scholarly journals Initial Cluster of Novel Coronavirus (2019-nCoV) Infections in Wuhan, China Is Consistent with Substantial Human-to-Human Transmission

2020 ◽  
Vol 9 (2) ◽  
pp. 488 ◽  
Author(s):  
Hiroshi Nishiura ◽  
Natalie M. Linton ◽  
Andrei R. Akhmetzhanov

Reanalysis of the epidemic curve from the initial cluster of cases with novel coronavirus (2019-nCoV) in December 2019 indicates substantial human-to-human transmission. It is possible that the common exposure history at a seafood market in Wuhan originated from the human-to-human transmission events within the market, and the early, strong emphasis that market exposure indicated animal-to-human transmission was potentially the result of observer bias. To support the hypothesis of zoonotic origin of 2019-nCoV stemming from the Huanan seafood market, the index case should have had exposure history related to the market and the virus should have been identified from animals sold at the market. As these requirements remain unmet, zoonotic spillover at the market must not be overemphasized.

Author(s):  
Ghotekar D S ◽  
Vishal N Kushare ◽  
Sagar V Ghotekar

Coronaviruses are a family of viruses that cause illness such as respiratory diseases or gastrointestinal diseases. Respiratory diseases can range from the common cold to more severe diseases. A novel coronavirus outbreak was first documented in Wuhan, Hubei Province, China in December 2019. The World Health Organization (WHO) has declared the coronavirus disease 2019 (COVID-19) a pandemic. A global coordinated effort is needed to stop the further spread of the virus. A novel coronavirus (nCoV) is a new strain that has not been identified in humans previously. Once scientists determine exactly what coronavirus it is, they give it a name (as in the case of COVID-19, the virus causing it is SARS-CoV-2).


2021 ◽  
Vol 10 (2) ◽  
pp. 257-274
Author(s):  
Nofrida Panjaitan ◽  
Joko Adianto

The spread of pneumonia cases caused by a new type of Coronavirus (Novel Coronavirus) SARS Cov-2 was established by WHO called Coronavirus Disease 2019 (COVID-19) on February 2020 and designated as a pandemic on March 11, 2020. However, an interesting phenomenon arises, despite the high number of COVID-19 spread in Jakarta. That is as of April 10, 2020, 50 out of 267 urban villages in Jakarta are declared free of COVID-19 (not infected with the virus) and one of them is the most populous village in Jakarta called the most densely populated urban village in Southeast Asia, namely Kalianyar in Tambora Sub District, West Jakarta.This study aims to find out how does Kalianyar combat the spread of COVID-19, recalling that considering the nature of the virus transmission, Kalianyar has high potential to be a vulnerable zone. The research was conducted through a qualitative analysis on a case study of Kalianyar aiming to examine the deep explanation and understanding of distinctive implementation and to obtain the lesson learned from the implementation of Fournier's idea seeing how the common process occurs. The common process occurring within social organization in Kalianyar shows that there are relational and reciprocal relationships resulting from each activity related to the three axes as suggested by Fournier.


2020 ◽  
Author(s):  
ZHONGNENG XU

The novel coronavirus, SARS-CoV-2, caused lethal human respiratory infections, and there is a big problem to control the disease. The application of other viruses to compete with the novel coronavirus was proposed in this paper. On the viewpoint of receptor competition, resource competition, and cross immunity, an attempt should be made to select a natural virus, such as the common coronavirus causing the common cold in human, or transform a virus with biotechnology in order to resist the novel coronavirus. Similar scenarios were suggested to deal with other viruses like human immunodeficiency virus. Microecological communities of viruses could form an independent research area to dig the deeper biological and medical significance. The present study provided the information to further the theoretical implication and medical application of the study of virus interactions.


2020 ◽  
Author(s):  
POONAM BHARTI ◽  
Angad harshbir singh ◽  
Parul Gupta

Abstract Background- Obsessive-compulsive disorder (OCD) is one of the most frequently associated comorbidities in bipolar disorder (BD). While this presents a challenge in understanding the phenomenology and also the treatment aspect of co occurrence of mania with OCD. Case history- The index case is of an elderly female who presented with OC symptoms and while on treatment had mania episodes. The mania episodes presented challenges while managing underlying OC symptoms. Conclusion- The common neurobiological mechanism for the co-morbid illness and treatment lacunae are discussed. The serotonin, dopamine, and glutamate having important role in BD-OCD were evaluated to understand the neurobiological basis of BD-OCD. The index case presented with the challenge of understanding the phenomenology of the illness but also presented with opportunity to learn and successfully manage patients with such co-morbidity. Divalproex and risperidone combo was found to be effective in controlling mania in OCD patients.


2020 ◽  
Vol 31 (11) ◽  
pp. 2050152
Author(s):  
Sepehr Rafieenasab ◽  
Amir-Pouyan Zahiri ◽  
Ehsan Roohi

The growth and development of COVID-19 transmission have significantly attracted the attention of many societies, particularly Iran, that have been struggling with this contagious, infectious disease since late February 2020. In this study, the known “Susceptible-Infectious-Recovered (SIR)” and some other mathematical approaches were used to investigate the dynamics of the COVID-19 epidemic to provide a suitable assessment of the COVID-19 virus epidemic in Iran. The epidemic curve and SIR model parameters were obtained with the use of Iran’s official data. The recovered people were considered alongside the official number of confirmed victims as the reliable long-time statistical data. The results offer important predictions of the COVID-19 virus epidemic such as the realistic number of victims, infection rate, peak time and other characteristics. Besides, the effectiveness of infection and immunization rates to the number of infected people and epidemic end time are reported. Finally, different suggestions for decreasing victims are offered.


2020 ◽  
Vol 90 (2) ◽  
Author(s):  
Shekhar Kunal ◽  
Kashish Gupta ◽  
Shashi Mohan Sharma ◽  
Vijay Pathak ◽  
Shruti Mittal ◽  
...  

A novel coronavirus, SARS-CoV-2, thought to have originated from bats causes COVID-19 infection which was first reported from Wuhan, China in December 2019. This virus has a high infectivity rate and has impacted a significant chunk of the population worldwide. The spectrum of disease ranges from mild to severe with respiratory system being the most commonly affected. Cardiovascular system often gets involved in later stages of the disease with acute cardiac injury, heart failure and arrhythmias being the common complications. In addition, the presence of cardiovascular co-morbidities such as hypertension, coronary artery disease in these patients are often associated with poor prognosis. It is still not clear regarding the exact mechanism explaining cardiovascular system involvement in COVID-19. Multiple theories have been put forward however, more robust studies are required to fully elucidate the “heart and virus” link. The disease has already made its presence felt on the global stage and its impact in the developing countries is going to be profound. These nations not only have a poorly developed healthcare system but there is also a huge burden of cardiovascular diseases. As a result, COVID-19 would adversely impact the already overburdened healthcare network leading to impaired cardiovascular care delivery especially for acute coronary syndrome and heart failure patients.


2020 ◽  
Vol 9 (3) ◽  
pp. 657 ◽  
Author(s):  
Hiroshi Nishiura

To understand the time-dependent risk of infection on a cruise ship, the Diamond Princess, I estimated the incidence of infection with novel coronavirus (COVID-19). The epidemic curve of a total of 199 confirmed cases was drawn, classifying individuals into passengers with and without close contact and crew members. A backcalculation method was employed to estimate the incidence of infection. The peak time of infection was seen for the time period from 2 to 4 February 2020, and the incidence has abruptly declined afterwards. The estimated number of new infections among passengers without close contact was very small from 5 February on which a movement restriction policy was imposed. Without the intervention from 5 February, it was predicted that the cumulative incidence with and without close contact would have been as large as 1373 (95% CI: 570, 2176) and 766 (95% CI: 587, 946) cases, respectively, while these were kept to be 102 and 47 cases, respectively. Based on an analysis of illness onset data on board, the risk of infection among passengers without close contact was considered to be very limited. Movement restriction greatly reduced the number of infections from 5 February onwards.


2020 ◽  
Vol 94 (12) ◽  
Author(s):  
Rachele Cagliani ◽  
Diego Forni ◽  
Mario Clerici ◽  
Manuela Sironi

ABSTRACT The novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that recently emerged in China is thought to have a bat origin, as its closest known relative (BatCoV RaTG13) was described previously in horseshoe bats. We analyzed the selective events that accompanied the divergence of SARS-CoV-2 from BatCoV RaTG13. To this end, we applied a population genetics-phylogenetics approach, which leverages within-population variation and divergence from an outgroup. Results indicated that most sites in the viral open reading frames (ORFs) evolved under conditions of strong to moderate purifying selection. The most highly constrained sequences corresponded to some nonstructural proteins (nsps) and to the M protein. Conversely, nsp1 and accessory ORFs, particularly ORF8, had a nonnegligible proportion of codons evolving under conditions of very weak purifying selection or close to selective neutrality. Overall, limited evidence of positive selection was detected. The 6 bona fide positively selected sites were located in the N protein, in ORF8, and in nsp1. A signal of positive selection was also detected in the receptor-binding motif (RBM) of the spike protein but most likely resulted from a recombination event that involved the BatCoV RaTG13 sequence. In line with previous data, we suggest that the common ancestor of SARS-CoV-2 and BatCoV RaTG13 encoded/encodes an RBM similar to that observed in SARS-CoV-2 itself and in some pangolin viruses. It is presently unknown whether the common ancestor still exists and, if so, which animals it infects. Our data, however, indicate that divergence of SARS-CoV-2 from BatCoV RaTG13 was accompanied by limited episodes of positive selection, suggesting that the common ancestor of the two viruses was poised for human infection. IMPORTANCE Coronaviruses are dangerous zoonotic pathogens; in the last 2 decades, three coronaviruses have crossed the species barrier and caused human epidemics. One of these is the recently emerged SARS-CoV-2. We investigated how, since its divergence from a closely related bat virus, natural selection shaped the genome of SARS-CoV-2. We found that distinct coding regions in the SARS-CoV-2 genome evolved under conditions of different degrees of constraint and are consequently more or less prone to tolerate amino acid substitutions. In practical terms, the level of constraint provides indications about which proteins/protein regions are better suited as possible targets for the development of antivirals or vaccines. We also detected limited signals of positive selection in three viral ORFs. However, we warn that, in the absence of knowledge about the chain of events that determined the human spillover, these signals should not be necessarily interpreted as evidence of an adaptation to our species.


2020 ◽  
Vol 71 (6) ◽  
pp. 1454-1460 ◽  
Author(s):  
Tuo Ji ◽  
Hai-Lian Chen ◽  
Jing Xu ◽  
Ling-Ning Wu ◽  
Jie-Jia Li ◽  
...  

Abstract Background To control the spread of 2019 novel coronavirus disease (COVID-19), China sealed Wuhan on 23 January 2020 and soon expanded lockdown to 12 other cities in Hubei province. We aimed to describe the epidemiological characteristics in one of the cities and highlight the effect of current implemented lockdown and nonpharmaceutical interventions. Methods We retrieved data of reported cases in Huangshi and Wuhan from publicly available disease databases. Local epidemiological data on suspected or confirmed cases in Huangshi were collected through field investigation. Epidemic curves were constructed with data on reported and observed cases. Results The accumulated confirmed COVID-19 cases and fatality in Huangshi were reported to be 1015 and 3.74%, respectively, compared with 50006 and 5.08% in Wuhan until 27 March 2020. Right after 24 January, the epidemic curve based on observed cases in Huangshi became flattened. And 1 February 2020 was identified as the “turning point” as the epidemic in Huangshi faded soon afterward. COVID-19 epidemic was characterized by mild cases in Huangshi, accounting for 82.66% of total cases. Moreover, 50 asymptomatic infections were identified in adults and children. In addition, we found confirmed cases in 19 familial clusters and 21 healthcare workers, supporting interhuman transmission. Conclusions Our study reported the temporal dynamics and characteristics of the COVID-19 epidemic in Huangshi city, China, across the unprecedented intervention. Such new epidemiological inference might provide further guidance on current lockdown measures in high-risk cities and, subsequently, help improve public health intervention strategies against the pandemic on the country and global levels.


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