• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

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

Source: http://news.southcn.com/china/conten..._190111145.htm


Zhejiang confirms first confirmed pneumonia case of imported new coronavirus infection
2020-01-21 17:52 Source: Southern Network


On January 21, the National Health and Health Commission confirmed the first confirmed case of pneumonia imported from Zhejiang province with a new type of coronavirus infection.

The patient is male, 46 years old, and has been living in Wuhan for a long time. I drove from Wuhan to Wenzhou on January 3, and went to the hospital on January 4 for fever symptoms. Isolation treatment was performed at the designated hospital in Wenzhou on January 17.

检测 Tested by the Provincial Center for Disease Control and Prevention, the patient specimens were positive for the new coronavirus nucleic acid.
On January 20, the specimens were sent to the Chinese Center for Disease Control and Prevention for viral nucleic acid review and the test was positive. On January 21, a diagnosis of pneumonia confirmed by a new coronavirus infection was confirmed by an expert from the diagnostic team under the Epidemic Leading Group of the National Health and Health Commission. The patient is now in a stable condition and his close contacts are in medical observation.

According to the "Diagnosis and Treatment Scheme for Pneumonia of New Coronavirus Infection" (trial version 2), it has been confirmed by provincial and municipal CDC laboratory tests. As of 12:00 on January 21, except the first confirmed case, the provincial The diagnostic expert group confirmed 4 cases of pneumonia of new coronavirus infection, and reported 5 cases of pneumonia of new coronavirus infection, including 1 in Hangzhou, 2 in Wenzhou, 1 in Zhoushan, and 1 in Taizhou. All cases had a history of residence, travel and close contact in Wuhan. At present, 5 patients are in stable condition. Medical observation was performed on 88 close contacts. No respiratory-related symptoms such as fever were found.

Government report:

National health committee confirmed the province first imported
novel coronavirus infection confirmed cases of pneumonia

Date: 2020-01-21 17:28
Source: Provincial health committee Views:

On January 21, the National Health and Health Commission confirmed the first confirmed case of pneumonia imported from Zhejiang Province with a novel coronavirus infection.

The patient was a 46-year-old male who lived in Wuhan for a long time. I drove from Wuhan to Wenzhou on January 3, and went to the hospital on January 4 for fever symptoms. Isolation treatment was performed at the designated hospital in Wenzhou on January 17.

Tested by the Provincial Center for Disease Control and Prevention, the patient specimens were positive for the new coronavirus nucleic acid. On January 20, the specimens were sent to the Chinese Center for Disease Control and Prevention for viral nucleic acid review and the test was positive. On January 21, a diagnosis of pneumonia confirmed by a new coronavirus infection was confirmed by an expert from the diagnostic team under the Epidemic Leading Group of the National Health and Health Commission. The patient is now in a stable condition and his close contacts are in medical observation.

According to the "Diagnosis and Treatment Scheme for Pneumonia of New Coronavirus Infection" (trial version 2), it has been confirmed by provincial and municipal CDC laboratory tests. As of 12:00 on January 21, except the first confirmed case, the provincial The diagnostic expert group confirmed 4 cases of pneumonitis with new coronavirus infection, and cumulatively reported 5 cases of pneumonia with new coronavirus infection, including 1 in Hangzhou, 2 in Wenzhou, 1 in Zhoushan, and 1 in Taizhou. All cases had a history of residence, travel and close contact in Wuhan. At present, 5 patients are in stable condition. Medical observation was performed on 88 close contacts. No respiratory-related symptoms such as fever were found.

Since the National Health and Health Commission announced the unexplained pneumonia epidemic in Wuhan, our province has attached great importance to the prevention and control of pneumonia caused by new coronavirus infections. In accordance with the requirements of the provincial party committee and government, all relevant departments have cooperated in a coordinated manner, and each work is scientific, orderly and effective. Carry out. Medical institutions at all levels throughout the province have strengthened the allocation of power for pre-screening, triage and fever, and standardized the monitoring, screening, diagnosis and treatment of suspicious cases; the province has launched a patriotic health campaign, strengthened environmental management, Management of the farmer's market and comprehensive implementation of various prevention and control measures.

Experts remind that there is a high incidence of respiratory infectious diseases in winter and spring, and indoor and public places must maintain indoor air circulation. The public should wash their hands frequently, pay attention to personal hygiene, and wear masks when going to crowded places. If you have fever or respiratory infection symptoms, especially if the fever persists, go to a medical institution for a fever clinic.

https://www.zjwjw.gov.cn/art/2020/1/..._41786033.html
 
Yunnan Kun diagnoses first pneumonia case of new coronavirus infection




According to the WeChat public account 'Healthy Spring City' on January 21, on January 21, the National Health and Health Commission confirmed Kunming's first confirmed case of pneumonia imported with new coronavirus infection.
The patient was a 51-year-old male with household registration in Wuhan, Hubei Province. Come to Wuhan from Wuhan on January 15. Due to symptoms such as fever and fatigue, he went to the Third People's Hospital of Yunnan Province on January 16 and was referred to the Yunnan Infectious Diseases Hospital for isolation and treatment on January 17. The provincial and municipal disease control departments tested in parallel, and after review by the China Centers for Disease Control, the new coronavirus nucleic acid test result was positive. On January 21, the expert assessment of the National Health and Health Commission's Epidemic Response Leadership Group confirmed that the case was a confirmed case of pneumonia due to a new coronavirus infection. After treatment in the hospital, the patient's condition improved steadily. Those who were in close contact with the patients were tracked in place, and no abnormalities were observed by medical observation.
(Originally entitled 'National Health and Health Commission confirmed Kunming's first confirmed case of pneumonia imported with new coronavirus infection')


https://www.thepaper.cn/newsDetail_forward_5591365

Government report:


Briefing of Kunming Municipal Health and Health Committee on pneumonia epidemic of new coronavirus infection



Release time: 2020-01-22 00:06 source: Kunming Health and Health Committee

Briefing of Kunming Municipal Health and Health Committee on pneumonia epidemic of new coronavirus infection

  On January 21, the National Health and Health Commission confirmed the first confirmed case of pneumonia imported from Kunming.

The patient was a 51-year-old male with household registration in Wuhan, Hubei Province. Come to Wuhan from Wuhan on January 15. Due to symptoms such as fever and fatigue, he went to the Third People's Hospital of Yunnan Province on January 16 and was referred to the Yunnan Provincial Infectious Diseases Hospital for isolation and treatment on January 17. The provincial and municipal disease control departments tested in parallel, and after review by the China Centers for Disease Control, the new coronavirus nucleic acid test result was positive. On January 21, the expert assessment of the National Health and Health Commission's Epidemic Response Leadership Group confirmed that the case was a confirmed case of pneumonia due to a new coronavirus infection. After treatment in the hospital, the patient's condition improved steadily. Those who were in close contact with the patients were tracked in place, and no abnormalities were observed by medical observation.


http://wsjkw.km.gov.cn/c/2020-01-22/3267609.shtml
 
China Focus: China at "crucial stage" to control novel coronavirus, experts say

Source: Xinhua| 2020-01-22 01:57:45|Editor: huaxia

BEIJING, Jan. 21 (Xinhua) --
...
"The current outbreak is concentrated in the city of Wuhan in central China, and is sporadic in other places, meaning it is still a regional outbreak," said Zhong Nanshan, a renowned respiratory expert and head of a high-level expert team of the National Health Commission (NHC).
...
The continuous emergence of new cases indicates the outbreak is still at its early stage of rapid changes, Zhong added.

Zeng Guang, chief epidemiologist of the Chinese Center for Disease Control and Prevention (China CDC), said no infections among children or students have been reported in Wuhan, and the infection cases are mainly elderly people.

The outbreak is at its early stage of community transmission, Zeng said, adding that it can be reversed if measures are taken now.
...
No super-spreader, or a highly contagious virus carrier, has emerged, according to the experts.

Zhong predicted an increase in viral pneumonia cases during the ongoing Lunar New Year travel rush, noting that a key task is to prevent super-spreaders from emerging.

According to Zhong, putting the confirmed and suspected patients in quarantine is the most effective method to bring the outbreak under control.
...
Though the spread of the novel coronavirus has just started, which is at a rising stage, the virus is less contagious than the SARS (Severe Acute Respiratory Syndrome) virus, Zhong said.

The future situation depends on the development of the virus as well as how the outbreak is controlled, Zhong added.
...

http://big5.xinhuanet.com/gate/big5/..._138724708.htm
 
Source: http://www.ce.cn/xwzx/gnsz/gdxw/202001/22/t20200122_34176802.shtml
440 cases of pneumonia confirmed by new coronavirus infection, 9 deaths
January 22, 2020 10:25 Source: Xinhua Perspective

The reporter learned on the 22nd at the State Council's press conference on the prevention and control of pneumonia related to new coronavirus infection. As of 24:00 on January 21, the National Health and Health Commission received 13 domestic provinces (regions, municipalities) A total of 440 confirmed cases of pneumonia due to new coronavirus infection were reported, and a total of 9 death cases were reported, with 3 new cases, all of which were Hubei cases. 149 new cases of pneumonia confirmed by coronavirus infection were reported, 1 confirmed case was received from Japan, 3 confirmed cases were reported from Thailand, and 1 confirmed case was reported from South Korea. At present, 2197 close contacts have been tracked, 765 have been released from medical observation, and 1394 are still receiving medical observation. (Reporters Wang Bingyang and Qu Ting)
 
Source: http://www.ce.cn/xwzx/gnsz/gdxw/202001/22/t20200122_34176802.shtml
440 cases of pneumonia confirmed by new coronavirus infection, 9 deaths
January 22, 2020 10:25 Source: Xinhua Perspective

The reporter learned on the 22nd at the State Council's press conference on the prevention and control of pneumonia related to new coronavirus infection. As of 24:00 on January 21, the National Health and Health Commission received 13 domestic provinces (regions, municipalities) A total of 440 confirmed cases of pneumonia due to new coronavirus infection were reported, and a total of 9 death cases were reported, with 3 new cases, all of which were Hubei cases. 149 new cases of pneumonia confirmed by coronavirus infection were reported, 1 confirmed case was received from Japan, 3 confirmed cases were reported from Thailand, and 1 confirmed case was reported from South Korea. At present, 2197 close contacts have been tracked, 765 have been released from medical observation, and 1394 are still receiving medical observation. (Reporters Wang Bingyang and Qu Ting)

This data is not posted on the National Health Commission's website yet.....
 
Source: http://www.ce.cn/xwzx/gnsz/gdxw/2020...34176802.shtml
440 cases of pneumonia confirmed by new coronavirus infection, 9 deaths
January 22, 2020 10:25 Source: Xinhua Perspective

The reporter learned on the 22nd at the State Council's press conference on the prevention and control of pneumonia related to new coronavirus infection. As of 24:00 on January 21, the National Health and Health Commission received 13 domestic provinces (regions, municipalities) A total of 440 confirmed cases of pneumonia due to new coronavirus infection were reported, and a total of 9 death cases were reported, with 3 new cases, all of which were Hubei cases. 149 new cases of pneumonia confirmed by coronavirus infection were reported, 1 confirmed case was received from Japan, 3 confirmed cases were reported from Thailand, and 1 confirmed case was reported from South Korea. At present, 2197 close contacts have been tracked, 765 have been released from medical observation, and 1394 are still receiving medical observation. (Reporters Wang Bingyang and Qu Ting)

Found on Xinhua - which is the China government press outlet link:


The reporter learned on the 22nd at the State Council's press conference on the prevention and control of pneumonia related to new coronavirus infection. As of 24:00 on January 21, the National Health and Health Commission received 13 domestic provinces (regions, municipalities) A total of 440 confirmed cases of pneumonia due to new coronavirus infection were reported, and a total of 9 death cases were reported, with 3 new cases, all of which were Hubei cases. 149 new cases of pneumonia confirmed by coronavirus infection were reported, 1 confirmed case was received from Japan, 3 confirmed cases were reported from Thailand, and 1 confirmed case was reported from South Korea. At present, 2197 close contacts have been tracked, 765 have been released from medical observation, and 1394 are still receiving medical observation. (Reporters Wang Bingyang and Qu Ting)

http://www.xinhuanet.com/politics/20...1125493165.htm
 
1st confirmed case in Macau - published by the official China media:


Macau confirms first case of pneumonia infected with new coronavirus
2020-01-22 11:22:26 Source: Xinhuanet


Xinhua News Agency,

Xinhua News Agency, Macau, January 22nd. The Macau Special Administrative Region Government Coordination Center for Novel Coronavirus Infection reported on the morning of the 22nd that the first case of pneumonia in Macau was diagnosed in Macau. The patient is a traveler from Wuhan and is currently at the Earl General Hospital. Perform isolation treatment.

http://www.xinhuanet.com/gangao/2020...1125493491.htm
 
"The virus is adapting and mutating." Gao Fu / Director Chinese Center for Disease Control and Prevention (in article)
Deaths rise to Nine in China
"



A new virus that has killed nine people, infected hundreds and already reached the United States could mutate and spread, China warned Wednesday, as authorities scrambled to contain the disease during the Lunar New Year travel season.

snip

A prominent expert from China's National Health Commission confirmed this week that the virus can be passed between people.

However, animals are suspected to be the primary source of the outbreak, as a seafood market where live animals were sold in the Wuhan was identified as ground zero for the virus.

"We already know that the disease originated from a market which conducted illegal transaction of wild animals," said Gao Fu, director of the Chinese centre for disease control and prevention.

"This might be the cause, so the disease could be on an animal, and then passed on from this animal to a human."

He said it was clear "this virus is adapting and mutating...."

continue reading at:
https://sg.news.yahoo.com/china-warns-virus-could-mutate-spread-death-toll-030352210.html
 
Last edited by a moderator:
Translation Google

Wednesday, January 22, 2020


[Wuhan pneumonia] The first case confirmed in Macau. The patient stayed at the casino and sent a staff member to the hotel for disinfection (12:43)


[12:40] As the patient had stayed at the Landmark Hotel and gambling in the casino, the Macau Fire Department sent personnel wearing protective equipment to the hotel this morning, taking away those who had been in contact with the female patient to the Peak Hospital for virus testing, and Disinfect the patient's room.

[11:15] Macau ’s New Coronavirus Infection Coordination Center held a press conference this morning (22nd). Macau ’s Director of Social Affairs and Culture Ouyang Yu announced that the first case of Macau ’s first new coronavirus infection pneumonia was confirmed last night (21st). The patient was a 52-year-old female tourist from Wuhan. She did not have a fever when entering Macau. She currently has fever, cough and sore throat.

Ouyang Yu said that the patient entered Macau through the gate and took a casino bus to the Landmark to meet two friends. She had gone out to eat and spent the rest of the time at the casino. She later sought medical treatment on her own due to discomfort and is now being treated in isolation. Two of his friends are also under quarantine observation.

Macao Health Director Li Zhanrun pointed out that the case is an imported case and the Bureau is tracking other close contacts. And because the patient is not breathing at present, it is estimated that her transmission ability was not high before admission, and she is not a super communicator.

Director of Gaming Supervision and Coordination Chen Dafu pointed out that in response to the outbreak of a new coronavirus in Wuhan, six major gaming companies have been required to install temperature detection equipment systems at the entrances of all casinos. He said that in accordance with the Infectious Diseases Control Law, the Chief Executive will issue a directive later to force all casino staff to wear masks.

Li Zhanrun pointed out that the hospital has strengthened the epidemic prevention measures to shorten the visiting time, and all people who come in and out must wear masks. Tourism Director Wen Qihua also said that the dragon dance, the third and eighth float parade held on the first day will require all staff and performers to take a temperature test, and the public can also ask for masks from the staff.

https://news.mingpao.com/ins/%E6%B8%...B6%88%E6%AF%92

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

Macau patients took the Fortune Bus to the Landmark most of the time at the casino


2020-01-22 HKT 12:58

Macau confirms first case of new coronavirus pneumonia. Authorities said that the patient was a 52-year-old Wuhan woman who entered Macau through the gates on Sunday. She once took the "Fortune Bus" to the Landmark, met with two friends, and stayed in the hotel. Most of the time she stayed in the hotel casino. Authorities have located two friends of the patient, both of whom are being quarantined.

The head of the Macau Health Bureau, Li Zhanrun, said that the time when patients take the "Fortune Bus" will be announced. If other people have taken the "Fortune Bus" at the same time, they can go to the hospital for examination. He said that it should be possible to find out which table the patient has spent the longest time in the casino, and the staff will be checked.

As for whether there will be a community outbreak in Macau, Li Zhanrun said that this is an imported case. It is clinically estimated that the symptoms of the patient are in the early stage and the contagious power will not be very high. At present, it is most important to pay attention to whether the patient's two friends are infected.

https://news.rthk.hk/rthk/ch/compone...2-20200122.htm
 
[h=1]ECDC: Rapid Risk Assessment: Cluster of pneumonia cases caused by a novel coronavirus, Wuhan, China, 2020[/h]

The likelihood of importation of cases of novel coronavirus (2019-nCoV) to the EU is considered to be low, but cannot be excluded in the current situation.This document presents disease background, risk assessment and options for response. [h=2]Executive summary[/h] A novel coronavirus (2019-nCoV) has been isolated and considered the causative agent of the cluster of 41 pneumonia cases in the area of Wuhan, Hubei province in China, and three travel-related cases in Thailand and Japan, arriving from Wuhan.
The majority of detected pneumonia cases reported having visited the Wuhan Huanan Seafood Wholesale Market recently before disease onset. Some cases did not report any exposure to this specific market, but to other food markets in Wuhan. For a few cases there was no direct connection with a food market. The Wuhan Huanan Seafood Wholesale Market has been closed and disinfected. However, there is no information available on restrictions at other food markets in Wuhan. If the sources of the infections are indeed certain animals sold in the market, other markets in the city may continue to pose a risk of infection. At the moment, there is no information on the source of infection or the transmission mode. The occurrence of a few cases having no history of contact with the implicated market or other any similar market suggests the possibility of the infection source being even more widely distributed.
As of 16 January 2020, there is no clear indication of sustained human-to-human transmission. The report of two small family clusters in Wuhan and the exposure history of the imported Japanese case (history of contact with a person with an acute, not laboratory confirmed, respiratory infection in Wuhan) suggest that person-to-person transmission may have occurred. In the absence of detailed information from the ongoing studies in China, it is impossible to quantify the potential of the 2019-nCoV for human-to-human transmission.
The clinical information on confirmed 2019-nCoV cases reported so far suggests a milder disease course than that observed in SARS-CoV and MERS-CoV cases. However, in the absence of results from ongoing epidemiological investigations, it is impossible to assess whether there are population groups at higher risk of severe illness.
Risk for travellers, importation and further spread in the EU
Three EU airports have direct flight connections to Wuhan and there are indirect flight connections to other EU hubs. The likelihood of EU/EEA travellers becoming infected while visiting any wet or live animal markets in Wuhan is considered to be moderate, as the source of infection is unknown and could still be active. The likelihood of infection for travellers visiting Wuhan, but not visiting these markets, is considered low, because so far there is no indication of virus circulation in the community.
Therefore, the likelihood of importation of cases of 2019-nCoV to the EU is considered to be low, but cannot be excluded in the current situation.
The upcoming Chinese New Year celebrations at the end of January 2020 will cause an increase in the volume of travel to/from China and within China, increasing the likelihood of possible cases arriving in the EU.
If a case is identified in the EU, rigorous infection prevention and control measures (IPC) should be applied. Current evidence that human-to-human transmission is limited indicates that the assessed likelihood of further spread in the community setting within the EU/EEA is very low, but the risk cannot be excluded.
Risk of nosocomial transmission, infection prevention and control
So far, there are no reported instances of disease transmission to healthcare workers/medical personnel in China, Japan and Thailand. Therefore, the likelihood of nosocomial transmission is considered very low, provided that appropriate IPC measures are applied [41].
Risk of transmission in airplane
There are no specific guidelines for assessing the risk of 2019-nCoV transmission during a flight. Assessment should be made on a case-by-case basis. As the current level of uncertainty regarding transmission of 2019-nCoV is high, comprehensive contact tracing of confirmed cases should be considered and if this is not possible, efforts should be made to at least trace passengers seated in the same row and passengers seated two rows in front or behind the index case. In addition, ECDC will shortly be publishing an updated guide on MERS-CoV infections during a flight.

https://www.ecdc.europa.eu/sites/de...sment - pneumonia Wuhan China 17 Jan 2020.pdf
 
[h=1]Thailand finds fourth China coronavirus infection[/h] BANGKOK (Reuters) - Thailand has quarantined a fourth patient with the new coronavirus including one Thai national, authorities said on Wednesday, days before the Lunar New Year holiday when thousands of Chinese tourists are expected to arrive.

Nine people have died from the flu-like coronavirus in China, with 440 confirmed cases, most in the central city of Wuhan where the virus first appeared late last year.

The Thai patient, a 73-year-old woman, had traveled to Wuhan during the New Year holidays and developed a fever after returning, the Public Health Ministry said.

She was being monitored in a separate ward in a hospital in Nakhon Pathom, 60 km (37 miles) west of Bangkok, where her condition was gradually improving, it added.




“We can control the situation. There have not been cases of human-to-human transmission in Thailand because we detected the patients as soon as they arrived,” Public Health Minister Anutin Charnvirakul told reporters


https://www.reuters.com/article/us-...hina-coronavirus-infection-idUSKBN1ZL0GG?il=0
 
5 new cases of pneumonia infected with new coronavirus added in Zhejiang, cumulative report of 10 cases





From 12:00 on January 21, 2020 to 12:00 on January 22, Zhejiang, 5 new cases of pneumonia confirmed by new coronavirus infection were newly added in Zhejiang, including 3 in Ningbo and 2 in Wenzhou.
As of 12:00 on January 22, 2020, Zhejiang has reported a total of 10 cases of pneumonia due to new coronavirus infection, including 1 in Hangzhou, 3 in Ningbo, 4 in Wenzhou, 1 in Zhoushan, and 1 in Taizhou. All cases had a history of residence, travel and close contact in Wuhan. At present, they are receiving isolation treatment at designated medical institutions. Medical observation was performed on 148 close contacts, and no respiratory-related symptoms such as fever were found.
The Provincial Party Committee and the Provincial Government attached great importance to the prevention and control of pneumonia epidemic of new-type coronavirus infection, and quickly established the provincial leading group for the prevention and control of pneumonia of new-type coronavirus infection to strengthen the leadership of epidemic prevention and control organizations and the coordinated prevention and control of various departments. The main leaders of the Provincial Party Committee and Provincial Government held a special meeting to study and deploy our province's prevention and control work, and required the entire province to implement the important instructions of General Secretary Jinping's internship, and go all out to actively and steadily respond to new coronavirus infections. The prevention and control of pneumonia has ensured the safety of people's lives and physical health.
Experts remind that there is a high incidence of respiratory infectious diseases in winter and spring, and indoor and public places must maintain indoor air circulation. The public should wash their hands frequently, pay attention to personal hygiene, and wear masks when going to crowded places. If you have fever or respiratory infection symptoms, especially if the fever persists, go to a medical institution for a fever clinic.
(Originally entitled 'Notification of Pneumonia of New Coronavirus Infection in Zhejiang Province')


http://m.thepaper.cn/newsDetail_forward_5597882
 
Quick Guide for Diagnosis and Treatment of New Coronavirus Pneumonia Completed

Since the end of December 2019, pneumonia cases of new-type coronavirus infection have appeared in Wuhan City, Hubei Province and other parts of the country. What are the symptoms of new coronavirus pneumonia, how to detect it, how to confirm it, how to treat it, how to do personal protection, what do you need to pay attention to after discharge?

Recently, the expert group of Tongji Hospital affiliated to Huazhong University of Science and Technology based on the first-hand data of the first batch of patients diagnosed and treated by major medical institutions in Wuhan, including Tongji Hospital affiliated to Huazhong University of Science and Technology. guide'. Members of the expert group, Zhao Jianping, director of the respiratory department of Tongji Hospital, Ning Qin, director of the infection department, Li Shusheng, director of the ICU of the emergency department, and Luo Xiaoping, director of the pediatric department, introduced the contents of the guide.

Etiological characteristics of new coronavirus

After analysis of the virus sequence, it is speculated that the natural host of the new coronavirus disease may be bats. Unknown intermediate host vectors are likely to exist during the transmission from bat to human. According to research on SARS-CoV and MERS-CoV, coronaviruses are sensitive to heat. Keeping 56 ? C for 30 minutes, ethers, 75% ethanol, chlorine-containing disinfectants, peracetic acid, and chloroform can effectively inactivate the virus. Chlorhexidine has not been effective in inactivating the virus.

Fever as the main manifestation

From the perspective of clinical manifestations, the onset of new coronavirus pneumonia is mainly manifested by fever, which can be combined with mild dry cough, fatigue, poor breathing, diarrhea, and other catarrhal symptoms such as runny nose and sputum. Half of the patients developed dyspnea after one week, and severe cases progressed rapidly to acute respiratory distress syndrome, septic shock, difficult to correct metabolic acidosis, and coagulopathy. Some patients have mild onset symptoms and may have no clinical symptoms such as fever. They usually recover after 1 week. Most patients have a good prognosis, and a few patients are critically ill and even die.

In the early stage of imaging, multiple small patchy shadows and interstitial changes appeared, and the extrapulmonary bands were obvious. Furthermore, it develops multiple ground glass infiltration and infiltrates in both lungs. In severe cases, pulmonary consolidation and pleural effusion are rare.

In addition to imaging findings, patients may also have normal or reduced peripheral white blood cells in the early stages of onset, decreased lymphocyte counts, and increased liver enzymes, muscle enzymes, and myoglobin in some patients. Most patients had elevated C-reactive protein and erythrocyte sedimentation rate and normal procalcitonin. In severe cases, D-D dimers increase and lymphocytes progressively decrease.

What symptoms of fever patients are suspected of being infected

This new type of coronavirus pneumonia is a new type of coronavirus pneumonia. The population generally lacks immunity to this virus and is susceptible to the crowd. If patients are exposed to a large amount of virus or the body's immune function is poor, infection is very likely .

According to the previous diagnosis and treatment experience, there was a history of travel or residence in Wuhan within 2 weeks before the onset; or patients with fever with respiratory symptoms from Wuhan within 14 days before the onset, or clustered onset; the patient had fever and had pneumonia Imaging features; normal or decreased white blood cells in the early stage of disease, or decreased lymphocyte count, can be judged as suspected cases.

On the basis of meeting the criteria for suspected cases, sputum, throat swabs, lower respiratory tract secretions and other specimens can be diagnosed by real-time fluorescent RT-PCR detection of 2019-nCoV nucleic acid positive.

For all suspected cases, medical isolation in situ is required. For mild patients, observations can be made in the clinic or at home. All patients who return home for observation should require that they return to the designated hospital for intensive treatment as soon as any deterioration of the disease occurs. Patients with severe cases and critical cases need to be hospitalized.



Diseases to be identified for new coronavirus pneumonia

Because patients with this kind of pneumonia often have fever, diffuse and invasive lesions in the lungs need to be distinguished from other types of pneumonia, such as bacterial pneumonia, or nonviral pneumonia such as mycoplasma and chlamydia pneumonia, but patients with bacterial pneumonia often have blood It is higher, and it is dominated by single lung, and there may be purulent sputum when coughing; secondly, it is distinguished from other viral pneumonia. Many viruses can cause pneumonia, such as influenza virus, respiratory syncytial virus, rhinovirus, adenovirus, etc. can cause pneumonia, but these virus infections have a relatively low probability and relatively small number of pneumonia, and patients with new coronavirus infection have pneumonia. The probability is higher and the infectivity is stronger than other viral pneumonia. In addition, it needs to be distinguished from interstitial lung disease, especially acute interstitial pneumonia, mainly from epidemiological and imaging manifestations.

Attention needs to be paid to antiviral, antibacterial and hormonal applications

At present, there is no specific antiviral drug for the new coronavirus, and the treatment is mainly symptomatic and supportive. Avoid blind or inappropriate antimicrobial treatment, especially in combination with broad-spectrum antimicrobials. For mild patients, it is recommended to administer intravenous or oral antibacterial drugs, such as moxifloxacin or azithromycin, based on the patient's condition. For severe or critically ill patients, empirical antimicrobials are given to treat all possible pathogens. For patients with sepsis, antimicrobials should be given within one hour after the initial patient assessment.

Glucocorticoids are a 'double-edged sword' for viruses. On the one hand, it inhibits the body's immune function and may cause the virus to spread. On the other hand, it can reduce the lung inflammation and help improve the symptoms of hypoxia and respiratory distress, unless there are special reasons. Should avoid routine corticosteroid use. Glucocorticoids can be used for a short period of time (3-5 days) according to the patient's dyspnea and chest imaging progress. There are currently no specific antiviral drugs. Try alpha-interferon nebulizer, lopinavir / ritonavir and other drugs.

If there is a history of endemic epidemiology or other infection-related risk factors (including travel history or exposure to animal influenza viruses), empiric therapy should include neuraminidase inhibitors (oseltamivir) or membrane fusion inhibitors (Azerbaijan Bidore).

Elderly and pregnant women progress relatively quickly

The new type of coronavirus pneumonia can occur in people with low immune function and normal immune function, and it has a certain relationship with the amount of virus exposure. If you are exposed to a large amount of virus at one time, you may get sick even if your immune function is normal. For people with poor immune function, such as the elderly or those with liver and kidney dysfunction, the disease progresses relatively quickly and the severity is higher. However, people with normal immune function may have severe inflammatory reactions after infection, leading to ARDS or sepsis.

Similar to the epidemiological characteristics of SARS, children and infants have less incidence. A child patient currently diagnosed has milder symptoms, but has a clear history of exposure and typical changes in lung CT. The virus turns negative and the prognosis is good. There are also many children suspected of being patients.

Discharged patients should be followed up on time

At present, some patients have been treated and discharged, especially for mild patients. Before discharge, the nucleic acid test should be routinely performed. The nucleic acid test is negative for 2 consecutive days and the clinical symptoms are significantly relieved. Follow up. During the follow-up, attention should be paid to preventing recurrence of infection and quarantine at home for a period of time to ensure complete recovery.

http://news.sciencenet.cn/htmlnews/2020/1/435103.shtm
 
Press conference on prevention and control of pneumonia caused by new coronavirus infection




Yanyan Chun:

Good morning, ladies and gentlemen, journalist friends. Everyone is welcome to attend the press conference of the State Council Information Office. Recently, everyone has paid great attention to the prevention and control of pneumonia outbreaks of new coronavirus infections. To help you better understand the relevant situation, today we invited Mr. Li Bin, Deputy Director of the National Health and Health Committee, and Mr. Xu Shuqiang, Director of the Emergency Management Office of the National Health and Health Committee. Ms. Jiao Yahui, person in charge of the Medical Administration and Hospital Administration of the National Health and Health Committee, Mr. Gao Fu, member of the Chinese Academy of Sciences and director of the Chinese Center for Disease Control and Prevention. Ask them to introduce the relevant situation to everyone and answer the questions from friends of the reporter.

First of all, Mr. Li Bin is invited to make an introduction.

2020-01-22 10:01:44
Li Bin:

Since the outbreak of pneumonia caused by the new coronavirus, the Party Central Committee and the State Council have attached great importance to it. General Secretary Xi Jinping has repeatedly questioned the epidemic situation and the treatment of patients, and made important instructions and instructions for the prevention and control of the epidemic situation. Premier Li Keqiang has made important instructions on many occasions. On the morning of January 20, the executive meeting of the State Council studied the deployment of epidemic prevention and control. Vice Premier Sun Chunlan listened to reports many times and studied and guided the prevention and control work. On the afternoon of January 20th, an important deployment was made on the conference call of the National Joint Prevention and Control Mechanism. On the evening of January 20th, a conference was convened to conduct a special study on the deployment of prevention and control work.

2020-01-22 10:01:57
Li Bin:

The National Health and Health Commission seriously implemented the spirit of the important instructions of General Secretary Jinping, implemented the important instructions of Premier Li Keqiang and the work arrangement of the State Council executive meeting, and quickly established a leading group for epidemic response and disposal of the comrades in charge of the comrades. Discussed the epidemic prevention and control work, and sent a national working group and expert team to Wuhan to guide the implementation of epidemic prevention and control measures in Wuhan, Hubei Province in accordance with the principle of territorial management.

The first is to strengthen disease tracing and technical guidance. More than a week after the epidemic was discovered, the pathogen was quickly identified as a new coronavirus, and technical solutions such as case diagnosis and treatment, emergency monitoring, epidemiological investigation and disposal, and sampling and testing were formulated.

The second is to do our best to reduce severe illness and death. According to the 'four concentration' principle of centralized cases, centralized experts, centralized resources, and centralized treatment, suspicious cases are collected in designated hospitals. One case per person for severe cases is implemented, and national medical experts have been stationed in Wuhan for a long time to guide medical treatment.

2020-01-22 10:03:42
Li Bin:

The third is to persist in information disclosure and international exchanges and cooperation. Guide Wuhan to establish a daily epidemic information system to the public, strengthen public awareness of disease prevention and other work, take the initiative to strengthen communication with the World Health Organization, relevant countries, and Hong Kong, Macao and Taiwan on epidemic information, and conduct timely and regular expert-level communication with the World Health Organization. The prevention and control technical details were exchanged, and experts from the World Health Organization, Hong Kong, Macao and Taiwan were invited to go to Wuhan to inspect the epidemic prevention and control work.

2020-01-22 10:06:04
Li Bin:

With the changes in the situation of epidemic prevention and control, we have further strengthened the deployment of epidemic prevention and control work on the basis of continuing to do the above work.

The first is to strengthen the multi-sector joint prevention and control work mechanism. Improved the National Health and Health Commission's lead, including more than 30 departments to work with new coronavirus infection pneumonia epidemic joint prevention and control work mechanism, under the comprehensive, epidemic prevention and control, medical treatment, scientific research, logistics support, forward working groups, respectively Responsible comrades of the relevant departments serve as the team leader, clarify responsibilities, divide work and cooperate to jointly advance the epidemic prevention and control work.

The second is to strengthen guidance for the prevention and control of the epidemic in Wuhan. Urge Wuhan City, Hubei Province to strengthen emergency response, 'import entrance', strict management of farmers' markets, prohibit the sale of live poultry, and prohibit the entry of wild animals and live poultry into Wuhan. Take the 'exit barriers' well, implement temperature screening at airports, train stations, bus stations, and docks, strictly adopt isolation and observation measures for patients with fever and close contacts, and minimize public gathering activities.

The third is to do a good job in preventing and responding to epidemics across the country. Pneumonia infected by the new coronavirus is included in the legally infectious disease class B, and measures for the prevention and control of class A infectious diseases are adopted. At the same time, it is included in the frontier health quarantine and infectious disease management. Case diagnosis and treatment, prevention and control programs were issued to the whole country, and a daily report and zero report system was established throughout the country. The National Office of Health and Welfare deployed a patriotic health campaign in winter and spring with the theme of strengthening market environmental sanitation. As of 24:00 on January 21, our committee received a total of 440 confirmed cases of pneumonitis with new coronavirus infection in 13 provinces (autonomous regions and municipalities) in China, a total of 9 reported deaths, and 3 new cases, all of which were Hubei cases. . 149 new cases of pneumonia confirmed by coronavirus infection were reported, 1 confirmed case was received from Japan, 3 confirmed cases were reported from Thailand, and 1 confirmed case was reported from South Korea. At present, 2197 close contacts have been tracked, 765 have been released from medical observation, and 1394 are still receiving medical observation.

2020-01-22 10:08:05
Li Bin:

Recently, the number of cases has changed greatly, which has something to do with the continuous deepening of our understanding of the disease, the improvement of diagnostic methods, the optimization and distribution of diagnostic reagents to the country. Experts judged that the cases were mainly related to Wuhan, that human-to-human transmission and medical staff infections had occurred, and there was a certain range of community transmission. The epidemic is mainly transmitted through the respiratory tract. The virus may mutate and the epidemic is at risk of further spread. At present, during the Spring Festival, the surge in personnel mobility has objectively increased the risk of epidemic spread and the difficulty of prevention and control. We must not take it lightly and be highly vigilant.

In the next step, we will work with members of the joint prevention and control mechanism to resolutely implement the decision-making arrangements of the Party Central Committee and the State Council, put the people's lives and health in the first place, and guide localities to take effective measures in accordance with the principles of territorial management. To ensure that the people have a peaceful and peaceful Spring Festival.

2020-01-22 10:13:08
Li Bin:

The first is to strictly guard against death and control the epidemic in Wuhan. Urge Hubei Province and Wuhan City to adopt the strictest prevention and control measures in accordance with the law, strengthen the supervision of farmer's markets and wildlife control, prevent internal proliferation and external export, persuade the public to disperse and not to gather, minimize the gathering activities of the public, and avoid gathering The outbreak occurred. Adopt the strictest measures for fever detection, implement medical observations for fever, and prevent further spread of the epidemic.

The second is to keep an eye on work across the country and resolutely implement epidemic prevention and control measures. We will keep close monitoring of pneumonia of unknown cause, and send out two nets for pre-examination and sub-diagnosis of fever, make preparations for case treatment, and timely detect and effectively handle the epidemic situation. Strengthen environmental sanitation, combined with the increased mobility of personnel during the Spring Festival, and implement measures such as ventilation, disinfection, and temperature measurement at stations, airports, terminals, and other important places, as well as closed vehicles such as cars, trains, and airplanes.

The third is to spare no effort to treat patients. Allocate the strongest Chinese and Western medical resources and expert resources, and integrate Chinese and Western medicine to minimize deaths. Strengthen the protection of patient medical treatment costs to ensure that patients are treated in a timely manner. Caring for and caring for medical staff, providing logistical support, and arranging reasonable rest, especially directing personal protection to prevent medical staff from being infected during the treatment of patients.

The fourth is to do a good job of information release and international cooperation
. Timely, openly and transparently release epidemic information, objectively report the progress of the epidemic and preventive control measures adopted by the government, seek truth from facts, and scientifically publicize epidemic protection knowledge. Continue to proactively strengthen the communication of epidemic information with the World Health Organization, relevant countries, Hong Kong, Macao and Taiwan, timely share epidemic monitoring, investigation, prevention information and risk assessment opinions, and jointly discuss and improve epidemic prevention and control measures.





Li Bin:

The fifth is to increase research efforts on epidemic prevention and control. Give full play to the strength of experts, find out the source of infection and the route of transmission as soon as possible, and do a good job in the research and development and screening of antiviral drugs. Closely track and monitor the changes in virus virulence and transmission to improve the science and effectiveness of epidemic prevention and control.

Sixth is to deploy a national health system to strengthen watchkeeping. Arrange health administrative departments and medical and health units at all levels to dispatch personnel who are familiar with the work, and do a good job on duty during the Spring Festival, and medical institutions and disease control agencies at all levels will retain sufficient staff.

The occurrence of the epidemic affects everyone's heart. We will go all out to do a good job of prevention and control and resolutely curb the spread of the epidemic. I believe that we have the strong leadership of the Party Central Committee with Comrade Xi Jinping as the core, the institutional advantages of socialism with Chinese characteristics, the relatively complete prevention and control system for sudden and emerging infectious diseases established since SARS in 2003, and the response to the H1N1 influenza A The practical experience accumulated in major public health incidents such as bird flu, Ebola hemorrhagic fever, and the like, with the support of the broad masses of the people, we are confident of victory in epidemic prevention and control.

2020-01-22 10:19:52
Yanyan Chun:

Thank you Mr. Li Bin for your introduction. Let ’s start asking questions. Please inform your news organization before asking questions.

2020-01-22 10:22:47
CCTV reporter:

As we all know, the SARS epidemic in 2003 eventually turned into a public health crisis affecting many countries around the world. What measures will China take to prevent the epidemic from spreading further? Thank you.

2020-01-22 10:23:43
Li Bin:

23 days ago, that is, December 30, 2019, our committee was informed of the occurrence of viral pneumonia of unknown cause in Wuhan, Hubei Province, and dispatched a national working group and an expert group to implement the national, provincial and municipal linkage. Guide and support Wuhan to make every effort to prevent and control the epidemic.

The first is to spare no effort to treat patients. The second is to seriously organize the investigation and judgment of the epidemic situation. According to the information available, Wuhan has decisively closed the place where patients were concentratedly exposed, that is, the South China Seafood Wholesale Market. Carry out case search and isolation treatment, close contact tracing and medical observation throughout the city. Third, experts from provinces and cities of the country immediately studied and formulated related prevention and treatment programs, organized the implementation of epidemiological investigations, specimen collection and inspection, and traceability of pathogens. Fourth, the situation will be announced to the public on December 31.

On January 8, 2020, after the preliminary determination of the outbreak pathogen as a new coronavirus, China immediately organized the development of a test kit, optimized the detection plan, strengthened the case search, detection, and review, while paying close attention to the changes in the epidemic situation and timely revising the relevant prevention and control plans. , Adjust case management and various prevention and control measures, and strive to reduce the incidence of severe cases and deaths.

On the basis of the original measures, efforts have been made to strengthen measures to prevent the spread of the epidemic. These measures include strengthening the isolation and treatment of cases, tracking and medical observation of close contacts, strengthening the environmental regulation and management of the farmers' market in Wuhan, launching patriotic health campaigns, and publishing Epidemic information, universal knowledge on prevention and control, and body temperature screening at airports and stations.

In the next step, China's governments at all levels, health and other departments will continue to implement the decision-making arrangements of the Party Central Committee, in accordance with the deployment requirements of the State Council, the management of Class A infectious diseases in accordance with the Infectious Disease Control Law, and the border health quarantine and infectious disease management It is required to continue to focus on Wuhan and strengthen the implementation of various prevention and control measures. At the same time, further strengthen national prevention and control work, strictly implement prevention and control measures during the 'Spring Festival Transport' period, strengthen epidemic monitoring reports, response and timely release of information, and increase research efforts on epidemic prevention and control, and further strengthen international exchanges and cooperation. . The Chinese government and people are confident of defeating this new infectious disease and winning the sniper war of this epidemic. Thank you.

2020-01-22 10:24:16
Bloomberg reporter:

I have two questions: First, it is now during the Spring Festival that a large number of people are moving. Is it possible that people will continue to travel from Wuhan to other places, resulting in greater transmission risks? Second, a British university study said that according to last week ’s epidemiological study, 2,000 people were expected to be infected in China. Has there been any prediction of how many infected people have not yet been treated? Thank you.

2020-01-22 10:24:49
Li Bin:

This is a very important issue. I will first introduce the relevant situation of the first question, and then I will invite Academician Gao Fu of the Chinese Center for Disease Control and Prevention to introduce the research of British universities and answer the current epidemic situation.

In view of the current situation of prevention and control of pneumonia caused by new-type coronavirus infection, and in view of the large flow of people during the Spring Festival, the Chinese government has raised the prevention and control of pneumonia caused by new-type coronavirus infection to the national level, made institutional arrangements, and decisively initiated the joint prevention and control mechanism. The pandemic prevention and control efforts have established a joint pneumonia joint prevention and control working mechanism to respond to new coronavirus infection, led by the National Health and Health Commission, and composed of 32 departments. As I have just introduced, there are several groups to implement departmental responsibilities. Centering on epidemic prevention and control, breaking the boundaries of departmental responsibilities, forming an effective command coordination force, and realizing three-dimensional, full coverage and efficient coordination of epidemic prevention and response.

The National Health and Health Commission deployed and supervised and guided the local health and health departments to strengthen the prevention and control measures of the epidemic. On January 14th, a video conference of the national health and health system was held to inform the provincial health and health departments of the epidemic prevention and control situation, and the localities were strengthened to monitor the epidemic. , Make every effort to prepare for the response. From January 17th to 18th, 7 supervision teams were dispatched to supervise and inspect 8 provinces including Hebei and Guangdong to guide the prevention and control work. Now we have also specially appointed government officials and experts to form a number of supervision groups to further increase supervision and push forward the implementation of work. On January 19, clear requirements were made for the prevention and control of pneumonia caused by new-type coronavirus infections in various places. The national health system was deployed to strengthen on-duty duty and strictly implement prevention and control measures during the Spring Festival.

2020-01-22 10:26:47
Li Bin:

In response to the outbreak in Wuhan, Director Ma Xiaowei of the National Health and Health Commission made a special trip to the local area on January 15 to instruct Wuhan City, Hubei Province to further implement various prevention and control measures.

The first is to strengthen the management of Wuhan's foreign transport personnel, start body temperature detection at airports, railway stations, and coach stations to screen fever patients. Currently, Wuhan Tianhe Airport has 15 probe-type thermometers and three major railway stations. 20 probe-type thermometers.

The second is to strengthen the management of the source of the infection. I have just introduced this situation. On the basis of strengthening the management of the farmer's market, we have also strengthened supervision of key departments such as supermarkets and restaurants to severely crack down on wild animal trading.

The third is to strengthen the management of crowd activities and reduce the gathering activities of large publics.

The fourth is to carry out patriotic health campaigns. In order to prevent the spread of the epidemic, the Wuhan Municipal People ’s Government has issued an appeal in the media on January 21. Journalists and friends may have received this information. In principle, if it is not necessary, it is recommended that people outside do not go to Wuhan. Wuhan ’s citizens have not Do not leave Wuhan under special circumstances. This can reduce the mobility of personnel and reduce the possibility of virus transmission.

For provinces where cases have occurred, the first is to strengthen the surveillance and response to the epidemic situation and implement the 'five early' measures, that is, early detection, early reporting, early isolation, early diagnosis, and early treatment of cases. The word 'early' is very important. The second is to allocate medical resources to strengthen the treatment of cases, do a good job of tracking and management of close contacts, prevention and control of hospital infection and laboratory biosafety. The third is to launch a 'patriotic health campaign' to increase environmental governance and delay the spread of the epidemic.


For provinces where no cases have been found, the first is to develop and improve emergency plans and work plans. The second is to do a good job in preparations for negative pressure ambulances, negative pressure wards, diagnosis and treatment experts, therapeutic drugs, testing reagents, killing drugs, protective drugs, prevention and control teams and emergency teams. The third is to carry out training for medical staff and public health professionals to ensure that effective treatment can be regulated in the event of an outbreak.

Through the above measures, the risk of cross-regional and cross-border spread of the epidemic during the Spring Festival will be minimized. Regarding your second question, please ask Academician Gao Fu to answer.



Gao Fu:

Dear journalists, this question is very good. I think any such question is a science-based one. First of all, I also looked at the calculation results of this scientist. This is a mathematical model. The number you just asked is the maximum number of numbers he calculated. Everyone knows that knowing any new thing, especially a virus like this, must be 'facts are facts, and knowledge theory is theory.' We also welcome everyone to propose various models, in fact, many models have come out now. Is this model consistent with the facts? Director Li has just announced our measures and the open and transparent epidemic situation. I think, as you get to know the virus, you will verify this model.

The situation we have at present is not the situation of the model calculated by this scientist.

2020-01-22 10:30:09
Reuters reporter:

I have two questions. First of all, can you give more details, and why has the number of confirmed cases surged in recent days? Is it because of some new detection measures? In addition, compared with SARS and MERS (Middle East Respiratory Syndrome), is the virus more severe or less severe this time? Please make a specific comparison.

2020-01-22 10:41:33
Li Bin:

This question is very professional, please Academician Gao Fu share some details with you.

2020-01-22 10:41:58
Gao Fu:

A friend of the reporter mentioned a new detection technology just now when asking a question, so some answers have already been given. As I mentioned just now, especially in the face of such an epidemic, humans have a process of understanding it. The model just mentioned is a model based on your past cognition of this type of virus, and it is the crystallization of human wisdom.

You mentioned the increase in the outbreak. This is a fact. You answered some of the questions. Our knowledge of the virus is also a gradual process. Everyone thinks back, in this cognitive process, science is our powerful weapon.

Just now, Deputy Director Li Bin and everyone said that after the epidemic situation was discovered, professional organizations made professional work arrangements in a timely manner, and soon discovered that it is a new type of coronavirus, quickly clarified its genome sequence, and quickly separated virus. This is also the past 70 years since the founding of New China, especially in terms of disease prevention and control specialization in recent years. It is a scientific progress. In the process of cognitive disease, I think everyone is concerned about how this virus is different from SARS and MERS (Middle East Respiratory Syndrome). Coronaviruses that infect humans, and now there are seven of them, four of which are weakly pathogenic to humans and weaker than seasonal flu. Everyone knows that SARS and MERS (Middle East respiratory syndrome) are more serious We are constantly learning about this virus. thank you all.

2020-01-22 10:42:11
China Daily reporter:

At present, medical personnel have confirmed the infection. Can you tell us more about this situation and what measures will be taken to protect the safety of front-line medical personnel? Thank you.

2020-01-22 10:43:26
Li Bin:

With regard to infection by medical personnel, the whole society is very concerned about it. From the health and health department, this work is highly valued. In this regard, please ask Deputy Director Jiao Yahui of the Medical Administration and Hospital Authority to introduce the relevant situation to friends in the media.

2020-01-22 10:43:52
Jiao Yahui:

Thank you for your question. Recently, everyone also saw that from the WeChat notification of the Wuhan Municipal Health and Health Commission, medical personnel were notified of pneumonia cases confirmed by a new coronavirus infection. In our committee, when the high-level expert group answered questions from reporters, Academician Zhong Nanshan also mentioned the presence of medical staff infections, and also reminded that the phenomenon of human-to-human transmission has occurred, and we must be vigilant. We are also saddened to see cases of infection by medical staff. Medical staff is indeed a high-risk occupation. Especially since the outbreak of pneumonia, they have been adhering to the clinical front line and working overtime continuously. The medical staff of each shift has to work for 10 hours a day, and they also need to wear isolation clothing and protective clothing, protective equipment, work It was very hard. When I came out of the ward, my whole body was soaked with sweat, and my physical health declined, but they remained firmly at the clinical front line and we paid tribute to them.

2020-01-22 10:44:24
Jiao Yahui:

The emergence of medical staff infection cases, on the one hand, provides evidence for human transmission, on the other hand, it also reveals that our medical institutions still have some weak links in the prevention and control of hospital infections. Of course, just as Academician Gao Fu mentioned just now, our development of this disease is also a process of gradual recognition. This disease also has a process of development and change. It also has different characteristics in the early and present, so our protection and hospital Infection control measures need to be adjusted accordingly. Now we have taken a series of measures to address this weak link. On the one hand, we have revised and improved the personal protection standards and specifications of medical personnel. On the other hand, we have proposed more stringent measures for the prevention and control of hospital infections. After improving these technical solutions, It is also necessary to train medical personnel nationwide.

The emergence of infection by medical personnel this time also reminds us that not only in the departments related to patient infection, but also in other non-infection-related departments, we must also be highly vigilant about hospital infection prevention and early detection of patients. We will also take more stringent prevention and control measures to ensure the treatment of patients, while also protecting the personal protection and safety of medical staff. Because only if the medical personnel's personal protection is done, can they have a stronger fighting force to defeat this pneumonia epidemic. Thank you.


2020-01-22 10:45:43
Singapore Lianhe Zaobao reporter:

We have seen a surge in the number of confirmed cases over the past few days. May I ask if the early information disclosure was not sufficient? Is there any government concealment of the epidemic? Thank you.

2020-01-22 10:50:08
Li Bin:

Mr. Xu Shuqiang, Director of the Emergency Management Office, is invited to introduce the relevant situation to you.

2020-01-22 10:52:20
Xu Shuqiang:

Deputy Director Li Bin has emphasized in the introduction just now that we attach great importance to information disclosure, and information disclosure is very important. After the outbreak, the National Health and Health Commission directed the Wuhan Municipal Health and Health Committee of Hubei Province to release outbreak and prevention and control information on December 31, 2019 and January 3, 5, and 9, 2020. According to changes in the development of the epidemic, Daily updates released from January 11. On January 9th, our commission publicly released the results of the pathogen detection and determined it to be a new type of coronavirus.

Recently, cases have been reported in areas outside Wuhan, Hubei. In order to enable the general public to grasp the information of the epidemic in a timely, accurate and comprehensive manner, starting from January 20th, the National Health and Health Commission will collect and publish the data of confirmed and suspected cases in all provinces across the country daily. . We will stick to the daily release system, including during the Spring Festival, until the release is no longer needed. Thank you.

2020-01-22 10:53:33
Surging news reporter:

We know that SARS produced super communicators that year, which led to a rapid increase in the epidemic. Yesterday it was reported that a super communicator that infected 14 medical staff had appeared. I would like to ask, will there be a large-scale outbreak of this epidemic due to the presence of super-spreaders due to the mutation of this virus? Will this epidemic evolve into another SARS? Thank you.

2020-01-22 10:54:11
Li Bin:

My friends in the media are still very interested in some technical questions and ask very professionally. Academician Gao Fu, please communicate the situation with you.

2020-01-22 10:54:39
Gao Fu:

Your question is really good. If you are willing to read relevant professional articles, about two or three years ago, there was no new coronavirus at that time. A magazine called 'Microbiology Trends' specifically talked about the occurrence of SARS, MERS (Middle East Respiratory Syndrome) and super communicators. The relationship between. As I said just now, we are in the process of constantly cognizing this new coronavirus and constantly accumulating knowledge about it. So, we have no evidence that we already have the super communicator you just mentioned. You should know that MERS (Middle East Respiratory Syndrome) has occurred in the Middle East, and no super communicator has been found, but when it comes to South Korea, it can be said that there is a super communicator, otherwise there will not be more than 180 patients and 38 death Case. This is what everyone has observed. If you are interested, you can read my related articles. This is entirely a scientific issue and we will pay close attention to it. Because professionally and technically, we have seen this kind of coronavirus. Our prevention and control measures are prevention and control measures under the guidance of theory. We pay special attention to the possible super communicators you mentioned.

Your question is also a very important direction to guide our prevention and control.

2020-01-22 10:55:03
Iton Tass News Agency reporter:

The border between China and Russia is very long. In order to curb the spread of the pneumonia epidemic of the new coronavirus infection, what kind of prevention and control measures has China taken in areas relying on Russian territory? Do Chinese and Russian government departments keep in touch on this issue? Please introduce the detailed situation of international cooperation. Thank you.

2020-01-22 10:55:25
Li Bin:

Let me answer this question. Regarding national prevention and control, I have just introduced it. At present, we must implement these prevention and control measures and truly achieve the 'five early', early detection, early reporting, early diagnosis, early isolation, and early treatment. We must implement these measures well and effectively control the epidemic situation. At the same time, we have also strengthened the control of infectious diseases. Now we have classified this infectious disease as a Class B infectious disease and a Class A management. You may have seen the announcement of the Commission. The announcement is in two aspects. The first aspect is that according to the Infectious Diseases Prevention Law, we have classified this infectious disease as a Type B infectious disease and Category A management. Items. The second aspect is that according to the international quarantine law, this infectious disease is classified as an international quarantine infectious disease. We have also strengthened port management. The customs department is further implementing various prevention and control measures in this regard.

Regarding international and regional cooperation, I would like to introduce several aspects:

First, after the outbreak, in a manner of openness and transparency and a high degree of responsibility for global health security, China promptly notified the World Health Organization, relevant countries including Russia, and Hong Kong, Macao and Taiwan regions of the epidemic. As of January 20, the information has been shared 15 times in total.

Second, maintain close communication with the World Health Organization. Director Ma Xiaowei has written to the WHO Director-General several times to report the epidemic situation information, exchange the progress of epidemic prevention and control, share the whole sequence of new coronavirus to the World Health Organization as soon as possible, and set up a special class to organize Chinese experts and WHO Experts conducted in-depth exchanges. At present, four expert communication meetings have been held, and WHO experts are invited to visit Wuhan, Hubei, to conduct field inspections and visits to further understand the epidemic situation, deepen the understanding of the epidemic situation and reach consensus, and strengthen cooperation and joint response.

Third, do a good job of bilateral communication. Our committee maintains close communication with counterpart technical departments and embassies in China such as Thailand, Japan, South Korea, and the United States, shares epidemic information, verifies information on suspected and confirmed cases, and promptly responds to foreign concerns.

Fourth, strengthen communication and collaboration with Hong Kong, Macao and Taiwan. In addition to regular information sharing, our committee has invited experts from Hong Kong, Macau, and Taiwan to visit the corresponding medical and health institutions in Wuhan, and conducted in-depth exchanges with local medical and health personnel to further understand the situation. In response to requests from Hong Kong and Macau, we have provided diagnostic kits to Hong Kong and Macau free of charge. Thank you.




Economic Daily News reporter:

I would like to ask how ordinary people should prevent this pneumonia. Any suggestions? For example, we are highly skeptical that we are taking this coronavirus pneumonia. What medicines can we take to improve the symptoms? If the diagnosis is pneumonia, are there any specialized medical institutions or outpatient clinics to receive these patients? Specialized medical institutions to treat patients? Thank you.

2020-01-22 11:20:40
Li Bin:

This topic has become a topic of concern to the whole people, and today is also a very good opportunity to further relevant information and knowledge, please media friends to help us do a good job of publicity. Now, please ask Deputy Director Jiao Yahui to introduce the relevant situation and prevention knowledge.

2020-01-22 11:25:33
Jiao Yahui:

Thank you for your question. For ordinary people, everyone is very concerned about how I can't prevent this kind of pneumonia. First of all, we should pay attention to it. At this time, you should try to reduce to people-intensive places, whether it is home, workplace, or school. Of course, now students have already It is a holiday, and it is necessary to maintain the habit of regular indoor ventilation. Even in the north, it is recommended to open the window for a short time in winter. When symptoms of fever or cough appear, it is recommended to wear a mask. We advocate the civilization of masks. Cover your mouth and nose with a handkerchief or paper when you sneeze. In addition, you must wear a mask to protect yourself and other people. This is routine. In addition, wash your hands frequently. If you accidentally cover your mouth and nose, wash your hands after sneezing. Do not rub your eyes or touch the mucous membranes after sneezing. In general, personal protection and personal hygiene are required.

When there are some discomforts, such as cough and fever, we recommend not to take the medicine first, or to check it online. Follow the online advice to take the medicine yourself, without going to the hospital. I think it can be over for two days. . At this stage, we recommend that if such symptoms occur, you must go to the hospital in time to seek the correct diagnosis and treatment of a doctor. Hospitals at level 2 or higher, that is, our hospitals in districts, counties, cities, and provinces all have fever clinics. When patients have symptoms, whether they go to a general clinic or a fever clinic, even if they go to a general clinic, they will have professional medical services. The staff took the body temperature and found that the patient's temperature had risen. He would prompt him to wear a mask and guide him to a fever clinic for investigation. Because this season is also the season when other respiratory diseases are high, clear other respiratory diseases are excluded, and those with high suspicion will be isolated and observed. We use laboratory testing methods to make a clear diagnosis. Even when visiting a primary medical institution, such as a community health service center, doctors will conduct preliminary screening during admission, will record the information of fever patients in detail, and will be referred to a second-level or higher hospital that has the conditions for diagnosis and treatment if they are highly suspect. Diagnosis and treatment.

For suspected and confirmed cases, we receive intensive treatment from designated hospitals, designated hospitals and backup hospitals have been designated in various places. Once the epidemic has expanded and cases have increased, backup hospitals are activated at any time. There are more patients with epidemic conditions and the designated hospitals cannot accept At that time, we also have reserve hospitals, and detailed plans have been formulated in each place. In SARS in 2003, Beijing also urgently built Xiaotangshan Hospital and undertook the transformation of the centralized admission hospital. If the epidemic really develops to this stage, we can also temporarily rebuild some hospitals to receive patients. Of course, our current epidemic situation is far from reaching this level, so our medical resources are still sufficient to provide timely diagnosis and treatment services for the majority of patients. Thank you.

2020-01-22 11:25:55
Hong Kong Grand Official Reporter:

There are a lot of rumors on the Internet now. We are very concerned about the real situation in Wuhan now. Are there any cases of 'no admission to hospital' on the Internet? Do people in Wuhan now recommend going home to visit relatives during the Spring Festival? Thank you.

2020-01-22 11:26:19
Li Bin:

This issue was also introduced in the introduction process just now. There is a process for cognition of new cases. Therefore, this process needs to be based on scientific evidence. In the light of the development of the entire epidemic situation, the various diagnosis and treatment, Prevention and control programs. Recently, the number of cases in Wuhan has indeed increased relatively quickly. The main reason is that after the pathogen is determined to be a new type of coronavirus, laboratory diagnostic methods have been rapidly established, and pathogen diagnostic reagents have been rapidly developed and optimized, so cases can be detected relatively quickly . But this all has a process. With our continuous development, continuous optimization, and continuous application in the clinic, we continuously improve the level of diagnosis and treatment and the ability to discover. At the same time, according to the analysis of the epidemiological investigation, the search scope of pneumonia cases treated by relevant medical institutions in Wuhan was expanded in time, sampling tests were conducted, and timely diagnosis was given. For patients diagnosed, we also release the epidemic situation in a timely manner. As the diagnosis continues to be clarified, the epidemic situation is also followed up and released in a timely manner.

Everyone is more concerned about going to Wuhan. I just introduced it. The Wuhan government has already issued reminders and reminders. At present, more than 90% of the confirmed cases nationwide are concentrated in Wuhan, and human-to-human and medical staff infections have occurred in the local area. There is a certain range of community-based transmission. At present, the virus is mainly transmitted through the respiratory tract. There is a possibility that the virus may mutate and the epidemic situation is at risk of further spread. Recently, Academician Zhong Nanshan, the leader of the high-level expert group of the National Health and Health Commission, said that the pneumonia epidemic of new coronavirus infection is currently a local outbreak in Wuhan, and the focus of prevention and control of the recent epidemic is still in Wuhan. Academician Zhong as a scientist has put forward suggestions in a very responsible manner to the broad masses of the people. In principle, do not go to Wuhan, and the masses in Wuhan do not go to Wuhan. This is the academician Zhong ’s advice to everyone. This advice is still very responsible. .

In order to prevent the spread of the epidemic, the leaders of the Wuhan Municipal People's Government issued an appeal in the media on January 21, and I have just introduced the situation just now. The appeal of the Wuhan Municipal Government is that if it is not necessary in principle, it is recommended that people outside do not go to Wuhan, and Wuhan citizens do not leave Wuhan without special circumstances. This can reduce personnel mobility, reduce the possibility of virus transmission, and enable prevention and control to be obtained as soon as possible. effect. This also fully reflects the sense of responsibility and mission of the Wuhan Municipal Government and the people of Wuhan in preventing the spread of the epidemic, and also expressing their determination and confidence in preventing and controlling the epidemic and defeating the disease. Thank you.


2020-01-22 11:26:48
Japanese TV reporter:

Mr. Gao Fu just said that the virus is still in the process of continuous recognition. Please tell us about the virus, such as the source of the virus, how long the incubation period is, and the risk factor, especially for children. And how young is the risk factor. Thank you.

2020-01-22 11:27:13
Gao Fu:

We also introduced just now that we are in a cognitive process of this virus. It now appears that it has some common characteristics when the coronavirus appeared in many aspects, but this virus also displays some of its own characteristics, including its source. We now know that the source of this virus is now focused on a market where there are wildlife trades, so the source may be wildlife and the environment it pollutes. At first, it was only animal-to-human transmission, and then the virus was making adaptive mutations to the host. Everyone has seen Disney's 'Cat and Mouse'. The relationship between viruses and humans is like a cat and mouse game, adapting to each other. To this stage, the phenomenon of person-to-person transmission has indeed occurred, and some community transmissions have occurred. So, it goes through three processes. From now on, its source is the wild animals sold in the seafood market. The virus of this wild animal is also gradually adapting, which also accords with human's understanding of this type of coronavirus. Of course, I also said at the beginning that it still needs to be further researched over time. For example, just as you said, how does it affect children and younger people, in terms of current epidemiology and current In terms of cognition, it is not easy to feel. Thank you.

2020-01-22 11:27:59
Beijing Youth Daily reporter:

I would like to ask, just now we have been emphasizing that the pneumonia of the new coronavirus is included in the control of type A management of type B. What does this sentence mean? What levels of public health emergencies are considered in this outbreak for emergency response? Thank you.

2020-01-22 11:28:26
Li Bin:

I may not have introduced it in detail just now. I would like to ask Director Xu Shuqiang to introduce the overall management and emergency situation in detail.

2020-01-22 11:28:47
Xu Shuqiang:

Just now Director Li introduced that the current epidemic prevention and control has reached a most critical stage. The State Council has incorporated pneumonitis infected with a new coronavirus into a legal infectious disease and designated it as a Class A infectious disease. Prevention and control measures, which means that various localities, departments and various types of medical and health institutions can adopt screening for fever patients, diagnosis and treatment of suspected cases, close contact isolation medical observation, and other stricter measures. Prevention and control measures effectively control the spread of the epidemic.

Regarding the grading of the incident, you may already know that in the early morning of the 22nd, the People's Government of Hubei Province issued the 'Notice on Strengthening the Prevention and Control of New Coronavirus Infection and Pneumonia', and decided to start a public health emergency level II emergency response. It is the emergency response to major public health emergencies under the unified leadership and command of the provincial people's government. After the major-level emergency response is initiated, the measures that can be taken include: emergency mobilization and collection of relevant personnel, materials, vehicles and related facilities and equipment, on-site isolation, identification and blockade of epidemic areas, and guaranteeing the material funds required for emergency treatment. Organize the isolation of patients and their close contacts, patient treatment and evacuation, and do a good job of publicity and guidance of public opinion in a timely manner. If necessary, the State Council can be supported to ensure the smooth handling of public health emergencies. Thank you.



Yanyan Chun:

Today ’s press conference is highly concerned. Before the end, I would like to say a few more words. I want to emphasize that the Party Central Committee and the State Council attach great importance to the prevention and control of pneumonia caused by new coronavirus infections, and always put the people's lives and health in the first place. We believe that under the strong leadership of the Party Central Committee with Comrade Xi Jinping at the core, with the joint efforts of all localities and departments and the concerted efforts of all medical staff, the people of all nations, including the people of Wuhan, will be able to achieve the goal. Victory in epidemic prevention and control.

I also want to emphasize that we will adhere to the principle of openness and transparency, timely release the latest epidemic situation and progress in prevention and control, and respond to public concerns as soon as possible. I have noticed that there are still many issues that everyone is concerned about. You are welcome to send us your interview needs and questions that you need to know to us or the Health Office's Information Office. We are willing to provide you with information services in a timely manner.

Today's press conference is the last press conference before the Spring Festival of the State Council Information Office. I also want to take this opportunity to say hard to the vast number of medical staff who are fighting in the front line, and to say to the people of the country, including the people of Wuhan, that we are always together. I wish you all a happy Chinese New Year and happiness.

Thanks again to several publishers and thank you all. That concludes today's press conference.

http://www.china.com.cn/zhibo/content_75637199.htm
 
[h=1]Coronavirus weaker than Sars but may share link to bats, Chinese scientists say[/h]
The coronavirus
discovered in Wuhan may share the same bat-related ancestor as Sars, according to the latest study by Chinese scientists, which said the strain was weaker than the devastating 2002-03 Sars outbreak
but was still “highly infectious”.

The new virus shares a common ancestor with severe acute respiratory syndrome (Sars), in HKU9-1, a virus found in fruit bats, they found.

The connection with wild animals was confirmed on Wednesday by Gao Fu, director general of China’s Centre for Disease Control and Prevention.

According to Gao, the coronavirus, which has sickened over 400 people across the country and led to nine deaths, originated from the wild animals sold at a seafood market in Wuhan. Gao warned that a major challenge was that the new strain was adapting and mutating.
The scientists’ findings, published on Tuesday, suggested that the danger posed by the pneumonia-like virus may have been underestimated by the research community, and came a day after the Chinese government’s announcement of emergency measures to contain its spread.








A joint research team from the Chinese Academy of Sciences, the People’s Liberation Army and Institut Pasteur of Shanghai estimated how the viral strain would interact with cells in the human respiratory system using computer simulation based on released data.





“The Wuhan coronavirus’ natural host could be bats ... but between bats and humans there may be an unknown intermediate,” the researchers said in a press statement that came with the paper.





https://www.scmp.com/news/china/sci...r-sars-may-share-link-bats-chinese-scientists
 
Liaoning confirms 2 confirmed cases of imported pneumococcal infection





According to CCTV news, on January 22, the National Health and Health Commission confirmed the first confirmed case of pneumonia imported from Liaoning Province. The patient was a 33-year-old man who worked in Wuhan. He developed fever and chills on January 11 and returned to Dalian on January 17. He was admitted to the hospital for isolation and treatment on the same day due to fever and cough. On January 22, a diagnosis expert group confirmed by the National Health and Health Commission's Epidemic Leadership Group confirmed a new case of pneumonia with a new coronavirus infection. At present, the patient is a severe case with stable vital signs, and 56 of his close contacts are under medical observation.


On January 22, in accordance with the 'Pneumonitis Diagnosis and Treatment Program for New Coronavirus Infection' (trial version 2), the provincial expert group confirmed the second confirmed case of pneumonia in Liaoning. The patient, a 40-year-old man, worked in Xiantao City, Hubei Province. He returned to Fushun to visit relatives on January 13 and stopped at Wuhan Airport on the way to Shenyang for 2 hours. On January 14th, he successively visited the medical institution of Fushun City because of conscious body soreness. On January 19th, he received a fever clinic at a certain hospital in Shenyang City due to fever, cough and other symptoms, and was admitted to the hospital for isolation and treatment. At present, the patient's symptoms are mild, and 31 of his close contacts are under medical observation.


As of 14:00 on January 22, a total of 2 confirmed cases of pneumonia due to novel coronavirus infection have been confirmed in Liaoning Province.


The Liaoning Provincial Party Committee and the Provincial Government attach great importance to the prevention and control of pneumonia caused by new-type coronavirus infections, study and deploy epidemic prevention and control work, quickly start the joint prevention and control work mechanism, implement local responsibilities, and all relevant departments work together to fully implement various prevention and control measures. The province's second-level medical institutions all set up fever clinics and strengthened pre-checking and triage work, and standardized the monitoring, screening, diagnosis and treatment of suspicious cases.


The Spring Festival is approaching, and the flow of people is frequent. It is also the season when respiratory tract infections are high in winter and spring. Experts remind that the general public must effectively protect their personal hygiene and maintain indoor air circulation; pay attention to personal hygiene, wear masks and wash hands frequently. Minimize the number of people-intensive places with a large number of mobiles. If you have fever or respiratory infections, go to a medical institution in time.


http://www.bjnews.com.cn/news/2020/01/22/677946.html
 
New coronavirus derived from wild animals




China News Agency, Beijing, January 22 (Li Yanan, Huang Yuqin) The source of the pneumonia caused by a new coronavirus infection in Wuhan, Hubei, was confirmed by experts on the 22nd that the source of the virus was wild animals sold in the seafood market. In terms of current epidemiological cognition, children and younger people are indeed not susceptible.

The State Council Information Office held a press conference on the 22nd to introduce the situation of pneumonia prevention and control of new coronavirus infection. Gao Fu, an academician of the Chinese Academy of Sciences and director of the China Centers for Disease Control and Prevention, said that the virus had some symptoms when it appeared. Common characteristics, but also show their own characteristics. The source of the virus may be wildlife in the market and the environment it pollutes. At first, it was only animal-to-human transmission, and then the virus made adaptive mutations to the host. Now, the phenomenon of human-to-human transmission has indeed occurred, and some community transmissions have occurred.

Gao Fu said that the relationship between viruses and humans is like a cat and mouse game, adapting to each other. It has gone through three processes, which is also consistent with human understanding of this type of coronavirus, and of course further research is needed.

Chinese officials have included pneumonia infected with the new coronavirus into Class B management Class A control. Xu Shuqiang, the director of the Emergency Management Office of the National Health and Health Commission, explained that this means that various localities, departments and various types of medical and health institutions can take screening of fever patients, isolation and treatment of suspected cases, close contact isolation medical observation, and Other stricter prevention and control measures have effectively controlled the spread of the epidemic.

In the early morning of the 22nd, the People ’s Government of Hubei Province issued the “Notice on Strengthening the Prevention and Control of New Coronavirus Infection and Pneumonia”, and decided to initiate a public health emergency level II emergency response, that is, a major public health emergency response. The provincial people's government has unified leadership and command.

Xu Shuqiang said that after starting the emergency response at a major level, the measures that can be taken include: emergency mobilization and collection of relevant personnel, materials, vehicles and related facilities and equipment, on-site isolation, identification and closure of epidemic areas, and guaranteeing the materials needed for emergency treatment Funding. Organize the quarantine of patients and their close contacts, patient treatment and evacuation, and do a good job of publicity and guidance in a timely manner. If necessary, the State Council can be supported to ensure the smooth handling of public health emergencies. (Finish)

http://news.sciencenet.cn/htmlnews/2020/1/435108.shtm
 
Anhui reports first confirmed case of pneumonitis with new coronavirus infection

Beijing News Express According to the official website of the Anhui Health and Health Commission, at 16:00 on January 22, 2020, the National Health and Health Commission confirmed that Anhui received the first case of pneumonitis infected with a new type of coronavirus reported by Hefei as a confirmed case.


In addition, as of 16:00 on January 22, the Provincial Health and Health Committee received 4 suspected cases of pneumonia of new coronavirus infection in 2 cities in the province (3 in Hefei and 1 in Luan).


Edit Liu Jiani


Source: Anhui Health and Health Commission official website

http://www.bjnews.com.cn/news/2020/01/22/677986.html
 
Back
Top Bottom