Changjiang Daily, the newspaper under the Wuhan Party Committee, represented that Dr. Zhang Xijian first reported the pneumonia cases to her hospital leadership and then to the Hubei and Wuhan Health Commissions, which then took proper actions.
The Chinese Communist Party’s (CCP’s) Central Commission for Disciplinary Inspection website republished the story.
According to this story, Dr. Zhang works at the Traditional Chinese Medicine and Western Medicine (TCM-WM) Integrated Hospital.
- On December 26, 2019, Dr. Zhang encountered four patients with pneumonia that was different from other viral pneumonia.
- On December 27, she reported the cases to the hospital leadership. The hospital immediately reported the cases to the Jianghan District Center for Disease Control and Prevention (CDC) of Wuhan City.
- On December 28 and 29, the hospital received three more patients. Out of the seven cases, four were linked to the South China Seafood market. Dr. Zhang reported to the hospital leadership again and suggested that there be a joint diagnosis involving multiple departments of the hospital.
- On December 29, the hospital held a joint diagnosis. They also found two more similar cases at Tongji Hospital and Wuhan Union Hospital, also linked to the South China Seafood Market. So the hospital reported the cases to both the Hubei Provincial Health Commission and the Wuhan Municipal Health Commission.
- On December 29, both the Hubei and the Wuhan Health Commissions immediately responded, requesting the Wuhan CDC, the Jianghan District CDC, and the Jinyintan Hospital that is specialized in treating infectious diseases go to the TCM-WM Integrated Hospital.
- On the evening of December 29, Jinyintan Hospital came and transferred six patients over. One patient refused to go, so he stayed with Dr. Zhang and was cured and released on January 7.
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Excerpt in Chinese:
张继先，湖北省中西医结合医院呼吸与重症医学科主任，54岁，个头不足1.6米，话语轻柔，一双疲惫的眼睛透出和善。然而，就是这位温和的女医生，一个月前最早发现这场疫情苗头，并和院方一起坚持上报。
2019年12月26日上午，医院附近小区的一对老两口因发烧、咳嗽看病，当时两人是自己走到医院来看病的，拍出来的胸部CT片，却呈现出与其他病毒性肺炎完全不同的改变。张继先让老两口叫来他们的儿子做检查，儿子没有任何症状，但CT一照，肺上也有那种表现了。
这一天，还来了一位华南海鲜市场的商户，一样的发烧、咳嗽，一样的肺部表现。“一般来说，一家人来看病，只会有一个病人，不会三人同时得一样的病，除非是传染病。”张继先给这些病人做了甲流、乙流、合胞病毒、腺病毒、鼻病毒、衣原体、支原体等与流感相关的检查，病人全部呈阴性，从而排除了流感。
张继先头脑中的疑团越来越大，12月27日，她把这四个人的情况向业务院长夏文广、医院院感办和医务部作了汇报，医院立即上报给江汉区疾控中心。
12月28日、29日两天，门诊又陆陆续续收治了3位同样来自华南海鲜市场的病人，这一下就有7个一样的病人了。
这是我们从来没有见到过的病，同样来自华南海鲜市场的有4个病人了，这肯定有问题。”张继先判断，7个病人，症状和肺部表现一致，只是轻重有区别。张继先敏锐地意识到情况不对，立即又向医院进行了报告，并建议医院召开多部门会诊。
12月29日下午1时，分管副院长夏文广召集了呼吸科、院感办、心血管、ICU、放射、药学、临床检验、感染、医务部的十名专家，大家对这7个病例进行了逐一讨论，影像学特殊，全身症状明显，实验室检查肌酶、肝酶都有变化，专家们一致认为，这种情况确实不正常，要引起高度重视。追问到还有两例类似病史患者，到同济医院、协和医院去治疗，留下来的地址也是华南海鲜市场后，夏文广副院长立即决定：直接向省、市卫健委疾控处报告。
12月29日是星期天，省、市卫健委疾控处接到报告后快速反应，指示武汉市疾控中心、金银潭医院和江汉区疾控中心前往医院，开始流行病学调查。
傍晚，武汉市传染病定点收治医院——武汉市金银潭医院业务副院长黄朝林和ICU主任吴文娟来到湖北省中西医结合医院，逐一查看了这7个病人，接走了6位病人，其中轻症三位、重症三位，那一家三口的儿子坚决不去金银潭医院，留在张继先这里继续治疗，今年元月7日病愈出院。
Sources:
1. Changjiang Daily, February 2, 2020
http://news.cjn.cn/sywh/202002/t3551925.htm
2. CCP Central Commission for Disciplinary Inspection website, February 7, 2020
http://www.ccdi.gov.cn/lswh/renwu/202002/t20200207_210984.html