I wanted to go back to People’s Hospital [in Beijing], because I couldn’t stop thinking about the “courtyard problem.” By then, it’d become the site of one of the biggest and most difficult battles against SARS. Starting on April 5, about 222 people had been infected at the hospital, including ninety-three hospital staff across nearly half the departments. The emergency ward north of the outpatient wing was the most severely affected; that was where the courtyard was. On April 22, I had seen patients covered in white cloth being rolled out of there. Two days later, when our van passed by once more, the eighty-five-year-old hospital had just announced a full quarantine. Beyond the yellow quarantine tape, three nurses sat on the empty steps, holding their blue nurse’s caps. Their long wet hair was drying in the sun. As they sat in silence, one would occasionally comb her fingers through the hair hanging in front of her chest. Our van parked in front of the hospital for over ten minutes. Xiao Peng pointed his camcorder at them from a distance.
I felt that there must be a correlation between the twenty-nine patients I’d witnessed being transferred without proper protection and the high rate of infection now sweeping the hospital. I wanted to know more about what had happened. No one asked me to work on the story. I wasn’t even sure if I could make it at all, let alone get it on the air, but my team was willing to work with me….
I ended up getting an interview with Zhu Jihong, the director of the emergency ward. He confessed to me that, at the time of transfer, the twenty-nine patients I’d counted were all in fact infected with SARS. In fact, the emergency ward had already been battling known cases since April 5. But rather than report the cases, the real numbers were hidden from the World Health Organization when they came to inspect the hospital. The patients had been transferred to ambulances that drove around Beijing in circles until the inspectors left.
I’d spent a long time convincing Zhu Jihong to accept the interview. I said, “You don’t need to make any judgments or draw any conclusions, just describe what you saw, heard, and felt, that’s all.”
After a long pause on the phone, he said, “The memory is too painful.”
“Of course,” I said, “but pain can be cathartic, consolation for one’s sacrifices.”
Zhu Jihong led me through the emergency ward corridor. He leaned over, undid the heavy chain lock, and pushed the door open. He reached for the wall with his left hand and after some flickering the lights turned on. In the ashen light, the classroom-sized space was filled with blue IV chairs tagged with white labels that read: April 17, Thursday; April 17, Thursday …
The beds were littered with rumpled blankets, some of which had fallen to the ground. Chairs were upturned, four feet in the air, left there by people fleeing for their lives.
This was the courtyard I had been hearing so much about. It was a space wedged between four buildings. With the addition of a roof, it had become an indoor space, sealed off from traffic in the rest of the hospital. They’d used it as the IV room, where all the patients with fevers came to receive their drips. Twenty-seven beds sat shoulder to shoulder with only the space of a fist between them. Every day, almost sixty people had sat tightly together on the beds and among a few chairs. Even during the daytime, the room completely depended on artificial lighting. There was no airflow, no windows, only a ventilation panel connected to the central air conditioning system, which spread the germs across the whole hospital.
The patient files that piled up in a mound on a desk were yellowing with age. I hesitated for a second. Zhu Xuhong said with a dismal smile, “Allow me.” He opened the files, which said pneumonia. He pointed toward a blackboard. Next to the twenty-two names written in white chalk, nineteen read: pneumonia, pneumonia, pneumonia …
“In fact, it was SARS,” he said.
Even the patients had not known. It was like a taboo. No one in the hospital had even called SARS by its name. They’d called it “that thing.” The first patient had come in on April 5. The doctors suspected she was a SARS patient after seeing her chest radiograph. But the government announced that all cases were from outside Beijing. All public hospitals are managed by the government. And according to the standards for diagnosis and treatment in Beijing, the doctors could only diagnose someone who had a history of direct contact with a confirmed infected person.
…
On April 22, Zeng Guang, the chief scientist at the Chinese Center for Disease Control and Prevention examined this hospital. He said, “When buildings are about to collapse, escaping is the only choice.” Two days later, People’s Hospital quarantined. Zhang Wenkang, the minister of health, was fired, and within one week, the army built the biggest field medical hospital in Beijing. There were 686 SARS cases there, almost one-tenth of all global cases.
Far Outliers 