https://www.nytimes.com/2020/02/13/worl ... cases.html
China Expands Chaotic Dragnet in Coronavirus Crackdown
The “wartime” campaign to round up all who might be sick was extended to cities beyond the epicenter, even as it was marred by confusion that has isolated vulnerable patients and left some to die.
By Amy Qin
* Published Feb. 13, 2020
Updated Feb. 14, 2020, 12:35 a.m. ET
China’s leaders expanded a mass roundup of people possibly sickened with the coronavirus on Thursday, widening their dragnet well beyond the epicenter of the outbreak to at least two more cities in what the government has called a “wartime” campaign to stamp out the epidemic.
But the campaign, first announced last week in the city of Wuhan, already has been marred by chaotic conditions that have isolated vulnerable patients without adequate care and, in some cases, left them alone to die.
The expansion of the decree to “round up everyone who should be rounded up” in the Wuhan area of central China has deepened the nation’s sense of anxiety.
In their zeal to execute the edict, officials in Wuhan, a metropolis of 11 million, have haphazardly seized patients who have not yet tested positive for the coronavirus, in some cases herding them onto buses with no protective measures where they risked infection from others, their relatives said.
After that, patients have been sent to makeshift medical facilities that don’t provide the support they need to recover. With little to no dedicated medical staff on hand to help, some patients die.
One woman was abruptly carted off to a quarantine facility and prohibited from retrieving her supply of heart medication, her daughter-in-law said. A man said he was getting sicker and sicker in his hotel room, but there were no doctors and he was not allowed to leave.
Another man placed in a makeshift shelter fell into a coma for two days, but his family said they couldn’t get him admitted to a hospital. He died.
Despite the upheaval, the mass roundup extended beyond Wuhan to include other cities in central Hubei Province that have been hit hard by the outbreak. The state-run CCTV news broadcaster said the expanded area included the cities of Huanggang and Xiaogan.
A sudden spike in new cases could make the situation worse. Officials in Hubei Province announced on Thursday that they had expanded the criteria for counting new infections to include diagnoses by doctors based on a chest scan and symptoms, rather than a more complicated test. The tally from the outbreak surged as a result, with the province adding nearly 15,000 new cases and 242 new deaths in a single day.
The surge continued on Friday, though not as markedly, when Hubei officials disclosed about 4,800 new cases and 116 additional deaths.
The Coronavirus Outbreak
* What do you need to know? Start here.
Updated Feb. 10, 2020
* What is a Coronavirus?
* It is a novel virus named for the crown-like spikes that protrude from its surface. The coronavirus can infect both animals and people, and can cause a range of respiratory illnesses from the common cold to more dangerous conditions like Severe Acute Respiratory Syndrome, or SARS.
* How contagious is the virus?
* According to preliminary research, it seems moderately infectious, similar to SARS, and is possibly transmitted through the air. Scientists have estimated that each infected person could spread it to somewhere between 1.5 and 3.5 people without effective containment measures.
* Where has the virus spread?
* The virus originated in Wuhan, China, and has sickened tens of thousands of people in China and at least two dozen other countries.
* How worried should I be?
* While the virus is a serious public health concern, the risk to most people outside China remains very low, and seasonal flu is a more immediate threat.
* Who is working to contain the virus?
* World Health Organization officials have praised China’s aggressive response to the virus by closing transportation, schools and markets. This week, a team of experts from the W.H.O. arrived in Beijing to offer assistance.
* What if I’m traveling?
* The United States and Australia are temporarily denying entry to noncitizens who recently traveled to China and several airlines have canceled flights.
* How do I keep myself and others safe?
* Washing your hands frequently is the most important thing you can do, along with staying at home when you’re sick.
The rise in confirmed cases, to about 52,000 over all in the province, could overwhelm an already burdened health care system, which faces a shortage of hospital beds and medical supplies. Even before the new numbers were reported, many residents had been slipping through the cracks.
One Wuhan resident, Peng Andong, 59, had been suffering from a persistent fever and lung infection for days when his local neighborhood committee told him to go to a makeshift quarantine site last week.
Mr. Peng and his family were told that there would be doctors at the quarantine site, as well as test kits so he could get the official confirmation needed to receive proper treatment. So on Feb. 5, Mr. Peng boarded a bus full of sick patients — none wearing protective gear — and was driven to a hotel converted into an isolation center.
For several days, Mr. Peng messaged with his relatives regularly, updating them on the tumultuous conditions inside the hotel.
“He said it was really chaotic in the first few days and there was no food or medical staff there,” said Peng Bangze, his son. Others have described similar conditions in interviews and in calls for help posted on social media.
Deng Chao, 30, said that although doctors had told him he almost certainly had the coronavirus, he hadn’t yet received the official results from the test that is needed for hospital admission.
Instead he was sent to a Wuhan hotel where he has been in a government-imposed quarantine for nearly a week. Now, he said, he was getting progressively sicker and finding it more difficult to breathe. He said security guards had been stationed at the hotel entrance to prevent patients from escaping — and there were no doctors or medicine.
“This is really like a prison,” Mr. Deng said.
“Send me to a hospital, please, I need treatment,“ he said, in between bouts of coughing. “There is no one to take care of us here.”
The problems are likely to compound the public outrage over the government’s response to the coronavirus outbreak, the most serious health crisis to afflict China under President Xi Jinping. Local officials played down the virus in the early days, while the eventual lockdown of Wuhan cut the city off from critical supplies and resources.
In a sign of an aggressive effort by Mr. Xi to contain the political and economic damage of the epidemic, the Chinese Communist Party on Thursday fired the leaders of Hubei Province and Wuhan.
Global reverberations from the coronavirus crisis have shown no sign of slowing.
On Thursday, the Centers for Disease Control and Prevention in the United States said a person under quarantine at a military base in San Antonio had tested positive for the virus, bringing the total number of confirmed cases in the United States to 15.
In Japan, health officials announced the first death from the virus in the country, a woman in her 80s in Kanagawa Prefecture, which includes Yokohama, where more than 200 passengers on a quarantined luxury cruise ship have been infected by the coronavirus.
The Chinese government’s drive to corral people into makeshift medical facilities in Wuhan began earlier this month, as it became clear that patients were infecting family members after being told to quarantine at home. Desperate officials hastily devised plans to convert stadiums, exhibition centers, hotels and schools into temporary medical centers for thousands who could not get admitted to a hospital.
Confirmed coronavirus patients with mild symptoms were put in large converted spaces. Suspected cases went to requisitioned hotels and schools to be isolated. The close contacts of confirmed cases and patients with fevers who could have been infected were also put in separate facilities. Some confirmed cases with serious symptoms have been transferred to two newly built hospitals dedicated to treating coronavirus patients.
Despite some complaints about the scarcity of toilets and concerns among experts about the potential for cross-infections, some patients in such venues say they are mostly satisfied with the conditions, and are relieved to be out of their homes where they were worried about infecting relatives. Images circulated from inside the centers show patients dancing and lying in beds playing on their phones. One patient was even photographed reading Francis Fukuyama’s “The Origins of Political Order.”
But in many cases, the effort appears disjointed and disorganized. A report by the official Xinhua news agency said that because of the “limitations” of some quarantine sites, sometimes two or three patients with suspected cases were housed in the same room.
Another Xinhua report detailed how community workers doing door-to-door checks had to talk to neighbors and check on clues like hanging laundry to ensure every household in Wuhan was counted. Even The Global Times, the nationalistic party newspaper, reported on the frustrations of a public bus driver who tried in the middle of the night to round up people suspected to have infections.