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China - Original COVID-19 coronavirus news thread: weeks 1 - 4 (December 30, 2019 - January 25, 2020)

Wuhan Municipal Health and Health Committee's Report on Unexplained Viral Pneumonia
Issuing authority: Wuhan City health committee | Published: 2020-01-05 20:33:24 | Hits: 6312 | Font Size: Da Zhong Small
Since December 31, 2019, our committee has carried out search and retrospective investigation of viral pneumonia cases of unknown cause in the city. As of An 8:00 on January 5, 2020, a total of 59 patients with unexplained diagnosis of viral pneumonia were reported in our city, including 7 critically ill patients, and the remaining patients' overall vital signs were stable. At present, all patients are being isolated in medical institutions in Wuhan Treatment, no deaths. Among the 59 patients, the earliest onset of the case was December 12, 2019, and the latest onset was December 29; 163 close contacts have been followed up for medical observation, and the follow-up of close contacts is still in progress .

An epidemiological survey showed that some patients were operating households in Wuhan South China Seafood City (South China Seafood Wholesale Market). As of now, preliminary investigations have shown no clear evidence of human-to-human transmission and no medical staff infections. Respiratory pathogens such as influenza, avian influenza, adenovirus, infectious atypical pneumonia ( SARS) and the Middle East Respiratory Syndrome (MERS) have been excluded . Pathogen identification and cause tracing are still underway.

At present, with the support of the state and Hubei Province, Wuhan has adopted the following main prevention and control measures: First, it is to treat patients with all its strength. The second is to carry out isolation treatment for all cases. The third is to continue to conduct relevant case searches and retrospective investigations in medical institutions throughout the city. The fourth is to carry out close contact tracking seriously, implement medical observation on the close contacts that have been tracked according to regulations, and have not found any abnormal symptoms such as fever. Fifth, we will take measures to suspend the market for South China Seafood City, and carry out environmental sanitation and further hygiene investigations. Sixth, actively carry out epidemiological investigations. Seventh, cooperate with the state and province to carry out pathogen identification (including nucleic acid detection and virus isolation and cultivation) and trace the cause of the cause, and prevention and control work is proceeding in an orderly manner.

Experts suggest that the city is currently in the season of high incidence of infectious diseases in winter and spring. Citizens should pay attention to maintaining indoor air circulation to avoid closed and airless public places and crowded places. Wear masks when necessary. If you have fever, respiratory infection symptoms, especially persistent fever, go to a medical institution in time.
http://wjw.wuhan.gov.cn/front/web/sh.../2020010509020

Good. SARS and MERS ruled out. An increase to 59 cases, but all cases with onset before December 29. I hope they are still testing for things other than viruses, and I hope we get an explanation for what now appears to be a false-positive for SARS. This looks like a single, perhaps ongoing, mass exposure.
 
Singapore announced they have one case of a girl who traveled to Wuhan and came down with some symptoms.

https://www.straitstimes.com/singapo...dentified-here

A Google Translation of a Chinese news article states that they now feel her case is not related to the Wuhan outbreak.

https://www.singtao.ca/4018562/2020-...?variant=zh-hk

Singapore's Ministry of Health: Chinese girl confirmed to be unrelated to unknown pneumonia


Unknown viral pneumonia outbreak in Wuhan, the Ministry of Health of Singapore announced that earlier suspected cases of Chinese girls have been confirmed to have nothing to do with Wuhan pneumonia. As of 3 pm today, no new suspicious cases of Wuhan viral pneumonia have appeared in Singapore.

The Ministry of Health of Singapore said that yesterday ’s epidemiological survey, clinical evaluation and laboratory results showed that a 3-year-old Chinese girl who had been to Wuhan has been confirmed to have nothing to do with Wuhan pneumonia. (MERS) was also negative. The girl was infected with respiratory syncytial virus, which is common in children with respiratory infections.

Here is the English announcement from the Singapore Health Ministry:

https://www.moh.gov.sg/news-highligh...in-wuhan-5-jan

5TH JAN 2020 UPDATE

As of 3pm, 5 January 2020, the Ministry of Health (MOH) has not been notified of any new suspect cases.

Epidemiological investigations, clinical assessment and laboratory test results from the suspect case reported on 4 January 2020 involving a 3 year-old female Chinese national with pneumonia and travel history to Wuhan have found that the case is not linked to the pneumonia cluster in Wuhan. The case has also tested negative for SARS and MERS-CoV. The cause of her pneumonia is Respiratory Syncytial Virus, a common cause for childhood respiratory infection.

As medical practitioners are on the lookout for cases with pneumonia who have recently returned from Wuhan, Singapore is likely to see more suspect cases that will need to be investigated for possible links to the Wuhan cluster. MOH will continue to monitor the situation closely. We urge the public to remain vigilant and to adopt good personal hygiene practices at all times. Travellers to Wuhan should monitor their health closely and seek medical attention promptly if they feel unwell, and also inform their doctor of their travel history.
 
Contacts increased slightly to 163. It seems some of the more seriously ill cases might be recovering, as only 7 severe cases now, down from 11 two days ago.

https://www.straitstimes.com/asia/e...eumonia-outbreak-is-not-sars-mers-or-bird-flu

BEIJING (REUTERS) - Chinese healthcare authorities in Wuhan said an outbreak of viral pneumonia was not Severe Acute Respiratory Syndrome (Sars), Middle East respiratory syndrome (Mers) or bird flu, and that they were still working to identify the cause and source.
In a statement posted on its website on Sunday night (Jan 5), the Wuhan Municipal Health Commission said a total of 59 cases of unknown viral pneumonia had been reported as of Sunday, including seven in a critical condition.
It also said it had put 163 people who had had contacts with the patients under medical observation.

[snip]
 
Translation Google

[Wuhan pneumonia] He Bailiang expects that the virus has been latent in patients in early December.

Society 22:28 2020/01/05

The number of unexplained pneumonia cases in Wuhan City of Hubei Province has increased. The Wuhan Municipal Health and Health Committee recently notified that as of 8:00 tonight (59th), 59 cases have appeared, of which 7 are in serious condition and no deaths. Some of the patients are in South China Wuhan Seafood City operator. Some experts believe that the virus has lurked in the patients of the first case at the beginning of last month. They also believe that a large number of cases have occurred in a short period of time, and it is expected that the South China Seafood City has "super spread".

He Bailiang, director of the Center for Infection and Infectious Diseases of the University of Hong Kong, believes that only 24 days have elapsed since the first case broke out last month. There have been 59 cases, and most of them are related to South China Seafood City. The situation of "super spread" and even "super spreaders" is similar to the pattern of transmission of SARS's 8A Ward and Amoy Gardens in 2003. It is expected that the incident will continue to develop.

First case expected to be infected in early December

How to take the coronavirus incubation period of SARS and Middle East Respiratory Syndrome as an example, it is estimated that most of the incubation period is within one week. He believes that the first suspected animal-to-human incident should occur between the first week of December and the beginning of the second week.

He pointed out that the mainland authorities are still conducting further virus identification and believe that it is likely that they have grasped the initial clues and are in the process of confirmation. In the case of newly emerging infectious disease viruses, according to international practice, two high-standard laboratories are required to independently test the same results. Is it appropriate to announce that the virus is the causative agent of this outbreak.

Looking for a quick test of viral gene map design

He hopes that the Mainland will adopt a more transparent approach, issue more epidemiological information on 59 cases, and release the genetic map of the virus as soon as possible once the virus is confirmed. He pointed out that the map can be used to design rapid tests to detect a large number of suspected cases.

He suggested that the public should start immediately. Improving personal hygiene measures is believed to be an effective way to prevent illness, including wearing surgical masks in hospitals and many places. In addition, it is not ruled out that new viruses are suspected of being transmitted by animals. People should avoid visiting mainland hospitals and wet markets. , Especially places where game and wildlife are sold.

Editor-in-chief: Wu Zhuofeng

https://topick.hket.com/article/2534152/【武漢肺炎】何栢良料12月初病毒已潛伏病人體內 海鮮城或有超級傳播
 
Translation Google

[Wuhan pneumonia] He Bailiang expects that the virus has been latent in patients in early December.

Society 22:28 2020/01/05

The number of unexplained pneumonia cases in Wuhan City of Hubei Province has increased. The Wuhan Municipal Health and Health Committee recently notified that as of 8:00 tonight (59th), 59 cases have appeared, of which 7 are in serious condition and no deaths. Some of the patients are in South China Wuhan Seafood City operator. Some experts believe that the virus has lurked in the patients of the first case at the beginning of last month. They also believe that a large number of cases have occurred in a short period of time, and it is expected that the South China Seafood City has "super spread".

He Bailiang, director of the Center for Infection and Infectious Diseases of the University of Hong Kong, believes that only 24 days have elapsed since the first case broke out last month. There have been 59 cases, and most of them are related to South China Seafood City. The situation of "super spread" and even "super spreaders" is similar to the pattern of transmission of SARS's 8A Ward and Amoy Gardens in 2003. It is expected that the incident will continue to develop.

First case expected to be infected in early December....

https://topick.hket.com/article/2534...82%B3%E6%92%AD

In regard to the above comments please see this thread:

China - Doctor, 51, with severe pneumonia moved to isolation on Dec. 31 - on experimental drugs - Dongguan, Guangdong province - January 4, 2020


Not the same province but the onset of his disease was early December and after a month of hospitalized non-productive treatment they moved him into isolation on the same day that the news broke about the Wuhan mystery pneumonia situation. He is also newly on an experimental treatment. Possibly standard treatment failed.
 
[h=1]CUHK woman goes to private hospital for suspected pneumonia[/h] January 6, 2020 (Mon)

A CUHK girl who developed symptoms after arriving in Wuhan was finally sent to Weiyuan for treatment.

The number of suspected pneumonia cases in Wuhan in Hong Kong has so far totaled 16. However, it is understood that a 20-year-old girl who had visited Wuhan recently and had symptoms such as fever went to a private hospital for treatment this morning (5th). The hospital asked to go to a public hospital for treatment by herself, but she He did not seek medical advice afterwards. The Centre for Health Protection confirmed the incident and stated that after learning of the case, the centre had taken the initiative to contact the relevant hospital to follow up and arranged for her to be sent to Prince of Wales Hospital for further treatment. According to the information released by the Centre for Health Protection, the currently published case does not include the girl. It is expected that this case is the 17th suspected case in Hong Kong.
The student union of the CUHK United College quoted school news in the evening as saying that a student of the United College Bethlehem dormitory had fever and cough. A staff of the Department of Health also visited the dormitory this evening.
CUHK confirmed that a student returned to Hong Kong on the 29th of last month and felt unwell last Saturday (4th). After returning to the dormitory on Sunday (5th), he went out to a private hospital for treatment, and then went to Shenzhen on his own. At the hospital inspection, the student returned to the dormitory in the evening. Accompanied by the ambulance staff, she went to the public hospital with her roommate for further examination.
According to the guidelines of the Center for Health Protection, the university cleaned the student's room, living floor and public places with bleach. The dormitory will also provide surgical masks and alcohol hand rubs for the students.
The Centre for Health Protection wrote letters to doctors and private hospitals on 31st and 3rd of this month to inform them of the information about Wuhan pneumonia case groups, calling on them to pay more attention and refer suspected cases to public hospitals for isolation and laboratory tests. And require private doctors and private hospitals to immediately notify the on-site health director of the Department of Health when reporting any compliance with enhanced surveillance to arrange for patients to be directly transferred to public hospitals for admission and isolation, and to implement corresponding infection control measures while patients are waiting for transfer .:tiphat:https://hk.on.cc/hk/bkn/cnt/news/20200105/bkn-20200105205704659-0105_00822_001.html
 
[h=1]A girl from CUHK dormitory went to Wuhan for a time and went to a private hospital for medical treatment[/h] 1/5/2020 — 22:24


Wuhan pneumonia continues to cause public concern. A 20-year-old woman who had been to Wuhan today went to Shatian Ren'an Hospital for medical treatment because of a fever. The hospital said that she would be isolated and transferred to the public hospital. She said she would go to a public hospital for medical treatment. The woman later went to the urban area of ​​Mong Kok, but did not go to the public hospital until the CHP contacted the woman and arranged for treatment at the Prince of Wales Hospital.

At night, some netizens found that there were three persons wearing protective clothing in the Bethlehem dormitory of CUHK United College, suspected of cleaning. A Weiyuan staff member disclosed to the "Stance News" that a female student of CUHK had gone to Weiyuan for medical treatment, and the same woman who had gone to Ren'an Hospital for medical treatment.

Ren'an Hospital responded. On the 5th of this month, a female patient who claimed to have visited Wuhan for medical treatment. During the shunting process, the nurse explained to the patient. After the consultation, she was to be quarantined and transferred to the public hospital. The patient later said that she would go there by herself. Seek medical advice from the public court. The hospital emphasized that none of the patients refused to seek medical treatment during the process.

According to the Oriental Daily and Apple Daily reports, a 20-year-old woman went to a private hospital for treatment due to pneumonia, but was refused by the hospital and asked to go to a public hospital on her own. According to the news quoted by "Apple", the woman went to Shatian Ren'an Hospital for medical treatment at 9 am this morning, stating that she had been to Wuhan, but did not go to a wet market or seafood market, but was asked to go to a public hospital And left her.

"Apple Daily" reported that a medical staff called the woman, but the woman claimed that she was in the urban area of ​​Mong Kok and did not want to go to a public hospital. She also claimed to the medical staff that she had returned to the mainland and did not seek medical treatment. The CHP then contacted the patient and arranged for her to go to Victoria Hospital for treatment.

The CHP responded to "Stance News" and stated that no relevant notification had been received. After learning about the case, the center has taken the initiative to contact the relevant hospital to follow up and successfully contacted the patient. The center stated that the patient was a 20-year-old woman who reported fever and symptoms of upper respiratory tract infection and had visited Wuhan within 14 days before the onset of the disease. The centre has arranged for her to be sent to Prince of Wales Hospital for further treatment...:tiphat:https://www.thestandnews.com/society/中大宿舍一女生疑曾到武漢-私院求醫被拒-衛生署安排送威院/
 
Wuhan "viral pneumonia" patients mostly work for merchants in South China seafood market

:tiphat:A long story on 6 different patients and their onsets dates and conditions and symptoms

2020-01-05
On January 2 and 3, in order to understand the daily work and diagnosis of patients, China Business News The reporter Bingfenduo stationed in the South Building of the Inpatient Department of Jinyintan Hospital (Wuhan Medical Treatment Center) and had at least 6 families of isolated patients who came to the 4th and 6th floors to get a lot of first-hand information.

At the end of 2019, an "unknown viral pneumonia" epidemic in Wuhan was touching.
Wuhan South China Seafood Wholesale Market, which was the earliest found and concentrated case of patients with "unknown cause of viral pneumonia" diagnosis, has been closed on the early morning of January 1, 2020 for environmental sanitation.

According to an official report by the Wuhan Health and Medical Commission on January 3, an epidemiological investigation revealed that some of the cases were merchants operating in South China Seafood Wholesale City. No clear evidence of human-to-human transmission was found, and no medical staff infection was found.

The market is located in the downtown area of ​​Hankou, Wuhan. It has been in business for more than 15 years, and its low and messy image contrasts with the high-rise buildings around Hankou Railway Station. The South China Seafood Wholesale Market has a total construction area of ​​50,000 square meters. It is the largest aquatic products wholesale market in central China. It is a seafood wholesale market that integrates seafood, chilled fish, aquatic products, and dry goods. It has more than 1,000 operating booths. The market is divided into east and west districts, separated by Xinhua Road.
The west district is mainly engaged in seafood and aquatic products, while the east district is dominated by poultry, shrimp and fresh seasonings.


Inside the market, mostly east-west cross streets are named, followed by east district first street and west district first street. "China Business Daily" reporters have repeatedly penetrated the market to see that the internal operating environment is forced, and each shop has an area of ​​less than 10 square meters. Because the market is mainly seafood and chilled, although the market will be disinfected regularly, the interior is slippery and dark, and the sanitary situation is not optimistic.

South China Seafood Wholesale City operates merchants and migrant workers. This originally ordinary group has recently received unprecedented attention. What kind of work and daily life do they have? How will they be resettled after the market closes? What kind of disease and treatment process did they experience? On January 2 and 3, in order to understand the daily work and diagnosis of patients, China Business News The reporter Bingfenduo stationed in the South Building of the Inpatient Department of Jinyintan Hospital (Wuhan Medical Treatment Center) and had at least 6 families of isolated patients who came to the 4th and 6th floors to get a lot of first-hand information.

I. Sister Wang (hereinafter referred to as "Sister Wang"):

My brother works at a stall that sells frozen products. The monthly salary is 5,000 yuan.


It is understood that the sister Wang family is from the Northeast and has been in Wuhan for more than 20 years. My brother works at a stall in Wuhan South China Seafood Wholesale Market that sells frozen products such as chicken, duck and fish. He goes to work at 3 a.m. every day, purchases from the Wuhan Baishazhou Agricultural and Sideline Products Market, and then ships it to the South China Seafood Wholesale Market for sale. In the evening Get off at 5:30.

"My younger brother works in the seafood market. He earns 5,000 yuan a month and works more than 12 hours a day." Sister Wang told a reporter from China Business Daily that her younger brother's job is to handle frozen products every day, and her hands have become a bit stiff. Numb. "My brother's working environment is not optimistic. The market is dirty all year round. I cover my nose every time I go, but even so, the market ’s passenger traffic is still considerable because the price is cheap."

Sister Wang said that her younger brother was transferred from Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology to Jinyintan Hospital at 2pm on December 31, 2019, and was admitted to the fourth floor of the South Building of the hospital's inpatient department. Whenever a patient transfers from another hospital to Jinyintan Hospital, the medical staff will ask "Is it a merchant in the South China Seafood Market" or have you ever visited the market and eaten seafood?

According to Sister Wang, her brother started to have fever symptoms on December 16 or 17, 2019, and after staying at home for “8 days”, she was admitted to Wuhan No. 6 Hospital because of a persistent high fever of about 40 degrees Celsius. "I was admitted to the hospital on December 24, 2019. On the day of the doctor's CT scan, I found that my brother's lungs had white shadows of nearly 1/3 area. On December 27, the area of ​​white shadows spread to 2/3, and we were immediately asked. Transfer to hospital. "Sister Wang told reporters.

Sister Wang said that now her brother is taking 7 bottles of medicines, including albumin and other drugs, at Jinyintan Hospital. On January 3, 2020, in addition to carrying items to her brother and the patient next door, Sister Wang also paid 10,000 yuan in advance to Jinyintan Hospital, and in the previous three days, she had spent a total of 4,000 at Jinyintan Hospital. yuan. Up to now, plus the previous treatment expenses, the Wang family spends about 43,000 yuan.

"My brother is 44 years old and has been renting a house in Wuhan." Sister Wang told reporters, "Now my brother has no money to treat the illness. It is our two sisters who are helping to collect money." According to his understanding, the patients admitted to Jinyintan Hospital Most of them worked hard, and many people tried their best to borrow money for medical treatment.

Second, the seafood market merchant Huang surname (Hua) surname:

Husband wife in the Eastern market selling pork has more than thirty years

At Wuhan Jinyintan Hospital, Mr. Huang told China Business Daily that her husband is 52 years old. Both husband and wife are working in the South China Seafood Wholesale Market and selling pork non-staple food products in the Eastern District.

"We have been in the meat wholesale business for a lifetime, and it has been more than 30 years. In recent years, we have been in the South China Seafood Wholesale Market." Said Mr. Huang.

The market was closed and her husband was hospitalized, but Mr. Huang did not stop working. She could only go to the hospital to learn about her husband's illness, deliver meals or daily supplies. "After the market was closed and some markets were closed, some of the goods from the business owners inside could not get out. I got up at 12 o'clock in the evening to pick up the goods outside and then send them to the hotel." Mr. Huang told reporters that many merchants in the market Many customers have accumulated over the years.

During the exchange, the reporter saw that Mr. Huang's hand was rough, and his fingers were frozen very red and swollen.

"My husband was transferred from another hospital to Jinyintan Hospital on December 31, 2019. The fever was not very serious before, more than 38 degrees, but the symptoms have not improved. After transferring to Jinyintan Hospital, he still has a fever. Mrs. Huang said.

According to Mr. Huang, her husband started to have symptoms of a cold and fever around December 25, 2019, and it has been more than a week now. At that time, I went to the Wuhan Central Hospital nearest to the South China Seafood Wholesale Market. I went to see that there was no hospitalization. Medical staff heard that the merchants in the seafood market suggested that we go directly to Jinyintan Hospital.

"When my husband first came, he lived on the 6th floor. When I heard that he was a merchant in the South China Seafood Wholesale Market, he moved to the fourth floor." Mr. Huang told reporters that most of the merchant patients in the South China Seafood Wholesale Market live in the fourth floor floor. After three days, the hospital paid 6,000 yuan in advance for hospitalization.

According to its introduction, patients in the South China Seafood Wholesale Market are mainly from the Western District, and less from the Eastern District. The Western District mainly sells seafood, chicken, duck and poultry frozen products, while the Eastern District sells more pork. "The goods in the market are the same in all parts of the country, and they are common in all parts of the country." Mrs. Huang said, "We are not sure whether the illness is related to the goods."

"I had a cold two or three days after my husband had a fever, and it took me two days to get an injection." Aunt Huang said. According to the reporter's understanding, the South China Seafood Wholesale Market environment has not been very good. Although it is also disinfected from time to time, the ventilation is poor. Most of the products sold are frozen products. After freezing, the environment is very humid.

Mr. Huang told reporters that a fire broke out in the western part of the market more than two months ago. A shop selling dry goods caught fire. It started to burn at 2:30 in the morning and burned to more than 7 o'clock before the fire was put out. "It was dried spices such as hot peppers. It was very smokey at the time, and it was particularly sultry. The 11th and 12th streets in the West District were completely burned.

3. Family members of the hotel chef :

"Pak Choi" often goes to the seafood market to buy goods almost every day

At noon on January 2, 2020, a reporter from the China Business Daily saw at the Jinyintan Hospital in Dongxihu District of Wuhan that the gate of the fourth floor of the South Building of the Inpatient Department was closed, and a notice to the family was posted on the door: "3pm to 4pm Focus on daily necessities. "

The reporter saw on the fourth and sixth floors that at present, family members who came to deliver meals and supplies could only be handed over to medical staff at the door, and could not enter. According to a patient's family member, her husband was a chef in a hotel in Wuhan, and he would come to the South China Seafood Market every two or three days to buy goods.

The family member told the reporter that her husband started to have a fever on December 23, 2019. He started to burn for three days and was treated in a small clinic. On the fourth day, he went to Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology to check his blood, and his blood and white blood cells were falling. During the hospitalization, the fever reached 41 degrees Celsius, and the body temperature did not decrease significantly during the treatment.

On the morning of January 1, 2020, I had a fever of about 40 degrees Celsius. After the injection from Tongji Hospital, I was transferred to the sixth floor of Jinyintan Hospital in the afternoon. When I turned around, I had no obvious fever symptoms, but I did n’t eat well for more than a week. Some are yellow.

"When I first arrived, the hospital ward was just vacated, and there were no pillow cases. When I first arrived, there were two patients in the ward. After paying the money, the room was full, and there were five or six people. The fourth floor was basically Patients who have been in contact with the South China Seafood Market. "The patient's family told reporters that patients who had contact with the South China Market were sent to the fourth floor of Jinyintan Hospital. This way, centralized management and treatment were better, but the patients also belonged to the victims and their families. Apart from being under great pressure mentally, I hope relevant departments can bear the cost of treatment.

Another family member of the patient named Zheng told reporters that his husband is 69 years old and is also a hotel staff. He went to the South China Seafood Market to purchase goods and sent them to Jingzhou. "Purchase seafood for a restaurant specializing in seafood in Jingzhou. There is a special car over Jingzhou. After the purchase, they will be transported together."

According to his introduction, his husband first had a fever on December 12, 2019, and began to think that he had a cold. He had an infusion in a small clinic, but he could keep having fever repeatedly. He then transferred to Wuhan Youfu Hospital for infusions and blood tests. The index was somewhat high. It is recommended that we transfer to Wuhan Red Cross Hospital (Wuhan Eleventh Hospital). After seven days in the hospital, the fever did not return. I felt dizzy and had no strength. Later, I was transferred to the Department of Respiratory Medicine of Tongji Hospital, but had a fever and no cough. .

The patient's medical certificate issued by Tongji Hospital showed that Zheng's patient was admitted to the hospital at about 15:00 on December 24, 2019, and discharged at 11:00 on December 31, 2019. "The initial diagnosis was severe viral Pneumonia, hypertension is grade 2, high risk. "

"The patient was admitted to the hospital for 11 days due to repeated chills and fever. Considering the possibility of viral infection (adenovirus), the possibility of externalized pneumonia is not ruled out. It is recommended to review it after clinical treatment." Tongji Hospital diagnosed. According to the family members of the surnamed Zheng, after treatment, there are no obvious fever symptoms at present, and he was going to be discharged, but was transferred to Jinyintan Hospital and currently lives on the fourth floor of the hospital.

Another family member of the patient who lives on the fourth floor of the South Building of the Inpatient Department of Jinyintan Hospital introduced his son. His son went to the South China Seafood Wholesale Market to buy meat on December 15, 2019. He started to have a fever on the 25th. He had been injected at Wuhan Changjiang Hospital before. Not good. After a week's injection, it was delivered here. Right now, family members are not allowed to visit. They can only give things to medical staff. I heard that they are in good condition.

Family members of patients on the fourth and sixth floors :

My son works at a nearby medicinal company and just graduated to work

On January 3, 2020, Liu Jie ’s mother told the China Business Daily that their family is from the countryside of Sanliqiao Street, Huanghua District, Wuhan. The son is 23 years old (born in 1996) and was near Hankou Railway Station just after graduating last year. A medicinal company is doing sales.

Liu Jie's condition affected the hearts of the whole family. On January 3, his parents rushed to the hospital, brought in daily necessities, and took Liu Jie's social security card to pay the "advance payment for hospitalization", while her sister stayed in the hospital ward to accompany her.

According to Liu Jie ’s mother, "Probably on December 24, 2019, my son told me that he was sick. He had headaches, dizziness, shortness of breath, and could not breathe. He asked him to return from work and sent him to Sanlitiao Hospital for two. Day needle, the third day was ready to go back to work, but did not go to the company after returning, he went to the downstairs clinic where he rented an injection, but it still did not improve. On the New Year's Day, the son burned to 38 degrees, 39 degrees, and the temperature was always lowered. Going on, he couldn't walk, we sent him to the Union Hospital of Tongji Medical College of Huazhong University of Science and Technology for rescue for two days, and transferred to the sixth floor of Jinyintan Hospital on the evening of January 2. "

A CT examination report issued by Tongji Hospital on January 2 showed: "Multiple patchy consolidation and ground glass density shadows in both lungs, and some lobular spaces thickened. Considering the possibility of infectious lesions, it is recommended to return to the clinic after treatment."

"My son is very ill and can only keep his sister in the hospital ward to take care of him. His sister can't come out while taking care of him. He has to wait until his son is diagnosed and discharged." Liu Jie's mother said.

"At the time of the rescue at Xiehe Hospital, I knelt on the ground and begged the doctor to rescue my son. He was only 23 years old. He just graduated from college to work and paid a few thousand yuan a month. He still rented a house in Wuhan. "Liu Jie's mother told reporters," We are all rural people and do n’t have much money. We were rescued at Xiehe Hospital for two days, and paid 15,000 yuan in two advances. The first time we paid 5,000 yuan, and the next day After paying 10,000 yuan, Xiehe Hospital has not yet completed the discharge checkout. I don't know how much it cost. "

"We are a rural hukou, and we can only reimburse 30%. We can reimburse more in small hospitals." According to Liu Jie's mother, after transferring to Jinyintan Hospital, he paid another 3,000 yuan in advance for hospitalization. The hospital settlement bill presented by him showed that Liu Jie was admitted to the Influenza Department of Jinyintan Hospital, and the payment method of advance payment for hospitalization was "Alipay."

"My dad and I have come here today. We only know the bed number and can't go in. The delivered items need to be brought in by the hospital staff." Liu Jie's mother told reporters, "Now my daughter is better, but just now. We talked to Jie Liu and we were still short of breath. I couldn't breathe a bit and couldn't take a deep breath. Then I kept coughing. ":tiphat:http://news.wenweipo.com/2020/01/05/IN2001050012.htm
 
Source: https://www.hk01.com/突發/417971/武漢肺炎-中大宿生購大量n95口罩-憂內地生染病後校內傳播

Google translation:

Wuhan Pneumonia] CUHK students buy a large number of N95 masks
Burst
Written by: Yang Wanting, Lin Zhenhua
2020-01-05 22:37
Last updated: 2020-01-05 23:27

An outbreak of pneumonia of unknown cause occurred in Wuhan in the Mainland, and a girl from the Chinese University of Hong Kong also visited Wuhan and later developed fever, respiratory infections or pneumonia. A 20-year-old female student developed fever and symptoms of upper respiratory tract infection after returning to Hong Kong from Wuhan. She went to Ren'an Hospital for treatment and was refused. She was eventually sent to a public hospital. It is reported that she lived in the Bethlehem dormitory (Bosu) of United College, and the students were heartbroken and worried that the epidemic would break out. They wore masks to prevent the epidemic, and some students bought multiple N95 masks. Some students said that because many mainland students lived in Bosu and adjacent dormitories, they feared that they would be infected after returning to the mainland and spread inside the school. Therefore, students and workers have put on masks in the past few days. Some mainland students said they were not worried about the outbreak of pneumonia, and thought that the school would do a good job of cleaning and disinfection.
The male surnamed Li and the female surnamed Zheng said that they had been wearing masks for the past few days. (Photo by Lin Zhenhua)

The male surnamed Li and the female surnamed Zheng said that they had been wearing masks for the past few days. (Photo by Lin Zhenhua)

The male surname Li and the female surname Zheng wore masks at Bethlehem's dormitory to understand the situation. They stated that they had begun to wear masks after learning of suspected cases in Hong Kong in the past few days. There were more mainland students in Bethlehem's dormitory and they were worried about them. They can be infected, so everyone wears a mask to protect themselves. The students and co-workers of Bethlehem's dormitory and its adjacent dormitories have all put on masks. "They are worried that there are more mainland students and it is more difficult to track down and go to Wuhan." They said they had not received a reminder from the school to strengthen the awareness of epidemic prevention.

Another student Ye said that after learning that a female student in the dormitory had a fever in Wuhan, a hospital person went to the dormitory and the female student was sent to the hospital. He was worried about an outbreak, so he had prepared a large number of N95 masks, but he did not see the school disinfection and cleaning. He pointed out that he lived on a different floor from the female student, and no cleaning was planned.

Lin, who lives in Bosu, pointed out that because tomorrow is the beginning of the semester, he will return to the dormitory to prepare. He said that the female students suspected of having a fever lived on the fifth floor, and the student group said that those in protective clothing had gone to the fifth floor to clean. Since there are many mainland students living in the dormitory, I am worried that some students will get sick in the Mainland and spread in the dormitory. He pointed out that only masks could be used for prevention.

Chen from Shanghai said that he thinks the school will do the disinfection well and do n’t worry about the outbreak of pneumonia, and he will step up his cleaning. "I think it ’s not an abnormal thing if there is any (someone infected), because there may be some students from Wuhan Come accidentally with pneumonia. "But he believes the school will clean and disinfect.
The schoolgirl with a fever suspected of living in Bosu. (Photo by Lin Zhenhua)
CUHK students purchased a large number of N95 masks. (Photo by Lin Zhenhua)
CUHK students purchased a large number of N95 masks. (Photo by Lin Zhenhua)
The boarder put on a mask. (Photo by Lin Zhenhua)
Some residents did not wear masks. (Photo by Lin Zhenhua)
Chen from Shanghai. (Photo by Lin Zhenhua)
Classmate Lin. (Photo by Lin Zhenhua)

The Chinese University of Hong Kong responded to the incident and stated that a student of CUHK returned to Hong Kong on December 29 and felt unwell on January 4. After returning to the dormitory this morning (5), he went out to a private hospital for treatment. He then went to the hospital in Shenzhen to follow up on his own. The student returned to the dormitory in the evening. Accompanied by the ambulance staff, she and her roommates went to a public hospital for further examination.

CUHK stated that the university then cleaned the student's room, residential floor and public places with bleach water in accordance with the guidelines of the CHP to protect the health of the students. It also posted the CHP's health guidelines on the dormitory notice board for students' reference . The dormitory will also provide surgical masks and alcohol hand rubs for residents. If students feel uncomfortable or have concerns, they can go to the University Health Department for examination.
Earlier, people wearing protective clothing went in and out of Bosu. (Picture of CUHK Secrets)

Earlier, people wearing protective clothing went in and out of Bosu. (Picture of CUHK Secrets)
 
1/6/20 [h=2]CUHK student tests negative for pneumonia: source[/h]
Excerpt:
Sources say a Chinese University student who fell ill on Sunday after visiting Wuhan last month has tested negative for pneumonia, but positive for coronavirus.

The mainland student was sent to Prince of Wales Hospital after showing symptoms of an upper respiratory tract infection, raising concerns that she might have caught the mysterious pneumonia that broke out in Wuhan earlier this month.

The university said that as a precaution it had already deployed workers to conduct a thorough cleaning at the dormitory the student stays at.

Many of the students entering and leaving the dormitory building were seen wearing face masks.

https://news.rthk.hk/rthk/en/component/k2/1501243-20200106.htm
 
Hong Kong - 6 Wuhan-related cases reported


January 6, 2020


The Hospital Authority says public hospitals, as of noon today and over the past 24 hours, admitted six people who had been to Wuhan in the past 14 days.



The patients presented symptoms of fever, respiratory infection or pneumonia.



The authority said the patients - three men and three women aged between two and 65 - are in a stable condition and are being treated in isolation at United Christian, Queen Elizabeth, Alice Ho Miu Ling Nethersole, Prince of Wales and Tuen Mun hospitals.



The authority has sent specimens to the Department of Health for testing and will keep monitoring their conditions.



Public hospitals have reported 21 such cases to the department since December 31. Seven of these patients have been discharged

https://www.news.gov.hk/eng/2020/01/...ry&name=health
 
Source: https://news.mingpao.com/ins/港聞/art...299741271/【武漢肺炎】消息-武漢來港內地女發燒-肺有陰影-昨晚違反醫療建議下出院

Monday, January 6, 2020

[Wuhan Pneumonia] News: Women from Wuhan came to Hong Kong with fever and shadows in their lungs and were discharged last night in violation of medical advice (20:18)
Ruttonjee Hospital (profile picture)
Picture 1-1-Ruttonjee Hospital (Profile picture)

The Hospital Authority informed yesterday (5th) that Ruttonjee Hospital had received a case of fever from a 45-year-old woman who came from Hong Kong to Wuhan yesterday. As of yesterday, the Centre for Health Protection had not released the test results of its samples. The newspaper received information indicating that the woman was a mainlander. She departed from the northeast of the mainland on January 1 and arrived in Wuhan on January 3. She developed fever and coughing on the same day. She arrived in Hong Kong as a tourist on January 4, and January 5 I went to Ruttonjee Hospital to seek medical treatment. She had a fever and severe cough on admission. A lung X-ray examination revealed a shadow on the lower left side of her lungs. Since the woman had been to Wuhan within 14 days, the hospital arranged for her to stay in an isolation ward and report the case to the Health Protection Center .

[20:18] The Hospital Authority replied that the patient had no fever or pneumonia symptoms during his stay in the hospital and was in stable condition. She asked to leave the hospital that night. The hospital considered the clinical situation of the patient and her rapid test was negative for general viruses (including flu). The medical staff also informed the patient about medical advice and risks. After consulting the Department of Health, the hospital provided discharge information to the self-discharged patient.

The Hospital Authority said that public hospitals have always had a rigorous mechanism for receiving patients with symptoms from high-risk areas of infectious diseases, and all medical staff have been reminded that patients should be quarantined as soon as possible in case of suspected cases, and the relevant cases should be notified as soon as possible This will allow the Department of Health to continue to follow up testing, epidemiological tracking and other work related to the prevention of the spread of infectious diseases.

[19:45] The Department of Health responded that Ruttonjee Hospital yesterday notified the Centre for Health Protection of a related case involving a 45-year-old female patient admitted to the hospital. The patient reported symptoms of upper respiratory tract infections since January 4. He had traveled to Wuhan before the onset of the disease but did not visit Wuhan's wet market or seafood market. Later, Ruttonjee Hospital informed the center that the patient requested discharge and was discharged the same night.

As "new infectious diseases of importance to public health" are currently not reportable diseases as specified in Chapter 599 of the Prevention and Control of Diseases Ordinance, patients who suspect a case are unwilling to cooperate (such as refusing to accept isolation or refusal Conducting quarantine inspections), the Department of Health is not in a position to deal with it.

[17:25] The female patient reported that she needed to return to the Shatin Emperor Hotel to take care of her daughter and asked to be discharged. Ruttonjee Hospital responded to the situation by consulting the Department of Health. The Department of Health had no legal basis to issue an isolation order to the patient. Fang finally discharged the female patient from hospital at 11 pm on January 5th and listed it as a "discharge against medical advice" (DAMA) case. At that time, there were no test results of the female patient sample.
 
Source: http://std.stheadline.com/instant/articles/detail/1174870/即時-香港-武漢肺炎-兩名中大生回港後有一人不適-齊送威院檢查
Hong Kong
[Wuhan Pneumonia] Two CUHK students are unwell after returning to Hong Kong
2020-01-06 21:34

Unknown viral pneumonia broke out in Wuhan, Hubei. It was reported that two more Chinese university students who had visited Wuhan felt unwell and went to Shatian Wells Hospital for medical treatment. The two were students of Harmony College and developed symptoms of respiratory infection.

Facebook's "Top Ten Harmony Infrastructure" posts tonight, stating that there are two mainland female students calling for an ambulance to the hospital on the 9th floor of the South Block of the Harmony Dormitory. They visited Wuhan in mid-December and returned on the 2nd and 3rd of this month, respectively. In Hong Kong, one of them had symptoms of upper respiratory tract, and the school security staff had called for an ambulance to take the two to hospital. The school contacted two students who were sent to the hospital. One of the female students did not have any symptoms of infection, while the other female student only had a cough and no fever and was waiting for a doctor's examination.

The Hospital Authority announced that from noon yesterday to noon today, public hospitals have received a total of six patients who had been to Wuhan in the past two weeks and had fever, respiratory infections or pneumonia symptoms, bringing the total number of cases to 21, including one living A 20-year-old female student from the Bethlehem dormitory of the CUHK United College.

A 20-year-old female mainland student went to Ren'an Hospital to try to seek medical treatment, and then left on her own. Laboratory results showed that she was positive for adenovirus and known coronavirus. She had no pneumonia and was still hospitalized.
 
Source: https://www.info.gov.hk/gia/general/202001/06/P2020010600511.htm

The following is issued on behalf of the Hospital Authority:

As at noon today (January 6), in the past 24 hours public hospitals had admitted six patients who have been to Wuhan in the past 14 days and presented with fever, respiratory infection or pneumonia symptoms, including a male patient and a female patient who had attended a general practitioner and a private hospital respectively.
[TABLE="border: 1"]
[TR]
[TD] [/TD]
[TD]Hospital[/TD]
[TD]Age[/TD]
[TD]Gender[/TD]
[TD]Condition[/TD]
[/TR]
[TR]
[TD]1.[/TD]
[TD]United Christian Hospital[/TD]
[TD]9[/TD]
[TD]Male[/TD]
[TD]Stable[/TD]
[/TR]
[TR]
[TD]2.[/TD]
[TD]Queen Elizabeth Hospital[/TD]
[TD]2[/TD]
[TD]Male[/TD]
[TD]Stable[/TD]
[/TR]
[TR]
[TD]3.[/TD]
[TD]Queen Elizabeth Hospital[/TD]
[TD]65[/TD]
[TD]Male[/TD]
[TD]Stable[/TD]
[/TR]
[TR]
[TD]4.[/TD]
[TD]Alice Ho Miu Ling Nethersole Hospital[/TD]
[TD]5[/TD]
[TD]Female[/TD]
[TD]Stable[/TD]
[/TR]
[TR]
[TD]5.[/TD]
[TD]Prince of Wales Hospital[/TD]
[TD]20[/TD]
[TD]Female[/TD]
[TD]Stable[/TD]
[/TR]
[TR]
[TD]6.[/TD]
[TD]Tuen Mun Hospital[/TD]
[TD]41[/TD]
[TD]Female[/TD]
[TD]Stable[/TD]
[/TR]
[/TABLE]


The Hospital Authority (HA) has reported the cases and sent the specimens to the Department of Health (DH) for testing. The patients concerned are being treated under isolation. "The patients concerned had not visited wet markets in Wuhan before the onset of symptoms. All of them are in stable condition. The HA will keep monitoring the patients' conditions and provide appropriate treatment," the HA Chief Infection Control Officer, Dr Raymond Lai, said.

Including the above-mentioned cases, public hospitals have reported 21 patient cases to the DH since December 31, 2019. Seven of the patients have been discharged.



Ends/Monday, January 6, 2020
Issued at HKT 17:20
 
Coronavirus but not pneumonia :rolleyes:

This one is in Hong Kong, not mainland China. I trust their public health system.

This may be an awkward was of saying that the patient had infection with one of the four known human coronaviruses which are unrelated to SARS or MERS and typically cause only colds in healthy individuals, and not atypical pneumonia.
 
https://www.scmp.com/print/news/hong...hecks-visitors
[h=1]Hong Kong urged to tighten health checks on visitors from mainland Chinese city of Wuhan and plug quarantine loophole amid mystery pneumonia outbreak[/h]
  • Health officers should board trains and check passengers’ body temperatures before allowing them to enter Hong Kong, lawmaker says
  • Hong Kong public hospitals admit six more patients who had been to Wuhan in the past 14 days and presented with symptoms
more....
 
Last edited by a moderator:
Translation Google

Director of Wuhan Centers for Disease Control and Prevention: Viral pneumonia prevention and control is underway

2020-01-06 22:06:32 Source: China News Network Author: Anonymous Editor: Li Xu

【Abstract】 Aiming at the situation of viral pneumonia of unknown cause in our city, reporters from Changjiang Daily interviewed Li Gang, an expert on disease control and director of Wuhan Center for Disease Control and Prevention, on related issues of concern to the masses.
  
Recently, in response to the unknown cause of viral pneumonia in our city, reporters from the Yangtze River Daily interviewed Li Gang, an expert on disease control and director of the Wuhan Center for Disease Control and Prevention, on relevant issues of concern to the masses.

  
Question: Why does Wuhan find "unknown viral pneumonia" this year, and how is it defined as "unknown viral pneumonia"?


Answer: Winter and spring are the seasons when respiratory infections are high. Since the beginning of winter and spring, Wuhan medical and health institutions have further strengthened surveillance of respiratory infectious diseases. Recently, some medical institutions in Wuhan reported that many of the pneumonia cases received were associated with South China Seafood City. Further investigation showed that these patients had clinically fever and fatigue, some patients had cough and less sputum, and a small number of patients had difficulty breathing as the disease progressed; laboratory tests showed that the total number of white blood cells in the early stage of disease was normal or decreased, and lymphocyte counts Decreased, liver and muscle enzymes increased in some patients; chest radiographic examination showed diffuse ground-glass exudation in both lungs. The patient's above situation is suggestive of viral pneumonia. The detection of pathogens excludes respiratory pathogens such as influenza, avian influenza, adenovirus, infectious atypical pneumonia (SARS) and the Middle East Respiratory Syndrome (MERS), and further pathogen identification and cause tracing are needed. In order to facilitate the diagnosis and treatment of patients and the prevention and control of diseases, the health and health department calls it "viral pneumonia of unknown cause".

Question: According to the situation notified by the Wuhan Municipal Commission of Health, the number of cases has increased. Why did the number increase?

Answer: After receiving the situation that several medical institutions found that the pneumonia cases received by some medical institutions were related to South China Seafood City, Wuhan Municipal Health and Health Commission carried out relevant case searches and retrospective investigations in the medical institutions of the city, especially expanded unknown reasons. The scope of the search for viral pneumonia cases was organized, and experts were organized to diagnose and search the cases according to the diagnosis and treatment plan. Up to now, epidemiological investigations have shown that the expansion of the search scope, the retrospective investigation of existing cases, and the continued development of the investigation of included cases are the main reasons for the increase in the number of patients. It is expected that the number of cases will increase as related work progresses.

Q: What is the result of the current pathogen inspection?

Answer: As of now, respiratory pathogens such as influenza, bird flu, adenovirus, infectious atypical pneumonia (SARS), and Middle East Respiratory Syndrome (MERS) have been excluded. Pathogen identification and cause tracing are still in progress, and no clear evidence of human-to-human transmission has been found.

Q: I haven't found any clear evidence of human-to-human transmission. Why should patients be treated in isolation and medically observed for close contacts?

A: As of now, preliminary investigation shows that no clear evidence of human-to-human transmission has been found. However, the patient's clinical manifestations are viral pneumonia, severe cases, and the etiology is not clear. The pathogen identification, etiology traceability and related epidemiological investigations are still in progress In further development, in view of this situation, it is very necessary to take preventive public health measures such as patient isolation treatment, close contact tracking and medical observation. I think this is a responsible attitude towards public health and safety. It is also a common practice in the international community. In the next step, with the further development of related work and the deeper understanding of the disease, the prevention and control measures will be adjusted accordingly.

Q: How to prevent viral pneumonia effectively in daily life?

A: Ordinary viral pneumonia can occur all year round. For this unknown cause of viral pneumonia, Wuhan has taken measures to close the South China seafood market, isolate patients for treatment, close contact tracing, and medical observation. Effectively reduce the risk of public infection. However, the winter and spring season is a season of high incidence of respiratory infectious diseases such as viral pneumonia. The public still needs to maintain good living and hygiene habits, wash their hands frequently, maintain indoor air circulation, properly open windows for ventilation, and inoculate influenza vaccine. In addition, avoiding closed, airless public places and crowded places, wearing masks when necessary are good preventive measures.

http://news.chinaxiaokang.com/shehuipindao/shehui/20200106/872623.html
 
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