An ID physician addresses questions on pneumonia of unknown cause in Wuhan City, China

By on .

Q & A: Pneumonia Outbreak in Wuhan City, China

Daniel Lucey M.D. MPH, is an infectious diseases physician and adjunct professor of infectious diseases at Georgetown University Medical Center, a senior scholar at the Georgetown University O’Neil Institute, Anthropology Research Associate, Smithsonian Museum of Natural History and a member of the Infectious Diseases Society of America Global Health Committee.He has served as a volunteer medical responder to outbreaks that included the West Africa Ebola crisis. He has collected information on outbreaks starting in 2001 with Anthrax, and including smallpox vaccination 2002, SARS 2003, H5N1 Flu 2004, MERS in 2013, and Ebola in April, 2014, He has gathered, and is updating information on the current outbreak of pneumonia in Wuhan City in the Hubei province of China.

When did the outbreak begin and when was the most recent case?

The first case was December 12, 2019. The most recent case was December 29. (according to the January 5 report from the Wuhan Municipal Health Commission and Health Committee’s Report on Unexplained Viral Pneumonia.)

When was the outbreak first made public?

December 31, 2019. (Chinese health authorities reported 27 patients with 7 in critical condition, according to the Wuhan Municipal Health Commission on its Weibo social media account (12/31/19 Reuters  “Chinese officials investigate cause of pneumonia outbreak in Wuhan”)

What are the clinical findings?

Findings include fever with some patients describing “difficulty breathing.” Some describe as an “Atypical Pneumonia” with bilateral infiltrates in lungs on chest x-ray. (Jan. 5, 2020, World Health Organization, Disease Outbreak News, “Pneumonia of unknown cause – China”)

What is the cause? Has SARS-coronavirus (Co-V) been ruled out?

Yes, SARS Co-V has been ruled out, as has MERS-CoV, (known) avian and human influenzas and adenovirus; however, the cause is still unknown (according to Wuhan Municipal Health Commission and Health Committee’s Jan. 5 report).

What are the latest case numbers, and number of contacts in quarantine?

As of Jan. 5-6, a total of 59 patients and 163 contacts have been reported (per Wuhan Municipal Health Commission).

Have there been deaths?

So far Chinese authorities report no deaths. Of 59 patients, “7 critically ill”. (per Wuhan Municipal Health Commission).

Has there been person-to-person spread, or health workers infected?

No, so far WHO (Jan. 5) reports “no evidence of significant human-to-human transmission and no health care worker infections reported”.

Is there an epidemiological link (epi-link) for the patients?

Yes, patients have been linked to a seafood market in Wuhan, that also sold multiple animals (e.g., pheasants, rams, rabbits, snakes, birds, and perhaps other species). This market was closed on January 1st, 2020. (See Science Jan. 3,2020 by Dennis Normile, Novel human virus pneumonia cases linked to seafood market in China stir concern) WHO (Jan. 5) stated: “The reported link to a wholesale fish and live animal market could indicate an exposure link to animals”.

There have not been public comments about whether specimens from animals and seafood were obtained and tested before January 1st. This part of the investigation would be essential to confirming if there is a zoonotic source and why the outbreak occurred now (i.e., the “One Health” approach to outbreaks).

How has Hong Kong responded?

Immediately on Dec. 31 and comprehensively seven days a week since, with resources that include a public dedicated webpage with multiple key documents and daily updates, via their Department of Health “Centre for Health Protection (CHP)”.

Is this outbreak an example of what the WHO in 2018 termed a “Disease X”?

Yes.

 

80 thoughts on “An ID physician addresses questions on pneumonia of unknown cause in Wuhan City, China

  1. Pingback: 米国の新型コロナ対策~対応の遅れと米大統領選 | ケパサミカサ  ¿Qué Pasa en Mi Casa?

  2. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late | Daily Echoed

  3. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – NRD Blogs

  4. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – Manicopinon

  5. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – Ozinize

  6. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - iNFO Vi

  7. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - News Nation USA

  8. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - USVI News

  9. Pingback: Many US Well being Specialists Underestimated the Coronavirus … Till It Was Too Late - Hindi Khabre

  10. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - Times News Express

  11. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – For Being Healthy

  12. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late | Kaiser Health News

  13. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – The Importance of Medical

  14. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – Health Updates

  15. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - NY Press News

  16. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - Assorted Ideas, Large & Small

  17. Pingback: Many US health experts underestimated the coronavirus … until it was too late – News-Medical.Net – Biohealth Reviews

  18. Pingback: Underestimating the Coronavirus…Until It Was Too Late – Essentialb2c

  19. Pingback: Underestimating the Coronavirus...Until It Was Too Late | Health Wellness Journal

  20. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - US Wall Post

  21. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - NY Press News

  22. Pingback: The U.S. underestimated the coronavirus until it was too late – All Sides Now

  23. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - Country Highlights

  24. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late | Daily Echoed

  25. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - News Nation USA

  26. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - Articles Archive

  27. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - Times News Express

  28. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late – The Globe Today

  29. Pingback: The U.S. underestimated the coronavirus until it was too late – Searching latest NEWS

  30. Pingback: The U.S. underestimated the coronavirus until it was too late – Almastruthsearch

  31. Pingback: The U.S. underestimated the coronavirus until it was too late - Technewsbank.com

  32. Pingback: The U.S. underestimated the coronavirus until it was too late | Headline News

  33. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Medical Sales Executives

  34. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Top Tier Healthy Living

  35. Pingback: The U.S. underestimated the coronavirus until it was too late - Eranews24.com

  36. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Viral Health News

  37. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Prevention & Cures

  38. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Duu Health The Amazing Health Newsite

  39. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late

  40. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – US News Site

  41. Pingback: The U.S. underestimated the coronavirus until it was too late | Breaking News Authority

  42. Pingback: The U.S. underestimated the coronavirus until it was too late – Covid News

  43. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – coronasagauk

  44. Pingback: The U.S. underestimated the coronavirus until it was too late | Trending News

  45. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Your Viral Health Daily News

  46. Pingback: The U.S. underestimated the coronavirus until it was too late | MONIKA KANE

  47. Pingback: The U.S. underestimated the coronavirus until it was too late – DailyAmerica.Com

  48. Pingback: Coronavirus: U.S. Health Experts Misjudged Impact Until Too Late - Fifty Plus Life

  49. Pingback: The U.S. underestimated the coronavirus until it was too late – Los Angeles Times – Biohealth Reviews

  50. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde – Manicopinon

  51. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde – Health Updates

  52. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde – The Importance of Medical

  53. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde - NY Press News

  54. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde – HIM

  55. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde

  56. Pingback: Análisis: expertos desestimaron al coronavirus, hasta que fue demasiado tarde – For Being Healthy

  57. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late | FYI.press

  58. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late | Health Wellness Journal

  59. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – Top Tier Healthy Living

  60. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – Ecorpuzz7711

  61. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - My Health

  62. Pingback: Many US Well being Specialists Underestimated the Coronavirus … Till It Was Too Late

  63. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - Novel Coronavirus

  64. Pingback: Many US Well being Consultants Underestimated the Coronavirus … Till It Was Too Late

  65. Pingback: Many US health experts underestimated the coronavirus ... until it was too late - All-in-All-Health

  66. Pingback: Many US Well being Consultants Underestimated the Coronavirus … Till It Was Too Late

  67. Pingback: Many US Well being Specialists Underestimated the Coronavirus … Till It Was Too Late

  68. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - The Real Facts

  69. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - Squid News

  70. Pingback: Many U.S. health experts undervalued the coronavirus– until it was too late – Medical Assistant Course

  71. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late - Morning News

  72. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late | Afro Social Media

  73. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late – Health News

  74. Pingback: Many US Health Experts Underestimated The Coronavirus … Until It Was Too Late - The Diet World

  75. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - Safe Fairfax County Public Schools

  76. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - Immigration Debate

  77. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late – Online Deals News

  78. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late – bitarafhaber.net

  79. Pingback: Many U.S. health experts underestimated the coronavirus — until it was too late – Exxennews- Breaking News, World News and Video

  80. Pingback: Many US Health Experts Underestimated the Coronavirus … Until It Was Too Late - The Vineyard House

Leave a Comment

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.