The official numbers from China for cases of 2019 Novel Coronavirus (2019-nCoV) are massively under counted due to a shortage of diagnostic kits because of overwhelming demand and a multi-layered bureaucracy that takes days or weeks to designate each case. The official count reported Sunday in China is 1975 cases with 56 deaths. A video by a nurse posted two days ago claimed 90,000 cases in Hubei Province, its Wuhan city and China.

#china #coronavirus update as of 9:20 am HK Sunday 26 Jan

China's National Health Commission is confirming 1975 coronavirus cases on the mainland and the death toll has risen to 56 as of the end of Saturday January 25. — Peter Lewis – on the radio in Hong Kong (@MoneyTalkR3) January 26, 2020

This video of another nurse is unconfirmed, however it tracks with other reporting:

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A report by Renwu, a Chinese publication, published January 23 details the shortages and bureaucracy that help explain the disparity between official numbers and the videos of death and emotional breakdowns in Wuhan hospitals and the extraordinary actions by the Chinese government.

Provinces are being locked down, roads are blocked with berms and large concrete blocks, travel being restricted and pop-up hospitals are being constructed.

https://twitter.com/fkyesss/status/1221186340458565632

BREAKING: Wuhan City bans private vehicles from the urban area #coronarovirus #coronavirus pic.twitter.com/ItheMvqt0q — Corona vírus News (@NoticiasVirus) January 25, 2020

https://twitter.com/IsChinar/status/1220901405743034368

Military medical teams arrives in Wuhan to battle #coronavirus outbreak.

last photo: a medical worker says goodbye to her daughter. pic.twitter.com/HzlSaGqfid — Hani (哈尼) (@hanipersian) January 25, 2020

Construction began on the night of January 23 for a new specialized hospital for #coronavirus patients in central China's #Wuhan City. The hospital is designed to have an area of 25,000 square meters with 1,000 beds and will be put into use by February 3 pic.twitter.com/ePQoxJnM0y — CGTN (@CGTNOfficial) January 24, 2020

Several of the hospital videos have been confirmed by reporters as authentic.

I tracked down the 36-year-old nurse who filmed the #WuhanCoronovirus patients trapped in medical limbo waiting waiting for diagnosis next to dead bodies. Here is the story:https://t.co/uHGy29usDl pic.twitter.com/cFsWmiVwuK — Mimi Lau (@gzmimi) January 25, 2020

"Save my life, doctor!" Videos show how the coronavirus outbreak in China has overwhelmed hospitals. More than 1,300 cases have been confirmed across the country and at least 41 people have died. Follow the latest here: https://t.co/E97Y3C5MLO pic.twitter.com/8SZ5z6BCpv — The New York Times (@nytimes) January 25, 2020

I did some additional verification of the following 2 viral videos. Apparently, they're the same hospital. In the first video, on the blanket covering a body on the floor, I see the hospital name "Wuhan Redcross Hospital 武汉市红十字会医院." 1/3 #2019nCoV #WuhanCoronovirus pic.twitter.com/r5dAhrlTsk — Muyi Xiao (@muyixiao) January 25, 2020

This is the second video, h/t @ckoettl. They are filmed in the same hallway. Btw this hospital is also called "Wuhan No.11 Hospital."

Next tweet has some visual analysis … 2/3 pic.twitter.com/9YdmofyN27 — Muyi Xiao (@muyixiao) January 25, 2020

Pic 1: text on the blanket is the hospital name;

Pic 2: wall in video 1;

Pic 3: same wall in video 2;

Pic 4: on Weibo, someone tagged the location & posted a photo of the same hallway.

The post from Jan 25 says there are fewer patients bc more docs & nurses came to help. 3/3 pic.twitter.com/q3MTNei4CQ — Muyi Xiao (@muyixiao) January 25, 2020

Renwu excerpt (via translation):

…Patients in Wuhan are in a difficult situation because of the lack of kits, which cannot be diagnosed and treated. Similar situations have occurred in not only Guangji Tongji Hospital, but also designated hospitals in Wuhan, such as Tongji Hospital Headquarters, Wuhan First Hospital, Sixth Hospital, Wuhan Red Cross Hospital, Wuhan Pulmonary Hospital and other popular hospitals. The patients who were lucky enough to use the kit were called “winning the lottery” by other patients. In the Wuhan area, kits are also in short supply. The National Health and Medical Commission issued a notice on January 19 stating that “a new coronavirus nucleic acid detection kit has been issued, and all regions are required to strengthen the detection. ” Only the first batch of kits was received at the designated hospital for viral pneumonia this time, and the number was very small, “less than one-tenth of the number of people the hospital wants to check. ” A hospital in Huanggang just got it on the 22nd. Kit. According to medical staff from a hospital in Xianning, Hubei, they have not yet received the kit. Prior to this, on December 26, the Shanghai Public Health Clinical Center collected a patient specimen from Wuhan. Ten days later, a SARS-like coronavirus was detected from the specimen, and the entire genome sequence of the virus was obtained. The virus isolation, sequencing and other steps were completed at a fairly fast speed, and test reagents were quickly developed. A few days ago it was also reported in the media that the test agent has now achieved 24-hour full coverage in major cities without panic. But in fact, according to the information disclosed by three companies that have passed the certification of the National Centers for Disease Control, kit production is still tight and capacity is still insufficient. The three companies are Shanghai Pfizer, Shanghai Jeno Bio and Shanghai Berger. On January 23, People reporters called the three companies, and they were all quite busy. Zhang Zhihua, an employee of Shanghai Jeno Bio, said that the production of kits is not as easy and fast as outsiders say. “Since receiving the order, we have been working overtime. ” Employees of Pfizer, another company In an interview a few days ago, they said that their company employees only slept two or three hours a day these days. According to previous interface news reports, Pfizer has supplied kits for 50,000 to 60,000 servings to various regions, and Jeno has produced kits for 75,000 servings on January 16. The two together can test more than 100,000 people. But it is confusing that the kit is still in short supply. An employee of Shanghai Berger said that these days they keep receiving calls from hospitals and disease control centers around the world, and they can only reply to each other: to ensure full production, adequate stocking, and strive to ensure supply. Near the end of the year, their biggest pressure comes from the companies on the upstream and downstream sides of the relevant supply chain have begun to take vacations, “there is greater pressure on procurement and transportation.”

On top of the shortage of diagnostic kits is the multi-layered government bureaucracy that delays reporting confirmed cases for days or weeks: