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Corona outbreak Whistle-blower Chinese doctor was harassed; dies of infection


Chinese doctor Li Wenliang, one of the eight whistle-blowers who warned other medicsof the coronavirus outbreak but were reprimanded by the police, died of the epidemic on Thursday, official media reported. Li, a 34-year-old doctor who tried to warn other medics of the epidemic, died of coronavirus on Thursday in Wuhan, the state-run Global Times reported. He was the first to report about the virus way back in December last year when it first emerged in Wuhan, the provincial capital of China’s central Hubei province. He dropped a bombshell in his medical school alumni group on the popular Chinese messaging app WeChat that seven patients from a local seafood market had been diagnosed with a SARS-like illness and quarantined in his hospital. Li explained that, according to a test he had seen, the illness was a coronavirus — a large family of viruses that includes severe acute respiratory syndrome (SARS) which led to 800 death in China and the world in 2003. Li told his friends to warn their loved ones privately. But within hours screenshots of his messages had gone viral – without his name being blurred. 2/6/2020 Chinese doctor who first warned about coronavirus outbreak dies . When I saw them circulating online, I realised that it was out of my control and I would probably be punished,” Li was quoted as saying CNN recently. Soon after he posted the message, Li was accused of rumour-mongering by the Wuhan police. He was one of several medics targeted by the police for trying to blow the whistle on the deadly virus in the early weeks of the outbreak. Overall 564 people have died in China due to the virus and 28,018 confirmed cases have been reported from 31 provincial level regions, the National Health Commission reported on Thursday.

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doctor nurses at risk from mutated virus

21 occupational risk to doctor and nurses

30 hours baby born to a Wuhan Coronavirus patient infected; possible vertical transmission


The child was born in Wuhan on Sunday and tested positive 30 hours later .

Medics were monitoring the baby closely, but said its condition was stable 

  • Doctors warned the virus might be passed from mothers to unborn babies
  • Another 17-day-old baby in Wuhan was also found to be infected by the virus
  • Coronavirus death toll continues to soar as at least 493 people have been killed 
  • A Chinese baby born to a Wuhan coronavirus patient has been diagnosed with the deadly disease 30 hours after being delivered.Doctors in China. The child was born in Wuhan on Sunday and tested positive 30 hours later .
    Medics were monitoring the baby closely, but said its condition was stable
    • Doctors warned the virus might be passed from mothers to unborn babies
    • Another 17-day-old baby in Wuhan was also found to be infected by the virus
    • Coronavirus death toll continues to soar as at least 493 people have been killed
    • A Chinese baby born to a Wuhan coronavirus patient has been diagnosed with the deadly disease 30 hours after being delivered.Doctors in China are now fearing that the infection could be passed from mothers to their babies in the womb.The news came after experts claimed that the virus might also be spread by faeces. The infected child, whose gender has not been revealed, was born in Wuhan on Sunday. Its mother had been confirmed to have the coronavirus before going into labour.
    • Medics gave the baby a test 30 hours later and the result turned out to be positive. The baby was then transferred to the Wuhan Children’s Hospital, which has been appointed by the government to treat all infected children.The three-day-old baby’s condition was stable and it was being closely monitored, the hospital announced through a post on its official social media account today.’This reminds us to pay attention to a potential new transmission route of the coronavirus – vertical transmission from mothers to babies,’ said Dr Zeng Lingkong, chief physician from the hospital’s Department of Neonatal Medicine.
    • he newborn is one of the two babies that have been found to carry the coronavirus by Wuhan Children’s Hospital. Another 17-day-old baby was found to be sickened after being born healthy on January 13. The hospital said its family hired a wet nurse to look after it on January 22, but the wet nurse was diagnosed with the disease shortly after.The baby’s mother was found to have the coronavirus on January 26 and the baby started to cough and develop a fever three days later. The child was diagnosed with the virus on January 31 after doctors gave it a series of medical checks.
    • Medics are yet to confirm if the baby had caught the virus from its mother or its wet nurse.On Saturday, doctors and nurses wearing hazmat suits and goggles delivered a 7lb 14oz boy in Wuhan Union Hospital.
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    are now fearing that the infection could be passed from mothers to their babies in the womb.The news came after experts claimed that the virus might also be spread by faeces.The infected child, whose gender has not been revealed, was born in Wuhan on Sunday. Its mother had been confirmed to have the coronavirus before going into labour.
  • Medics gave the baby a test 30 hours later and the result turned out to be positive. The baby was then transferred to the Wuhan Children’s Hospital, which has been appointed by the government to treat all infected children.The three-day-old baby’s condition was stable and it was being closely monitored, the hospital announced through a post on its official social media account today.’This reminds us to pay attention to a potential new transmission route of the coronavirus – vertical transmission from mothers to babies,’ said Dr Zeng Lingkong, chief physician from the hospital’s Department of Neonatal Medicine.
  • he newborn is one of the two babies that have been found to carry the coronavirus by Wuhan Children’s Hospital. Another 17-day-old baby was found to be sickened after being born healthy on January 13. The hospital said its family hired a wet nurse to look after it on January 22, but the wet nurse was diagnosed with the disease shortly after.The baby’s mother was found to have the coronavirus on January 26 and the baby started to cough and develop a fever three days later. The child was diagnosed with the virus on January 31 after doctors gave it a series of medical checks.
  • Medics are yet to confirm if the baby had caught the virus from its mother or its wet nurse.On Saturday, doctors and nurses wearing hazmat suits and goggles delivered a 7lb 14oz boy in Wuhan Union Hospital.
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  • risk to doctor and nurses from mutated virus

Stools, diarrhea may be hidden risk of Corona Virus Spread


While most of screening for Corona virus is  focused on respiratory samples from pneumonia cases to identify corona-virus patients,  there is possibility that doctors might have ignored a less apparent and hidden source of the spread: diarrhea.

The new corona-virus was detected in faeces inthe first case confirmed in the United States and that finding could point to a hidden risk in the spread of the virus.

“It’s not only excreted in your respiratory secretions, it’s also secreted in your stool,” Scott Lindquist, the state epidemiologist for infectious disease at Washington State’s Department of Health, said on a conference call on Friday, reported Bloomberg.

Fang Li, an associate professor of veterinary and biomedical sciences at the University of Minnesota, said that the SARS and Wuhan viruses attach to the same protein receptors, which are seen in the lungs and intestines.

John Nicholls, a clinical professor of pathology at the University of Hong Kong, told Bloomberg that fecal material “would be a very likely place where you might get the transmission.”

“If it’s using the same receptor as for SARS, I can’t see why it shouldn’t be replicating in the gut,” he said.

Ten to 20 percent of SARS patients experienced diarrhea, according to the Centers for Disease Control and Prevention (CDC). Diarrhea was the source of a major outbreak of that coronavirus in a Hong Kong complex. The CDC said that coronaviruses most commonly spread through the air by coughing and sneezing or close personal contact. In rare cases, the viruses spread through fecal contamination.

risk to doctor and nurses from new and mutated germs

Corona virus

‘Reel Heroes vs Real Heroes’ Naseeruddin Shah’s Daughter Assaulted Vet clinic staff


‘Reel Heroes’ are seen proudly hitting the doctors and health staff in films and earn money and accolades for “acting” so well. But in the process, they give a message to society that they can hit and assault doctors and health staff with impunity, in case the patients feel unsatisfied. Being right or wrong does not matter. Projecting only negativism about medical profession by ‘REEL Heroes’ has resulted in demoralization, belittling and consequent increasing assaults on doctors.

Working on same principles, there was an incident, where health staff of vet clinic was assaulted by kin of “REEL Heroes”. An impression is being created to assault health staff, when-ever there is some dissatisfaction, specially by ‘Reel actors against Real actors’.

A non-cognisable offence has been registered against Naseeruddin Shah’s daughter Heeba Shah for allegedly assaulting two employees of a veterinary clinic reported mid-day. The complaint was registered on 17 January. The NC has been registered under sections 323 (voluntarily causing hurt), 504 (intentional insult) and 506 (criminal intimidation). The incident allegedly occured on 16 January and was captured in the clinic’s CCTV camera. The footage has been submitted to the Versova police, where the complaint has also been registered. The clinic is called The Feline Foundation. Heeba was helping out a friend, Supriya Sharma, by taking her two cats for sterilisation to the clinic.According to the report by mid-day, Heeba Shah entered the clinic in the afternoon at 2.50 pm on 16 January. She was asked to wait outside as surgery was on inside the clinic. After waiting for some time, Heeba allegedly got aggressive with her words and said, “Don’t you know who I am? How can you make me wait for so long outside without any assistance? How come no one helped me to get my cats’ cage out of the rickshaw on arrival?”As can be seen in the video, Heeba also physically assaulted the staff by pushing and slapping the person. She can also be seen yelling at the staff.

Reel heroes or Real heroes-Media projection

Self-proclaimed social activist ‘the Hero’ tring to espouse the cause of hapless patients, by projecting doctors as deceitful. In the process of self-projection as saviours of innocent patients, the ‘hero’ presents doctors as villains of the fleece tragedy as a generalization. Whole profession is painted with the same brush by ‘Reel Hero’, thereby creates a wave of huge mistrust among masses against ‘Real Heroes’ and true saviours.

Unfortunately masses trusted more on the person, who was dancing to entertain them rather than a doctor who was awake at night, trying to save lives. Sadly, in an era of media dominance, ‘Reel heroes’ get projected as ‘Real heroes’. The real become invisible behind the glittery mist. Masses fail to envisage the bigger real picture and are grossly mistaken by another projected story.

The old adage “All that glitters is not gold” is particularly relevant in current era of media domination, where media projection shapes the perception and may defy the reality. Media has dominated our lives and can sway the opinion formation of masses.

Media projections create a mirage of illusional glitter wherein there is blurring of real life from the reel life of heroes. The larger-than-life unreal persona of the celebrities on screen looks too charming and sometimes becomes undeniable and dominates mind of masses. The super-human characters played out in films and television appear to be too real. The problem arises when the imaginary characters of the reel life stories are emulated in real life. The naivety of masses to perceive the projected character as the real one goes beyond a reasonable thought process and imagination.

These roles played in films are not really act of inspiration in real life as the actual purpose accomplished in the end of a movie is entertainment of society and business for themselves. In present era, more people will choose to watch the criminal trial of a celebrity rather than the biography of a truly great human being.

At the best, a particular projected character (and not individual acting star) may be a role model. An actor or super star, is simply doing his work of “acting” in the end. This work of acting may bring an entertainment of few hours at the most.

One should not stray away from the wisdom to choose between what we consume merely for our entertainment or face in real life. One needs to differentiate between rationale truth behind the celebrity gimmicks in the media and exaggerated sensationalism. Sensation created merely for a commercial successful venture should not be allowed to overpower the judgments of real life.

But the problem starts, when these false perceptions created merely by a projected glimmer takes the shimmer away from the real worthy. The real professionals and people who are worthy of glory become invisible behind the glittery mist, a haze, the unreal and the unhelpful in real life.

A soldier contributes to our society much more in real terms. Even a junior doctor saves many lives in a day in emergencies as compared to work of a superstar in films. A teacher, nurse or scientist have contribution which is more fruitful to our generation. The reel actor merely imitates the real life lived and actual work done by real heroes like soldier, doctor or teacher. Someone who only acts and behaves like one, is respected and paid thousand times or more than ‘the real one’.

In reality, people need more than mere entertainment, reel role models and actors in their real lives. Unfortunately, reel projection for purpose of entertainment is more easier to enact and has become more profitable than actual performance in real life.

Human-to-human transmission of China Corona virus # symptoms # doctor, nurses


Symptoms: including fever, coughs, breathing difficulties and pneumonia.

Coronaviruses are transmitted between animals and people, and the outbreak in Wuhan has been linked to a now-closed seafood market where live animals were reportedly sold. Preventive measures were also being taken to protect doctors and health care workers.

Patients carrying specially unknown germs are handled by doctor and nurses, who have no clue, what they are dealing with. Time gap in such patients coming to the hospital and the exact diagnosis of finding a dreaded disease, may be quite dangerous to doctors and nurses.To add to the problem, In large number of patients, exact viruses cannot be diagnosed or even suspected. In many cases of ARDS, the causative organism cannot be isolated or identified. It is important for doctors and nurses to take universal precautions at every level. There can be many more viruses or germs which are yet to be discovered or mutated ones that are unknown.

H1N1, Zika, Ebola, SARS are few examples, just to imagine that they existed and handled by health workers as unknown germs, till they were discovered.

China’s National Health Commission has confirmed human-to-human transmissionof a mysterious Sars-like virus that has spread across the country and fueled anxiety about the prospect of a major outbreak as millions begin travelling for lunar new year celebrations.

Zhong Nanshan, a respiratory expert and head of the health commission team investigating the outbreak, confirmed that two cases of infection in China’s Guangdong province had been caused by human-to-human transmission and medical staff had been infected, China’s official Xinhua news agency said on Monday.

Authorities earlier reported 139 new cases of the new strain of coronavirus over the weekend, bringing the total number of infected patients to 217 since the virus was first detected last month in the central city of Wuhan.

Cases were confirmed in Beijing, Shanghai, and Guangdong province in the south, heightening fears ahead of the lunar new year holiday, when more than 400 million people are expected to travel domestically and internationally.

State broadcaster CCTV said on Monday evening there were seven suspected cases in other parts of the country, including Shandong in the east, and the south-western provinces of Sichuan, Guangxi and Yunnan. Five people who travelled from Wuhan were also being treated for fevers in Zhejiang province.

“People’s lives and health should be given top priority and the spread of the outbreak should be resolutely curbed,” said China’s president, Xi Jinping, weighing in on the matter for the first time.

The strain has caused alarm because of its connection to severe acute respiratory syndrome (Sars), which killed nearly 650 people across mainland China and Hong Kong in 2002-03. Three people have so far died in the current outbreak, which has spread to Thailand, Japan and South Korea.

The World Health Organization has said an animal source was “the most likely primary source” of the outbreak, with “some limited human-to-human transmission occurring between close contacts”. Researchers worry the number of infections has been severely underestimated.

21 occupational risk to health workers

Doctor & nurses at risk from unknown or mutated germs@ Mystery virus in China


 

First pneumonia death from mystery virus in China, world on high alert

          The  viruses, bacteria are germs  had been discovered only in last one century and many more are still not known. Patients carrying specially unknown germs are  handled by doctor and nurses, who have no clue, what they are dealing with.   Time gap in such  patients coming to the  hospital  and  the exact diagnosis of finding a dreaded disease, may be  quite dangerous to doctors and nurses. To add to the problem, In  large number of patients, exact viruses cannot be diagnosed or even suspected. In many cases of ARDS, the causative organism cannot be  isolated or identified.  It is important for  doctors and nurses  to take universal precautions from the beginning. There can be many more viruses or germs which are yet to be discovered or mutated ones that  are unknown.

21 occupational risk to doctor and nurses

H1N1, Zika,  Ebola,  SARS  are few examples,  just to imagine that they existed and handled by health workers as unknown germs, till they were discovered.

The death of a 61-year-old man  due to pneumonia from a mystery virus in the central Chinese city of Wuhan on Saturday has put the world on high alert against another new life-threatening illness. Seven of the 43 others diagnosed with the disease are in a critical condition, but no new cases have been reported since January 3.

To protect the world still smarting from the lightning spread of devastating viral diseases such as H1N1, Zika and Ebola, the World Health Organisation (WHO) issued this year’s first  international travel and trade alert on  on January 10 that advised all international travellers to report symptoms of fever with breathlessness and difficulty breathing, especially if they have travelled from China.

On January 9, China announced that the cluster of pneumonia cases reported in December in Wuhan in the Hubei Province of China was caused by a new coronavirus.

Only six viruses from the coronavirus family infect humans, which would make the new one the seventh to cause human disease. The coronavirus viruses cause diseases ranging from the common cold to very severe and life-threatening illness from Middle-East Respiratory Syndrome that caused 851 deaths since it was identified in 2012, and the Severe Acute Respiratory Syndrome (SARS), which killed 774 of the 8,098 people infected in an outbreak that started in China in 2002.

“Though currently there is no evidence of human-to-human transmission, we need to remain vigilant. WHO has shared with all Member States technical guidelines on surveillance, testing as well as infection prevention and control practices for suspected cases. WHO is in close contact with national authorities in the region and will extend all possible support to ensure core capacities are geared up for addressing potential cases that may come to countries,” said Dr Poonam Khetrapal Singh, WHO regional director, South East Asia Region.

Unknown threat

Some countries in the region, including Indonesia, Myanmar and Thailand, have started screening passengers travelling from China for pneumonia symptoms at airports. The health ministry reviewed the situation with WHO experts on Wednesday and plans to start providing travellers with risk-reduction information at airports and other ports of entry, travel agencies and conveyance operators.

“We are waiting and watching as entry screening at ports of entry like airports, seaports, train stations and border check-posts are not cost-effective. It is resource-intensive but offer little benefit,” said a health ministry official, who did not want to be named.

Though no pneumonia have been reported outside Wuhan, which has a population of 11 million, WHO said there is need for caution as the city is a major domestic and international transport hub with heavy population movement. Travel in the region is expected to significantly increase during the Chinese New Year in the last week of January, which increases the potential of infected travellers carrying to other parts of China and the world.

New viruses are formed when mutate to jump species and cause infection in humans. SARS jumped from the civet cat into humans, MERS from dromedary camel, H1N1 from pigs, and Ebola from bats, just to name a few.

The Wuhan City cases have been linked to the South China Seafood Wholesale Market, where some of the patients worked as dealers or vendors. The Huanan Seafood Wholesale Market deals with fish and other seafood, including sea mammals, along with chicken, bats, rabbits and snakes.

Signs of trouble; The clinical signs of the new lung infection are mainly fever, with a few persons reporting difficulty in breathing. Clinical signs include chest x-rays showing bilateral lung infiltrates (markings) associated with pneumonia and tuberculosis.

With no infection among health care workers treating the patients, preliminary information suggests there is no significant human-to-human transmission, but till the mode of transmission is clearly established, it’s best to take precautions to stay safe.

The WHO advises people travelling in or from affected areas (currently Wuhan) to avoid close contact with people with acute respiratory infections; wash hands frequently, especially after direct contact with ill people or their environment; and avoid close contact with live or dead animals. In case of respiratory symptoms before, during or after travel, travellers must seek medical attention and share their travel history with the doctor.

“The WHO advises against travel or trade restrictions on China based on the information currently available on this event,” said Dr Singh.

 

 

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