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Senior Chinese doctor: "Closure does not depend on mass screening" Israel today

2020-04-05T21:33:40.465Z


health


Extraordinary testimony from Professor Rongmang Jiang, one of the top doctors who led the fight in Corona at the outbreak in Wuhan • The information he forwarded will be used by the Ministry of Health and the security arms fighting the virus • Evaluation: "Patient age is not the most influential cause of morbidity and mortality"

The relief of the closure of Wuhan City in Hubei Province, the first focus of the outbreak of the world's corona epidemic, will begin this week in a highly rated fashion, only after more than two and a half months since the hermetic closure of the city began.

As part of the closure, China as a whole is divided into areas according to the degree of disease risk, and in Wuhan bans traffic between the boroughs in the city, citizens will be required to wear masks, visits by those who are sick from the family will still be restricted, restaurants and places of entertainment will remain closed, leave for work only under family conditions. There are no symptoms of the disease, and at work, employees are obliged to keep their distance from other employees.

China: Corona disease recoverers released from hospitals // Photo: Reuters

Another assessment is that the city's schools will open this fall and Beijing is scheduled to open in July this year. China was also banned from eating in mass dining rooms in the military and factories to prevent crowds. This is evidenced by the detailed and unusual testimony of a senior Chinese physician, first revealed here, who was transferred this weekend to the Corona National Information Center, jointly with the Ministry of Health and the Armed Forces, located at Sheba Hospital in Tel Hashomer.

The testimony was recorded following a conference call on Fifth Dr. Michael Romy, from the ICU at Haifa's Rambam Government Hospital with Professor Rongmang Jiang, one of the senior doctors in the Chinese infectious disease control team sent by the Chinese government to conduct the fight in Corona in Wuhan . The conversation was conducted through a Chinese translator.

The doctor's testimony is an extraordinary opportunity to get very hard and significant information on the outbreak in the epidemic of Chinese epidemic and "Israel Today" has learned that the doctor's testimony, along with other research and much more information in the world, is used by the Ministry of Health's management for timing and Israel's gradual exit from the closure and For the purpose of making the current policy on Corona inspections and the closer closure of specific cities and neighborhoods.

Breathing to 30 patients

According to the testimony of the senior Chinese physician, "no surveys were carried out in the city at all at the beginning of the epidemic or at the current stages, where the closure is gradually being eliminated," and "only the patients themselves and their families were tested, and according to the test results, the measures were taken as isolation and hospitalization." As well, the prisons were investigated after he said riots occurred as the epidemic broke out.

In his estimation, "The virus will stay with us for a long period of time, and so it has been decided in China not to remain in complete closure for a long time and to gradually unwind, to reach a situation where even if there are patients - these are controlled numbers that can be treated."

According to his testimony, towards the end of January following the 15,000 patients who arrived in the hospitals in Wuhan, a total closure of the city of Wuhan was decided, and about 7 hospitals in the city soon reached about 1,000 patients with fever. By this time, about 40% of the staff had been infected, in Corona, and there was a terrible lack of breathing, and "every breath had 30 patients!" As a result, the hospitals were boosted by some 15,000 medical staff from all over China, 1,000 new ICUs were built and field hospitals were built.

He said that in the early days of the epidemic, about 10 percent of patients died within 24 hours of their hospitalization and subsequently mortality dropped to 1 percent today. He explains this in the many resources of equipment and employees transferred to hospitals. He also noted that physicians and siblings' work shifts in the Corona wards were greatly reduced due to the very difficulty in working continuously with heavy protective equipment.

Plasma donation treatments

The conversation also shows that for every person infected with Corona, his entire family was tested for illness and that the ill patients were transferred to the hospitals or field hospitals, while the patients were in moderate and critical condition to the regular hospitals. It turns out that the effective treatment for the severely ill was their early ventilation using respirators.

It also emerged that, according to his impression, the drug treatments that are currently being tried in the world, including in Israel, are not helpful to patients, and that the treatment of plasma donations by patients who actually healed "significantly helps, but does not yet have supporting scientific evidence."

The doctor pointed out that his age assessment was not the most influential factor in corona morbidity and mortality more than other factors, such as the lung's oxidative capacity and other body systems and therefore, he said, "in case of peace we will reach a situation similar to Italy and Spain. He does not support age as a key criterion in continuing treatment. ".

He also said that from China's experience, about 80% of patients are mildly defined, 20% are medically in need of hospitalization, and 5% of patients will need hospitalization in intensive care units, with at the beginning of the epidemic the mortality rate of those patients has reached more than 60% . For the severely ill, the duration of hospitalization was one and a half months, and there are also patients who have been hospitalized for two months in intensive care and are still struggling for their lives.

Talk to Dr. Jiang also reveals that patients who were released from the hospital did not leave their home but were sent for another 14 days at the hotel and only later underwent two tests to detect corona. If these tests were negative they were released to their home. % Are still positive for the virus and although "they probably do not pose a risk of being infected, it has been decided for some caution that they stay in their home in isolation for another 14 days and before two more tests will be passed to detect the virus."

Source: israelhayom

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