@accpchest Dr Wang: The Wuhan experience is that home isolation will NOT contain the virus adequately 
@accpchest Dr Wang: Herd Immunity is dangerous because of the high death tolls
@accpchest Dr Wang: These shelters were built rapidly, on a massive scale, at low cost, and freed up scarce resources for high level hospitals.
@accpchest Dr. Wang: These shelters functioned to better isolate patients, allowed for quick triage of basic medical care, and rapid referal to higher level of care
@accpchest Dr. Wang: This rapid referral and frequent monitoring took pressure of medical system
@accpchest Dr. Wang: Essential living and social engagement were covered in these shelters
@accpchest Dr. Wang: These shelters required massive amounts of mobilization of staff
@accpchest Dr. Wang: Risk of nosocomial infections were reduced by masks for all patients and strict isolation procedures for staff
@accpchest Dr Wang: Treated 12,000 patients in 35 days and were superior to field hospitals because of massive scale, more isolation of milder patients, and focus on social engagement.
@accpchest Dr. Wang: Similar concepts adopted worldwide. #COVID19 is our common enemy and we should be working together to stop this virus and save lives. People of all countries should join forces against #COVID19.
@accpchest Dr. Qu: Strict management of access to Shanghai and surveillance of people and personnel was key to prevent spread
@accpchest Dr. Qu: Instituted color-coded electronic monitoring system to quarantine people in Shanghai
@accpchest Dr. Qu: Also restricted crowd size and held daily reports on spread of virus
@accpchest Dr. Qu: Integrated screening strategy and patient management in Shanghai
@accpchest Dr. Qu: Telemedicine and distance consultations helpful in reducing spread of infection.
@accpchest Dr. Qu: Fever clinics were helpful in screening and diagnosing suspected patients. Most did not have #COVID19
@accpchest Dr. Qu: Compared to non-COVID patients, #COVID19 patients at fever clinic (in red here) had more fatigue, headache, decreased appetite, myalgia and lower lymphocyte levels.
@accpchest Dr. Qu: Patients with #COVID19 that deserved closer monitoring included risk factors below
@accpchest Dr. Qu: Strong strategy of community defense in Shanghai
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