Archive for ‘Wuhan Central Hospital’

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04/04/2020

China mourns thousands who died in country’s coronavirus epidemic

BEIJING/WUHAN, China (Reuters) – China on Saturday mourned the thousands of “martyrs” who have died in the new coronavirus outbreak, flying the national flag at half mast throughout the country and suspending all forms of entertainment.

The Chinese national flag flies at half-mast at Tiananmen Square in Beijing, as China holds a national mourning for those who died of the coronavirus disease (COVID-19), on the Qingming tomb sweeping festival, April 4, 2020. REUTERS/Carlos Garcia Rawlins

The day of mourning coincided with the start of the annual Qingming tomb-sweeping festival, when millions of Chinese families pay respects to their ancestors.

At 10 a.m. (0200 GMT) Beijing time, the country observed three minutes of silence to mourn those who died, including frontline medical workers and doctors. Cars, trains and ships sounded their horns and air raid sirens wailed.

In Zhongnanhai, the seat of political power in Beijing, President Xi Jinping and other Chinese leaders paid silent tribute in front of the national flag, with white flowers pinned to their chest as a mark of mourning, state media reported.

More than 3,300 people in mainland China have died in the epidemic, which first surfaced in the central province of Hubei late last year, according to statistics published by the National Health Commission.

In Wuhan, the capital of Hubei province and the epicentre of the outbreak, all traffic lights in urban areas turned red at 10 a.m. and all road traffic ceased for three minutes.

Some 2,567 people have died in Wuhan, a megacity of 11 million people located in the middle reaches of the Yangtze river. The Wuhan deaths account for more than 75% of the country’s fatalities.

Among those who died was Li Wenliang, a young doctor who tried to raise the alarm about the disease. Li was honoured by the Hubei government earlier this week, after initially being reprimanded by police in Wuhan for “spreading rumours”.

Gui Yihong, 27, who was among thousands of Wuhan locals who volunteered to deliver food supplies to hospitals during the city’s months-long lockdown, recalled the fear, frustration and pain at Wuhan Central Hospital, where Li worked.

“If you weren’t at the frontlines you wouldn’t be able to experience this,” said Gui, as he laid some flowers next to Wuhan’s 1954 flood memorial by the Yangtze.

“I had to (come) and bear witness. For the last 80 days we had fought between life and death, and finally gained victory. It was not easy at all to come by.”

While the worst was behind Wuhan, the virus has spread to all corners of the globe since January, sickening more than a million people, killing more than 55,000 and paralysing the world economy.

Wuhan banned all tomb-sweeping activities in its cemeteries until at least April 30, curtailing one of the most important dates in the traditional Chinese lunar new year calendar which usually sees millions of families travel to tend to their ancestral graves, offer flowers and burn incense.

They have also told residents, most stuck at home due to lockdown restrictions, to use online streaming services to watch cemetery staff carry out those tasks live.

ASYMPTOMATIC CASES

Online, celebrities including “X-Men: Days of Future Past” star Fan Bingbing swapped their glamorous social media profile pictures for sombre photos in grey or black, garnering millions of “likes” from fans.

Chinese gaming and social media giant Tencent (0700.HK) suspended all online games on Saturday.

As of Friday, the total number of confirmed cases across the country stood at 81,639, including 19 new infections, the National Health Commission said.

Eighteen of the new cases involved travellers arriving from abroad. The remaining one new infection was a local case in Wuhan, a patient who was previously asymptomatic.

Asymptomatic people exhibit few signs of infection such as fevers or coughs, and are not included in the tally of confirmed cases by Chinese authorities until they do.

However, they are still infectious, and the government has warned of possible local transmissions if such asymptomatic cases are not properly monitored.

China reported 64 new asymptomatic cases as of Friday, including 26 travellers arriving in the country from overseas. That takes the total number of asymptomatic people currently under medical observation to 1,030, including 729 in Hubei.

Source: Reuters

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13/03/2020

Coronavirus: China’s first confirmed Covid-19 case traced back to November 17

  • 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 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

13 Mar 2020

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
13 Mar 2020

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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03/03/2020

Wuhan doctor who worked with whistle-blower Li Wenliang dies after contracting coronavirus on front line

  • Ophthalmologist Mei Zhongming, 57, said to have been infected after working long hours treating patients
  • He is the third doctor from the hospital to die from Covid-19
Mei Zhongming died at the age of 57 after contracting the virus while he was working at the Wuhan Central Hospital. Photo: Weibo
Mei Zhongming died at the age of 57 after contracting the virus while he was working at the Wuhan Central Hospital. Photo: Weibo

An ophthalmologist who worked with whistle-blower doctor Li Wenliang on the coronavirus front line in Wuhan has also died from Covid-19, the disease caused by the virus.

Mei Zhongming, 57, contracted the virus while he was working at the Wuhan Central Hospital and died on Tuesday.

His 34-year-old colleague Li – who was silenced by police for sounding the alarm about the new virus strain – also died from the pneumonia-like illness last month, prompting an outpouring of grief and anger in China.

Mei is the third doctor from the hospital to die from Covid-19. Two days ago, Jiang Xueqing, head of thyroid and breast surgery, also died from the disease at the age of 55.

The hospital expressed condolences to Mei’s family and praised his 30 years of service in a brief announcement on social network WeChat.

Public mourning in China after death of coronavirus whistle-blower doctor Li Wenliang
According to the official numbers, 13 doctors and nurses have died from Covid-19 and more than 3,000 have been infected in China since the epidemic began in the central city of Wuhan in December. Hospitals in Wuhan and across the province of Hubei have been swamped with tens of thousands of patients, and health care workers treating them have also had to cope with a shortage of protective gear and medical supplies.

Part of the Wuhan Central Hospital is located just 2km (1.2 miles) from the Huanan Seafood Wholesale Market – the place the first coronavirus patients were linked to.

The hospital started treating patients who had been in close contact with the market in the middle of December, the director of its emergency department Ai Fen told China News Weekly last month.

Doctors reported the cases to management but no action was taken to protect medical staff at first, and they were warned not to talk publicly about the respiratory illness, the report said.

The Chinese medical workers on the front line of the coronavirus fight in Wuhan
Ophthalmologist Li

posted a message to a closed group of medical school classmates on WeChat on December 30, warning them about an outbreak of a mysterious viral pneumonia at his hospital.

Two days later, Wuhan police announced that eight people had been punished for “spreading rumours”. It was later reported that they were all medical staff and one of them was Li.

The young doctor fell ill on January 10, later saying that he was probably infected by an 82-year-old glaucoma patient. “The patient did not have a fever, and I didn’t wear extra protection while taking care of her,” Li wrote in his blog. “I was careless.”

Li died from the illness on February 7, sparking widespread grief and fury over Beijing’s crackdown on “online rumours”, and calls for freedom of speech.

According to emergency department director Ai, staff on the front line at Wuhan Central Hospital began wearing N95 respirator masks and other protective gear in January as the number of virus cases jumped – but before authorities confirmed the virus was being transmitted between humans on January 20.

Despite the precautions, the first medical worker at the hospital was confirmed with the virus on January 10. More than 30 others from the emergency department alone have tested positive for Covid-19 since then, Ai told China News Weekly. The department has a staff of 200.

Jiang Xueqing, 55, head of thyroid and breast surgery at the hospital, died on Sunday. Photo: Weibo
Jiang Xueqing, 55, head of thyroid and breast surgery at the hospital, died on Sunday. Photo: Weibo
The hospital did not give details of how Mei contracted the virus. But a report from the Wuhan Committee of the Chinese People’s Political Consultative Conference on February 18 said he had been infected after working long hours on the coronavirus front line.

Similarly, little information was released about Jiang’s death on Sunday. His colleague Li Hai told official newspaper People’s Daily that Jiang had been exhausted after working “non-stop” treating coronavirus patients.

Wuhan, China scrambles to handle massive amount of medical waste during the epidemic
Ian Lipkin, John Snow professor of epidemiology at the Mailman School of Public Health at Columbia University, said the risks faced by health care workers were high, even with protective gear, as they had a very intimate relationship with their patients.
“In addition, those individuals who are working in hospital settings may be immunosuppressed because, frankly, they’re exhausted … the viral load that they receive may be larger,” Lipkin said in a briefing last month after visiting China at the invitation of the government.
The coronavirus has claimed the lives of several young medical workers. Among the youngest was 29-year-old respiratory and critical care doctor Peng Yinhua, who worked at the Jiangxia district People’s No 1 Hospital in Wuhan and died last month from the disease. Peng had planned to get married over the Lunar New Year holiday but postponed his wedding to help treat coronavirus patients.
Another 29-year-old, gastroenterologist Xia Sisi, also died last month after she became infected while working at the Union Jiangbei Hospital in Wuhan.
The coronavirus has killed more than 3,100 people and infected over 92,000, mostly in China, since the outbreak began, and it has spread to more than 50 countries in every continent except Antarctica.
Source: SCMP

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14/02/2020

Coronavirus: New China figures highlight toll on medical staff

Exhibition hall converted to hospital in Wuhan - 5 FebruaryImage copyright AFP
Image caption Authorities in Wuhan have had to create extra hospital space to cope with large numbers of cases

Chinese officials have given figures for health workers infected with coronavirus, amid concerns about shortages of protective equipment.

Six health workers have died and 1,716 have been infected since the outbreak, they said.

The death a week ago of Doctor Li Wenliang, who tried to warn authorities early on about the virus, provoked a burst of public anger and grief.

More than 1,300 people are now known to have died from the virus.

The latest figures show 122 new deaths in China, bringing the toll to 1,381.

The total number of infections has jumped to 63,922 cases, according to the National Health Commission.

The World Health Organization said there was no major shift in the virus’s pattern of mortality or severity, despite a spike in cases in Hubei, the epicentre of the disease, on Tuesday.

Most of this was down to Hubei using a broader definition to diagnose people, said Mike Ryan, head of WHO’s health emergencies programme.

There was also no significant rise in cases outside China, the WHO said.

However, a cruise ship docked in Japan, the Diamond Princess, saw 44 new cases, bringing the total there to 218.

What is the situation with medical workers?

Zeng Yixin, vice minister of China’s National Health Commission, said 1,102 medical workers had been infected in Wuhan, where the outbreak began, and another 400 in other parts of Hubei province.

He said the number of infections among staff was increasing.

Media caption Medics in Wuhan resort to shaving their heads in a bid to prevent cross-infection of the coronavirus

“The duties of medical workers at the front are indeed extremely heavy; their working and resting circumstances are limited, the psychological pressures are great, and the risk of infection is high,” Mr Zeng said, quoted by Reuters.

Local authorities have struggled to provide protective equipment such as respiratory masks, goggles and protective suits in hospitals in the area.

One doctor told AFP news agency that he and 16 colleagues were showing possible symptoms of the virus.

Another medical worker said she and more than 100 other staff at her hospital had been quarantined. A further 30 had been confirmed to have been infected there out of a staff of 500 she told CNN.

On 7 February the plight of medical workers was highlighted by the death of Li Wenliang, a doctor at Wuhan Central Hospital who had tried to issue the first warning about the virus on 30 December.

Li WenliangImage copyright LI WENLIANG
Image caption Li Wenliang contracted the virus while working at Wuhan Central Hospital

He had sent out a warning to fellow medics but police told him to stop “making false comments”.

A wave of anger and grief flooded Chinese social media site Weibo when news of Dr Li’s death broke.

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Member of Vietnam Airlines staff disinfects aircraft after flight - 4 FebruaryImage copyright AFP
Image caption Asian airlines have been hard hit by the virus outbreak

Economic impacts of the virus

  • Global airline revenue expected to fall by $4bn (£3.1bn) to $5bn this year
  • China’s car sales likely to fall more than 10% in first half of year, the China Association of Automobile Manufacturers tells Reuters
  • Singapore’s economy could fall into recession as a result of the outbreak, Prime Minister Lee Hsien Loong says
  • Malaysian finance minister says a stimulus package will be announced for aviation, retail and tourism industries
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What is happening on the Diamond Princess?

The vessel is in quarantine in Yokohama, in southern Japan. Not all the 3,700 people on board have been tested yet.

People with the virus are taken to hospitals on land to be treated, while those on board are largely confined to their cabins.

passenger on diamond princess cruise shipImage copyright AFP
Image caption The Diamond Princess has 3,700 people on board – not all of whom have been tested

However on Thursday Japan said it would allow those aged 80 or over who have tested negative for the coronavirus to disembark.

Health Minister Katsunobu Kato said they could be allowed off the ship as early as Friday but would have to stay in accommodation provided by the government, the Japan Times reported.

Meanwhile another cruise ship – the MS Westerdam, carrying more than 2,000 people – docked in Cambodia after being turned away by ports in Japan, Taiwan, Guam, the Philippines and Thailand despite having no sick patients on board.

Media caption The Westerdam was finally able to dock in Sihanoukville, Cambodia
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In other developments:

  • Outside China there have now been two deaths and 456 cases in 24 countries
  • Singapore health ministry reports nine new cases, bringing the total number there to 67
  • In the UK, officials are attempting to trace the contacts of the latest person to be diagnosed with coronavirus. The woman, who flew into London Heathrow from China a few days ago, is the ninth case to be confirmed
  • Australia has extended its ban on people coming from mainland China for another week, to 22 February
  • China said it would stagger the return of children to school – several provinces have closed schools until the end of February
  • In Vietnam, which borders China, thousands of people in villages near the capital, Hanoi, have been put under quarantine after several cases were discovered. Vietnam has now confirmed at least 16 cases
  • The Red Cross has called for sanctions relief for North Korea, which would allow the aid agency to transfer funds to buy equipment. Testing kits and protective clothing are urgently needed to prepare for a possible outbreak, it says
  • British rap star Stormzy has postponed the Asian leg of his tour – he had been due to play in locations including Shanghai, Hong Kong, Singapore and Malaysia in March
  • A Russian woman – who was put into a coronavirus quarantine but escaped – is resisting attempts by officials to bring her back to hospital by force. Alla Ilyina, 32, has been refusing to open the door of her St Petersburg apartment to police
China death toll
Presentational white spaceSource: The BBC

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07/02/2020

Li Wenliang: Coronavirus death of Wuhan doctor sparks anger

Dr Li posts a picture of himself in a gas mask from his hospital bed on FridayImage copyright DR LI WENLIANG
Image caption Dr Li had posted a picture of himself on social media from his hospital bed

The death of a Chinese doctor who tried to warn about the coronavirus outbreak has sparked an unprecedented level of public anger and grief in China.

Li Wenliang died after contracting the virus while treating patients in Wuhan.

Last December he sent a message to fellow medics warning of a virus he thought looked like Sars – another deadly coronavrius.

But he was told by police to “stop making false comments” and was investigated for “spreading rumours”.

News of his death was met with an intense outpouring of grief on Chinese social media site Weibo – but this quickly turned into anger.

There had already been accusations against the government of downplaying the severity of the virus – and initially trying to keep it secret.

Dr Li’s death has fuelled this further and triggered a conversation about the lack of freedom of speech in China.

The country’s anti-corruption body has now said it will open an investigation into “issues involving Dr Li”.

The Chinese government has previously admitted “shortcomings and deficiencies” in its response to the virus, which has now killed 636 people and infected 31,161 in mainland China.

Graphic showing the number of cases in China so far
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According to Chinese site Pear Video, Dr Li’s wife is due to give birth in June.

What has the public reaction been?

Chinese social media has been flooded with anger – it is hard to recall an event in recent years that has triggered as much grief, rage and mistrust against the government.

The top two trending hashtags on the website were “Wuhan government owes Dr Li Wenliang an apology” and “We want freedom of speech”.

Both hashtags were quickly censored. When the BBC searched Weibo on Friday, hundreds of thousands of comments had been wiped. Only a handful remain.

“This is not the death of a whistleblower. This is the death of a hero,” said one comment on Weibo.

A photo circulating on Twitter reportedly sourced from messaging platform WeChat also shows a message in Chinese saying “Farewell Li Wenliang” written in the snow on a riverbank.

Many have now taken to posting under the hashtag “Can you manage, do you understand?” – a reference to the letter Dr Li was told to sign when he was accused of disturbing “social order”.

These comments do not directly name him – but are telling of the mounting anger and distrust towards the government.

Media caption Coronavirus: Shanghai’s deserted streets and metro

“Do not forget how you feel now. Do not forget this anger. We must not let this happen again,” said one comment on Weibo.

“The truth will always be treated as a rumour. How long are you going to lie? What else do you have to hide?” another said.

“If you are angry with what you see, stand up,” one said. “To the young people of this generation, the power of change is with you.”

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An epic political disaster

Analysis box by Stephen McDonell, China correspondent

The death of Dr Li Wenliang has been a heart-breaking moment for this country. For the Chinese leadership it is an epic political disaster.

It lays bare the worst aspects of China’s command and control system of governance under Xi Jinping – and the Communist Party would have to be blind not to see it.

If your response to a dangerous health emergency is for the police to harass a doctor trying to blow the whistle, then your structure is obviously broken.

The city’s mayor – reaching for excuses – said he needed clearance to release critical information which all Chinese people were entitled to receive.

Now the spin doctors and censors will try to find a way to convince 1.4 billion people that Dr Li’s death is not a clear example of the limits to the party’s ability to manage an emergency – when openness can save lives, and restricting it can kill.

Chinese people are going to take some convincing.

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How was the death announced?

There was confusion over when exactly Dr Li had actually died.

He was initially declared dead at 21:30 on Thursday (13:30GMT) by state media outlets the Global Times, People’s Daily and others.

Hours later the Global Times contradicted this report – saying he had been given a treatment known as ECMO, which keeps a person’s heart pumping.

Journalists and doctors at the scene said government officials had intervened – and official media outlets had been told to change their reports to say the doctor was still being treated.

But early on Friday, reports said doctors could not save Dr Li and his time of death was 02:58 on Friday.

Li WenliangImage copyright LI WENLIANG
Image caption Li Wenliang contracted the virus while working at Wuhan Central Hospital

What did Li Wenliang do?

Dr Li, an ophthalmologist, posted his story on Weibo from a hospital bed a month after sending out his initial warning.

He had noticed seven cases of a virus that he thought looked like Sars – the virus that led to a global epidemic in 2003.

On 30 December he sent a message to fellow doctors in a chat group warning them to wear protective clothing to avoid infection.

Graphic showing how the virus spread inside China
Four days later he was summoned to the Public Security Bureau where he was told to sign a letter.

In the letter he was accused of “making false comments” that had “severely disturbed the social order”. Local authorities later apologised to Dr Li.

In his Weibo post he describes how on 10 January he started coughing, the next day he had a fever and two days later he was in hospital. He was diagnosed with the coronavirus on 30 January.

Media caption The BBC’s online health editor on what we know about the virus

What is the latest on the coronavirus?

Chinese President Xi Jinping has told his US counterpart Donald Trump that China is “fully confident and capable of defeating the epidemic”. The country has introduced more restrictive measures to try to control the outbreak:

  • The capital Beijing has banned group dining for events such as birthdays. Cities including Hangzhou and Nanchang are limiting how many family members can leave home each day
  • Hubei province has switched off lifts in high-rise buildings to discourage residents from going outside.

The virus has now spread to more than 25 countries. There have been more than 28,000 cases worldwide but only two of the deaths have been outside mainland China.

Source: The BBC

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