The twenty measures to further optimize prevention and control work proposed: "Strengthen medical resources. The development of graded diagnosis and treatment program, different clinical severity of infected hospital admission criteria, various types of medical institutions in the event of an epidemic and medical staff infection disposal program, and do a good job of medical staff training. Do a good job of hospitalization beds and intensive care beds ready to increase the resources for treatment."
How to strengthen the construction of medical resources, the implementation of hierarchical diagnosis and treatment? A few days ago, the State Council joint prevention and control mechanism related experts interpreted.
Medical personnel are sampling nucleic acid for the public. Xinhua News Agency
Q: Strengthening the construction of medical resources, what short boards need to be made up?
A: First, strengthening the construction of designated hospitals. We require localities to designate hospitals with strong comprehensive capacity and high level of treatment as sentinel hospitals. The designated hospitals should be fully equipped with treatment beds according to the size of the local population, and at the same time, the construction of the intensive care unit (ICU) should be strengthened, and ICU beds are required to reach 10% of the total number of beds. Through the construction of designated hospitals and improve treatment capacity, to meet the ninth edition of the diagnosis and treatment program stipulated in the general type, serious illness, critical care patients treatment, to maximize the level and quality of treatment.
The second is to strengthen the construction of square cabin hospitals. We ask all places to be in accordance with the principle of "flat emergency combination", relying on the existing large venues, such as exhibition centers, stadiums, etc., in advance to do a good job in the preparation of the square cabin hospitals, such as wires, materials, information systems, the preparation of the relevant basic facilities, and at the same time to prepare for the medical care force, in the event of a congregate outbreak, to be able to start the square cabin hospitals in the shortest possible time, the hospitals will be able to provide the best possible service. In the event of an outbreak, the hospital can be activated within a short period of time and patients can be admitted and treated as soon as possible. According to the ninth edition of the diagnosis and treatment plan, the patients admitted to the square cabin hospital are mainly asymptomatic infected people and people with mild infections. The construction of the square cabin hospital can minimize the occupation of daily medical resources, and coordinate the rescue and treatment of patients with new coronary pneumonia with the protection of daily medical services.
Thirdly, the construction of fever clinic is strengthened. Fever clinic is an important place for fever patients to screen whether they are infected with the new coronavirus after entering the outpatient clinic. We require hospitals above the second level to set up fever outpatient clinics, so that they should be set up as much as possible, should be opened as much as possible, and should strictly implement the first diagnosis responsibility system, once found suspected patients should be screened as soon as possible, and if it is a positive infected, should be quickly transferred to the designated hospitals or square cabin hospitals for treatment, to truly realize the early detection, early diagnosis, early reporting, early treatment.
Q: Doing a good job of preparing inpatient beds and intensive care beds and increasing resources for treatment, does it mean that there will be a full liberalization in the near future?
A: China is a large country with a population of more than 1.4 billion people, and a large elderly population and a relatively large base of vulnerable people in need of care. There are relatively large differences between regions and between urban and rural areas in China, and the total amount of resources for medical and health services is relatively insufficient. At present, the number of medical beds per 1,000 population has reached 6.7, and there are less than 4 intensive care medical beds per 100,000 population, which is still a considerable gap with developed countries. Therefore, in the process of responding to the new coronary pneumonia outbreak, we have been emphasizing the need to strengthen capacity building and the stockpiling of resources in all areas, including manpower, beds, drugs and vaccines, which is a comprehensive arrangement for prevention and control.
Improving the allocation of critical care resources and medical beds can be used not only for the prevention and control of the new coronary pneumonia outbreak, but also for the handling of other public **** health emergencies. To further enhance the early warning capability in major outbreaks, risk assessment capability, epidemiological investigation capability and clinical medical treatment capability, especially critical care capability. In the future, we will follow the working tone of seeking progress while maintaining stability, taking small steps without stopping, optimizing and adjusting prevention and control initiatives according to the characteristics of virus mutation and clinical treatment practice, as well as improvement and enhancement of prevention and control capabilities, in accordance with the times and circumstances, so as to effectively safeguard people's life safety and health, and to coordinate the prevention and control of epidemics and economic and social development.
Q: How to accelerate the improvement of vaccine immunization coverage, especially the elderly population coverage?
A: A large number of studies at home and abroad have shown that the new coronavirus vaccine is effective in preventing serious illness and death, and is also effective in preventing infection. The full vaccination rate of elderly people over 80 years old in China is 65.7%, and the number of elderly people over 80 years old receiving booster shots only accounts for 40% of the total number of elderly people over 80 years old. Therefore, it is very necessary and urgent to increase the full vaccination rate and booster vaccination rate of the elderly. As a next step, we will formulate a program to accelerate vaccination and guide localities to continue to adopt diversified and convenient service measures to promote vaccination against the new coronavirus.
Extended reading
Beijing has reported three deaths in this round of the epidemic: all over 80 years old, combined with a variety of underlying diseases
November 20, Beijing reported the first deaths in this round of the epidemic, and this morning reported two more cases. According to incomplete statistics, Beijing has reported about 5,300 infections in this round of the epidemic, and there have been three deaths.
Three dead patients are new crown light, over 80 years old
Reporters found that, so far, this round of the epidemic in Beijing has been notified of three new crown deaths, aged 80 years old and above, new crown typing are light, combined with a variety of other diseases.
According to the Beijing Municipal Health Commission today, Beijing has reported two new deaths.
Female, 91 years old, was transferred to Ditan Hospital from Chaoyang District on Nov. 19. The patient was of advanced age, with a history of combined cerebral infarction for many years, and left with dementia for several years, and was unable to take care of herself. At the time of admission, her pulse, respiration, blood pressure and oxygen could not be measured, and she was in a coma with dilated and fixed pupils bilaterally. The clinical diagnosis was: new coronavirus pneumonia mild, shock, old cerebral infarction, Alzheimer's disease. Immediately after admission, he was extubated, received simple respirator-assisted ventilation, and continued cardiopulmonary resuscitation for about 40 minutes, but his heart rate, blood pressure, and blood oxygen still could not be measured, and he was unable to regain spontaneous circulation, and he was declared clinically dead on November 20th.
Male, 88 years old, was transferred to Ditan Hospital from Daxing District on November 19. The patient was of advanced age, with a history of hypertension for 20 years, a maximum blood pressure of 200/110 mmHg, and a history of cerebral infarction for 6 years. He was bedridden for a long period of time and could not take care of himself, with a history of surgery for prostate cancer 10 years ago, and a history of chronic bronchitis for many years. The clinical diagnosis was: new coronavirus pneumonia mild. Immediately after admission, a multidisciplinary expert group consultation was organized, and oxygen, anti-infection and symptomatic supportive treatment was given. On November 20 sudden cardiac arrhythmia, sustained cardiopulmonary resuscitation for about 50 minutes, the patient continued to deteriorate due to the underlying disease, sudden cardiogenic death, and died after resuscitation.
Yesterday, the Beijing Municipal Health Commission notified a death case. Jin Ronghua, president of Beijing Ditan Hospital, introduced that on November 19, the hospital reported a fatal case. The patient, male, 87 years old, was transferred to Ditan Hospital for treatment from Chaoyang District on November 13, with a clinical diagnosis of mild neocoronavirus pneumonia. He had a history of right femur intertrochanteric fracture surgery 2 weeks before admission, and had a history of hypertension for more than 10 years, which was classified as a grade 3 very high-risk type, old cerebral infarction for 20 years, and cerebellar atrophy for many years. The patient had difficulty walking and was admitted to the hospital with a tendency of lung infection and sepsis. After the patient was admitted to the hospital, the hospital immediately carried out multidisciplinary expert group consultation, and gave anti-infection and symptomatic supportive treatment. on November 19th, the patient died due to the continuous deterioration of the underlying disease, lung infection, respiratory failure, sepsis, septic shock, and failed to be resuscitated. Sepsis has the highest incidence in winter, and elderly patients aged ≥65 years old account for up to 60% to 85% of sepsis cases; septic shock is prone to multiple organ failure in septic patients, with a dramatically increased risk of disease and death, and a disease and death rate as high as about 75%. In this case, the hospital treatment team, after fully informed to the family, respect the patient's family to give up the choice of invasive resuscitation.
Ditan Hospital has more than 200 new crown elderly patients in the hospital
It is reported that Ditan Hospital still has a number of new crown elderly patients in the hospital.
Jin Ronghua said, as of 7:00 on November 20, Beijing Ditan Hospital in the hospital of the new coronary pneumonia virus infection **** 608 cases, including 6 cases of ordinary type, 431 cases of light type, 171 cases of asymptomatic infected; of which, in line with the "New Coronary Virus Pneumonia Diagnostic and Treatment Program" of the population of high-risk factors of the patient 325 cases.
Among the infected patients in Ditan Hospital, the average age of the cases was 52 years old, and there were 268 cases of elderly patients over 60 years old, of which 68 cases were from 80 to 90 years old, and 22 cases were over 90 years old, with the maximum age of 106 years old. 95% of the elderly patients over 60 years old were combined with one kind of underlying disease, 90% were combined with two kinds of underlying disease, and 80% were combined with three or more kinds of underlying disease. These underlying diseases were mostly cardiovascular, respiratory, neuropsychiatric, endocrine, rheumatologic-osteoarthritic and hematologic diseases.
Beijing's health department has recently reminded many times to protect the elderly at home, family members with underlying diseases and infants, active vaccination, reasonable nutrition, moderate exercise, reduce non-essential outing, do not get together for dinner parties, do not go to densely populated places, the science of wearing masks, hand washing, ventilation, maintain a safe social distance, reduce the risk of epidemic transmission.