Gao Qijun, Hu Yingfu, Dai Zhiguo, Xiao Feng, Wang Jing, Wu Jing
Department of Cardiology.
Department of Pulmonary Medicine.
Medicine (Baltimore). 2020 Jun 5;99(23):e20605. doi: 10.1097/MD.0000000000020605.
There is currently a global outbreak of coronavirus disease 2019 (COVID-19), and its epidemic characteristics in the areas where the outbreak has been successfully controlled are rarely reported.Describe the epidemic characteristics of COVID-19 in Jingmen, Hubei, introduce the local prevention and control experience, and observe the impact of various prevention and control measures on the number of new cases.All the COVID-19 patients diagnosed in the municipal districts of Jingmen from January 12 to February 29, 2020 were enrolled in this study. We described epidemiological data and observed the impact of control measures on the epidemic.Of the 219 cases (110 men and 109 women), 88 (40%) had exposure to Wuhan. The median age was 48 years (range, 2-88 years; IQR, 35-60). Thirty-three severe patients with a median age of 66 years (range, 33-82 years, IQR, 57-76) were treated in intensive care units; out of these patients, 66.7% (22) were men and 19 (57.5%) had chronic diseases, including hypertension, diabetes, heart failure, stroke, and renal insufficiency. Under the control measures, the number of new patients gradually decreased and nearly disappeared after 18 days. Wearing masks in all kinds of situations prevents most infections and is one of the most effective prevention and control measures.In conclusion, all people are susceptible to COVID-19, and older males and those with comorbid conditions are more likely to become severe cases. Even though COVID-19 is highly contagious, control measures have proven to be very effective, particularly wearing masks, which could prevent most infections.
目前全球正在爆发2019冠状病毒病(COVID-19),而在疫情已成功得到控制的地区,其流行特征鲜有报道。描述湖北省荆门市COVID-19的流行特征,介绍当地的防控经验,并观察各项防控措施对新增病例数的影响。本研究纳入了2020年1月12日至2月29日在荆门市城区确诊的所有COVID-19患者。我们描述了流行病学数据,并观察了防控措施对疫情的影响。219例患者(110例男性和109例女性)中,88例(40%)有武汉暴露史。年龄中位数为48岁(范围2 - 88岁;四分位数间距,35 - 60岁)。33例重症患者在重症监护病房接受治疗,年龄中位数为66岁(范围33 - 82岁,四分位数间距,57 - 76岁);这些患者中,66.7%(22例)为男性,19例(57.5%)有慢性病,包括高血压、糖尿病、心力衰竭、中风和肾功能不全。在防控措施下,新增患者数量逐渐减少,18天后几乎消失。在各种情况下佩戴口罩可预防大多数感染,是最有效的防控措施之一。总之,所有人对COVID-19均易感,老年男性和有合并症者更易成为重症病例。尽管COVID-19传染性很强,但防控措施已证明非常有效,尤其是佩戴口罩,可预防大多数感染。