Zhong Nanshan

Zhong Nanshan FRCPE FRCP FRCPI (Chinese: 钟南山; born 20 October 1936)[1] is a Chinese pulmonologist.[2] He was president of the Chinese Medical Association from 2005 to 2009 and is currently the editor-in-chief of the Journal of Thoracic Disease.[2] He is a recipient of Order of the Republic, the highest order of honor of China.

In this Chinese name, the family name is Zhong.
Not to be confused with Zhongnan Mountains.
Zhong Nanshan

FRCPE FRCP FRCPI
钟南山
Zhong in 2015
Delegate to the National People's Congress
(11th, 12th)
In office
March 2008 – March 2018
ChairmanWu Bangguo→Zhang Dejiang
Member of the Chinese People's Political Consultative Conference
(8th, 9th, 10th)
In office
March 1993 – March 2008
ChairmanLi Ruihuan→Jia Qinglin
Delegate to the National Congress of the Communist Party of China
(17th)
In office
1997–2002
General SecretaryHu Jintao
Personal details
Born (1936-10-20) 20 October 1936
Nanjing, Jiangsu, China
Political partyCommunist Party of China
Spouse(s)
Li Shaofen
​
​
(m. 1963)​
Children3
Alma materPeking University Health Science Center
University of Edinburgh Medical School
Occupationpulmonologist
AwardsOrder of the Republic (2020)
Known forDiscovering the SARS coronavirus
Scientific career
FieldsPulmonology, respiratory diseases
InstitutionsGuangzhou Institute of Respiratory Diseases
Guangzhou Medical University
Chinese name
Simplified Chinese钟南山
Traditional Chinese鍾南山

Zhong earned international fame for managing the SARS outbreak[3] and was renowned for refuting the official line which downplayed the severity of the crisis.[4] He was voted one of China's top 10 scientists in 2010.[5]

During the COVID-19 pandemic which was first identified in Wuhan, Hubei, Zhong was a leading advisor in managing the crisis, suggesting evidence-based control measures to contain the disease and sharing the successful treatment plan with the international community.[4][6] He was named by Time as one of the 100 most influential people in the world in 2020.[6]

Early life and education

Zhong was born on 20 October 1936 at the Central Hospital in Nanjing,[1][7] though his family was from Xiamen, Fujian.[8] He was educated at Beijing Medical University, where he finished his residency training in internal medicine.

Zhong completed further training at St Bartholomew's Hospital in London and the University of Edinburgh Medical School between 1979 and 1981, graduating from the University of Edinburgh Medical School with an MD in 1981.[2]

Career

Zhong became president of the Chinese Thoracic Society in 2000 and became president of the Chinese Medical Association in 2005. He is currently the director of the Guangzhou Institute of Respiratory Diseases and editor-in-chief of the Journal of Thoracic Disease.[2] Zhong discovered the relationship between protein malnutrition and COPD and has developed a calibrated formula on energy consumption for patients with COPD.[7]

SARS outbreak
See also: 2002–2004 SARS outbreak

When Zhong directed the Guangzhou Institute of Respiratory Diseases, they received the second case of a SARS patient as early as 20 December 2002. Over the next month, 28 similar cases were reported in Zhongshan alone, and on 21 January 2003, Zhong and other doctors and researchers in related fields reported this disease at an emergency meeting and gave it the name atypical pneumonia.[9]

On 28 January 2003, Zhong felt sick and discovered that he had caught pneumonia. Concerned that the news that a leading researcher and doctor for respiratory diseases falling ill during the SARS outbreak would cause fear and panic for the general public, Zhong decided to not receive treatment in the hospital. Instead he returned home, hoping that it was not caused by SARS and that he could recover without treatment. With care from his wife, Li Shaofen, he managed to recover after eight days. After recovery he immediately returned to the Guangzhou Institute of Respiratory Diseases to direct the fight against SARS. On 11 February 2003, at a press conference held by the Guangdong Department of Health, Zhong explained the disease and its symptoms, and calmed the public by asserting that it was "preventable" and "curable".[9]

Zhong, for the first time while treating SARS patients, employed non-invasive ventilation methods that increased the amount of oxygen that the patients could take in and alleviated pain. Zhong also insisted on proposing the use of cortisone for the treating of patients experiencing severe conditions, which significantly lowered the death rate of severe patients to 13% and decreased the total treatment time.

The decision to use cortisone was politically controversial at the time. In February 2003 the Chinese Center for Disease Control and Prevention had already published the authoritative view that normal Chlamydiae was the direct cause of atypical pneumonia and, as a result, the only legally prescribed way of treating SARS patients was to use antibiotics. Based on observations of hundreds of patients in Guangdong, Zhong was determined to advocate for the moderate usage of cortisone. Zhong said later in an interview that he knew this might bring dishonor and defamation, but he persisted because he trusted in his observations and scientific judgements regarding the disease.[9]

With the support of the Guangdong government and the positive results in Guangdong in the treating of SARS disease, Zhong's method was later used as the standard protocol for treating all SARS patients in China.[9]

When delegates led by Dr. Evans from the World Health Organization visited China in early April, Zhong presented the characteristics of SARS as well as the treatment and prevention method in China. Zhong's presentation was well-received and his methods were adopted around the world.[9]

COVID-19

In early January 2020, Zhong visited Wuhan, in response to a growing cluster of then-unidentified pneumonia cases, and was reassured by city health officials that the disease was controllable and preventable. On January 20, however, he returned to Wuhan, to re-evaluate the situation, and came to the conclusion that the novel coronavirus was more transmissible than previously identified, and warned the Central Committee of the Chinese Communist Party[10] that authorities in Wuhan were likely understating the severity of the outbreak, and on the same day, publicly announced on state television the same.[10] In later reporting of his state TV broadcast he recommended that "a quarantine period of 10 days to two weeks is very effective, so there will not be a large-scale infection as people travel back from their holidays" but also concluded with the prediction that "the virus outbreak may recede in a week to 10 days."

Zhong has compiled a coronavirus diagnosis and treatment protocol, and has made great contributions to the prevention and control of epidemics, treatment of severe cases, and COVID-19 research. In August 2020, he received from Chinese leader Xi Jinping the Medal of the Republic, the highest state honor, for his outstanding contribution to fighting the COVID-19 epidemic.[11]

On December 12, 2020, the Affiliated High School of South China Normal University held its 132nd anniversary, a bronze statue of Zhong Nanshan was unveiled by himself.[12]

Honors
Awards and Prizes
  • 2020: Order of the Republic[13]
  • 2016: Guanghua Engineering Science and Technology Prize[14]
  • National Award for Advances in Science and Technology, China (1997)[15]
  • National Role Model of Labors (2005)[15]
  • WAO Awards for Distinguished Recognition (2007)[15]
Paper of the Year
  • The Lancet; 2008: The editorial board praised Zhong and his team, as they "clarified that carbocisteine can prevent the worsening of chronic obstructive pulmonary disease and can improve life at an affordable price, which is of great significance to developing countries." (Note: The editorial board selected six papers for readers to vote, and announced two winners, one selected by the editorial board and one with the highest reader votes. Zhong's paper obtained the highest number of votes.)[16][17]
Professional Titles
  • 1989: Fellow of the American College of Chest Physicians[15]
  • 1993: Member of the European Respiratory Society[15]
  • 2005: Fellow of the Royal College of Physicians of Ireland[15]
  • 2011: Fellow of the Royal College of Physicians of Edinburgh[15]
  • 201?: Fellow of the Royal College of Physicians of London[18]
Honorary Degrees
  • 2005: Honorary Fellow of Hong Kong Academy of Medicine[15]
  • 2008: Honorary Fellow of the European Respiratory Society[15]
  • 2007: Doctor of Medicine (Honors), University of Edinburgh[19]
  • 2011: Honorary Doctor of Science, University of Birmingham
  • 2013: Honorary Doctor of Science, The Chinese University of Hong Kong[20]
Professional Societies
  • 1985–1990: Member, WHO Advisory Panel on Smoking & Health[15]
  • 1982–1985: Member, Executive Committee, Chinese Medical Association[15]
  • 1989–2000: Member, Executive Committee, American College of Chest Physicians[15]
  • 1989–present: Fellow, American College of Chest Physicians (FCCP)[15]

Personal life
Zhong Nanshan and Li Shaofen in 1963

Zhong was an outstanding college athlete in the 1950s. The Beijing Municipal Track and Field Team attempted to recruit him as a full-time athlete, but he was determined to become a doctor and declined the offer. Through his sports connection, he was introduced to Li Shaofen, a basketball player who was a member of the China women's national basketball team for 13 years. They married on 31 December 1963.[21] They have two children: son Zhong Weide, a physician, and daughter Zhong Weiyue, a swimmer.[22]

See also
  • Carlo Urbani, doctor who was the first to identify SARS and died of the disease in 2003
  • Chen Wei, medical researcher who won multiple national awards
  • Li Lanjuan, medical researcher who won multiple national awards

References
  1. 钟南山 (in Chinese). Chinese Academy of Engineering. Archived from the original on 23 June 2016. Retrieved 18 February 2016.
  2. "Editor-in-Chief: Prof. Dr. Zhong Nanshan, MD". Journal of Thoracic Disease. Archived from the original on 17 July 2013. Retrieved 18 July 2013.
  3. "SARS hero Zhong Nanshan named China's best scientist". whatsonxiamen. Archived from the original on 3 February 2015. Retrieved 18 July 2013.
  4. "The coronavirus discovered in China is causing global alarm". The Economist. 23 January 2020. ISSN 0013-0613. Archived from the original on 26 January 2020. Retrieved 29 January 2020.
  5. "SARS hero named among China's 10 best scientists, technicians". Xinhua. Archived from the original on 20 December 2010. Retrieved 20 July 2013.
  6. "Zhong Nanshan: The 100 Most Influential People of 2020". Time. Retrieved 23 September 2020.
  7. "Zhong Nanshan". The HoLeung Ho Lee Foundation. Archived from the original on 6 June 2014. Retrieved 20 July 2013.
  8. 院士钟南山回乡传授长寿秘诀. www.taihainet.com (in Chinese). Archived from the original on 25 January 2020. Retrieved 21 January 2020.
  9. Ye 叶, Yi 依 (2010). 钟南山传. Beijing: 作家出版社. pp. 49–52. ISBN 978-7-5063-5267-3.
  10. https://www.npr.org/2020/04/15/835308147/meet-dr-zhong-nanshan-the-public-face-of-the-covid-19-fight-in-china
  11. Liu, Jie. "Zhong Nanshan: outspoken doctor awarded China's top honor".
  12. 为自己塑像揭幕惊诧众人 钟南山人设遭遇两极分化. 163.com (in Chinese). 16 December 2020. Retrieved 22 December 2020.
  13. 习近平签署主席令 授予钟南山等4人国家勋章、国家荣誉称号. Ifeng (in Chinese). 11 August 2020.
  14. Wang, Shuo (王硕) (1 June 2016). 政解|中国工程院光华“成就奖”为何两度空缺？. Ifeng News (in Chinese).
  15. Curriculum Vitae of Nan-Shan ZHONG (PDF). 澳門科技大學. 2013 [2020-02-09].
  16. Summerskill, W. (2009). Paper of the year 2008: results. The Lancet, 373(9660), 283–284.
  17. Zheng JP, Kang J, Huang SG, et al. Effect of carbocisteine on acute exacerbation of chronic obstructive pulmonary disease (PEACE Study): a randomised placebo-controlled study. Lancet 2008; 371: 2013–18.
  18. Honorary Editors-in-Chief: Nanshan Zhong, MD. Annals of Translational Medicine. [2020-02-09].
  19. 鍾雪冰 (23 March 2007). 鍾南山膺愛丁堡大學榮譽博士. 香港文匯報 (in Chinese). Retrieved 9 February 2020.
  20. 梁元生 (2013). 第73屆大會 (2013) 鍾南山院士榮譽理學博士 (in Chinese). Chinese University of Hong Kong. Retrieved 9 February 2020.
  21. 钟南山的妻子是女篮５号. Sina (in Chinese). 16 June 2003. Archived from the original on 16 September 2019. Retrieved 13 February 2019.
  22. 钟南山曾是400米栏全国纪录保持者 娶女篮名将为妻. Sina (in Chinese). Archived from the original on 22 January 2020. Retrieved 22 January 2020.
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