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Events Series of SARS Severe Acute Respiratory Syndrome Virus Infection Disease

SARS ( Severe Acute Respiratory Syndrome) Virus events

Meaning of SARS: The SARS incident refers to a severe acute respiratory syndrome (English: SARS) that occurred in Guangdong, China in 2002 and spread to Southeast Asia and the world. It was a global infectious disease epidemic that was gradually eliminated until the epidemic in mid-2003.
A series of incidents occurred during this period causing social panic. The death of many patients including medical staff. The treatment of the disease in various countries around the world. The naming of the disease. The discovery and naming of pathogenic microorganisms. The United Nations, the World Health Organization and the media attention and so on.

As of August 16, 2003, a total of 5327 clinically diagnosed cases of atypical pneumonia were reported in mainland China, 4959 cases were cured and discharged, and 349 deaths (another 19 died from other diseases were not included in the number of SARS deaths). 

Hong Kong, China: 1,755 cases, 300 deaths
Taiwan, China: 665 cases, 180 deaths
Canada: 251 cases, 41 deaths
Singapore: 238 cases, 33 deaths
Vietnam: 63 cases, 5 deaths
Nickname:    Pneumonia SARS
TCM disease name:    Severe acute respiratory syndrome
English name:    SARS
Common symptoms:    Difficulty breathing, fever and generalized pain and weakness
Infectious:    Respiratory infectious diseases
Way for spreading:    Exposure to large amounts of bloody sputum
Alias:    SARS virus
Death toll:    919 cases (as of August 16, 2003)
Number of patients:    8422 cases (as of August 16, 2003)

Table of Content
    1 After the event
    ▪ Early event
    ▪ Open prevention
    ▪ Epidemic situation in each province
    2 Outbreak
    3 Event controversy
    4 Event impact
    ▪ Mainland China
    ▪ Hong Kong, China
    ▪ Taiwan, China
    ▪ Europe and America
    ▪ Singapore
    5 Martyr medical staff
    ▪ Mainland China
    ▪ Hong Kong, China
    ▪ Taiwan, China
    ▪ Italy
    6 Media works

Process and Early event pertaining to SARS

On December 5th or 6th, 2002, Huang Xingchu, a Heyuan person working in Shenzhen, felt uncomfortable, like a cold or a cold, so he went to a nearby clinic to see a doctor. The doctor said that the problem was not serious. 

On the 8th, he felt that the treatment effect in the clinic was not good, and he went to the hospital to get the injection. On the 13th, it was not good. He returned to Heyuan City and treated for a few days. 

The symptoms were more serious than when he was in Shenzhen. 16 He was sent to Heyuan People's Hospital at more than 10 o'clock in the evening. The next day his condition became worse and he had difficulty breathing. He was sent to the General Hospital of Guangzhou Military Region. The world's first patient Huang Xing was hospitalized after the initial onset. 

On January 2, 2003, Heyuan City reported the situation to the Provincial Department of Health. Soon afterwards, several cases of infection of medical staff appeared in Zhongshan City. 

Guangdong Province sent an expert investigation team to Zhongshan The city conducted an investigation and issued an investigation report to all health and medical units in the province on January 23, 2003, requesting the relevant units to attract attention and to do a good job in the prevention and control of the disease.

At the earliest outbreak in December 2002, the governments of Guangzhou and Guangdong had not released relevant information to avoid panic. 

By the end of December, the epidemic of this kind of "atypical pneumonia" began to circulate on the Internet. Since the disease was not known at the time, the relevant comments were confusing.
From January 12, 2003, some critically ill patients from other places began to be transferred to some large hospitals in Guangzhou for treatment. 

As of February 9, 2003, there have been more than 100 cases of disease in Guangzhou, many of them are medical staff. A total of 2 deaths in this type of cases were found in Guangzhou. At this time, the Ministry of Health began to pay attention to the cases in Guangdong. 

A team of experts led by Vice Minister Ma Xiaowei flew to Guangzhou on the afternoon of February 9 to help find the cause and guide the prevention and treatment work.

Since February 9, 2003, rumors that smoking white vinegar and drinking Banlangen can prevent strange diseases have risen, and there are signs of buying on the market.

On the 10th, panic buying reached its climax. Usually a large pack of Banlangen below 10 yuan suddenly soared to 30 or 40 yuan, and the price of white vinegar also rose, from 10 yuan to 80 yuan, 100 yuan. 

On the same day, a photographer actually took a historical picture of 1,000 yuan bottle of white vinegar.

On February 11, 2003, major media in Guangdong Province reported on the occurrence of atypical pneumonia cases in some areas. 

According to the report, as of 3:00 pm on February 10, a total of 305 cases were found and 5 deaths. 

There were 105 cases of infections among medical staff, and none died. Of the 305 patients, 59 have been discharged and recovered, and those who have not been discharged have been treated effectively and are in stable condition. 

The smallest of the dead was a 10-year-old boy in Guangzhou, and the largest was a 59-year-old man in Foshan.

On the morning of February 11, 2003, the Guangzhou Municipal Government held a press conference to announce the situation of atypical pneumonia in the Guangzhou area, saying that all patients' conditions were under control.

It is emphasized that for 300 million people in Guangzhou, more than 300 people are infected, and atypical pneumonia only occurs locally. 

There are no new cases reported in Zhongshan and other cities in Heyuan. 

It also explained the reason why the situation was not announced before February:
Most of the patients in Heyuan Zhongshan and other places have recovered or improved without recurrence. Atypical pneumonia is not a legally reported infectious disease, and the number of 305 cases is not counted many. 

The person in charge emphasized that the epidemic situation will be announced in accordance with the Infectious Disease Law.

In an interview with reporters on February 12, 2003, the person in charge of the Chinese Center for Disease Control and Prevention predicted that a large-scale epidemic of respiratory infectious diseases will not occur in the country in the near future. 
But a small-scale epidemic of respiratory infectious diseases may occur in some areas.

As the epidemic situation has not been fully demonstrated, the Chinese government did not notify the World Health Organization of the epidemic situation in Guangdong before February 2003.
On February 10, the Chinese government notified the World Health Organization of the disease. 

In the initial data provided, only the incidence of disease in Guangdong was listed. 

A World Health Organization investigation team visiting Beijing also failed to enter Guangdong for investigation.
At this time, around the Spring Festival in China, the outbreak of the epidemic was caused by the large population movement during the Spring Festival. 

Rumors and panic are spreading faster than the epidemic, and vinegar and Banlangen have also begun to snap up in places like Jiangxi. 
On the day of the announcement, panic buying occurred in Guangdong and other places.

On February 12, 2003, because the epidemic was not serious, the friendly match between the Chinese football team and the world champion Brazil football team was conducted normally.
The two sides fought 0: 0, and the fans on the scene were full, exceeding 50,000. 

On February 14, 2003, the media reported that the atypical pneumonia epidemic had little effect and the Guangzhou tourist market was not off-season. 

The "2003 Luo Dayou Guangzhou Concert" originally scheduled for February 18 at Tianhe Stadium has not been postponed, and all plans for performance production and rehearsals have not changed.

On February 14, 2003, the Chinese Center for Disease Control and Prevention stated that it had organized relevant experts to identify specimens recovered from the scene in Guangdong. 

It is said that as of that day, there have been no new cases for five consecutive days, and the total number of reported cases in Guangdong is still 305.

On February 21, 2003, Liu Jianlun, a retired professor at the Second Affiliated Hospital of Sun Yat-sen University (Sun Yat-sen Memorial Hospital), came to Hong Kong to attend the wedding of his relatives. 

He stayed in Room 911 of the Jinghua International Hotel in Hong Kong, and transmitted the disease to seven other travelers. 

Liu Jianlun then went to the Accident and Emergency Department of Guanghua Hospital on February 22 and died on March 4.

In late February 2003, an American businessman based in Shanghai confirmed his illness after arriving in Hanoi, Vietnam via Hong Kong. Later, many medical staff in local hospitals in Hanoi were also infected. 

The patient later returned to Hong Kong for treatment, but still died on March 14. 

Karl Lou Vulbany, a World Health Organization doctor based in Hanoi, first notified WHO of the condition of local medical staff and named the disease SARS. The doctor later died of the disease on March 29.

On March 5, 2003, the representative of Guangdong, who attended the National People's Congress, proposed a motion, pointing out that early warning and treatment of infectious diseases should consider seeking international assistance without affecting national security. 

On March 6, 2003, Beijing received the first imported SARS case.
On March 10, 2003, two of Hong Kong ’s largest television organizations, Radio and ATV, simultaneously broadcast a message:
The Prince of Wales Hospital in Shatin revealed that more than 10 medical staff have appeared in the past few days Fever and upper respiratory tract infection symptoms, and found that the disease is contagious.

On March 12, 2003, the World Health Organization issued a global warning, and then the US Centers for Disease Control and Prevention issued another health warning. 

The World Health Organization recommends the isolation and treatment of suspected cases, and has established a network of medical personnel to assist in the study of SARS outbreaks.
The network includes a secure website for X-ray film research and international conference calls.

On March 15, 2003, the World Health Organization officially named the disease SARS.

On March 13, 2003, the hospital affiliated to the Medical College of Taiwan University notified the first SARS case (Qin surnamed Taiwanese businessman).

No other infections had occurred except few

However, due to proper handling, no other infections had occurred except for the surnamed Taiwanese businessmen and colleagues.
As of March 13, the number of medical staff suffering from SARS in Hong Kong increased to 115.

On March 20, SARS entered the community and 5 children aged 2 to 15 years were confirmed to be infected. Since then, SARS quickly broke into office buildings, schools, and public places, with more than 60 cases of the highest peak daily increase. 

Even the Director of the Hong Kong Hospital Authority, He Zhaowei, could not escape the robbery and was admitted to the hospital due to illness.

On March 14, 2003, the Chief Executive of the Special Administrative Region, Dong Jianhua, personally came to the Prince of Wales Hospital to visit medical staff and understand the actual situation.

After March 15, 2003, reports of "Severe Respiratory Disorder (SARS)" appeared in many parts of the world, spreading from Southeast Asia to Australia, Europe and North America.

Indonesia, the Philippines, Singapore, Thailand, Vietnam, the United States, Canada and other countries have successively seen many cases of atypical pneumonia.

On March 15, 2003, a suspected patient was admitted to the emergency department of Peking University People's Hospital.
The patient with the surnamed Li was over 70 years old and came home from visiting relatives in Hong Kong.

Later, the patient with the surname Li was known as the Beijing drug king. Because the condition of SARS was not clear at first, the hospital did not take corresponding strict measures, resulting in a large number of hospital staff infected. 

On March 17, Li was transferred to Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, which resulted in a large-scale infection in the hospital. 

Within a week, 11 medical staff including Dongqingmen Hospital including Liu Qingquan, director of the emergency department, were all infected with SARS. Among them, the emergency doctor Duan Lijun and a nurse were killed. Because of his advanced age, Li Mou was too sick and died on March 20.

WHO informed the Chinese Ministry of Health about the recent development of SARS

On March 18, 2003, a spokesperson for the Chinese Ministry of Foreign Affairs stated that the World Health Organization informed the Chinese Ministry of Health about the recent development of SARS in relevant countries and highly appraised the measures taken by the Chinese government in dealing with Guangdong ’s SARS. Effective measures. 

On March 19, Minister of Health Zhang Wenkang met with the representative of the World Health Organization in China and introduced the relevant situation of atypical pneumonia in some areas of Guangdong Province.

On March 20, 2003, the World Health Organization announced that only half of the employees in the hospitals in Vietnam and Hong Kong were working normally. 

The organization also warned medical staff that there is a risk of contracting the disease if they come into direct contact with patients without protective measures.

On March 25, 2003, Ye Xin, head nurse of the emergency department of the Ersha Island Branch of the Guangdong Provincial Hospital of Traditional Chinese Medicine, died of SARS and became the first medical worker to die, causing great shock.

On March 27, 2003, the Hong Kong government announced that it is forbidden to visit SARS patients. 

Those who have had close contact with SARS patients must report to the designated clinic of the Department of Health every day within 10 days and begin to implement quarantine declaration measures at all immigration control points. 

On March 27th, primary and secondary schools and kindergartens were closed.

On March 31, 2003, the Hong Kong government isolated an apartment (Block E) in Amoy Gardens. 

More than 100 people have been infected in the apartment. The residents of the apartment were later transferred to a resort center, and the authorities fully disinfected the apartment. 

The authorities believe that the spread of the disease is mainly related to the design of the house structure. 

When a patient in ward 8A visited Block E, after using the toilet in the unit, it was allegedly likely to spread through excrement or wastewater. 
This incident also made people worry about whether the virus might be spread through the air, but the WHO later denied this possibility.

On March 31, 2003, China launched the "Atypical Pneumonia Prevention and Treatment Technical Plan" and published it on the Internet that day. 

SARS Severe Acute Respiratory Syndrome Virus Infection Disease

Summary Formulation of the Prevention and Treatment Work in the pre-stage

The etiology of atypical pneumonia is currently unclear, but a technical plan for prevention and treatment has been formulated based on the summary of the prevention and treatment work in the pre-stage.

On March 31, 2003, Professor Hong Tao, academician of the Chinese Academy of Engineering, said that the causative agent of atypical pneumonia has been successfully isolated, and it is likely to be a new variant of chlamydia.

On March 25, 2003, the US Centers for Disease Control and the Department of Microbiology of the University of Hong Kong had announced that the SARS pathogen was a "coronavirus" from pigs, but it did not attract the attention of researchers in Beijing.

Until April 16, the World Health Organization announced in Geneva that a variant of coronavirus is the causative agent of atypical pneumonia.

On April 1, 2003, the US government recalled all non-essential diplomats and their families in Hong Kong and Guangdong.
The US government also warns American citizens not to visit Guangdong or Hong Kong unless necessary. 
The Swiss government also prohibits Hong Kong manufacturers from participating in the upcoming Swiss watch fair, fearing that the disease will spread to Switzerland. 

On the evening of April 1, more than 700 Amoy residents were evacuated, and sitting on government-provided minibuses, the magistrates came to two resorts in Saigon and Lei Yue Mun to stay temporarily.

On April 2, 2003, the Chinese government promised to cooperate fully with the World Health Organization. China has declared all cases to WHO. 

There were 361 new cases and 9 deaths in March in Guangdong Province, China. At the same time, people in Beijing, Shanxi and Hunan in China have also been infected. But the Chinese Ministry of Health said that Guangdong's condition has been basically controlled. 

The World Health Organization also entered the Guangdong area to understand the epidemic situation, and advised tourists not to travel or work in Hong Kong and Guangdong. 

On April 3, experts from the World Health Organization arrived in Guangdong to inspect the disease and discuss the development of the epidemic with local experts.

On the afternoon of April 5, Ma Xiaowei, Vice Minister of the Chinese Ministry of Health, met with five experts from the World Health Organization in Guangzhou.

By the beginning of April 2003, Chinese official media reports on SARS cases had gradually increased, but it is generally said that the epidemic situation has been controlled.

On April 3, the Chinese Ministry of Health held a press conference in Beijing, announcing that experts from the World Health Organization had arrived in Guangdong and excluded Beijing from the epidemic area after inspecting the situation in Beijing.

Epidemic Control Declaration by Chinese Minister

The Minister of Health Zhang Wenkang said that the epidemic has been effectively controlled, and it is safe to work and travel in China and Beijing. He said that there were only 12 SARS cases and 3 deaths in Beijing at that time. He also said with a smile that it is safe to wear a mask of. 

Zhang Wenkang also pointed out that SARS means being effectively controlled in mainland China, not saying that effective elimination is completely eliminated, nor that it is effectively controlled and completely eliminated in all parts of the world. 

When explaining why the Ministry of Health does not report the epidemic, it is said that atypical pneumonia is not a statutory infectious agent and does not belong to the scope of report.

The epidemic only occurs in local areas, and the "Infectious Disease Prevention and Control Law" stipulates that the local government that issued the epidemic should announce it. 

State Council Information Office, also pointed

Wang Guoqing, deputy director of the State Council Information Office, also pointed out that from early February to April, there are more than 500 articles and articles about atypical pneumonia in various media in Guangdong.

If the reporter is interested, you can ask the Guangdong Provincial Information Office to provide a list of articles.

Many people think that Zhang Wenkang's remarks are very misleading to the people and the government at home and abroad.
In short, people do not pay enough attention to the epidemic.

Public Prevention from SARS (Severe Acute Respiratory Syndrome)

After concealing the disclosure of the epidemic in Beijing, the People’s Republic of China faced accusations from the international community.

To this end, the government of the People’s Republic of China accepts the assistance of the World Health Organization to investigate and further investigate the development of the local epidemic. 

The World Health Organization entered the Guangdong Province of China on April 2, 2003 to assist in the investigation and treatment.

On April 4, 2003, Sun Gang, deputy director of the National Tourism Administration, said that the safety and health of tourism throughout China is fully guaranteed, and China remains "the most ideal fertile land for investment and the safest tourist destination." 

The National Tourism Administration issued a notice that all tourism activities in China will proceed normally. 

US President Bush signed Executive Order No. 13295 to add SARS to the list of diseases that can be quarantined against the wishes of the parties.

On April 5, 2003 Pekka Aro, an ILO official, died in Beijing due to SARS.

On the morning of April 6, 2003, in order to show that the atypical pneumonia epidemic has been effectively controlled, led by the leaders of the Guangzhou Municipal Party Committee and other major leaders, 20,000 people gathered at the Tianhe Sports Center in Guangzhou began the Guangzhou Spring Fitness Long-distance Running.

On April 8, 2003, five experts from the World Health Organization arrived in Beijing after completing a six-day inspection of Guangdong. Highly appraised the efforts made and the results achieved by Guangdong Province.

On April 9, 2003, the World Health Organization expert and German virology expert Prizel said in a press conference of Chinese and foreign journalists in Beijing:
"The experience of Guangdong can be a model for other parts of China and even the world." In the United States, 154 suspicious cases of atypical pneumonia were found. 

American scientists are currently stepping up to screen more than 2,000 drugs, hoping to find a cure for atypical pneumonia.

On April 10, 2003, Vice Minister of Health Ma Xiaowei said at a press conference held by the State Council Information Office: 
The report of the SARS epidemic reported by China is credible. The reported number of outbreak cases is accurate. 

As of April 9, a total of 1,290 cases of atypical pneumonia have been reported in mainland China, and 1025 people have been cured and discharged, accounting for 79% of the total number of cases.

On April 11, 2003, the World Health Organization expert team arrived in Macau to understand and guide the prevention of SARS in Macau.

On the same day, a WHO team led by James Maguire, an expert on the SARS expert group of the World Health Organization, conducted a four-day inspection of the prevalence of SARS in Beijing and its prevention and control work from the 11th.

On April 12, 2003, President Hu Jintao, who was inspecting Guangdong, met with the Chief Executive of the Hong Kong Special Administrative Region, Dong Jianhua, in Shenzhen, saying that the central government attaches great importance to, cares about and fully supports and helps Hong Kong win the victory of the fight against the disease. 
On the same day, Premier Wen Jiabao went to Beijing Youan Hospital to visit medical experts and medical staff who participated in the prevention and treatment of atypical pneumonia.

On that day, WHO included Beijing in the epidemic area. Beijing invites a WHO expert group of 5 to visit medical institutions in Beijing and learn about the SARS epidemic in Beijing.

On April 13, 2003, China decided to include it in the "People's Republic of China Infectious Disease Prevention and Control Law" for the management of infectious diseases.

On the morning of April 14, 2003, Hu Jintao, who was currently working in Guangdong, went to the Guangdong Provincial Center for Disease Control and Prevention to investigate the situation of prevention and treatment of atypical pneumonia. 

On the same day, American scientists announced that they had drawn a genome sequence diagram of a new coronavirus suspected of being associated with atypical pneumonia. 

The Institute of Microbiology and Epidemiology, Chinese Academy of Military Medical Sciences and the Beijing Institute of Genomics, Chinese Academy of Sciences worked together to successfully complete the whole genome sequence of coronavirus at 11 pm on the 15th.

On April 15, 2003, the World Health Organization listed Singapore, Taiwan, China, Toronto, Canada, Hanoi, Vietnam, and Guangdong, China, Shanxi, and Hong Kong as the epidemic areas.

On April 16, 2003, the World Health Organization officially announced that the causative agent of SARS was a new coronavirus and named it SARS virus.

In early April 2003, Cao Mou, a retired professor in the Department of Finance of the Central University of Finance and Economics, saw a doctor at the Peking University Affiliated People's Hospital and subsequently became infected. 

After seeing the disease at Peking University Affiliated People's Hospital, Professor Cao went to Peking University Affiliated Third Hospital for treatment. 

Professor Cao's Symptoms Similar to SARS

Also due to lack of knowledge about SARS, he was misdiagnosed as an ordinary high fever and caused some medical staff infection in the hospital. Ten hours later, he died due to ineffective rescue. Professor Cao's symptoms are very similar to SARS. 

After consulting with the Beijing Municipal Department of the Third Hospital of Beijing Medical University, the patient was not diagnosed with SARS. The death certificate says: Respiratory failure, pneumonia

After the wife of the deceased professor was hospitalized, six of his son, daughter-in-law, grandson, daughter, son-in-law, and grandson were admitted to the hospital successively. Six employees of Zhongcai Logistics Group, who worked for Professor Cao's son, fell ill one after another. 

In the West Tower of Zhongcai, more than a dozen people in the tenants were recruiting. 

As of April 28, only Zhongcai faculty, including Professor Cao, had 19 diagnosed and suspected patients, two of whom died. 
In addition, a group of related family members including Professor Cao's wife were infected, and a community elevator worker was not spared.

At 11:30 on the evening of April 17, 2003, Sun Mou, a male student from the 15th floor of Block B of Jiayuan, Jiaotong University, North Jiaotong University, was sent to the school hospital for examination because of high fever. Sun was a 2002 student. 

He had a cold during military training on April 1, and then went to the hospital for treatment many times.

Due to the four major symptoms of SARS, Sun was sent to the Beijing People's Hospital overnight, and after being diagnosed, he was quickly transferred to the Beijing Hot Spring Chest Hospital specializing in treating SARS patients for treatment. This time is more than 2 am on April 18. 

On April 18th, students in the same dormitory and the dormitory next door began to experience collective fever. 
By April 19th, the disease began to spread, and a dormitory on the 12th floor of the building developed fever symptoms. 
This is a student of the Institute of Electronics, and did not have close contact with Sun. Wang Xiangping, director of the News Center of Northern Jiaotong University, said:
We later analyzed that the elevator may be cross-infected. Because everyone shares an elevator. According to the statistics of the SARS Prevention Office of Northern Jiaotong University, from April 16 to 19, the school had a total of 31 fever symptoms, of which 13 were sent to the hospital for treatment, 18 were observed by the school hospital, and 85 were monitored and monitored. 

On April 20, a large number of low fever patients appeared in Northern Jiaotong University, and the number of suspected cases increased rapidly. 
A young teacher in the computing center was diagnosed and sent to Xiyuan Hospital.

On April 18, 2003, the Ministry of Education decided to postpone the national re-examination of postgraduate students until the end of May, and the specific time will be notified later. 

On April 19, the Ministry of Education mobilized foreign students not to leave school during the "May Day". 

The Ministry of Education requires college students in Beijing and other places to study and live on the spot, and colleges and universities in areas where the number of cases are high adjust teaching and learning methods to avoid the spread of immunity.

After the meeting of the Standing Committee of the Political Bureau of the CPC Central Committee on April 17, 2003, the high-level officials have fully realized the severity and potential threat of atypical pneumonia, and have begun to respond with all their strength, taking all necessary emergency measures including personnel appointments and removals.

Underreporting the epidemic would face severe punishment

On April 19, when Wen Jiabao, the premier of the State Council of the People's Republic of China, officially warned local officials, officials who concealed underreporting the epidemic would face severe punishment. 

The following day, the Chinese government held a press conference again, announcing that the Beijing epidemic had increased from 37 cases with concealed reports to 339 cases. 

A few hours after the press conference, the Central Government and the Central Committee of the Communist Party of China announced the removal of Beijing Mayor Meng Xuenong and the Minister of Health Zhang Wenkang from the party, and nominated Wang Qishan as the Acting Mayor of Beijing, Gao Qiang as Party Secretary of the Ministry of Health, and Vice-Minister of the State Council Prime Minister Wu Yi also serves as Minister of Health.

On April 20, 2003, Gao Qiang, executive deputy minister of health, and Zhu Qingsheng, deputy minister of health, announced the implementation of the "one-day report system for epidemic situation". 
The number of confirmed cases of SARS announced by Beijing has increased from 37 cases the previous day to 339 cases. 

There are more than 100 new cases in Beijing and more than 600 suspected cases. At the same time, it was announced that May 1st "Golden Week", which was originally scheduled to begin on May 1, was suspended once to ensure that the epidemic will not spread further. Many colleges and universities in Beijing have announced suspensions.

On April 21, 2003, Deng Lianxian, secretary of the Party Branch of the Department of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-sen University, who was infected on the front line of SARS, was killed. Beijing has identified the first six designated SARS hospitals.

On April 22, 2003, the Beijing Emergency Center opened 10 SARS consultation hotlines. On April 22, Beijing intends to open Xiaotangshan Hospital as a special hospital for the prevention and treatment of SARS. On the 23rd, the Peking University People's Hospital, which built the hospital for 85 years, closed its doors for the first time in history and was isolated.

On April 30, Xiaotangshan Hospital was opened, and all SARS patients in Beijing entered this hospital for treatment.
On April 22, 2003, Sun Gang, deputy director of the National Tourism Administration, said at a news conference that in view of the fact that atypical pneumonia has not been effectively controlled in some areas, the tourism departments of various regions should not be able to organize tourism in the central and western regions and rural areas in the near future. 
The outbreak spread to rural areas and remote areas through tourism.

On April 23, 2003, the Ministry of Finance announced the purpose of the central government ’s 2 billion SARS prevention fund. 

On April 23, Beijing announced that the city ’s primary and secondary schools will be closed for two weeks from the 24th to ensure that the epidemic will not spread on campus.

 Hu Jintao, general secretary of the Central Committee of the Communist Party of China, used military forces to urgently build the Xiaotangshan SARS Hospital in Beijing. On the same day, WHO released the latest statistics: 
As of the 23rd, the total number of patients with atypical pneumonia in the world was 4,288 (including those who have recovered and some suspected patients), an increase of 343 from the previous report.

2032 SARS or suspected SARS patients worldwide have been cured and discharged, and 251 patients died, with a cumulative mortality rate of 5.85%. 
There are still 27 countries and regions in the world where SARS patients are found. New patients have been reported in the United States, Australia, Singapore and Canada.

On April 24, 2003, the Ministry of Railways notified passengers to request a refund before driving, and a full refund will be given.
 On April 26, the Ministry of Railways required that the transportation of SARS prevention and treatment supplies must reach their destination within 24 hours. On May 4, the Ministry of Railways requested all units of the railway engineering construction system to establish a daily health registration system for on-site construction workers and strictly control the movement of personnel. 

On April 29, the General Administration of Civil Aviation requested a full refund of the air tickets purchased by students before May 7.

On April 24, 2003, the Taipei Peace Hospital broke out, which was the first case in Taiwan due to SARS infection.

On April 26, 2003, Wen Jiabao visited the people in the supermarket community of the construction site in Beijing, visited Peking University students at noon, and had lunch with Peking University students.

Joint Issue of Notice by Ministry of Civil Affairs and the Ministry of Health

On April 26, 2003, the Ministry of Civil Affairs and the Ministry of Health jointly issued an emergency notice requesting that the body of a person who died of infectious atypical pneumonia should be cremated on the spot in time, and no body farewell ceremony or other forms of funeral activities should be held.

On April 27, 2003, the Hong Kong Special Administrative Region was the world ’s leading cause of death from SARS.
It claimed another 12 lives yesterday, making it the world ’s largest place of death from SARS, with a cumulative death toll of 133. 
The Director of Health, Chen Feng Fuzhen, said that although the number of infections has been steadily declining, Hong Kong still cannot be taken lightly and neglected.

On April 28, 2003, the first case of death from SARS infection occurred in Taiwan (the surnamed Zeng, the younger brother of the Taoda Garden resident who went to visit relatives in Taiwan).

On April 29, 2003, a senior consultant of the American Red Cross stated: 
SARS is not an American biological weapon. 
In response to the speculation that SARS may be a biological weapon of the United States, Dr. Graboski, a senior technical consultant of the International Department of the American Red Cross, said that scientists will investigate and study the SARS virus.

On April 30, 2003, the Ministry of Health issued an emergency notice requesting that the use of central air conditioning is strictly prohibited in places where atypical pneumonia is prevented.

On May 1, 2003, the United States "Science" magazine published two SARS virus genome sequence research papers, this is the first batch of peer-reviewed SARS virus genome sequence research results.

On May 3, 2003, the science and education film "Zhong Nanshan on SARS Prevention and Control" will be released to the whole country. 
The film was co-produced by the Propaganda Department of the Guangdong Provincial Party Committee of the Communist Party of China, the Provincial Department of Health, and the Provincial Department of Education. The length of the film is 30 minutes (Chinese and English version).

On May 4, 2003, suspected cases of SARS in Taiwan surged to a new high within a day. 
According to the statistics of the Department of Health of the Executive Yuan, there are a total of 116 possible SARS cases. Of the 14 new cases, 12 are related to the Peace Hospital. At the same time, what is worrying is that the number of suspected cases has increased by 82, almost the last time. Double the number. The total number of people notified has reached 732, so the "Health Department" once again called for the implementation of home quarantine, otherwise the epidemic will be difficult to control. The death toll remains at 8. On the same day, the World Health 

Organization published the latest global SARS epidemic report in Geneva, Switzerland: As of 18:00 on the 5th of the International Standard Time, there were 6,583 cases of SARS diagnosed patients and some suspected patients in the world, of which 461 died and 2764 were cured. 
These three figures were increased by 364 cases, 26 persons and 62 persons respectively compared with the statistics on the 3rd. There are a total of 30 countries and regions in the epidemic. 

There have been no deaths in the United States and European countries. On that day, there were 120 SARS cases and 10 deaths in Taiwan.

More than 1,200 people were quarantined in Hong Kong, more than 900 people in Singapore, and about 150,000 people were quarantined in Taiwan (until July 30, A-level isolation plus B-level isolation). Canada has also issued multiple isolation orders. 
Schools in Singapore and Hong Kong are closed for two to three weeks respectively.

On May 6, 2003, the Ministry of Public Security issued the "Five No Permits" to ensure smooth transportation during the SARS period.
It is forbidden to block road traffic on the grounds of preventing and treating "SARS".
It is not allowed to implement traffic control at the provincial border of the highway.
It is not allowed to set up roadblocks on the road to block the normal passage of vehicles.
It is allowed to cause serious traffic jams due to health quarantine. On the same day, the "Work Injury Insurance Regulations" was promulgated, according to which, medical staff should treat SARS as a work injury during the treatment of patients. 

A batch of materials allocated by the State Council to assist Hong Kong in combating atypical pneumonia. More than 80,000 pieces of protective clothing weighing a total of 14.5 tons. 

It took off from Hangzhou, Zhejiang on the afternoon of the 6th, and arrived at Shenzhen Airport on the 7th after two hours. In the afternoon, we arrived at Hong Kong via Huanggang Port. On the 6th, Beijing held the fourth press conference of SARS to inform Chinese and foreign media about Beijing ’s prevention and treatment of atypical pneumonia and to answer questions from reporters. 
Liu Zhihua, deputy mayor of Beijing, disclosed the details of Xiaotangshan Hospital for the first time. 

The Second Department of Xiaotangshan Hospital admitted 134 patients with the first batch of SARS on May 1. 97 patients were admitted to the second batch on May 3, and the third batch of 93 patients was admitted on May 4. 
The hospital is currently operating normally. "On May 6, Beijing Xuanwu Hospital began to treat SARS patients.

On May 7, 2003, the government decided to postpone 10 national professional and technical personnel qualification examinations, and requested that all localities not hold large-scale talent recruitment fairs in the near future. It is clearly stipulated that no discrimination shall be made against persons who have been isolated for treatment, detention and medical observation due to "SARS", and their wages and benefits shall be issued according to attendance by their affiliated units.
On May 8, 2003, Beijing China-Japan Friendship Hospital was put into use as a designated hospital for SARS.
On May 9, 2003, Premier Wen Jiabao signed the State Council Decree No. 376, promulgating the Implementation of the Emergency Regulations for Public Health Emergencies. The Ministry of Labor and Social Security requires that migrant workers be included in the unified management of SARS prevention. On the same day, Beijing announced that the proportion of SARS infections among medical staff had a significant downward trend: from April 21 to May 1, the average daily rate was 15.81; from May 2 to May 8, the average daily rate was 6.3. Atypical pneumonia cases in Beijing showed a significant downward trend.
According to a WHO report on May 12, 2003, patients who transmitted SARS to more than 10 people were called super-transmitters. They are elderly, chronically ill or suffer from chronic diseases such as kidney disease and diabetes.
On May 17, 2003, Peking University People's Hospital released its isolation.
On May 19, 2003, the number of new cases of SARS in Beijing dropped to single digits.
On May 21, 2003, Zhang Mou, the last SARS case in Beijing, was discharged from Beijing Ditan Hospital. As of May 23, all 747 close contacts in Beijing have been released from isolation, the treatment of SARS patients in Beijing has ended, and the chain of SARS transmission has been completely cut off.
On May 29, 2003, Beijing SARS had no new records for the first time.
On June 1, 2003, the Ministry of Health announced that the Beijing Municipal Headquarters for the Prevention and Treatment of Atypical Pneumonia was withdrawn.
On June 10, 2003, Beijing maintained a record of "four zeros" for the number of confirmed cases, suspected cases, past suspected transfers to confirmed cases, and previous confirmed cases to zero suspected cases for three consecutive days.
On June 14, 2003, WHO lifted the tourism warnings for Hebei, Inner Mongolia, Shanxi, and Tianjin.
On June 15, 2003, the Mainland of China achieved a record of "three zeros" in which the number of confirmed cases, suspected cases, and past suspected transferred cases were all zero.
On June 20, 2003, the last 18 patients in Xiaotangshan Hospital were discharged. In less than two months, the country's largest designated SARS hospital completed the entire process from establishment, operation to closure, and a total of 672 SARS patients were treated here, with a cure rate of more than 98.8%.

On July 13, 2003, the number of SARS patients and suspected cases worldwide no longer increased, and the SARS process was basically over.

Province epidemic situation

Sichuan: On March 29, a migrant worker who had been ill in Guangdong and had undergone initial treatment returned to his hometown of Xuyong County, Luzhou City, Sichuan Province for treatment, and was confirmed as a suspected case.

April 5, Xuyong, Luzhou City, Sichuan A young migrant worker in the county returned to his hometown for treatment after being sick in Guangdong and was clinically diagnosed with SARS.

On April 19, two young people who returned to Leshan from Guangdong developed suspected symptoms. They are all imported, mostly imported from Guangdong, especially farmers working in Guangdong.


 At 3 pm on February 14, the Zhuzhou City Disease Control Center of Hunan Province received a report from the county’s health and epidemic prevention station. Zhuzhou County Second People ’s Hospital received a 27-year-old female patient Wang Su. 

On February 17, the Hunan Provincial Health Department sent four experts to Zhuzhou County People's Hospital for consultation. 
At 5 pm on February 18th, the result of the consultation was mild atypical pneumonia. 

After treatment, on February 21, Wang's body temperature was normal, and he was discharged after 7 days of withdrawal. 
On March 5, Wang returned to Guangzhou to work again.

In April, Hunan reported 6 cases of imported SARS patients in Guangdong. Among them, a 19-year-old female patient died of respiratory failure.
Shanxi: Yumou, a native of Taiyuan, Shanxi, engaged in the jewelry business, went to Guangdong on February 15 to be infected, and was admitted to the Shanxi Provincial People ’s Hospital on February 27. 

On February 28, Yumou went to Beijing for treatment and was diagnosed with SARS. Yumou has infected 19 people, 8 of whom were diagnosed in Beijing, and 11 were in Shanxi Province. Yu ’s parents died in Beijing because of the infection. This is the first chain of the epidemic in Shanxi. The second chain of the epidemic in Shanxi was a patient from Qingxu County. 
He returned to Beijing 301 Hospital for oral ulcers and was diagnosed with SARS at the Shanxi Provincial People's Hospital.
Inner Mongolia:
 In April, Inner Mongolia became one of the hardest hit areas of SARS in the interior. On March 7, Inner Mongolia discovered the first suspected case report. Since then, cases have occurred in six allied cities in central, western and eastern regions. 

There are three groups of cases in Inner Mongolia: the first group starts from a civil aviation flight attendant in Hohhot City. She flew to Hong Kong on March 15th and affected 8 people.

The second group was a middle school student in Hohhot City. After visiting relatives who were hospitalized the disease affected three people.

The third group was Dr. Li Mou, a doctor from Linhe City Railway Hospital in Bayannaoer League. He returned to his hometown after returning from his internship at Beijing Youan Hospital.


 Zhao Yushan works in the County Broadcasting Bureau and is about 40 years old.

On March 27, 2003, after attending the Beijing State Administration of Radio, Film and Television, Zhao Yushan returned to Bayannur League, Dengkou County, Inner Mongolia Autonomous Region, and was infected with SARS on the train by Dr. Li, a doctor from the Pakistani Linhe Railway Hospital. 
Zhao began to have a fever after April 1st. 

On April 12th, due to the worsening of his illness, Zhao was sent to the Affiliated Hospital of Ningxia Medical College for treatment. 

On the 22nd, Zhao died and became the first imported SARS patient in Ningxia. Later, Zhao Yushan's wife, brother-in-law, wife and younger brother, younger brother and other people became sick.


The three imported SARS cases found in Hangzhou are three siblings. On April 12, the six siblings of their family gathered from Beijing, Shanghai and Hangzhou to sweep graves in Wuhan. 
The eldest sister from Beijing had symptoms of fever and cough, and was diagnosed as a SARS patient on April 19 after returning to Beijing.


In April 2003, Nie Mou, a resident of Qitamu Town, Jiutai City, Changchun City, went to a Beijing hospital to nurse her daughter for childbirth. 
At that time, the hospital had begun to treat SARS patients. Shortly after returning to Changchun, Nie Mou began to develop symptoms of SARS. 
He was admitted to the Department of Respiratory Medicine of the First Hospital of Jilin University and was diagnosed as an SARS case by expert consultation. 
Subsequently, Nie Mou's sister, husband, niece, two patients and 6 medical staff were successively diagnosed as SARS cases.


 On April 9, Cao went to Beijing to attend the funeral of his brother, professor Cao Xinghua of the Central University of Finance and Economics, and returned to Baoding to have a fever. Cao Mou's sister and son were both infected. After one of his friends was infected, the friend infected his niece again. 

Within two days, there were 6 suspected SARS patients in Baoding. According to the official epidemic report, the first case of Shijiazhuang was from Xinhe County, Xingtai City. 
Worked in Beijing after the Spring Festival, was treated in a local hospital after fever in Beijing on April 5, and was admitted to the Fifth Hospital of Shijiazhuang City on the evening of April 11. 

At 5 pm on April 25, she was diagnosed with SARS. According to the headquarters of the SARS Office in Zhangjiakou, a local man in his 50s was treating diabetes in a hospital in Beijing and contracted SARS during hospitalization. 

His wife and sister-in-law were also infected and passed on to their daughters, son-in-law and relatives. 

Three students from Zhangjiakou Hebei Construction Engineering School went to Beijing. They came back with fever and were diagnosed. 

The first SARS patient diagnosed in Handan was a Gansu person who worked at the construction site of Beijing Institute of Technology.

The first SARS patient in Qinhuangdao was a migrant worker who returned from Beijing to Funing County in Qinhuangdao.
The first case of Chengde was also during a business trip in Beijing infectious.


On April 14, Tianjin discovered the first SARS patient, Wang Mou, a 46-year-old Baodi from Tianjin 302 Hospital. 

On April 15, Meng Mou, a cadre from a civil affairs bureau in Hebei, came to the Affiliated Hospital of Tianjin Armed Police Academy to prepare for cardiac bypass surgery.

 The next day, Meng developed symptoms of high fever and dry cough, and was transferred to the Tianjin Pulmonary Hospital, a designated hospital for SARS, and then transferred to the Tianjin Infectious Disease Hospital. 

He died without treatment. It was verified that Meng had admitted SARS patients during his stay in Beijing Civil Aviation General Hospital.

In the early morning of May 5th, the chief physician of the Department of Respiratory Medicine of Tianjin Pulmonary Hospital died on his own, and became the first medical worker in Tianjin who was on the front line of treating SARS patients. 

In the early morning of May 11, Dr. Liu Weiyu, one of Meng's attending doctors and the director of the Department of Cardiology, Tianjin Armed Police Medical College, died at the age of 51.


 25-year-old Ma Bin is from Majiapo Village, Xiangquan Town, Dingxi County, Gansu. He has long been engaged in catering in Beijing and has a history of contact with SARS patients in Beijing. On April 14, Ma Bin felt sore and weak, and was diagnosed with a cold at the Xiaozhuang Hospital in Chaoyang District, Beijing. 

On April 17, Ma returned from Beijing by T151 train. After getting off the train, went directly to the Department of Infectious Diseases of Dingxi County Hospital for a hot clinic. 
Then, began to have a high fever and dry cough, and my lungs were shaded. It was diagnosed as SARS by an expert. 

Ma Sicheng, 60, who had accompanied SARS patients while in Beijing, also flew from Beijing to Lanzhou on the 18th. Drive back to Dingxi from Lanzhou Airport and rest at the brother-in-law's house. 
He began to have a high fever on the 19th and was diagnosed as atypical pneumonia in the fever clinic of Dingxi County Hospital.
Shaanxi: The first imported SARS case discovered in Shaanxi was a woman, 39 years old this year, from Xi'an, who accompanied other patients to Beijing for treatment in April. 
Fever began on April 10, and symptoms appeared. He returned to Xi'an on April 16 and was hospitalized. On April 20, SARS was diagnosed.
Jiangsu: On April 30, the first SARS case was found in Jiangsu Province. The patient is from Haimen, Nantong, 35 years old, and has lived in Beijing for a long time.

 On April 19, the patient developed SARS symptoms at his Beijing residence. 

On April 25, the patient was sent back to Nantong by her husband in a private car, and went directly to the hospital for fever treatment. 
She was then transferred to the isolation ward of the SARS designated hospital for treatment and confirmed as a clinically diagnosed SARS case.
Chongqing: On April 29, Zhang Mou, a waiter at a hotel in Dongcheng District, Beijing, was checked by the township hospital for a shadow on his lungs on April 29. He was diagnosed as the first SARS patient in Chongqing.


 On April 19, Wang Mou from Suizhong County, Huludao City arrived at Huludao Central Hospital for treatment. 
At 7 o'clock that evening, a team of experts from the Liaoning Provincial Department of Health arrived and clearly diagnosed Wang as the first imported SARS patient in Liaoning Province.


 On April 16, Wu Ye, a new farmer who once worked in Beijing, was admitted to Nanyang Central Hospital due to SARS.

On April 22, three new cases of SARS were diagnosed in Henan. Before the onset of the newly diagnosed SARS patients, they had worked, worked, accompanied, or visited patients in medical institutions in Beijing.
Jiangxi: At 21:00 on the evening of May 3, Jiangxi Province found the imported SARS case for the first time. 
After investigation, the patient was a worker from Ji'an County in Beijing and returned to Ji'an on the evening of April 26 by train. 

After receiving the information provided by Beijing that the patient's lover has been diagnosed as atypical pneumonia in Beijing, Ji'an Health and Epidemic Prevention staff were all dispatched to locate the patient in a hotel.


Two suspected cases of atypical pneumonia were found in Xiamen, Fujian. The two people returned from Hong Kong training in the same unit. They lived with Hong Kong Taotao Garden together with 64 other people and returned to Xiamen on March 30.


On March 27, a female businessman from Hong Kong negotiated business and returned to Shanghai. She had symptoms on the way and was diagnosed on April 2. 

On April 7, the 68-year-old father of the patient developed fever and other symptoms and was diagnosed as the second case of atypical pneumonia in Shanghai on April 17.
Anhui: On April 21, Fuyang, a part-time worker in Fuyang, returned from Shenzhen by train 1540 (Shenzhen to Zhengzhou). On April 22nd, Bumou arrived in Fuyang and was sent to the First Hospital of Fuyang City by his family for diagnosis. SARS was confirmed.
Shandong: On April 21, Jinan diagnosed the first SARS patient in Shandong Province. The surnamed patient comes from Taiyuan City, Shanxi Province, and is a deputy department-level enterprise cadre. 
He has just been transferred from Shanxi Petroleum Company to Shandong Petroleum Company to serve as deputy general manager. 

On April 3, the patient developed symptoms of fever and was seen at the Taiyuan People's Hospital. 

On April 7, the patient came to Jinan for work transfer and was treated in many local hospitals. The clinical diagnosis was SARS Outbreak.

On May 31, 2003, WHO removed Singapore from the epidemic area.
    On June 23, 2003, WHO removed Hong Kong, China from the epidemic area.
    On June 24, 2003, WHO removed China from the epidemic area.
    On July 2, 2003, WHO removed Canada from the epidemic area.
    On July 5, 2003, the WHO removed Taiwan from the epidemic area.
    On July 13, 2003, there were no more new cases or suspected cases in the world, and the epidemic basically ended. 
    In December 2003, the Southern Metropolis Daily reported that SARS reappeared in Guangzhou, but it was not officially confirmed.
    On December 5, 2003, Lieutenant Colonel Zhan of the Institute of Preventive Medicine of the "Taiwan Defense Department" was infected with SARS in the laboratory due to operational problems. There was no infection and he recovered after treatment.
    In April 2004, Beijing again found suspected cases of SARS, and several infection cases occurred.

As of August 16, 2003, a total of 5327 clinically diagnosed cases of atypical pneumonia were reported in mainland China, 4959 cases were cured and discharged, and 349 deaths (another 19 died from other diseases were not included in the number of SARS deaths). 

Hong Kong, China

1755 cases, 300 deaths; Taiwan, China: 665 cases, 180 deaths; Canada: 251 cases, 41 deaths; Singapore: 238 cases, 33 deaths; Vietnam: 63 cases, 5 deaths.

Virus host

On November 1, 2013, Science and Technology Daily reported that the research team of Shi Zhengli of Wuhan Institute of Virology, Chinese Academy of Sciences has isolated a SARS-like CoV (SARS-like CoV) highly homologous to SARS virus, further confirming that the Chinese chrysanthemum bat is SARS The source of the virus. 
The research results were published online in the journal Nature. However, the existing epidemiological evidence and bioinformatics analysis show that the civet cats in the wild animal market are the direct source of SARS-CoV. 

Does this contradict Shi Zhengli's report? 

There are several sources of the SARS virus. After careful study, it was found that the civet cats in northern China did not carry the SARS-like coronavirus (SARS-CoV), but only in the Guangdong region. 

The civet cats carried this virus in the winter that year. This indicates that the civet cat may only be an intermediate host of the virus. It may be infected by the Chinese chrysanthemum head bat, and the virus was obtained from the latter. 

In short, the search for the source of the SARS virus continues, and the complete elimination of SARS still requires the joint efforts of all mankind. 
In February 2014, Xu Dezhong and others published a paper in "Medical Controversy" and pointed out that the Chinese chrysanthemum bat is the storage host of SARS-like-CoV and not the SARS-CoV. It is the storage host for SARS-like-CoV.

Event controversy

Jiang Yanyong, a retired doctor at the Beijing 301 Hospital of the People's Liberation Army, knows from what he saw that Zhang Wenkang did not disclose the truth. At least the situation in Beijing was far more serious than he said.
Zhang Wenkang ’s original statement at the press conference was: “Since the discovery of atypical pneumonia in early 2003, mainland China has reported a total of 1190 cases of atypical pneumonia as of March 31, including 1153 cases in Guangdong province, 12 cases in Beijing, and Shanxi province. 

4 cases, in addition, after retrospective investigation, 11 cases in Guangxi Zhuang Autonomous Region, 7 cases in Hunan Province and 3 cases in Sichuan Province. 
A total of 934 patients have been cured and discharged, accounting for 78.5% of the total number of cases. 
Among them, 911 cases in Guangdong and 1 case was in Beijing. 

There were 8 cases in Guangxi, and all cases in Hunan, Shanxi, and Sichuan were cured and discharged, and no new cases occurred. 
In this epidemic, a total of 46 cases died, including 40 cases in Guangdong, 3 cases in Beijing, 3 cases in Guangxi, Shanxi, Hunan There are no deaths in Sichuan."
At the end of March, Jiang Yanyong's college classmates and a colleague working in 301 Hospital developed lung cancer and developed SARS symptoms, and was isolated in the intensive care unit of 301 Hospital. 
At that time, the People's Liberation Army SARS prevention and treatment center was located in 309 Hospital, and the patient's information was sent to 309 Hospital for consultation. So Dr. Jiang Yanyong got some internal data of SARS from 309 Hospital.
 He learned at that time that there were 40 patients in 309 hospital and 6 deaths. After one day, it increased to 60 cases and 7 deaths. 

Jiang Yanyong also knew that 302 Hospital also had 40 SARS cases. Therefore, Jiang Yanyong believes that the figures announced by Zhang Wenkang have been severely reduced, which is a misleading of the Chinese people and health departments, and is not responsible for the health of the people. 

On April 4, Jiang Yanyong wrote an e-mail to CCTV 4 and Hong Kong Phoenix Satellite TV to report the situation, but no results. But in the middle of the night on April 8, he was called by Susan Jakes, a reporter based in China for Time magazine in the United States, and was interviewed.

The next day, "Times Weekly" published a report "Beijing was attacked by SARS" on the Internet, citing the information provided by Jiang Yanyong. 
At this point, the public learned that the epidemic situation in Beijing was far more serious than officially announced by China. 

The World Health Organization renewed its travel warning, criticized the Chinese government, and once again listed Beijing as an epidemic area. Many international media accused the Chinese government of attempting to conceal the epidemic, causing the virus to spread globally. 

China also believes that it has exposed many problems and loopholes in the Chinese medical system.
Susan Jakes revealed to a limited extent afterwards that she did not know Jiang Yanyong before, and was a "friend" who forwarded Jiang Yanyong's e-mail to her and the reporter of The Wall Street Journal.
Afterwards, Gao Qiang, executive deputy minister of the Ministry of Health, said in an interview that he did not agree with Zhang Wenkang ’s dismissal because he concealed the epidemic, nor did he agree with the Chinese government ’s concealment of the epidemic. 

The People's Daily Xinhua News Agency has made it clear that a disease called atypical pneumonia has appeared in Guangdong. When the Guangdong government of China first released the outbreak, SARS had not occurred anywhere else in the world. This release itself is a warning to the world.

 Regarding the responsibilities of the relevant departments, they will be handled in accordance with the Emergency Regulations for Public Health Emergencies.
The reason why the reporter Zhang Wenkang will reduce the number of the Beijing epidemic is because the information channels were not good at that time. 

Beijing’s medical institutions were scattered in various aspects to manage it. It was difficult to grasp the accurate numbers for a while. The inaccuracy of the situation and the intention to conceal the epidemic were different. 
Chinese official media also criticized some malicious hype by foreign media. The Wall Street Journal's comment entitled "Isolate China" said, "There are still many mysteries about this disease that originated in southern China, and there is no cure.

Even today, China still refuses to give the world All the information needed by the WHO. 
"The People ’s Daily pointed out that this is not a fact. There is no scientific basis to show that Guangdong is the birthplace of atypical pneumonia. The Chinese government and WHO have conducted effective and transparent cooperation. Atypical pneumonia is a new disease, and the determination and release of the epidemic is a matter of extreme caution to avoid panic. Shanghai Dongfang Daily also criticized an article published by the American Times magazine before the World Health Organization experts went to Shanghai. The Time article claimed that Shanghai Huashan Hospital hid "SARS" patients to avoid the World Health Organization inspection. 

Huashan Hospital pointed out that this was because SARS patients leave a house alone for epidemic prevention. 

Dongfang Daily also expressed its dissatisfaction with the time reporter’s misrepresentation of the epidemic situation and the impersonation of WHO experts.

Event impact

China Mainland

The normal teaching progress of many universities in mainland China has been disrupted, and primary and secondary schools in Beijing have been suspended.
 However, the national college entrance examination held in June has not been postponed. Many provinces and cities across the country have implemented comprehensive suspension of primary and secondary schools, and many regions have changed the order of the previous exams to adapt to special periods. For example, Beijing has adopted the order of equal scores and then filled out the order of volunteers, resulting in a serious "getting together" phenomenon. This led to a substantial increase in the number of repeaters, but on the other hand, it guaranteed the admission of Peking University and Tsinghua University. 

Beijing’s Northern Jiaotong University (now known as Beijing Jiaotong University) is the most famous isolation university. 

However, many college students leave the school and return to their hometowns, and the isolation policy is not implemented thoroughly.
During the peak period of SARS, the party and government organs at all levels in China showed an astounding mobilization force and went deep into rural grassroots communities.

At this time, the traditional social forces with the village as a unit played a role: 
all the people from outside the village were not allowed to enter the village, and the people who worked outside the village in the village were also blocked outside the village. 
They could not return to the village until the observation period expired. 

During SARS, Hu Jintao, General Secretary of the Communist Party of China Central Committee and President of the People's Republic of China, inspected the implementation of epidemic prevention in rural areas in Sichuan, because the central government is most worried about the return of rural migrant workers from Sichuan and other inland provinces working in Guangdong to spread the disease. 

Because of effective preventive measures, the epidemic in Sichuan is not as serious as in Guangdong, northern Beijing, Shanxi, and Inner Mongolia.
Many sports games and warm-up games have been cancelled, changed host locations or postponed.

 In 2003, China Football League A even suffered a serious snow-back in November due to serious delays.
On June 24, the World Health Organization lifted the Beijing Tourism Warning and removed it from the list of epidemic areas (the so-called "double lift").
After the SARS epidemic ended, the central government announced a substantial increase in funding for health and epidemic prevention, building disease prevention and control centers at all levels across the country, and in particular increasing funding for rural areas.

 Wen Jiabao, member of the Standing Committee of the Political Bureau of the CPC Central Committee and Premier of the State Council, inspected Guangdong, where the epidemic was most severe, and attached great importance to the advice of academician Zhong Nanshan, a local epidemic prevention expert.

 In addition, the central government also publicly supports the Chinese medicine industry, publicizes the role of Chinese medicine in the treatment of SARS in public, and requires that all levels of the medical system must be equipped with Chinese medicine.

China Hong Kong

At that time, the Chinese central government banned the media from reporting on the epidemic. When the news from Hong Kong TV stations was transmitted to the mainland of China, it was cut off from the mainland. 
The local government also urged the media not to "exaggerate" the epidemic in the area, so as not to cause panic among the people. Even before the epidemic broke out in Hong Kong, many Hong Kong medical experts noticed that something was wrong and made a special trip to follow up and review the relevant issues.
The mainland government was accused of repeatedly blocking and concealing the relevant epidemic information from them. Some people in Hong Kong believe that the Central People's Government has concealed the epidemic, causing the Hong Kong government to underestimate the risk of the epidemic being introduced into Hong Kong, which has caused SARS to spread from mainland China to Hong Kong. 

However, on February 11, 10 days before the outbreak of SARS in Hong Kong, the Guangdong Provincial Government had held a press conference in accordance with the Infectious Diseases Law to announce the epidemic situation. 

The outbreak in Beijing was one month later than in Hong Kong. Afterwards, the Ministry of Health also stated that it did not agree with the concealment of the epidemic. 

When the epidemic was announced in Guangdong Province on February 11, no epidemic occurred in any place except the mainland, which itself was a warning to the world.

Taiwan, China

The pro-mainland media "Ta Kung Pao" declared that the Chinese Center for Disease Control and Prevention proposed "'supporting Taiwan free of charge' to ensure that Taiwan compatriots survive the crisis smoothly ', and claimed that before the report, the first batch of aid materials of two thousand" atypical pneumonia crown "Viral antibody-linked immunoassay kit" was handed over to Taiwan medical experts. 
The Taiwan authorities denied this, and the then "President" Chen Shuibian, "Vice President" Lu Xiulian, and "Secretary of the Taiwan Authority Leaders" Wu Zhaoxie, etc. even criticized the "really shameless lies". He emphasized that "Taiwan should stop the epidemic. The spread of China must depend on itself, it is impossible to rely on the CCP on the other side. "
The mainland media said that on April 11, at the invitation of relevant parties in the mainland, three Taiwan virus and infection experts recently went to Guangdong to communicate with the mainland regarding the prevention and treatment of the SARS epidemic.

The three experts were Wang Lixin, deputy dean of Tzu Chi Hospital, He Meixiang, deputy researcher of the Biomedical Research Institute of the "Central Research Institute", and Lin Yilin, an expert.
In late April, 3000 masks and 3 UVC air disinfectors supported by Mazu economic and cultural exchange and cooperation center of Fujian Mawei were transported to Kinmen via a "two-door" flight, and then transferred to Matsu by Limen Feng, head of Jinmen County. 
In late April, the world's most advanced disinfection material, photocatalyst, departed from Fuzhou University to Taiwan Island to prevent SARS on Taiwan's public buses. 
In late April, the Chinese government agreed that the World Health Organization sent experts to Taiwan to investigate the SARS epidemic and assist Taiwan in combating SARS. 
On May 9, Beijing held a "Symposium on SARS Prevention and Control across the Taiwan Straits".
Medical experts on both sides of the strait conduct face-to-face discussions and exchanges through television and telephone. 
More than 20 experts, including mainland medical experts Hong Tao, Zeng Yi, Zhong Nanshan, President of the Taiwan Medical Association Association Gao Mingjian, and former dean of Chang Gung Medical College, Taiwan, Zhang Zhaoxiong, attended and spoke at the meeting. 
On May 14, nearly 100,000 masks and other medical supplies were transferred to Taiwan through Shenzhen Airlines' anti-SARS green channel. 
On May 21st, at the request of Taiwan ’s medical community, with the theme of “Jointly Combatting SARS”, four medical experts on both sides of the Taiwan Straits communicated on the scene of SARS prevention and control via TV connection, and recorded a TV program to both sides of the strait. 
The audience broadcast. The four experts are: President of the Chinese Physicians Association of Mainland China, Yin Dakui, professor of internal medicine, and chief physician Tong Xiaolin of the China-Japan Friendship Hospital, Gao Mingjian, chairman of the Taiwan Medical Association Association, and Chen Wangquan, chairman of the Taiwan Traditional Chinese Medicine Union. 
On May 21, Taiwanese entrepreneurs investing in Xiamen donated RMB 1.25 million and 5000 masks to Taiwan, RMB 250,000 and 20,000 masks to Beijing, and RMB 100,000 to Xiamen through the Chinese Red Cross. 20,000 masks. 
On May 25, the Chinese Traditional Chinese Medicine Society of the Mainland invited famous Chinese medicine experts from Beijing and Guangzhou to hold a "Symposium on the Prevention and Treatment of SARS of Chinese Medicine on Both Sides of the Taiwan Straits" through TV and telephone connections.
The pro-continental media Wen Wei Po reported that during the participation in the WHO annual meeting in May, the mainland took the initiative to secure Taipei’s five places for the WHO to attend the global anti-epidemic conference in mid-June. 
It is said that the invitation letter of the WHO was transmitted through the Chinese Medical Association in Beijing. The invitation letter of the WHO clearly marked "People's Republic of China". 
The opinion of Taipei ’s public opinion is that the United States first proposed to WHO to arrange a global SARS prevention and control meeting, and then the Taipei representative in Geneva submitted a list of 4 people to WHO, and Beijing also submitted a recommendation list when informed. See on the list. 
The pan-green camp in Taiwan began to use the media to attack Gao Mingjian and the People First Party, and even Shanggang went online to sell off Taiwan’s interests, opening up eyes for Beijing and forcing the People First Party Chairman James Soong to come forward and ask Gao Ming to return to Taiwan quickly. 

Gao Mingjian had to temporarily give up his role as a medical expert and "Zunyi" held a sign outside the Kuala Lumpur venue to protest.
Afterwards, Minister of Health Gao Qiang dismissed the statement in Taiwan that some people believed that Taiwan ’s epidemic was caused by the mainland, noting that such remarks were irresponsible in themselves.
The earliest official announcement of China's epidemic was on February 11.
Taiwan’s first case was released on March 15, and more than a month has passed. It cannot be said that the spread of Taiwan has been caused by China ’s concealment of the epidemic. The mainland has provided various assistance to the SARS epidemic in Taiwan.
The US Centers for Disease Control and Prevention sent staff to Taiwan to observe and study, and provided assistance to understand effective methods to assist other WHO member states in controlling the epidemic.
In Taipei City, Taiwan Province, the first SARS case was discovered on March 14, 2003, and on July 5, 2003, the World Health Organization announced the removal of Taiwan from the SARS -infected area. In the past 4 months, there were 664 cases (Executive Yuan The Disease Control Bureau of the Department of Health re-screened 346 actual cases in September), of which 73 people died. 
The Department of Health of the Executive Yuan announced during the epidemic that SARS was included in the fourth category of statutory infectious diseases, and since 1949, the Peace Hospital.
The first sight of the surrounding streets, the control blockade of neighboring buildings, and the screening of fever outside other hospitals also caused the Director of the Department of Health of the Executive Yuan and the Director of the Taipei City Health Bureau to step down.
The Taipei City Peace Hospital was closed due to SARS nosocomial infection. The reasons were that it was difficult to judge the SARS cases, the protective measures were not strictly implemented and the hospital was not isolated when the suspected case was found. 
At first, Qiu Shuqian and the Department of Health of the Executive Yuan disputed whether SARS should be listed as a legal infectious disease. 
During the dispute, the Taipei City Peace Hospital did not inform the medical staff and employees that there were suspected cases in the hospital (these cases are more difficult to judge, but the Department of Health requires that the suspected patients be treated as SARS patients for safety).
During the 2003 World Health Assembly, Taiwan applied for the seventh time to join the World Health Organization. 
The proposal was strongly opposed by the Chinese delegation, and the United States, Japan, and the European Union expressed their support.
After fierce debate among Member States, the General Assembly announced that it would not put Taiwan ’s application for membership on the agenda.
The criticism of the Taiwanese media began when Taiwan ’s “One Weekly” reported that the Peace Hospital had closed its policy on April 24. 
The report pointed out that the closure of the Heping Hospital was chaotic, which caused the hospital medical staff to be panicked. After that, Qiu Shuqian led officials to the Heping Hospital to be equipped with a full set of protective clothing and oxygen cylinders. Ye Jinchuan entered the Peace Hospital on the 27th to provide assistance.
Afterwards, Renji Hospital was closed due to nosocomial infections. Under the takeover of the Taiwan authorities, Renji Hospital evacuated patients and medical staff with a method of no access.
In May 2003, Wu Kangwen, the dean of the Heping Hospital, was removed from his post. Taipei City Health Director Qiu Shuqian resigned due to public opinion pressure.

Europe and America

Many sports events originally scheduled to be held in mainland China are forced to be transferred to other countries, such as the FIFA Women’s World Cup originally scheduled to be held in China, moved to the United States.
On March 30, the International Hockey Federation announced the cancellation The 2003 World Women’s Ice Hockey Championships, originally scheduled to be held in Beijing.
The FIVB decided to change the entire World Women’s Volleyball Grand Prix to Italy.
On April 1, a European airline carried out large-scale layoffs. The SARS epidemic has had a major impact on aviation and tourism.
The hotel occupancy rates in Guangdong and Hong Kong have dropped significantly. 
Business performance in Chinatown in North America also declined.
Switzerland announced a ban on Hong Kong manufacturers from participating in the International Watch & Clock Fair in Zurich in April.
The Hong Kong Watch and Clock Trade Union expressed strong protests and said that the decision would seriously hurt the Hong Kong watch industry.
Some international conferences originally scheduled to be held in Toronto, Canada were cancelled. At least one film premiere was held in shift. Canadian media reported that Toronto ’s hotel occupancy rate was only half that of the same period.


On March 27, the Singaporean government announced that all primary and secondary schools in the country were suspended for 10 days due to the spread of the epidemic.
On April 5, the Singaporean government announced the extension of school suspension in three stages due to concerns about the spread of the epidemic. All junior colleges will resume classes on April 9th, secondary schools will resume classes on April 14, and elementary and preschool classes will resume on April 16.


China Mainland

    Ye Xin (March 25, 2003, Head Nurse, Emergency Department, Ersha Island Branch, Guangzhou Guangdong Traditional Chinese Medicine Hospital)
    Li Xiaohong (July 1974-April 16, 2003, Attending Physician of the Second Department of the Armed Police Beijing Corps Hospital)
    Deng Lianxian (April 21, 2003, Secretary of the Party Branch and Chief Physician, Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou)
    Liang Shikui (1946-April 24, 2003, Deputy Director of Emergency Department of Shanxi Provincial People's Hospital)
    Yang Tao (radiologist, Luhe Hospital, Tongzhou District, Beijing, 1960-May 6, 2003) 
    Ding Xiulan (March 24, 1954-May 13, 2003, chief physician, deputy director of the emergency department, secretary of the party branch of the emergency department)

China Hong Kong

    Yongjia Liu (1965-April 26, 2003, nurse in the Department of Thoracic and Pulmonary Medicine, Tuen Mun Hospital)
    Xie Wanwen (March 31, 1968-May 13, 2003, Department of Thoracic Medicine, Tuen Mun Hospital)
    Deng Xiangmei (1967-May 16, 2003, Health Service Assistant, United Christian Hospital)
    Liu Jinrong (1956-May 27, 2003, Assistant Health Service, United Christian Hospital)
    Wang Gengdi (1950-May 31, 2003, Health Service Assistant, Prince of Wales Hospital)
    Zhang Xixian (1945-May 31, 2003, private practice specialist in Hong Kong otolaryngology)
    Zheng Xiaen (1973-June 1, 2003, doctor at Tai Po Hospital)

Taiwan, China

    Lin Yongxiang (On April 28, 2003, Physician at Kaohsiung Chang Gung Hospital)
    Chen Jingqiu (May 1, 2003, Chief of Nursing, Taipei City Peace Hospital)
    Lin Jialing (May 11, 2003, nurse at Taipei City Peace Hospital)
    Lin Chongwei (May 15, 2003, doctor at Taipei City Peace Hospital)
    Xuehui Zheng (May 18, 2003, deputy director of the nursing department of Taipei City Peace Hospital)


     Karl Vulbani (March 29, 2003, the first doctor to discover SARS, the World Health Organization sent a doctor in Hanoi, Vietnam)


Author's Bio

Doctor Shawna Reason, Virologist
Dr. Shawna Reason
Name: Shawna Reason

Education: MBBS, MD

Occupation: Medical Doctor / Virologist 

Specialization: Medical Science, Micro Biology / Virology, Natural Treatment

Experience: 15 Years as a Medical Practitioner

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