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Original title: Hebei issues an epidemic alert: it is necessary to strengthen the prevention and control of the rural epidemic, “four early” is still the key to prevention
“Our entire city is closed to communities and we all stay at home. As of January 6, the government has temporarily implemented strict prevention and control measures at train stations, and all passengers will also be suspended from entering the station”. On January 7, a worker from Shijiazhuang De Citizens, the 21st Century Business Herald reporter said.
In fact, since January 2, the number of people infected with new coronary pneumonia in Hebei province has increased dramatically and 234 new cases of new coronavirus infection have been added in 5 days (excluding some confirmed cases with asymptomatic results) , which has caused concern. According to the Hebei Health Commission, as of 04:00 on January 6, 2021, 51 new confirmed cases of novel coronavirus pneumonia in Hebei Province, of which 50 cases were reported in Shijiazhuang City (2 cases of asymptomatic infection became confirmed cases) Case), Xingtai City reported one case (asymptomatic infection became confirmed case). Two new imported confirmed cases were added.
In response to the epidemic in Hebei, Hu Shanlian, a professor at the Fudan University School of Public Health, told the 21st Century Business Herald that epidemic prevention work in rural areas should not be ignored. It is necessary to prevent congregational transmission. At the same time, the “early four” principle should be respected, and patients should have sufficient fever. Pay attention.
Lu Hongzhou, secretary of the Party Committee of the Shanghai Public Health Clinical Center, also pointed out that from the perspective of this epidemic, when the virus has spread to a small area of the community, it has not been detected early. At the same time, this time he also exposed the weaknesses in rural epidemic prevention. For example, when fever occurs, local clinics cannot do nucleic acid testing, and the corresponding knowledge of epidemic prevention still needs to strengthen training and implement standardized consultation procedures.
Closed loop control
On the evening of January 5, at a press conference on the prevention and control of the new corona pneumonia epidemic held in Shijiazhuang City, Lu Fei, director of the Center for Disease Control and Prevention of Shijiazhuang City, presented that the Shijiazhuang epidemic has the characteristics of high incidence and family clustering in a short time. There have been a large number of cases.
On January 6, Hebei added 51 new confirmed local cases and 69 asymptomatic infections. The Gaocheng District of Shijiazhuang City was adjusted to a high-risk area. Shijiazhuang City also temporarily imposed strict prevention and control measures at train stations that day. All passengers will be suspended from the station and will go to the train ticketing department for refund procedures. Departing passengers consciously accept the inspection and quarantine work of epidemic prevention and control personnel.
“Our parents have been informed that children in kindergarten do not have to return to school as of January 6. All boarding students are under a completely closed administration. Now the community is also completely closed,” he said the Shijiazhuang citizen mentioned above to the 21st Century Business Herald reporter.
According to China News.com, currently, the Shijiazhuang passenger terminal and the Baifo passenger terminal have been temporarily suspended. Passengers traveling from local airports and train stations must present a valid nucleic acid negative certificate within 72 hours prior to boarding or boarding. The Shijiazhuang Post Administration Bureau announced that the express delivery industry will suspend the delivery and delivery business within three days. On the same day, many places in Xingtai City also launched free nucleic acid tests for the entire population.
The Hebei epidemic first broke out in rural areas. According to published reports, many villagers took their own medication after symptoms developed. Many confirmed cases had been infused in the clinic for 3-4 days instead of going to the hospital on time. Among them, the severe cases diagnosed on January 4 had been treated at the Xiaoguozhuang village medical office on December 26 and received an infusion for 4 days. They did not find a positive nucleic acid test until they were treated at the Gaocheng District People’s Hospital on January 3.
The above situation also makes the spread of the virus appear secret. Hu Shanlian told the 21st Century Business Herald reporter that symptoms such as colds and coughs often occur in winter, and villagers, especially the elderly, are used to visiting village clinics. Doctors in town may not be very aware of prevention and control and do not pay enough attention to fever. There are gaps in the prevention and control of the epidemic.
Difficulties in preventing rural epidemics
On the night of January 6, Ma Xiaowei, director of the National Health Commission, pointed out that at present, the epidemic is still developing and the situation is very serious. It is necessary to do everything possible to take the next step and promote the prevention and control of the epidemic to see results as soon as possible. It is worth noting that from the Gaocheng District Epidemic Prevention and Control Accountability Report issued by the Shijiazhuang Municipal Disciplinary Inspection Commission on January 7 and the trajectory of cases, it can be seen that the epidemic it also exposed deficiencies in the prevention of rural epidemics.
Lu Hongzhou believes that one of the main reasons is the lack of awareness about prevention and control in rural areas. In the cases mentioned above, when villagers have headaches and brain fever, the conventional option is not to go to the hospital, but to take their own medicine, or to the nearest rural clinic, rural clinics and medical institutions. Very few have the ability to diagnose and recognize the new crown. The phenomenon of fever is not taken seriously.
Hu Shanlian also emphasized that people in rural areas should reduce concentration and movement, wear masks, wash their hands frequently, and maintain social distancing to increase their awareness of epidemic prevention. “The countryside is a society of acquaintances. Once individual cases appear, they are more likely to cause large-scale cluster transmission. Clustering is the main reason for this transmission.”
At the end of the year, there are many celebrations in rural areas, and some areas have a relatively weak awareness of epidemic prevention and control, such as wearing masks and frequent hand washing, and are more vulnerable to virus threats. Another factor is that recent winter temperatures are low, the virus is active, and the survival time is long.
The 97th meeting of the Beijing Coronary Pneumonia Epidemic Prevention and Control Working Leadership Group and the 50th meeting of the Beijing Joint Prevention and Control Coordination Mechanism strictly entered the capital was held. It was also emphasized that rural areas are a weak link in the prevention of epidemics and that specific prevention and control measures must be studied and developed. The plan is to strictly manage rural wedding receptions and large fairs to avoid the accumulation of risks.
At the same time, some experts believe that the capacity to detect nucleic acids in rural areas should be strengthened.
Medical staff at a municipal hospital in Gaocheng district noted that the closest municipal hospitals in their villages do not have the ability to detect the novel coronavirus nucleic acid, nor do they have nucleic acid test kits. Only county-level hospitals are equipped with nucleic acid testing.
In this regard, Hu Shanlian said that under the current circumstances, it is still difficult to popularize in rural areas. It is important to be attentive to prevention. Once a fever occurs, it must be taken seriously and go to a higher-level hospital for treatment.
A person in charge of a nucleic acid testing reagent company in Tianjin also told a 21st Century Business Herald reporter that an earlier plan noted that by the end of 2020, all secondary general hospitals have the testing and sampling capacity of nucleic acid and complete the construction of urban testing bases and public test labs. , To take full advantage of the role of independent medical testing laboratories (hereinafter referred to as third party laboratories) and rationally deploy regional mobile nucleic acid testing capabilities, but in reality it remains difficult.
“The new coronavirus nucleic acid detection kit is great. At present, some secondary general hospitals are equipped, but there is no small version that can be equipped in clinics. It is even more difficult to equip municipal hospitals because of their capacity and staff. Big problem, ”the aforementioned official told the 21st Century Business Herald reporter.
It is worth noting that on January 4, 2021, researchers from the Chinese Centers for Disease Control and Prevention obtained the genetic sequence of the first case of the new coronavirus in Xingtai and Shijiazhuang, and found that the two cases may be homologous. .
The researchers searched public databases and found that the 3 strains sampled from Russia that were detected in July shared 10 mutation sites with 2 strains from Hebei. The paper mentioned that although there are relatively few shared variant sites, the three unique loci detected in the Russian strains are only found in the Hebei strains.
A member of staff involved in traceability in Hebei province told the media that although the sequencing showed the same origin as the virus strain collected in Russia, how and when it was introduced still remain unresolved questions.
Hu Shanlian believes that preventing imported epidemics remains the key to prevention and control.
On January 7, Xu Hejian, deputy director of the Propaganda Department of the Beijing Municipal Party Committee, pointed out that most of the sporadic and locally clustered epidemics in China were related to imports from abroad, related to the long incubation period, related to the link in the cold chain, related to prevention and control gaps, and their non-compliance. Good self-protection is related to social gatherings and gatherings, we must pay close attention to the contributions of “people” and “things” in external defense.
(Author: Zhu Ping, Male Intern Guo Xiao, Zhao Chenyang)
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