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The Response of the Government's Emergency System to the Novel Coronavirus Disease 2019 (COVID-19) Outbreak in China: A Retrospective Comparative Study

14 Pages Posted: 18 Mar 2020

See all articles by Tiantian Zhang

Tiantian Zhang

Fudan University - School of Public Health

Ying Wang

Fudan University - School of Public Health

Ge Bai

Fudan University - School of Public Health

Ruiming Dai

Fudan University - School of Public Health

Qian Wang

Fudan University - School of Public Health

Li Luo

Fujian Medical University - Department of General Medicine

More...

Abstract

Background: Since the novel coronavirus disease 2019 (COVID-19) emerged in Wuhan city and then rapidly spread throughout china, the practices of the government’s emergency response and management of medical system to prevent the COVID-19 was vitally crucial. However, the studies about China's emergency management of COVID-19 prevention and control were scarce. We aimed to explore the government’s emergency response practices to COVID-19 prevention by comparing with H7N9 avian influenza (H7N9) in China.

Methods: A qualitative comparative study was conducted in the study, by using a set of 6 key time nodes selected from international literature to form a frame of reference for the comparative analysis of the emergency response to H7N9 (2013) in Shanghai and COVID-19 (Wuhan city) prevention and control in China.

Findings: 1) The hospital reporting speed--the first case report to the local CDC, for H7N9(2013) in Shanghai and COVID-19 in Wuhan city was 6 and 19 days, respectively. 2). The pathogen inspection speed-- the period from case reporting to technically confirming and re-checking pathogens, for COVID-19 was much quicker than that in H7N9(2013) in Shanghai (12days vs. 31days). 3). The government responding speed --from re-checking pathogens to the local government’s emergency response, for H7N9 (2013) in Shanghai and COVID-19 in Wuhan was 4 and 15 days, respectively. 4) The total emergency disposal time of local government was 5 days longer in COVID-19 in Wuhan city than H7N9 avian influenza (2013) in Shanghai (46 days vs. 41 days).InterpretationFrom H7N9 to COVID-19, the speed of detecting unknown pathogens greatly improved in China, whereas the hospital reporting of epidemics and decision-making by government of Hubei province was significantly slow, which might be an important influential factor of the outbreak of COVID-19. Improving the emergency management could lessen the adverse social effects of the emerging infectious disease and public health crisis in the future.

Funding: National Natural Science Foundation of China (Grant No.71874033) and Key project of Philosophy and Social Science Research of the Ministry of Education (Grant No. 15JZD029).

Competing Interest: The authors declare no competing financial interest.

Ethical Approval: Not applicable.

Suggested Citation

Zhang, Tiantian and Wang, Ying and Bai, Ge and Dai, Ruiming and Wang, Qian and Luo, Li, The Response of the Government's Emergency System to the Novel Coronavirus Disease 2019 (COVID-19) Outbreak in China: A Retrospective Comparative Study (3/7/2020). Available at SSRN: https://ssrn.com/abstract=3551347 or http://dx.doi.org/10.2139/ssrn.3551347

Tiantian Zhang

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Ying Wang

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Ge Bai

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Ruiming Dai

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Qian Wang

Fudan University - School of Public Health

School of Public Health
PO Box 250
Shanghai, 200032
China

Li Luo (Contact Author)

Fujian Medical University - Department of General Medicine ( email )

China

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