July 20, zero hour, Beijing's public **** health emergency response was downgraded to level three!
The whole 40 days, Beijing to the wartime state, rapid response, scrambling for time, fight the new outbreak of epidemic blocking war, with the most resolute, decisive, the most stringent measures, in the city to weave a dense network of prevention and control of the epidemic, in the two latent period (28 days) to realize the confirmed cases of zero growth.
Foreign media commented that Beijing Xinfadi's resistance to the epidemic, from the beginning to the clearing of zero, is a complete case study of this fight against the new crown pneumonia epidemic! From this we can see China's mechanism, China's speed, China's spirit!
1. Discovery
Every patient with fever
remained on high alert
At 23:50 on June 10, at Xuanwu Hospital, the detection team captured the first patient ......
That afternoon, Tang, who lives in Xicheng District, went to the Xuanwu Hospital fever clinic. At this point, Beijing has had 56 consecutive days with no new local confirmed cases.
The samples were quickly sent to the PCR team at Xuanwu Hospital, led by Wang Peichang, Director of the Laboratory Department, where they were divided into seven steps: sample collection, sample acceptance, information entry, virus inactivation, nucleic acid extraction, nucleic acid amplification, and review and reporting of the results, which took eight hours. The first test results came out, let the battle-hardened Wang Peichang and colleagues heart tight: "double target positive"! "Immediately carry out the second reagent retest!" The second round of results is still "double target positive".
"Report it at the first time." Wang Peichang and colleagues the first time back to the test process, the operation is error-free, giving the final result of a positive throat swab test.
Stick to the rules, you hold the line. Comrades from the Beijing Municipal Health Commission told reporters: according to the requirements of the Beijing Epidemic Prevention, the testing teams of major hospitals have never interrupted the work of the new coronavirus nucleic acid testing, and all patients with fever, are kept on high alert.
It's this "ten defense nine empty, not a day of slack" of perseverance, so that the virus was quickly captured, the outbreak was found at an early stage. Within a month, Beijing's medical institutions played the role of sentinels and probes, and found 76 cases of confirmed patients among those who sought treatment. During the outbreak, the city's health care facilities saw patients in accordance with epidemic prevention rules, and no nosocomial infections occurred.
2. Dispatch
Entering a wartime state
Beijing's nerves against the epidemic tensed up
No history of leaving the city, non-imported! The nerves of Beijing's resistance to the epidemic are suddenly taut!
June 11, 11:35, the municipal party committee office of the old Wang ended the morning busy, is heading to the cafeteria. Cell phone suddenly rang: put down the business at hand, quickly to the conference room.
At this point, for more than 10 consecutive hours, a series of summary analysis has been completed. Beijing new crown pneumonia epidemic prevention and control work leading group meeting in every comrade in the taut nerves of the urgent convening of the video conference at the same time connected to a number of sub-field. The meeting quickly focused on one question: where did the virus come from? This first meeting of the battle of the new hair of the first meeting, condensed into two key words are: lock and quick decision! Lock down the source of the virus as fast as possible.
Since then, in Lao Wang's memory, such a meeting, two times a morning and one night, quickly summarize the situation of all parties, daily scheduling, straight to the grassroots level, 16 hours a day continuous work. Use the existing experience, mechanism, for this particular situation, around the "timely detection, rapid disposal, accurate prevention and control, effective treatment" 16 words, a series of decisions continue to progress: enter the wartime state, centralized isolation and control, start nucleic acid testing, delineation of the scope of risk management and control, start the second level of response, the full flow of the mechanism, the daily response to the Social hotspots, out of Beijing self-control, Ditan Hospital centralized admission, restore the normal treatment order of the hospital ......
Problem-oriented, intelligent concentration, morning and evening summary, daily scheduling, become a rapid response mechanism for effective disposal in the fight against the epidemic.
3. Locked
Tracing 16 hours
Locked new hair
June 11, 1:04 am. "Xicheng moncler outlet," the news, the Beijing Municipal Center for Disease Control and Prevention of epidemic prevention and control of the task force on-site team Dou Xiangfeng heart tightened. This should have been his last night shift, three hours ago they just received the "site group is ready to be disbanded, tomorrow to start resuming work and production" instructions. He wiped his face with cold water, and a new battle was waged.
At 6:00 a.m., the heavily armed Dou Xiangfeng entered the isolation ward of the "Xicheng moncler outlet," along with Dr. Qiao of the Xicheng District CDC. He has not slept a night, the first flow report from his hand. "The screening focused on the various types of confined places he had been to, and the definition of the confined person was pushed forward three days on top of the original four days before the onset of the disease."
Verifying line by line, guiding patiently, and confirming repeatedly, the initial 38 close contacts and 23 exclusion points were confirmed one by one after 2 hours of exchanges.
Meanwhile, the city's big mapping has already begun. Billiard halls, supermarkets, gas stations ...... scrambled, hundreds of flow of sampling personnel, split into action to run around and visit, tracking the source of infection.
Among all the points, Xinfadi Wholesale Market is the most difficult place to line up, 60,000 passengers a day, but also make it the last place where people want to have problems. "It's too big to imagine the consequences." Fengtai District CDC on-site flow team leader Yang Xiaoxing, has been more than 10 consecutive hours of water and rice did not enter, will be sampling to the laboratory to hand over the speech has been difficult ......
Continuous tracking, step by step to narrow the scope of the 16 hours, Xinfadi, was locked.
June 12, 2:00 a.m., the laboratory report, all points, the only Xinfadi wholesale market comprehensive trading hall environmental samples found positive. Thus, Xinfadi Wholesale Market, the first floor of the first floor of the trading hall of beef and mutton and aquatic products are locked for the epidemic "epicenter".
4. Isolation
A quiet battle
Almost synchronized with the laboratory report, the isolation of Xinfadi market battle quietly started ......
Fengtai District was instructed to take urgent measures to quickly and effectively centralize isolation of high-risk groups in Xinfadi market. In accordance with the requirements of the field command, the district political and legal committee emergency coordination of the district hotel, emergency rental vehicles, emergency allocation of protective materials, emergency start transfer, enable five hotels, 10 hours to quickly complete the beef and mutton comprehensive trading hall 916 people transfer isolation resettlement task.
Beef and mutton hall on the second floor of the merchant gold show, June 13, 4:00 a.m. received a medical observation notice, required to go to the centralized isolation point. Morning light hazy, gold show and merchants out of the hall boarded the bus, action orderly and rapid, as the military travel, some apprehension, but no whining and grumbling, and even no one to speak: trust the government, the greater good! This became silent **** knowledge.
Compared to the merchants had a premonition, Fengtai Hospital's Dr. Pan Heng received the news more suddenly: 10 p.m. on the evening of the 12th, ready to rest Pan Heng received a notice asking him to immediately to the South Fourth Ring Road, a centralized isolation point as the head of the medical observation team. This is a four-story express hotel, was temporarily requisitioned as a "centralized isolation point". Overnight partition, divided into non-contaminated area, buffer zone, contaminated area, 24-hour closed management, Pan Heng and gold show vehicles before and after the arrival of ......
Golden show is a native of Fujian, in Xinfadi business for more than a decade. "The room has a TV, Internet, three meals a day will be sent to the door to the designated place." Conditions are good, gold show a hanging heart just put down, followed by coughing symptoms, the thought of ever contact with the merchants into a confirmed case, gold show a burst of tension ......
For gold show nucleic acid test negative, body temperature is always normal results, Pan Heng considerate chat with her, learned that her chronic pharyngitis The medical history of her chronic pharyngitis. Pan Heng prescribed medication for her, and patiently communicated with her again and again to calm her emotions, and Jinxiu gradually stabilized her mood: "Thank you, Dr. Pan! You have worked hard!"
July 11, after "14 + 14" days of isolation, gold show and isolation in this more than 100 merchants left the isolation point, reunited with their families, enjoying the warmth of the summer sunshine and fresh air.
5. Control
Partitioning and hierarchical management
Reflecting the "precision drop"
3 a.m., Xinfadi market opposite the Tianlun Jincheng district. With the east gate completely closed, the district officially entered the closed control state. Yi Yi hundred years, style and forest, Tianjiao Junyuan 11 Xinfadi surrounding neighborhoods synchronized with the implementation of closed control.
At this point, it is June 13, the dark night light, standing in front of the district, looking at the silence of the new development, working more than 20 hours, 85 after the community party secretary Qian Cheng, steep pressure: "20 buildings, nearly 10,000 people do not leave their homes, how to protect life?"
Not far away, accustomed to waking up early neighborhood residents began to gather: "Watermelon is still in the car!" "Can I go out and take a look?" "Do we have a confirmed case here?" Nearly 5,000 people in the district work in jobs related to Xinfadi, and there were a lot of inquiries; Qian Cheng greeted everyone, pondering how to calm ......
20 kilometers away, Lao Zhang and colleagues from the Beijing Municipal Party Committee's organization department were working through the night to formulate a preventive and control plan: "The first round of the epidemic, Beijing collectively pressed the slow forward button, this round to ten fingers to play the piano, change the risk partition grading standards, prevention and control unit smaller, more accurate, as far as possible to minimize the impact of the epidemic on the economy and society." Sub-area hierarchical management, the implementation of precision prevention and control, medium and high risk dynamic control, the leading group's decision-making, here into a specific program.
After more than a month, Tianlun Jincheng district in an orderly manner: the establishment of a temporary party branch, party members working on the front line; the opening of four fixed telephone, published 10 staff cell phone number, 24 hours to accept residents' inquiries; sink cadres run to the hospital, for the residents of the medicine prescribed; volunteers head in the scorching sun, handing out vegetable packets; cleaners sweating, door-to-door recycling of garbage. ......
Community prevention and control is the cornerstone of Beijing's epidemic prevention and control. The battle to hold the bottom line is being fought simultaneously in 3,235 communities and 3,876 administrative villages in Beijing.
Nearly 100,000 grass-roots workers, a household "carpet" mapping, close to all home observation; cut small cut fine "prevention and control unit", according to the street, the community, and even neighborhoods, buildings to achieve the "precise fall
"We keep it!" When Qian Cheng met the reporter on July 18, there was joy in his hoarse voice; as of July 18, 95 units in the Tianlun Jincheng district had been unsealed, except for one unit.
July 20, Beijing in high-risk areas all clear. After a concerted effort by more than 7,000 neighborhoods and administrative villages across the city, it was safe!
6. Nucleic acid testing
Science in general
Critical early detection
Beijing's fissionary growth in nucleic acid testing capacity has become a legend of speed in the scientific fight against the epidemic.
Yang Wei, head of the Haidian District People's Ankang Medical Examination Center, received an urgent request for help, and on the other end of the line was Dai Pengfei, head of the Yuegezhuang Wholesale Market in Fengtai District: "We need to immediately conduct a full nucleic acid test on the merchants!"
Xinfa Di closed, Yuegezhuang wholesale supply pressure increases! The two markets have always been closely linked, the only way to stop the spread and stabilize people's hearts is to race against time and get all the nucleic acid tests done as soon as possible! People's health checkup center acted quickly, while trying to raise reagent kits, while going to the market, set up tents, on-site sampling ......
The examined merchants 10 people in a group, one-way interval queuing. From 7 a.m. to 8 p.m., all 5,138 people completed the throat swab sampling. The doctor Huoyan high temperature all day on duty, protective clothing poured out sweat: "I collected more than 500 people it, **** production party members must be on!" Test results, all negative; June 25, again review, still all negative ...... Dai Pengfei down to earth, leading the Yuegezhuang go all out into the public table to keep the battle of supply.
Beijing city implemented a large-scale centralized nucleic acid testing, sampling number has more than 12 million; the current 335 confirmed cases of the discovery of the way, nucleic acid screening *** 174 cases, accounting for 52%. Nucleic acid testing has played an important role in the rapid detection and control of infectious agents, effectively blocking the chain of transmission and preventing the spread of the epidemic.
7. Tracking
No gaps, no one left behind
The first time to figure out the chain of transmission
Pang Xinghuo, 61, with dark circles under her eyes, walked into Beijing's press conference hall ...... as deputy director of the Beijing Municipal Center for Disease Control and Prevention, epidemic prevention and control of the task force on-site team leader, on the day. She wanted to release the first confirmed case of the new outbreak since the track of action.
Three confirmed cases, action track more than 400 words, less only 172 words. Clear, clear, rich, specific, these small "tofu block", immediately become a high-frequency information that people pass to each other. However, in this short text behind, is often tens of thousands of words of the flow of the report, is less than dozens of more than hundreds of people day and night running.
"The purpose of the flow survey is to quickly and precisely map out the chain of transmission, so as to take targeted measures to control the spread of the epidemic." Wang Quanyi and Jia Lei, director and deputy director of the Infectious and Endemic Disease Control Institute of the Beijing Municipal Center for Disease Control and Prevention (BCCDC), led the flow-testing work in the city of Beijing. "The standard is, leave no gaps, leave no one out."
Communicating face-to-face with patients, going to the site of the point to understand the situation, and using big data to check for gaps and fill in the gaps, a race against the virus has begun in the city of Beijing! The city, provinces, municipal, district level; CDC, public security, community, subway, public transportation, civil aviation, railroads ...... cross-regional, multi-sectoral coordination and linkage, scrambling not to miss every detail. "The whole process is like solving a crime." Wang Quanyi said, "Whether it is precise and without omission, whether it can be fast and without error, affects the direction of the whole epidemic."
63 pages and more than 25,000 words! This is the Beijing Haidian District Center for Disease Control and Prevention physician in charge of Jin Lina, the city's various districts and departments of the coordinated flow of results for the "Shijingshan Wanda woman" issued by the flow of investigation report. Behind this report, is more than 30 flow adjustment personnel and hundreds of community workers, 24 hours of sleeplessness. "The flow of investigation is a continuous refinement, constantly digging deep process." Jia Lei introduced, "The close contacts of this patient, from the initial 204, finally rose to 311, all of which took measures at the first time."
Up to now, the Beijing Xinfadi market aggregation outbreak, *** confirmed cases of 335 cases, 33 cases of asymptomatic infected; in addition to the key areas of key personnel, through the flow of clear close contacts on the 7,591 people. "Suspected cases and even individual fever cases, highly suspected cases of flow transfer, we also require the first time to start, this number is many times the number of confirmed cases." Wang Quanyi said, "Although most of them did not end up being diagnosed, which may seem like a useless endeavor, it ensures that we always run ahead of the virus."
8. Treatment
Chinese and Western focus on one person at a time
Not a single death
Concentrated admission of diagnosed patients, centralized deployment of medical resources, Chinese and Western focus on one person at a time, and effective treatment without a single death have become a major feature of Beijing's fight against the epidemic.
On June 13, the number of confirmed patients reached 36, becoming the peak of the disease. on June 16, Beijing announced the second level of response. On that day, more than 100 medical staff from 18 municipal hospitals in Beijing went to Ditan Hospital to support treatment.
June 20, 22:15 hours. An ambulance with a flashing blue light delivered two patients ...... It was 1-year-old, 7-month-old Gogo and her father, who contracted the virus when they went to deliver a meal to their mother, who works in the beef and mutton hall in Xinfadi. Not far from Gogo's ward, 8-year-old schoolboy patient Xiaoye has been admitted to the hospital for six days at this point, and the boy who would have cried when he first arrived has become like a man.
Wuhan in the fight against the epidemic is well known, listed in the "eight immortals of critical care" of the Du Bin, Tong Zhaohui, Jiang Li and other experts, has been wearing the gown again, to the front line of critical care. At this time, after careful treatment, "Xicheng moncler" condition has improved, that afternoon, Tong Zhaohui to "Xicheng moncler" ward check, see the state of good condition of him, can not help but humorously said: "I should call you Xicheng big brother. "
Top medical resources allocation, all-out efforts to save treatment, which gives the patient and his family a strong confidence support. After admission, the patient one person one strategy, experts daily consultation, Chinese medicine treatment rate reached 100%. "Early detection" made this time most of the patients were mild and common type, so the medical staff focused on preventing the patients from turning from mild to severe diseases and took care of them in every way.
The fact that Xiaoye recovered so well was naturally due to chief physician Song Rui. In the process of treatment, he is also more and more dependent on this "substitute mother", a "I want to drink milk", in exchange for "baby, I'll give you this to go". Blood sampling, medication, blood pressure measurement ...... for adults will sometimes be "scared" of the treatment measures, Guoguo also have to go through once again. Chief physician Li Minghui felt sorry for this cute little girl, so he sent a bubble machine to make her happy ......
July 4, after several consultations with experts such as Tong Zhaohui and Jiang Li, and 24-hour shifts of medical staff on duty, sputum removal once an hour, and half an hour to reassure the care, the only patient diagnosed with ECMO (Artificial Membrane Lungs). Xiaojuan, the only patient diagnosed with ECMO (Artificial Membrane Lung) who was 27 years old, was able to write down her parents' names on a piece of paper. Previously, she was finally removed from ECMO after 12 days on the machine, and broke through the "ghost gate" of removing the ventilator, and her condition is getting better day by day.
July 10, Gogo and his mother and father received a notice of discharge. July 14, after 33 days of treatment, "West Side moncler outlet," was discharged from the hospital, he commented on the medical staff, "is indeed an angel, I can live over, it is they gave me a second life. " On July 15, Xiaoye was discharged from the hospital.
After a full month of fighting, the 100 medical staff who rushed to Ditan Hospital also left on July 15th. Many people wet their eyes and choked their throats, but a thousand words were reduced to one sentence: "People come first, life comes first! Beijing will win, China will win!"
9. Service
People's needs call
One by one precise response
Hua Zhong Gaoke Pharmaceutical Co., Ltd. said 12345, revealing a smile of relief: the response is too fast!
The day the neighborhood was suddenly closed due to the epidemic, the company's office here, has been unable to work normally, and would like to find another office, but the equipment can not be taken away. Under no circumstances, the person in charge wanted to call 12345 Citizen Service Hotline to reflect the situation to try. Unexpectedly, two hours later, Yong'an Road West Lane community came to the phone; they and the neighborhood committee and the industry committee through online consultations, and finally in the help of the company to complete the extermination, testing, move away from the equipment.
Beijing's 12345 Citizen Service Hotline, under the management of the municipal government Bureau of Government Affairs, with more than 500 seats on the line, the daily hotline, accepting requests 30,000 up and down. June 13, the beginning of the epidemic, a sudden increase in the number of phone calls, accounting for 40% of the total number of incoming calls. Xicheng District, Yuetan Street Muxidi North Lane neighborhood around the supermarkets, vegetable stations temporarily closed; the public reflected, the elderly buy vegetables is not convenient. 12345 Citizen Service Hotline to receive complaints, the information directly to the street, the street then negotiated with the Shounong Group, the protection of the thoughtful convenience of the people's vegetables through the bus into the community ......
Reporters flipped through the Hotline statistics, found that from June 15 to 21, about the epidemic's consultation, claims and suggestions, for 70,400; June 22 to 28, *** up to 101,161, most of which are consultation and reply. The demands collected here include hotline, web and mobile; those that can be solved are dispatched by the hotline and sent directly to specific responsible units. A Daxing resident, on his microblog, lamented that the neighborhood was closed and there was no food in the house; he didn't expect that the neighborhood committee would come to his door to deliver food two hours later.
The caller's comprehensive analysis found that the number of claims reflecting the epidemic control "difficult to see the doctor" is quite large, the problem was reported directly to the city's leading group, improvement measures in major medical institutions to promote the same day: a side to prevent nosocomial infections; the side to carry out the day-to-day medical services.
Beijing in the fight against the epidemic, the 12345 Citizen Service Hotline, "receiving complaints that is to do" mechanism, 24 hours a day, listening to the needs of the public, to provide speedy assistance, accurate docking, never stop, become the whole people in the fight against the epidemic, "listen to the voice, solve the urgent problem" The mechanism has become the bottom of the national anti-epidemic "listening to voices, solve urgent problems", the complementary mechanism in the work of various departments, the important decision-making boosting mechanism.
10.Release
The "wind vane" in the fight against the epidemic
At 4:00 p.m., the press conference meets regularly, and the central and local media broadcasts live at the same time, with its summary of information, judgment of the trend, the release of the flow of cases, analysis of the cases, hot spots, Q&A, and key reminders ... ... to become a public heart anti-epidemic "wind vane".
June 11, 4 p.m., the conference on the "new case of a local diagnosis" of the notification, so that the atmosphere of coagulation ...... that is this year's anti-epidemic in Beijing, the 112th press conference, but also the first conference of the new outbreak of epidemic blockade, the community sounded a new prevention of the epidemic. It was the 112th press conference in Beijing's fight against the epidemic so far this year, and the first in the battle to stop the new outbreak.
Five days later, on June 16, Beijing held three press conferences related to the epidemic in a single day, the latest of which was late at night, when Chen Bei, deputy secretary-general of the Beijing Municipal Government, announced that the level of emergency response to public ****health emergencies in Beijing had been adjusted to the second level. A netizen replied under the live broadcast, "It's a lie to say that I'm not nervous, but with previous experience to back me up, coupled with extremely transparent press releases, I'm sure Beijing will be able to break through."
Till July 19, Beijing had held 156 press conferences in one ****. Xu Hejian, spokesman for the Beijing Municipal Government, has presided over 156 of them without missing a beat; Pang Xinghuo, deputy director of the Beijing Municipal Center for Disease Control and Prevention, has also attended 107 of them. For netizens who tuned in at 4 p.m. every day on time to watch the conference live, the information on the site was concise and clear, but the workload behind each release was extremely huge. "The time to prepare the material is very tight, to distill the dozens of pages of flow report of each case into two or three hundred words of 'small tofu block', encapsulating the core points, but also to distill what are the risk points and tips in these cases, and convert them into popularized scientific knowledge." For Pang Xinghuo, who is now past his prime, "it was a blessing to sleep four hours a day during that time."
While holding daily press conferences, they also helped the media penetrate into the front line of the fight against the epidemic and conducted more than 150 collective interviews; combed through social hotspots in a timely manner, and responded to social concerns for more than 300 times through a variety of channels such as press releases, expert interpretations, government new media, and news clients; and monitored Internet rumors, verified the situation, released the truth, clarified the facts, and stabilized the people's hearts.
Internally, the press release has firmly played the role of "ballast" and "wind vane" in the field of public opinion on epidemic prevention and control; externally, the transparent information and quick response have made foreign media give Beijing "praise". The foreign media have given Beijing "praise" for its transparent information and quick response. According to the summary research of Qu Ru, director of the Capital Institute of Foreign Cultural Communication of Beijing Second Foreign Language Institute: in the past month, the overall tendency of the foreign media around the Beijing epidemic prevention and control reports in the positive and neutral reports of up to 95%, including The Washington Post, Reuters, Associated Press, The Times of India and other foreign mainstream media have introduced in detail the Beijing epidemic prevention and control of the initiatives and successful experience. "The efficient and rigorous press release mechanism established by Beijing during the epidemic will certainly have a far-reaching impact in advancing the process of achieving the ultimate victory in epidemic prevention and control, and promoting the modernization of the capital's social governance system."
At 4 p.m. on July 11, the 148th news conference, a full month after the June 11 Xinfadi wholesale market outbreak, the moderator said emotionally, "This is a month of Beijing's national resistance to the epidemic, a month of tracking and close nucleic acid screening, and a month of all-out efforts to rescue and treat confirmed cases. This extraordinary anti-epidemic journey will certainly go down in the annals of Beijing."
At 4 p.m. on July 19, the 156th press conference announced, "From 00:00 on July 20, Beijing's emergency response level for public ****health emergencies has been adjusted from Level 2 to Level 3." Some of the journalists present, with tears in their eyes: 40 days of Beijing epidemic blocking battle, victory is not easy to come by!
When the reporter wrapped up