Is Jilin medical resources sufficient? How has the prevention and control strategy changed? Bai Yansong, Qiu Haibo, Wu Anhua, member of the National Health and Safety Committee Expert Team
From Wuhan to Harbin and then to Jilin, what is the new understanding of the critical illness expert Qiu Haibo about the treatment of new coronary pneumonia? What new thoughts does hospitalization expert Wu Anhua think about the diagnosis, treatment and management of hospitalization? Bai Yansong invited Qiu Haibo and Wu Anhua, members of the National Health and Safety Commission's treatment expert group, to explain.
△ Bai Yansong introduces Qiu Haibo's 121-day anti-epidemic itinerary
At the beginning, Bai Yansong introduced Qiu Haibo's anti-epidemic itinerary. From January 20 to April 25, he fought 97 days from Nanjing to Wuhan, then went straight to Harbin for 17 days, and then moved to Jilin, from May 12 to 19. Bai Yansong said: "121", hoping to cheer on his past journey and cheer him on his journey home soon!
Next, Qiu Haibo and Wu Anhua answered questions about Jilin's case situation, changes in prevention and control strategies, and training of local medical workers.
△ Qiu Haibo introduced the case of Jilin
Q:
What is the case of Jilin City?
A:
Qiu Haibo: At present, all the cases in Jilin City are concentrated in the affiliated hospital of Jilin Medical College. There are now 26 patients in the hospital, including 3 severe cases and 5 mild cases. Although the 3 severely ill patients still need high-flow oxygen therapy, they have been able to get out of bed or sit by the bed after active treatment, so we think the overall case situation is quite optimistic.
△ Qiu Haibo introduced the difference between the case of Heilongjiang Jilin and the case of Hubei
Q:
How are the cases in Heilongjiang and Jilin different from those in Hubei?
A:
Qiu Haibo:
① In terms of gene sequence, most of the cases in Jilin and Heilongjiang are related to the input, which is not the same as the cases in Hubei.
②The incubation period of most cases in Wuhan is only one week, up to two weeks, but the incubation period of the cases with input correlation is relatively long.
③Clinically, patients in Wuhan are affected by multiple organs, with damage to the myocardium, kidney, and intestine. Lung damage is often the main cause of input-related cases.
④ In many cases in Wuhan, after the onset of symptoms, the nucleic acid turns negative in a week or two, but the negative rate of nucleic acid input in the related cases is relatively slow.
△ Harbin is more input-related cases
Q:
How are the cases in Harbin and Mudanjiang different?
A:
Qiu Haibo: Harbin is not the same as Mudanjiang. Mudanjiang is mainly imported cases, and more cases are directly returned from Russia or the United States. Harbin is more imported cases, so it is slightly different.
△ Jilin severe incidence rate is less than 10%
Q:
How to prevent those patients with mild disease from becoming severe?
A:
Qiu Haibo: We strongly emphasize the advancement of the gate, that is, how to prevent mild common patients from becoming severe as much as possible. It can be seen that in the overall case of Jilin, the incidence of severe cases has so far been less than 10% , Far below the situation in Hubei or Wuhan at that time. Very important here is early intervention. Once the patient is diagnosed in the hospital, antiviral treatment is given quickly, and some treatment with traditional Chinese medicine is treated very early, and it is less serious.
△ Jilin implements centralized isolation for close contacts
Q:
How has the prevention and control strategy changed?
A:
Qiu Haibo: Jilin Province has completely changed its previous prevention and control strategies, and now all close contacts should be placed in isolation points instead of home isolation. This is also to make asymptomatic infected persons or incubation periods as manageable as possible. Control the epidemic as soon as possible.
△ Jilin can do everything it can
Q:
Is Jilin's medical resources sufficient?
A:
Qiu Haibo: With the experience of Wuhan, in fact, after the outbreak of Shulan in Jilin, the preparation of the entire medical resources was ahead of schedule. Now, on the one hand, a high-level hospital has been specifically converted into a fixed-point admission hospital, and a rehabilitation hospital has been specifically designated. At the same time, a plan has been made. Even now, a plan for a square cabin hospital has been made. There are two sports venues that can be transformed into A 1,000-bed square cabin hospital, once activated, can build these two square cabin hospitals within 24 hours. Therefore, in terms of the medical resource bed reserve, enough beds have been prepared to be able to be collected, and the isolation point beds are relatively sufficient.
△ Remind all medical staff: No one can stay out of the prevention of new coronary pneumonia
Q:
What is the training content for local medical workers?
A:
Wu Anhua: The point is to tell everyone how to prevent infections in the hospital, especially in the treatment process, how to do infection control. In infection control, special emphasis is placed on early diagnosis and personal protection. In particular, they need to be reminded that the prevention of new coronary pneumonia is related to each of us, and do n’t think who can stay out of the matter. It seems that some departments have nothing to do with the new coronary pneumonia. In fact, it is also related, such as neurology, neurosurgery, ophthalmology, otolaryngology, etc. If you do not pay attention to these places, it is more likely to cause problems.
△ Epidemic prevention cannot be taken lightly, the epidemic situation may exist for a long time
Q:
What is particularly reminded?
A:
Wu Anhua: In particular, we need to remind everyone not to think that this epidemic peak has passed, you can take it lightly. This epidemic may exist for a long time.