"At this stage, we should give priority to the prevention of serious diseases and deaths, which is also the embodiment of the key adjustment of prevention and control strategies, and put death prevention in a very priority position." Liang Wannian said.
Liang Wannian, an expert from the National Health Commission, responded "Is the prevention and control of the China epidemic too fast?"
In response to the question of whether the epidemic prevention and control in China was released too quickly, Liang Wannian/Kloc-0, the head of the expert group of the COVID-19 Epidemic Response Leading Group of the National Health and Wellness Committee of China, said in an interview with the media in Beijing on February 29th that the adjustment of the epidemic prevention and control policy in China was based on the understanding of pathogens and diseases, the immune level of the population, the resistance of the health system, and public health interventions. The current adjustment is appropriate, scientific and legal, which is in line with the actual situation of prevention and control in China.
Talking about how to prevent and control new strains in the future, Liang Wannian/Kloc-0, the head of the expert group of the COVID-19 epidemic response leading group of the National Health and Wellness Committee of China, said in an interview with the media in Beijing on February 29th that China is very concerned about pathogen variation monitoring and actively participates in global pathogen monitoring. Once a new mutation is found, or the mutation causes changes in the pathogenicity, transmission and virulence of the virus, China will promptly notify the World Health Organization, and make corresponding optimization, improvement and adjustment in the prevention and control plan and medical treatment.
Extended reading:
Rural Henan in the eyes of the storm: Fever patients in one week exceeded the total number of the whole year, and some villagers struggled to save money.
The peak of returning home has not come yet.
A rural doctor who is over 60 years old in Hubei is walking on the road. After the epidemic, she always stuck to the front line.
During his medical career from 65438 to 2004, He Qiu Yun was never so busy. As the only village doctor in a village clinic in Anyang, Henan Province, from mid-June to February, 5438, dozens of patients with cold and fever poured into her clinic every day. Without an antigen test kit and medicine, she was caught off guard.
According to her memory, from 12 to 17 to 24, in just one week, the number of patients with cold and fever admitted to the hospital exceeded the sum of the previous year.
The peak of returning home hasn't come yet, and almost the whole village has a fever.
Nucleic acid detection, as a key industry, was just released, and health system staff still needed to check it every two days. 65438+February 10, the last negative result of nucleic acid was harvested in Heyunqiu. For the next three days, the results of nucleic acid did not come out, but it did not attract her attention.
12 14 at 6: 30 in the morning, as usual, he had breakfast at home and rode an electric car to the village clinic 3 miles away. At noon, she suddenly had a fever of 38℃, aching all over and bored. She just wants to sleep. At that time, no one around her had a fever or cough, and no one was positive. She can't be infected with the virus. So she thought it might just be a cold, took two injections to reduce her fever, took some medicine, and went home to rest in the afternoon.
When he woke up the next day, he felt much better. Qiu Yun continued to make house calls, and no one came to see the doctor for a day. Until 65438+February 65438+June, she suddenly found that the situation was not good. One day, a dozen people came, all with a symptom: fever! One temperature is 39 degrees, and the other temperature is 39 degrees to 17 days, and the situation is even worse. She has seen more than 30 patients with fever. He realized that she might be Yang, and all the people who came to see the cold might be Yang, but she had no antigen in her hand and could not make an accurate judgment.
From 12 to 17 to 24, she sees an average of fifty or sixty patients every day. She only gets up early for breakfast every day, and only after 6 o'clock in the evening, when the patient is a little sparse, can she have dinner sent by her family. That week, she had to work at least 12 hours every day, and basically had to work until 8: 00 or 9: 00 in the evening before she could see the last patient.
In normal times, it would not be so busy to see fifty or sixty patients a day, but this time, he Qiu Yun spent most of his time on infusion at home.
February 24, 65438, Ruili, Yunnan, because the clinic was crowded with patients, some patients had to choose to put intravenous drip in their cars.
In rural areas, most patients like infusion, thinking that they will get better quickly, but He has always insisted that if they can take medicine, they will not have injections, and if they can have injections, they will not have injections. She believes that oral drugs are the safest, and injection and infusion can easily cause allergic and other drug reactions, with greater side effects.
But by 65438+February 19, there was a real shortage of medicine. For some patients with high fever, He also started infusion, and almost twenty or thirty people infused every day. She is very young, and many other township clinics are basically infusion. There are also some people who come back from the city and go back to the village for infusion because they can't queue up for infusion in the city.
The infusion room in the village clinic can only accommodate 6 people for infusion at the same time. It's too cold outside. He Qiu Yun can't let patients line up outside. So, after giving six people a good needle in the infusion room, she rode an electric car to the door to infuse other patients. Two hours later, six people will be transferred to the infusion room for infusion.
There is no air conditioning and heating in the pharmacy, and the infusion liquid is cold as soon as it is taken out. He Qiu Yun must put a warm baby on each patient's sleeve. But the warm baby is out of stock these days.
There is a shortage of drugs and the price of drugs has soared.
He Qiu Yun actually predicted the coming peak of Spring Festival travel rush's return home. When it was first released, many people in some big cities were infected. She discussed with the doctors in the neighboring village whether to buy a batch of antigen testing kits so that people can test themselves at home. But there are 600 people in a box of antigens, and they are worried that so many antigens can't be sold. This tangle has put the antigen matter on hold.
After two days, there was not much medicine left in the clinic before, so I had to replenish it and began to buy antigens in a hurry. However, by June 5438+February 65438+July, each antigen kit had been upgraded from 3 yuan to 4.5 yuan, and only self-inspection, and the test results could not be uploaded to the national platform. Antigens that can be uploaded to the platform need to be booked, and it has risen from 6 yuan to 9 yuan in just a few days.
At this time, almost every family has a fever patient. He Qiu Yun thinks it is meaningless to take the antigen. Anyway, it's just a cold, fever and other symptoms, so I can only prescribe these drugs. "However, if something goes wrong, you can also say that there is no one in the village, but they all have a cold and a fever." She told China philanthropists.
A rural doctor in Hebei explained to the villagers the knowledge of epidemic prevention and control such as wearing masks safely.
Although she didn't take the antigen, she consciously took a batch of cold and fever drugs when she was released. This is the first time she has taken such drugs in three years.
According to the previous epidemic prevention and control regulations, village hospitals have no right to receive patients with fever, and related drugs are also handed over to township hospitals for treatment.
When the consultation is resumed, He Qiuyun will take at least two varieties of each type according to the experience before the epidemic, and each variety will take one or twenty boxes. On the one hand, consider capital turnover. The village clinic is responsible for its own profits and losses, so she can't spend all her money on medicine. On the other hand, consider the sales volume and shelf life of drugs to avoid excessive waste. And 20 19, this amount is enough for her to sell for at least half a month. At that time, she was optimistic that even if there would be a large-scale infection, it would only come at the peak of returning home before the Spring Festival. Therefore, it is enough to prepare the medicine you usually use, and there is no need to hoard medicine.
But two days later, He Qiu Yun was running out of the first batch of medicine. By 65438+February 18, there were not many injections of antipyretics, which could only be left to patients with high fever. She has a low fever, so she can't prescribe medicine or give an injection to reduce her fever. I can only use the evening time to cook the Chinese medicine decoction the next day. For a week, she and her husband had to cook medicine every day until the afternoon 12.
There are 800 people in the village where He lives, and more than 600 people have stayed in the village for a long time. Among them, there are almost 100 elderly people and dozens of children, mainly left-behind women. Because there is an underwear factory nearby, some young women can stay in the village. They saw the infection tide in Shijiazhuang and Baoding by brushing short videos, so they went to the pharmacy in advance to store some medicines, which also eased the problem of drug shortage in village clinics. For these patients who have medicines at home, He Qiu Yun only needs to guide them to use medicines correctly.
It's not just why there is a shortage of drugs. According to her observation, village doctors in 44 villages in the town were short of medicine at this time. There is a pharmaceutical wholesale company in the town, and at least 30 of the 44 village clinics go to this company to get medicines. If they go a little late, they won't be able to buy medicine. Coupled with the limited inventory of the company, it can only be urgently allocated from other places, and the drug price will soon rise. 4 yuan money a box of antipyretic injection, two days later became 9.6 yuan; In the past, a box of antipyretics in 5 yuan rose to a box in 5 yuan within a few days; Originally1a box of medicine in 0 yuan rose to 60 yuan.
After February 20th, 65438, He Yun will take medicine every day in autumn, but after her consultation, she can buy some similar substitutes that doctors don't usually use. The last time she took medicine, why did she "learn to be smart": No matter how expensive it was, she received 100 boxes of commonly used medicine and 50 boxes of useless medicine. After all, none of the migrant workers in the village have gone home, so she must be prepared.
In the past two days, the number of patients in He Cun has decreased, but the peak in other larger villages has not passed.
In August of 20021year, Xiao He and Pan, a village doctor, rode a motorcycle in Shi Cun, Paidiao Town, Danzhai County, Guizhou Province.
After the fever is gone, most people choose to carry it hard.
Since February 24, 65438, the number of patients with fever treated by He has dropped to more than a dozen, but He doesn't think that this wave of peak has passed, she just gives everyone a fever.
"Most people only care about fever, and the subsequent symptoms such as cough, bitter taste, nausea, vomiting, chest tightness and sore throat are still very serious. Many people can't eat, get out of bed, and can't breathe, but everyone chooses to lie hard at home or drink some scallions and ginger tea to deal with it. Only a few helpless people came to me. " He Qiu Yun described the current situation in the village. In her view, rural people are generally reluctant to spend money and the cost of seeing a doctor is high. In the past, she only received money from 7 yuan for injections, but now the price of drugs has soared, and it has also risen to 14 yuan. Take two injections every day for at least two days. The injection alone costs 56 yuan money. Many people are reluctant to spend this money, and they will start to make do with it when they come back. Some people can't be idle and go to work as soon as they have a fever, which leads to repeated fevers.
He Yun is most worried about the elderly and key people with basic diseases in autumn. See how the elderly account for 1/3 of the total number of patients she treated. Although there are no particularly serious symptoms at present, the symptoms of the elderly are generally more serious than those of the young.
Recently, two old people died in the village: a 69-year-old man suffered from coronary heart disease, diabetes and hypertension and had a heart stent operation; Another 70-year-old man discovered bone cancer less than a month ago. When the old man died of coronary heart disease, he listened to his family and said that the old man had a cold and fever in the field. Seeing the seriousness of the situation, my son sent him back to the village with oxygen all the way. He died as soon as he got home.
"Our understanding of the virus is still too limited. A few people really can't help but come to me, but there are some follow-up symptoms, and I can't help it. " He said to Qiu Yun.