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China - Mycoplasma pneumonia, influenza or COVID-19?: Beijing expert says to confirm before treatment - November 13, 2023

U.S. Envoy Tells China to Stop "COVID deception" Over Pneumonia Outbreak


Story by Micah McCartney • 19h​
The U.S. ambassador to Japan, Rahm Emanuel, called on China to be transparent about the pneumonia outbreak spreading across the country and urged Chinese authorities "to abandon COVIDdeception".

The outbreak has been particularly prevalent among children in China, leading to significant strains on hospitals and medical personnel, especially in the northern cities. While there has been no reported surge in….
​…..China's recent pneumonia outbreak raises serious questions, and the World Health Organization is asking them. It's time to abandon COVID deception and delays as transparent and timely information saves lives," Emanuel stated.
…..The geographical spread of cases now spans from Beijing and Liaoning in the north to Guangzhou in the far sout…….
Chinese authorities did not immediately respond to Emanuel's comments.

In response to inquiries from the WHO, Chinese health officials have identified the causes of this wave of infections as mycoplasma pneumoniae (commonly known as walking pneumonia), respiratory syncytial virus, adenovirus, and influenza.
​…..The current situation has placed a significant burden on China's healthcare infrastructure.

Medical staff are overwhelmed and Chinese citizens have taken to social media to express their frustrations over long waits, sometimes exceeding a day, to access emergency departments. This crisis echoes the challenges faced earlier this year when the Chinese government abruptly lifted its strict anti-COVID measures…..:tiphat:

https://www.msn.com/en-us/health/ot...S&cvid=e7cdccb76f3f4073ae369b27381e56b6&ei=12
 
It is not news that COVID-19 is in the mix of diseases currently circulating through China:

Nature article - China's rolling COVID wave could hit every six months infecting millions - June 7, 2023

Even the Beijing expert cited in the first post of this thread mentioned COVID-19 as one of the infections affecting the citizens.



Also nothing new: China has always underreported their COVID-19 situation since the beginning. For example:

China CDC expert Zunyou Wu interview - "there will be no more large scale (COVID-19 coronavirus) epidemics" in China & other "interesting" comments - December 31, 2020

China will no longer publish data on asymptomatic COVID-19 cases - December 14, 2022​​

China - Media report that doctors say they are discouraged from citing COVID-19 on death certificates - January 17, 2023
 
Last edited:
Dongcheng district is in Beijing


The number of children seeking treatment for respiratory infectious diseases is increasing! Dongcheng District Hospital optimizes medical treatment process→

Source: Beijing Hao
Author: Officially released by Beijing Dongcheng
2023-11-25 11:31


Beijing has entered the season of high incidence of respiratory infectious diseases, with influenza, adenovirus, syncytial virus and other pathogens co-circulating. In the previous month, pneumonia caused by mycoplasma also caused high fever and coughing in many children.
Faced with the surge in medical demand, many district-affiliated hospitals and community health service centers in Dongcheng District have fully staffed the pediatric outpatient and emergency departments. They have increased clinics, dispatched more medical staff, flexibly scheduled shifts, optimized medical procedures, increased drug reserves, and extended outpatient hours. A number of measures have effectively alleviated problems such as patient congestion and long waiting times, and made every effort to ensure that every child can receive the fastest and most effective treatment.
Pediatrician at hand
Don’t get together when taking your baby to see a doctor
If a child has respiratory symptoms, such as cough, fever, and sore throat, he or she can go to a community medical institution for preliminary diagnosis and treatment.
At 8 o'clock on November 24, many patients had come to Hepingli Community Health Service Center for treatment. With the increase in the number of respiratory infections, the number of children visiting this community hospital has increased significantly.
"Almost 40 children come to see a doctor every day. In the past, the number of outpatient visits per day was less than 10." Xu Wei, chief physician of the general department of Hepingli Community Health Service Center, said that in order to facilitate children and parents, the children's outpatient services here now not only Clinics are open every day, and the outpatient clinic is extended to 8 pm. A children's infusion room has been specially added and a smart atomizer machine has been purchased. Ms. Liu, a resident who came for treatment with her children, said: "We have been receiving treatment here for a week. Blood drawing, infusion, and aerosol treatment are very convenient. It is not like having to queue for eight or nine hours after registration in a tertiary hospital."
Yongwai Community Health Service Center has added a pediatric clinic with full-time doctors to treat pediatric patients. The laboratory department can provide blood routine, C-reactive protein, "Mycoplasma pneumoniae antibody and respiratory virus penta-linked antibody" test items; the medical imaging department can provide chest X-ray examination; the pharmacy is newly equipped with pediatric azithromycin, carbocysteine ​​oral solution, pediatric fever Suqing Granules, Feilike Mixture and other Chinese and Western medicines are used to treat common diseases of the respiratory system in children. After evaluation, children over 6 years old can be given priority for infusion.
Previously, in order to improve the center's medical staff's ability to diagnose and treat pediatric patients, all members of the center were trained on the "Guidelines for the Diagnosis and Treatment of Mycoplasma Pneumonia in Children (2023)" and sent nurses to second- and third-level hospitals to learn pediatric nursing techniques.
In order to alleviate the problem of "difficulty in accessing pediatric medical services and long distances for pediatric medical services", the Dongzhimen Community Health Service Center has also opened pediatric outpatient services. The attending physician, Li Ye, is good at treating children’s digestive and respiratory diseases using acupuncture, cupping, moxibustion, ear point pressure pills, and pediatric massage. The current pediatric outpatient clinic hours are every Tuesday and Wednesday morning, and the center also provides intramuscular injection and infusion services for children's takeaway medicines.
Add more clinics and more medical care
Multiple measures to optimize the medical treatment process
Currently, the pediatric outpatient clinic of Puren Hospital has extended its admission hours to 8 pm to meet the needs of patients after get off work and school. A new children's treatment area has been opened in the hospital for children to undergo atomization and infusion, which has greatly eased the waiting time for children's treatment.
Dongcheng District Maternal and Child Health Hospital continues to optimize the medical treatment process, adopts a time-scheduled appointment mechanism, and improves the outpatient calling system to achieve patient diversion and reduce waiting time; the number of infusion seats has been increased from 18 to 42 to ensure the treatment effect of children; and a continuous connection between medical staff and The night clinic has been extended from 20:00 to 22:00; clinical and functional departments have worked closely together to increase the number of pediatric and fever clinics to ensure the supply of commonly used drugs. Beijing Hepingli Hospital combines traditional Chinese and Western medicine with non-drug treatments, such as cupping therapy, traditional Chinese medicine cream therapy, and pediatric massage therapy, which can significantly shorten the course of the disease in children. Pediatric personnel will arrange laboratory tests while the children are waiting for treatment, and provide symptomatic traditional Chinese medicine treatments such as fever massage and acupoint application. The pediatric outpatient clinic also mobilized doctors from the wards to provide reinforcements, increasing the number of clinics from 2 to 4 to 5 clinics per day, which greatly improved the speed of medical treatment. Beijing Longfu Hospital gives full play to the advantages of traditional Chinese medicine in "preventing disease" and formulates a traditional Chinese medicine decoction to prevent influenza based on the characteristics of this season's influenza, population constitution, and current climate characteristics, which is provided to patients visiting the hospital and inpatients to drink for free. Professor Li Aike, a pediatrician, conducts syndrome differentiation and treatment based on the child's age, constitution, condition complaints, etc., formulates a personalized plan, and effectively relieves children's symptoms through oral Chinese medicine decoction, acupuncture, pediatric massage and chiropractic, moxibustion, and traditional Chinese medicine application.

source: zhttps://news.bjd.com.cn/2023/11/25/10629828.shtml

 
from Johns Hopkins:

Can you have the coronavirus without a cough?


Yes. A cough is one of the common symptoms of COVID-19, but it is not always present. You can be infected with the coronavirus and not have a cough. If you do have one, it may be mild and infrequent, or you may cough heavily at times. Remember that it is possible to have COVID-19 with minimal symptoms or even no symptoms at all. People infected with the coronavirus who have no symptoms can still spread the virus to others.


https://www.hopkinsmedicine.org/hea...out a cough?-,Yes.,may cough heavily at times.

-------------------------------------------------------------------

Apparently the most common cough in mycoplasma pneumonia is a dry cough which could be reported as no cough.

from the NIH:


The key feature to the diagnosis is the absence of a wet cough.

Mycoplasma pneumoniae is a common cause of pneumonia. Prodromal symptoms include headache and fever, and patients subsequently develop a dry cough. It is frequently subclinical and thus underdiagnosed due to lack of symptoms or specific diagnostic criteria.


https://www.ncbi.nlm.nih.gov/books/...mmon,symptoms or specific diagnostic criteria.


 
my bolding in green -

Translation Google


Transcript of the press conference of the National Health Commission on November 26, 2023
[FONT=微软雅黑][FONT=微软雅黑][/FONT][FONT=微软雅黑]
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[FONT=微软雅黑]Release time: 2023-11-26 Source: Publicity Department[/FONT]


[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Time[/FONT][FONT=仿宋][FONT=仿宋]  :[/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋] November [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]26 [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋], 2023[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Venue[/FONT][/FONT][FONT=仿宋][FONT=仿宋]  :[/FONT][/FONT][/FONT][FONT=仿宋] Press Conference Hall, Building 2,[/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋] National Health Commission[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Moderator:[/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋] Mi [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Feng, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Spokesperson and Deputy Director of the Publicity Department of the National Health Commission[/FONT][/FONT][/FONT]   [/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Guest[/FONT][/FONT][FONT=仿宋][FONT=仿宋]  :[/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋] Wang Huaqing, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Chief Expert of Immunization Program, China Centers for Disease Control and Prevention[/FONT][/FONT][/FONT] [/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]        Li Yanming, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Director of the Department of Respiratory and Critical Care Medicine, Beijing Hospital[/FONT][/FONT][/FONT] [/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]        Yu [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Kang, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Director of Clinical Nutrition Department, Peking Union Medical College Hospital[/FONT][/FONT][/FONT]   [/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]        Zhang Zhongde, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]President of Guangdong Provincial Hospital of Traditional Chinese Medicine[/FONT][/FONT][/FONT] [/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]        Ying Xumin, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Deputy Director of Hangzhou Municipal Health Commission[/FONT][/FONT][/FONT] [/FONT]


[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Mi Feng [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋], spokesperson and deputy director of the Publicity Department of the National Health Commission [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Dear friends from the media, good afternoon! Welcome to the press conference of the National Health Commission. Currently, as winter begins in various places and respiratory diseases enter a period of high incidence, the National Health Commission and the State Administration of Disease Control and Prevention continue to carry out respiratory disease surveillance and situation analysis, promote influenza vaccination, and regularly coordinate the supply of medical resources and diagnosis and treatment work in various regions. Strengthen work guidance in a targeted manner and organize experience exchange and technical training.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Monitoring shows that influenza has been the main respiratory infectious disease recently. In addition, there are also rhinovirus, Mycoplasma pneumoniae, respiratory syncytial virus, adenovirus, etc. Analysis believes that acute respiratory diseases in China have continued to rise recently, which is related to the superposition of multiple respiratory pathogens. All localities must scientifically coordinate medical resources, implement a hierarchical diagnosis and treatment system, mobilize forces across departments and hospitals, give full play to the role of the medical consortium, and improve the diagnosis and treatment capabilities of general infections. and the efficiency of identification and referral of severe cases; efforts should be made to open more relevant clinics and treatment areas, appropriately extend service hours, strengthen drug supply guarantees, give full play to the role of traditional Chinese medicine, and maximize the treatment capacity and standardization level of diagnosis and treatment; timely disclosure to the public and continuous Update the information of medical institutions that provide pediatrics, fever clinics and other services, and give full play to the role of Internet hospitals and grassroots medical and health institutions to facilitate people to seek medical treatment nearby; we must do a good job in epidemic prevention and control in key places with dense populations such as schools, childcare institutions, and nursing homes. , reduce personnel movement and visits.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]We also remind everyone to adhere to the hygienic habits of wearing masks, ventilating frequently, and washing hands frequently, and encourage [/FONT][/FONT][FONT=仿宋][FONT=仿宋]key groups such as "the elderly and the young" to actively receive relevant vaccines. When you have respiratory symptoms, you must take protection, maintain social distance, and avoid family , Cross-infection within the unit. Large hospitals are densely staffed, have long waiting times, and have a high risk of cross-infection. If there are children at home with mild symptoms, it is recommended that they go to primary health care institutions or the pediatric department of a general hospital first. At present, the health departments of all provinces across the country have announced information on local medical institutions that can provide pediatric diagnosis and treatment services on their official websites and government WeChat platforms, and will update them in a timely manner.[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The theme of today's press conference is [/FONT][/FONT][FONT=仿宋][FONT=仿宋]"Winter Respiratory Disease Prevention and Control". We have invited: Mr. Wang Huaqing, chief expert of the immunization program of the Chinese Center for Disease Control and Prevention; Ms. Li Yanming, director of the Department of Respiratory and Critical Care Medicine, Beijing Hospital; Yu Kang, director of the Clinical Nutrition Department of Peking Union Medical College Hospital Mr. Zhang Zhongde, Vice President of Guangzhou University of Traditional Chinese Medicine and President of Guangdong Provincial Hospital of Traditional Chinese Medicine; Mr. Ying Xumin, Deputy Director of Hangzhou Municipal Health Commission. Ask them to answer everyone's questions together.[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Now, reporters are asked to raise their hands to ask questions. Please inform your news organization before asking questions.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Phoenix TV reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]What are the common respiratory infectious diseases? Which ones can be prevented by vaccines? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Wang Huaqing, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]chief expert of the immunization program at the Chinese Center for Disease Control and Prevention [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you to this reporter for your question. In fact, some common respiratory infectious diseases are caused by viruses and some are caused by bacteria. As you have seen, there are also recent reports of respiratory diseases caused by mycoplasma. Among viral diseases, the common ones we see include influenza, measles, mumps, rubella, chickenpox, some respiratory viral infections, and the common cold caused by adenovirus, which are viral diseases. Bacterial diseases, such as meningococcus, whooping cough, diphtheria, diseases caused by pneumococci, and diseases caused by Haemophilus influenzae, are all bacterial diseases.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Currently, there are about 40 types of infectious diseases that are preventable by vaccines[/FONT][/FONT] , some of which are respiratory infectious diseases. Viral diseases like measles, mumps, rubella, chickenpox, and influenza are all preventable by vaccines. In addition, diseases such as meningitis, whooping cough, diphtheria, pneumococcal disease, and Haemophilus influenzae can also be prevented through vaccination.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]I would also like to inform you here that through the implementation of the immunization program, some respiratory infectious diseases have been very well controlled in our country. I can provide you with some data. One is that diphtheria, which was widely prevalent in our country in the past, has had no cases in China for more than ten consecutive years. [/FONT][/FONT]In addition, measles was a common infectious disease in the past. If not vaccinated, almost every child would get it. In the highest year, nearly 10 million measles cases were reported. Last year, fewer than 600 cases [FONT=仿宋][FONT=仿宋]were actually reported. [/FONT][/FONT]In addition, for the disease like whooping cough, in the past, when there was no vaccine, or when the vaccine was not widely available, the highest number of cases exceeded 2 million. Now it has dropped to a very low level, with a decline rate of more than 99%.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]These are the results achieved by vaccination. Why have such good results been achieved? In fact, it has a lot to do with our continued improvement in vaccination rates. Therefore, under the current epidemic of respiratory diseases, it is still recommended that everyone follow the immunization program and follow our vaccination recommendations. Those who can be vaccinated should try their best to get vaccinated to prevent the occurrence of infectious diseases.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In addition, [/FONT][/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]the recent monitoring results of respiratory disease epidemics in my country show that the currently monitored pathogens are mainly influenza viruses. In addition, we also found that in different age groups, there are other pathogens besides influenza. For example, in[/FONT] children aged 1-4, in addition to influenza, there are also rhinoviruses that cause common colds, which also account for a certain proportion. . In addition to influenza, mycoplasma also accounts for a certain proportion among people aged 5-14 years old, as well as adenovirus, which causes the common cold. For those aged 15-59, in addition to influenza viruses, rhinoviruses and new coronavirus pathogens have been isolated. In people over 60 years old, human metapneumovirus is also the virus that causes common flu symptoms. In addition, ordinary coronaviruses also account for a relatively large proportion of people over the age of 60. Therefore, we have seen that in the recent respiratory disease epidemic season, a variety of pathogens coexist.[/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋] We hope that in such a situation, in addition to vaccination, we must also take non-vaccine prevention and control measures to protect our health. healthy. Thanks.[/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Guangming Daily reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In the home environment, the elderly have relatively weak resistance. Are there any special protection recommendations for them?[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Li Yanming, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]director of the Department of Respiratory and Critical Care Medicine at Beijing Hospital [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you for your question. In fact, as you said, as the elderly age, the local defense function of the respiratory tract and the overall immune function decline. In addition, the elderly often have multiple underlying diseases, so the elderly are prone to respiratory infections, and Once infected, it is easy to develop into severe disease. This is a group of people that we need to pay special attention to.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In terms of prevention, first of all, as Professor Wang Huaqing mentioned just now, vaccines are still the most important preventive measure. It's flu season. Seasonal influenza epidemics occur every year, so vaccination is the most important preventive measure for the elderly, especially those with underlying diseases. Second, pay attention to changes in temperature. Nowadays, especially in the northern region, the temperature changes greatly. When you go out, you must pay attention to the weather changes and add or remove clothes according to the temperature. In your home environment, you should also pay attention to the appropriate temperature. If the temperature at home is relatively low, we can choose some small appliances to keep our home environment at a suitable temperature. In addition, I would like to remind everyone here that humidity is also very important. If the home environment is too dry, it will not be good for respiratory health. Third, if you go out, try to avoid going to places where people gather in closed environments as much as possible. If you go, try to shorten your stay as much as possible. When you go, wear a mask and pay attention to clean hands. In addition, ventilation should be strengthened and the room should be ventilated every day. You can choose to ventilate at noon when the temperature is relatively high. If there are multiple rooms, the elderly can be moved to another room. After the room is ventilated and the temperature returns to a suitable temperature, the elderly can be moved back.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Finally, I hope that elderly friends can strengthen the management of basic diseases and maintain a healthy lifestyle in winter. Because for basic diseases, once you suffer from respiratory tract infection, it is easy to have an acute exacerbation of the basic diseases, and the basic diseases must be controlled in a relatively good state. In addition, it is necessary to maintain a healthy diet, sleep properly, smoke less, drink less, etc., and maintain a healthy lifestyle. Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]CCTV reporter from China Central Radio and Television Station [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Hospital outpatient services are our focus to improve the service level of medical institutions. In recent times, problems such as difficulty in registration and slow medical treatment have attracted widespread attention. In response to these problems, what measures will medical institutions take to improve appointments, registration, including the medical treatment process, and improve patients' medical experience? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Ying Xumin, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]deputy director of Hangzhou Municipal Health Commission [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thanks to this journalist friend for his question. In order to effectively deal with the current peak number of consultations for respiratory diseases, we have taken the following measures:[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The first is to increase the supply of medical services. Outpatient services should be open as much as possible. The respiratory outpatient clinics and fever outpatient clinics of all types of medical institutions at all levels, including general hospitals, specialized hospitals, and primary medical institutions, should be open on a regular basis. Service hours should be extended as needed, and clinics must not be stopped at will. At the same time, we actively create conditions to open night clinics, and all outpatient opening information is released to the public in a timely and accurate manner.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The second is to establish a dynamic monitoring and deployment mechanism, and medical resources should be allocated as much as possible. Hangzhou uses the City Brain Data Cockpit to monitor the number of outpatient and emergency visits, waiting times and other data in medical institutions in real time, and scientifically sets early warning indicators. If overload occurs, we will activate the emergency adjustment mechanism in real time, and deeply explore the potential of medical resources within medical institutions. , mobilize wards and qualified administrative staff who have been transferred to support the respiratory clinic. At the same time, we will make full use of the strength of leading hospitals in urban medical consortiums and county medical communities to support grassroots medical institutions.[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The third is to improve medical service measures and service processes and simplify them as much as possible. Optimize the medical service process, improve registration, inspection and medicine collection and other service processes, and reduce unnecessary links. For example, we have carried out pre-examination billing for routine blood tests and other routine tests, allowing patients to be examined while waiting for treatment. We have implemented the practice of seeing a doctor first and paying later. There is no need to pay for the whole process of seeing a doctor. We have implemented credit payment after diagnosis to minimize the waiting time for patients to see a doctor. Allocate additional medical auxiliary personnel to maintain medical order, and at the same time answer patients' questions to improve the efficiency of medical treatment. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Reporter from China Voice [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Nutrition plays an important role in the health of the immune system. In the winter season when respiratory diseases are most common, do we have some suggestions for healthy diet or healthy eating habits that can help everyone enhance their own immunity? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Yu Kang, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]director of the Clinical Nutrition Department of Peking Union Medical College Hospital [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]First of all, thank you, this journalist friend, for your question. We say that the important basis for reasonable immune maintenance is a reasonable diet. A reasonable diet is actually made up of many kinds of food. It does not mean that I can achieve the so-called reasonable diet by eating only one kind or a limited number of foods. Therefore, an important prerequisite for a reasonable diet is food diversification. Especially in winter, if we want to achieve this diversification goal, there is an important reference basis, which is the dietary guideline for Chinese residents to consume more than 12 kinds of food every day[/FONT][/FONT] . Eat more than 25 kinds of food every week. And we hope that these foods are evenly distributed into three regular meals, rather than just concentrated in one or two meals. We encourage everyone to cook together as a family as much as possible, and then enjoy this family atmosphere happily, which is very conducive to the realization of food diversity.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Second, ensure adequate intake of high-quality protein. When we talk about the main source of high-quality protein, try to choose foods and cooking methods that have relatively high protein quality and relatively low fat. For example, steamed fish and shrimp, skim or low-fat milk, tenderloin, etc., poultry with the skin removed, such as chicken, duck, etc., which form an important basis for immune substances. Of course, for protein intake, we hope that the three meals will be evenly distributed, and each meal can reach[/FONT][/FONT] 25-30 grams of protein. This is the most conducive to the maintenance of our overall protein status, and is also an important factor in our reasonable immune status. Base.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Third, ensure the intake of fresh and sufficient vegetables and fruits. From a quantitative perspective, the total daily vegetable intake should reach[/FONT][/FONT] 300 to 500 grams. This 300 to 500 grams does not only refer to green vegetables, but to achieve diversification, that is, colorful, especially some dark colors. Vegetables cannot be ignored, for example, tomatoes, purple cabbage, green cauliflower, carrots, colorful peppers, etc., so we say that the diversity of vegetables must also be fully reflected. Speaking of fruits, we hope to have 200 to 300 grams of fruits every day. You can also choose fruits with relatively low or medium sugar content, such as strawberries, grapefruits, apples, oranges, etc., which are very good. source of fruit. If we were to describe the intake characteristics of vegetables and fruits in one sentence, I think it would be "have vegetables with every meal and eat fruits every day." This is a more popular expression of our quantitative concept above.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Fourth, I hope everyone can ensure adequate drinking water every day, preferably[/FONT][/FONT] 1500 ml or 2000 ml of drinking water a day. As for the source of drinking water, we should choose boiled water, mineral water, and light tea as much as possible instead of various sugary drinks. At the same time, in order to achieve this kind of drinking water, we hope that everyone can drink water regularly in small amounts and multiple times a day, and try not to let yourself have dry mouth or thirst.[/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Finally, maintaining a healthy and reasonable weight is an important foundation for maintaining good immunity, so we must achieve a balanced diet. As some experts have mentioned before, we need to maintain good living habits and maintain a regular schedule. These are important dietary measures to maintain reasonable immunity. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]China Daily reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]I would like to ask, what suggestions are there in terms of traditional Chinese medicine health care that can help key groups strengthen their physical fitness, improve their resistance, and prevent respiratory diseases? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Zhang Zhongde [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋], Vice President of Guangzhou University of Traditional Chinese Medicine and Director of Guangdong Provincial Hospital of Traditional Chinese Medicine [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you for your question. We know that every winter is the season of high incidence of respiratory viruses, which is a test for the elderly with underlying diseases or those taking immunosuppression, tumor radiotherapy and chemotherapy, or during pregnancy, late pregnancy, and young children. How to prevent and treat winter influenza among key groups? There is a theory in traditional Chinese medicine that [/FONT][/FONT][FONT=仿宋][FONT=仿宋]"righteousness exists within the body, and evil cannot be affected." Therefore, we place special emphasis on supporting healthy qi and resisting wind, cold, and fire. It can be protected from several aspects such as food, clothing, housing and transportation. For example, in winter, the temperature difference is particularly large, the temperature difference between indoor and outdoor is large, and the temperature difference between morning and evening is also large. At this time, you should pay attention to changing clothes.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Second, in terms of diet, you should eat more foods that support righteousness and strengthen the spleen and qi. In winter, you should eat more warming foods, such as mutton, beef, chicken, etc. Avoid eating hot and greasy foods, which will be difficult to digest. At this time, you can pair it with some radishes. Folk saying goes, [/FONT][/FONT][FONT=仿宋][FONT=仿宋]"Eat radish in winter and ginger in summer." Radish can help digestion and nourish yin and qi. In addition, you can choose some medicinal foods, mainly to replenish qi, dispel cold and move dryness, such as dangshen, astragalus, ginger, perilla leaves, walnuts, etc., cook different soups and match them with different meals, the disease resistance will increase.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Third, in terms of living, ventilation must be provided where permitted. Of course it's very cold, 30 to 40 degrees below zero, so that's an exception when there's no way to get through. For example, there are some very cold places in the northwest, which not only require ventilation, but also maintain humidity because they are very dry. What to do if there is no heating in the south? You can add some heating appliances. In addition, Chinese medicine says that exercise is necessary to nourish a person. Exercise is very important if a person has good resistance. But how can you exercise in such a cold day? If allowed in the morning,[/FONT][/FONT] exercise at 9 a.m., 10 a.m., 4 p.m., 5 p.m., 6 p.m., when the sun is still shining, but avoid sweating profusely, which can easily hurt your energy.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Fourth, you should use traditional Chinese medicine-assisted therapy, massage Zusanli and Feishu points, and soak your feet. You can usually use perilla leaves, mugwort leaves, ginger, and cinnamon twigs. Soak your feet before going to bed at night, and the effect will be very good. , it will improve resistance and disease resistance. Traditional Chinese medicine says that it enhances righteousness and resists the invasion of evil spirits. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Xinhua News Agency reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]We know that digitalization and informatization can play a positive role in optimizing the order of medical treatment. I would like to ask, how can medical institutions use digital means to alleviate the problem of long queue times for medical treatment? Thanks.[/FONT][/FONT][/FONT][/FONT]


[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Ying Xumin, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]deputy director of Hangzhou Municipal Health Commission [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thanks to this journalist friend for his question. In recent years, Hangzhou has made every effort to build digital health and is committed to improving medical service capabilities and improving medical service processes through digital reform.[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The first is to provide information inquiry on fever clinics through various channels. In Hangzhou, patients can [/FONT][/FONT][FONT=仿宋][FONT=仿宋]check the information of fever clinics at the service entrance of major online platforms such as "Zheli Office". They can check hospital registrations in real time, including the number of people remaining in line. One-key navigation is also supported, making it easier for people to choose the nearest medical treatment time. Shorter medical institutions can be used for treatment to achieve effective pre-diversion.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The second is to increase the service supply of Internet diagnosis and treatment. Relying on the Internet hospital platform, we have opened special consultation and follow-up channels for fever clinics and pediatric diagnosis and treatment. Prescriptions are issued online, and medicines are delivered to patients' homes for free by third-party agencies. Medical treatment has been switched from offline to online to meet the needs of fever patients at home. It not only reduces the need for medical treatment, but also reduces the accumulation of pathogens in hospitals, reduces the chance of cross-reinfection, and alleviates the phenomenon of queuing for medical treatment.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The third is to provide [/FONT][/FONT][FONT=仿宋][FONT=仿宋]"cloud admission" processing services. Through digital technology, we have opened up hospital bed resources and reformed the hospitalization process for patients at the grassroots level to be transferred to higher-level medical institutions. We provide "cloud admission" services, from the previous process of issuing referral orders, contacting higher-level hospitals, and outpatient visits at higher-level hospitals. We streamline the five steps of issuing hospitalization orders and handling admissions to the community health service center cloud to choose a higher-level hospital for admission. The patient is directly admitted to the higher-level hospital in two steps, further shortening the waiting time and improving transfer efficiency. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋]CGTN [FONT=仿宋][FONT=仿宋]reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]My question is also about the elderly. For this special group, what are the characteristics and risk factors of respiratory diseases in the elderly in winter? What should be the characteristics of the treatment plan developed for this group? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Li Yanming, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]director of the Department of Respiratory and Critical Care Medicine at Beijing Hospital [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you for your question. In fact, as we just mentioned, for the elderly, as age increases, the defense ability of the respiratory tract decreases, and at the same time, the immune function of the whole body decreases, so they are susceptible to invasion by various respiratory pathogens. In addition, the elderly often suffer from many basic diseases, such as the familiar COPD, coronary heart disease, diabetes, etc. The existence of these basic diseases will further weaken the immune function of the elderly. At the same time, once you suffer from a respiratory infection, it is easy for basic diseases to aggravate, such as arrhythmia, respiratory failure, etc. Therefore, this group of people are prone to respiratory infections due to the existence of basic diseases and the decline in respiratory immune function related to aging. , and prone to severe illness. In terms of clinical characteristics, a very prominent feature is that the symptoms of this group of people after suffering from respiratory infections are atypical. Everyone may know, what are the symptoms of typical respiratory infections? It is fever, accompanied by respiratory symptoms such as cough and sputum. But for the elderly, their symptoms may not be specific, especially the elderly or those with disability and dementia. They may not be able to express their discomfort well, so daily monitoring must be strengthened. First of all, many elderly people will have falls as the first manifestation of respiratory infection. Because the elderly themselves are relatively weak, respiratory infection will further aggravate the decline in their stability ability. In addition, he may have some symptoms of the digestive tract or central nervous system, and his general condition becomes worse, such as anorexia, lethargy, etc. These may be symptoms of respiratory infections in the elderly. Therefore, in daily care, it is necessary to closely monitor changes in daily conditions and detect them early.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The treatment of the elderly mainly includes many aspects, of which comprehensive treatment is a very important part. For respiratory infections, the first step is anti-infective treatment. Follow the doctor's instructions and give anti-infective treatment according to the possible pathogen or the identified pathogen. When choosing anti-infective drug treatment, attention should be paid to effectiveness and safety. As we mentioned just now, the elderly often have multiple underlying diseases and use many drugs, so they must pay attention to drug interactions. At the same time, the dose should be adjusted according to the liver and kidney function of the elderly. In addition, the elderly have more basic diseases and are prone to aggravation of basic diseases during infection. Therefore, care and monitoring of basic diseases become very important during respiratory infections. Thirdly, we need to strengthen care for the elderly during the treatment period. Once the elderly suffer from respiratory infections, they are prone to weakness, anorexia, difficulty swallowing, choking, difficulty in expectoration, etc. During this period, we must Carry out some nutritional supplements, add some easy-to-digest, high-quality foods, and at the same time strengthen the drainage of sputum.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Finally, although respiratory tract infection is an acute disease, it may have long-term effects on the elderly, a vulnerable group of people. The flu may have healed, but the elderly may suffer from poor function and require long-term care, or even get reinfected. Therefore, during the recovery period, the elderly should be fully evaluated and multi-faceted, including his sleep status, nutrition status, cognitive status, emotional status, etc., and targeted intervention should be carried out according to the problems that arise, so as to promote the early development of the elderly. of recovery. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]China Youth Daily reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Experts, do you have any specific vaccine recommendations for different groups of different age groups? Please give some examples. Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Wang Huaqing, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]chief expert of the immunization program at the Chinese Center for Disease Control and Prevention [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you to this reporter for your question. We all know that vaccines are a safe, convenient and economical measure to prevent infectious diseases and play an important role in the prevention and control of infectious diseases. Different vaccines target different targets, which are mainly determined based on the characteristics of the vaccine and the need to prevent and control diseases. For example, the national immunization program vaccines currently implemented in our country are mainly targeted at[/FONT][/FONT] children under the age of 14. Non-immunization program vaccines, such as pneumococcal vaccine, Haemophilus influenzae type b vaccine, etc., are mainly targeted at infants and young children. There is also the most commonly used influenza vaccine for respiratory diseases, which can be used by people over 6 months old. However, there are also key recommended groups, such as the elderly, people with underlying diseases, and infants and young children. The degree to which these groups are recommended to receive influenza vaccines is different.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In addition, regarding the new coronavirus vaccine, according to the latest plan, our country stipulates that[/FONT][/FONT] people over 60 years old, people aged 18-59 with chronic underlying diseases, and people with immune deficiencies are at high risk of infection. These groups of people are currently recommended for vaccination with the new coronavirus vaccine.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]During the vaccination process, vaccination must be standardized in accordance with the requirements of the vaccination work specifications and the requirements of the vaccination plan, so that the vaccine can play a better role in different groups of people throughout the life cycle. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Cover News Reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]What role does triage, stratification and graded treatment play in improving medical efficiency and treatment quality? How should healthcare organizations implement this strategy? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Ying Xumin, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]deputy director of Hangzhou Municipal Health Commission [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you to this journalist friend for your question. Establishing and improving a hierarchical and hierarchical triage treatment system plays a very important role in effectively allocating and managing medical resources, rationally triaging patients, and improving treatment efficiency.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The first is to establish a mechanism. Health administrative departments at all levels should, based on the functional positioning of medical institutions at all levels, rely on the strength of urban medical consortiums and county medical communities to establish hierarchical and hierarchical diversion with secondary medical institutions as the leader and primary medical institutions as the bottom. treatment system. Increase support for grassroots medical institutions, coordinate the deployment of various types of medical resources at all levels within the jurisdiction, and ensure that patients can receive timely and effective treatment at appropriate levels of medical institutions.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The second is strong ability. Medical institutions at level 2 and above should focus on developing technical research on the diagnosis and treatment of difficult and critical diseases, and strengthen their treatment capabilities for difficult and severe diseases. For grassroots medical institutions, it is necessary to further increase[/FONT][/FONT] the configuration of CT and other medical equipment, strengthen business learning, standardize the diagnosis and treatment of respiratory diseases, especially improve the early identification ability of critical illness, and achieve "early detection, early recognition, early diagnosis and treatment". Intervention" and guide patients to primary care.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The third is smooth channels. [/FONT][/FONT][FONT=仿宋][FONT=仿宋]It is necessary to establish a "one-on-one" guidance and assistance mechanism [/FONT][/FONT][FONT=仿宋][FONT=仿宋]between hospitals at higher and lower levels . [/FONT][/FONT][FONT=仿宋][FONT=仿宋]We have established a specialized treatment alliance for critical and critical illness, established a grid for emergency and severe illness, and carried out treatment and inspections in different areas. We have opened up consultation and referral channels for provincial, municipal and county hospitals, responded to diagnosis and treatment needs in a timely manner, guided treatment plans, and implemented grading. Diagnosis and treatment system. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Southern Reading Newspaper Southern[/FONT][/FONT] + Reporter [/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Is it more suitable for elderly people infected with respiratory diseases to adopt traditional Chinese medicine for prevention and treatment? Can you introduce some experience and suggestions of traditional Chinese medicine in preventing and treating respiratory diseases in winter?[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Zhang Zhongde [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋], Vice President of Guangzhou University of Traditional Chinese Medicine and Director of Guangdong Provincial Hospital of Traditional Chinese Medicine [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thanks. According to traditional Chinese medicine, the elderly are particularly susceptible to infection in winter as their internal organs, qi and blood become deficient and their resistance decreases as they age. Pay attention to three aspects: on the one hand, you must keep warm. For the elderly, the head, neck, back, and feet are the main areas. There is a saying in traditional Chinese medicine that wind comes from the head and cold starts from the feet, so make sure that the head is not exposed to wind; The head should be kept warm; the back should be kept warm, and you can wear a vest. The second aspect is to bask in the sun. The sun in winter is the best gift that nature has given us to warm the sun, dispel cold, and improve immunity. If possible, we must bask in the sun more. Thirdly, in terms of diet, we can use some auxiliary Chinese patent medicines that can strengthen the spleen, replenish qi and strengthen the surface, warm yang and dispel cold, or take medicated meals for protection. In addition, do not wait until the elderly become ill, especially if they have underlying diseases, such as bronchiectasis and bronchial asthma. Do more breathing exercises and abdominal breathing training at home to help relieve symptoms.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In addition, do not take large amounts of supplements in your diet, such as red ginseng, ginseng, cordyceps, etc., and use moderate meals to strengthen the spleen, replenish qi, warm yang and dispel cold. Some people just start to have sore throats, runny noses, and sneezing. It is necessary to determine whether it is wind-cold or wind-heat. For wind-heat, Chinese patent medicines or medicinal diets that clear away heat and dispel wind should be used to prevent and treat wind-heat, or massage Shaoshang acupoint and Lieque acupoint; For wind-cold syndromes such as nasal congestion, runny nose, sneezing, and itchy throat, you can use traditional Chinese medicine or dietary therapy commonly used to dispel wind-cold. However, if the underlying disease is serious or the cough and fever are severe, you must use a combination of traditional Chinese and Western medicine to treat and prevent it with traditional Chinese medicine. If the underlying disease worsens, Western medicine methods should be used in conjunction with the treatment to maximize the patient's benefit and allow them to recover as quickly as possible. Thanks![/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]China News Service reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]For patients with respiratory diseases, what specific nutritional supplements or food ingredients can help improve their condition? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Yu Kang, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]Director of the Clinical Nutrition Department of Peking Union Medical College Hospital [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you for your question. If there is restriction of eating, or you cannot eat at all, or although you eat, the amount you eat is significantly less than usual, such as a 30% or even 50% reduction[/FONT][/FONT] for two days. In this case, we need to take additional oral supplements. Nutritional supplements, including formula foods for special medical purposes, and oral enteral nutrition preparations, etc. During this process, we should get the guidance of a clinical nutritionist or clinical nutritionist from the nutrition department of the hospital. Of course, before supplementing these nutritional oral preparations, you should also pay attention to his eating situation. We still encourage him to eat a natural diet, especially starting from liquid food, semi-liquid food, light diet, and easy-to-digest mild diet and gradually increasing it. . During this process, you should especially avoid being too anxious, or even consuming a lot of sugar, sweets, fried, spicy food, etc., which will lead to worse results.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]At the same time, for those with long-term nutritional deficiencies or low weight, especially the elderly, we still need to emphasize the supplement of high-quality protein. There are also some friends who are long-term vegetarians and have always had relatively little intake of animal foods. In this case, in addition to the oral nutritional supplements mentioned above, some protein supplements can also be added.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In another situation, an imbalance of intestinal flora may occur in the case of infection, or after the use of antibiotics in the case of bacterial infection, an imbalance of intestinal flora may occur. Therefore, in this case, we should choose some probiotics and prebiotics to improve the intestinal microecology under the guidance of a doctor or clinical nutritionist.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Finally, special attention should be paid to nutritional monitoring during the entire prevention and treatment process, including changes in weight, food intake, water and electrolytes. For some elderly people, etc., special attention should also be paid to changes in body composition such as muscle mass, and Some metabolic indicators, such as blood sugar, blood lipids, liver and kidney function, etc. Therefore, we also hope that in the process of comprehensive prevention and treatment, we can regularly visit the clinical nutrition clinic of a general hospital to strengthen the monitoring of clinical nutrition. Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The Paper reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]What are the precautions for vaccination against respiratory diseases in the elderly? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Wang Huaqing, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]chief expert of the immunization program at the Chinese Center for Disease Control and Prevention [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you to this reporter for your question. Currently, there are three main vaccines for preventing respiratory diseases in the elderly, including influenza virus vaccine, pneumococcal polysaccharide vaccine, and new coronavirus vaccine.[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The elderly are a very special group. First, a large proportion of them have underlying diseases. Second, their own immunity is weakening. In this case, when receiving vaccines, three things need to be done, mainly from a safety perspective. thing.[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]First, contraindications must be strictly observed. If you have a history of allergy to vaccines or ingredients in vaccines, you must not be vaccinated. Also, those who have experienced severe adverse reactions, especially allergic reactions, from similar vaccines cannot be vaccinated.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Second, scientifically grasp the indications. The elderly have some basic diseases. If they are in the acute attack stage or the disease progression stage, vaccination needs to be postponed at this time. The indications are not contraindications, but we must take care to prevent other coincidental situations from occurring. Some elderly people also have acute diseases and serious symptoms. At this time, delayed vaccination is also recommended. This is also from the perspective of caution.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Third, in order to ensure safety and effectiveness of vaccination, there are a series of work specification requirements in the process of vaccination. From the perspective of the vaccination doctor, the vaccination work specification should be strictly followed. In addition, during each vaccination process, both the elderly and their family members must carefully read the informed notice, which also contains some relevant precautions, including the need for observation, precautions before vaccination, etc. This is all to ensure that the elderly are vaccinated Safe and effective. Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]China Net reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]After many children suffer from respiratory diseases, although their fever has gone away, they still have a cough for a long time. How can we relieve the symptoms of cough from the perspective of traditional Chinese medicine? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Zhang Zhongde [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋], Vice President of Guangzhou University of Traditional Chinese Medicine and Director of Guangdong Provincial Hospital of Traditional Chinese Medicine [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you, everyone is very concerned about the cough problem in children. According to traditional Chinese medicine, children have a [/FONT][/FONT][FONT=仿宋][FONT=仿宋]"childish yin and childish yang" constitution. When the disease is just recovering, the spleen and stomach functions are relatively fragile. At this time, some parents are anxious and will take some supplements. If too much, it will easily increase the burden on the spleen and stomach, causing cough. There is also a situation where parents are anxious. The child has a slight fever, 38 or 39 degrees, and the parents want the fever to subside in 6 or 5 hours without rebounding. At this time, the medication is very strong. There is a theory in traditional Chinese medicine that if it is too bitter, cold or too hot, it will be easy to "close the door and leave enemies", and the evils of wind-cold or wind-heat will not be completely eliminated. There are several ways to treat coughs caused by these aspects.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]First of all, we need to distinguish whether it is wind-heat or wind-cold. If you have wind-heat, sore throat, a little yellow phlegm, and a little yellow nasal discharge, you can use Chinese patent medicines that clear away heat, detoxify and reduce phlegm, or Western medicine that reduces phlegm. If you have a cold, cough, and itchy throat, like some irritating coughs, and your nose will run clear when you cough, you can use some Chinese patent medicines that can dispel cold, relieve the surface, and replenish lung qi. In addition, if you have a dry or dry cough with no phlegm and a cough that sounds like tearing cloth, use moisturizing method to treat the lungs. In terms of dietary therapy, there are many dietary therapies that can clear away heat and detoxify, such as snow pear, water chestnut, borneol, Sichuan clam, etc. For those with wind and cold, stewing tangerine peel, ginger, and orange with some lean meat in water can also dispel wind and cold, but the diagnosis must be accurate. For those with wind, dryness and heat, you can use Adenophora, Ophiopogon japonicus, honey,[/FONT][/FONT]  etc.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In addition, some patients with coughs had already recovered, but after eating some fruit or cold drinks, their coughs worsened. Many parents attach great importance to giving their children fruits and vegetables, but the opposite is true. Many children now only eat fruits and vegetables. Traditional Chinese medicine says that these foods are very cold. If the patient has a cold constitution, he or she will easily cough after eating them. Especially at night, coughs, runny noses, and sweating are more likely to occur, so parents should make a clear judgment before giving their children the correct dietary therapy. There are also some traditional Chinese medicine methods, such as using a hairdryer to blow the Dazhui on the child and rubbing the trachea with ginger, which can help relieve coughs. The premise is that the child does not have severe pneumonia or other serious symptoms. If so, it must be treated with a combination of traditional Chinese and Western medicine, and timely treatment Go to the hospital for relevant examinations. Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Daily Economic News reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The elderly are susceptible to respiratory diseases. When the elderly develop symptoms of respiratory diseases, how do their families judge whether they need home care or go to the hospital? How to reduce their risk of cross-infection if they go to the hospital? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Li Yanming, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]director of the Department of Respiratory and Critical Care Medicine, Beijing Hospital [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you for your question. In fact, this is indeed a difficult choice for family members. It needs to be comprehensively judged based on the age of the elderly, the severity of his underlying diseases and the severity of the infection. I have a few suggestions.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]First, the elderly or their family members must understand the basic conditions of the elderly, including their basic body temperature, blood pressure, pulse, blood oxygen saturation, etc., because only by understanding these conditions can we know the extent of his changes. This is Very very important.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Second, it is recommended that the elderly and those with serious underlying diseases should be more active in seeking medical treatment. For example, those who are eighty or ninety years old and have serious respiratory diseases, cardiovascular diseases, and physical activity Sexual tumors, etc. Once such patients suffer from infection, their condition often develops rapidly and is prone to severe illness, so they should be more active when seeking medical treatment.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Third, we need to look at the symptoms of this respiratory infection. If the symptoms are relatively mild, with only some runny nose and sneezing, the situation is relatively good, and you can choose to observe at home. If you have a persistent high fever, difficulty breathing, wheezing, decreased blood oxygen saturation, or central nervous system symptoms such as incontinence of urine and feces, as well as obvious lack of energy, eating disorders, drowsiness, etc., these are all bad signs. , need timely medical treatment.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Finally, I would like to remind everyone that early treatment of respiratory tract infections is very important. For influenza, anti-influenza virus drugs are most effective when taken within[/FONT][/FONT] 48 hours. If it exceeds 48 hours, the effect of the drugs will be reduced. discount. If it is known that there is a flu patient at home, seek medical attention promptly if symptoms of respiratory infection appear.[/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]If you go to the hospital, how can you take precautions? First of all, we need to stagger the peak hours and try to reduce the peak hours to see a doctor as much as possible. In addition, it is recommended that the elderly wear masks if they can tolerate it. There are more infected patients now. While everyone is waiting, try to reduce contact with other people as much as possible and find a place with relatively few people. Finally, manage hand hygiene well, minimize contact with public surfaces, especially public surfaces in hospitals, and clean your hands after touching surfaces. Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]CCTV reporter [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]We know that respiratory diseases are more common in winter. How can we improve public health awareness so that more people can pay attention and understand how to prevent common diseases such as influenza, thereby reducing the chance of illness and the need for medical treatment. What should individuals pay attention to during the peak stage of infection? Thanks.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Ying Xumin, [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]deputy director of Hangzhou Municipal Health Commission [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thanks to this reporter for his question. Winter is the season of high incidence of various respiratory infectious diseases. Improving public health awareness and enhancing the public's ability to prevent common infectious diseases in winter can effectively reduce the risk of contracting infectious diseases such as influenza and reduce the need for medical treatment. At this stage, we are mainly working from the following aspects.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]The first is to keep the public informed of the latest epidemic situation and the latest relevant policies, and to increase awareness of proactive prevention. The second is to use various forms to carry out publicity and education on the prevention and control of infectious diseases in winter and spring to the public. The third is to provide targeted technical guidance to key units such as child care institutions, schools, elderly care institutions, and social welfare institutions, strengthen the monitoring and management of infectious diseases, and prevent the occurrence of cluster epidemics.[/FONT][/FONT][/FONT][/FONT]

[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]In view of the current epidemic season of respiratory infectious diseases, it is recommended that the public strengthen the following preventive measures: First, maintain scientific and good hygiene habits, and seek medical treatment in time and standardize treatment if you have fever, cough and other related symptoms. The second is to have a balanced diet, regular work and rest, and moderate exercise to enhance physical fitness and immunity. When doing outdoor activities, add clothes in time to avoid increasing the chance of infection due to catching a cold. The third is vaccination. Vaccination is the most cost-effective way to prevent infectious diseases. It is recommended that eligible people get vaccinated in a timely manner. Thanks![/FONT][/FONT][/FONT][/FONT]


[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Mi Feng [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋], spokesperson and deputy director of the Publicity Department of the National Health Commission [/FONT][/FONT][/FONT][FONT=仿宋][FONT=仿宋][FONT=仿宋]:[/FONT][/FONT][/FONT][/FONT]
[FONT=仿宋][FONT=仿宋][FONT=仿宋][FONT=仿宋]Thank you. At today's press conference, several guests introduced the prevention and control of respiratory diseases in winter. Thank you again. We will hold a press conference on related topics in the future. You are welcome to continue to pay attention. This concludes today’s press conference, thank you all![/FONT][/FONT][/FONT][/FONT][/FONT]


http://www.nhc.gov.cn/xcs/s3574/202311/07f534629af6437cbfd53b26300c334c.shtml
 
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CHINA PNEUMONIA: ADVISORY ISSUED IN INDIA: STATES TOLD TO KEEP OXYGEN AND MEDICINES READY


written by ARTI PANDEY November 26, 2023
China Pneumonia: The Health Ministry of the Central Government has issued an advisory to the States and Union Territories of India on the mysterious disease spreading among children in North China.

In view of the recent reports, all states have been instructed to review respiratory diseases with caution. Apart from this, hospitals have also been asked to prepare for the spread of any major disease. At the same time, the World Health Organization (WHO) has also expressed concern and sought information related to this disease from China. In the advisory issued by the government as a precautionary measure, it has been made clear that at present there is no need to panic about this disease in India.'
China Pneumonia
Our eyes are on the mysterious disease: Health Ministry

On November 24, the Health Ministry had said that it was keeping an eye on the mysterious disease spreading in China. The Health Ministry had said- The spread of H9N2 cases and respiratory diseases among children in China is being closely monitored.
The Union Health Ministry has issued instructions to all states and union territories to immediately review the preparedness of public health centers (CHCs) and hospitals. Along with this, it has also been said that the government is closely monitoring the increasing cases of respiratory disease in China and has indicated that there is no need to worry of any kind. Advisory issued in India
What was said in the advisory? (China Pneumonia)
The advisory issued by the Health Ministry states that all states will implement operational guidelines for the revised surveillance strategy in the context of COVID-19. In such a situation, district and state officials will keep an eye on cases of influenza-like diseases and severe acute respiratory infections. The ministry has said that the increase in respiratory diseases is mainly due to common causes like influenza, Mycoplasma pneumoniae, SARS-CoV-2.
At the same time, Chinese officials say that the risk of this disease is high till March. Apart from this, officials have also warned about the danger of resurgence of Covid-19 infection. The World Health Organization (WHO) said that China had informed in a press conference about the spread of a respiratory disease.
:tiphat:

https://www.jaihindtimes.in/china-pneumonia-advisory-issued-in-india/
 
As to H9N2 spread comment above....well we are watching all novel flu cases globally. In China these are the five cases we have documented for this year:

2023


China - Male, 7 months, onset date of May 1, Jiangxi province link

China - Female, 6, onset on May 30, Sichuan province link & link

China - China National Influenza Center: Report of 1 human H9N2 avian flu case in Guangxi province - July 18, 2023

China - China National Influenza Center: Report of 1 human H9 subtype avian flu case in Sichuan province - August 18, 2023

China - Hong Kong CHP lists new H9N2 avian flu case in Sichuan province - October 2023

https://flutrackers.com/forum/forum...umulative-h9n2-partial-case-list-1998-current


Are there more novel flu cases than reported? Probably. We are watching and we will publish any findings we have.
 
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expert reaction to ProMED report on undiagnosed pneumonia in children in China - Science Media Centre

November 22, 2023

Scientists react to news of undiagnosed pneumonia in children in China.

Prof Paul Hunter, Professor in Medicine, University of East Anglia (UEA), said:

“At present there is too little information to make a definitive diagnosis of what is causing this epidemic in China.

“From the original post https://promedmail.org/promed-post/?id=8713261 The outbreak is predominantly being reported from Beijing, Liaoning and other places so over some considerable distance. The epidemic is predominantly in children but illnesses are being reported in teachers at least in Liaoning.​

“The illness in children is fever with no cough or other symptoms, but in some cases, pulmonary nodules can be seen on Chest X-Ray. At present, we don’t know the age group mostly affected but it seems school-age children are certainly affected.

“Whilst we can’t make a definitive diagnosis at this stage the presence of pulmonary nodules tend to suggest a bacterial rather than a viral cause. Pulmonary nodules in children are seen in pneumococcal pneumonia and cough may be absent. Influenza can catch patchy changes on chest X-ray, often due to secondary bacterial infections so could also be in the frame. Others have suggested Mycoplasma infections which caused outbreaks of infection during autumn even prior to covid https://promedmail.org/promed-post/?id=8713277 and tend to preferentially affect children and younger adults. However, the symptoms and Chest X-Ray appearance are not entirely consistent with Mycoplasma.​

“There may also be more than one infectious cause of the current epidemic.

“Overall, this does not sound to me like an epidemic due to a novel virus. If it was, I would expect to see many more infections in adults. The few infections reported in adults suggest existing immunity from a prior exposure. ...

Dr Zania Stamataki, Associate Professor in Viral Immunology, University of Birmingham, said:

“There is currently no evidence that the increase in paediatric pneumonia cases in China may be due to a new virus. As restrictions lifted and children mixed, it is likely that single respiratory infections or coinfections occur in a background of already circulating harmless viruses, which may cause a more severe disease. ...

Prof David Heymann, Professor of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, said:

“It is important to consider that there is likely a background of seasonal respiratory infections – the challenge is to discern the outbreaks and determine the cause. ...

Prof Francois Balloux, Professor of Computational Systems Biology and Director, UCL Genetics Institute, UCL, said:

The current wave in China is likely caused by different respiratory pathogens such as RSV or the flu. Though it is also probable that substantial proportion of cases may be due to the bacterium Mycoplasma pneumoniae, which is generally fairly harmless.”​ ...

https://www.sciencemediacentre.org/...n-undiagnosed-pneumonia-in-children-in-china/
 
China's respiratory illness surge not as high as pre-pandemic - WHO official

By Andrew Silver
November 27, 20234:27 AM CSTUpdated 6 hours ago

SHANGHAI, Nov 27 (Reuters) - The spike in respiratory illnesses that China is currently suffering is not as high as before the COVID-19 pandemic, a World Health Organisation official said, reiterating that no new or unusual pathogens had been found in the recent cases.

Maria Van Kerkhove, acting director of the WHO's department of epidemic and pandemic preparedness and prevention, said the increase appeared to be driven by a rise in the number of children contracting pathogens that they had avoided during two years of COVID restrictions.

"We asked about comparisons prior to the pandemic. And the waves that they’re seeing now, the peak is not as high as what they saw in 2018-2019," Van Kerkhove told health news outlet STAT in an interview on Friday.

"This is not an indication of a novel pathogen. This is expected. This is what most countries dealt with a year or two ago," she added.

China's National Health Commission spokesperson Mi Feng said on Sunday the surge in acute respiratory illnesses was linked to the simultaneous circulation of several kinds of pathogens, most prominently influenza.
...
https://www.reuters.com/world/china...ot-high-pre-pandemic-who-official-2023-11-27/
 
Some COVID-19 genetic info. My bolding.


Joël Mossong
@joel_mossong
·
35m
Latest update of BA.2.86* like lineages from GISAID. Still in a relative exponential growth phase with a doubling period of about two weeks. Looks like it could become dominant in the samples going to be collected next week (week 49).
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National government notice -

[FONT=微软雅黑][FONT=微软雅黑][FONT=微软雅黑]Notice on preventing and controlling new coronavirus infections and other key infectious diseases in winter and spring[/FONT][/FONT][/FONT]
[FONT=微软雅黑][FONT=微软雅黑][FONT=微软雅黑][/FONT][FONT=微软雅黑][/FONT][FONT=微软雅黑]
dys.jpg
[/FONT]
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[FONT=微软雅黑][FONT=微软雅黑][FONT=微软雅黑][FONT=微软雅黑]Release time: 2023-11-17 [/FONT][/FONT][/FONT][FONT=微软雅黑][FONT=微软雅黑][FONT=微软雅黑]Source: Medical Emergency Department[/FONT][/FONT][/FONT][/FONT]


[FONT=微软雅黑][FONT=仿宋][FONT=仿宋][FONT=微软雅黑][FONT=微软雅黑]Joint Prevention and Control Mechanism Comprehensive Issue [2023] [/FONT][/FONT][/FONT][FONT=微软雅黑][FONT=仿宋][FONT=微软雅黑]No. [/FONT][/FONT][/FONT][FONT=仿宋][FONT=微软雅黑][FONT=微软雅黑]27[/FONT][/FONT][/FONT][/FONT]


[FONT=微软雅黑][FONT=仿宋][FONT=微软雅黑][FONT=微软雅黑]Joint prevention and control mechanisms (leading groups, headquarters) of all provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps, and member units of the Joint Prevention and Control Mechanism of the State Council: The current global epidemic of new coronavirus infection (hereinafter referred to as COVID-19) is still prevalent, and the novel coronavirus is still [/FONT][/FONT][FONT=微软雅黑][FONT=微软雅黑]spreading Constantly mutating. [/FONT][FONT=微软雅黑]Most areas of our country have entered winter, and this winter and next spring may face the superimposed epidemic of multiple respiratory diseases such as COVID-19, influenza, and Mycoplasma pneumoniae infection. [/FONT][/FONT][/FONT][/FONT]
[/FONT]


​more... zhttp://www.nhc.gov.cn/ylyjs/pqt/202311/b2978060a77948cdaea68bfe3059bb0c.shtml
 
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