China - Zhejiang province - Pediatric outpatients increased in major hospitals in Hangzhou since mid-December - December 26, 2017

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Why do this wave of flu "besieged" children? Hangzhou CDC explained

Release time: 2017-12-28 06:59:57 source: Zhejiang Online reporter Tang Mengxia correspondent Yan Min

December 26 at 9:30 pm, Zhejiang University Riverside Hospital Parents children long lines registered. Picture from parents

Zhejiang Online December 28 (Zhejiang Provincial Reporter Tang Mengxia correspondent Yan Min) since mid-December, the major hospitals in Hangzhou, the pediatric outpatient volume increased, especially at night emergencies emergent queuing phenomenon. In addition to the common cold, rotavirus infection and other patients increased, the flu also to join in the fun. According to the influenza surveillance sentinel Hospital Zhejiang Children's Hospital samples of patients with small fever and fever were randomly tested, the positive rate of influenza in the past two weeks from 60% to 80%. In addition to pre-school infants and young children, many primary and secondary children are also recruited. (Related reports "" Parents busy nurses Zhejiang University pediatric hospital hanging 7 hours at night, No. 1867 )

Parents, teachers feel strange, why the flu this year menacing? What flu like "like" children? December 27, Hangzhou CDC released authoritative information on this round of influenza analysis.

Hangzhou CDC:

Flu situation is basically stable

Children under 15 years old

What is the flu situation this year?

Reporter learned from the CDC in Hangzhou, flu surveillance data from Hangzhou point of view, flu-like cases this year, the proportion of the current treatment is basically stable, only in summer there is a small peak. Monitoring data in the past two weeks showed that the number of flu-like cases and the positive rate of laboratory pathogens showed a gradual upward trend with the continuous decrease of temperature, but were basically the same as that in the same period of previous years.

However, the recent influenza-like illness consists mainly of children under 15 years of age. Laboratory pathogen surveillance showed that, unlike the peak in summer, H3 (H3N2) type was the major pathogen, and the most recent pathogen was type B, with detection of both H3N2 and H1N1. The surveillance system in our country did not find any variation that affected the spread of flu virus, disease severity and drug resistance, and the national influenza prevalence level was still generally within the expected range.

Influenza A viruses are susceptible to mutation and can infect humans and many kinds of animals. They are the major pathogens of human influenza and often cause pandemic and middle-small epidemics. Influenza B viruses have less variation and are easy to be found in places where children and other children in schools and nurseries gather An outbreak or a pandemic, one of its notable features is that elderly and children with relatively weakened immune systems are more susceptible to infection, especially in children.

At the same time, Hangzhou CDC network rumor rumor.

Hangzhou CDC: There is no HA department in Hangzhou. WeChat rumors exaggerate the situation of the flu and the precautionary measures are not accurate enough.
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http://ent.zjol.com.cn/jkwy/201712/t20171227_6168396.shtml

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Hangzhou flu wave of flu in 4 years, the strongest nurse laments: consumption of the last drop of blood

2018-01-16 18:39:32 Hangzhou network

At 1:39 on January 16, an emergency department nurse in Binjiang Hospital of Zhejiang University sent a photo in the circle of friends.
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That night, the night before the Internal Medicine night outpatient department has 1768 children. More than 1 am, there are hundreds of long queues of parents lined up, the doctors surrounded by parents, the medical records on the table stacked very high ......

It is reported that Zhejiang University Children's Hospital in 2017 exceeded 3.08 million visits, an increase of 21% over last year, creating the highest number of visits in history.

In fact, in addition to children, recently at the entrance to the respiratory department of major hospitals are packed with sad young people, middle-aged and elderly people, and even the cough after another even covered the electronic horn.

In every office, there are always some people who are hoarse and have a sick voice. That's right, Xiao Bian has unfortunately taken the trick ...

How serious is the flu? How to carry the flu peak? Reporters collected the major hospital's unique cheats Weapon for you.

Adult flu
Hospital surge doubled

According to the latest surveillance results of China's National Influenza Center, the proportion of outpatient and emergency influenza-like cases reported and the positive rate of influenza virus detection reported by China's influenza surveillance sentinel hospitals were higher than the same period of the previous three years, and the number of national influenza outbreaks reported was also significantly higher In the same period of previous years, the number of confirmed hospitalizations and severe cases of influenza was also on the rise.

"Our doctors work full load every day in the recent week. When there are no more than 100 numbers left for get off work today at noon, all the doctors in the department are working overtime." Li Yaqing, deputy director of Respiratory Medicine at Zhejiang Provincial People's Hospital, said that breathing The number of medical out-of-home visits in the general outpatient clinic is more than 500, a doubling of the number one month ago. "This figure is much larger for specialist flu and emergency flu patients."

Two o'clock in the afternoon, the doctors rushed to the mouth and went to work in the clinic. Li Ya-ching thought it was at the peak of the flu now. "The patient is increasing every day."

A hospital in Hangzhou is also very busy, admissions yesterday, 925 patients with upper respiratory tract infection, the recent high number of visits.

In Zhejiang Hospital, the number of flu-like patients experiencing a sudden outbreak of influenza outpatient influenza accounts for more than half of the general outpatient respiratory consultations.

Why is this flu so many young people?

"All of these patients have one thing in common: physical fatigue and cold weather changes, so they are also prone to getting sick," said Li Ya-ching. "Young patients can actually control their own illness, not necessarily on the path to the hospital." Ya-Qing Li, such as fever less than 38 ℃ mild patients, drink plenty of water, or eat proprietary Chinese medicines, coupled with adequate sleep, A healthy diet will gradually recover.

Director of Respiratory Medicine Wang Limin reminded that if the immunocompromised elderly or asthma, chronic obstructive pulmonary disease and other chronic respiratory diseases, the flu can easily make the disease into serious illness, to promptly seek medical treatment.

How to deal with the flu now

Provincial disease control experts Q & A

Ask this year's flu, will evolve into the SARS that year?

At present, three types of influenza viruses in our country are prevailing at the same time, including H1N1, H3N2 and B type BY strains, with type B as the main type. Cross-infection of influenza virus spread fast, but the low lethality, far from the SARS virus caused by the severity of the human body. In addition, from the prevention and control situation, SARS prevalence prevention and control when the trend level is the highest 10, currently only two, the flu has far failed to reach the severity of SARS.

Why is this year's flu menacing?

As nearly five years, the dominant strains of influenza virus in our country are not BY, so the population of the virus lack of immunity, the general susceptibility.

Q. Why did I get the vaccine this year, or did I get the flu?

Influenza viruses are susceptible to variation. The World Health Organization (WHO) proposes a recommendation for a global influenza vaccine strain each year based on the prediction of a pandemic influenza strain in the next epidemic season. Vaccine companies from all over the world produce flu vaccines of the current year according to WHO's predictions , So influenza vaccines against different annual flu strains may vary.

For example, in 2017, the vaccine component recommended by the WHO did not include the strain that is currently circulating in China. This year's flu vaccine includes three components, H1N1, H3N2 and B, and does not contain Type B BY.
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Source: Evening News Author: Editor: Zhou Xia

http://hznews.hangzhou.com.cn/shehui/content/2018-01/16/content_6774758.htm