On December 11, the city's fever outpatient clinic visits 22,000 patients, 16 times more than a week ago. December 5 to 11 influenza-like case monitoring data show that the city's hospitals above the second level to monitor the number of influenza-like cases of 19,000 people, a rise of 6.2 times compared with the previous week. The number of 120 emergency calls increased sharply, reaching a peak on Dec. 9, with 31,000 calls in 24 hours, six times higher than the norm. During the same period, admissions to the city's square-cabin hospitals and designated hospitals continued to decline, and discharges continued to grow. from December 8 to 11, the city's square-cabin hospitals and designated hospitals*** admitted 5,517 people, and discharged 21,000 people; the number of daily admissions fell from 1,762 to 1,064, and the number of daily discharges grew from 4,723 to 5,061; the square-cabin hospital bed occupancy rate decreased significantly, from December 8 to 56.3% to 32.3% on the 11th; and bed occupancy in sentinel hospitals dropped from 66.7% to 58%. In terms of the speed of the spread of the new coronavirus and the scope of the wave, the current trend of rapid spread and spread of the epidemic in Beijing still exists.
Li Ang said the rapid development of the epidemic has led to greater pressure on medical services in the short term. In order to effectively protect the public demand for medical care, the Municipal Health Commission, together with relevant departments, combined with the "new ten" measures to take a series of initiatives, and strive to solve the problems of the public in the near future to see a doctor.
One is to promote the construction of fever clinics. In response to the public's recent reflection of the more prominent hospital fever clinic difficult to access, the rapid deployment of the city's fever clinic and clinic expansion capacity, the requirements of the second level of hospitals and primary health care institutions have to open fever clinic or clinic, the deployment of additional personnel strength. At present, the number of fever clinics in the city's hospitals has increased from 94 to 303, and all hospitals above the second level in the city have fever clinics or consultation rooms, of which 235 are open 24 hours a day, and 100 are able to receive children with fever. All of the city's 349 officially operating community health centers have set up fever clinics to provide treatment for patients with fever and other 11 types of symptoms (the list has been released by each district). For the convenience of the public, the Commission has publicized the addresses and telephone numbers of fever clinics in hospitals of the second level and above, as well as information on children with fever, through the official website, Healthy Beijing WeChat and other governmental new media. In order to avoid congestion in the queue at individual hospitals, it is recommended that citizens give priority to community health centers for medical treatment. We will continue to supervise and inspect the opening of the fever clinics in conjunction with the districts, and welcome comments and suggestions from the public on the work of the fever clinics during their visits.
The second is to strengthen the pre-hospital emergency work. The analysis of the 120 emergency calls on December 9 showed that about 80% of the calls were for consultation and repeated calls, and about 20% of the calls were for cars, and the demand for non-emergency transfer of people involved in epidemics continued to rise in the calls for cars. In order to cope with the peak of telephone calls, Beijing Emergency Medical Center expanded the capacity of 120 dispatching command system, adjusted the mode of receiving and dispatching, optimized the process of dispatching, adjusted the personnel shifts, and supplemented the strength to increase the 120 receiving and accepting seats. Each district is required to set up a special transfer team for non-emergency and critical illnesses, set up a telephone number for assistance and transfer, retain the caring fleet and special transfer team, and coordinate the deployment of non-emergency transfer fleets to divert the demand for non-emergency and critical illnesses. At the same time to increase the 120 emergency telephone application scenarios publicity, to encourage asymptomatic and mildly ill patients to seek medical treatment by self-driving under the protection of safety, and to require the districts to publish the medical consultation telephone number for the masses to answer questions and solve puzzles. With the support and cooperation of the general public, the 24-hour call volume of 120 calls on December 11 dropped by about 18% compared with the previous day. We will continue to make every effort to support the 120 emergency service, to protect the demand for emergency and critical care, and to promote the consultation service, and we hope that the public will continue to understand, support and cooperate with our work, and reasonably use the 120 emergency telephone, consulting for medical treatment, and non-acute and critical cases do not call 120, and make way for the life line for the patients with acute and critical illnesses.
Third, improve the hierarchical diagnosis and treatment service system. In accordance with the principle of "health monitoring, classification and management, up and down linkage, effective treatment", the combination of online and offline, to improve the graded diagnosis and treatment service network of patients with new crown pneumonia. Mild and asymptomatic infected patients can be isolated and rehabilitated at home, and when their symptoms worsen, they can go to the nearest community health service organization for medical treatment. Patients with more serious conditions and beyond the diagnosis and treatment capacity of the grassroots level should go to the second or third level hospitals under the jurisdiction according to their conditions, and if necessary, they should be referred to the municipal sentinel hospitals. Giving full play to the role of Internet diagnosis and treatment and other information technology support, the city has 44 Internet hospitals and 167 medical institutions carrying out Internet diagnosis and treatment services, which can provide online services for patients. Expert guidelines on home rehabilitation for people infected with the new coronavirus, expert guidelines on community health management, and practical manuals on home rehabilitation have been formulated to guide infected people in self-health management during home rehabilitation. Through the combination of online and offline methods, health counseling, remote diagnosis and treatment, referral guidance and other services are provided to infected persons in the light of the actual situation, and the development of mapping of the situation of key persons is promoted. When residents and friends have fever, cough and other symptoms, and do not get better with home treatment, they can prefer to go to a community health center near their place of residence for consultation, or contact your family doctor for help. At present, all districts have announced the scope and contact information of their family doctors (teams) and the communities (villages) where they are responsible for providing services. If you have not yet signed up for family doctor services, you can contact your community family doctor (team) through the community grid service pathway, and the medical staff will give you specific guidance based on your symptoms and related conditions. At the same time, for the jurisdiction of the elderly, mobility impaired and other infected with the new coronavirus, based on health assessment, community medical staff can provide home visits or assist in the referral.
Fourth, strengthen the rational use of medication guidance. Recently, many people in the medical institutions and pharmacies lined up to buy drugs, the focus of the purchase of drugs is mainly concentrated in the "Lianhua Qingdian", "ibuprofen" and other drugs recommended in the ninth edition of the National Health Commission diagnosis and treatment program varieties. In order to strengthen the guidance of rational use of medication, the Municipal Health Commission organized pharmacology, clinical and Chinese medicine experts, combined with the climatic characteristics of Beijing, with reference to the current round of the epidemic medication diagnosis and treatment of the actual development of the Beijing "New Coronavirus Infected Patients Medication Catalogue (First Edition)" (catalog released separately). The medication catalog is the improvement and supplement to the recommended medications in the 9th edition of the diagnosis and treatment plan, which specifies the Chinese medicines with the efficacy of clearing heat, detoxification, and eliminating dampness to the medication varieties; it adopts the principle of separating Chinese and Western medicines, recommending 67 Chinese medicines varieties for the 6 types of Chinese medicine diagnostic symptoms, such as fever, sore throat, etc., and recommending 41 Western medicines varieties for the 4 types of clinical symptoms, such as cough and sputum, etc. The 108 Chinese and Western medicines have their own therapeutic characteristics, and also many OTC (over-the-counter) medications, which are not available in the market. A lot of OTC (over-the-counter) medicines, the public can be outside the hospital, according to their own symptoms demand from retail pharmacies, e-commerce platforms and other channels to buy, according to the instructions for the rational use of medicines, no symptoms do not take drugs. If the symptoms worsen or there are questions about the use of drugs in home rehabilitation, the nearest community health center for treatment and medication consultation.
Li Ang tips, the new coronavirus pathogenicity is weakened, the general public do not need to "talk about the virus", do not panic when symptoms such as fever, preferred home rest, reasonable use of medication, self-rehabilitation, such as symptoms continue to worsen in a timely manner to the medical institutions. Recently, there are more patients with fever in medical institutions, and it is important to do a good job of personal protection when going to medical institutions. In order to avoid the peak of the epidemic caused by a large number of people infected with the disease, which will have a greater impact on the normal production and life and the order of medical care, at this stage we still need to slow down the spread of the epidemic spread as much as possible, reduce the impact of the epidemic on the normal social order through appropriate protection and management measures, and to realize the transition of prevention and control strategies in an orderly and smooth manner. Please continue to adhere to the public friends wear masks, wash their hands diligently, less gatherings, we *** with efforts to protect your health and safety, so that the whole society can be faster and better to restore the normal order of production and life.