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​China - CDC expert: flu epidemic worse and stronger this year than in previous years, national report on the flu incomplete

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  • ​China - CDC expert: flu epidemic worse and stronger this year than in previous years, national report on the flu incomplete

    Translation Google

    CDC experts: flu epidemic has been reduced statistics only account for the actual part

    2018-02-22 09:43:00 Source: Comprehensive Author: Wang Wenqiu

    In disease control experts: the flu epidemic serious but has declined, the statistics only account for the actual part

    Of the national legal infectious diseases released in January 2018 issued by the State Health Planning Commission, a total of 273,949 cases of influenza were reported as belonging to Group C infectious diseases with 56 deaths. In 2016 and 2017, the annual number of influenza deaths was 56 and 38, respectively (cumulatively on a monthly basis). In other words, the number of flu deaths in January 2018 alone was the same as in 2016 and higher than in 2017.

    On February 13, Dr Feng Luzhao, director of the Respiratory Infectious Diseases Department of the Infectious Disease Department of China's CDC, told the surging news that the flu epidemic was indeed worse and stronger this year than in previous years.

    He said the national report on the flu was incomplete. Even the data for January of this year were actually only part of the actual incidence and death.

    However, according to the current status quo of the nationwide influenza, Wang Hesheng, deputy director of the National Health and Family Planning Commission and head of the State Council's Medical Reform Office, said at a press briefing by the State Council on February 12 that the flu outbreak this winter has been above average in recent years has come down.

    Feng Luzhao also said that now whether in the north or the south, the proportion of flu-like cases , the positive rate of influenza detection and the number of outbreaks of flu outbreak continued to decline for several weeks, indicating that the flu outbreak in the country are declining.

    CDC should stress more about the seriousness of the flu from the public

    Surging news: "middle-aged flu under the Beijing" moment brush screen, many people will feel anxiety after reading, that the flu can cause death?

    Feng Lu Zhao: First of all, I am sad to the author's relatives who died of the flu. This article is very well written. It is based on the experience of the relatives of the patients who write down the entire pathogeny process. It is very objective and calm. I feel a lot of feelings. I believe it also arouses the public's attention, including some professionals, about the flu.

    But this should be said to be a case of flu-induced deaths. It shows that some high-risk groups, such as the elderly mentioned in the article, as well as some chronic diseases and pregnant women, may cause pneumonia, respiratory failure, multiple organ failure and other complications after the flu infection, of.

    Flu is different from the common cold, including the author and many commented articles, the flu and the common cold is not too clear points.

    From a public health perspective, CDCs should stress more about the seriousness of the flu from the public.

    Surging news: Some people used to say not to go to the hospital when they had a cold. Now they say they do not pay much attention to the flu and go to the hospital as soon as possible. The latter may be deadly. Many people still confused with flu and flu, disease control departments in the prevention and treatment of influenza What are the recommendations?

    Feng Lu Zhao: Patients to determine whether the flu or the common cold is indeed very difficult, even if the doctor to determine sometimes more difficult. Some flu symptoms are similar to common flu, but some are different. We suggest that the body more healthy population, after a respiratory infection, if not high fever, the symptoms are not heavy, mainly runny nose, you can first close observation.

    However, if there is sustained high fever, breathing difficulties and other symptoms, or children's mental state, confusion, to immediately go to the clinic. Elderly people, pregnant women and other high-risk groups, once the flu, the progress will be faster, so need help doctors as soon as possible.

    Hoping to give financial support for influenza vaccination in high-risk groups

    Surging news: the current flu vaccination rate is not high?

    Feng Luzhao: First: The public's awareness of flu and the degree of emphasis are not enough, some people think that the flu with the common cold is no difference, will not cause particularly serious consequences. Second: The public is not particularly aware of the flu vaccine.

    Although we say that the flu vaccine is the most effective way to prevent the flu, the flu vaccine has its uniqueness compared to other vaccines. Influenza viruses are prone to mutation. Influenza vaccines need to be vaccinated annually. The effect may be good and sometimes bad, so the public and even some professionals may say that flu vaccination is not effective and vaccination is not recommended. Including some concerns about vaccine safety, such as side effects, may be responsible for the relatively low flu vaccination rate.

    The Centers for Disease Control and Prevention will publicize popular science every year during the influenza epidemic season. At the same time, we also hope that in the future, countries will be able to promote the vaccination of influenza vaccines on a policy basis. For example, some high-risk groups may consider giving some financial support.

    Just look at the data can not really reflect the real incidence of influenza, the number of deaths

    Surging news: Just released in January 2018 statutory infectious disease data show that in January 273949 cases of flu incidence, 56 deaths. The death toll far exceeds that of the same period in three years. Why is the data so high that there is any change in the statistical size of the flu death rate?

    Feng Luzhao: There is no change in the statistical standard. It is true that the outbreak this year has been more serious and intensified than in previous years.

    In fact, the national report on influenza is very incomplete. Even reporting more than 270,000 cases and more than 50 deaths in January this year is only a small part of the actual incidence and death. In fact, this figure can not really reflect the actual incidence of influenza in our country and death figures.

    I would like to add that looking only at statistics on the incidence and death of influenza reported by the National Health Planning Commission each month does not reflect the intensity of the influenza activity well. Reflect the intensity of the activity of the flu are mainly two indicators: the percentage of flu-like cases, which reflects the proportion of flu-like cases accounted for the total number of out-patient visits; influenza-like cases of influenza positive detection rate.

    These two indicators can reflect the intensity of influenza activity. Judging from these two indicators, the prevalence of winter and spring 2017-2018 is higher than that of previous years.

    At present, no matter in the north or the south, the proportion of flu-like cases, the positive rate of influenza test and the number of flu outbreaks have been declining continuously for several weeks, which shows that the flu outbreak is declining in the whole country.

    The statistics on flu deaths in the Mainland and Hong Kong are not the same

    Surging news: how flu statistics in our country statistics?

    Feng Luizhao: Influenza is a statutory contagious disease in our country. You need to report the case. However, in fact, the diagnosis of influenza requires laboratory test results to diagnose. There are only a few cases of laboratory tests in the real world.

    It is basically confined to some cases of sentinel hospitals in the national influenza surveillance network and to some clinical tests carried out by some large-scale top-level hospitals or some teaching hospitals. However, this is not a universal practice in the medical institutions in the whole country, and only a small part is used.

    In fact, very few countries are required to report all cases of influenza because they face the problem of insufficient clinical testing.

    However, there are some developed countries in Hong Kong, China, which are relatively more clinical tests. The population of 7 million in Hong Kong has reported a large number of deaths, not because the severity of the flu outbreak is higher than that in mainland China, but because it tests and diagnoses more.

    Surging news: What is the difference between the statistical size of the flu death rate in the Mainland and Hong Kong?

    Feng Luizhao: Some complications caused by the flu cause deaths. Hong Kong regards the flu as the fundamental cause of death, which is also a very important element in the chain of causation: the basic cause of death statistics, so it is called a flu-related death.

    Whether it is a death from a viral pneumonia caused by a flu infection in Hong Kong, or some complication resulting from a flu infection or an acute exacerbation of a chronic disease can all be attributed to flu-related deaths.

    In fact, we can count on the mainland. However, we have relatively few influenza tests. In severe cases, there are few cases of inpatient or ICU cases in which influenza is detected. If there is no first ring, there is no reason at the back of the flu. Reporter Wang Wenqiu

    http://health.dzwww.com/jkxw/kjts/20...2_17064730.htm
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
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