Phenergan stool
A few days after the death of a Corona Whistleblower Li Ruifeng, another physician to the consequences of an infection with the Coronavirus (medical Name “Sars-CoV-2 succumbed to”): Liu Zhiming worked in Wuhan as a Director of the Wuchang hospital in the heavily-affected metropolis and died on Monday, reported the news Agency China News. The pathogen causes lung disease Covid-19.
According to the British BBC Zhiming was at the time of death is 51 years old. The clinic for which he worked, Hubei is considered one of the leading hospitals in the Virus epicentre in the Chinese Region. With Zhimings death the number of deaths of helpers is increased to at least seven. Add to this a large number of infected helper: More than 1700 Doctors and nurses have been infected previously with the virus.
Reports on individual deaths spread quickly in the media. But you give no indication about how dangerous the pathogen is actually. For this, epidemiological data are necessary, how they were released on Monday by the Chinese Centre for Disease control and Prevention (CCDC). The study is the largest investigation in terms of the Disease in China and more than of the approximately 44,600 comprised of confirmed infections up to 11. February have occurred. Overall, for the investigation of more than 72.300 patients were evaluated files, including suspected cases confirmed. The results were published in the journal “Chinese Journal of Epidemiology”.
The data give clues to the mortality rate and risk groups: 80.9% of the confirmed infections are, therefore, mild, 13.8 per cent and 4.7 per cent are classified as critical. Among the confirmed infections, there were up to 11. February, 1023 deaths, which would correspond to a mortality rate of 2.3 per cent. Confirmed cases are not included, however. Experts anticipate a high number of unreported cases of non-proven infections.
Mortality rate increases from 80 years
Older people aged 80 years and therefore have a higher risk for a severe course of the disease – the mortality rate increases with age. This phenomenon also occurs with other infectious diseases, such as Influenza-the flu.
The individual age groups at a Glance (data based on number of confirmed Covid-19-cases to 11.February 2020 in mainland China, n=44.672):
Men have a higher mortality rate (2.8 per cent) than women (1.7 per cent). Also, pre-existing conditions, the mortality rate influence: In people with cardiovascular diseases (10.5 percent), Diabetes (7.3 per cent), respiratory diseases (6.3 percent), hypertension (6.0%) and cancer (5.6 percent) is increased. In healthy people, it is 0.9 percent.
It is unclear whether these Numbers are also on other regions outside of China-transferable. Experts believe that the mortality rate, especially in the heavily affected Region of Hubei is increased and elsewhere is expected to be less. “You have to assume that in China the hospitals are so crowded, so you don’t have the time to deal with the slightly symptomatic patients,” said Clemens Wendtner, chief of infectious diseases at the Klinikum Schwabing, a few days ago. “That is, the patients we see in hospitals, which are serious cases, and also a correspondingly high mortality prevails, is well understood.”
The trend at the outbreak?
The authors of the study also report that the curve of the epidemic outbreak to the 23. to 26. January, its highest point so far reached, and then began, to 11. February to lose weight. The experts take this as evidence that the quarantine of entire cities, and the application of hygiene measures achieved initial success. In China, all the million cities of the outside world are still on lockdown. In the 11-million-metropolis, the residents will be investigated in the meantime by home visits for symptoms of the Virus going.
Clemens Wendtner announced the reduction in the number of confirmed infections “encouraging”, he but doubt that it is, in fact, the hoped-for trend reversal. The case definition of the WHO, calls for, among other things, the Virus detection by nucleic acid test (PCR). However, this method has not been reported in Hubei always available. “There were certainly not diagnosed all Patients,” says Wendtner. In the mainland of China, especially in those cases would be counted, in which patients show symptoms of lung disease. “Very different than the WHO recommendation, according to which PCR-positive cases are then confirmed counted, even if the Patient (still shows) no symptoms,” says Wendtner. Add to this that the dark figure of the Covid-19-patients in the Region Hubei likely to be very high. “Who’s going now to the hospital to see a doctor, if he has fear, is quarantined and the apartment can only leave hard?”
In China, more than 1700 people are now on the lung disease Covid-19 died. More than 70,000 people have been infected since December.
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