Re: China 2008 Earthquake Aftermath, Health and Epidemic Issues
Sichuan officials said the epidemic threat from the hardest hit much-needed diversion settlements
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At 0:44 on June 2, 2008
The Sichuan provincial health department director Shen Ji:
"We will certainly be able to win this tough battle post-disaster epidemic prevention"
Front-line in earthquake-stricken area, the broad masses of medical workers bear the high-density, high-intensity work overload.
地震发生以来，四川省卫生厅抗震救灾指挥部内夜夜灯火通明，人们在紧张工作。
Since the earthquake occurred, the Sichuan provincial health department earthquake relief headquarters in brightly lit every night, people in a tense work.<TABLE cellSpacing=0 cellPadding=0 align=left border=0><TBODY><TR><TD vAlign=top></TD></TR><TR><TD>
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虽然迄今为止，灾区尚未发生一起重大疫情和突发公共卫生事件，但考验还将继续。
Although so far, has not yet occurred a major disaster area epidemic and public health emergencies, but the test will continue. ?无论如何，确保大灾之后无大疫，是我们每个战斗在灾区前线卫生防疫人员的坚定信念。?四川省卫生厅厅长沈骥对《中国经济周刊》说。
"In any case, ensure no major epidemics after the disaster, each of us is fighting the front-line health and epidemic prevention in the disaster areas the firm conviction." Sichuan provincial health department director Shen Ji on the "China Economic Weekly" said.
大疫威胁来自重灾区
Major epidemic threat from the hardest hit
随着灾情的发展，目前前方医疗队伍的工作重心正在改变。
With the development of the disaster, the medical team in front of the focus of work is changing.
?党中央、国务院提出，在继续抢救生命的同时，要把灾后防疫工作作为医疗卫生工作的重中之重，急中之急。?沈骥告诉《中国经济周刊》：?目前我们已经适时地要求，前方医疗队将重心从临床医疗转向卫生防疫。?
"CPC Central Committee and the State Council, continue to save lives at the same time, to post-disaster epidemic prevention work as the top priority of the medical and health work,
the urgency of urgency." Shen Ji told the "China Economic Weekly":
"At present we have timely Demand, in front of medical teams will shift focus from clinical health and epidemic prevention. "
现在究竟有多少卫生防疫人员投入了灾区？
Now the number of health and epidemic prevention staff in the disaster areas ?
据记者了解，仅四川省极重灾区卫生防疫工作人员就已近万人。
This reporter has learned that only a very hardest hit Sichuan health and epidemic prevention staff had nearly 10,000 people.
另外，相关部门还组织协调了大量的军队救援人员及基层群众开展卫生防疫工作。
In addition, relevant departments also coordinate a large number of army rescue workers and the grassroots masses in health and epidemic prevention work.
用沈骥厅长的话来说，这是?一场群防群治的人民战争?。
Shen Ji director with the words, it is "a Qunfangqunzhi people's war."
尽管投入了大批人力，但由于部分灾区通路艰险、联系困难，基层医疗人员在震灾中又损失严重，目前整个灾区的防疫覆盖面仍未达到100%。
Although a large number of human input, but some disaster areas because of access difficulties and dangers, the associated difficulties, primary care staff in the earthquake has also suffered serious losses, the current immunization coverage of the disaster areas have not yet reached 100 percent.
沈骥向《中国经济周刊》介绍说，截止目前，从乡镇层面上看，6个重灾区乡镇覆盖率仅为79.53％；从村的层面上看，成都、广元和绵阳所属村，覆盖率已达100％；德阳全部受灾村，覆盖率为60%；在重灾区阿坝州的汶川、茂县和理县的受灾村，覆盖率仅为50%。
Shen Ji to the "
China Economic Weekly" said that the date, from the township level, six hardest hit townships coverage is only 79.53 percent, from the village level, Chengdu, Mianyang and Guangyuan their village, coverage Has reached 100 percent; Deyang, all of the affected villages, coverage for 60 percent of Aba in the hardest hit Wenchuan, Maoxian County and the rationale of the affected villages, only 50 percent coverage.
?阿坝州有50％的受灾村，目前我们的防疫人员还无法到达。这是我们最担心的，也是中央很担心的。很多乡镇卫生院院长，到现在我都还没有联系上。想到这，我就觉得很揪心。?沈骥的心情有些沉重，?四川会不会发生大疫，关键就看这几个重灾区。?
"
Aba 50 percent of the affected villages, our staff can not reach epidemic prevention, which is our greatest worry, but also very worried that the central authorities. A lot of township hospitals president, and now I have no links. Thought , I find it very Jiuxin. "Shen Ji the feelings of some heavy," Sichuan will be a major epidemic, the key to look at the number of the hardest hit. "
安置点亟需分流
Settlements much-needed diversion
沈骥厅长表示，5月12日震灾发生当天，四川省卫生厅在紧急部署医疗救助工作的同时，也迅速开展了卫生防疫工作，组织了卫生防疫队伍。
Shen Ji director said that on May 12 earthquake occurred the same day, the Sichuan provincial health department in the deployment of emergency medical rescue work, while also quickly launched a health and epidemic prevention work, health and epidemic prevention teams were organized.
次日，在大量医疗队伍进入的同时，卫生防疫队伍也同步开进。
The next day, a large number of medical teams to enter the same time, health and epidemic prevention teams have simultaneously entered.
目前，已累计消杀灭面积超过5.79亿平方米，检查供水单位4660余个，处理粪坑近53万个。
At present, the total area of Consumers killing more than 579 million square meters to check the water supply more than 4,660 units, handling nearly 530,000 Fenkeng.
关于检查供水单位，沈骥特别强调：?饮用水安全是重中之重。这不像在餐馆吃饭，饭菜有问题，可能就一个人受到影响，但要是水源有问题，就会影响到一群人的生命安全。一碗饭就影响一个人，但对水源来说，一喝就会影响一群人。?
On the inspection of water supply units, Shen Ji, that: "Drinking water safety is the top priority. This does not look like a meal in a restaurant, the meals in question, a person may be affected, but if water problems will affect a group of People's lives. Bowl of rice on the impact of a person, but on the water, one drink will affect a group of people. "
为保证卫生防疫工作有效进行，卫生厅还派出了3451人的卫生执法队伍进入受灾群众安置点这一敏感区域，目前，卫生执法队伍已覆盖了99.7%的受灾群众安置点。
To ensure the health and epidemic prevention work effectively, the Health Department has also sent 3,451 people into the ranks of the health law enforcement settlements for the people of this sensitive region, at present, health teams have covered 99.7 percent of the people settlements.
沈骥厅长向《中国经济周刊》分析说：?目前，我们有677个安置点，每个点有一万到数万名群众。地域有限，条件恶劣，人口密集，吃喝拉撒全在这，但一些安置点没有厕所，没有食堂或者卫生条件差，垃圾也未能及时有效处理。如果后续设施没有跟上，很可能会形成传染病暴发流行，而且是真正的?暴发?。对于卫生防疫来说，这些安置点是传染病流行最危险的地方，也是我们面临的最大挑战。?
Shen Ji director of the "China Economic Weekly" said: "
At present, we have 677 settlements, each with 10,000 points to tens of thousands of people. Geographical limited, poor, densely populated, eat or drink in this whole Lasa, However, some settlements no toilets, no canteens or poor sanitation, garbage also failed to timely and effective treatment.
If not keep up with the follow-up facilities, is likely to create infectious disease outbreak, but the real 'outbreak'. To the health and epidemic prevention That these settlements is the most dangerous infectious disease epidemic, is the biggest challenge we face. "
As a medical expert, Shen Ji pointed out that from a professional point of view, the best of the two settlements of 300 people, but some settlements on the scale of 000, so that health and epidemic prevention work extremely difficult, high risk.
他向《中国经济周刊》表达了最深切的愿望：?现在全国各地都在支援帮助我们，转治一些病人。鉴于目前过于庞大的安置点，我一直在期盼，兄弟省市能否帮我们分散安置部分受灾群众？我还是提议要分散安置，如果在全国各地，每个地方都建一个小的安置点，这样就能大大降低卫生防疫风险。目前有关部门也正在对此进行研究。?
He told "China Economic Weekly" expressed their deepest desire: "Now all parts of the country in support to help us, to rule in some patients. In view of the settlements too large, I have been looking forward to, other provinces and municipalities can help us Scattered resettlement of the people in disaster areas ?I proposed to scattered resettlement, if all over the country, each have built a small settlements so that we can greatly reduce the risk of health and epidemic prevention. At present the relevant departments are also to study."
重灾区防疫面临六大威胁
The hardest hit six major threats facing vaccination
沈骥厅长指出，本次重灾区多为贫困山区，卫生机构条件差、力量薄弱，自身卫生防疫能力极差，先天不足加之遭受到毁灭性破坏，便构成了以下六大威胁：
Shen Ji Minister pointed out that this hardest hit more for the poor mountainous areas, poor health institutions, is weak in strength, their ability to very poor sanitation and epidemic prevention, the inherent weaknesses in addition suffered devastating damage, they pose a threat to the following six:
第一，由于灾区人员大量伤亡，早期遇难者遗体处理不及时，腐烂极易造成严重的环境污染和疾病传播。
First, since the disaster areas in extensive casualties, early to deal with the victims remains timely and rot easily cause serious environmental pollution and the spread of the disease.
第二，大量家畜死亡，使家畜和人畜共患疾病（鼠疫、狂犬病等）的发生和流行可能性增大。
Second, a large number of livestock deaths, livestock and zoonotic diseases (plague, rabies, etc.) and the occurrence of epidemic increased possibility.
第三，灾区环境卫生十分恶劣，饮用水、食品卫生安全得不到有效保障。
Third, the disaster areas is very poor sanitation, drinking water, food hygiene and safety is not effectively protected.
第四，人群大量聚居的安置点卫生条件极差，极易造成传染病传播流行。
Fourth, the large crowd of settlements inhabited by poor sanitary conditions, easily cause the spread of infectious diseases endemic.
第五，灾区卫生防疫队伍力量薄弱，运力和保障问题突出，部分消杀灭药械不能及时到达。
Fifth, the disaster area health and epidemic prevention team is weak in strength, capacity and security of a prominent problem in parts of killing Yaoxie Consumers can not reach a timely manner.
第六，由于前期基层信息不畅，卫生防疫物资的储备不足、品种不全，调度速度跟不上卫生防疫队伍开展工作的进度。
Sixth, because of poor pre-primary information, health and epidemic prevention materials reserves inadequate, incomplete varieties, scheduling speed failed to keep pace with health and epidemic prevention teams to work progress.
沈骥厅长介绍说，目前，汶川、茂县、理县等极重灾区的消杀灭药品和器械等供应跟不上，运输车辆组织困难，空运、水运运力十分有限，边远灾区、基层缺乏急救、消毒药品和相关器材的状况仍存在困难。
Shen Ji director said, at
present, Wenchuan, Maoxian, the rationale is the hardest hit counties, such as the Consumers killing drugs and equipment, and so failed to keep pace with supply, transport vehicles organizational difficulties, air, water capacity is very limited, remote disaster areas , The lack of grass-roots level first aid, medicines and related equipment disinfection of the situation is still difficult.
同时，由于卫生防疫队伍和相关志愿者均是紧急赶往前线，且无自身后勤保障，自带干粮部分分给灾民，连续作战的困难越来越明显。
At the same time, health and epidemic prevention teams and volunteers are all related rushed to the front line, and without their own logistical support, some carrying dry rations distributed to the victims of continuous fighting the difficulties become increasingly evident.
面对职责，惟有奋斗
Faced with responsibilities, can only struggle
环境恶劣、条件艰苦、任务艰巨，前线医疗卫生人员要承受多大的压力？
A poor environment, the difficult conditions and the task is arduous, the front-line medical health workers have to bear much pressure ?
?很多人都问过我这个问题，甚至有人认为我早就被压垮了。?沈骥对《中国经济周刊》说，?不过，我最大的压力是来自各界的厚爱。全国卫生系统都来支援我们，都想多给我们一些物资，都想多转走几个病人。而全国人民、 [SNIPS]
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