波特兰先生的博客: Wake up（114）

114

After the outbreak of the new crown pneumonia in Wuhan, no one believed that it was a precursor to a germ war between China and the United States, and more people believed that it was a war without gunpowder. The situation of the epidemic is severe, and people are watching and helping each other. All countries can also put righteousness first and use various methods to help overcome the epidemic.

Chai Jianhua said to He Jiafu:

In December 2019, patients with pneumonia of unknown cause appeared successively in some medical institutions in Wuhan. Wuhan continues to carry out surveillance of influenza and related diseases. I noticed that pneumonia of unknown cause appeared in Wuhan, which was officially confirmed to be true. On December 31, the Wuhan Municipal Government announced that a total of 27 cases were found, all diagnosed as viral pneumonia/lung infection. Among them, 7 cases are in critical condition, the condition of the remaining cases is controllable, and 2 cases have improved and are scheduled to be discharged in the near future. No obvious human-to-human transmission was found, and no infection among medical staff was found. For this reason, the official Weibo of the People's Daily posted a message: "At present, the cause of the disease has not been clarified, and it cannot be concluded that it is the SARS virus rumored on the Internet."

Pan Guangfu went on to say: At the end of December 2019, an expert group from the National Health and Medical Commission arrived in Wuhan to officially intervene in the investigation. The Wuhan Health and Medical Commission stated that there was no obvious human-to-human transmission or infection among medical staff. However, the Huanan Seafood Wholesale Market has been disinfected on a large scale, and Wuhan Union Hospital has also set up a respiratory infectious disease isolation area.

Pan Guangfu turned on his mobile phone and retrieved the documents in his collection. It was on December 31, 2019, when the Wuhan Health Commission issued a circular on the current pneumonia epidemic.

Pan Guangfu asked everyone to read the full text of the circular:

Wuhan Municipal Health and Health Commission's briefing on the current situation of pneumonia in our city

Recently, some medical institutions found that many pneumonia cases received were related to South China Seafood City. After receiving the report, the Municipal Health and Health Commission immediately carried out case searches and retrospective investigations related to South China Seafood City in medical and health institutions in the city. At present, A total of 27 cases have been found, 7 of which are in serious condition, and the remaining cases are in stable and controllable condition. 2 cases have improved and are scheduled to be discharged in the near future. The clinical manifestations of the cases were mainly fever, a few patients had dyspnea, and chest radiographs showed infiltrating lesions in both lungs. At present, all cases have been treated in isolation, the follow-up investigation and medical observation of close contacts are in progress, and the hygienic investigation and environmental sanitation disposal of South China Seafood City are in progress.

Wuhan City organized consultations with clinical medicine, epidemiology, and virology experts from Tongji Hospital, Provincial Center for Disease Control, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan Infectious Disease Hospital, and Wuhan Center for Disease Control and Prevention. Based on analysis of the situation, epidemiological investigation, and preliminary laboratory testing, it was concluded that the above-mentioned cases were viral pneumonia. So far, no obvious human-to-human transmission has been found in the investigation, and no infection among medical staff has been found. The detection of the pathogen and the investigation of the cause of the infection are currently underway.

Viral pneumonia is more common in winter and spring, and can be sporadic or outbreaks. The main clinical manifestations are fever, body aches, a small number of dyspnea, and lung infiltration. Viral pneumonia is related to the virulence of the virus, the route of infection, the age and immune status of the host. Influenza virus is the most common virus causing viral pneumonia, while others include parainfluenza virus, cytomegalovirus, adenovirus, rhinovirus, and coronavirus. Confirmation depends on etiological examination, including virus isolation, serological examination, and detection of viral antigen and nucleic acid. The disease is preventable and controllable. In terms of prevention, keep indoor air circulation, avoid closed public places with no air circulation and crowded places, and wear masks when going out. The clinical treatment is mainly symptomatic, requiring bed rest. If you have the above symptoms, especially persistent fever, you should go to a medical institution in time.

Pan Guangfu further interpreted this announcement.

On January 1, 2020, the South China Seafood Wholesale Market was closed, and the National Health Commission established a leading group for epidemic response. On January 2, the Wuhan Institute of Virology, Chinese Academy of Sciences obtained the complete genome sequence of the new coronavirus. The Hong Kong inspection has proposed preventive measures against the epidemic. On January 3, Wuhan launched the investigation and specimen collection of pneumonia of unknown cause. The Wuhan Health and Medical Commission reported 44 cases of "viral pneumonia of unknown cause", and no obvious human-to-human transmission and medical infection were seen. The Wuhan Municipal Health Commission stated that common respiratory diseases such as bird flu were ruled out.

The National Health and Medical Commission issued the "Notice on Strengthening the Management of Biological Sample Resources and Related Scientific Research Activities in the Prevention and Control of Major Emerging Infectious Diseases"; Professor Zhang Yongzhen's team received samples from Wuhan Central Hospital.

On the same day that the Wuhan Health and Health Commission issued a report on the current pneumonia epidemic, the Wuhan Public Security Bureau, after investigation and verification, summoned 8 illegal personnel who posted and forwarded false information on the Internet, and dealt with them according to law. One day, the news was released through the official "Safe Wuhan" Weibo.

According to the report, recently, some medical institutions in our city have discovered that they have received multiple cases of pneumonia, and the Municipal Health and Health Commission issued a report on this. However, some netizens publish and forward false information on the Internet without verification, causing adverse social impact. After investigation and verification, the public security organ has summoned 8 offenders and dealt with them according to law.

The police reminded that the Internet is not a place outside the law. Posting information and speeches on the Internet should abide by laws and regulations. The police will investigate and deal with illegal acts that fabricate, spread, and spread rumors and disrupt social order according to law, and will not tolerate them. It is hoped that the majority of netizens will abide by relevant laws and regulations, and refrain from creating, believing, or spreading rumors, and jointly build a harmonious and clear cyberspace.

At the same time, CCTV broadcasted that Wuhan Public Security Bureau summoned 8

Information about illegal rumormongers. Smashing rumors has become the consensus of the whole people. It also reflects the people's hatred of the rumor makers.

But afterwards, the public discovered that the eight "illegal rumormongers" summoned by the Wuhan Public Security Bureau were all medical workers, and they were telling the truth. Among them is Dr. Li Wenliang.

Li Wenliang is an ophthalmologist at Wuhan Central Hospital and a member of the Communist Party of China. Born on October 12, 1986, Manchu, Beizhen County, Jinzhou, Liaoning, from a poor family. His father used to work in a machine repair factory in Beizhen, and his mother used to work in the ethnic shopping mall in Beizhen. In the 1990s, Li Wenliang's parents were both laid off. After being laid off, his father relied on odd jobs to support the family and has never had a regular job. Li Wenliang studied in Beizhen Senior High School with excellent grades. In 2004, with a score of 609 in the college entrance examination, Li Wenliang was admitted to Wuhan University majoring in clinical medicine (seven-year program), and he was a combined undergraduate and master. In his sophomore year, he was allowed to join the Communist Party of China. After graduating from university in 2011, he joined Xiamen Ophthalmic Center Affiliated to Xiamen University. After working in Xiamen for 3 years, he returned to Wuhan in 2014 and worked in Wuhan Central Hospital.

On the afternoon of December 30, 2019, Li Wenliang saw a test report showing a patient with a high-confidence positive indicator for SARS coronavirus, so at 17:43 in the afternoon, he posted a message about the epidemic situation in the South China Seafood Market in his classmate group. The message "Seven cases of SARS were confirmed in Huanan Fruit and Seafood Market". Then he sent a test report and a CT image of the patient's lungs. At 18:42, he added: "The latest news is that the coronavirus infection has been confirmed, and the virus typing is in progress"; finally explained what a coronavirus is , At the same time, he also asked in the group not to spread the news and the test report, but he did not expect that the screenshots would be spread out soon.

On January 3, 2020, Li Wenliang was warned and admonished by the Zhongnan Road Street Police Station of the Wuchang District Branch of the Wuhan Public Security Bureau for "publishing false statements on the Internet". Li Wenliang has been widely followed by public opinion, and has been interpreted as one of the eight "rumour-mongers".

Upstream news pointed out that Wuhan police summoned 8 people on January 1, and Li Wenliang went to the police station to receive admonition on January 3, so he may not be one of the eight "rumour-mongers". In response to this, Li Wenliang responded that he did not know whether he was one of the "rumour-mongers", he only knew that he was reprimanded for telling the truth. Li Wenliang was later asked to sign a letter of admonition, and the police gave him a stern warning, admonishing him that if he did not obey and continued to engage in illegal activities, he would be punished by law.

After Li Wenliang was warned and reprimanded by the local police station for "posting false statements on the Internet", he continued to work on the front line.

On January 8, Li Wenliang received an 82-year-old female patient with acute angle-closure glaucoma. The next day, the patient developed a fever and some symptoms of pneumonia. At that time, Li Wenliang highly suspected that the patient had It is this new type of pneumonia.

On January 10, Li Wenliang developed symptoms such as cough and fever, and then his condition became serious.

On January 12, Li Wenliang began to receive isolation treatment in the intensive care unit of the Department of Respiratory and Intensive Medicine.

After Li Wenliang was diagnosed, he has been treated in the Houhu District of Wuhan Central Hospital. On January 16, he had difficulty breathing.

On January 28, when Li Wenliang was diagnosed and admitted to the hospital, the Supreme People's Court published an article on its official microblog saying: In the case of eight people punished by Wuhan public security organs for posting "Seven cases of SARS were confirmed in the South China Fruit and Seafood Market", "if the machine It can indeed be determined that the applicable law is based on the understanding that the new type of pneumonia is not SARS, and that SARS has appeared in Wuhan is a fabrication of false information, and the information has caused chaos in the social order. Administrative punishment and even criminal punishment have their legitimacy.

During this period, Li Wenliang had undergone nucleic acid tests many times, and the results were negative many times, but the results were positive by January 30.

On February 1, Li Wenliang was diagnosed with a new type of coronavirus infection. Li Wenliang's condition began to deteriorate on February 5. In addition, his parents and several colleagues were also infected with the new type of coronavirus pneumonia, and his parents have been discharged safely. Li Wenliang's wife Fu Xuejie, who was six months pregnant, returned to her hometown in the countryside of Zaoyang, Hubei after her husband was hospitalized. She returned to Wuhan on the evening of February 6 and was not infected.

On February 6, Li Wenliang complained of chest tightness, breathlessness, and blood oxygen saturation of only 85 during a call with a friend. At around 19:00 on February 6, Li Wenliang was pushed into the emergency room. In the afternoon, under 95% non-invasive ventilation, the partial pressure of oxygen dropped to 41. At about 18:00, colleagues asked Wuhan Asia Heart Hospital to borrow an ECMO, but the trolley sent by the hospital couldn't fit it, and they waited for the big truck, and it was delivered to the hospital at around 21:00. At 21:18, the doctor ordered a bolus injection of epinephrine. At 21:30, Dr. Li Wenliang was reported to have died due to the worsening of the novel coronavirus pneumonia and cardiac arrest. The hospital said that he was still being rescued. At 21:33, Li Wenliang was intubated, and then rescued by Ye Kemo. At 22:57, Ye Kemo was removed and then used again.

At about 00:00 on February 7, in the intensive care unit of the Department of Respiratory and Critical Care Medicine in the Houhu District of Wuhan Central Hospital, a nurse who entered and exited said, "Li Wenliang is dying." , and experts went to consult. A reporter from the Economic Observation Network learned of Li Wenliang's death outside the intensive care unit of the hospital at around 00:40. At 00:38, Wuhan Central Hospital’s official Weibo posted a post stating that it was “rescuing with all its strength” and it lasted for several hours. At 3:48, it finally announced that Li Wenliang “died at 2:58 in the morning.” Li Wenliang is only 33 years old. Li Wenliang's wife, Fu Xuejie, is also an ophthalmologist and joined Wuhan Aier Eye Hospital in December 2010. The two got married after working for Li Wenliang for a year, and they had a 5-year-old son. Before Li Wenliang died, his wife was pregnant with a second child.

According to the "Health Times" interview with Yu Chengbo, the chief medical team leader of the Zhejiang Aid to Hubei Medical Team and the chief doctor of the Department of Infectious Diseases of the First Hospital of Zhejiang University, although the young patients among the pneumonia patients infected with the new coronavirus are relatively mild, because Li Wenliang has been in charge of the patients He used to be an operator of the South China Seafood Market and was highly contagious, which led to Li Wenliang's direct infection.

However, with the ferment of the virus epidemic, the number of deaths and infections increased, and Wuhan announced the closure of the city, no one said that Li Wenliang or the eight people were spreading rumors.

The death of Li Wenliang proves that although the new type of pneumonia is not SARS, the content released by the information publisher is not completely fabricated. If the public had believed this "rumor" at the time, and based on the panic about SARS, they had taken measures such as wearing masks, strictly disinfecting, and avoiding going to wild animal markets, it might be a blessing for better prevention and control of new pneumonia .

On the afternoon of December 30, 2019, Li Wenliang saw a test report showing a patient with a high-confidence positive indicator for SARS coronavirus, so at 17:43 in the afternoon, he posted a message about the epidemic situation in the South China Seafood Market in his classmate group. The message "Seven cases of SARS were confirmed in Huanan Fruit and Seafood Market". Li Wenliang was warned and reprimanded by the Zhongnan Road Street Police Station of the Wuchang District Branch of the Wuhan Public Security Bureau for "publishing false statements on the Internet".

So who are the rumormongers? Is telling the truth a lie? Public opinion was in an uproar. Li Wenliang was one of the first medical staff to disclose the outbreak of the 2019 novel coronavirus to the outside world. He was known as the "whistleblower" of the novel coronavirus pneumonia and became a hero who dared to speak the truth.

Michael Ryan, Executive Director of the World Health Organization's Health Emergencies Program expressed condolences on the passing of Dr. Li Wenliang and praised his dedication during his lifetime.

The Hubei Provincial Health Commission and the Wuhan Municipal People's Government respectively issued announcements on their official websites, paying tribute to Li Wenliang for sticking to the front line to fight the epidemic and expressing condolences to his family. The National Health Commission of the People's Republic of China issued an announcement on its official website, expressing its deep condolences to Dr. Li Wenliang, and expressing condolences on the death of Li Wenliang before the reporter's question session at the epidemic press conference on February 7.

On February 7, Shanghai's "Xinmin Evening News" reported the news of Li Wenliang's death in the form of a large photo with a black background on the front page, and published an article written by the newspaper's chief reporter Shao Ning entitled "Let the Open and Transparent Sunshine The editorial "Piercing the Virus Miasma" emphasized that "only by ensuring the openness and transparency of the epidemic and related information can the spread of rumors be curbed and public confidence restored."

At noon on February 7, the National Supervisory Commission of the People's Republic of China decided to send an investigation team to Wuhan City, Hubei Province to conduct a comprehensive investigation on the issues reported by the public involving Dr. Li Wenliang. At noon on February 8, the investigation team arrived in Wuhan.

On February 9, the Embassy of the People's Republic of China in France issued a document on its official website, saying that using a "whistleblower" to describe Li Wenliang was "politicizing him" and "bad intentions aimed at splitting public opinion in China", emphasizing that Li Wenliang is a member of the Chinese Communist Party.

In the report, Xinhua Daily Telegraph praised Li Wenliang's daring to speak out as a manifestation of his moral conscience as a citizen, and what he did "faithfully fulfilled the duties of a doctor." CCTV published a comment titled "Mourning Li Wenliang, but more importantly, it is necessary to mend the past." Li Wenliang took actions to protect medical ethics and medical ethics, and his experience also exposed some problems in the "governance system and capacity building" in some places. "Global Times" published an editorial titled "Pay Tribute to Dr. Li Wenliang", saying that Dr. Li Wenliang was one of the young victims of the epidemic. Social reflection provides a touching sample. Editor-in-chief Hu Xijin pointed out that "Wuhan City really owes an apology to Li Wenliang", and at the same time called on the public to continue fighting the epidemic. "Southern Weekend" commented that we should thank Dr. Li Wenliang for making the earliest whistle, and we should also bear in mind the huge social cost caused by the failure of the whistle to continue to spread. "Ban Yue Tan" commented that we must pay attention to information transparency and fair law enforcement.

In addition to the fluctuation of Weibo hot searches, according to Baidu ranking and WeChat search index, the popularity of queries related to the word "Li Wenliang"