes with your hands; cover your mouth and nose with your elbow clothes when sneezing or coughing.

  (6) It is recommended to wear a mask when going out. When going out to public places, for medical treatment and taking public transportation, you should wear medical surgical masks or N95 masks.

  (7) Maintain good hygiene and health habits. Family members do not share towels, keep their homes and tableware clean, and frequently wash clothes. Do not spit, wrap nose and nose secretions with paper towels, and put them in a covered dustbin. Pay attention to nutrition and exercise.

  (8) Proactive health monitoring of individuals and family members. Active temperature measurement when you feel consciously feverish. If there is a child in the family, touch the child's forehead sooner or later. If there is fever, take the temperature of the child.

  (9) Prepare common materials. Household supplies thermometers, disposable masks, household disinfection supplies and other materials.

  Advice when family members have suspicious symptoms

  (1) If there are suspicious symptoms of pneumonia caused by the new coronavirus infection (such as fever, cough, sore throat, chest tightness, dyspnea, mild anorexia, fatigue, slightly worse spirits, nausea and vomiting, diarrhea, headache, palpitation, conjunctivitis, (Slight symptoms of muscle aches in the extremities or lower back), you should consult a doctor in time according to the condition.

  (2) Avoid taking public transportation such as subways and buses, and avoid going to crowded places.

  (3) During the consultation, the doctor should take the initiative to inform the doctor of his travel and residence history in the epidemic area of ​​the relevant disease, and who he has contacted since the onset of the disease, and cooperate with the doctor to carry out relevant investigations.

  (4) Family members of patients should wear masks to keep distance from other asymptomatic family members and avoid close contact.

  (5) If someone in the family is diagnosed with pneumonitis infected by the new coronavirus, other family members who are judged to be in close contact should receive medical observation for 14 days.

  (6) Disinfect the places and objects that are frequently touched by family members with symptoms.
 
Chinese Center for Disease Control and Prevention prompts: What should a person with a history of living and traveling in an endemic area do?

  Guidelines for public prevention of pneumonia due to new coronavirus infection (tourism prevention)

  New coronavirus-infected pneumonia is a new-onset disease. This guideline was developed based on current knowledge of the disease, and it is applicable to people who have lived and traveled in a disease-endemic area such as Wuhan within two weeks.

  (1) Register at the village branch or community as soon as possible to reduce outing activities, especially to avoid crowded public places.

  (2) From the time of leaving the disease endemic area, self-health monitoring is conducted for 14 consecutive days, twice a day. When conditions permit, try to live alone or in a well-ventilated single room, and minimize close contact with family members.

  (3) If there are suspicious symptoms (including fever, cough, sore throat, chest tightness, dyspnea, mild appetite, fatigue, weak spirit, nausea and vomiting, diarrhea, headache, palpitation, conjunctivitis, mild limbs or lower back Muscle soreness, etc.), should be promptly consulted according to the condition. The specific guidelines for medical treatment are as follows:

  1. On the way to the hospital, patients should wear medical surgical masks or N95 masks.

  2. If possible, avoid taking public transport to the hospital and open windows on the road.

  3. Wear a mask at all times and maintain hand hygiene at all times. Stay as far away as possible (at least 1 meter) while on the road and in the hospital.

  4. If the vehicle is polluted on the road, it is recommended to use chlorine disinfectant or peracetic acid disinfectant to disinfect all surfaces contaminated with respiratory secretions or body fluids.
 
Update on pneumonia of new coronavirus infection as of 24:00 on January 25

At 04:00 on January 25, 2020, 29 provinces (autonomous regions and municipalities) reported 688 new confirmed cases, 87 new severe cases, and 15 new deaths (13 in Hubei Province and 1 in Shanghai). 1 case in Henan Province), 11 new cases were cured and discharged, and 1309 suspected cases were added.

  As of 24:00 on January 25th, the National Health Commission had received a total of 1975 confirmed cases in 30 provinces (autonomous regions and municipalities) and 324 severe cases. A total of 56 deaths and 49 discharged patients were cured. There are 2684 suspected cases.

  At present, 23,431 close contacts have been tracked, 325 medical observations have been lifted on the same day, and 21,556 people are currently undergoing medical observations.

  A total of 5 confirmed cases were reported in Hong Kong, Macao and Taiwan: 5 in the Hong Kong Special Administrative Region, 2 in the Macao Special Administrative Region, and 3 in Taiwan.

  In addition, a total of confirmed cases notified abroad: 4 cases in Thailand (2 cases have been cured), 2 cases in Japan (1 case has been cured), 2 cases in South Korea, 2 cases in the United States, 2 cases in Vietnam, 3 cases in Singapore, and 3 cases in Malaysia. One case was in Nepal, three in France, and one in Australia.



Source: National Health Commission website
 
Interpretation of "Notice on Strengthening Community Prevention and Control of Pneumonia Epidemic Situation of New Coronavirus Infection"

2020-01-26

 In order to implement comprehensive prevention and control measures focusing on community prevention and control, guide the community to carry out scientific and orderly prevention and control of pneumonia epidemic of new coronavirus infection, detect cases early, effectively curb the spread and spread of the epidemic, and reduce the impact of new coronavirus infection on the public.

Health hazards, in accordance with the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases, the Law of the People's Republic of China on Basic Medical Hygiene and Health Promotion, the Regulations on Emergency Response to Public Health Emergencies, the Emergency Response Plan for Public Health Emergencies, and New Coronavirus Infection And other relevant laws, regulations and documents stipulated in the "Pneumonia Case Surveillance Program," and issued a notice on strengthening community-based prevention and control of pneumonia outbreaks of new coronavirus infections.

The notice puts forward overall requirements for related work, that is, to give full play to community mobilization capabilities, implement grid-based, carpet-style management, group prevention and control, stabilize prevention and control, and effectively implement comprehensive prevention and control measures to achieve "early detection, early Reporting, early isolation, early diagnosis, and early treatment "to prevent the epidemic from being imported, spread, and exported, and control the spread of the disease; clarify the responsibility of the county (district) level health and health departments and medical institutions, streets (towns) and communities (villages) The specific tasks of each county (district) party committee and government, medical and health institutions at all levels, streets (towns) and communities (villages) are emphasized.

At the same time, in conjunction with the issuance of the notice, a "Community Prevention and Control Work Plan for Pneumonia Epidemic of New Coronavirus Infection (Trial)" was formulated to clarify the concepts of community, community epidemic division, community spread epidemic, and close contacts. Cases were found, cases occurred in the community or outbreaks, and community-borne epidemics had been proposed for the prevention and control strategies and specific measures.

  In order to implement comprehensive prevention and control measures focusing on community prevention and control, guide the community to carry out scientific and orderly prevention and control of pneumonia epidemic of new coronavirus infection, detect cases early, effectively curb the spread and spread of the epidemic, and reduce the impact of new coronavirus infection on the public.

Health hazards, in accordance with the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases, the Law of the People's Republic of China on Basic Medical Hygiene and Health Promotion, the Regulations on Emergency Response to Public Health Emergencies, the Emergency Response Plan for Public Health Emergencies, and New Coronavirus Infection And other relevant laws, regulations and documents stipulated in the "Pneumonia Case Surveillance Program," and issued a notice on strengthening community-based prevention and control of pneumonia outbreaks of new coronavirus infections.

The notice puts forward overall requirements for related work, that is, to give full play to community mobilization capabilities, implement grid-based, carpet-style management, group prevention and control, stabilize prevention and control, and effectively implement comprehensive prevention and control measures to achieve "early detection, early Reporting, early isolation, early diagnosis, and early treatment "to prevent the epidemic from being imported, spread, and exported, and control the spread of the disease; clarify the responsibility of the county (district) level health and health departments and medical institutions, streets (towns) and communities (villages) The specific tasks of each county (district) party committee and government, medical and health institutions at all levels, streets (towns) and communities (villages) are emphasized.

At the same time, in conjunction with the issuance of the notice, a "Community Prevention and Control Work Plan for Pneumonia Epidemic of New Coronavirus Infection (Trial)" was formulated to clarify the concepts of community, community epidemic division, community spread epidemic, and close contacts. Cases were found, cases occurred in the community or outbreaks, and community-borne epidemics had been proposed for the prevention and control strategies and specific measures.

  

  Related Links: Notice on Strengthening Community Prevention and Control of Pneumonia Outbreaks of New Coronavirus Infection


Source: National Health Commission website
 
Notice of the General Office of the State Council on Extending the Spring Festival Holiday of 2020

2020-01-27



  State-owned invention power [2020] No. 1

  People's governments of provinces, autonomous regions, and municipalities directly under the Central Government, ministries and commissions of the State Council, and agencies directly under the Central Government:

  With the approval of the State Council, in order to strengthen the prevention and control of pneumonia epidemic of new coronavirus infection, effectively reduce the gathering of people, block the spread of the epidemic, and better protect the lives and health of the people, the specific arrangements for extending the Spring Festival holiday in 2020 are now notified as follows .

  I. Extend the Spring Festival holiday of 2020 to February 2 (the ninth day of the first lunar month and Sunday), and work normally from February 3 (Monday).

  Second, the tertiary institutions, primary and secondary schools, kindergartens postponed the start of school, the specific time will be notified separately by the education department.

  3. Employees who cannot take vacation due to epidemic prevention and control shall arrange compensatory leave in accordance with the Labor Law of the People's Republic of China. Wages and salaries for unleaved leave shall be guaranteed in accordance with relevant policies.

  Office of the State Council


  January 26, 2020
 
Update on pneumonia of new coronavirus infection as of 24:00 on January 26

2020-01-27

  At 02:00 on January 26, 30 provinces (autonomous regions and municipalities) reported 769 new confirmed cases, 137 severe cases, 24 new deaths (24 cases in Hubei Province), and newly cured discharged cases. 2 cases, 3806 suspected cases were newly added.

  As of 24:00 on January 26, the National Health and Health Commission had received a total of 2,744 confirmed cases in 30 provinces (autonomous regions and municipalities), 461 cases of severe cases, 80 cases of deaths, and 51 cases of hospitalized cures. There are 5794 suspected cases.

  At present, 32,799 close contacts have been traced, 583 people were released from medical observation on the same day, and 30,453 people are currently receiving medical observation.

  A total of confirmed cases were reported from Hong Kong, Macao and Taiwan: 8 cases from Hong Kong Special Administrative Region, 5 cases from Macao Special Administrative Region, and 4 cases from Taiwan.

  In addition, accumulative confirmed cases were reported from abroad: 7 in Thailand, 3 in Japan, 3 in South Korea, 3 in the United States, 2 in Vietnam, 4 in Singapore, 3 in Malaysia, 1 in Nepal, 3 in France, and 4 in Australia.




Source: National Health Commission website
 
National Pathogen Microbial Resource Bank Announces New Coronavirus Isolated from First Environmental Sample

2020-01-27

In order to do a good job in the prevention and control of pneumonia epidemic of new-type coronavirus infection, and to play the role of the science and technology resource sharing service of the national pathogenic microorganism resource bank, on January 27, 2020, the national pathogenic microorganism resource bank once again released the virus disease

The Chinese and English names and numbers (NPRC 2020.00002) of the first new type of coronavirus isolated from environmental samples successfully isolated by the Institute of Prevention and Control of China and their electron micrographs, new coronavirus nucleic acid detection primers and probe sequences were released for the first time in the world.

Important authoritative information, and provide shared services, link: http://nmdc.cn/#/nCoV .


W020200127417305730682 - coronavirus.jpg
 
Update on pneumonia of new coronavirus infection as of 24:00 on January 27

2020-01-28
trsfenxiang.png





  At 04:00 on January 27, 30 provinces (autonomous regions and municipalities) reported 1771 newly confirmed cases, 515 severe cases, and 26 new deaths (24 in Hubei Province, 1 in Beijing, Hainan). 1 case in the province), 9 new cases were cured and discharged, and 2077 new cases were suspected.

  As of 24:00 on January 27, the National Health and Health Commission had received a total of 4,515 confirmed cases, 30 of which were 976 cases of severe cases, 106 cases of deaths, and 60 cases of discharged patients. There are 6973 suspected cases.

  At present, 47,833 close contacts have been tracked. Of the 914 people who were released from medical observation on the same day, 44,132 people are currently receiving medical observation.

  Accumulated notifications were received from Hong Kong, Macao and Taiwan: 8 cases from Hong Kong Special Administrative Region, 7 cases from Macao Special Administrative Region, and 5 cases from Taiwan.




Source: National Health Commission website
 
Notice on Printing and Distributing Pneumonia Diagnosis and Treatment Plan for New Coronavirus Infection (Trial Version 4)

2020-01-28

  Provinces, autonomous regions, municipalities directly under the Central Government, Xinjiang Production and Construction Corps Health and Health Committee, and Chinese medicine management departments:

  In order to further complete the diagnosis and medical treatment of pneumonitis cases with new type of coronavirus infection, we organized experts to revise the diagnosis and treatment plan, and formed the "New Coronavirus infection pneumonia diagnosis and treatment plan (trial version 4). Is now issued to you, please refer to the implementation. Relevant medical institutions should actively play the role of traditional Chinese medicine in medical treatment, strengthen the integration of traditional Chinese and western medicine, establish a system of consultation of traditional Chinese and western medicine, and promote good results in medical treatment.

  Attachment: New Coronavirus Infected Pneumonia Diagnosis and Treatment Plan (Trial Version 4)
 
Google translation

2019 New Coronavirus Epidemic Progress and Risk Assessment

Epidemic update and risk assessment of 2019 Novel Coronavirus



Primary response to pneumonia outbreak of new coronavirus infection in the Chinese Center for Disease Control and Prevention
Situation Analysis and Risk Assessment Team

January 28, 2020


Summary:
Based on the results of traceability investigations and tests, the incidence of disease, and knowledge of the new coronavirus,
The 2019 new coronavirus is believed to have originated from wild animals, but the specific animals are not clear. Although the virus from
Did the animal-to-human spillover and complete the adaptive mutation process occur in Wuhan South China Seafood Wholesale Market
Further confirmation is needed, but Wuhan South China Seafood Wholesale Market is the main source of infection for early cases
Ground.

As of 24:00 on January 27, the National Health and Health Commission had received reports from 30 provinces (autonomous regions and municipalities) in the Mainland.
A total of 4,515 confirmed cases were reported, 976 were severe cases, and a total of 106 died;
Confirmed cases received from Hong Kong, Macao and Taiwan: 8 cases from Hong Kong Special Administrative Region and 7 cases from Macau Special Administrative Region
Cases, 5 cases in Taiwan. As of January 26, 10 countries have reported confirmed cases: 7 in Thailand.
3 in Japan, 3 in South Korea, 3 in the United States, 2 in Vietnam, 4 in Singapore, and 3 in Malaysia.
There was 1 case in Nepal, 3 in France and 4 in Australia.

Governments at all levels in China have adopted strong prevention and control measures.
Public awareness of disease prevention, reducing infection by stopping large gatherings, wearing masks, reducing private gatherings, etc.
Opportunities to promote early case detection using mobile phone tracking, travel, and visits to relatives and friends
To manage and reduce the chance of further transmission, and to do a good job in controlling hospital infections and preventing nosocomial infections. Wuhan
City buses, subways, ferries, and long-distance passenger operations are suspended; citizens do not leave Wuhan for no special reason;
The airport and railway station are temporarily closed. The other 12 cities in Hubei Province have also started differently
Degree of public transport regulation.

2019 New coronavirus has spread from entering the population for more than a month, and it is still in the community.
Early stages. The conclusion of this period's risk assessment is the same as that of the previous period, namely:
The implementation of the implementation is expected to make the epidemic containment work achieve the desired prevention and control effect and avoid greater regulation of the immune situation.

The popularity of the model and even the pandemic.

I. Incident development process
On December 29, 2019, the health departments of Hubei and Wuhan received a local medical
The hospital reported a cluster of cases of pneumonia of unknown origin.All 4 patients were from the South China Seafood Wholesale Market.
Health workers; on the 30th, the health departments of Hubei and Wuhan initiated investigations and case searches; 31
Day, National Health and Health Commission and China CDC Involved in Investigation and Response Work, Wuhan
The municipal government issued information on outbreaks to the community.
On January 1, 2020, based on the preliminary survey results, the South China Seafood Wholesale Market was closed;
On January 3, Wuhan initiated surveillance of unexplained viral pneumonia, case investigations,
The South China Seafood Market's environmental and animal surveys and specimen collection were reported to the World Health Organization,
Peripheral countries and regions notified relevant information. January 8 confirms new coronavirus for this purpose
The cause of the outbreak. On January 10, the China Centers for Disease Control and Prevention
Shared the entire genetic sequence of the virus. After January 10, China CDC and other institutions and enterprises
A PCR test kit was developed and tested for the detection and diagnosis of suspected cases in Wuhan.
On January 15th, the National Health and Health Commission issued the diagnosis and treatment of pneumonia and prevention of new coronavirus infection.
Control plan, standardize case monitoring, reporting, diagnosis and treatment, management, close contact management, experiment
Room detection. On January 20, the State Council agreed to include new coronavirus pneumonia in the infectious disease law
And health and quarantine laws, and launched nationwide emergency prevention and control. January 21, China
The CDC publishes probe and primer sequences for PCR reagents. From January 23, Wuhan, Hubei
And other cities and cities have adopted different levels of suspension of urban public transportation. Communist China on January 25
The Party Central Committee set up a leading group for response to the epidemic, under the leadership of the Standing Committee of the Political Bureau of the Central Committee
Carry out pneumonia epidemic prevention and control of new coronavirus infection, and comprehensively upgrade the prevention and control response level.

2. Epidemic situation and awareness of key diseases (keysymptoms? GvdH)

(I) Progress of the epidemic

At 04:00 on January 27th, 30 provinces (autonomous regions and municipalities) reported newly confirmed cases 1771
Cases, 515 severe cases, 26 deaths, and cured cases
Nine cases were suspected, and 2,077 new cases were suspected. As of 24:00 on January 27, national health
The Commission received a total of 4,515 confirmed cases in 30 provinces (autonomous regions and municipalities), and currently has severe cases
976 cases, a total of 106 deaths, and a total of 60 patients were discharged from the hospital. Suspected case
6973 cases. A total of 47,833 close contacts have been tracked, and 44,132 people are currently
Get medical observation. Accumulated notification cases received from Hong Kong, Macao and Taiwan: Hong Kong Special Administrative Region
There were 8 cases, 7 cases in Macao Special Administrative Region, and 5 cases in Taiwan. 1
As of January 26, 10 countries have reported confirmed cases: 7 in Thailand and 3 in Japan.
3 cases in South Korea, 3 cases in the United States, 2 cases in Vietnam, 4 cases in Singapore, 3 cases in Malaysia, and Nepali
There were 1 case, 3 cases in France, and 4 cases in Australia.
Figure 1 Schematic diagram of the distribution of new coronavirus cases in China in 2019 (as of 24:00, January 27, 2020)

1 http://www.nhc.gov.cn/xcs/yqtb/20200...509079e6.shtml



EPSEWQWXUAIWyrW.jpg - Click image for larger version  Name:	EPSEWQWXUAIWyrW.jpg Views:	0 Size:	51.3 KB ID:	825389

Figure 2 Daily epidemic curve of new coronavirus cases in Mainland China in 2019
(As of 24:00 on January 27, 2020)


The epidemic situation of new coronavirus in Wuhan is still spreading, and the number of cases is increasing.
The virus has spread to Huanggang, Xiaogan, Jingmen, Enshi, Xiantao, etc. outside Wuhan
city. With the exception of Hubei, cases have been reported in 29 provinces in the Mainland. Currently, the vast majority of cases
Related to Wuhan, some cases are secondary cases.
Due to obvious community transmission in Wuhan and parts of Hubei Province, coupled with disease
Early symptoms of the disease are mild and there are mild cases, it is difficult to be diagnosed and isolated in time, causing social
The accumulation of infectious sources in the area makes it more difficult to control the spread of the disease. In the future, Wuhan
The number of cases in Hubei will continue to increase. Wuhan, Huanggang, Xiaogan, Hubei
In other places, we have suspended public transportation, stopped crowd gathering activities, strengthened community prevention and control, and actively
Measures such as detection and examination of fever patients and intensification of patient admission have significantly increased prevention and control efforts
Strong. The implementation of these measures will have a positive impact on the effective control of the epidemic.
Provinces (municipalities / autonomous regions) outside Hubei are still dominated by imported epidemics
At this stage, no obvious community transmission has occurred. At present, all provinces have launched high-level emergency response

Should take strong actions, adopt a variety of measures and technical means, strictly investigate and control, and timely
Identify and early isolate imported cases and subsequent infections, and resolutely curb community transmission.

(2) Changes in case definition

Definition of suspected case
The first edition of the "Pneumonia Diagnosis and Treatment Program for New Coronavirus Infection" on January 15
"Checking a case" is defined as meeting the following two at the same time: First, epidemiological history, within two weeks before the onset of illness
Have Wuhan travel history, or relevant markets in Wuhan, especially farmers' markets directly or indirectly
Touch history. The second is the clinical manifestations: fever, pneumonia imaging features, total white blood cells in the early stages of onset
Normal or decreased counts, or decreased lymphocyte counts, after 3 days of standard antibacterial treatment (see
According to the Chinese Adult Community Acquired Pneumonia Diagnosis and
Treatment Guide (2016 Edition) and National Community Health Committee's "Child Community Acquired Pneumonia Diagnosis"
Treatment Standards (2019 Edition) "), no significant improvement or progressive exacerbation of the condition.

On January 18, the second edition of the treatment plan changed the name of "observed case" to "suspected disease"
". Given the suspected cases of no market exposure in some areas outside Hubei Province,
Suspected cases are defined as meeting both of the following, one is epidemiological history, two weeks before onset
Have a history of travel or residence in Wuhan; or have been in Wuhan within 14 days before the onset of illness
Of patients with fever with respiratory symptoms or clustered onset. Second, the clinical manifestations have
Fever with imaging characteristics of pneumonia described in the diagnosis and treatment plan; normal white blood cells in the early stages of onset
Or decreased, or decreased lymphocyte count. Go to the "3 days of standard antibacterial treatment" standard
The goal is to diagnose cases as early as possible. First new type of coronary disease in provinces other than Hubei
Suspected cases of pneumonia due to viral infection need to be tested for viral nucleic acid positive by the provincial CDC.
The National Center for Disease Control and Prevention or a third-party testing agency has performed a positive nucleic acid test review.
The diagnosis group under the Health Committee's Epidemic Response Leadership Group is based on the clinical manifestations and prevalence of the case.
Medical history, laboratory test results, etc. were evaluated and confirmed.


On January 22, the definition of suspected cases in the third edition of the treatment plan was the same as in the second edition. But doubt
Changes in reporting procedures for similar cases: medical staff at all levels and types of medical institutions
Suspected cases as defined by the case should be treated in isolation and reported to the medical institution
Relevant departments and disease control centers under the jurisdiction, medical institutions organize the hospital or district (county) within 2 hours
Relevant expert consultations, such as viral pneumonia caused by common respiratory pathogens,
Specimens should be collected in time for pathogen detection.

On January 27, suspected cases in the fourth edition of the treatment plan were defined in the third edition of the treatment plan.
On the basis, the content of epidemiological history has been added. Article 3
There are epidemiological associations in cases and positive testers. Suspected cases are defined by any
Which one is consistent with any two of the clinical manifestations; if there is no clear epidemiological history, it is consistent with clinical
3 in the performance.

2. Definition of confirmed cases
The confirmed cases in the first version of the diagnosis and treatment plan were defined as:
Sputum, pharyngeal swabs and other respiratory specimens were sequenced for the entire genome of the virus, and
The virus is highly homologous.
The second edition of the diagnosis and treatment plan defines confirmed cases as: the basis for meeting the criteria for suspected cases
Upper, sputum, throat swabs, lower respiratory tract secretions and other specimens were tested by real-time fluorescent RT-PCR
New coronavirus is positive for nucleic acid; or viral gene sequencing, with high levels of known new coronavirus
Degree of homology. On the basis of confirmed suspected cases, by China CDC or a third-party testing machine
The genetic sequence of the virus is highly homologous to the new coronavirus.
The diagnosis group under the treatment leadership group is based on the clinical manifestations, epidemiological history, and experiments of the case.
The results of laboratory tests are evaluated and confirmed.
The definition of confirmed cases in the third edition of the treatment plan is the same as in the second edition. Confirmation procedures changed
The first case in other provinces can be sent by the provincial CDC to the Chinese CDC or designated


Third-party review, no longer evaluated by the diagnostic team under the National Health Epidemic Response Leadership Group
Estimate confirmation.
The definition of confirmed cases in the fourth edition of the diagnosis and treatment plan is basically the same as that in the third edition.
Real-time fluorescent RT-PCR of liquid specimens was positive for new coronavirus nucleic acids. Confirmation procedures changed
It is the first confirmed case or clustered case of pneumonia of new type coronavirus infection in various regions.
(City) level disease control agencies conduct review and confirmation. For specimens from clustered cases, the original
Specimens were sent to provincial and national disease control agencies for further identification. If there is a large-scale agency
During continuous transmission in the district, the designated medical device shall be evaluated and approved by the local (municipal) disease control agency.
Confirmation by the laboratory.

(Three) the current awareness of key diseases
Main symptoms are fever, fatigue, and dry cough. Few patients have nasal congestion, runny nose, abdomen
Diarrhea and other symptoms. Severe cases develop dyspnea after one week, and severe cases progress rapidly to acute
Respiratory distress syndrome, septic shock, difficult-to-correct metabolic acidosis, and coagulation function
Energy barrier.

It is worth noting that in the course of severe and critically ill patients, there can be moderate to low fever, or even no fever.

Obvious fever. Some patients only show low fever, mild fatigue, etc., without pneumonia manifestations, mostly in
Recovered after 1 week.

The male-to-female ratio found so far is 1.2: 1. Median age is 48

The range is from 9 months to 96 years, and less than 0.6% of cases are under 15 years of age. Incubation period
3 to 7 days, up to 14 days.

Patients with underlying diseases and older age are more likely to develop
Severe illness and death.


New coronavirus nucleus has been detected in influenza-like case surveillance specimens

Acid-positive and evidence of recessive infection, so it is speculated that the severity and mortality may be lower than current
Severe cases and deaths accounted for the proportion of confirmed cases. Specific clinical infection profile remains to be seen

Further research on the evidence.
Based on the results of traceability investigations and tests, the incidence and identification of new coronaviruses
We know that the new coronavirus 2019 is believed to originate from wild animals, but the specific animals are still unknown

Chu. Although the virus spillover from animals to humans and the completion of the adaptive mutation process occurred in Wuhan
The Hanhua South Seafood Wholesale Market needs further confirmation, but the Wuhan South China Seafood Wholesale Market is an epidemic.
The main source of infection in early cases. Current evidence suggests the main route of transmission of the virus
Mainly for respiratory droplet transmission and close contact transmission. The virus is highly contagious,
Interpersonal Communication Index (R0) is between 2 and 3. There is no reliable evidence that the disease
Contagious during the incubation period.

3. Public health measures
(1) Prevention and control during the spread period with the South China Seafood Wholesale Market as the center
The preliminary investigation recognized the epidemic surrounding the South China Seafood Wholesale Market
 
Update on pneumonia of new coronavirus infection as of 24:00 on January 28

2020-01-29

At 04:00 on January 28th, 31 provinces (autonomous regions and municipalities) reported 1459 new confirmed cases, 263 new severe cases, and 26 new deaths (25 in Hubei and 1 in Henan) 43 new cases were cured and discharged, and 3248 suspected cases were added (including 1 in Tibet).



  As of 24:00 on January 28, the National Health and Health Commission had received a total of 5,974 confirmed cases in 31 provinces ( autonomous regions, municipalities) , 1,239 cases of severe cases, 132 deaths, and 103 cases cured and discharged. There are 9239 suspected cases.

  At present, 65,537 close contacts have been tracked, 1,604 medical observations were cancelled on the same day, and 59,990 people are currently undergoing medical observations.

  Accumulated confirmed cases were received from Hong Kong, Macao and Taiwan: 8 cases from Hong Kong Special Administrative Region, 7 cases from Macao Special Administrative Region, and 8 cases from Taiwan.




Source: National Health and Health Commission website
 
Published in China 丨 China Centers for Disease Control and Prevention:
Infants and young children infected with new type of coronavirus pneumonia have milder clinical symptoms
Published: 2020-01-29 17:01:07 | Source: China Network | Author: Yao Peng

China Net, January 29 (Reporter Peng Yao) Feng Zijian, deputy director of the China Centers for Disease Control and Prevention, said at a press conference of the National Health and Medical Commission on the 29th that from the current surveillance of the epidemic, some cases of children and infants were indeed found However, the clinical symptoms and clinical conditions of these cases are relatively mild. Middle-aged and elderly people, mainly those with chronic underlying diseases, have a relatively high risk of developing severe illness.

The China Centers for Disease Control and Prevention recommends that during the epidemic prevention and control process, especially in areas with high epidemic outbreaks, the protection of children and the elderly should be strengthened. When the elderly go out, they should minimize their activities in public places and minimize public trips. For transportation, you must wear a mask when traveling.

In the family, children should reduce going out, especially to places where people are intensive. If the family has a corresponding upper respiratory infection, protect children and young children.


http://news.china.com.cn/txt/2020-01...t_75657023.htm
 
Update on pneumonia of new coronavirus infections as of 24:00 on January 30

2020-01-31

   At 04:00 on January 30, 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps reported 1982 new confirmed cases, 157 severe cases, and 43 new deaths (42 cases in Hubei Province, Heilongjiang Province). 1 case in the province), 47 new cases were cured and discharged, and 4812 new cases were suspected.

  As of 2400 on January 30, the National Health and Health Commission has received a total of 9,692 confirmed cases (31 cases in Sichuan Province were subtracted from the cumulative confirmed cases) in 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, and 1,527 severe cases have been reported. A total of 213 deaths and 171 cases were cured and discharged, with a total of 15,238 suspected cases.

  At present, a total of 1,13579 close contacts have been tracked (21 cases of reductions in Beijing). On the day, 4,201 people were released from medical observation, and a total of 102,427 people were receiving medical observation.

  A total of 28 confirmed cases were reported from Hong Kong, Macao, and Taiwan: 12 from the Hong Kong Special Administrative Region, 7 from the Macao Special Administrative Region, and 9 from Taiwan.


  (Information comes from the official website of the National Health Commission)
 
Update on pneumonia of new coronavirus infections as of 24:00 on February 2

2020-02-03

  At 04:00 on February 2nd, 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps reported 2829 newly diagnosed cases (2103 cases in Hubei Province) and 186 new severe cases (139 cases in Hubei Province). There were 57 more deaths (56 in Hubei Province and 1 in Chongqing City), 147 newly cured cases (80 in Hubei Province), and 5173 new suspected cases (3260 Hubei Province).

  As of 24:00 on February 2nd, the National Health and Health Commission has received a total of 17,205 confirmed cases ( 31 cases in Beijing and 1 case in Jiangxi Province) of confirmed cases in 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps . There were 2296 cases, a total of 361 deaths, a total of 475 cases cured and discharged, and a total of 21,558 suspected cases.

  At present, 1,895,83 close contacts have been traced. Of the 1,055 medical observations released on the day, a total of 152,700 people are receiving medical observations.

  A total of 33 confirmed cases were reported in Hong Kong, Macao and Taiwan: 15 in the Hong Kong Special Administrative Region, 8 in the Macao Special Administrative Region, and 10 in Taiwan.


  (Information comes from the official website of the National Health Commission)
 
Notice on Establishing a Psychological Assistance Hotline for Outbreak Response

2020-02-03


  Mechanism of pneumonia [2020] No. 18

  Provincial, autonomous region, and municipality-level joint prevention and control mechanisms for pneumonia epidemic in response to new coronavirus infection (leading group, headquarters):

  At present, the prevention and control of pneumonia outbreaks of new coronavirus infections are at a critical period. 31 provinces have initiated a first-level response to major public health emergencies and launched an outbreak prevention and control campaign. In order to do a good job in preventing and controlling the social and psychological services of the epidemic, provide the public with psychological support, psychological counseling and other services, prevent and mitigate the psychological distress caused by the epidemic, and prevent extreme events caused by psychological pressure. The psychological assistance hotline (hereinafter referred to as the "psychological hotline") has been set up on the epidemic situation, and the relevant requirements are notified as follows:

  I. Provincial or prefecture-level health administrative departments must take responsibility, organize and coordinate local psychological hotlines, set up hotline technical expert groups, and provide technical support. It is necessary to evaluate the service capabilities of the psychological hotlines opened by social organizations such as health, education, civil affairs departments, societies, associations, etc. as soon as possible, rely on the conditional hotlines to set up special seats, and open special psychological assistance lines for epidemic response. Each hotline has at least 2 seats, and provides 24-hour free psychological services in accordance with local public needs. Local governments should provide appropriate funding subsidies to the hotline sponsors.

  2. All localities should publicize the psychological hotline telephone number to the society in a timely manner through various media such as television and official websites, so as to let the masses know widely. Where conditions permit, they should apply to the telecommunications department for the opening of the hotline telephone number, which is convenient for the people to remember and dial.

  3. The local health and health administrative departments shall guide and coordinate the hotline host organization to form and enrich the hotline work team as soon as possible, and encourage mental health, psychological professionals, and qualified psychosocial service volunteers who have experience in psychological counseling and psychological crisis intervention. Participate in hotline services. Various localities should follow the issued Guidelines for Emergency Psychological Crisis Intervention for Pneumonia Epidemic Situation of New Coronavirus Infection (Pneumonia Mechanism Issue [2020] No. 8 can be downloaded from the official website of the National Health and Health Commission), and the key points of psychological crisis intervention for different groups , Provide targeted training and technical support and supervision to the hotline staff.

  4. All regions should strengthen the management of psychological hotlines, use standardized hotline service procedures, follow the ethical principles of psychological hotline services, regularly analyze and summarize the information of call consultations, understand and grasp the hot spots of public concern and the psychological state of various types of callers, and make a good evaluation. And anticipation. When a prominent problem is found or a stress event may occur, the relevant information should be reported to the local health and health administration department in a timely manner.


  State Council responds to new coronavirus infection

  Joint prevention and control mechanism of pneumonia
 
From China CDC: 2020 02 03

please follow link below for the original page, incl interactive graph, map, case counts.


Red = New diagnoses - 2,831 as of febr 2

Yellow = New suspects - 5,173 as of febr 2


interactieve kaart cdc china.png - Click image for larger version  Name:	interactieve kaart cdc china.png Views:	0 Size:	25.2 KB ID:	827204
 
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