Sunday, June 14, 2020

Beijing CDC : Sequencing of viral genome initially shows the viral strain comes from Europe

Reporters : Sha Xueliang, Chen Lin, Dai Xuan, Wu Wei
Publisher : Beijing News; Re-produced on China News Network
Translation, editing : Gan Yung Chyan
                                 / KUCINTA SETIA

Image : Video Screenshot



   Why is the epidemic outbreak point in the wholesale market? Where did the virus in the new development market come from?

   Disease control experts : Gene discovery of emerging virus genes was from Europe

  From 11 to 14 June 2020, 7 am, 51 new cases of covid were confirmed in Beijing, all of which are related to the Xinfadi Market. Among them, the information of one confirmed case is currently under investigations.

  So why are wholesale markets prone to outbreaks? Where did the virus come from? What do people who have been to the Xinfadi Market recently need to do? How should people who have contact with confirmed cases be investigated? How to ensure the supply of vegetables in the Beijing market? What is the impact of upgrading 11 streets and villages in Beijing to high-risk areas in the epidemic? The Beijing News reporter sorted out the answers one by one.


  Question 1

   Where did the new virus come from?

   Preliminary judgment is related to input, but it cannot be finalized yet

  Beijing has not reported newly confirmed cases for more than 50 consecutive days. Where did the new coronavirus come from? Why did the outbreak point point to the wholesale market?

  Yang Peng, Beijing CDC, said that the virus tracing in Beijing's new development site is still under investigation. "Through genome-wide sequencing, it was discovered that the virus came from the European direction, and the preliminary judgment was related to importation. However, it is unclear how the virus came from. It may be contaminated seafood or meat, or secreted by people entering the market and spread."

         According to Wu Zunyou, chief expert in epidemiology of the China CDC, based on previous knowledge and experience, there are two possibilities for the sudden emergence of a local covid epidemic in Beijing.

  The first possibility is that seafood or meat contaminated with SARS-CoV-2 in the wholesale market is the source. Many seafood, beef and mutton in the wholesale market are imported from abroad, including overseas imports. At present, there are more than 100,000 new cases of covid every day in the world. People with SARS-CoV-2 infection may cause pollution when handling seafood or beef and mutton. Moreover, in the wholesale market, many seafood or beef and mutton are stored frozen, in such an environment, the virus can survive for a long time.

   After these products are shipped to the wholesale market in Beijing, when people in the wholesale market operate, their hands will come into contact with the contaminated products, and then rub their noses and rub their eyes, they will be infected. At first, the symptoms were mild. If you didn't realize it, it might cause people to pass on the coronavirus from work to work.

   The second possibility is that there are other sources of infection. The Xinfadi wholesale market has a very large flow of people. The people in the market come from all directions, and people who enter or leave the Xinfadi wholesale market are the source of infection. For example, he may be a person who came from another epidemic source. After being infected, his symptoms were very mild, and he did not pay attention to it at the time. Since then, he has caused pollution to the new wholesale market and caused the epidemic to gather. Since several cases found so far are related to the wholesale market of Xinfadi, they turned their attention to Xinfadi.

  As to whether the contaminated seafood or meat products in the market is the original source of infection, or whether people entering or leaving the market are the source of infection, both of which may exist. But according to the current situation in Beijing, the first situation is more likely.

  According to CCTV News

  Question 2

  Is the newly confirmed case related to the new place of occurrence?

  51 confirmed cases are related to Xinfadi

  In recent days, 51 newly diagnosed cases of new coronary pneumonia were added. According to the introduction of the Beijing Center for Disease Control and Prevention, through epidemiological investigations, it is found that the current confirmed cases are all related to the new market.

  Beijing Center for Disease Control and Prevention introduced that from 0:00 to 24:00 on June 13th, among the newly added 36 cases, 27 were in the new market, and 9 were directly or indirectly exposed to the new market. 11 cases were found through active medical treatment, and 25 cases were found through traceability screening.

  The spokesman of the Beijing Municipal People’s Government, Xu Hejian, said that Beijing should do a good job in tracing the source of case flow, expand the scope of flow adjustment, expand the scope of medical observation of relevant personnel, expand the scope of nucleic acid detection, and expand the scope of sampling. Nucleic acid testing should be done thoroughly and willingly. All personnel in the Xinfadi wholesale market and residents of surrounding communities shall be tested for nucleic acids, and medical observation measures shall be implemented. Strengthen health screening, give play to the sentinel monitoring functions of fever clinics, community health service centers, etc., and check every fever case.

  Question 3

  What do people who have been to Xinfadi have to do?

   Should take the initiative to carry out nucleic acid screening, Beijingers can call 120 special vehicle for diagnosis and treatment


  According to the Beijing CDC, through epidemiological investigations, the incidence of cases is related to Xinfadi. Residents are reminded if they have been to the Sin Fat Market recently, they should truthfully report to the community or unit, take the initiative to go to the relevant organization or place in the community for nucleic acid screening, do not go out. They must do personal health monitoring. If symptoms have occurred, they should proceed to the nearest clinic in time, wear masks as required when going to a medical institution, and avoid taking public transportation.

  Beijing conducts screening and nucleic acid testing for people who have been to the Xinfadi Market or contacted the market since May 30. These tasks are carried out in an orderly manner by the community. Since 30 May, people who have contact with the market should take the initiative to report to the community or unit. If anyone has been to the Xinfadi market, in addition to the report, they should promptly go to the nearest institution with a fever clinic for diagnosis and treatment or dial 120 and board a special vehicle for diagnosis and treatment.

  Question 4

  How should the person who has contact with the confirmed case investigate?

   Comprehensive investigation of hospitals and medical staff who have received confirmed cases


         Gao Xiaojun, a spokesman for the Beijing Municipal Health  Commission, said that hospitals that have received confirmed cases of new coronary pneumonia should be promptly investigated and disinfected, and medical personnel and other relevant personnel who are in contact with the confirmed cases should be thoroughly investigated and the wards should be properly consulted. disinfect. For example, a total of 79 medical personnel and other staff who had contact with confirmed cases such as Xuanwu Hospital and Boai Hospital were tested for nucleic acids, and the results were all negative.

   On 13 June, eight city-level hospital experts were dispatched to conduct further on-site guidance and inspections on the prevention and control of hospitals in related hospitals.

  Next, Beijing will continue to strengthen the supervision and inspection of medical institutions with the district health committees to do a good job in the investigation of patients with new coronary pneumonia, while improving the level of hospital prevention and control to ensure the safety of doctors and patients in the city. In addition, some hospitals are carrying out the transformation and promotion of fever clinics in accordance with relevant requirements.

  Question 5

  What does it mean for multiple neighborhoods to raise the risk level?

   Many requests for isolation of those with a history of residence in Beijing

  Many regions have requested centralized isolation of local people arriving from the middle and high-risk areas such as Beijing’s Xicheng and Fengtai epidemic areas, and some regions have also required home isolation or centralized isolation of local people arriving from Beijing.

        The Shandong Liaocheng Outbreak Disposal Leading Group Office issued an emergency notice on 13 June stating that the history of residence in Fengtai District will be quarantined until 14 days after leaving Beijing, and then quarantined at home until 21 days after leaving Beijing; (Outside of Fengtai District) If the residence in the history of residence is isolated to 14 days after leaving Beijing, if it does not meet the conditions for home isolation, centralized isolation should be arranged. The pharyngeal swab and anal swab (or feces) specimens collected on the day of isolation, on the 3-5th day after leaving Beijing, and on the 13th day after leaving Beijing will be tested according to the current residential address. Add another nucleic acid test on the 20th day. Those with negative test due to isolation and asymptomatic can be released. If the test is positive or uncomfortable symptoms such as fever occur, they should be transported to a designated medical institution for further diagnosis and treatment. At the same time, an epidemiological investigation should be carried out quickly.

         The notice issued by the Tongliao Epidemic Prevention and Control Headquarters in Jilin Province on the 13th stated that after 0:00 on June 13th, all the epidemic risk grades from the Xicheng District, Fengtai District and Fangshan District of Beijing that entered the middle and high risk areas entered Tongliao City. Personnel are required to proactively declare personal health conditions to the local police station and community (Gacha Village), and implement the control measures of "14 days centralized isolation medical observation + 2 nucleic acid tests + 1 serum antibody test". Before 12 am on 13 June, if people entering Tongliao from the above-mentioned medium and high-risk areas are less than 14 days old, they will be subject to home isolation medical observation until the expiry of 14 days.

         On 13 June, the Shenyang Taoxian International Airport Epidemic Prevention and Control Headquarters issued a notice: According to the latest measures for epidemic management and control in Liaoning Province, from 20:00 on June 13, 2020, from the Fengtai District of Beijing to Yuetan Street in Xicheng District, People from Changyang Town, Fangshan District have taken 14-day centralized isolation and control measures, so relevant passengers should be prepared in advance.

        Announcements have been issued in many areas in the country to remind the public to pay attention to the Beijing epidemic-related notices. If there is an intersection with the case itinerary, report it in time, and if not necessary, do not go to Beijing in the near future.

  Question 6

        Is the supply of vegetables sufficient?

  The six largest wholesale markets have a maximum of three times the number of vegetables on the market, no need to hoard

  Through the "point-to-point" replenishment mechanism to ensure normal supply

        Yesterday afternoon, at the 116th regular press conference of Beijing’s covid prevention and control work, Wang Hongcun, a second-level inspector of the Beijing Municipal Commerce Bureau, said that the city’s daily necessities dispatch meeting will be held again on June 13th, requiring multiple channels and measures in various districts. Ensure the supply of daily necessities. At present, all districts have formulated a guarantee plan for the temporary management and control measures that have emerged in this new development site, and made full preparations to further refine and improve the market supply response plan. At present, other large wholesale markets in the city except Xinfa have increased their purchases.

          According to statistics, the six largest wholesale markets such as Yuegezhuang and Dayang Road had 15517 tons of vegetables listed yesterday, accounting for the proportion of the city’s vegetable sales. Before the market was temporarily closed, the 21.8% was increased to 64.7%, of which the market volume of splendid earth vegetables increased by 2 times, and the market volume of Great Ocean Road vegetables increased by 3 times.

         Wang Hongcun said that Beijing has also strengthened its attention and assistance to the secondary market and small shops. At present, the city's more than 200 secondary markets are generally stable. For markets that are temporarily out of stock, through the "point-to-point" replenishment mechanism of each district, large surrounding supermarkets and wholesale markets will help the secondary market to ensure the normal supply of the market. 

         Hongcun said, "Many districts have also prepared vegetable express trains, which are on standby at any time. Where there is a replenishment request, you can provide help anytime and anywhere. For example, there is a shortage of vegetables and fruits in the market of Xingyuan Wanliu in Fengtai District. The Fengtai District Commercial Bureau quickly docked with the enterprise and completed it in time."

          Fruit and vegetable replenishment is guaranteed, and market supply is guaranteed. Wang Hongcun said that in the next step, the Beijing Municipal Bureau of Commerce will continue to strengthen food  At the same time , Beijing residents can search the "Beijing eLife" WeChat public account and APP, query "Beijing Life Service Network Electronic Map", to find the surrounding vegetable retail, supermarkets and other commercial outlets.

         Hongcun said that urban commercial departments are taking multiple measures to coordinate and dispatch market resources, increase inventory and increase market supply. The supply in the Beijing market is guaranteed, and there is no problem with the supply of goods. It is only because of the control measures on the new development site that the original circulation channels are temporarily affected. It is hoped that the citizens do not believe in rumours, do not spread rumors, do not snap up, do not hoard, and reasonably buy vegetables and other necessities.

   Major supermarkets double the stock, no need to hoard

   In an effort to stabilize Beijing's "vegetable basket", major supermarkets in Beijing urgently doubled their stocks. From the night of the 13th, vegetables from all over the world were rushed to various gate stores in Beijing. According to incomplete statistics, Carrefour, Wumart, Supermarket, Hema, Walmart and other supermarkets have shipped more than 3,000 tons of fruits and vegetables to Beijing overnight. The number of fruits and vegetables listed in supermarkets yesterday was far more than usual. The public can buy on demand and do not have to hoard to avoid waste.

       The reporter learned from Wumart Group that Wumart urgently coordinated the delivery of fresh produce, "On 13 June, 2,100 tons of fruits and vegetables have been delivered to the store, which has reached 3.5 times the usual supply, including 1,500 tons of vegetables and 600 tons of fruits." It is introduced that these fruits and vegetables are directly harvested from the place of origin, qualified for inspection and quarantine, and fully guaranteed for supply and safety. Consumers can also purchase online through multi-point APP, and enjoy fresh home delivery service.


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