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China building a hospital to treat virus, expands lockdowns

Hong Kong China Outbreak
Passengers queue at ticket counters in the departure hall of the high speed train station in Hong Kong, Friday, Jan. 24, 2020 to celebrate the Lunar New Year which marks the Year of the Rat in the Chinese zodiac. Cutting off access to entire cities with millions of residents to stop a new virus outbreak is a step few countries other than China would consider, but it is made possible by the ruling Communist Party’s extensive social controls and experience fighting the 2002-03 outbreak of SARS. (AP Photo/Achmad Ibrahim)

BY YANAN WANG

China announced Friday that it is swiftly building a 1,000-bed hospital dedicated to patients infected with a new virus that has killed 26 people, sickened hundreds and prompted unprecedented lockdowns of cities during the country’s most important holiday.

On the eve of the Lunar New Year, transportation was shut down in at least 13 cities home to more than 36 million people. The cities are Wuhan, where the illness has been concentrated, and 12 of its neighbors in central China’s Hubei province.

“To address the insufficiency of existing medical resources,” Wuhan is constructing a hospital modeled after the Xiaotangshan SARS hospital in Beijing, Wuhan authorities said in a Friday notice. The facility will be a prefabricated structure on a 25,000- square-meter (270,000-square-foot) lot, slated for completion Feb. 3.

The SARS hospital was built from scratch in 2003 in just six days to treat an outbreak of a similar respiratory virus that had spread from China to more than a dozen countries and killed about 800 people. The hospital featured individual isolation units that looked like rows of tiny cabins.

Normally bustling streets, malls and other public spaces were eerily quiet in Wuhan on the second day of its lockdown. Masks were mandatory in public, and images from the city showed empty store shelves as people stocked up for what could be an extended isolation.

Train stations, the airport and subways were closed; police checked incoming vehicles but did not entirely close off roads. Entertainment venues were not spared: karaoke bars, movie theaters and internet cafes in several parts of Hubei were shut down.

Hospitals in Wuhan were grappling with a flood of patients and a lack of supplies. Videos circulating online showed throngs of frantic people in masks lined up for checks. Some users on the Weibo social media site said their family members had sought diagnoses but were turned away at hospitals that were at capacity.

At least eight hospitals in Wuhan issued public calls for donations of masks, goggles, gowns and other protective medical gear, according to notices online. Administrators at Wuhan University People’s Hospital set up a group chat on the popular WeChat messaging app to coordinate donations.

The “Fever Control Command Center” of the city of Huanggang also put out a call for donations publicized by the state-run People’s Daily, asking for medical supplies, medicine and disinfection equipment. The notice added that at the moment they wouldn’t accept supplies from foreign countries.

Authorities were taking precautions around the country. In the capital, Beijing, major public events were canceled, including traditional temple fairs that are a staple of Lunar New Year celebrations. Beijing’s Forbidden City, Shanghai Disneyland and a slew of other tourist attractions have been closed indefinitely.

The number of confirmed cases of the new coronavirus has risen to 830, the National Health Commission said. Twenty-six people have died, including the first two deaths outside Hubei and the youngest recorded victim.

The health commission in Hebei, a northern province bordering Beijing, said an 80-year-old man died there after returning from a two-month stay in Wuhan to see relatives. Heilongjiang province in the northeast confirmed a death there but did not give details.

While the majority of deaths have been older patients, a 36-year-old man in Hubei was admitted to the hospital earlier this month after suffering from fever for three days. He died following a sudden cardiac arrest on Jan. 23.

Initial symptoms of the virus can mirror those of the cold and flu, including cough, fever, chest tightening and shortness of breath, but can worsen to pneumonia. The coronavirus family includes the common cold as well as viruses that cause more serious illnesses, such as SARS and Middle Eastern respiratory syndrome, or MERS, which is thought to have originated from camels. The Wuhan outbreak is suspected to have begun from wild animals sold at a food market in the city. The market is closed for investigation.

The vast majority of cases have been in and around Wuhan, but people who visited or had personal connections to infected people were among the scattered cases counted beyond the mainland. South Korea and Japan both confirmed their second cases Friday; Singapore confirmed its third and Thailand its fifth. Cases have also been detected in Hong Kong, Macao, Taiwan, the United States and Vietnam.

Many countries are screening travelers from China and isolating anyone with symptoms.

The World Health Organization decided against declaring the outbreak a global emergency for now. The declaration can increase resources to fight a threat but its potential to cause economic damage makes the decision politically fraught.

Chinese officials have not said how long the shutdowns of the cities will last. While sweeping measures are typical of China’s Communist Party-led government, large-scale quarantines are rare around the world, even in deadly epidemics, because of concerns about infringing on people’s liberties.

Recalling the government’s initial cover-up of SARS, many Chinese are suspicious of the case numbers reported by officials. Authorities in turn have been keen to pledge transparency. China’s cabinet, the State Council, announced Friday that it will be collecting information on government departments that have failed in their response to the new outbreak, including “delays, concealment and under-reporting of the epidemic.”

The state broadcaster CCTV’s annual Spring Festival Gala program, which attracted more than 1 billion viewers last year, paid tribute to the medical workers fighting the viral outbreak.

“Please believe in China,” the hosts said. “With the most transparent public information … on the battlefront of the epidemic, we will definitely win.”

Tarik Jasarevic, a spokesman for the WHO in Geneva, said Friday that the U.N. agency has no case numbers beyond those already released publicly by China.

But he said the numbers “weren’t really the point.”

“It’s still too early to draw conclusions about how severe the virus is because at the beginning of any outbreak you would focus more on the severe cases,” he said. “And then maybe we are missing some mild cases because people will just be a little bit sick and will not have it tested. And they will recover.”

“We may see more mild cases as the surveillance intensifies,” Jasarevic told reporters. “So the issue is not so much really numbers that we know will go up.”

Associated Press researcher Henry Hou and video journalist Dake Kang in Beijing and writer Frank Jordans in Berlin contributed to this report.