13/03/2020
- Government records suggest first person infected with new disease may have been a Hubei resident aged 55, but ‘patient zero’ has yet to be confirmed
- Documents seen by the Post could help scientists track the spread of the disease and perhaps determine its source
The first known case of Covid-19 in China dates back to November, but the hunt for “patient zero” goes on. Photo: EPA-EFE
The first case of someone in China suffering from
Covid-19, the disease caused by the novel
coronavirus, can be traced back to November 17, according to government data seen by the
South China Morning Post.
Chinese authorities have so far identified at least 266 people who were infected last year, all of whom came under medical surveillance at some point.
Some of the cases were likely backdated after health authorities had tested specimens taken from suspected patients.
Interviews with whistle-blowers from the medical community suggest Chinese doctors only realised they were dealing with a new disease in late December.
Scientists have been trying to map the pattern of the early transmission of Covid-19 since an epidemic was reported in the central China city of Wuhan in January, two months before the outbreak became a global health crisis.
Understanding how the disease spread and determining how undetected and undocumented cases contributed to its transmission will greatly improve their understanding of the size of that threat.
According to the government data seen by the Post, a 55 year-old from Hubei province could have been the first person to have contracted Covid-19 on November 17.
From that date onwards, one to five new cases were reported each day. By December 15, the total number of infections stood at 27 – the first double-digit daily rise was reported on December 17 – and by December 20, the total number of confirmed cases had reached 60.
On December 27, Zhang Jixian, a doctor from Hubei Provincial Hospital of Integrated Chinese and Western Medicine, told China’s health authorities that the disease was caused by a new coronavirus. By that date, more than 180 people had been infected, though doctors might not have been aware of all of them at the time.
With pandemic declared, the race is on to develop a coronavirus vaccine
By the final day of 2019, the number of confirmed cases had risen to 266, On the first day of 2020 it stood at 381.
While the government records have not been released to the public, they provide valuable clues about how the disease spread in its early days and the speed of its transmission, as well as how many confirmed cases Beijing has recorded.
Scientists are now keen to identify the so-called patient zero, which could help them to trace the source of the coronavirus, which is generally thought to have jumped to humans from a wild animal, possibly a bat.
Of the first nine cases to be reported in November – four men and five women – none has been confirmed as being “patient zero”. They were all aged between 39 and 79, but it is unknown how many were residents of Wuhan, the capital of Hubei and the epicentre of the outbreak.
It is possible that there were reported cases dating back even earlier than those seen by the Post.
According to the
World Health Organisation’s website, the first confirmed Covid-19 case in China was on December 8, but the global body does not track the disease itself but relies on nations to provide such information.
A report published in medical journal The Lancet by Chinese doctors from Jinyintan Hospital in Wuhan, which treated some of the earliest patients, put the date of the first known infection at December 1.
Dr Ai Fen, the first known whistle-blower, told People magazine in an interview that was later censored, that tests showed that a patient at Wuhan Central Hospital was diagnosed on December 16 as having contracted an unknown coronavirus.
With pandemic declared, the race is on to develop a coronavirus vaccine
Accounts by other doctors seem to suggest the medical community in Wuhan became aware of the disease in late December.
Previous reports said that although doctors in the city collected samples from suspected cases in late December, they could not confirm their findings because they were bogged down by bureaucracy, such as having to get approval from the Chinese Centre for Disease Control and Prevention, which could take days. They were also ordered not to disclose any information about the new disease to the public.
As late as January 11, Wuhan’s health authorities were still claiming there were just 41 confirmed cases.
Source: SCMP
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25/01/2020
- Teams from Shanghai, Guangdong – including experts who helped tackle Sars – arrive in Wuhan to lend their support
- Tencent, JD.com, Lenovo among raft of private firms offering financial aid to those battling deadly outbreak
Doctors and nurses from across China are being dispatched to help tackle the coronavirus epidemic in Hubei province. Photo: Xinhua
Chinese authorities and private enterprises are stepping up their support for embattled medical teams in Hubei province as they continue to fight the
coronavirus epidemic, while neighbouring governments ramp up their efforts to prevent its further spread.
Hospitals across Wuhan – the city at the centre of the outbreak – have been overwhelmed by the flood of patients and doctors are becoming increasingly frustrated at the lack of support, both in terms of supplies and personnel, they have received.
But national bodies say they are responding to the crisis.
On Saturday, China’s National Health Commission (NHC) said that six medical teams comprising 1,230 staff had been set up and dispatched to help fight the deadly virus in Hubei.
Three medical units from Shanghai, Guangdong and the armed forces had already arrived in the province, it said, though did not make clear if they were in addition to or part of the six teams.
Chen Dechang, a doctor from Ruijin Hospital in Shanghai who is among those sent to Hubei, said it was important there were more medical staff on the scene.
“We can help save more patients in the intensive care unit if we are on the front line,” he said.
Authorities in Shanghai have also sent 81 ECMO (extracorporeal membrane oxygenation) life-support machines to Jinyintan Hospital, which is one of the designated facilities treating patients in Wuhan.
The ECMO technique – which involves removing blood from a person’s body, removing the carbon dioxide and oxygenating red blood cells before pumping them back into the patient – has already been used on one critically ill patient at Wuhan University’s Zhongnan Hospital, according to Shanghai-based news outlet Thepaper.cn.
Though the report did not say how effective the treatment had been.
Medical teams in Wuhan have been under huge pressure since the outbreak began. Photo: Xinhua
The team from Guangdong comprised 42 doctors and 93 nurses, the NHC said. The deployment came after a group of current and former medical staff from Southern Medical University in Guangzhou – who had helped tackle the Sars (severe acute respiratory syndrome) outbreak in 2002-03 – signed a petition saying they were willing to help in Wuhan.
“We are a team of experienced practitioners who fought Sars,” they said in the petition, a copy of which was posted on the social media accounts of Communist Party mouthpiece People’s Daily.
“We cannot back away from our responsibility to help 17 years later as people are facing the outbreak of a new coronavirus. We are willing to be deployed to the front line to make our contributions.”
A team of 135 doctors from Chongqing arrived in Wuhan on Friday evening, the NHC said, without elaborating.
A medical team from Guangdong province prepares to travel to Wuhan. Photo: Xinhua
As well as the wave of medical support, several private companies said they had provided financial support to help fight the epidemic.
According to Chinese media reports, Shanghai Ocean Forest Assets has donated 10 million yuan (US$1.4 million) to the cause, while Shanghai-based asset management firm, Jinglin Assets is coordinating efforts to buy urgently needed medical supplies from South Korea and Japan.
Shenzhen’s Fantasia Holdings said it would donate 6 million yuan and send medical supplies, including surgical masks, to Wuhan, while tech giant Tencent said it would donate 300 million yuan from its charity. E-commerce platform JD.com said it had donated 1 million surgical masks and 60,000 other medical items.
Chinese smartphone manufacturer Xiaomi said on Friday it had sent a first batch of medical equipment – masks and thermometers worth more than 300,000 yuan – to Wuhan, while tech firm Lenovo said on Saturday it would donate all of the IT equipment required by the new specialist treatment centre being built in the city.
Authorities set a target to have the 1,000-bed facility up and running within six days of starting construction.
Aside from the support from the private sector, state lender China Development Bank on Friday issued a 2 billion yuan emergency loan to Wuhan, while a day earlier, China’s finance ministry said it had allocated 1 billion yuan to authorities in Hubei to help tackle the epidemic.
Across the country, authorities have introduced a number of measures to help prevent the further spread of the coronavirus, including the closure of all cinemas in Shanghai.
Wuhan residents stockpile food, medical supplies
25 Jan 2020
Also on Saturday it was reported that Liang Wudong, a doctor at Xinhua Hospital in Wuhan, had become the first medical professional to die after treating people infected with the virus.
Liang, 62, was suspected of having contracted the virus last week and had been transferred to Jinyintan Hospital for treatment. He died at 7am on Saturday, Thepaper.cn reported.
According to official figures, 41 people have been killed by the coronavirus and there have been more than 1,280 confirmed cases. The vast majority are in the Chinese mainland, but there have also been confirmed cases in Hong Kong, Macau, Taiwan and eight other countries, including the United States and Europe.
Tens of millions of people in cities across Hubei are effectively on lockdown after the introduction of travel bans to help control the spread of the virus.
Source: SCMP
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