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As the systems that people depend on are increasingly strained by the COVID-19 outbreak, public health impacts are manifesting in different ways beyond morbidity and mortality for elderly populations. Loneliness is already a chief public health concern that is being made worse by COVID-19. Agencies should recognize the prevalence of loneliness amongst elderly populations and the impacts that their interventions have on loneliness. This letter describes several ways that loneliness can be addressed to build resilience for elderly populations as part of public health response to COVID-19.
On December 31st, 2019, the Chinese government officially announced that the country had a single pneumonia case with an unknown cause. In the weeks after, South Korea had 24 confirmed cases by February 8th, and the number has increased steadily since then. The highly contagious virus known as COVID-19 infected Case No. 31 in Daegu; she was the first patient related to Sincheonji Church. Later, the number of cases involved with Sincheonji skyrocketed. On March 6th, 2020, the number of confirmed cases was 6,284, with 42 dead. This study, through collecting epidemiological data about various COVID-19 infection cases, discovered that getting together in large groups leads to massive infection, and that paying close attention to personal hygiene via wearing masks, sanitary gloves, etc. can prevent the spread of COVID-19. Additional epidemiological data and related studies on COVID-19 infections in South Korea are likely to support or slightly modify this conclusion. However, this study is significant in that it emphasizes the precautionary principle in preventing and managing infectious diseases, and has a suggestion for public health policies which are currently in high demand.
In December 2019, a new type of coronavirus called SARS-CoV-2 appeared in Wuhan, China. Coronavirus disease (COVID-19) related to SARS-CoV-2 has brought serious attacks to China and the world. Therefore, we intend to shed light on its potential clinical and epidemiological characteristics.
Methods
In this retrospective study, we included 50 confirmed death cases of SARS-CoV-2 on Chinese official media networks from 16 Jan, 2020 to 5 Feb, 2020. All the cases were confirmed by local qualified medical and health institutions. Their specific information has been released through official channels. According to the contents of the reports, we recorded in detail the sex, age, first symptom date, death date, primary symptoms, chronic fundamental diseases and other data of the patients, and carried out analysis and discussion.
Results
In total 50 death cases, the median age of them was 70 years old, and male was 2.33 times more likely than female. The median days from the first symptom to death were 13 days, and it tended to be shorter among people aged 65 and above than those with ages under 65 (12 days vs. 17 days, P = 0.046). There was a negative correlation between age and the days from the first symptom to death (r = -0.40, P = 0.012).
Conclusion
In our study, we found that most of the deaths were elderly men with chronic fundamental diseases, and their COVID-19 progress is shorter. At the same time, we demonstrated that older men are more likely to be infected with covid-19 and the risk of death is positively correlated with age.
In the COVID-19 pandemic, whistleblowers have become the essential watchdogs disrupting suppression and control of information. Many governments have intentionally not disclosed information or failed to do so in a timely manner, misled the public or even promoted false beliefs. Fierce public interest defenders are pushing back against this censorship. Dr Fen and Dr Wenliang were the first whistleblowers in China to report that a new pandemic was possibly underway and ever since numerous other whistleblowers around the world have been reporting on the spread of the virus, the lack of medical equipment and other information of public interest. This paper maps the relevant whistleblowing cases in China, US and Europe and shows that many whistleblowers are initially censored, face disciplinary measures or even dismissals. At the same time, whistleblowing during the COVID-19 pandemic has drawn public attention to the shortcomings of institutional reporting systems and a wider appreciation of whistleblowers as uniquely placed to expose risk at early stages. Ultimately, whistleblowing as a means to transparency is not only becoming ever less controversial, but during COVID-19 it has become the ‘remedy’ to censorship.
To explore the epidemiological characteristics of COVID-19 associated with SARS-Cov-2 in Guizhou province, and to compare the differences in epidemiology with other provinces.
Methods:
The data were extracted from National Health Commission of the People’s Republic of China, Health Commission of Guizhou province, and Health Commission of Hubei province from January 20 to February 12, 2020. Information included such as general demographic indicators, population data and clinical outcome.
Results:
A total of 135 cases were analyzed in the study. The average age was 39.46±18.95 years. The ratio of males to females was 0.985:1. Most of COVID-19 patients were 18-45 years old (52.27%). Close contact history was the most common (37.88%), followed by residence history in Hubei (34.85%). There was no difference between males and females in age (P=0.953) and exposure condition (P=0.186). Correlation analysis showed that there was a significant positive correlation between the migration index and the number of confirmed cases (r=0.816, P=0.007).
Conclusion:
Among the cases, most patients were young adults. Most epidemiological characteristics were no difference between males and females. Family-based transmission should not be ignored, as a close contact history was the top reason of exposure. Moreover, population movements also had significant impact on outbreaks.