Abstract:Objective To investigate the epidemic characteristics of coronavirus disease 2019 (COVID-19) in Changsha city, and to provide a basis for prevention and control of the epidemic. Methods Descriptive epidemiological methods were used to analyze the epidemic characteristics of COVID-19 in Changsha city from January 1, 2020 to March 6, 2020. Results A total of 242 confirmed COVID-19 cases were reported in Changsha city between January 1, 2020 and March 6, 2020, with a severe case rate of 15.70%. The daily number of the newly reported confirmed cases showed a downward trend since February 3. The length of hospital stay of 209 discharged patients was 5-37 days, and the mean hospital stay was (16.91±7.32) days. 23.95% of the patients were in the age group of 30-50 years, and the severe case rate was found to be the highest in the group above the age of 50 years (26.26%, χ2=14.124, P=0.001). Most of the patients were housekeepers and the unemployed (16.53%) and retirees (15.70%). The main clinical manifestations were fever (65.70%), dry cough (41.74%) and fatigue (33.06%). Conclusions Although the number of COVID-19 cases shows a declining tendency, with the increase of personnel flow, prevention and control measures need to be strengthened to prevent the epidemic from rebounding.
[1] Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019[J]. N Engl J Med,2020,382(8):727-733. [2] Holshue ML, DeBolt C, Lindquist S, et al. First case of 2019 novel coronavirus in the United States[J].N Engl J Med,2020,382(10):929-936. [3] Bassetti M, Vena A, Giacobbe DR. The novel Chinese coronavirus (2019-nCoV) infections: challenges for fighting the storm[J].Eur J Clin Invest,2020,50(3):e13209. [4] 刘子言,高立冬,胡世雄,等.湖南省697例新型冠状病毒肺炎确诊病例就诊及 诊断分析[J].实用预防医学,2020,27(5):513-517. [5] 中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组.新型冠状病毒肺炎流行病学特征分析[J].中华流行病学杂志,2020,41(2):145-151. [6] 王刚, 李玥琪, 蒋俊俊, 等. 广西不同地区新型冠状病毒肺炎的流行特征[J/OL]. 热带医学杂志.[2020-02-26].http://kns.cnki.net/kcms/detail/44.1503.R.20200226.1402.002.html. [7] Liu K, Fang YY, Deng Y, et al. Clinical characteristics of novel coronavirus cases in tertiary hospitals in Hubei Province[J].Chin Med J (Engl). 2020,10.1097/CM9.0000000000000744. [8] Zu ZY, Jiang MD, Xu PP, et al. Coronavirus disease 2019 (COVID-19): a perspective from China[J].Radiology, 2020, 200490. [9] Sun P, Lu X, Xu C, et al. Understanding of COVID-19 based on current evidence [J].J Med Virol. 2020, 10.1002/jmv.25722. [10] 戴志辉,高立冬,罗垲炜,等.湖南省新型冠状病毒肺炎临床特征分析[J]. 实用预防医学,2020,27(4):396-399.