Wednesday, March 18, 2020

New COVID-19 cases at Wuhan outpatient clinics continue to appear

Source : Radio Free Asia (RFA)
Ref : https://www.rfa.org/mandarin/yataibaodao/huanjing/ql2-03182020065120.html
Extract translation, editing : Gan Yung Chyan
                                             / KUCINTA SETIA

Image courtesy : Reuters

Wuhan Novel Coronavirus Pneumonia  (COVID-19; covid, in short) Epidemic Prevention and Control Headquarters reported that on 13 to 16 March 2020, there were 4 newly confirmed cases in Wuhan from outpatient clinics. 

As of 19 March 2020, there were six new outpatient cases since 13 March 2020 (Friday) in Wuhan. Some experts say the recent emergence of new cases in relatively closed communities of Hubei is a red flag. 

As the epicentre of covid, Wuhan has the worst epidemic situation. Over the past ten days, the number of new cases in Wuhan has been declining, but this situation has changed since last Wednesday. According to the Health Times, new cases from the community pose a more difficult problem for health commissions. The virus will not come out of nowhere. Community residents are basically closed at home for more than 14 days. Figuring out how they are infected is crucial. 

Wuhan COVID-19 Epidemic Prevention and Control Headquarters reported that the source of patient infecttion in the 13 to 16 March cases in Wuhan comes from community and family members. The report quoted experts saying that following Wuhan's closure of the city, the communities, the epidemic situation has slowed down but there were new cases in the clinics, which is a red flag.


Rising number of diagnoses affects Hubei city unblocking decisions

Wuhan volunteer Pan Yuanxiang told RFA on Wednesday that the epidemic situation had suddenly "rebounded" in recent days, and the government plan that had been partially unsealed would probably be "ineffective": "Some small cities such as Huanggang have been partially opened, but  less than half a day later, suddenly another case occurred, so it was locked down. The Huanggang authority still dare not unblock it casually, for fear of taking responsibility if there is re-infection. There are many negative to positive cases. This infection line cannot be broken.  The condition is prone to relapse. "


The doctor of the medical team of a Wuchang square cabin hospital said that if there are new patients in the community, it means that there are still some loopholes in prevention and control! (Infographic / Reuters)

Gao Fei, a resident of Huanggang Hunchun, told RFA that the community has been closed for two months and many residents have become anxious. He said, "Our supermarkets and pharmacies in Hunchun County have resumed business and are gradually undergoing operations. When the village first unblocked on 13 March, more than a hundred vehicles came at once. The local government was shocked and immediately took road closure measures. "

According to the latest Wuhan epidemic situation released by the Wuhan Municipal Health and Health Committee, on 17 March 2020, one new confirmed case was reported from the clinic. The outpatients lived in the Golden Yayuan, Hanxing Street, Jianghan District. They were vegetable market managers, and the source of the infection was inferred from the exposure of the market or the contact of market personnel with the infection. Health Times quoted doctors as saying that if the community is not tightly supervised, it is not the most terrible. At present, what is most worrying is that there will be unexamined sources, and this will be the loophole in the resurgence of covid. The doctor of the medical team of Wuchang square cabin hospital said that if there are new patients in the community, it means that there are still some loopholes in epidemic prevention and control.


For Wuhan, the difficulties to end the epidemic have not yet been overcome.

New covid cases in outpatient clinics of communities mean that there are still some loopholes in prevention and control.

Li Lanjuan, a member of the Chinese Academy of Engineering and a member of the high-level expert group of the National Health and Health Commission, said in an interview with the media that there should be two very important indicators to judge that the epidemic is basically over. One is the international standard that has two incubation periods after "zero". The other is to identify all existing cases for admission or isolation to ensure that there are no new cases.

She emphasized that there are still many patients who need treatment in hospitals, and it is difficult to define the specific end time of the epidemic. It can only be said that after the newly confirmed and suspected cases are cleared in one area, it will take another 28 days, two incubation periods, and if there is no new disease, people will feel safer.

While guarding against domestic epidemic "rebounds", China is also responding to another threat-imported cases abroad.

According to WHO data, there are more than 200,000 confirmed cases of covid worldwide.

According to the data from the National Health and Medical Commission, as of 12 am on 18 March 2020, China has reported a total of 189 confirmed imported cases abroad.

Foreign defense import has become the top priority of China's current epidemic prevention and control. Especially in megacities such as Beijing, Shanghai, Guangzhou, and Shenzhen, the pressure on prevention and control is increasing sharply.

According to the National Health and Medical Commission's report, from 12 am to 12 pm on 18 March, 21 newly diagnosed imported cases were reported from Beijing. This is the first double-digit increase in new overseas imported cases in Beijing.

In order to plug the risk loopholes, immigration prevention and control measures have recently been strengthened in many parts of the country.

For example, Shanghai has implemented a "seamless connection" transfer, Guangdong has implemented the push of information on immigration personnel between 21 cities and cities, and all "closed loop" management has been implemented when entering Guangdong.

In Beijing, in order to better prevent and control the epidemic situation of overseas imported personnel, and make every effort to ensure the normal working and living order of citizens, after a lapse of 17 years, Beijing Xiaotangshan Hospital was reopened on 16 March 2020 and is mainly used for overseas (return) personnel screening staff, suspected cases, and mild and general confirmed patients should be treated.

It is important for various places and departments to coordinate and cooperate with one another in order to bring an end to covid not just at the checkpoints but also in the communities.

Web Ref : 
http://www.chinanews.com/gn/2020/03-19/9130655.shtml

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 Picture, copyright by : Gan Yung Chyan, KUCINTA SETIA