After six new cases, Wuhan plans to test all 11 million residents for coronavirus

But the scope of the endeavor underscores official sensitivities about any new flare-up in Wuhan, where the virus emerged in a market late last year. It comes after officials reported six new coronavirus cases in two days, confounding health experts after a 35-day streak without infections.

“It is important to realize that a decisive result does not equal a decisive victory; lowering the emergency response level does not equal lowering defenses,” said Wang Zhonglin, a top Communist Party official in Wuhan, according to the state-run Changjiang Daily. “We must not be careless or lax,” he told a video conference of officials called to respond to a sudden spate of cases in the city.

Local health authorities reported that five people in one residential compound in Wuhan were diagnosed with the coronavirus Sunday, all of them linked to an elderly man who had been confirmed as infected the previous day.

They all lived in the Sanmin compound in the East West Lake district of Wuhan, which Chinese leader Xi Jinping visited in March during his first trip to the city since the outbreak began.

After the cluster was discovered, all 5,000 residents of the Sanmin compound — where 20 people tested positive for the coronavirus during the lockdown — were ordered to undergo nucleic acid tests to screen for the virus and its disease, covid-19.

But Wuhan authorities decided to go further. The city’s epidemic prevention and control headquarters issued an emergency notice Monday ordering all district management units to submit plans by Tuesday for completing nucleic acid testing of all residents in their jurisdictions within 10 days.

This “10-day battle” would focus first on vulnerable groups, such as the elderly and infirm, and on densely populated communities, including those with a concentrated migrant population, the notice said.

More than 1 million residents have been tested so far, the Yicai financial news site reported. It quoted an unnamed Wuhan epidemic response command center official as saying that the local government realized it had to expand the scope of testing to prevent a new wave of outbreaks.

The Wuhan cluster has been traced to an 89-year-old man who developed a fever on March 17 but recovered at home within 10 days without seeing a doctor.

He started to have health issues again last month, and last week he was confirmed as having the coronavirus. His wife and two other elderly couples in the compound also tested positive for the virus.

There have been other prolonged cases similar to the man’s case, said Wu Zunyou, chief epidemiologist at the Chinese Center for Disease Control and Prevention.

“Actually, there is more than one such case in Wuhan; the course of disease could last 30 to 50 days for some patients,” Wu said in an interview with state broadcaster CCTV. “The virus could take longer to manifest itself in patients with weak immunity, who are also prone to ‘ons’ and ‘offs’ of symptoms.”

Asked whether it is necessary to test the entire population in Wuhan, Wu said testing could be targeted to areas of known infections and that there was no need to do it in residential areas free of cases.

The cluster in Wuhan coincided with a spate of cases of community transmission in northeast Jilin province, prompting concerns about a new surge in infections. Shulan city in Jilin is now in “wartime mode” to stamp out the virus, according to city authorities, with all public places and public transportation off-limits.

But Chinese medical experts tried to reassure people that this was not a new wave of the pandemic.

“There will not be a new minor peak,” Wu said. “We have had the epidemic under control after more than three months of efforts and accumulated considerable experience in both diagnosis and [epidemic] notification. Therefore, we will not allow scattered cases to develop into massive outbreaks.”

“Considering the complexity of covid-19, which has an unclear incubation period and is sometimes asymptomatic, such kinds of sporadic cases are quite normal,” Wang Peiyu, deputy head of Peking University’s School of Public Health, told the Communist Party-linked Global Times tabloid.

Liu Yang and Lyric Li in Beijing contributed to this report.

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