A time bomb: CCP’s policy to ignore asymptomatic coronavirus infection

In order to force the Chinese people to go back to work to keep the Chinese communist party (CCP) in power, the CCP has been fooling the Chinese and the world by publishing fake numbers about coronavirus infections and death. To make matters worse, the Chinese official guideline has been ignoring the asymptomatic infections who tested positive for coronavirus without counting them in the infection numbers, even though asymptomatic people are shedding virus and infecting others.

Some studies conducted outside of China have shown that as high as 86% of the infected people can have no or very mild symptoms. They are walking around like ticking time bombs. (https://www.newscientist.com/article/2238473-you-could-be-spreading-the-coronavirus-without-realising-youve-got-it/)

Recently, many regions in China have reported cases of asymptomatic infection

On March 29, the Henan Provincial Health and Health Commission notified a new local case. The patient was Wang Moumou of Luohe City, and a confirmed case of new coronary pneumonia was confirmed at 20:20 on March 28. He had a history of contact with a person with asymptomatic infection.

According to the investigation, Wang Moumou took a long-distance bus at Luohe Bus Station at about 10:00 on March 21 to Pingdingshan City East Bus Station, accompanied by his classmate Zhang Moumou (Doctor of People’s Hospital of Pi County) to go down to the countryside and dined with Zhang Moumou 3 times.

On the evening of March 13, Zhang Moumou dined at the restaurant with Liu Moumou, Zhou Moumou (the two were also doctors of the Shexian People’s Hospital).

On March 25, Shexian People’s Hospital conducted a physical examination of the front-line medical staff involved in the prevention and control of the epidemic. During the nucleic acid screening, Zhang Moumou and Zhou Moumou were found to be asymptomatic infection. Liu Moumou’s nucleic acid test was single positive, asymptomatic. Now, these three people are undergoing centralized medical observation in isolation.

Coincidentally, Jingmen, Hubei also reported a case of asymptomatic infection on the 29th and announced its activity track. According to the information released by Jingmen, on March 27, 2020, a patient with thyroid disease went to a city hospital (South Hospital) and was admitted to the hospital. On March 28, a nucleic acid test was performed, and the result was a positive test for new coronary pneumonia, and the diagnosis was asymptomatic infection.

In addition, asymptomatic infections have been reported in imported cases recently.

The frequent occurrences of asymptomatic infections added new uncertain factors to the prevention and control work.

Asymptomatic infection’s definition and detection in China

The so-called “asymptomatic infection”, according to the “New Coronavirus Pneumonia Prevention and Control Program (Sixth Edition)” issued by the Chinese National Health and Health Commission, refers to asthma coronavirus pathogens or serum-specific IgM antibodies and respiratory tract specimens test positive without clinical symptoms.

In simple terms, it means that the infected person has no clinical symptoms such as fever, cough, and sore throat, but the respiratory tract and other specimens are positive for novel coronavirus. Patients carry the virus, but they do not develop the disease, and they do not even know that they are sick, but they can inadvertently spread the virus to others.

According to Liu Youning, the former director of the Institute of Respiratory Diseases of the People’s Liberation Army, those who have been confirmed to be “infected” but asymptomatic can be divided into two types: one is still in the incubation period, and the symptoms will occur after the incubation period; The other type never show symptoms.

Zeng Yixin, deputy director of the National Health and Health Commission, introduced the various ways of identifying asymptomatic infections at a press conference on February 14. There are four main sources:

First, close contacts of novel corona pneumonia cases, some of whom were found during the medical observation period;

Secondly, in the investigation of the aggregated epidemic situation, in the process of carrying out some active tests, asymptomatic infection may be found;

Third, during the follow-up of the source of infection of novel corona pneumonia cases, asymptomatic infection may be found during active detection of exposed people;

The fourth is that when people with novel corona pneumonia cases, travel history and residence history in areas of continuous transmission are actively tested, asymptomatic infection may be found.

China’s mishandling of asymptomatic infections inline with its underreporting strategy

Zeng Yixin mentioned that experts researched and judged that according to the general transmission law of infectious diseases and the current data, asymptomatic infection is positive for nucleic acid test, and it is possible to excrete the pathogen. The probability of infection is deemed to be small according to Chinese experts, but this could be a big mistake made on purpose to under-report infections in China.

At the outbreak prevention and control conference in Hubei Province on March 27, Liu Jiafa, secretary of the party committee of the Hubei Centers for Disease Control and Prevention, mentioned that asymptomatic infection may also become a source of infection, with a certain risk of transmission. However, according to the available data, asymptomatic infection may not be the main source of transmission, and asymptomatic infection should be managed in isolation, and the public need not worry too much.

Why aren’t asymptomatic infections considered as confirmed cases in China?

Now that the virus nucleic acid test is positive, is the asymptomatic case a confirmed case?

In the “Monitoring of Pneumonia Cases of New Coronavirus Infection (Third Edition)” released on January 28, “asymptomatic infection” was distinguished from suspected cases, confirmed cases, and mild cases. The test was positive but asymptomatic and was not included in confirmed cases published daily.

On March 7, the “New Coronavirus Pneumonia Prevention and Control Plan (Sixth Edition)” made clear that suspected and confirmed cases should have clinical manifestations. Asymptomatic infection patients have no clinical manifestations and need to be isolated for 14 days and further testing is needed to make a judgment. If an asymptomatic person develops symptoms during quarantine, they are reported as a confirmed case and published.

That is, according to existing standards, asymptomatic infection is not a confirmed case in China.

Experts have also explained this. An epidemiologist and a member of the high-level expert group of the National Health and Medical Commission previously stated that the test may have a “false positive” result, so further diagnosis and identification of asymptomatic infection is needed, and it cannot be judged as a confirmed case based on a positive test only.

“Our diagnostic technology is a nucleic acid diagnostic technology, and it cannot be confirmed that it is a live virus. For an asymptomatic test, I don’t think it (positive result) can determine whether it is caused by a live virus, a dead virus, or a fragment of a virus. In this case, this kind of person needs further identification. “

According to Zeng Guang, the diagnosis of a disease cannot be based on only one test, but also combined with other manifestations to make a comprehensive judgment. Asymptomatic infections should not be considered as patients with new coronary pneumonia, but they may also be in the incubation period, and symptoms may appear at a later stage and be converted to confirmed patients, so they need to be isolated.

The Chinese government realizes that it can no longer turn a blind eye on asymptomatic infections

China will scale up screening of asymptomatic patients of COVID-19 and expand testing to close contacts of infected patients in an effort to prevent a possible domestic rebound of the outbreak, according to a decision made at a meeting chaired by Premier Li Keqiang on Monday.

The meeting of the leading group of the Communist Party of China Central Committee on coping with the novel coronavirus pneumonia underlined the importance of prioritizing the monitoring, tracking, isolation, and treatment of asymptomatic cases to consolidate the country’s epidemic containment efforts.

Asymptomatic cases, after testing positive, must be placed in isolation and undergo medical observation, the group said, adding that authorities must disseminate public information in a transparent manner and avoid underreporting or delaying reports of confirmed cases.

It is important to determine the source of infection as soon as possible in individual cases and launch isolation and medical observation procedures for close contacts, the group said.

It required accelerated steps to gather a certain percentage of samples from asymptomatic cases in hard-hit areas for research and epidemiological analysis-a prerequisite for improving containment measures.

The meeting also called for the re-examination of patients after they have been discharged, and stronger medical management for recovered patients who once again test positive.

With the contagion now spreading worldwide and the fact that no country is capable of confronting the virus alone, the group highlighted the need for a sober mindset and full recognition of the risks, pressures, and challenges facing countries in epidemic control and prevention efforts.

Authorities must ensure the proper treatment of patients in severe condition, provide isolation and follow-up visits for recovered patients, enhance the monitoring of relevant cases at fever clinics and improve reporting of new outbreaks, said the statement.

The group urged stronger efforts in preventing the importation and exportation of COVID-19 cases, saying that authorities must bolster testing capacity and facilities so that all inbound personnel can receive nucleic acid testing.

China’s diplomatic missions overseas and relevant departments must step up protection, guidance and material support for Chinese citizens to safeguard their health and safety, the group added.

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Mar. 31, 2020