Lack of self-protection awareness
The transmissibility of SARS-CoV-2 was significantly underestimated initially, mainly because of our poor understanding of the novel virus. Therefore, albeit on the alert, no sufficient attention from the policy-makers or frontline healthcare workers was paid to self-protection in fever clinics. For instance, it was not upgraded to first-class protection level until end of January, 2020 in fever clinics of Wuhan, before when there had been evidence showing the high transmissibility of virus and elevated risk of nosocomial infection. Similarly, healthcare workers lacked self-protection awareness in the early stage of the pandemic to fully ensure their safety in fever clinics, including failing to keep physical distancing in communication with patients, inadequate disinfection, and failing to keep wearing protective equipment constantly.