Pittsburgh Post-Gazette

China estimates its COVID surge

Says 37M people a day are infected

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Nearly 37 million people in China may have been infected with COVID-19 on a single day this week, according to estimates from the government’s top health authority, making the country’s outbreak by far the world’s largest.

As many as 248 million people, or nearly 18% of the population, likely contracted the virus in the first 20 days of December, according to minutes from an internal meeting of China’s National Health Commission held Wednesday, confirmed with people involved in the discussion­s. If accurate, the infection rate would dwarf the previous daily record of about 4 million, set in January 2022.

Beijing’s swift dismantlin­g of “COVID-zero” restrictio­ns has led to the unfettered spread of the highly contagious omicron variants in a population with low levels of natural immunity. More than half the residents of Sichuan province, in China’s southwest, and the capital Beijing have been infected, according to the agency’s estimates.

How the Chinese health regulator came up with its estimate is unclear, as the country shut down its once ubiquitous network of PCR testing booths earlier this month. Precise infection rates have been difficult to establish in other countries during the pandemic, as hard-to-get laboratory tests were supplanted by home testing with results that weren’t centrally collected.

The NHC didn’t respond to a request for comment faxed by Bloomberg News. The commission’s newly founded National Disease Control Bureau, which oversees the COVID response, also didn’t respond to phone calls and faxes on Friday.

People in China are now using rapid antigen tests to detect infections, and they aren’t obligated to report positive results.

Chen Qin, chief economist at data consultanc­y MetroDataT­ech, forecasts China’s current wave will peak between mid-December and late January in most cities, based on an analysis of online keyword searches. His model suggests the reopening surge is already responsibl­e for tens of millions of infections daily, with the largest case counts in the cities of Shenzhen, Shanghai and Chongqing.

The minutes of the meeting didn’t note discussion on how many people have died. They did cite Ma Xiaowei, the head of the NHC, reiteratin­g the new, much narrower definition used to count COVID fatalities. While acknowledg­ing that deaths will inevitably occur as the virus spreads rapidly, he underscore­d that only people who die from COVID-induced pneumonia should be included in the mortality statistics.

Officials said Beijing — which was hit first — is starting to see severe and critical COVID cases peak even as its overall infection rate is waning.

Meanwhile, the outbreak is spreading from urban centers to rural China, where medical resources are often lacking.

The 37 million daily cases estimated for Dec. 20 is a dramatic deviation from the official tally of just 3,049 infections reported in China for that day.

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