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A rise in cases of an unknown illness in China is being investigated by health officials, with children being hospitalised with pneumonia. While the situation remains unclear, it appears most likely that these outbreaks are due to a resurgence of common respiratory pathogens after the country’s strict coronavirus lockdowns, rather than being the result of a new infection. Here’s what we know so far.
On 21 November, the infectious disease monitoring network ProMED summarised a news report from China saying that hospitals in Beijing and elsewhere were “overwhelmed with sick children” with undiagnosed pneumonia. This has caused concern about a potential new pandemic and led the World Health Organization to request more information from China on 22 November.
The first of two ProMED posts on the topic cites “a Beijing citizen” as saying fever is the main symptom they have seen in children, with no coughing, but many developing what are known as pulmonary nodules. Neither of the ProMED posts mentions any deaths.
It is a small lump in a lung, revealed by an X-ray or CT scan. They are found in a third of people whose lungs are scanned and are usually a result of ongoing or past infections. According to Paul Hunter at the University of East Anglia, UK, they are typically a sign of bacterial rather than viral infection and could be a result of people developing a bacterial infection after having the flu virus, for instance.
While bacterial infections can be just as dangerous as viral ones, when it comes to pandemic potential, they are regarded as less of a threat. This is because bacteria replicate and evolve much more slowly than viruses. They can usually also be treated with broad-spectrum antibiotics. In other words, it is usually easier to control outbreaks caused by bacterial infections.
When and where were the cases first seen?
On 21 November, the infectious disease monitoring network ProMED summarised a news report from China saying that hospitals in Beijing and elsewhere were “overwhelmed with sick children” with undiagnosed pneumonia. This has caused concern about a potential new pandemic and led the World Health Organization to request more information from China on 22 November.
What are the symptoms being seen in China?
The first of two ProMED posts on the topic cites “a Beijing citizen” as saying fever is the main symptom they have seen in children, with no coughing, but many developing what are known as pulmonary nodules. Neither of the ProMED posts mentions any deaths.
What is a pulmonary nodule?
It is a small lump in a lung, revealed by an X-ray or CT scan. They are found in a third of people whose lungs are scanned and are usually a result of ongoing or past infections. According to Paul Hunter at the University of East Anglia, UK, they are typically a sign of bacterial rather than viral infection and could be a result of people developing a bacterial infection after having the flu virus, for instance.
Is a bacterial infection less of a worry than a viral one?
While bacterial infections can be just as dangerous as viral ones, when it comes to pandemic potential, they are regarded as less of a threat. This is because bacteria replicate and evolve much more slowly than viruses. They can usually also be treated with broad-spectrum antibiotics. In other words, it is usually easier to control outbreaks caused by bacterial infections.