I just listened to a lecture by Dr. Lei Zhao, Infectious disease. on the Pandemic at Wuhan Union Hospital, the largest hospital in the city of Wuhan. He had done a post doc at Harvard and was interviewed by a family Practioner in the San Francisco Bay area.
He stated that Wuhan had 50,006 cases Positive and no new cases since 2/26
Hubei had positive ->67,801 cases and no new cases since 3/25
He treated 96 patients in his 3 month experience at Wuhan and has no pediatric experience. He said no child died in Wuhan.
Wuhan went into lockdown on January 23, 2020. Their peak was ~February 13 when they combined clinical Nucleic acid testing
2 Hospitals were built in 2 weeks- Huoshenshan + Leishenshan
1000 patients were admitted to each hospital and received care starting on Feb. 3, 2020
All stadiums, convention centers, and warehouses were converted into hospitals overnight.
They housed the mild and no symptom (positive) patients
They were all placed in isolation and monitored.
The city was on STRICT LOCKDOWN
-Volunteers delivered food to the residents (paid for by the government)
There was no leaving the home.
ALL were locked down- ALL stores were closed.
You were tested if you symptoms and all your close contacts.
You were treated with Antivirals, symptom relief, given Herbal Chinese medicine
[All his patients would have been started on standard Chinese medicine]
Temperature was monitored
All practiced Tai chi for exercise every day.
A physician and nurse monitored these patients and gave meds.
As soon as you became severe you were transferred to a hospital
At first, when the positive patients stayed home, everyone in the family became sick
Therefore everyone was that was found to be positive was ISOLATED AWAY from home.
42,000 Medical personnel were sent in from all over the country.
28,600 Nurses made up 68% of the medical team
1/2 of the workforce was from outside the city.
Other area sent PPE + medical equipment, physicians and nurses, lung specialists, intensive care doctors.
....
MASKS to prevent Covid 10 were supplied to decrease droplet aerosols to EVERYONE. He said this was the most important thing for prevention.
Central airconditioning was not safe - Only 1 room air conditioners were allowed.
He basically treated everyone with Chinese medicine, Alpha interferon 5 million U +2ml sterile water by atomization inhalation twice a day and
Arbidol 200 mg 3 times a day for adults- no longer than 10days. to decrease viral replication. He listed other drugs including chloroquine but did not seem to have used it. Arbidol is not approved by our FDA.
He could not say what worked better - Chinese Medicine are drugs as they were both given by him at the same time.
When patients were discharged they had to go back into a place of quarantine for 2 weeks. He thought cases of reinfection were simply false negatives.
They started a more strict discharge criteria:
Normal temp for >3 days
Respiratory symptoms improved
Pulmonary imaging had to show absorption of inflammation
Nucleic acid test had to be negative 2 times separated by 24 hours
Respiratory sputum and nasopharyngeal swabs had to be negative 2 times separated by 24 hours.
