Source:
http://guoqing.china.com.cn/2020-01/19/content_75627927.htm
Google translation:
Reporter's question on comprehensive prevention and control of pneumonitis caused by new coronavirus
Published: 2020-01-19 08:43:26 | Source: China News | Author: | Editor: Lu Yiyi
Wuhan answers reporter's question on comprehensive prevention and control of pneumonia caused by new coronavirus infection
刚 Li Gang, director and chief physician of Wuhan Center for Disease Control and Prevention, answers questions from reporters Photo by Zhang Qin
Original Title: Wuhan City Answers Questions on Comprehensive Prevention and Control of Pneumonia Infected by New Coronavirus
Chinanews.net Wuhan, January 19th. Experts and local government officials in Wuhan on the prevention and control of pneumonia caused by new coronavirus infections answered questions on the 19th whether measures can be taken to prevent and control the disease and prevent the spread of the epidemic. The reporter asked.
1. On January 17 and 18, in the information released by the Wuhan Municipal Health and Health Committee, we noticed that there were new cases. Can you explain the reason? Will there be new cases in the future?
Huang Chaolin, an expert from the Hubei Provincial Medical Group, deputy director and chief physician of Wuhan Jinyintan Hospital: After unknown viral viral pneumonia in Wuhan was determined to be caused by a new type of coronavirus infection, relevant national scientific research institutions quickly developed a viral nucleic acid detection kit. Then technical optimization. On January 16, after the Hubei Provincial Center for Disease Control and Prevention received the kit issued by the state, it began to conduct pathogenic testing on samples of patients with unexplained viral pneumonia submitted for examination in Wuhan. On the 16th to 17th, the national, provincial and municipal expert groups made a comprehensive judgment based on clinical manifestations, epidemiological history, and pathogenic test results, and confirmed 4 and 17 patients, respectively. As testing continues, new cases are expected to continue to increase.
2. Can you introduce the process of finding and confirming new cases?
Huang Chaolin, an expert from the Hubei Provincial Medical Group, and vice president and chief physician of Wuhan Jinyintan Hospital: After the outbreak, Wuhan strengthened the screening of fever patients with pneumonia in medical institutions, and eliminated known viruses (including influenza, Viral, SARS, MERS, etc.) patients with viral pneumonia were immediately quarantined and treated, and specimens were collected for examination to carry out a new coronavirus pathogenic test. National, provincial and municipal expert groups combined with clinical manifestations, epidemiological history, and pathogenic test results to make a comprehensive diagnosis, and finally diagnosed patients with new type of coronavirus infection.
3. Can you make a preliminary judgment on the current situation of the epidemic? Is the epidemic situation preventable and controllable?
Li Gang, Director and Chief Physician of Wuhan Center for Disease Control and Prevention: Combining the clinical manifestations of known patients, medical observation reports of close contacts, and the results of previous epidemiological investigations, the current comprehensive judgment shows that the initial impression of the epidemic situation is a new type of coronary The virus is not highly contagious, which does not rule out the possibility of limited human-to-human transmission, but the risk of continued human-to-human transmission is low. With the implementation and implementation of various prevention and control measures, the epidemic situation can be prevented and controlled. Most of the cases were mild. Among the 763 close contacts tracked, 681 were released from medical observation. No related cases were found in close contacts.
4. Can you introduce the current treatment situation of patients? How effective is the treatment? Is the patient treatable?
Huang Chaolin, an expert from the Hubei Provincial Medical Group, and vice president and chief physician of Wuhan Jinyintan Hospital: Our city attaches great importance to patient care, centralizes patients, resources, experts, and treatment, and treats all new-type coronavirus-infected pneumonia in China. The designated hospitals in the city adopted a one-person-one medical team and one-person-one diagnosis and treatment plan to carry out standardized diagnosis and treatment. The country has sent five experts in respiratory medicine and infectious diseases to form a joint medical treatment expert group with 26 provincial and municipal medical experts in our province. It operates a shift system and is on duty at designated city hospitals 24 hours a day. It is responsible for the guidance and consultation of cases and participation in critical care. Medical treatment of severe cases. At the same time, a group of medical backbones were deployed from the city to support designated hospitals in the city, and they went all out to treat patients. As of January 17, 19 patients have been discharged. Pneumonia infected with a new coronavirus is generally treatable.
5. As a large international city with a population of nearly 10 million people, what measures have been taken to prevent the spread of the epidemic after the outbreak? The Spring Festival and the Lantern Festival are approaching. What other measures will Wuhan take?
Huang Chaolin, an expert from the Hubei Provincial Medical Team, vice president and chief physician of Wuhan Jinyintan Hospital, answered questions from reporters.
Chen Yanxin, Deputy Mayor of Wuhan Municipal People's Government: Since the outbreak, our city has established a multi-level linkage mechanism, set up strong working classes, quickly responded to the epidemic, fully treated patients, and worked hard to prevent the spread of the epidemic. The following work has been done in preventing the spread of the epidemic:
(1) Strengthen management of close contacts. Medical observations of close contacts are deployed throughout the city, and each district implements "one person, one file, one area, one supervision and law enforcement" of close contacts, and adopts the "three guarantees one" approach of community cadres, community grid members, and community medical personnel to close contacts. Contacts are classified and managed, and close contacts of family members and other general populations are followed up by the district disease control center and community health service center once a day, with a total of 12,100 person-times. Domestic and close contacts of diagnosed cases in Thailand and Japan are being followed up and medically observed.
(2) Implement joint defense and joint control. Strengthen departmental coordination, compact the main responsibilities, refine the division of tasks, and strictly prevent the spread of the epidemic.
The first is to implement the control of personnel leaving China. Strengthen the management of public places and public transportation. Since January 14, 35 infrared thermometers have been quickly installed at airports, railway stations, coach stations, and passenger terminals, and more than 300 handheld infrared thermometers have been equipped. Increase the provision of equipment one after another; set up temperature detection points and investigation points at "three stations and one field" to strengthen the temperature detection of passengers leaving the country; register passengers who have fever, issue brochures and masks, and handle refund or change of tickets for free Guide the referral to the medical institution in the jurisdiction and make a registration report. As of yesterday, a total of nearly 300,000 body temperature tests have been carried out, and 16 cases of fever were found, and all positive cases have been ruled out. On January 19, we re-deployed outbound personnel to conduct inspections. At the same time, "daily disinfection" and "per-shift ventilation" were strengthened for public transportation in the city.
The second is to strengthen market supervision. Continue to increase the control of the South China Seafood Wholesale Market after the market is closed, conduct hygienic investigations, conduct centralized isolation and treatment of discovered cases, conduct epidemiological investigations, and conduct medical observations of close contacts; conduct environmental sanitation disposal of markets and relevant areas; 24 hours Control the market and its surrounding entrances and exits; detoxify their waste goods. At the same time, the city's agricultural (market) trade markets and various business establishments will be rectified, the sale of live poultry will be strictly prohibited, the illegal breeding, processing, and management of various types of wild animals will be strictly prohibited, and illegal transshipment and trafficking of wild animals will be severely cracked down. Further strengthen the cleaning, disinfection and ventilation management of the city's agricultural (market) trade markets and various business places.
The third is to strengthen the management of crowd activities. In accordance with the principle of "not necessary, not holding", strengthen the management of large-scale public gathering activities during the Spring Festival and reduce large-scale public gathering activities. For units with concentrated residence and densely populated units, the district health department will guide and supervise the morning inspection.
The fourth is strict fever management. Various medical institutions at all levels send out hot clinics to conduct timely detection, investigation and symptomatic treatment of fever patients, and to detect and dispose of the epidemic in a timely manner. There are 72 fever clinics in the city's second-level and above hospitals, and more than 2,000 fever patients are handled every day.
Fifth, increase patriotic health campaigns. From January 12th, a 3-month winter and spring patriotic health campaign with the theme of "repairing the environment, cleaning homes, and welcoming the festival" will be launched throughout the city. As of now, there are more than 10,000 people in nearly 1,000 units in the city participating in patriotic health campaigns to eliminate the four hazards, remove garbage, clear sanitary dead ends, and carry out health education, etc., to promote urban and rural environmental sanitation and promote healthy lifestyles.
In the next step, we continue to do the following: first, continue to increase the monitoring of fever personnel to achieve early detection, isolation, and early treatment of patients; second, continue to increase the control of agricultural (market) trade markets, and resolutely prohibit the sale of live poultry, Strictly crack down on the wildlife trade; the third is to continue to deepen the patriotic health campaign and implement urban and rural environmental remediation to effectively prevent common diseases in winter and spring; the fourth is to continue to strengthen the treatment of patients and do their best to treat the critically ill patients to minimize the mortality; Continue to strengthen the management of close contacts to effectively protect the health of residents and medical personnel. Sixth, actively carry out health education and popularize knowledge about epidemic prevention and control. (Finish)
