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Li Wenliang

Li Wenliang (Chinese: 李文亮; 12 October 1986 – 7 February 2020) was a Chinese Manchurian ophthalmologist who warned his colleagues about early COVID-19 infections in Wuhan.[2] On 30 December 2019, Wuhan CDC issued emergency warnings to local hospitals about a number of mysterious "pneumonia" cases discovered in the city in the previous week.[3] On the same day, Li, who worked at the Central Hospital of Wuhan, received an internal diagnostic report of a suspected severe acute respiratory syndrome (SARS) patient from other doctors which he in turn shared with his Wuhan University alumni through a WeChat group. He was dubbed a whistleblower when that shared report later circulated publicly despite his requesting confidentiality from those with whom he shared the information.[4][5] Rumors of a deadly SARS outbreak subsequently spread on Chinese social media platforms; Wuhan police summoned and admonished him and seven other doctors on 3 January for "making false comments on the Internet about unconfirmed SARS outbreak."[4][6]

For the chess player, see Li Wenliang (chess player).

Li Wenliang

(1986-10-12)12 October 1986

Beizhen, Jinzhou, Liaoning, China

7 February 2020(2020-02-07) (aged 33)

Wuhan, Hubei, China

2011–2020

Warning people about COVID-19 before it became a pandemic

Fu Xuejie[1](付雪洁)

2

Lǐ Wénliàng

Lǐ Wénliàng

lei5 man4 loeng6

The outbreak was later confirmed not to be SARS, but rather a new coronavirus, SARS-CoV-2. Li returned to work and later contracted COVID-19, the disease caused by the virus, from a patient who was not known to be infected. He died from the disease on 7 February 2020, at age 33.[7][8] A subsequent Chinese official inquiry exonerated him; Wuhan police formally apologized to his family and revoked his admonishment on 19 March.[9][10][11][12] In April 2020, Li was posthumously awarded the May Fourth Medal by the government.[13] By early June 2020, five more doctors from the Wuhan hospital had died from COVID-19.[14]

Early life[edit]

Li Wenliang was born on 12 October 1986 in a Manchu family[15] in Beizhen, Jinzhou, Liaoning.[16] His parents were former state enterprise workers and both lost their jobs in the 'wave of laid-offs' in the 1990s.[17] He attended Beizhen High School (北镇市高级中学) and graduated in 2004 with an excellent academic record. He attended Wuhan University School of Medicine as a clinical medicine student in a seven-year combined bachelor's and master's degree program. He joined the Chinese Communist Party (CCP) in his second year.[18] His mentor praised him as a diligent and honest student. His college classmates said he was a basketball fan.[19][20]

Illness and death[edit]

COVID-19 infection[edit]

On 8 January 2020, Li contracted COVID-19 unwittingly while treating an infected patient at his hospital.[34] The patient suffered from acute angle-closure glaucoma and developed a fever the next day that Li then suspected was coronavirus-related.[28] Li developed a fever and cough two days later which soon became severe.[34] Doctor Yu Chengbo, a Zhejiang medical expert sent to Wuhan, told media that the glaucoma patient whom Li saw on 8 January was a storekeeper at Huanan Seafood Market with a high viral load, which could have exacerbated Li's infection.[35]


On 12 January 2020, Li was admitted to intensive care at Houhu Hospital District, Wuhan Central Hospital,[36] where he was quarantined and treated.[34] He tested positive for the virus on 30 January and was formally diagnosed with the virus infection on 1 February.[28] While hospitalized, Li posted a message online vowing to return to the front lines after his recovery.[37]

Death[edit]

On 6 February, while Li was on the phone with a friend, he told the friend that his oxygen saturation had dropped to 85%.[36] Extracorporeal membrane oxygenation (ECMO) was reportedly used to keep him alive.[38] According to China Newsweek, his heartbeat stopped at 21:30.[38] In social media posts, the Chinese state media reported that Li had died,[39] but the posts were soon deleted.[40] Later, Wuhan Central Hospital released a statement contradicting reports of his death: "In the process of fighting the coronavirus, the eye doctor from our hospital Li Wenliang was unfortunately infected. He is now in critical condition and we are doing our best to rescue him."[41] The hospital formally announced that Li had died at 2:58 a.m. on 7 February 2020.[7][42] During the confusion, more than 17 million people were watching the live stream for updates on his status.[37]

Aftermath[edit]

By early June 2020, five other doctors had died from COVID-19 in the Wuhan hospital, now called "whistleblower hospital".[14] Hu Weifeng, a urologist and a coworker of Li, was the sixth doctor of the hospital to die from the virus on 2 June 2020, after four months of hospitalization.

Reaction[edit]

Li's death provoked considerable grief and anger on social media which became extended to a demand for freedom of speech.[43] The hashtag #WeWantFreedomOfSpeech (Chinese: #我们要言论自由#[44]) gained over 2 million views and over 5,500 posts within 5 hours before it was removed by censors, as were other related hashtags and posts.[45][46][47] Wuhan citizens placed flowers and blew whistles at Wuhan Central Hospital, where Li worked and died, as a tribute to him.[48] On the Internet, people spontaneously launched the activity themed "I blew a whistle for Wuhan tonight," where everyone kept all the lights off in their homes for five minutes, and later blew whistles and waved glitter outside of their windows for five minutes to mourn Li.[49][50] Many people left messages in response to Li's last post on Sina Weibo, some lamenting his death and expressing anger at the authorities. He was also proclaimed an "ordinary hero."[25] The World Health Organization posted on Twitter saying that it was "deeply saddened by the passing of Dr Li Wenliang" and "we all need to celebrate work that he did on #2019nCoV."[51]


Although there was no official apology from the city of Wuhan for reprimanding Li, the Wuhan municipal government and the Health Commission of Hubei made statements of tribute to Li and condolences to his family. Beyond Wuhan, the National Health Commission did likewise.[25] China's highest anti-corruption body, the National Supervisory Commission, has initiated a "comprehensive investigation" into the issues involving Li.[31] Qin Qianhong, a law professor at Wuhan University expressed his concern that, unless properly managed, public anger over Li's death could explode in a similar way as the death of Hu Yaobang.[31][52]


A group of Chinese academics, led by Tang Yiming – head of the school of Chinese classics at Central China Normal University in Wuhan – published an open letter urging the government to both protect free speech and apologize for Li's death. The letter emphasized the right to free speech, ostensibly guaranteed by the Chinese constitution. Tang said that the viral outbreak was a man-made disaster, and that China ought to learn from Li Wenliang. Tang also wrote he felt that senior intellectuals and academics must speak up for the Chinese people and for their own consciences. "We all should reflect on ourselves," he wrote, "and the officials should rue their mistakes even more."[31] The letter alleges that Li Wenliang "is also a victim of speech suppression."[53][54] Jie Qiao, Academician of the Chinese Academy of Engineering and President of Peking University Third Hospital in Beijing called Li a "whistle-blower dedicating his young life in the front line."[55][56]


On 7 February 2020, Taiwanese author Yan Zeya (顏擇雅) expressed doubt on the Liberty Times about whether Li should be called a whistleblower, citing his lack of general objection to the government and lack of willingness to expose its dark side.[57]


On 9 February 2020, hundreds of people in New York commemorated Li in a tribute at Central Park.[58] The U.S. Senate honored Li by passing a resolution calling for transparency and cooperation from the Chinese government and CCP.[59]

Recognition[edit]

In April, Li was officially honored by the Chinese government as a "martyr," which is the highest honor the government can bestow on a citizen who dies serving China.[60] According to the state-run Xinhua News Agency, he was honored together with 13 other "martyrs," mostly physicians, who died from COVID-19.[61] Chinese Internet users have left more than 870,000 comments under Li's last post on social website Sina Weibo since his death.[62]


On 3 March, International Journal of Infectious Diseases published an article, wrote "Dr Li Wenliang's example as an astute clinician should inspire all of us to be vigilant, bold and courageous in reporting unusual clinical presentations."[63] Italian author Francesca Cavallo wrote a children's book titled Dr. Li and the crown-wearing virus, featuring Li's story, to help educate children on COVID-19.[64] Fortune magazine ranked Li as No.1 of the "World's 25 Greatest Leaders: Heroes of the pandemic."[65] On 4 May, Matt Pottinger, deputy national security adviser of US, hailed Li during a speech in Mandarin.[66]


In May 2021, Li was posthumously honored with the Paracelsus Medal, the highest honor given by the German Medical Association.[67]

Personal life[edit]

When Li began showing symptoms of COVID-19, he booked a hotel room to avoid the possibility of infecting his family, before being hospitalized on 12 January. Despite this precaution, his parents became infected with SARS-CoV-2, but later recovered.[1][37][55]


Li and his wife, Fu Xuejie (付雪洁), had one son, and were expecting their second child at the time of his death. In June 2020, his widow gave birth to a second son.[1][55][68][69][70]

Jiang Yanyong

on Weibo (in Chinese)

Li Wenliang

in The Lancet (Volume 395, ISSUE 10225, P682, February 29, 2020)

Li Wenliang | Obituary