A third case:
A patient in Xilin Gol League was diagnosed as a
bubonic plague autonomous region in Huade County and took practical measures to increase prevention and control.
Published: 2019-11-17 05:03:46
On November 16, 2019, a person from the Bayin Tara Sumu quarry in Xilin Gol League, Inner Mongolia Autonomous Region, during the visit to the Huade County Hospital in Wulanchabu City, repeatedly had fever and was diagnosed as a confirmed case of
bubonic plague by expert consultation.
The patient, male, 55 years old, had been stripped of hare in the quarry on November 5, 2019. Currently, there is no epidemiological association between this case and the first two cases. At present, the patient has been isolated and treated in Huade County Hospital, Wulanchabu City, and relevant prevention and control measures have been implemented. 28 close contacts, have been in isolation medical observation, there is no abnormal performance such as fever. In addition, the medical observations of close contacts of the 2 cases diagnosed on November 12, 2019 showed no abnormalities such as fever.
The party committee government of the autonomous region attaches great importance to the prevention and control of plague, and has taken effective measures to strengthen organizational leadership. The autonomous region health and health committee and relevant departments have implemented the deployment arrangements of the autonomous regional party committees and governments, carried out protective rodent control, strengthened fever patient management, and strengthened the epidemic situation. Report, carry out medical personnel training and social health publicity and education, joint prevention and control, group prevention and control, strengthen work guidance and inspection, scientific prevention and control according to law, and protect the health and safety of the people.
Expert tips:
First, the source of infection of the plague
Mainly for infected animals and pneumonic plague patients, host animals commonly have rodents and wild carnivores, such as Mongolian marmots, Himalayan marmots and Daurian chinchillas, Mongolian gerbils, Brandt's vole.
Second, the transmission route of the plague
The plague is mainly transmitted by vector-borne organisms, contact spreads and droplets. In the natural foci, the transmission of vector-borne organisms is the most important mode of transmission. Fleas are the main medium for the spread of plague. Parasitic frogs infected with plague animals can bite people after they are infected with plague, which can cause human infection. Contact spread refers to the infection of a person who comes into contact with an infected animal during slaughter, peeling and eating meat, or when it comes into contact with the excrement or secretion of a plague patient. In addition, the respiratory secretions of patients with pneumonic plague contain a large number of plague bacteria. The bacteria released by the patient during breathing and coughing can form droplets and be suspended in the air for a short time. At this time, others can also cause infection when inhaled.
Third, the susceptible population
People are generally susceptible to plague. Persons engaged in field work in the epidemic areas or hunters and herders who are hunted and eaten from droughts and floods are more likely to be exposed to infected animals, and the chance of infection is higher than that of the general population.
Fourth, clinical manifestations
According to the different parts of the disease and pathological changes, the plague can be divided into bubonic plague, pneumonic plague, septic plague, etc. Other types of plague such as skin plague, intestinal plague, eye plague and other types are relatively rare.
1. Bubonic plague: clinical manifestations are mainly high fever, chills, nausea and vomiting, headache and limb pain, facial flushing, conjunctival hyperemia, skin mucosal bleeding. Most of the manifestations were inguinal lymph nodes, axillary lymph nodes and cervical lymph nodes, and they developed rapidly, mostly unilateral. After one week, the lymph nodes quickly became purulent and ulcerated.
2. Pneumonic plague: clinical manifestations are mainly acute onset, chills and high fever, headache, chest pain, shortness of breath, purple lips, cough, cough mucus or bloody foam, often died of heart failure, bleeding, shock.
3. Septicemia plague: clinical manifestations are mainly high fever chills, unconsciousness, coma, and then septic shock, disseminated intravascular coagulation and extensive skin bleeding and necrosis.
V. Preventive measures against plague
1. Develop good personal hygiene habits, which is the most effective measure to protect all kinds of infectious diseases including plague. For the time being, the public does not need to take special personal protective measures, and should maintain good personal hygiene habits, such as washing hands frequently, avoiding crowded places, going to medical institutions or personally appearing fever, cough and other related symptoms. Masks, etc.
2, if you suspect that you have contact with the case, you can self-observe, continue to self-test body temperature for 2 weeks; or take the initiative to declare to the local disease control department, get professional guidance, once there is fever, cough, lymph node pain, hemoptysis or bleeding and other symptoms Seek medical attention promptly.
3. Minimize contact with wild animals when traveling, do not play with droughts and droughts with unclear health conditions, do not hunter, strip, and carry animal-borne animals at the same time, and take measures to prevent bites. Reduce the body exposure by using repellents. To avoid being bitten.
4. Field staff should raise awareness of plague prevention and strengthen personal protective measures.
The plague is preventable, treatable, and controllable. Timely detection and timely treatment can be cured, and the public does not have to panic. (Contributed by Chai Yujia)
http://wjw.nmg.gov.cn/doc/2019/11/17/281661.shtml
