[Wuhan Pneumonia 1.21] A total of 318 people have been diagnosed in 10 provinces and cities in the Mainland

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Written by: Chen Qianting

2020-01-21 07:00

The outbreak of new coronavirus pneumonia in Wuhan City, Hubei Province continued to spread. As of 7 pm on January 21, a total of 302 confirmed cases were reported in the Mainland. Together with the first case in Taiwan, there were a total of 303 cases across the Taiwan Strait. Many new cases were recorded in the evening, and the number of infections on both sides of the Taiwan Strait increased to 319. Except for one case in Taiwan, confirmed cases were reported in six provinces and four municipalities in the Mainland.

Wuhan today announced more than 60 confirmed cases, with the death toll increased by 2 and the cumulative increase to 6. Hubei Province, which belongs to Wuhan, announced today a total of 72 confirmed cases. The remaining 12 were the first non-Wuhan patients in Hubei, of which 5 were medical staff.

Five confirmed cases were newly added in Zhejiang today, and the scope of the epidemic included Hubei, Guangdong, Beijing, Shanghai, and Zhejiang. Confirmed cases have been recorded in Thailand, Japan and South Korea.

There are no confirmed cases in Hong Kong.

The World Health Organization announced this afternoon (21st) that it believes that the new coronavirus may become a person-to-person transmission.

Latest Epidemic Development

As of 11 pm on the 21st, the total number of confirmed and suspected cases in the Asia-Pacific region. (Hong Kong 01 drawing)

[23:15] The Beijing Health Commission announced that there were five more confirmed cases. Five patients were in stable condition. They all visited Wuhan from early to mid-January and became ill after returning to Beijing. Beijing has a total of 10 cases, while the mainland has accumulated 318 cases. The new patient information in Beijing is as follows:

A 37-year-old male patient from Fengtai District went to Wuhan for a business trip on January 10, returned to Beijing on January 11, developed fever symptoms on January 14, and went to the city medical institution on January 20.

A 39-year-old male patient from Haidian District traveled to Wuhan on January 3, returned to Beijing on January 4, developed fever symptoms on January 9, and went to the city medical institution on January 14.

A 56-year-old male patient from Xicheng District went to Wuhan for a business trip on January 8 and returned to Beijing on January 16. He developed fever and respiratory symptoms on the same day. He was treated at a municipal medical institution on January 20.

An 18-year-old female patient from Tongzhou District went to Wuhan to study on January 12, returned to Beijing on January 17, developed fever and respiratory symptoms on January 19, and went to the city medical institution on January 20;

A 32-year-old female patient from Haidian District traveled to Wuhan on January 13 and returned to Beijing on January 17. She had respiratory symptoms while she was in Wuhan. She was seen by a medical institution on January 20.

[22:42] Qingdao, Shandong Province yesterday suspected a case and was confirmed to be infected with a new coronavirus, becoming the 313th case in the Mainland.

[22:35] Sichuan Health and Medical Commission announced that the first confirmed case appeared in the first case, and the patient became ill after coming from Wuhan to Chengdu. The Guangdong Health Commission also announced that Shenzhen, Zhuhai and Zhanjiang each had one more confirmed case. As a result, the total number of confirmed cases in the Mainland rose to 312.

[21:54] There were 72 new cases of pneumonia in Hubei Province where Wuhan City was located yesterday. The Hubei Health and Medical Commission stated that there were 60 new cases in Wuhan, 2 deaths and no discharged cases; 12 new cases in Huanggang City, including one Doctor and four nurses. There are 270 cases in Hubei Province, 25 cases have been cured, 6 cases died; 239 cases are still being treated in the hospital, including 51 cases of severe cases and 12 cases of critical cases, all of which were treated in isolation at designated medical institutions.

[20:44] The Chongqing Health and Medical Commission announced on the website that the National Health and Medical Commission confirmed the diagnosis of new cases of coronavirus infection pneumonia in Chongqing, a total of 5 cases. A case of infection was also confirmed in Zhengzhou City, Henan Province.

[20:44] MRT Management Co., Ltd., which operates Green Minibus Route 6, announced in the afternoon that due to the severe epidemic situation, special flights around West Kowloon Station will be suspended until the epidemic situation is stable.

[20:44] Three new suspicious cases were reported in Macau today. A 5-year-old child was sent to the hospital with a high fever when he entered the country through the gate.

SARS expert Yuan Guoyong (second from left) pointed out that Wuhan has become a new pneumonia epidemic area, and he appealed not to go unless necessary. (Photo by Luo Junhao)

[19:19] According to the Surging News, Shanghai today (21st) added another four confirmed cases of new coronavirus pneumonia, and the total has reached 6 in the local area. The total number of confirmed cases in the Mainland reached 302, with a total of 303 cases across the Taiwan Strait.

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[19:10] The Hospital Authority announced that in the past 24 hours, 11 new suspected cases were reported, ranging in age from 8 to 82. Of all the reported cases, 21 were still in hospital for isolation and 19 were in stable condition.

[19:05] Kangtai Travel Agency announced today that it will cancel Wuhan and Wuhan tour groups departing from tomorrow (22nd) to March 31. Among them, about 10 tour groups were involved, and about 200 group members were affected and had already registered. Those who can apply for transfer or retire after deducting the handling fee.

[18:40] Chairperson Yuan Guoyong, Professor of Infectious Diseases, Department of Microbiology, School of Microbiology, The University of Hong Kong, and Dr. Huang Jiaqing, Director of the Centre for Health Protection of the Department of Health, and Dr. Zhong Jianli, Director of Quality and Safety of the Hospital Authority, met with the press at 6 pm. Yuan Guoyong said that according to the epidemic chart, the new coronavirus initially had sporadic cases, most of which were related to the South China Seafood Wholesale Market, which is likely to be transmitted from animals to humans; then it entered the second wave, and nearly half of the patients were around the South China Seafood Wholesale Market. Some patients appear in other areas; the third wave may now enter, and transmission among family members and hospitals has begun to appear. He said he was most worried that a community outbreak would cause a situation similar to SARS; he hoped that adequate epidemic prevention measures would prevent this situation before he had fully entered the third wave. He also believed that the outbreak was not out of control.

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[18:30] The Mainland Railway Department announced that, in response to the deployment of Wuhan ’s health and epidemic prevention work, train tickets for trains departing and arriving in Wuhan have been purchased at stations, 12306 and other channels from immediately to 24 of this month. Passengers who voluntarily change their travel and require a refund will not charge a refund fee.

[18:08] As of 6 pm today, the first case was recorded in Taiwan. The patient was a 50-year-old female Taiwan businessperson. She worked in Wuhan and reported to the airport quarantine staff when she returned to Taiwan. She is currently being treated in isolation. For the first time, two new confirmed cases were recorded in Tianjin, with a total of 298 confirmed cases in the Mainland. Together with Taiwan cases, a total of 299 cases were recorded across the Taiwan Strait.

[17:42] The Mayor of Wuhan said in an interview with China Central Radio and Television Station that there were two new deaths in Wuhan yesterday and the number of deaths in Wuhan increased to six.

[17:35] Zhejiang reports first confirmed case

According to the Zhejiang Health and Health Commission, 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.

In addition to the first confirmed case, 4 cases of pneumonia of new coronavirus infection were confirmed by the Provincial Diagnostic Expert Group, and 5 confirmed cases of pneumonia of new coronavirus infection were reported, including 1 in Hangzhou, 2 in Wenzhou, 1 in Zhoushan, One case 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.

[17:22] Wang Guangfa, a member of the national expert team and a doctor at Peking University Hospital, was diagnosed with a new type of coronavirus. A reporter from "Hong Kong 01" called and asked, but he did not answer the call.

[16:52] 77 new diagnoses confirmed on January 20

At 04:00 on January 20, 2020, the National Health and Health Commission received 77 new cases of pneumonia diagnosed with new coronavirus infection in 3 provinces (regions, municipalities) in China (72 in Hubei Province, 2 in Shanghai, and Beijing). 3 cases were reported in 9 cities); 27 new suspected cases were reported in 9 provinces (districts, municipalities) (4 in Guangdong, 1 in Sichuan, 1 in Yunnan, 7 in Shanghai, 10 in Zhejiang, and 1 in Anhui. 1 in Hainan Province, 1 in Guizhou Province, and 1 in Ningxia Hui Autonomous Region).

As of 24:00 on January 20, the National Health and Health Commission has received a total of 291 confirmed cases of pneumonitis with new coronavirus infection in 4 provinces (regions, municipalities) in China (270 in Hubei Province, 5 in Beijing, and 14 in Guangdong Province. 2 cases in Shanghai); 54 suspected cases were reported in 14 provinces (regions, municipalities) (11 in Hubei, 7 in Guangdong, 3 in Sichuan, 1 in Yunnan, 7 in Shanghai, and 1 in Guangxi Zhuang Autonomous Region) (1 in Shandong Province, 1 in Jilin Province, 1 in Anhui Province, 16 in Zhejiang Province, 2 in Jiangxi Province, 1 in Hainan Province, 1 in Guizhou Province, 1 in Ningxia Hui Autonomous Region).

One confirmed case was reported from Japan, two confirmed from Thailand, and one confirmed from South Korea.

At present, 1,739 close contacts have been tracked, 817 have been released from medical observation, and 922 are still receiving medical observation.

On January 21, Zhong Nanshan, the leader of the national expert group, and He Jianfeng, the director of the Infectious Diseases Institute of the Guangdong Provincial Center for Disease Control and Prevention, attended the press conference of the Guangdong Provincial Information Office.

[16:46] Zhong Nanshan: The new coronavirus has been clearly transmitted from person to person and can be confirmed in Wuhan and Guangdong. In Wuhan, there was mutual infection between medical staff and patients, and there were two families with family members. The virus travels through the respiratory tract and does not affect the distance, but the virus may stick to droplets. Therefore, isolate the patient and keep him away from other people. At present, Guangdong has taken effective quarantine measures. In Zhuhai and Shenzhen, family members have been infected, but no one has heard of and infected others. If there is a second-generation infection, the virus will spread quickly. Seventeen years ago, SARS was due to poor control of transmission. In the crowd, the virus will gradually adapt to the process, and there will be interactions between animals and humans. Especially super communicators, that's a big problem. I went to Wuhan the day before yesterday and went to Beijing in the afternoon to participate in the highest-level prevention and control video conference. Because human-to-human transmission has now occurred, patients must be strictly quarantined, and close contacts must be tracked. This link must be grasped so that it will not spread like SARS. This approach is very correct. To achieve strategic advancement, there is currently no effective targeted drug for new viruses.

[16:15] Li Bin, deputy director of the National Health Commission, will meet reporters in Beijing at 10 am tomorrow morning.

[16:10] The Guangdong Provincial News Office held a press conference to announce the epidemic situation and epidemic prevention situation. The Mainland media did not broadcast live, only the text was updated. Zhang Guangjun, deputy governor of Guangdong Province and member of the party group, introduced on the spot that as of 15:00 on January 21, Guangdong had reported a total of 14 confirmed cases, including 9 in Shenzhen, 3 in Zhuhai, and 1 each in Zhanjiang and Huizhou. Isolation treatment in medical institutions, the number is the same as announced on the 20th, and has not increased. Currently, of the 14 confirmed cases, 12 have a history of living or traveling in Wuhan, and 2 have a history of close family contact with the patient. Among them, 9 were males and 5 females; 9 were over 60 years old, 4 were 35-51 years old, and 1 was a 10-year-old child; 2 were critically ill, 4 were severe, and there were no deaths .

[16:00] As of 4 pm today, the Mainland has announced 219 confirmed cases; 4 of them died in Wuhan and 15 medical staff were infected; 14 were diagnosed in 4 cities in Guangdong; 5 were diagnosed in Beijing; 2 were confirmed in Shanghai. Another 16 suspected cases, including 4 in Shanghai, 5 in Zhejiang, 2 in Sichuan, and 1 each in Shandong, Guangxi, Yunnan, Guizhou and Liaoning.

[14:30] The World Health Organization (WHO) Western Pacific Region announced on Twitter that based on the latest situation, the spread of the new coronavirus in 2019 may have been caused by the earlier "limited human-to-human" It becomes possible that there may now be sustained human-to-human transmission. The WHO also said that the phenomenon of medical personnel's infection proved that there was indeed a human-to-human transmission.

[13:50] The Secretary for Food and Health, Chen Zhaoshi, posted on a social platform today, revealing that he visited one of the designated clinics today, which is "Kowloon Bay Health Center General Outpatient Clinic".

In addition, info about newly reported # nCoV2019 infections suggests there may now be sustained human-to-human transmission. But more information and analysis are needed on this new virus to understand the full extent of human-to-human transmission and other important details .

[13:30] The Macau Special Administrative Region Government held a press conference today. The Director of the Department of Social Culture Ouyang Yu announced the establishment of a new Coronavirus Coordination Coordination Center. All Wuhan-Macau flights will be carried out by epidemic prevention personnel to take temperature.

[12:30] HKU Medical College held a press conference. The dean of the medical college, Liang Zhuowei, said that according to a mathematical model, Wuhan may have at least 1,300 confirmed cases.

[12:15] Yuan Guoyong, Chair Professor of the Department of Microbiology, University of Hong Kong, is a member of the National Expert Group. He has visited Wuhan to learn about the local situation. He pointed out that Wuhan has become the "endemic area" of the new type of coronavirus pneumonia. local. He was also worried that the hospital would be overcrowded, and once there were confirmed cases, it would be "a big deal".

[12:00] A reporter from "Hong Kong 01" found that from now until mid-February, all high-speed trains from Wuhan to Shanghai and southwest to Hong Kong's West Kowloon have been suspended from selling tickets.

[11:00] An article written by the Political and Legal Committee of the Central Committee of the Communist Party of China states that whoever deliberately delays reporting and concealing reports is an ancient sinner.

[10:00] He Bailiang, director of the Center for Infectious and Infectious Diseases of the University of Hong Kong, said at the Hong Kong and Taiwan Program that the new type of coronavirus may have been adapted from person to person. It is expected that the number of confirmed cases before the Lunar New Year will increase a lot, and the increase will be more obvious in Guangdong Province.

[Wuhan Pneumonia] Mathematical model of HKU estimates that Wuhan may have at least 1,300 confirmed cases

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Wuhan, 1 more dead, 15 doctors confirmed suspected cases in Chengdu and Qingdao

Cases of pneumonia caused by "new coronavirus in 2019" were first discovered in Wuhan, Hubei Province, China, and then spread to other places. As of 8 am on January 21 this year, Wuhan City reported a total of 198 confirmed cases, of which 136 cases were announced by the Wuhan Municipal Health and Health Commission on January 18 and 19. Of the confirmed cases in Wuhan, 4 died and 169 remained in hospital, of which 35 were critically ill and 9 were critically ill. A total of 15 medical staff in Wuhan were diagnosed, and another medical staff was a suspected case; one of the 16 patients was in serious condition, and the rest were stable, all of whom had received isolation treatment.

In addition, 5 cases were recorded in Beijing and 2 in Shanghai; 13 confirmed cases were newly added in Guangdong Province last night, of which 8 were newly added in Shenzhen across the river from Hong Kong, a total of 9; Zhuhai recorded 3, It was a family of three who were diagnosed. Their parents visited the infected daughter by high-speed rail; one each in Zhanjiang and Huizhou, and a total of 14 in the province. Suspected cases were found in Chengdu, Sichuan, and Qingdao, Shandong, respectively. The patients were from Wuhan, and the test results were positive. They are currently being treated in isolation and awaiting review results.

Zhong Nanshan, an academician of the Chinese Academy of Engineering, is the leader of the high-level expert group of the National Health and Medical Commission. He made it clear that the pneumonia epidemic in Wuhan has been transmitted from person to person.

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On January 20, medical staff in the hospital in Wuhan City were on alert. 15 medical staff have been infected in Wuhan. (Reuters)

As for the overseas epidemic, 2 cases were confirmed in Thailand and 1 case in South Korea (South Korea). Both were confirmed by tourists from Wuhan to the local area. One confirmed diagnosis in Japan was a Chinese man living in Japan who had visited relatives in Wuhan and was confirmed after returning.

As of 8 am on January 20, no confirmed case of new viral pneumonia has been diagnosed in Hong Kong.

The National Health and Health Commission decided on Tuesday (21st) to include pneumonitis infected with a new coronavirus into the management of legal infectious diseases, and the World Health Organization will discuss on Wednesday (22th) whether to characterize the outbreak as an international public health emergency.

Hong Kong's response to emerging diseases

Expanded reporting standards for suspected cases in Hong Kong

The Hong Kong Government has amended legislation since January 8 to force the Hospital Authority and the Department of Health to report suspected cases related to Wuhan pneumonia, and to expand the reporting guidelines until January 20. If there is a fever, symptoms of acute respiratory infections or pneumonia, Patients who have been to Hubei Province or a hospital in the Mainland 14 days before the onset of illness, or have had close contact with a person diagnosed with new virus pneumonia, are notifiable cases. If someone refuses segregated treatment or is illegal, the maximum fine is 5,000 yuan and imprisonment for half a year.

1. Require Wuhan passengers arriving by plane to fill out a health declaration

From January 21, the Department of Health requires passengers on Wuhan inbound flights to fill out health declaration forms. If passengers meet the reporting criteria, they will be compulsorily referred to public hospitals for isolation and treatment. Refusal to fill out the forms may be illegal, with a maximum fine of 5,000 yuan and half a year in prison.

2. Strengthen port temperature detection

The Department of Health has set up infrared temperature detection at various ports. If the passenger's temperature exceeds 35.5 degrees Celsius, the instrument will issue a warning. The agency also measured the body temperature of the passengers of the two high-speed trains arriving in Hong Kong by Wuhan daily.

3. Public hospitals provide isolation beds and designated clinics

There are 480 negative-pressure isolation beds available in public hospitals. If there is a need to move about 1,400 isolation beds to respond to the epidemic, and if there are confirmed cases in Hong Kong, the HA will consider setting up a designated clinic in each of the 7 networks to handle Wuhan Patients with pneumonia-related cases to reduce the risk of cross infection.

New coronavirus origin unknown

Mainland authorities shared the new coronavirus gene map with the World Health Organization on January 12. Local laboratories can make rapid tests to speed up the identification of confirmed patients. Within one week after the gene map was released, the number of confirmed cases in the country has multiplied. Hong Kong Chinese Xu Shuchang, a chair professor of respiratory sciences at the university, estimates that since new testing technologies can enable hospitals everywhere to find patients, it is expected that the number of confirmed cases, including overseas cases, will continue to increase.

The National Health Commission said on January 19 that the source of the virus could not be determined. Yuan Guoyong, a professor in the Department of Microbiology at the University of Hong Kong, pointed out that the new virus is a Beta-like coronavirus, which is similar to SARS virus in 80%. He estimated that the virus passed from bats to live game meat and then to humans.

According to the report of Zhejiang Health Commission, at least 5 cases of suspected neopneumonia have been recorded since January 17, including those from Zhoushan. All patients need to be treated in isolation.

▼ Common mask styles for epidemic prevention ▼

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WHO confirms virus "limited to people"

The WHO confirmed on January 19 that the 2019 new coronavirus is a "limited human-to-human transmission". According to the limited information currently published in the Mainland, two of Wuhan's cases belong to family groups. Male patients who worked in the South China Seafood Market developed the disease first, and his wife had not been to the market, but the same happened 5 days later. According to mainland information quoted by the Center for Health Protection, only 70% of the first 41 confirmed cases have visited the wet market, and some patients have reported that they have not visited the wet market.

CUHK expert Xu Shuchang believes that reflecting the virus has exited the market, it is expected that Wuhan has been infected in many places; Liang Zichao, chairman of the Infectious Diseases Advisory Committee of the Hong Kong Medical Association, pointed out that data shows that there is a large-scale community outbreak in Wuhan, which is more efficient than human transmission. Wei's statement may be higher, and the authorities need to investigate again. He Bailiang, director of the Center for Infectious and Infectious Diseases of the University of Hong Kong, believes that the second round of transmission has already occurred, and it is only a matter of time before a confirmed case appears in Hong Kong. He reminds the public to pay attention to personal hygiene.

Professor Guan Yi (front left) and the research team discovered that three coronaviruses were prevalent in Saudi camels in 2015, of which the variant MERS was the culprit for the outbreak of "New SARS" in South Korea. (Hong Kong University website)

Experts worry about the spread of the Spring Festival and Lunar New Year

As the Chinese New Year approaches the Chinese New Year each year, the total number of passengers in the Spring Festival is in the hundreds of millions. Kong Fanyi, director of the Department of Infectious Diseases at the Department of Internal Medicine of the University of Hong Kong, is concerned that a large number of passengers have been in close contact with the same space (such as trains and airplanes) for a long time, or increased the risk of virus transmission .

Professor Guan Yi, director of the State Key Laboratory of Emerging Infectious Diseases of the University of Hong Kong, expects that the Spring Festival will definitely further expand the epidemic, and if patients go around or make the situation out of control. He mentioned that he has played an important role in responding to SARS and Middle East Respiratory Syndrome (MERS) outbreaks. The current disease development is similar to SARS, and the first confirmed case was recorded before the new year. He pointed out that the main outbreak areas of SARS that year were in Beijing, Guangzhou and Hong Kong. The epidemic affected "not reaching its peak." It cannot be ruled out that the outbreak may be more serious than during the SARS period. "If patients go everywhere, we are completely out of control."

However, Guan Yi said that the Hong Kong government has the virus genetic information and corresponding epidemic prevention measures. The most important thing is that suspect cases must be inspected and quarantined immediately to prevent Hong Kong from "reoccupying again".

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