www.jogh.org • 2 1 Huanhuan measures, andeffects China: Characteristics, COVID-19 inGansuProvince, JoGH ©2021ISGH © 2021TheAuthor(s) The onlineversionofthisarticlecontainssupplementarymaterial. Electronic material: supplementary Gansu ProvincialHospitalManagementCenter(GansuFamily PlanningMedicineStation),Lanzhou,PRChina School ofPublicHealth,LanzhouUniversity,Lanzhou,PRChina Gansu Province, China. Gansu Province,China. COVID-19 aretimelyandeffectivein The measurestopreventandcontrol doi: 10.7189/jogh.11.03001 Dong hospitals [ reported inGansuprovince,of which78werecured,and10treatedinisolationprovincial designated as LanzhouandTianshuireported morethan10cases.AsofNovember3,2020,88imported caseshadbeen local confirmedcaseshadbeen concluded[ The epidemicwasfirstreported inGansuProvinceonJanuary23,2020,andbyMarch14, 2020,allthe91 active, 81 By November3,2020,Chinahadreportedacumulativetotal of86 425 people liveintheregion,ofwhich3.1million(11.6%)are morethan65yearsold.Theprovinceisabout Gansu ProvinceisaneconomicallyundevelopedareasituatedinthenorthwestofChina.Over26.4million STATUS OFCOVID-19INGANSUPROVINCE ing, andcontrollingthedisease. ince ofChinaforCOVID-19prevention,treatment,andcontroltoprovidereferencepreventing,treat high recoveries and low mortality rates. This paperaimstodiscuss the measures adopted by the Gansu Prov China alsorespondedquicklyandachievedexcellentresultsinpreventingcontrollingtheepidemic,with C 0 km 800 1 , LufangFeng controlling the spread of the disease. Although economically underdeveloped, the Gansu province of controlling thespreadofdisease.Althougheconomicallyunderdeveloped,Gansuprovince December 2019andisnowaglobalpandemic.Sofar, Chinahasbeensuccessfulinpreventingand orona VirusDisease-2019(COVID-19)infectionshavespreadworldwidesinceitwasfirstreportedin 061 cured,and4634died[ 3 ]. 2 and includes 14 states/cities namely: Lanzhou, Jiayuguan, Jinchang, Baiyin, Tianshui, Wuwei,
1 , NaZhang cases. hit provinceinChina),italsoreportedaconsiderablenumber ofCOVID-19 Gansu ProvincedoesnotborderHubei(whichwas themosthard- Tianshui isthesecond-largest city,withover3.3 million people.Although the capitalcityofGansuProvince,withover3.7millionpeople, whereas omous Prefecture,and Gannan Tibetan Autonomous Prefecture. Lanzhou is Zhangye, Jiuquan,Pingliang,Qingyang,Dingxi,Longnan,Linxia HuiAuton 1 ]. 2 1 ]. NocasewasreportedinWuwei, Jiuquan,andJiayuguan,where , ZeshanZhu 1
China: Characteristics,measures,andeffects.JGlobHealth.2021;11:03001. Cite as: DongH, Feng L,ZhangN, Zhu Z,Liu X. COVID-19inGansu Province, 2 , Xingrong Liu 087 confirmed cases, of which 392 were 087 confirmedcases,ofwhich392were 1 2021 •Vol. 11 • 03001 - - - -
VIEWPOINTS VIEWPOINTS 2021 •Vol. 11 • 03001 permission). Lanzhou, GansuProvince, PRChina(from the authors’owncollection,usedwith Photo: Peoplequeueuptotaketheirtemperatures andgetintothehospitalin Figure 1. 1. Figure Traditional Chinesemedicineplaysan COVID-19. COVID-19. important roleinpreventingandtreating A caseofclusterepidemicinTianshui. Most ofthenewcaseshadbeeninphysicalcontactwithconfirmed[ ages. Notably,thetwopatientswhodiedfromcondition were older, immunocompromised,andexhibited was oneyearold,whereastheoldest94years,indicatingthatnovelcoronavirusaffectedpeopleofall Most young adults are either students or employed, and therefore exhibit high mobility. Theyoungestpatient Most confirmedcaseswereyoungadults,andthismayberelatedtotheeconomicactivitiesofpopulation. CHARACTERISTICS OFCONFIRMEDCOVID-19CASES by aconfirmedcasesharingmealwithrelativesinTianshui( bers andbewareoftheoccurrencehouseholdclusterepidemics.Atypicalcaseisaepidemiccaused missible frompersonto[ contact betweenfamilymemberswastheprimarymodeoftransmission.Giventhatvirusishighlytrans households [ inces, butlatermostcaseswerefromthelocalhuman-to-humantransmission,particularlywithinorbetween cases ofCOVID-19reportedinGansuprovincewereinitiallyfrompeoplewhohadtraveledotherprov man transmissionwascommon.Besides,mostofthecaseswerelinkedtoepidemicinWuhan[
5 ]. Thus, family interactions were the main sites where COVID-19 was transmitted, and close ]. Thus, family interactions were themain sites where COVID-19 was transmitted, and close 7 ], itwasnecessarytostrengthentheprotectionconsciousnessoffamilymem was morechallenging. migrant populations.Assuch,controllingthediseaseintwocities which couldberelatedtotheirlarge numberofpermanentresidentsand habilitation. MostcaseswerereportedinLanzhouandTianshuicities, quickly progressed to severe cases, which challenged treatment and re poor physicalstate[ 2
local cases were cleared in less than two months. Also, the local caseswere clearedinlessthantwomonths. Also,the and timelyisolationtreatment ofthepatients.Thus,all outbreak. Amongthemeasures takenwereearlydetection Gansu province responded quickly following the COVID-19 GANSU PROVINCEAND THEIREFFECTS AND CONTROLCOVID-19EPIDEMICIN MEASURES TAKENTOPREVENT,TREAT, matic patients[ strictly avoidedtocutoffthetransmissionfromasympto hibited acoughwithoutfever. Therefore, closecontactwas tion, headache,cheststuffiness,etc.Somepatientsonlyex which weresometimesaccompaniedbyfatigue,expectora Most confirmed COVID-19 cases had fever and cough, 4 ]. For the elderly in poor physical state, the disease ]. Fortheelderlyinpoorphysicalstate,disease Figure 1 8 ]. ). 5 www.jogh.org • ], suggestingthathuman-to-hu doi: 10.7189/jogh.11.03001 6 ]. The ]. The ------www.jogh.org •doi:10.7189/jogh.11.03001 REFERENCES 8 7 6 5 4 3 2 1 2020. ation Army.2020: 45:370-4. Shao-Hua Z,FengL,LiS.Theclinical characteristicsandoutcomeof62patientswithCOVID-19.Med JChinPeople’sLiber ease 2019inJinan.ShandongDaxue XuebaoYixueBan.2020;58:54-7. Weiru W, XinruiL,FangW, XiaodongZ,QiuyanY,Guoliangetal.Analysis ofafamilyclusteroutbreakcoronavirusdis with COVID-19.ZhongguoYiyuan GanranxueZazhi.2020;30:826-9. Yingjie Z,ZhuC,JinL,Xinglong Y,JingL,Yueetal.Clinicalandepidemiologicalcharacteristics of26patientsdiagnosed Control inGansuProvince. ScienceandTechnology.2020;36:41-3. Zhongnan Z,SanliQ.AnalysisofAggregative91CasesNewCoronavirus PneumoniaandTheResultofItsPrevention navirus pneumoniainGansuprovince.CanJOtolaryngol.2020;20:212-4. Xuefeng L,LonglongY,XiaorongD,XudongW. Analysisofotolaryngologyrelatedsymptoms in 91casesof2019-novelcoro su.gov.cn/single/10910/87586.html. Accessed:4November2020. Health CommissionofGansuProvince.Dynamiccontrolthe Novel CoronavirusPneumonia.Available: su.gov.cn/single/10910/84805.html. Accessed:2April2020. Health CommissionofGansuProvince.Dynamiccontrolthe Novel CoronavirusPneumonia.Available: Available: National HealthCommissionofthePeople’sRepublicChina.Dynamic ofcontroltheNovelCoronavirusPneumonia. t F ID C Authorship contributions:Alla t Acknowledgments: Wethankall D peet css f OI-9 netos ae eue significantly reduced have infections COVID-19 of cases present, At CONCLUSIONS In conclusion, nese medicine of November holding banquet curb outbreaks, such as closing sch iiul ad raiain sol sil ae h ncsay rcuin t aod nte wv o infections. of wave another avoid to precautions Epidemic prevention and control is a protracted war and requires concerted efforts of the whole country. necessary in- the Therefore, take increased. still has should transmission disease organizations of and risk dividuals the activities, economic daily of resumption the with lation andtre COVID-19. The ducing themor bilitation ofCOVI M cies waseffi staff wasreport ment oftheco of majorpublic on usingacomb in Gansuprovi cases fromabroad were succes he correspondingauthor), he researchhasbeenapp u om isclaimer: Theviewsexpressed oreover, tradi -19 andthemedicalstaff n d p ing: Thisarticlewass eting interests:Theauth http://www.nhc.gov.cn/xcs/yqfkdt/202011/61292d52e8964c518a54977e1506bb6d.shtml cient. at 3 n . Notably,Gan nce, ofwhich the criticalmeas , 2020,non ment oftheini tality rate.As firmed casesand ed inGansuProv tional Chineseme
h i s, parties,andotherentertainm treatment approa nation oftraditi ealth emergencies D-19 patients.T r o up a f ved bytheacademiccommi or theireffortsinthe nd declarenoconflicts ported bySocialScience ew localca
o of March2,89 8 r su provinceran uth in tial cases,tim sively treated 9 (97.8%)wer s completedtheICMJEU th u t th res forprevent o o ince e Gansupublichealthstaffwhodid he s dicine wasempl r na ch hasbeenrem eir contactsw s contributedtothec h onJanuary25,w is leveragedth l Chineseand oo ubmitted articleareou , indicatingthat se hadbeenr ls, cinemas, markets, and other publi w ely contacttracing,andcentraliz (97.8%) cases e cured,and2 t 3 i k r thin a short ea
o s highintheuse i er ent, werealsosto ng andcontrollin f i P t ment ofpatients. oyed totre e strictlyfollo nterest. lanning MajorProjectofGans Wes t ar e advantagesoftraditi t ep ee kably effective nified Competing the firstlevelre . o o hich involvedimplementingcontainmentmeasuresto tern medicinef nceptualization, writ rted. Itisnoteworthythatnocaseinvolv r time. Gansu province started the first level r own h (2.2%) died[ ad at beensuccessfull andnotanofficialpositionofth thecondition. wed [ oftradition p g t he epidemiologicalinvestigati p COVID-19areear
in treatingthe ed 9 . Be remains. disease the however, , I spo ]. Intotal,91localcaseswerec nterest form(available o . Timelyisola r nse ofmajorpu 5 the prevention o in ], indicating nal Chinesem g, an ed al Chinesemedicinefortreating u Province(GrantNo.2
c pl Gansu healt isolationand y t d revisionsofthep reated usingtr aces. S disease [ tion, diagnosis,and l 2021 •Vol. 11 • 03001 a y detection,timelyiso . Accessed: 4 November . Accessed:4November , ocial gatherings, like t high surviv b ed h re l upon requestfrom i 10
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VIEWPOINTS VIEWPOINTS 2021 •Vol. 11 • 03001 REFERENCES 10 9 su.gov.cn/single/10910/84563.html Health Commission of Gansu Province. Dynamic of control of the Novel Coronavirus Pneumonia. Available: su.gov.cn/single/10910/83017.html Health Commission of Gansu Province. Dynamic of control of the Novel Coronavirus Pneumonia. Available:
. Accessed:4April2020. . Accessed:4April2020. 4
[email protected] PR China Lanzhou, 730000 199 DonggangWestRoad Lanzhou University School ofPublicHealth Xingrong Liu Correspondence to: www.jogh.org •
doi: 10.7189/jogh.11.03001
http://wsjk.gan http://wsjk.gan
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