'Coronavirus Pummels Wuhan, a City Short of Supplies and Overwhelmed' diff viewer (24/25)

This article is from the source 'nytimes' and was first published or seen on February 02, 2020 18:54 (UTC). It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at https://www.nytimes.com/2020/02/02/world/asia/china-coronavirus-wuhan.html

The article has changed 39 times. There is an RSS feed of changes available.

Previous version 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Next version

Previous version 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Next version

Version 24	Version 25
Coronavirus Pummels Wuhan, a City Short of Supplies and Overwhelmed	Coronavirus Pummels Wuhan, a City Short of Supplies and Overwhelmed
2020-07-15 15:48:12 UTC	2020-07-15 16:18:28 UTC (30 minutes later)
WUHAN, China — Weak with fever, An Jianhua waited in line for seven hours outside the hospital in the cold, hoping to get tested for the new coronavirus, which doctors suspected she had contracted.	WUHAN, China — Weak with fever, An Jianhua waited in line for seven hours outside the hospital in the cold, hoping to get tested for the new coronavirus, which doctors suspected she had contracted.
Ms. An, 67, needed an official diagnosis from a hospital to qualify for treatment, but the one she and her son raced to last week had no space, even to test her. The next hospital they were referred to here in Wuhan, the city of 11 million people at the center of the outbreak, was full, too, they said. They finally got an intravenous drip for Ms. An’s fever, but that was all.	Ms. An, 67, needed an official diagnosis from a hospital to qualify for treatment, but the one she and her son raced to last week had no space, even to test her. The next hospital they were referred to here in Wuhan, the city of 11 million people at the center of the outbreak, was full, too, they said. They finally got an intravenous drip for Ms. An’s fever, but that was all.
Since then, Ms. An has quarantined herself at home. She and her son eat separately, wear masks at home and are constantly disinfecting their apartment. Ms. An’s health is declining rapidly, and even keeping water down is a struggle.	Since then, Ms. An has quarantined herself at home. She and her son eat separately, wear masks at home and are constantly disinfecting their apartment. Ms. An’s health is declining rapidly, and even keeping water down is a struggle.
“I can’t let my mom die at home,” said her son, He Jun. “Every day I want to cry, but when I cry there are no tears. There is no hope.”	“I can’t let my mom die at home,” said her son, He Jun. “Every day I want to cry, but when I cry there are no tears. There is no hope.”
As countries race to deal with an outbreak that has begun spreading around the world, inciting panic and disrupting the global economy, the residents of Wuhan are waging a daily battle to survive an illness that has sickened more than 4,100 people and killed 224 in their city alone.	As countries race to deal with an outbreak that has begun spreading around the world, inciting panic and disrupting the global economy, the residents of Wuhan are waging a daily battle to survive an illness that has sickened more than 4,100 people and killed 224 in their city alone.
Last month, the government put Wuhan in a virtual lockdown, sealing off the city and banning most public transportation and private cars from its streets in a desperate effort to contain the outbreak. Now, many residents say it is nearly impossible to get the health care they need to treat — or even diagnose — the coronavirus.	Last month, the government put Wuhan in a virtual lockdown, sealing off the city and banning most public transportation and private cars from its streets in a desperate effort to contain the outbreak. Now, many residents say it is nearly impossible to get the health care they need to treat — or even diagnose — the coronavirus.
Expressing exasperation, doctors say there is a shortage of testing kits and other medical supplies, and it is not clear why more are not available. The ban on transportation means some residents have to walk for hours to get to hospitals — if they are well enough to make the journey. Layers of bureaucracy stand between residents and help. And the long lines outside hospitals for testing and treatment suggest that the outbreak is spreading far beyond the official count of cases.	Expressing exasperation, doctors say there is a shortage of testing kits and other medical supplies, and it is not clear why more are not available. The ban on transportation means some residents have to walk for hours to get to hospitals — if they are well enough to make the journey. Layers of bureaucracy stand between residents and help. And the long lines outside hospitals for testing and treatment suggest that the outbreak is spreading far beyond the official count of cases.
Ambulances, too, are hard to come by, residents say. In recent days, some say they have called 120, China’s equivalent of the emergency number 911, only to be told that there were already hundreds of people in the queue.	Ambulances, too, are hard to come by, residents say. In recent days, some say they have called 120, China’s equivalent of the emergency number 911, only to be told that there were already hundreds of people in the queue.
Those who do make it to the hospital say they are squeezed together for hours in waiting rooms, where infections are easily spread. But the shortages have meant that many are ultimately turned away and sent home to self-quarantine, potentially compounding the outbreak by exposing their families.	Those who do make it to the hospital say they are squeezed together for hours in waiting rooms, where infections are easily spread. But the shortages have meant that many are ultimately turned away and sent home to self-quarantine, potentially compounding the outbreak by exposing their families.
Many doctors and residents are putting their hopes on the two new coronavirus hospitals that China has been racing to build in Wuhan in just a matter of days. One of them spans about eight acres, has 1,000 beds and is scheduled to open on Monday. The government says 1,400 military medical workers will be deployed to work there, potentially helping with the shortage of health professionals on hand to combat the outbreak.	Many doctors and residents are putting their hopes on the two new coronavirus hospitals that China has been racing to build in Wuhan in just a matter of days. One of them spans about eight acres, has 1,000 beds and is scheduled to open on Monday. The government says 1,400 military medical workers will be deployed to work there, potentially helping with the shortage of health professionals on hand to combat the outbreak.
On Sunday, city officials announced plans to set up quarantine stations around Wuhan for people with symptoms of pneumonia and close contacts among coronavirus patients. But just over a week into the lockdown, many residents believe the virus has already spread much further than the official numbers suggest.	On Sunday, city officials announced plans to set up quarantine stations around Wuhan for people with symptoms of pneumonia and close contacts among coronavirus patients. But just over a week into the lockdown, many residents believe the virus has already spread much further than the official numbers suggest.
“The situation that we’ve seen is much worse than what has been officially reported,” Long Jian, 32, said outside a hospital where his elderly father was being treated. Mr. Long said his father had to go to six hospitals and wait seven days before he could even be tested for the coronavirus.	“The situation that we’ve seen is much worse than what has been officially reported,” Long Jian, 32, said outside a hospital where his elderly father was being treated. Mr. Long said his father had to go to six hospitals and wait seven days before he could even be tested for the coronavirus.
Just steps from where Mr. Long spoke, beds could be seen lining both sides of a narrow corridor in the emergency room. One man was getting an intravenous drip outside in his car.	Just steps from where Mr. Long spoke, beds could be seen lining both sides of a narrow corridor in the emergency room. One man was getting an intravenous drip outside in his car.
“Those who can get diagnosed and treated are the lucky ones,” Mr. Long said. “In our neighborhood, many who weren’t able to get diagnosed ended up dying at home.”	“Those who can get diagnosed and treated are the lucky ones,” Mr. Long said. “In our neighborhood, many who weren’t able to get diagnosed ended up dying at home.”
Getting treatment for the coronavirus in a hospital requires jumping through a number of hoops.	Getting treatment for the coronavirus in a hospital requires jumping through a number of hoops.
According to official guidelines, patients are encouraged to go to their local hospitals first for initial assessments and sometimes prescriptions. Then patients are to deliver the results to their local neighborhood committees, which are responsible for communicating with the hospitals and coordinating resources for the households in their areas. There are about 1,000 neighborhood committees in Wuhan, for a population of 11 million.	According to official guidelines, patients are encouraged to go to their local hospitals first for initial assessments and sometimes prescriptions. Then patients are to deliver the results to their local neighborhood committees, which are responsible for communicating with the hospitals and coordinating resources for the households in their areas. There are about 1,000 neighborhood committees in Wuhan, for a population of 11 million.
Patients with mild symptoms are typically told to go home and self-quarantine, according to a Jan. 24 notice by city officials. Those who have more severe symptoms are flagged by the neighborhood committees, which arrange for transportation by ambulance to one of the two dozen or so hospitals designated for treating the coronavirus.	Patients with mild symptoms are typically told to go home and self-quarantine, according to a Jan. 24 notice by city officials. Those who have more severe symptoms are flagged by the neighborhood committees, which arrange for transportation by ambulance to one of the two dozen or so hospitals designated for treating the coronavirus.
But in practice, patients and their relatives say that the process takes far too long, and that the bar for what constitutes “severe symptoms” has been set too high — so they give up and try waiting in long lines at hospitals instead.	But in practice, patients and their relatives say that the process takes far too long, and that the bar for what constitutes “severe symptoms” has been set too high — so they give up and try waiting in long lines at hospitals instead.
Amy Hu said her 64-year-old mother went to the doctor after experiencing a fever, cough, shortness of breath and diarrhea about 10 days ago. Based on the initial assessment, the doctor told Ms. Hu’s mother that she had contracted the coronavirus. But the test needed to confirm the diagnosis was not available, the doctor said.	Amy Hu said her 64-year-old mother went to the doctor after experiencing a fever, cough, shortness of breath and diarrhea about 10 days ago. Based on the initial assessment, the doctor told Ms. Hu’s mother that she had contracted the coronavirus. But the test needed to confirm the diagnosis was not available, the doctor said.
Without the test, her mother couldn’t be admitted to a hospital. Since then, Ms. Hu said, they have been waiting at home to hear back from the hospital about when her mother can be tested. In recent days Ms. Hu, who has been visiting her parents for the Lunar New Year holiday, took precautions herself: She checked into a hostel with her two children.	Without the test, her mother couldn’t be admitted to a hospital. Since then, Ms. Hu said, they have been waiting at home to hear back from the hospital about when her mother can be tested. In recent days Ms. Hu, who has been visiting her parents for the Lunar New Year holiday, took precautions herself: She checked into a hostel with her two children.
“I’m very dissatisfied with the government,” Ms. Hu said. “It’s like only when the patients are close to death can they be admitted to a hospital.”	“I’m very dissatisfied with the government,” Ms. Hu said. “It’s like only when the patients are close to death can they be admitted to a hospital.”
Tong Yixuan, 31, said Sunday that he panicked last week when he learned that in just a few days, his father’s cold had escalated into a full-blown illness that doctors said was almost certainly the coronavirus.	Tong Yixuan, 31, said Sunday that he panicked last week when he learned that in just a few days, his father’s cold had escalated into a full-blown illness that doctors said was almost certainly the coronavirus.
~~Updated July 7, 2020~~	Updated July 15, 2020
The coronavirus can stay aloft for hours in tiny droplets in stagnant air, infecting people as they inhale, mounting scientific evidence suggests. This risk is highest in crowded indoor spaces with poor ventilation, and may help explain super-spreading events reported in meatpacking plants, churches and restaurants. It’s unclear how often the virus is spread via these tiny droplets, or aerosols, compared with larger droplets that are expelled when a sick person coughs or sneezes, or transmitted through contact with contaminated surfaces, said Linsey Marr, an aerosol expert at Virginia Tech. Aerosols are released even when a person without symptoms exhales, talks or sings, according to Dr. Marr and more than 200 other experts, who have outlined the evidence in an open letter to the World Health Organization.	The coronavirus can stay aloft for hours in tiny droplets in stagnant air, infecting people as they inhale, mounting scientific evidence suggests. This risk is highest in crowded indoor spaces with poor ventilation, and may help explain super-spreading events reported in meatpacking plants, churches and restaurants. It’s unclear how often the virus is spread via these tiny droplets, or aerosols, compared with larger droplets that are expelled when a sick person coughs or sneezes, or transmitted through contact with contaminated surfaces, said Linsey Marr, an aerosol expert at Virginia Tech. Aerosols are released even when a person without symptoms exhales, talks or sings, according to Dr. Marr and more than 200 other experts, who have outlined the evidence in an open letter to the World Health Organization.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.	Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.	Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.	A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.	The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.	The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.	So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.	Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.	A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)	If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.	If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
But neither his father, who had a 104-degree fever and was slipping in and out of consciousness, nor his mother, who was starting to show similar symptoms, could get tested. Hospitals said that there was no space, and that their symptoms were not severe enough, Mr. Tong said. His parents were sent home to quarantine themselves.	But neither his father, who had a 104-degree fever and was slipping in and out of consciousness, nor his mother, who was starting to show similar symptoms, could get tested. Hospitals said that there was no space, and that their symptoms were not severe enough, Mr. Tong said. His parents were sent home to quarantine themselves.
There was no way for Mr. Tong to help. He was more than 60 miles away in Huangshi, which days ago had been locked down by the government along with many other cities in Hubei Province. The roads out of Huangshi and into Wuhan had all been sealed off. For days, Mr. Tong was stuck. Only Saturday, after hours of negotiation with local officials, was he able to make it to his parents’ bedside, he said. They have since been tested for the coronavirus, and his father has been admitted to a hospital. The process took 10 days.	There was no way for Mr. Tong to help. He was more than 60 miles away in Huangshi, which days ago had been locked down by the government along with many other cities in Hubei Province. The roads out of Huangshi and into Wuhan had all been sealed off. For days, Mr. Tong was stuck. Only Saturday, after hours of negotiation with local officials, was he able to make it to his parents’ bedside, he said. They have since been tested for the coronavirus, and his father has been admitted to a hospital. The process took 10 days.
“All I want to do is take care of my parents,” Mr. Tong said. “I don’t even care if I get infected.”	“All I want to do is take care of my parents,” Mr. Tong said. “I don’t even care if I get infected.”
For some people, like Gan Hanjiang, the new hospitals cannot be built fast enough.	For some people, like Gan Hanjiang, the new hospitals cannot be built fast enough.