在武汉一小区连增6例确诊病例后，“解封”的江城又骤然紧张起来。

5月11日下午，武汉市委书记王忠林现场检查疫情防控工作，要求全面扩大核酸检测范围。与此同时，网上还传出一份《关于开展全市新冠病毒核酸筛查的紧急通知》（下称“通知”），经研究决定，在武汉全市范围内开展全员新冠病毒核酸筛查“十天大会战”。通知要求各区按10天期限，做好本辖区全员核酸筛查计划安排。

今日上午，澎湃新闻从武汉多个区疫情防控指挥部证实了这一消息，目前各区均已按照文件要求，根据区里情况紧急制订实施方案。

在武汉全面扩大核酸检测范围的背景下，A股疫情检测类上市公司走势趋强。5月12日开盘后，华大基因、达安基因、硕世生物等公司纷纷冲高，其中迈科生物一度冲击涨停。

全员筛选核酸检测？

据《长江日报》、“武汉发布”消息，5月11日下午，武汉市委书记王忠林到三民小区现场检查防控工作，督导疫情防控措施落实情况。

王忠林部署，近期要集中力量，对全市既往病例集中小区、老旧小区、人员构成复杂小区开展拉网式排查，确保防控无死角、无漏洞；全面扩大核酸检测范围，为复工复产、复商复市、复学复课提供安全保障。

在武汉全面扩大核酸检测范围的同时，网上还传出了一份《关于开展全市新冠病毒核酸筛查的紧急通知》，通知显示，根据5月11日武汉市新冠肺炎疫情防控指挥长会议要求，为切实加强全市常态化疫情防控工作，经研究决定、在全市范围内开展全员新冠病毒核酸筛查“十天大会战”。核酸筛查以各区为主体，采取整区推进的方式进行。

通知指出，各区负责根据辖区人口规模，常态化疫情防控要求，结合本区实际、指定具体实施方案。方案需明确本辖区基本情况、组织方式、时间安排及其他事项。实施方案需5月12日中午12时前，以红头文件形式反馈至指定邮箱。

在通知的“注意事项”，核酸筛查应该突出重点，确保重点人群、重点区域优先覆盖，应将老旧小区，居住密集小区和流动人口集中区域作为排查重点，排查范围应包括辖区常住居民和流动人口。

对于这份网传要求辖区全员核酸筛选的通知，e公司就此向武汉方面求证，普通百姓均称“暂时未接到通知，也没有听说”。与此同时，武汉一社区居委会也称“目前还没接到通知，但社区工作者都要求做核酸检测”。

12日上午，澎湃新闻从武汉多个区疫情防控指挥部证实了这一消息，目前各区均已按照文件要求，根据区里情况紧急制订实施方案。

根据武汉市统计局官方数，2018年，武汉市常住人口1108.1万人。此前，武汉市卫生健康委发布消息，截至4月29日24时, 武汉市累计开展核酸检测103.44万人次。如果全员核酸检测要求在10天内完成，对武汉市核酸检测能力或将是一次考验。

“清零”后突现多例确诊病例

4月26日，武汉疫情防控保卫战迎来重要历史时刻——在院新冠肺炎患者清零。但是，这份“轻松”却没有一直持续下去，当地疫情近日又出现反复。

据武汉市卫健委5月11日通报，5月10日0-24时，武汉市新增新冠肺炎确诊病例5例。据通报，5名确诊患者均来自武汉东西湖区长青街三民小区。时隔半月后，武汉又要求全面扩大核酸检测范围，自然让人想到与死灰复燃的疫情有关。

通报显示，5月7日发现高某某阳性检测结果后，当日即对三民小区居民进行核酸检测排查，筛查发现无症状感染者5名。第一时间对重点人群和密切接触者实行集中隔离和核酸检测。通报称，患者居住小区曾有20例确诊病例，经组织专家对各种因素排查分析，其病因应主要来源于既往社区感染。

据了解，三民小区是一个半封闭开放式老旧社区。该社区现有1943户4900余人，有近一半居民是外地租户。

值得关注的是，5月11日上午，东西湖区政府官网发布消息称，因长青街三民小区封控管理不力，近日出现多起新冠肺炎确诊病例，中共东西湖区委决定，免去张宇新同志中共东西湖区委长青街工委书记、委员职务。

扩大检查范围前的“集采”

4月23日，湖北省医疗保障局曾出台方案，启动新型冠状病毒相关检测试剂集中采购工作。

湖北省此次新冠检测试剂盒集采拟入选企业包括核酸检测试剂企业迈克生物、达安基因、明德生物、华大生物（武汉）和抗体检测试剂企业丽珠集团、诺唯赞，核酸检测价格由16.78-24.99 元/人份不等，抗体检测价格为12.99元/人份和13.885元/人份。

实际上，在应检尽检、愿检尽检指示下，武汉市曾对多类人群列入检测范畴。在院治疗病人、隔离点医学观察人员(含境外返汉人入员)以及部分特殊群体(医务人员、教师、公共交通从业者、养老院老人等)纳入“应检尽检”范畴。行政机关、企事业单位和居民个人等有检测意愿的纳入“愿检尽检”范畴。

当时，武汉市确定了53家新冠病毒核酸检测机构(名单如下)。

May 05, 2020 08:45 AM Eastern Daylight Time
WALTHAM, Mass.--(BUSINESS WIRE)--Echosens, a high-technology company offering the FibroScan family of products, urges increased vigilance around liver health during May 2020 Hepatitis Awareness Month and calls attention to the millions of Americans from all walks of life who are living with the most common causes of viral hepatitis: hepatitis B virus (HBV) and hepatitis C virus (HCV). The need for point-of-care examinations, monitoring and ongoing assessment of liver fat and stiffness as provided by FibroScan is critical to identifying individuals who are asymptomatic and undiagnosed for liver damage.

CDC Calls for Universal Hepatitis C Screening to Halt Advanced Liver Disease & Liver Cancer: Echosens Emphasizes Vigilance, Supports Hepatitis Awareness Month

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“With the CDC calling for universal hepatitis C screening at least once in the lifetime of all individuals 18 and older, as well as testing pregnant women once during each pregnancy, it is incumbent upon providers, payers and public health partners to strengthen their efforts to shed light on this hidden epidemic,” says Lynn Seim, MSN, RN, executive vice president and chief operating officer, American Liver Foundation. “Together, we are raising awareness of viral hepatitis and the serious liver health consequences resulting from undiagnosed and untreated disease. We encourage priority populations to get tested, underscore the importance of vaccination for hepatitis B, support testing for hepatitis B and C, and emphasize the availability of effective care and curative treatment.”

New data from the CDC reveal that the annual rates of hepatitis C infection tripled between 2009-2018, and was highest among those in their 20s and 30s. In 2018, millennials and baby boomers made up more than two-thirds of all infected individuals. Those in their 20s experienced a 300% increase in HCV rates since 2009, while those in their 30s saw a 400% spike in cases. At the same time, only about 61% of HCV-positive individuals between 2015-2018 knew that they were infected.

Stephen Harrison, M.D., gastroenterologist, hepatologist and medical director, Pinnacle Clinical Research, states, “While there’s no data to suggest that these younger patients will experience a more rapid progression of liver disease, it’s important to understand their baseline liver health. Utilizing quantitative tools like FibroScan supports our understanding of disease progression in the broader population affected by HCV.”

Non-alcoholic fatty liver disease (NAFLD) affects 1:3 Americans. Studies show that liver disease accounts for approximately two million deaths per year worldwide and, with the growing epidemic of obesity and Type 2 diabetes mellitus, the burden of NAFLD is expected to proliferate. Moreover, NAFLD poses an increasing risk to Americans living with hepatitis B. Recent data suggest that as people age, a great number of these patients are presenting with advancing liver disease, the result of co-morbid conditions complicating care.

Jon Gingrich, CEO, Echosens North America, explains, “These data reinforce the need to monitor liver health in people living with viral hepatitis. While there are effective cures for hepatitis C infection, they don’t cure liver disease.”

One study on how NAFLD impacts patients treated and cured for hepatitis C infection found that NAFLD identified in patients prior to treatment persisted after curing their HCV infection. Among those with NAFLD before treatment, 6.25% still had significant liver scarring after their HCV infection was cured.

“With the high prevalence of NAFLD among the baby-boomer population, we believe that FibroScan can be an important assessment and monitoring tool for those living with viral hepatitis, as well as those cured of the virus,” continues Gingrich. “FibroScan is non-invasive technology that quickly provides a quantitative assessment of liver fat and stiffness at the point of care before NAFLD becomes symptomatic.”

About Echosens

Echosens, the developer of FibroScan®, is an innovative high-technology company offering a full range of products and services supporting physicians in their assessment and management of patients with chronic liver diseases. FibroScan is supported by over 2,500 peer-reviewed publications and examinations are covered by Medicare, Medicaid and many insurance plans. For more information, please visit http://www.echosens.us and follow us on Twitter (@echosensNA).

About the American Liver Foundation

Founded in 1976, the American Liver Foundation (ALF) is the nation’s largest patient advocacy organization for people with liver disease. ALF reaches more than 3 million individuals each year with health information, education and support services via its national office, 17 U.S. divisions and an active online presence. Recognized as a trusted voice for liver disease patients, ALF also operates a national toll-free helpline (800-GO-LIVER), educates patients, policymakers and the public, and provides grants to early-career researchers to help find a cure for all liver diseases. ALF is celebrating more than 40 years of turning patients into survivors. For more information about ALF, please visit www.liverfoundation.org.

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Brittany Tedesco
CPR Communications
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