An analysis, published in the esteemed The Lancet medical journal, of the first 99 patients treated for the coronavirus at Wuhan’s Jinyintan Hospital shows how differently the virus can impact people.

By Ian Horswill


Posted on February 7, 2020

As the coronavirus death toll rises and the number of cases increases in countries worldwide, people are becoming more and more concerned.

So if you have been to mainland China or know someone who has been to mainland China, or has been with someone from mainland China, this is what you need to know if you are concerned you may have been infected by the virus, declared a global emergency.

An analysis, published in the The Lancet medical journal, of the first 99 patients treated for the coronavirus at Wuhan’s Jinyintan Hospital shows how differently the virus can impact people.

Coronavirus

The most common symptom of coronavirus was fever in 83% of patients, with 81% having a cough. These were the two most common symptoms.

Then more than 30% experienced a shortness of breath, 11% had aching muscles, 9% were confused and 8% had headaches, 5% had sore throats 4% suffered rhinorrhoea, 2% had chest pain and diarrhoea with nausea and vomiting suffered by one per cent.

Just under half the patients that were admitted had a history of exposure to the Huanan seafood market, where the virus is originally said to have come from according to the Chinese government. Yet the first three known cases from 1 and 2 December were not linked to the market and neither were 11 more cases of the 41 reviewed in the recent study.

Of the 99 patients that were observed 11 people died as a result of complications from coronavirus.

The first two deaths recorded were a 61-year-old man and a man, 69. Neither of the men had a previous underlying chronic disease but both had a long history of smoking.

On his arrival to the hospital the first man, 61, was diagnosed with severe pneumonia and acute respiratory distress syndrome.

He was immediately taken to the intensive care unit and intubated to assist with his breathing.

The patient slowly developed severe respiratory failure, heart failure, and sepsis and 11 days after his admission he suffered a cardiac arrest and died.

Similarly to the first patient, the 69-year-old man was also diagnosed with severe pneumonia and ARDS.

He was transferred to the ICU and attached to an artificial lung, also known as an extracorporeal membrane oxygenation (ECMO) machine.

However the patient’s condition didn’t improve and after nine days he died after suffering severe pneumonia, septic shock, and respiratory failure.

“The intervals between the onset of symptoms and the use of ventilator-assisted breathing in the two patients were 3 days and 10 days, respectively,” the report stated.

“The course of the disease and lung lesions progressed rapidly in both patients, with both developing multiple organ failure in a short time.”

Of the other nine patients who died, eight had a reduced level of white blood cells known as lymphopenia, seven had bilateral pneumonia, five were older than 60, three had hypertension and one was a heavy smoker.

Coronavirus

With the number of infections continuing to increase, Vice-Premier Sun Chunla has declared a “state of war” and door-to-door visits are made in all properties in Wuhan to identify people who are infected or suspected to be in order to reduce sources of infection.

The number of patients diagnosed with the virus in Wuhan, provincial capital of Hubei, reached 10,117 as of Wednesday midnight, representing 36% percent of the total in China, according to the National Health Commission.

Sun, who is in charge of healthcare in the State Council and is head of the special work group to guide novel coronavirus epidemic control in Hubei, said on Thursday that those who are infected and suspected to have been infected, as well as people who have a fever of an unknown cause and close contacts with diagnosed patients, must be transferred to quarantine facilities and hospitals immediately after door-to-door screenings.

Not a single family or person should be missed, she said at a meeting in Wuhan.