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[Epidemiological characteristics of COVID-19 in Gansu province].
Gou, F X; Zhang, X S; Yao, J X; Yu, D S; Wei, K F; Zhang, H; Yang, X T; Yang, J J; Liu, H X; Cheng, Y; Jiang, X J; Zheng, Y H; Wu, B; Liu, X F; Li, H.
  • Gou FX; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Zhang XS; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Yao JX; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Yu DS; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Wei KF; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Zhang H; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Yang XT; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Yang JJ; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Liu HX; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Cheng Y; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Jiang XJ; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Zheng YH; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Wu B; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Liu XF; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
  • Li H; Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(0): E032, 2020 Apr 01.
Article in Chinese | MEDLINE | ID: covidwho-27070
ABSTRACT

Objective:

To understand the epidemiological characteristics of COVID-19 cases in different epidemic stages in Gansu province.

Methods:

Epidemiological investigation was conducted to collect the information of confirmed COVID-19 cases, including demographic, epidemiological and clinical information.

Results:

As of 25 February 2020, a total of 91 confirmed COVID-19 cases had been reported in Gansu. The epidemic of COVID-19 in Gansu can be divided as three different stages, i.e. imported case stage, imported-case plus indigenous case stage, and indigenous case stage. A total of 63 cases were clustered cases (69.23%), 3 cases were medical staff infected with non-occupational exposure. The initial symptoms included fever (54.95%, 50/91), cough (52.75%, 48/91), or fatigue (28.57%, 26/91), the proportion of each symptom showed a decreasing trend along with the three epidemic stages, but only the differences in proportions of fever (trend χ2=2.20, P<0.05) and fatigue (trend χ2=3.18, P<0.05) among the three epidemic stages were statistically significant. The cases with critical severe symptoms accounted for 42.85% (6/14), 23.73% (14/59) and 16.67% (3/18), respectively, in three epidemic stages, showed a decreasing trend (H=6.45, P<0.05). Also, the incubation period prolonged along with the epidemic stage (F=51.65, P<0.01), but the intervals between disease onset and hospital visit (F=5.32, P<0.01), disease onset and diagnosis (F=5.25, P<0.01) became shorter along with the epidemic stage. Additionally, the basic reproduction number (R0) had decreased from 2.61 in imported case stage to 0.66 in indigenous case stage.

Conclusions:

The COVID-19 epidemic in Gansu was caused by the imported cases, and about 2/3 cases were clustered ones. No medical worker was observed to be infected by occupational exposure. With the progression of COVID-19 epidemic in Gansu, the change in initial symptom and incubation period suggests, the early screening cannot only depend on body temperature monitoring.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Observational study / Prognostic study Language: Chinese Journal: Zhonghua Liu Xing Bing Xue Za Zhi Year: 2020 Document Type: Article Affiliation country: Cma.j.cn112338-20200229-00216

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Observational study / Prognostic study Language: Chinese Journal: Zhonghua Liu Xing Bing Xue Za Zhi Year: 2020 Document Type: Article Affiliation country: Cma.j.cn112338-20200229-00216