Combating COVID-19 as a designated hospital: Experience from Shanghai, China

Abstract

Many large international cities, such as Shanghai, are facing the threat of more imported cases of COVID-19 because of the frequent flow of people and objects at home and abroad. In the face of the complex and changing disease status of the international community, dealing with this disease effectively is a great challenge to the city's existing public health emergency response capacity and also a major test of designated COVID-19 hospitals. Here, we share our experience as a designated COVID-19 hospital in Shanghai, China in terms of i) A Professional Multidisciplinary Team, ii) Personalized Treatment Plans for Patients in Severe or Critically Ill Condition, iii) Well-organized Classification of Patients, iv) Establishment of Transitional Wards, v) Nosocomial Infection Prevention and Control, and vi) Identification and Reporting of the Asymptomatic in the hopes that these approaches can serve as a reference for healthcare providers and medical staff who are fighting the pandemic.

COVID-19 epidemic and public health interventions in Shanghai, China: Statistical analysis of transmission, correlation and conversion

“…Insufficient attention was given to cryptic transmission in the early stage of imported cases. (2) The virus variant of this outbreak in Shanghai was the Omicron BA.2 mutant, which has a faster transmission speed and stronger transmission strength and can better break through the immune barrier conferred by vaccines (24)(25)(26).…”

“…When the incubation period is long, intervention measures take effect, and then, the conversion rate gradually decreases. (2) The second is the constancy of the true conversion rate: As of May 31, the true conversion rate was ∼10%. The conversion rate calculated at the setting of each incubation period was close to the true conversion rate.…”

“…In December 2019, coronavirus disease 2019 (COVID- 19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in China and spread to all parts of the world (1)(2)(3)(4). COVID-19 causes symptoms such as fever, cough, fatigue, shortness of breath, and pneumonia, which can lead to death in severe cases.…”