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1.
Frontiers in Marine Science ; 2023.
Article in English | ProQuest Central | ID: covidwho-20237412

ABSTRACT

The collection and distribution network of ports is the main cause of carbon emissions. The carbon peak is a basic policy in China, and the subsidy policy is one of the common measures used by the government to incentivize carbon reduction. We analyzed the transportation methods and the flow direction of a port and proposed a carbon emission calculation method based on emission factors. Based on the transportation time and the cost, a generalized transportation utility function was constructed, and the logit model was used to analyze the impacts of subsidy policies on transportation, thus calculating the effects of the subsidies on carbon reduction. We used Guangzhou Port as a case study, and calculated the carbon reduction effects in six different subsidy policy scenarios and concluded that the absolute carbon reduction value was proportional to the subsidy intensity. In addition, we constructed a subsidy carbon reduction efficiency index and found that the Guangzhou Port collection and distribution network had higher subsidy carbon reduction efficiency in low-subsidy scenarios. Finally, a sensitivity analysis was conducted on the subsidy parameters, and scenario 8 was found to have the highest subsidy carbon reduction efficiency. This achievement can provide decision support for the carbon emission strategy of the port collection and distribution network.

2.
IEEE Microwave Magazine ; 24(5):20-21, 2023.
Article in English | Scopus | ID: covidwho-2302134

ABSTRACT

The 2022 IEEE Microwave Theory and Technology Society (MTT-S) International Microwave Workshop Series on Advanced Materials and Processes for RF and THz Applications (IMWS-AMP 2022) was held in Guangzhou, China, 12-14 December 2022 (see Figure 1). Due to the continuous impact of COVID-19 pandemic, small-size, on-site opening and closing ceremonies were organized in Guangzhou, while all the conference sessions were held online. The special Women in Microwaves (WiM) and Wireless session sponsored by the WiM subcommittee under the IEEE Membership and Geographical Activities of the MTT-S AdCom, was held in the afternoon of 13 December. More than 60 people attended this event, including three invited speakers from Austria, Japan, and Mainland China;six panelists from Mainland China, and some other professionals and graduate students from industries and universities (see Figure 2). © 2000-2012 IEEE.

3.
SSM - Mental Health ; 3 (no pagination), 2023.
Article in English | EMBASE | ID: covidwho-2298738

ABSTRACT

As an upper-middle-income country, China has a vast territory, a large population and substantial variations in the nature of mental health service provision. Guangzhou, one of the five biggest cities in China, is considered as indicative of the current development of mental health services in a more economically developed part of China. In this paper, we first introduce mental health services in Guangzhou and their historical development: from the rising development of mental health care (1949 to the mid-1960s), the stagnant development period of the psychiatric hospitals (1966-1976), the rapid development period of the psychiatric hospitals (1978 to the 1990s), to the integrated development period of community mental health care (2000-2020). This historical trajectory partly reflects the development of mental health services across China. Second, from the public health perspective, we introduce the current mental health care delivery system and resources in Guangzhou, including the psychiatric specialist hospitals, psychiatric units of general hospitals, and community mental health care. Third, based on the current mental health service system, we highlight community mental health care in Guangzhou. We will describe these elements of the mental health system under the following headings: organizational setup, management, and services. We also explore the design of community mental health service models and the challenges in the post-covid-19 era. Finally, we provide considerations and recommendations for mental health service delivery in Guangzhou in the future.Copyright © 2023 The Authors

4.
Journal of Advanced Transportation ; : 1-16, 2023.
Article in English | Academic Search Complete | ID: covidwho-2295340

ABSTRACT

The novel coronavirus disease (COVID-19) pandemic has had a significant impact on transportation. Understanding how the epidemic in China has affected people's travel mode choices can help city managers analyze the travel mode of different populations in the postepidemic phase. Based on a travel behavior questionnaire conducted in Guangzhou, China, during the COVID-19 epidemic and points-of-interest data, this study explored the impact of the built environment, travel characteristics, and socioeconomic factors on changes in commuters' travel modes during the postepidemic phase. We found that gender, age, occupation, the decline in the rate of travel frequency, and built environment characteristics significantly influenced the change in travel mode. When respondents had to give up public transport, those in different professions had different options for alternative means of transportation. The density of residential facilities, bus stations, and government institutions had a more significant impact on the change in the travel mode of commuters. The research results provide a theoretical basis for policy and practice. After the outbreak of a major public health event, urban transport managers and policymakers should consider individual heterogeneity and environmental factors when formulating strategies to address public travel in unconventional situations. [ FROM AUTHOR] Copyright of Journal of Advanced Transportation is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

5.
Front Public Health ; 11: 1008378, 2023.
Article in English | MEDLINE | ID: covidwho-2288942

ABSTRACT

Since the end of 2019, the sudden outbreak of COVID-19 has challenged the emergency governance systems of various countries. As the cornerstone of national governance, China's community emergency governance mainly adopts top-down organizational mobilization and rapid response, which is typical abnormal governance. In responding to major public health events, China's national system has developed certain advantages in some respects. However, the current pandemic is still serious in many places, and new mutant strains are constantly appearing. Some drawbacks of such system and mechanism are gradually emerging. In the process of preventing and controlling the pandemic, China's urban communities have continuously improved the joint mechanism, and played the role of multiple principals in collaborative and co-governance. The current work of pandemic prevention and control has entered a period of normalization. What is the collaborative mechanism of multiple principals (Subdistrict headquarter, Community committee, Owners' committee, Community hospital, Local police station, Property management company, etc.) in urban communities participating in emergencies and how to seek ways to further improve the mechanism? Therefore, taking the community practice and actions in Guangzhou, China as an example, the present study employed a qualitative design, proposed to better community emergency governance mechanisms from the aspects of preparedness, response, communication and recovery, so as to provide a reference for other grassroots organizations.


Subject(s)
COVID-19 , Public Health , Humans , COVID-19/epidemiology , COVID-19/prevention & control , Disease Outbreaks/prevention & control , Qualitative Research , China/epidemiology
6.
Thermal Science and Engineering Progress ; 37, 2023.
Article in English | Scopus | ID: covidwho-2245654

ABSTRACT

During the COVID-19 pandemic, wearing masks in public spaces has become a protective strategy. Field tests and questionnaire surveys were carried out at a university library in Guangzhou, China, during June 2021 and January 2022. The indoor environmental parameters were observed, thermal sensation votes of students on various environmental parameters were collected, symptoms of students wearing masks were quantified, and the appropriate amount of time to wear masks was established. To identify acceptable and comfortable temperature ranges, the relationship between thermal sensation and thermal index was investigated. During summer and winter, people wearing masks are symptomatic for a certain duration. The most frequently voted symptom was facial heat (62.7 % and 54.6 % during summer and winter, respectively), followed by dyspnea. During summer, more than 80 % of the participants subjects were uncomfortable and showed some symptoms after wearing masks for more than 2 h (3 h during winter). In the summer air conditioning environment in Guangzhou, the neutral Top was 26.4 °C, and the comfortable Top range was 25.1–27.7 °C. Under the natural ventilation environment in winter, the neutral Top was 20.5 °C, and the comfortable Top range was 18.5–22.5 °C. This study may provide guidance for indoor office work and learning to wear masks in Guangzhou. © 2022 Elsevier Ltd

7.
Professional Geographer ; 75(1):164-174, 2023.
Article in English | Scopus | ID: covidwho-2238334

ABSTRACT

How do we unpack and make sense of anti-African/Black sentiments in the pandemic control and mitigation practices in China? This article responds to the question by drawing a parallel between the experiences of Africans in China during the Ebola virus disease and COVID-19 outbreaks. Focusing specifically on Nigerians as a subsection of the African community in Guangzhou City, China, it explores how the COVID-19-inspired discrimination against Africans reflects much of the experiences of Africans in China during the Ebola crisis of 2014. The article combines sixteen "Ebola experience” data points, obtained from Nigerians in Guangzhou in 2017, with four COVID-19 experience virtual interviews, media reports, and social media archive and netnographic analysis covering April to June 2020. The experiences of Africans in Guangzhou in the early months of the COVID-19 outbreak reflect a patterned response to Africans and Blackness in the context of pandemic in China. The article contributes to the literature by examining the question of racial discrimination and the construction of African immigrant community in China as dangerous within the new geography of Afro-mobilities in East Asia. © 2022 by American Association of Geographers.

8.
Appl Geogr ; 153: 102905, 2023 Apr.
Article in English | MEDLINE | ID: covidwho-2242659

ABSTRACT

As COVID-19 increased people's dependency on urban parks for physical and psychological well-being, it also has uncertain impacts on park utilization. Understanding these impacts and how the pandemic has contributed to them is an issue that warrants urgent attention. We used multi-source spatio-temporal data to examine urban park use before and during COVID-19 in Guangzhou, China, and constructed a set of regression models to evaluate the associated factors. We found that COVID-19 has significantly reduced the overall utilization of urban parks while also exacerbating spatial unevenness. This was due to residents' limited movement distance, and the diminished role of urban transportation affecting the efficient citywide use of parks. Meanwhile, residents' increased demand for nearby parks amplified the importance of community parks, which exacerbated the consequences caused by the uneven distribution of park resources. We propose that city administrators improve the efficiency of existing parks and prioritize the adequate placement of community parks at urban fringes to improve access. Furthermore, cities with similar layouts as Guangzhou should plan for urban parks from a multi-perspective and consider the sub-city level differences to address unevenness during the current pandemic and in the future.

9.
Tropical Geography ; 42(10):1713-1723, 2022.
Article in Chinese | Scopus | ID: covidwho-2203846

ABSTRACT

The "5·21" epidemic in Guangzhou was the first local outbreak in China caused by the COVID-19 mutation (Delta). This study analyzed the statistical characteristics, diffusion network, and prevention and control management of the epidemic domestically and globally, using infected persons during the "5·21" epidemic in Guangzhou as an example. The research methods include statistical analysis, text analysis and social network analysis. The research conclusions showed: (1) that most infected people during the epidemic were older adults. The virus incubation period was short and spread quickly. Furthermore, nucleic acid detection and screening can accurately control the risk of virus transmission within a known range. The virus's travel path in Guangzhou helped clarify the transmission chain timeously and cut off the transmission route. (2) The infected persons in Guanzhou were distributed in fragments and distributed throughout the region, town streets, key areas, and designated prevention and control management areas. The infected persons were clustered in a few towns and streets in Guangzhou. The epidemic spread in Guangzhou is mainly due to interpersonal contact and has airborne spread characteristics. (3) The virus spread happened in "cluster" and "chain" formations. This network presents "small world" characteristics as a whole. In Guangzhou, nodes with high index values at the network node level have established extensive contact relations with other nodes and are on the key path of the epidemic contact diffusion network. They are the key objects of hierarchical and classified epidemic prevention and control management. (4) The "5·21" epidemic situation in Guangzhou shows the hierarchical and classified prevention and control management measures should include 10 aspects: access management, community control, home isolation, demand guarantee, domestic waste treatment, environment disinfection, health monitoring and services, nucleic acid detection, publicity and guidance, control lifting. © 2022 Editorial Committee of Tropical Geography. All rights reserved.

10.
5th International Conference on Computer Information Science and Application Technology, CISAT 2022 ; 12451, 2022.
Article in English | Scopus | ID: covidwho-2137332

ABSTRACT

Conventional public transportation is an important part of public transportation, and it has always been the focus of urban transportation research to excavate the characteristics of public transportation and analyze residents' travel patterns. In 2020, the new crown epidemic broke out. The outbreak and continuation of the epidemic have caused shocks and challenges to conventional public transportation, and the characteristics of conventional public transportation have developed significantly. Taking Guangzhou as an example, this paper conducts bus IC card mining based on multi-source data fusion, and conducts research on the characteristics of changes in Guangzhou's regular bus travel rules under the influence of the new crown epidemic. Research shows that under the continuous influence of the epidemic, the scale of bus trips has dropped significantly, the attraction of conventional buses to commuter passengers has been weakened, special groups are important users of public transport, and the ride code has become the most important payment method. © 2022 SPIE.

11.
Frontiers in Environmental Science ; 10, 2022.
Article in English | Web of Science | ID: covidwho-2022689

ABSTRACT

Between 2018 and 2022, a total of 231 PM2.5 samples were collected in Nantong, China, and analyzed online for 16 US EPA PAHs utilizing a variety of analytical methodologies, including high-performance liquid chromatography data analysis, principal component analysis, and characteristic ratio analysis. The seasonal variation and pollution characteristics of 16 PAHs in PM2.5 over a long period in Nantong, China, were analyzed, and correlations and traceability changes with a variety of emission sources were established. Additionally, health assessment models for BaP equivalent concentration, daily exposure dose, lifetime excess risk of cancer, and life expectancy loss were constructed for various ages and genders. The results indicated that the total number of days with BaP concentrations less than the national limit standard of 1.0 ng/m(3) was 60.17% (139/231), with rates of 25.40%, 35.71%, and 94.05% from 2019 to 2021, respectively;the total concentration range of 16 PAHs demonstrated a downward trend, but pollution was relatively severe in winter. The seasonal variation showed winter > autumn > spring > summer. The detection rates of 4 and 5 rings were generally high and fluctuated between dropping and increasing. Principal factor analysis and characteristic ratio traceability analysis indicated that PAH pollution is primarily caused by local coal-fired sources and traffic emissions, with a new trend of biomass combustion. Furthermore, BaP remains the primary contributor to carcinogenic factors, and the health risk is higher in females than in males, and in adults than in children. A low level of PAHs in the air may have health benefits. Traffic control and flow restrictions, as well as production restrictions, are all part of Nantong's COVID-19 pandemic prevention and control policies. These policies contributed to PAH risk prevention and control, as well as pollution reduction.

12.
6th International Conference on Management Engineering, Software Engineering and Service Sciences, ICMSS 2022 ; : 132-140, 2022.
Article in English | Scopus | ID: covidwho-2018856

ABSTRACT

During the COVID-19 pandemic, the collection and distribution system of ports freight has been a certain impacted. In this paper, the bulk cargo transportation volume of Guangzhou Port is taken as the research object, and the seasonal ARIMA model is applied to forecast the bulk cargo volume in 2020. The predicted result is regarded as the standard value without being impacted by the COVID-19. After comparing with the actual value in 2020, the impact index is calculated, which reveals that at different stages of this pandemic the bulk cargo transportation in Guangzhou Port has been affected in some way. In particular, during February and March 2020, because of the rapid spread of COVID-19 and Spring Festival, bulk freight volume transported by highway and railway in Guangzhou Port suffered grievously. The freight volume of coal and grain in Guangzhou Port also showed different fluctuations due to the impact of COVID-19 in 2020. In view of the impact situation of the bulk cargo transportation in Guangzhou Port, suggestions are put forward for the management of port collection and distribution in the post-pandemic era. © 2022 IEEE.

13.
6th International Conference on Transportation Information and Safety, ICTIS 2021 ; : 1176-1182, 2021.
Article in English | Scopus | ID: covidwho-1948783

ABSTRACT

Fatigue leads to the decrease of the flight crew's alertness, which will seriously affect the flight safety. In order to avoid the risk of infection caused by the overnight stay abroad of the air crew during the Covid-19 epidemic, CAAC proposed an exemption method to release the flight time restriction of regulation by increasing the number of flight crew and setting up an independent rest area on international flights. Based on the alertness energy theory, this paper simulates the crew alertness of three international scheduled flights of China Southern Airlines, including Guangzhou - Amsterdam, Guangzhou - Los Angeles, and Guangzhou - Sydney, to compare the difference of crew alertness between '3 sets of flight crew, without overnight rest' in accordance with exemption condition, and '2 sets of flight crew, with overnight rest' in accordance with regulation condition. The simulation results show that for the Guangzhou - Amsterdam and Guangzhou - Los Angeles flights, the cockpit alertness under the exemption condition is similar to that under the regulation condition, and the fatigue risk is acceptable;for the 'Guangzhou-Sydney' flight, because the return flight under the exemption condition is always in the negative range of human rhythm, the alertness is lower than that under the regulation condition. © 2021 IEEE.

14.
Infect Dis Poverty ; 11(1): 44, 2022 Apr 15.
Article in English | MEDLINE | ID: covidwho-1793809

ABSTRACT

BACKGROUND: A remarkable drop in tuberculosis (TB) incidence has been achieved in China, although in 2019 it was still considered the second most communicable disease. However, TB's spatial features and risk factors in urban areas remain poorly understood. This study aims to identify the spatial differentiations and potential influencing factors of TB in highly urbanized regions on a fine scale. METHODS: This study included 18 socioeconomic and environmental variables in the four central districts of Guangzhou, China. TB case data obtained from the Guangzhou Institute of Tuberculosis Control and Prevention. Before using Pearson correlation and a geographical detector (GD) to identify potential influencing factors, we conducted a global spatial autocorrelation analysis to select an appropriate spatial scales. RESULTS: Owing to its strong spatial autocorrelation (Moran's I = 0.33, Z = 4.71), the 2 km × 2 km grid was selected as the spatial scale. At this level, TB incidence was closely associated with most socioeconomic variables (0.31 < r < 0.76, P < 0.01). Of five environmental factors, only the concentration of fine particulate matter displayed significant correlation (r = 0.21, P < 0.05). Similarly, in terms of q values derived from the GD, socioeconomic variables had stronger explanatory abilities (0.08 < q < 0.57) for the spatial differentiation of the 2017 incidence of TB than environmental variables (0.06 < q < 0.27). Moreover, a much larger proportion (0.16 < q < 0.89) of the spatial differentiation was interpreted by pairwise interactions, especially those (0.60 < q < 0.89) related to the 2016 incidence of TB, officially appointed medical institutions, bus stops, and road density. CONCLUSIONS: The spatial heterogeneity of the 2017 incidence of TB in the study area was considerably influenced by several socioeconomic and environmental factors and their pairwise interactions on a fine scale. We suggest that more attention should be paid to the units with pairwise interacting factors in Guangzhou. Our study provides helpful clues for local authorities implementing more effective intervention measures to reduce TB incidence in China's municipal areas, which are featured by both a high degree of urbanization and a high incidence of TB.


Subject(s)
Epidemics , Tuberculosis , China/epidemiology , Geography , Humans , Incidence , Spatial Analysis , Tuberculosis/epidemiology
15.
Atmosphere ; 13(2), 2022.
Article in English | Scopus | ID: covidwho-1686601

ABSTRACT

Increases in ground-level ozone (O3 ) have been observed during the COVID-19 lockdown in many places around the world, primarily due to the uncoordinated emission reductions of O3 precursors. In Guangzhou, the capital of Guangdong province in South China, O3 distinctively decreased during the lockdown. Such a phenomenon was attributed to meteorological variations and weakening of local O3 formation, as indicated by chemical transport models. However, the emission-based modellings were not fully validated by observations, especially for volatile organic compounds (VOCs). In this study, we analyzed the changes of O3 and its precursors, including VOCs, from the pre-lockdown (Pre-LD) to lockdown period (LD) spanning 1 week in Guangzhou. An observation-based box model was applied to understand the evolution of in-situ photochemistry. Indeed, the ambient concentrations of O3 precursors decreased significantly in the LD. A reduction of 20.7% was identified for the total mixing ratios of VOCs, and the transportation-related species experienced the biggest declines. However, the reduction of O3 precursors would not lead to a decrease of in-situ O3 production if the meteorology did not change between the Pre-LD and LD periods. Sensitivity tests indicated that O3 formation was limited by VOCs in both periods. The lower temperature and photolysis frequencies in the LD reversed the increase of O3 that would be caused by the emission reductions otherwise. This study reiterates the fact that O3 abatement requires coordinated control strategies, even if the emissions of O3 precursors can be significantly reduced in the short term. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

16.
Journal of Geo-Information Science ; 23(2):297-306, 2021.
Article in Chinese | Scopus | ID: covidwho-1630813

ABSTRACT

Since December 2019, a new type of coronavirus pneumonia has occurred in Wuhan, Hubei. The strong spread ability of the new coronavirus has led to the rapidly emergence of new coronaviruses throughout the country and even all over the world. In order to portray the spread line of the new coronavirus within the city and then provide reasonable suggestions for the prevention and control of the urban epidemic, this article constructs a new coronavirus intelligent simulation model by combining complex network theory and GIS technology based on the behavior and social relationships of individuals in the city. Considering to the facts that it is necessary to strictly prevent the import of overseas cases to prevent the local epidemic from rebounding in cities with complex composition of population. This agent model takes the first entry point for overseas entry, Guangzhou city, as the research object to review the development of the epidemic. The attributes and rules of the model was determined by collecting statistical data from the literatures. Then the parameters were fitted by the Markov chain Monte Carlo method to achieve an accurate review of the epidemic situation in Guangzhou. The model is of high accuracy whose MAPE value have achieved 0.17. Meanwhile, this model also has good applicability which can simulate the impact of imported cases from abroad on the development of urban epidemics. Since the agent model marks the individual's time and space location and social relationship, this paper proposes a method for epidemiological investigation through the agent model, which is more convenient and more efficient than traditional epidemiological investigations.This article also visually displays the results of the infection chain, which is convenient for analyzing the activity trajectory of virus carriers and close contacts. This model provides valuable decision-making information for urban epidemic prevention and control. Moreover, the simulation results show that if there is another epidemic outbreak in the city, the epidemic will be controlled within 14-20 days so the citizens don't need to be panic. However, it is still necessary to improve self-protection awareness and protect individuals finely, especially the children and the elderly. When the epidemic comes again, it is recommended that schools and enterprises should establish a joint health monitoring mechanism to strengthen the health monitoring of children and employees, respectively. Relevant governmental departments have to strengthened the spread of epidemic prevention knowledge and persuaded retired people to reduce gatherings and wear masks reasonably. 2021, Science Press. All right reserved.

17.
Chinese Journal of Emergency Medicine ; 30(10):1220-1228, 2021.
Article in Chinese | Scopus | ID: covidwho-1576023

ABSTRACT

Objective To summarize the clinical characteristics of patients with coronavirus disease 2019 (COVID-19) infected with Delta variant, so as to provide further references for clinical diagnosis and treatment. Methods A real-world study was conducted to analyze the characteristics of 166 COVID-19 patients infected with Delta variant at Guangzhou Eighth People’s Hospital, Guangzhou Medical University. Results The study enrolled 5 asymptomatic cases, 123 non-severe cases (mild and moderate type), and 38 severe cases (severe and critical type). Among these patients, 69 (41.6%) were male and 97 (58.4%) were female, with a mean age of 47.0±23.5 years. Thirty-nine cases (23.5%) had received 1 or 2 doses of inactivated vaccine. The incidence of severe COVID-19 cases was 7.7% in 2-doses vaccinated patients, which was lower than that of 11.5% in 1-dose and 26.8% in unvaccinated patients. The proportion of severe cases in 2 dose-vaccinated patients was 7.7%, which was lower than that of 11.5% in 1-dose vaccinated patients and 26.8% in unvaccinated patients, but the difference was not significant (P>0.05). The most common clinical symptom was fever (134 cases, 83.2%), and 39.1% of cases presented with high-grade fever (≥ 39 °C);other symptoms were cough, sputum, fatigue, and xerostomia. The proportion of fever in severe cases was significantly higher than that of non-severe cases (97.4% vs. 76.4%, P<0.01). Similarly, the proportion of severe cases with high peak temperature (≥ 39 ℃) () was also higher than that of non-severe cases (65.8% vs. 30.9%, P<0.01). The median minimal Cycle threshold (Ct) values of viral nucleic acid N gene and ORFlab gene were 20.3 and 21.5, respectively, and the minimum Ct values were 11.9 and 13.5, respectively. Within 48 h of admission, 9.0% of cases presented with decreased white blood cell counts, and 52.4% with decreased lymphocyte counts. The proportions of increased C-reactive protein, serum amyloid A, interleukin 6, and interleukin 10 were 32.5%, 57.4%, 65.3%, and 35.7%, respectively. The proportions of elevated C-reactive protein, serum amyloid A and interleukin-6 in severe cases were significantly higher than those in non-severe cases (P<0.01). Logistic regression analysis showed that older age and higher peak temperature were associated with a higher likelihood of severe cases (OR>3, 95% CI: 2-7, P<0.01). In terms of treatment, traditional Chinese medicine (TCM) was used in 97.6% of non-severe cases and 100% in severe cases. Other treatments included respiratory and nutritional support, immunotherapy (such as neutralizing antibodies and plasma of recovered patients). The median times from admission to progression to severe cases, of fever clearance, and of nucleic acid conversion were 5 days, 6 days and 19 days, respectively. No deaths were reported within 28 days. Conclusions The symptoms of Delta variant infection in Guangzhou are characterized by a high proportion of fever, high peak temperature, long duration of fever, high viral load, a long time to nucleic acid conversion, and a high incidence of severe cases. The severe cases exhibit a higher percentage of elderly patients, a longer duration of fever and have a higher fever rate and a higher hyperthermia rate than non-severe cases. Age and hyperthermia are independent risk factors for progression to severe disease. The combination of TCM and Western medicine can control the progression of the disease effectively. © 2021 Chinese Medical Association. All rights reserved.

18.
BMC Public Health ; 21(1): 883, 2021 05 08.
Article in English | MEDLINE | ID: covidwho-1219542

ABSTRACT

BACKGROUND: Studies related to the SARS-CoV-2 spikes in the past few months, while there are limited studies on the entire outbreak-suppressed cycle of COVID-19. We estimate the cause-specific excess mortality during the complete circle of COVID-19 outbreak in Guangzhou, China, stratified by sociodemographic status. METHODS: Guangzhou Center for Disease Control Prevention provided the individual data of deaths in Guangzhou from 1 January 2018 through 30 June 2020. We applied Poisson regression models to daily cause-specific mortality between 1 January 2018 and 20 January 2020, accounting for effects of population size, calendar time, holiday, ambient temperature and PM2.5. Expected mortality was estimated for the period from 21 January through 30 June 2020 assuming that the effects of factors aforementioned remained the same as described in the models. Excess mortality was defined as the difference between the observed mortality and the expected mortality. Subgroup analyses were performed by place of death, age group, sex, marital status and occupation class. RESULTS: From 21 January (the date on which the first COVID-19 case occurred in Guangzhou) through 30 June 2020, there were three stages of COVID-19: first wave, second wave, and recovery stage, starting on 21 January, 11 March, and 17 May 2020, respectively. Mortality deficits were seen from late February through early April and in most of the time in the recovery stage. Excesses in hypertension deaths occurred immediately after the starting weeks of the two waves. Overall, we estimated a deficit of 1051 (95% eCI: 580, 1558) in all-cause deaths. Particularly, comparing with the expected mortality in the absence of COVID-19 outbreak, the observed deaths from pneumonia and influenza substantially decreased by 49.2%, while deaths due to hypertension and myocardial infarction increased by 14.5 and 8.6%, respectively. In-hospital all-cause deaths dropped by 10.2%. There were discrepancies by age, marital status and occupation class in the excess mortality during the COVID-19 outbreak. CONCLUSIONS: The excess deaths during the COVID-19 outbreak varied by cause of death and changed temporally. Overall, there was a deficit in deaths during the study period. Our findings can inform preparedness measures in different stages of the outbreak.


Subject(s)
COVID-19 , Cause of Death , China/epidemiology , Disease Outbreaks , Humans , Mortality , SARS-CoV-2
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