Ai Fen

Ai Fen (Chinese: 艾芬; pinyin: Ài Fēn) is a Chinese doctor and director of the emergency department of Central Hospital of Wuhan. Although Zhang Jixian was the first doctor who had reported "a cluster of pneumonia cases with unknown causes" indicated by clinical and radiological signs to local authorities[1][2] (on 27 December 2019), Ai Fen was among the medical workers who first encountered the new outbreak of cases indicated as Severe Acute Respiratory Syndrome by test sheet (but known as COVID-19 after the SARS‑CoV‑2 virus isolation and sequencing had been completed on 8 January 2020), and was the first to disclose its existence to the medical circles in Wuhan through WeChat. On 30 December 2019, Ai Fen received a diagnostic report of suspected "Severe Acute Respiratory Syndrome cases" and shared its image with colleagues and former classmates, incidentally causing rumours on social media as it was shared. She was given the nickname "The Whistle-Giver" (发哨子的人) in an article in the Chinese Renwu (or People) magazine which was censored by the Chinese government but was reposted on the Chinese internet using emojis, Morse code and pinyin to circumvent censorship.[3]

Ai Fen
NationalityChinese
EducationTongji Medical College
OccupationDoctor and director of the emergency department of Central Hospital of Wuhan
Known forOne of the first medical personnel to report SARS-CoV-2 cases and disclose them through group messaging / social media
Medical career
InstitutionsCentral Hospital of Wuhan

Early life

In 1997, Ai Fen graduated from Tongji Medical College (now a part of Huazhong University of Science and Technology), and worked in the Department of Cardiovascular Medicine of Wuhan Central Hospital. She began serving as the director of the emergency department in 2010.[4]

COVID-19 outbreak

On 18 December 2019, Ai came into contact with the first case of pulmonary infection showing "multiple patchy blurry shadows scattered in lungs" from a delivery person of Huanan Seafood Wholesale Market. On 27 December, she received a second patient, but this person had no history of contact of Huanan Seafood Wholesale Market. In the afternoon of 30 December, the test result of the second patient showed infection with a coronavirus. When she saw the words "SARS coronavirus, pseudomonas aeruginosa, 46 types of oral / respiratory colonization bacteria" on the test sheet, Ai immediately reported to the hospital's public health department and infection department. She circled the word "SARS", and took an image of it and sent it to a doctor at another hospital in Wuhan. From there it spread throughout medical circles in Wuhan, where it reached Li Wenliang, an ophthalmologist at the hospital.[3] On the afternoon of the same day, Li sent a warning to former classmates over WeChat, which was reposted publicly in large numbers.[5]

On 1 January 2020, Ai again reported to the hospital's public health department and medical office the news of the admission of multiple patients by a clinic owner near the South China Seafood Market, hoping to attract attention. She worried, "Once emergency doctors or nurses get sick, it would be a lot of trouble." Afterwards, Ai was interviewed by the hospital's supervision department, and said that she had suffered "unprecedented and very severe rebuke".[4][5] According to Ai, the hospital officials accused her of spreading rumor as a professional.

On the morning of 11 January, Ai receives the news that Hu Ziwei, a nurse of the emergency department, has been infected. Ai called her superiors immediately and the hospital had an emergency meeting, in which the officials directed to change the medical observations of the infected nurse from "viral pulmonary infection?" to "spread-out pulmonary infection." In a meeting on 16 January, officials of the hospitals insisted on denying the existence of transfer of this virus infection among humans.[5]

On 13 February, Hubei Daily published a close-up report on Ai Fen, which praised her. Later, rumors had it that Ai Fen has died of the coronavirus. On 20 February, Ai Fen clarified that she was not sick and was still working as a doctor fighting the virus.[6]

On 20 February, Ai Fen clarified to Peng Mei News that she was not infected with the virus and was still working in the field.

On 8 March, People’s Daily published a report from Xinhua News Agency praising Ai Fen as a "heroine [who] has been standing and working hard for more than 40 days and nights".

The "whistle-giver" incident

On 10 March 2020, the People magazine in China interviewed Ai and published her first-person account in its March article "The Whistle-Giver" (发哨子的人). However, the report was forcibly removed within three hours of its publication on 10 March. The original report on the WeChat public account of the journal was also deleted before noon. The mainland media that forwarded the article also deleted the article.[7][8] The official website of the China Human Care Association Hospital Humanities Committee(中国医院人文建设), headed by the Chinese National Health Commission, eventually reprinted the report under the header "如果这些医生都能够得到及时的提醒，或许就不会有这一天" ("Had doctors been notified promptly, this day might never have come"; a quote from Ai Fen's account), and thanked the reporters.[9]

Protesting against the censorship, Chinese Internet users started to pass the article through means such as braille, emoji, morse code and seal script.[10] It has also been translated into English, German, Japanese, elven runes, and the same format as sequences of DNA.[11][12]

gollark: No.
gollark: I want some form of revision history. However, it is possible that it's bad to manually have to click "save" after doing a thing. How can these goals be reconciled?
gollark: @⁡everyone I require Minoteaur advice.
gollark: Oh, you could make a thing to detect antimemetic bees too.
gollark: Detect specifically macroscale bees, obviously.

References
  1. "COVID-19 pandemic in mainland China: Discovery and early response". Wikipedia.
  2. "Wuhan doctor awarded for making first warning of novel disease before outbreak". Global Times.
  3. Kuo, Lily (11 March 2020). "Coronavirus: Wuhan doctor speaks out against authorities". The Guardian. Archived from the original on 21 March 2020. Retrieved 22 March 2020.
  4. 杜玮 (18 February 2020). "亲历者讲述：武汉市中心医院医护人员被感染始末" (in Chinese). 中国新闻周刊. Archived from the original on 18 February 2020.
  5. 龚菁琦 (10 March 2020). "发哨子的人" (in Chinese). 人物周刊. Archived from the original on 10 March 2020.
  6. 品行 (20 February 2020). "武汉中心医院急诊科主任艾芬辟谣：没感染新冠肺炎，仍在一线" (in Chinese). 澎湃新闻. Archived from the original on 18 March 2020. Retrieved 12 March 2020.
  7. "「发哨人」呼吁坚持「独立思想」 中宣部急删《人物》文章". Radio Free Asia (in Chinese). Archived from the original on 12 March 2020. Retrieved 11 March 2020.
  8. 葉琪 (10 March 2020). "【新冠肺炎】「發哨人」反被指「造謠」源頭 李文亮同事望獲道歉". 香港01 (in Chinese). Archived from the original on 18 March 2020. Retrieved 11 March 2020.
  9. "人物：如果这些医生都能够得到及时的提醒，或许就不会有这一天". 中国医院人文建设. 10 March 2020. Archived from the original on 10 March 2020.
  10. 云昇 (11 March 2020). "肺炎疫情："发哨人"引发反审查战，中国人用创意接力反击" (in Chinese). BBC. Archived from the original on 13 March 2020. Retrieved 12 March 2020.
  11. "《发哨子的人》被屏蔽 网民接力转发出奇制胜" (in Chinese). Radio Free Asia. 11 March 2020. Archived from the original on 12 March 2020. Retrieved 12 March 2020.
  12. Elizabeth, Elies (11 March 2020). "Dr. Ai Fen, 艾芬, the Wuhan Whistle". Science Integrity Digest. Archived from the original on 11 March 2020. Retrieved 12 March 2020.
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