Beijing dismissed as “ridiculous” a Harvard Medical School study of hospital traffic and search engine data that suggested the new coronavirus may already have been spreading in China last August, and scientists said it offered no convincing evidence of when the outbreak began.
The research, which has not been peer-reviewed by other scientists, used satellite imagery of hospital parking lots in Wuhan — where the disease was first identified in late 2019 — and data for symptom-related queries on search engines for things such as “cough” and “diarrhea.”
The study’s authors said increased hospital traffic and symptom search data in Wuhan preceded the documented start of the SARS-CoV-2 pandemic in December 2019.
“While we cannot confirm if the increased volume was directly related to the new virus, our evidence supports other recent work showing that emergence happened before identification at the Huanan Seafood market (in Wuhan),” they said.
Paul Digard, an expert in virology at the University of Edinburgh, said that using search engine data and satellite imagery of hospital traffic to detect disease outbreaks “is an interesting idea with some validity.”
But he said the data was only correlative and — as the Harvard scientists noted — cannot identify cause.
“It’s an interesting piece of work, but I’m not sure it takes us much further forward,” said Keith Neal, a professor of the epidemiology of infectious diseases at Britain’s Nottingham University.
Chinese Foreign Ministry spokeswoman Hua Chunying, asked about the research at a news briefing on Tuesday, said: “I think it is ridiculous, incredibly ridiculous, to come up with this conclusion based on superficial observations such as traffic volume.”
The Harvard research, which was posted online as a so-called “preprint”, showed a steep increase in hospital car park occupancy in August 2019.
“In August, we identify a unique increase in searches for diarrhea which was neither seen in previous flu seasons or mirrored in the cough search data,” it said.
Neal said the study included traffic around at least one children’s hospital and that while children do get ill with flu, they do not tend to get sick with COVID-19.
Digard cautioned that by focusing only on hospitals in Wuhan, already known to be the epicentre of the outbreak, “the study forces the correlation.”
“It would have been interesting — and possibly much more convincing — to have seen control analyses of other Chinese cities outside of the Hubei region,” he said.
Questions about COVID-19? Here are some things you need to know:
Symptoms can include fever, cough and difficulty breathing — very similar to a cold or flu. Some people can develop a more severe illness. People most at risk of this include older adults and people with severe chronic medical conditions like heart, lung or kidney disease. If you develop symptoms, contact public health authorities.
To prevent the virus from spreading, experts recommend frequent handwashing and coughing into your sleeve. They also recommend minimizing contact with others, staying home as much as possible and maintaining a distance of two metres from other people if you go out. In situations where you can’t keep a safe distance from others, public health officials recommend the use of a non-medical face mask or covering to prevent spreading the respiratory droplets that can carry the virus.
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