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Online Discussion: Tracking new emerging diseases and the next pandemic; Now tracking the Wuhan Coronavirus COVID-19

China Investigates SARS Like Pneumonia Disease

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Albert View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 1:03pm
Not entirely sure what this is saying here. Is it saying the others infected have Sars? Is it saying that they have Sars test results in? This could be a replay of China's cover-up in 2003. China is already arresting people for talking about it online, lol.

Not sure what to make of this statement:

Health authorities in Hong Kong were on high alert following five cases of patients developing symptoms of respiratory infections and fever after visiting Wuhan, about four hours by train from Hong Kong. Two of the patients have been discharged from the hospital following a full recovery and a third has tested negative for SARS, influenza and avian flu. The government said on Friday evening that two others are awaiting test results.

https://asia.nikkei.com/Spotlight/Society/Asia-on-alert-over-mysterious-virus-outbreak-in-China
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 1:17pm
I do not know about these tests in the specific. Concerning tests in general: those deemed "preliminary" are somewhat less accurate than "detailed" or "follow-up" tests. But several SARS negative results does suggest it is not the cause.

To my mind this is not necessarily good news. If the d@mn bug tests negative for everything known, then it is (by definition) novel. New infectious diseases are nasty, as we do not have immunities for them yet. (Because those succeptable have not been removed from the gene pool - by extinction of their line.)

Hopefully, this will turn out to be nothing (China's response would be the same either way.) but it does need watching carefully.

I have researched the tests for SARS and they fall into several categories. Antibody tests and serelogical tests for viral RNA seem the main choices. But there is no effective rapid test (at least there was not in 2003 when this report was published:   http://sarsreference.com/sarsref/tests.htm, or this one published in 2004:   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3322905/ this later test being on average only 60% accurate.) The accuracy increases day after day from infection onwards and peaks at 11 days in - far too late for China to actually demonstrate a genuine reason to declare the specimens, and by inference the hosts, free of the virus.

To be honest all we can do is watch this space.
Absence of proof is not proof of absence.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 1:34pm
I am a bit out of date. 85% seems to be the high point since february this year. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362100/
Absence of proof is not proof of absence.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 2:49pm
Originally posted by Technophobe Technophobe wrote:


To my mind this is not necessarily good news. If the d@mn bug tests negative for everything known, then it is (by definition) novel.


I agree. Leaning toward a novel zoonotic disease. The question is, and even with limited transmission, can it now be stopped? A tank can move at a slow speed, but it still moves.      
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No new, News for 8 hours

Looks like a news blackout.......

Not looking great.....
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 3:02pm
I stole this news, lol. hehe

Translation Google

[Exclusive] New virus of unknown pneumonia in Wuhan is likely to be transmitted from animals to the Hong Kong government, and it is planned to upgrade the epidemic prevention


Last Update: 01 04 00:20 / Settling Time (HKT): 0103 21:55

Unknown cause of pneumonia outbreak in Wuhan, but so far the local government has not announced the type of virus causing the disease. It is reported that the local virus that has caused the outbreak of unknown pneumonia is very likely to be a new species of coronavirus that jumps from animals to humans. Some experts in Hong Kong believe that the government should immediately upgrade the response level to the severe level in response to the great chance of a new species of coronavirus appearing in the Mainland. It is reported that the government has also formulated further measures to strengthen epidemic prevention, which will be announced today (4th).


It is reported that the Mainland has acquired the virus that caused Wuhan's unknown pneumonia this time. It is likely that a new type of coronavirus that jumps from animals to humans is not the same as SARS coronavirus. Some experts have analyzed that there have been severe animal-to-human virus outbreaks in South China, including bird flu and SARS coronavirus. This time, there is no outbreak of bird flu in Wuhan. The epidemic situation is related to markets that sell game. Animal-to-human coronavirus, but not exactly the same as SARS-CoV.

https://hk.news.appledaily.com/local/realtime/article/20200104/60448286
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 3:22pm
You just beat me to this one, Boss. 14 minutes later - an article in English appears!

Outbreak in China: Avian flu, adenovirus not culprits in Wuhan outbreak, first CDC tests show
NEW MEASURES:The CDC urged health personnel to be on the alert when treating people with pneumonia and check whether they had been to Wuhan recently
By Lee I-chia / Staff reporter

A Centers for Disease Control poster warns people traveling to Wuhan in China’s Hubei Province about an outbreak in the area.
Photo courtesy of the Centers for Disease Control

The Centers for Disease Control (CDC) yesterday said that preliminary tests have excluded flu, avian flu or adenovirus infections as possible causes of a pneumonia outbreak in Wuhan, China, that was first reported last week.

After a rumor spread online on Tuesday last week about a SARS-like infection in Wuhan, the CDC on Tuesday announced that while information from the Chinese government suggests that the disease does not resemble SARS, enhanced preventive measures would take effect immediately.

CDC officials are boarding all flights from Wuhan to Taiwan — 12 flights per week — to check whether passengers or crew have symptoms indicating a possible case of the disease, the agency said.

CDC Deputy Director-General Chuang Jen-hsiang (莊人祥) said that the Chinese government has excluded flu, avian flu and adenovirus as possible causes, but it had not ruled out other novel viruses, such as a coronavirus.

“Coronaviruses can cause mild symptoms, similar to a common cold, but they can also cause serious symptoms, such as SARS or MERS [Middle East respiratory syndrome],” Chuang said, adding that it is also important to find the source of the infection.

Chinese government information showed that there was no apparent evidence of human-to-human transmission, but the source of infection, the transmission route and whether there are communal outbreaks would be key points for the CDC to follow up on, and the factors will affect the centers’ risk evaluation, he said.

Since Tuesday last week, seven flights from Wuhan to Taiwan with a combined 633 passengers and crew had been inspected by airport quarantine officials, with six passengers showing mild symptoms, Chuang said.

One of the cases was confirmed as the flu, one a flu-like illness, one a common cold and another had a reduced fever, while local heath departments are following up on the two other cases, he said.

The CDC has issued a notice to healthcare professionals, urging them to be alert when treating people for pneumonia and to check whether they have traveled to Wuhan recently, he said, adding that they should report suspected cases and send a specimen for tests.

Forty-four people had been diagnosed with the illness as of Friday, with 11 in a critical condition, Chinese government data showed.

A total of 121 people who have had direct contact with patients are being observed, the data showed.

The CDC said that people planning to visit Wuhan and nearby areas should wash their hands frequently with soap, wear a surgical mask, avoid livestock markets, hospitals and crowded areas, and report to the airport quarantine station if they have a fever or flu-like symptoms when returning to Taiwan.


Source:   http://www.taipeitimes.com/News/front/archives/2020/01/05/2003728733

May I point out that the "CDC" mentioned is Tiawan's version.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 3:40pm
Many unanswered questions with this novel coronavirus. Incubation period? What animal transmits it? What sector of poultry market in China will this devastate?   Can it be stopped? Many unanswered questions when witnessing the birth of a new disease.   

A brand new born baby on the planet earth. Global warming? hehe

Reminds me of the movie Prometheus.
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News > World > Asia

Hong Kong issues emergency response as mystery China disease spreads

Five cases of viral pneumonia reported

Staff Reporter
4 hours ago

Hong Kong authorities have activated a newly created “serious response” level as fears spread about a mysterious infectious disease that may have been brought back by visitors to a mainland Chinese city.

Five possible cases have been reported of a viral pneumonia that has also infected at least 44 people in Wuhan, an inland city west of Shanghai, about 570 miles north of Hong Kong.


The outbreak, which emerged last month, has revived memories of the 2002-03 Sars epidemic that started in southern China and killed more than 700 people in the mainland, Hong Kong and elsewhere.

The serious response level indicates a moderate impact on Hong Kong’s population of 7.5 million people.

It is the second highest in a three-tier system that is part of a new government plan launched on Saturday to respond to infectious diseases of unknown cause.

The city’s health department added an additional thermal imaging system at Hong Kong’s airport on Friday to check the body temperature of arriving passengers. More staff have been assigned for temperature checks at the West Kowloon high-speed rail station that connects Hong Kong to the mainland.

Nearly 50 people contract mystery respiratory illness in China

The territory's embattled chief executive Carrie Lam, on a visit to the train station Friday to review the health surveillance measures, urged any travellers who develop respiratory symptoms to wear surgical masks, seek medical attention and let doctors know where they have been.

The Wuhan health commission said 11 of the 44 people diagnosed with the pneumonia were in critical condition as of Friday. All were being treated in isolation and 121 others who had been in close contact with them were under observation.

Most of the cases have been traced to the South China Seafood City food market in the suburbs of sprawling Wuhan, where offerings reportedly include wild animals that can carry viruses dangerous to humans. The commission said the market has been disinfected.

The most common symptom has been fever, with shortness of breath and lung infections in a small number of cases, the commission said.

Nearly 50 people contract mystery respiratory illness in China
There have been no clear indications of human-to-human transmission of the disease.

The latest cases in Hong Kong are two females, aged 12 and 41, who had been to Wuhan in the past 14 days but did not appear to have visited the food market, the Hospital Authority said. They were in stable condition and being treated in isolation at Princess Margaret Hospital.

Besides Sars, or severe acute respiratory syndrome, Hong Kong also was hit by bird flu in 1997 and swine flu in 2009.

Associated Press
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2020 at 9:47pm
Does anyone know if having all the pneumonia shots helps at all. No one ever says if having these vaccines has helped someone survive the pneumonia. I still need the get the Prevnar shot.
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Most of the cases have been traced to the Huanan seafood wholesale market in the suburbs of sprawling Wuhan.

China pneumonia: Singapore reports first suspected case linked to Wuhan
Patient is a three-year-old girl with a travel history to Wuhan, but had not visited seafood market where some of the infected worked
The number of cases reported in relation to the Wuhan outbreak rose to 44 on Friday, up from 27 on Tuesday
Topic | World Health Organisation


Bloomberg

Published: 2:47pm, 5 Jan, 2020

Updated: 2:47pm, 5 Jan, 2020


Singapore has reported its first suspected case of pneumonia that’s possibly linked to the central Chinese city of Wuhan, where there’s an ongoing outbreak of a mysterious lung infection. The patient, a three-year-old girl with a travel history to Wuhan, is in stable condition and has been hospitalised for further assessment and treatment, the Ministry of Health said in a statement on Saturday. She has been isolated as a precautionary measure. Preliminary tests showed that the case was positive for Respiratory Syncytial Virus, a common cause for childhood pneumonia. The World Health Organisation is monitoring the situation in Wuhan and is in active communication with its counterparts in China, where an investigation is underway to determine the cause of the outbreak.

As of Friday, 44 people had been diagnosed with pneumonia, the Wuhan Municipal Health Commission said.

Some of the infected worked at a fresh seafood and produce market in the city. The girl in the suspected case in Singapore had not visited the Huanan seafood wholesale market associated with the cluster, according to the health ministry.

Singapore implemented temperature screening at Changi Airport from

World Health Organisation ‘closely monitoring’ China’s viral pneumonia outbreak

Read More

China pneumonia: Hong Kong authorities take low-key approach to passengers arriving in Hong Kong on Wuhan trains

Hong Kong’s leader Carrie Lam Cheng Yuet-ngor has urged any travellers who develop respiratory symptoms to wear surgical masks, seek medical attention and let doctors know where they have been. The most common symptom has been fever, with shortness of breath and lung infections in a small number of cases. There have been no clear indications of human-to-human transmission of the disease.

In Hong Kong, officials launched a new response mechanism for infectious diseases on Saturday morning, setting it to “serious” level, the second of a three-tier scale. The number of suspected cases reported in Hong Kong had increased to eight on Saturday, but by evening, none of these were found to be an unidentified strain.

In 2002-2003, Severe Acute Respiratory Syndrome killed hundreds of people around the world, with most of the fatalities registered in China and Hong Kong. Besides SARS, or severe acute respiratory syndrome, Hong Kong also was hit by bird flu in 1997 and swine flu in 2009. Additional reporting by Associated Press and Agence France-Presse


World Health Organisation

Copyright © 2020 South China Morning Post Publishers Ltd. All rights reserved.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 4:15am
FluMom, probably not, as it has to cover the specific virus, or one with 'selected-for-use-in-the-vaccine' antigens in common. It is still a good idea to get it though.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 7:38am
China says it is NOT SARS.

Originally posted by BBC BBC wrote:

A mysterious viral pneumonia that has infected dozens in central China is not Severe Acute Respiratory Syndrome (Sars), health chiefs have said.

They also discounted bird flu and Middle East Respiratory Syndrome, and said investigations were continuing.

A total of 59 cases have been reported in the city of Wuhan, seven of which are considered critical.

.....

In a statement posted on its website late on Sunday, the Wuhan Municipal Health Commission said 163 people who had had contact with those infected had been placed under medical observation. It said efforts were continuing to identify the virus and its source.

BBC Link
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 11:36am
Edwin - Good find on article.


".... The commission said previously that there had been no human-to-human transmission of the illness. It added that a number of those infected worked at a seafood market in the city, leading authorities to sanitise the area".


Comment: "A number of those worked at the seafood market", but apparently not all worked there or visited the market. It seems we have limited h2h.

I'll also add, if the market is closed and has been sanitized, where are these additional cases coming from on a daily bases if there isn't H2H involved?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 11:43am
[Tiawan's]CDC expands condition for notification amid concern over virus
2020/01/05 21:08

Taipei, Jan. 5 (CNA) Taiwan's Centers for Disease Control (CDC) said Sunday that it has expanded the conditions for notification of suspected cases of an unconfirmed respiratory virus.

The move is the latest preventive measure the CDC has taken against a cluster of respiratory infections that have been reported in the Chinese city of Wuhan.

Doctors and airport quarantine officials must notify the CDC when they encounter a patient who has traveled to Wuhan in the past 14 days and presents with a fever and symptoms of upper respiratory tract infection.

Previously, they only had to notify the CDC if a patient met one of two requirements; either the patient had a fever, symptoms of pneumonia and had traveled to Wuhan, or they had a fever, symptoms of upper respiratory tract infection and had been to the Huanan Seafood Market, where a number of those infected in Wuhan reportedly worked as vendors.

The CDC announced the new measure at a press conference after CDC Deputy Director-General Chuang Jen-hsiang (莊人祥) met with 17 experts.

The experts said that since not everyone infected by the virus will have symptoms of pneumonia, it was necessary to expand the conditions for notification and ensure that all suspected cases are screened, according to Yang Ching-hui (楊靖慧), a CDC division chief.

Suspected cases will undergo screening for 26 viruses, including viruses that cause SARS (severe acute respiratory syndrome) and MERS (Middle East respiratory syndrome), and additional screening items could be added based on the development of the situation in Wuhan, Yang said.

On Friday, China's Wuhan Municipal Health Commission issued a press release noting that a total of 44 cases of the virus had been reported there, of which 11 were considered serious.

An additional 121 close contacts of those being treated for the virus have been placed under medical observation, and the city's Huanan Seafood Market, where some of the patients worked, has been closed, the commission said.

(By Chang Ming-hsuan and Chiang Yi-ching) Enditem/J

Source:   http://focustaiwan.tw/news/asoc/202001050011.aspx
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 11:48am


"...Hong Kong’s Centre for Health Protection (CHP) said public hospitals had admitted eight more patients, including a boy, nine, and a two-year-old girl, in the 24 hours to noon on Sunday with fever, respiratory infection or pneumonia symptoms who had also been to Wuhan in the past 14 days. At least seven of them confirmed that they had not been to any wet market there".

https://www.scmp.com/news/hong-kong/health-environment/article/3044723/six-more-hong-kong-patients-hospitalised-over
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 11:49am
That really does look like h2h now.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 12:08pm
A common problem such as with "super-spreaders", is that they are A-Symptomatic and will show no symptoms. So they can isolate dozens of people who may never get sick or show symptoms, and meanwhile others get infected. They have to look for antibodies in those quarantined, which can take quite a bit of time to develop. So it can spread h2h, while at the same time making contact-tracing impossible. And that one is an ominous prospect in a pandemic. You never know who to isolate or who will ever be infected (and develop pneumonia), or how fast it's spreading - as it doesn't induce pneumonia with everyone. Confused yet? lol     
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TOP STORIES
China rules out SARS as dozens struck by pneumonia-like virus
6 hours ago

Health experts have said a viral pneumonia outbreak in central Hubei province is not the highly contagious SARS virus, MERS or bird flu. Some 59 patients have been placed under medical observation.
A mysterious respiratory illness that has infected dozens of people in the central Chinese city of Wuhan is not the severe acute respiratory syndrome (SARS) that killed hundreds of people a decade ago.

The Wuhan Municipal Health Commission said Sunday 59 people were diagnosed with the condition and have been isolated. Seven were in a critical condition.

Initial investigations also ruled out Middle East respiratory syndrome (MERS), influenza, bird flu and adenovirus, the commission said.

The World Health Organization (WHO) said in a statement that it is monitoring the situation and is in close contact with authorities in China.

Read more: World unprepared for pandemic, panel warns

SARS-like symptoms

Several of the infected patients had been working at Wuhan's South China Seafood market, which has been closed since Wednesday for environmental sanitation and disinfection.

The most common symptom among those infected was fever, with difficulty breathing and lung lesions appearing in a "small number'' of cases. There were no clear indications of human-to-human transmission, the WHO said.

Fifteen patients in Hong Kong were being treated for symptoms after recent visits to Wuhan.

Read more: Swine fever: Scientists warn quarter of world's pigs could die


The outbreak in the mainland city of Wuhan has been linked to a large food market nearby
SARS cover-up

In 2003, SARS killed 349 people in mainland China and another 299 in Hong Kong. Following that outbreak, the WHO criticized China for underreporting the number of SARS cases, amid fears of a global pandemic.

Wuhan — a city to the west of Shanghai and some 900 kilometers (570 miles) north of Hong Kong — is the sprawling capital of Hubei province and has a population of at least 11 million.

kw/aw (AP, Reuters)

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Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Posted: January 05 2020 at 2:10pm

"The most common symptom among those infected was fever, with difficulty breathing and lung lesions appearing in a "small of cases, the WHO said."

Wonders what that means....?
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