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789
45名医学专家在国际期刊《新英格兰医学杂志》联合发表研究文章。
中国疾控中心副主任冯子健等45名医学专家,周三在国际期刊《新英格兰医学杂志》联合发表研究文章,指湖北武汉肺炎或早于去年12月已出现人传人。
浙江大学生命科学研究院教授王立铭质疑有人隐瞒,指既然疾控中心早在本月初已掌握病毒人传人证据,为何官方迟至本月20日才公布。
该文章分析截至本月22日中国境内的425宗确诊个案,患者平均年龄为59岁,其中56%为男性。
在本年元旦前发病的病例中,55%与爆发集体感染的武汉华南海鲜批发市场有关,此后发病的病例中,仅8.6%与华南海鲜批发市场有关。
最早两宗确诊个案于去年12月9日左右发病,病人事前没有去过华南海鲜批发市场。
密切接触者之间的人际传播从去年12月中旬已经发生,并在此后一个月内逐渐传播扩散。直至本月15日,武汉市卫健委才承认有限人传人。
文章续指,现阶段武汉肺炎的病例倍增时间为7.4天,新型冠状病毒平均潜伏期为5.2天。
病毒的基本再生数为2.2,略低于3的严重急性呼吸道症候群(SARS),即每名患者可平均感染另外2.2人,但该指数估算仅截至本月4日。值得注意的是,文章公布武汉医护人员受感染的时间表,7人于本月1日至17日感染,另外8人于12日至22日中招。
对于外界质疑,中国疾控中心周五回应指,论文是根据截至本月23日上报的425宗确诊个案作回顾分析,所有个案已在撰写前向社会公布。
论文所提及的15名医护人员受感染个案,早前分别由中国国家卫健委高级别专家组组长钟南山、武汉卫健委公布。
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