Ten moments of the fight against the new outbreak in Beijing
Starting at 0:00 on July 20, Beijing’s public health emergency response was lowered to Level 3!
For 40 days, Beijing responded quickly and raced against the new outbreak in a wartime state. It used the most resolute, decisive, and strictest measures to build a dense epidemic prevention and control network in the city during two incubation periods ( 28 days) to achieve zero increase in confirmed cases.
Foreign media commented that Beijing Xinfadi's fight against the epidemic, from the beginning to the zero, is a complete case of the fight against the new crown pneumonia epidemic! From this we can see China's mechanism, China's speed, and Chinese spirit!
1. Discover
Every patient with fever keeps a high level of alertness
At 23:50 on June 10, at Xuanwu Hospital, the testing team caught the first patient...
In the afternoon, Uncle Tang, who lives in Xicheng District, went to the fever clinic of Xuanwu Hospital for intermittent fever. At this time, Beijing has had no new confirmed cases locally for 56 consecutive days.
Uncle Tang’s samples were quickly delivered to the square cabin PCR new coronavirus nucleic acid detection team led by Wang Peichang, director of the Laboratory of Beijing Xuanwu Hospital; nucleic acid detection is divided into sample collection, sample acceptance, information entry, virus inactivation, nucleic acid extraction, and nucleic acid amplification. There are 7 steps to increase, result review and report, and the whole process takes 8 hours. The first test results made Wang Peichang and his colleagues, who have experienced many battles, felt nervous: "Double targets are positive"! "Immediately carry out the second reagent retest!" The second round result was still "double target positive".
"Report as soon as possible." Wang Peichang and his colleagues backtracked the inspection process for the first time, the operation was correct, and the final result of the throat swab test was positive.
Stick to the rules and keep the front line. Comrades from the Beijing Municipal Health Commission told reporters: In accordance with the requirements of Beijing's epidemic prevention, the inspection teams of major hospitals have never interrupted the nucleic acid testing of the new coronavirus and have maintained a high level of alertness to all patients with fever.
It is this insistence of "preferring ten defenses and nine air defenses and not slack in one day" that enabled the virus to be captured quickly and the epidemic was discovered early. In the following month, medical institutions in Beijing played the role of sentinels and probes, and successively found 76 cases of confirmed patients among the medical patients. During the epidemic, medical institutions in the city went to see a doctor in accordance with the epidemic prevention rules, and no hospital infection occurred.
2. Scheduling
Entering a state of wartime, Beijing's nerves of fighting the epidemic are tense
No history of leaving Beijing, no input! Beijing's nerves of fighting the epidemic suddenly tightened!
At 11:35 on June 11, the old Wang of the Municipal Party Committee Office finished his busy morning and was walking to the cafeteria. The phone rang suddenly: Put down the business at hand and rush to the meeting room.
At this point, more than 10 consecutive hours, a series of summary analysis has been completed. The Beijing New Crown Pneumonia Epidemic Prevention and Control Work Leading Group Meeting was held urgently in the tight nerves of every comrade, and the video conference was connected to multiple branch venues at the same time. The meeting quickly focused on a question: Where did the virus come from? The first meeting of the Battle of Xinfadi was condensed into two key words: lock and quick decision! Locate the source of the virus at the fastest speed.
Since then, in the memory of Lao Wang, such meetings were conducted twice in the morning and twice in the evening, quickly summarizing the situation of all parties, dispatching them daily, reaching the grassroots level, and working continuously for 16 hours a day. Make good use of the existing experience and mechanism, in response to this special situation, centering on the 16 words of “timely detection, rapid disposal, precise prevention and control, and effective treatment”, a series of decisions are continuously progressing: entering a wartime state, centralized isolation control, and nucleic acid activation Detect, delineate the scope of risk management and control, initiate secondary response, comprehensive circulation mechanism, daily response to social hot spots, self-management and control out of Beijing, centralized admission in Ditan Hospital, restoration of normal hospital treatment order...
Problem-oriented, smart focus, morning and evening summary, and daily scheduling have become a rapid response mechanism for effective handling in the fight against the epidemic.
3. Lock
Trace the source for 16 hours, lock in a new place
June 11, 1:04 in the morning. The news of "Master Xicheng" made Dou Xiangfeng of the on-site team of the epidemic prevention and control team of the Beijing Centers for Disease Control and Prevention feel nervous. This was supposed to be his last night shift. Three hours ago, they had just received the instruction that "the field team is ready to disband, and resume work and production tomorrow." He wiped his face with cold water, and a new war epidemic broke out.
At 6 o'clock in the morning, Dou Xiangfeng, fully armed, entered the isolation ward of "Uncle Xicheng", along with Dr. Qiao from the Xicheng District Center for Disease Control and Prevention. He hasn't slept all night, and the first circulation report came from him. "The focus of the investigation is on the various confined places he has visited, and the definition of the close contacts will be pushed forward for another 3 days on the basis of the original 4 days before the onset of illness."
Checked one by one, guided patiently, and repeatedly confirmed. After 2 hours of communication, the preliminary 38 close contacts and 23 investigation points were confirmed one by one.
At the same time, the city's large platoon has already begun. Billiards halls, supermarkets, gas stations... race against time. Hundreds of circulated samplers rushed to investigate and trace the source of infection.
Among all the points, the Xinfadi Wholesale Market is the most difficult place to investigate. The daily passenger flow of 60,000 people makes it the least desirable place for problems. "It's too big to imagine the consequences." Yang Xiaoxing, leader of the on-site flow adjustment team of the Fengtai District CDC, has not entered the water for more than 10 hours, and it is difficult to speak when the samples are delivered to the laboratory...
Continuous tracking, narrowing the range step by step, 16 hours, new place, locked.
At 2 o'clock in the morning on June 12, the laboratory reported that among all the points, only environmental samples from the comprehensive trading floor of the Xinfadi Wholesale Market were found to be positive. So far, the beef and mutton aquatic products trading hall on the first basement level of Xinfadi Wholesale Market has been locked as the epicenter of the epidemic.
4. Isolation
A quiet battle
Almost in sync with the laboratory report, the battle for isolation in the newly developed market quietly started...
Fengtai District was ordered to take urgent measures to quickly and effectively quarantine high-risk groups in Xinfadi market. In accordance with the requirements of the on-site headquarters, the District Committee’s Political and Legal Committee urgently coordinated the hotel in the area, rented vehicles urgently, urgently allocated protective materials, urgently started the transfer, opened 5 hotels, and quickly completed the transfer and isolation task of 916 people in the beef and mutton comprehensive trading hall within 10 hours .
Jinxiu, a merchant on the second floor of the beef and mutton hall, received a medical observation notice at 4 o'clock in the morning on June 13 and asked to go to the centralized isolation point. In the dim morning light, Jinxiu and the merchants walked out of the lobby and boarded the bus. They acted in an orderly and swift manner, like a soldier traveling, a little nervous, but there were no complaints or complaints, and no one even spoke: Trust the government and take the overall situation first! This became a silent consensus.
Compared with the premonitions of the merchants, Dr. Pan Heng of Fengtai Hospital received the news more suddenly: at 10 pm on the 12th, Pan Heng, who was about to rest, received a notice and asked him to immediately go to a centralized isolation point on the South Fourth Ring as a medical doctor. Leader of the observation group. This is a four-storey high-speed hotel, temporarily expropriated as a "centralized isolation point." Partitions were broken overnight, and non-polluted areas, buffer zones, and polluted areas were set up. They were closed for 24-hour management. Pan Heng and Jinxiu's vehicles arrived back and forth in separate vehicles...
Jinxiu is from Fujian and has been operating in Xinfadi for more than ten years. "The room has TV and Internet. Three meals a day will be delivered to the designated place at the door." Conditions are good. Just after Jinxiu's hanging heart was let go, he developed cough symptoms, thinking of the merchants he had contacted. After the confirmed case, Jinxiu was nervous...
In response to the result of Huang Jinxiu's negative nucleic acid test and her body temperature was always normal, Pan Heng chatted with her thoughtfully and learned about her history of chronic pharyngitis. Pan Heng prescribed medicine for her, communicated patiently and calmly again and again, and Huang Jinxiu's mood gradually stabilized: "Thank you Dr. Pan! You have worked hard!"
On July 11, after a "14+14" day quarantine, Jinxiu and the more than 100 merchants who were quarantined here left the quarantine point to reunite with their families and enjoy the warm sunshine and fresh air that this summer should have.
5. Control
Division and hierarchical management, reflecting "precise placement"
At 3 o'clock in the morning, Tianlun Jincheng Community, opposite the Xinfadi Market. With the complete closure of the East Gate, the community officially entered a closed state of control. Closed management and control will be implemented simultaneously in 11 surrounding communities of Xinfadi, including the period of a century, style and Lin, Tianjiao Junyuan.
At this time, it was June 13th, in the dark night, standing at the gate of the community, looking at the already silent new birthplace. After working for more than 20 hours, Qian Cheng, the party secretary of the post-85s community, suddenly felt pressure. : "With 20 buildings and nearly 10,000 people staying at home, how to guarantee their livelihood?"
Not far away, residents of the community who were used to getting up early began to gather: "The watermelon is still in the car!" "Can I go out and have a look?" "Are there any confirmed cases here?" Inquiries come and go one after another; Qian Cheng greets everyone, thinking about how to appease...
20 kilometers away, Lao Zhang of the Organization Department of the Beijing Municipal Party Committee and his colleagues are formulating a prevention and control plan overnight: "Beijing collectively pressed the slow forward button in the first round of the epidemic. This round requires ten fingers to play the piano and change the risk zone. The grading standards, prevention and control units are smaller and more accurate, so as to minimize the impact of the epidemic on the economy and society." Divisional and hierarchical management, implementation of precise prevention and control, dynamic management and control of medium and high risks, and decision-making by the leading group are transformed here. specific plan.
After more than a month, Tianlun Jincheng District was tense and orderly: a temporary party branch was established, and party members worked on the front line; 4 fixed telephones were opened, the mobile phone numbers of 10 staff members were announced, and residents’ inquiries were accepted 24 hours a day; Prescribe medicines to the hospital for residents; volunteers hand out vegetable packs under the scorching sun; cleaners sweat like rain and collect garbage from house to house...
Community prevention and control is the cornerstone of Beijing's epidemic prevention and control. The battle to keep the bottom line fought simultaneously in 3,235 communities and 3,876 administrative villages in Beijing.
Nearly 100,000 grass-roots workers are "carpet-like" in one household, and all close contacts are observed at home; cut the "prevention and control units" into small pieces, and achieve "precise placement" according to streets, communities, and even communities and buildings; the same community, Different quarantine and observation measures such as "14+14" days, "14+7" days, and 14 days are adopted for classified implementation.
"We held it!" When Qian Cheng saw the reporter on July 18, his hoarse voice was filled with joy; as of July 18, 95 units in Tianlun Jincheng Community had been unblocked except for one unit.
On July 20, Beijing's medium and high risk areas were all cleared. After the concerted efforts of more than 7,000 community administrative villages in the city, it is safe!
6. Nucleic acid detection
Science mobilization, the key to early discovery
The fission-like growth of Beijing's nucleic acid detection capacity has become a legend of the speed of scientific anti-epidemic.
Yang Wei, the person in charge of the Haidian District People’s Health Examination Center, received an urgent call for help. On the other end of the call was Dai Pengfei, the person in charge of the Yuegezhuang Wholesale Market in Fengtai District: “We need to conduct nucleic acid testing for all merchants immediately!”
Xinfadi was closed, and Yuegezhuang's wholesale supply pressure increased sharply! The two markets have always been closely linked, and only by racing against time and testing all employees with nucleic acid as soon as possible can the spread be stopped and the hearts of the people can be stabilized! The People's Ankang Medical Examination Center moved quickly, and while doing everything possible to raise kits, it went to the market, set up tents, and took samples on the spot...
A group of 10 merchants were inspected, queuing in one-way intervals. From 7 am to 8 pm, all 5,138 people completed throat swab sampling. Doctor Huo Yan was on duty all day under the high temperature. Sweat poured out of his protective clothing: "I have collected more than 500 people, Communists must go!" The test results were all negative; on June 25, the reexamination was again and all were still negative. …Dai Pengfei was at ease and led Yue Gezhuang to go all out to fight for the citizens' table guarantee.
Beijing has implemented large-scale centralized nucleic acid testing, and the number of samples taken has exceeded 12 million; currently, of the 335 confirmed cases, nucleic acid screening has 174 cases, accounting for 52%. Nucleic acid testing has played an important role in quickly discovering and controlling the source of infection, effectively blocking the chain of transmission, and preventing the spread of the epidemic.
7. Tracking
Leave no blanks or miss anyone, find out the chain of infection in the first time
61-year-old Pang Xinghuo walked into the press conference hall in Beijing with dark circles under her eyes... As the deputy director of the Beijing Centers for Disease Control and Prevention and the head of the on-site team of the epidemic prevention and control team, on this day, she will announce the occurrence of new outbreaks. Since then, the trajectory of the first confirmed case.
For the three confirmed cases, the movement tracks were less than 400 words and only 172 words. Clear, clear, rich, and specific, these little "tofu pieces" immediately become high-frequency messages that people pass on to each other. However, behind this short text is a report of tens of thousands of words at every turn, and it is the day and night of hundreds of people.
"The purpose of the circulation is to quickly and accurately find out the transmission chain, so as to take targeted measures to control the spread of the epidemic." Wang Quanyi and Jia Lei are directors and deputy directors of the Beijing Center for Disease Control and Prevention of Infectious Diseases and Endemic Disease Control , They will take the lead in the flow of Beijing city. "The standard is to leave no blanks or miss a person."
Communicate face-to-face with patients, go to the spot to understand the situation, use big data to check for deficiencies and make up for leaks. A race against the virus is launched in Beijing! This city, other provinces, municipalities, districts; disease control, public security, communities, subways, buses, civil aviation, railways... cross-regional, multi-departmental coordination and linkage, racing against every detail. "The whole process is like solving a case." Wang Quanyi said, "Whether it is accurate and without omissions and whether it can be fast and error-free will affect the direction of the entire epidemic."
More than 25,000 words on 63 pages! This is a circulation report issued by Jin Lina, a physician in charge of the Center for Disease Control and Prevention of Haidian District, Beijing, after synthesizing the results of coordinated circulation among various districts and departments in the city, for the "Shijingshan Wanda Women". Behind this report, there are more than 30 transfer personnel and hundreds of community workers, who are awake for 24 hours. "Flow regulation is a process of continuous refinement and continuous digging." Jia Lei introduced: "The close contacts of this patient, from 204 at the beginning to 311 at the end, all took immediate measures. "
Up to now, there has been a cluster of epidemics in Beijing’s newly developed market, with a total of 335 confirmed cases and 33 asymptomatic infections. Except for key personnel in key areas, there are 7,591 close contacts who have been identified through the circulation. "We also asked for the flow of suspected cases and even individual fever cases and highly suspected cases to be carried out as soon as possible. This number is many times the number of confirmed cases." Wang Quanyi said, "Although most of them are not diagnosed in the end, they seem to have done nothing. , But this will ensure that we will always be ahead of the virus."
8. Treatment
Both China and the West pay equal attention to one person, one policy, and every possible cause
Centralized admission of confirmed patients, centralized deployment of medical resources, equal emphasis on one person, one policy by both Chinese and Westerners, and effective treatment of no deaths have become a major feature of Beijing's fight against the epidemic.
On June 13, the number of confirmed patients reached 36, which became the peak incidence. On June 16, Beijing announced a secondary response. On the same day, more than 100 medical staff from 18 municipal hospitals in Beijing went to Ditan Hospital to support treatment.
June 20, 22:15. The blue ambulance brought two patients...This is Guoguo, 1 year and 7 months, and her father. They contracted the virus when they went to deliver meals to their mother who worked in Xinfadi Beef and Lamb Hall. Xiaoye, an 8-year-old primary school student not far from the Guoguo ward, has been admitted to the hospital for 6 days. The boy who would cry when he first arrived was already like a man.
Experts such as Du Bin, Tong Zhaohui, Jiang Li, who are well-known in the fight against the epidemic in Wuhan and listed as the "Severe Eight Immortals", have put on their shirts again and have come to the front line of critically ill treatment. At this time, after careful treatment, the condition of "Master Xicheng" has improved. In the afternoon, Tong Zhaohui went to the "Master Xicheng" ward for rounds and saw him in good condition. He couldn't help but humorously said: "You should be called Brother Xicheng."
The allocation of top-level medical resources and all-out efforts for treatment have given patients and their families strong confidence and support. After admission, each patient has one policy, experts consult daily, and the treatment rate of Chinese medicine reaches 100%. "Early detection" made most of the patients this time be mild and ordinary. Therefore, medical staff focused on preventing patients from turning from mild to severe, and took care of them in every possible way.
Xiaoye's recovery is so good that she can't do without the chief physician Song Rui. During the treatment, he became more and more dependent on this "substitute mother", saying "I want to drink milk" in exchange for "Baby, I will take it for you." Draw blood, take medicine, measure blood pressure... For adults, sometimes "offending" treatment measures, Guoguo has to go through it again. Chief physician Li Minghui felt sorry for this cute little girl, so he sent a bubble machine to make her happy...
On July 4, after several consultations with experts such as Tong Zhaohui and Jiang Li, medical staff took turns on duty 24 hours a day, expecting sputum every hour, and pacifying every half an hour. The only confirmed patient this time has been ECMO ( The 27-year-old Xiaojuan of artificial membrane lung can write the names of his parents on paper. Prior to this, she finally removed ECMO after 12 days on the plane, and broke through the “ghost gate” of removing the ventilator, and her condition improved day by day.
On July 10, Guoguo and his parents received a discharge notice. On July 14, after 33 days of treatment, "Master Xicheng" was discharged from the hospital. He commented on the medical staff like this, "It is indeed an angel. I can survive. They gave me a second life." On July 15, Xiaoye was discharged.
After a whole month of fighting, a hundred medical staff who rushed to help Ditan Hospital also left on July 15. Many people moistened their eye sockets and choked their throats, but a thousand words turned into one sentence: "The people are supreme, life is supreme! Beijing will win, and China will win!"
9. Service
Citizens need to call and respond accurately one by one
The person in charge of Huazhong Hi-Tech Pharmaceutical Co., Ltd. talked about 12345 with a gratified smile: the response was too fast!
The community was suddenly closed due to the epidemic that day, and the company was unable to work here. I wanted to find another office, but the equipment could not be taken away. In desperation, the person in charge wanted to call the 12345 citizen service hotline to report the situation. Unexpectedly, two hours later, the Yongan Luxili community called; they negotiated with the neighborhood committee and the property committee on the Internet, and finally, after helping the company complete the killing and testing, they moved out of the equipment.
The 12345 Citizen Service Hotline in Beijing is managed by the Municipal Government Administration Bureau and has more than 500 connection seats. It answers the hotline every day and accepts 30,000 requests. Beginning on June 13, the number of calls regarding the epidemic increased sharply, accounting for 40% of the total incoming calls. The supermarkets and vegetable stations around Muxidi Beili Community, Yuetan Street, Xicheng District, are temporarily closed; citizens report that it is not convenient for the elderly to buy vegetables. After the 12345 citizen service hotline received the complaint, the information went straight to the street, and the street immediately negotiated with the Shounong Group to drive the well-protected convenient vegetable through train into the community...
The reporter looked through the hotline statistics and found that from June 15 to 21, there were 70,400 consultations, appeals and suggestions on the epidemic; from June 22 to 28, there were 101,161 cases, most of which were consultations and replies. The appeals collected here include hotlines, networks and mobile terminals; for problems that can be resolved, the hotline dispatches orders directly to specific responsible units. A Daxing resident lamented on his Weibo that the community was closed and there was no food at home; unexpectedly, two hours later, the neighborhood committee came to deliver food.
A comprehensive analysis of calls found that there were a large number of requests for “difficulty seeing a doctor” under the control of the epidemic. The problems were reported directly to the city’s leading group. Improvement measures were promoted in major medical institutions on the same day: while preventing nosocomial infections, while carrying out daily medical services.
Beijing in the fight against the epidemic, the 12345 citizen service hotline, the mechanism of "receive the complaint", 24 hours a day, listen to the needs of citizens, provide fast assistance, precise docking, and uninterrupted, becoming a "listen to the voice and solve the emergency" in the national fight against the epidemic The supporting mechanism of the foundation, the supplementary mechanism in the work of various departments, and the boosting mechanism of important decision-making.
10. Release
The "weathervane" in the fight against the epidemic
At 4 pm, the press conference will meet regularly, and the central and local media will broadcast live at the same time. Its information summary, trend judgment, circulation release, case analysis, hot questions and key tips... become a "weathervane" in the public's mind for fighting the epidemic.
On June 11, at 4 pm, the announcement of "one new case of local diagnosis" at the press conference made the atmosphere solemn... It was the 112th press conference in Beijing this year to fight the epidemic, and it was also a new epidemic prevention battle. The first press conference of the People's Republic of China sounded a new epidemic prevention alert to the society.
Five days later, on June 16, Beijing held three epidemic-related press conferences in one day. The latest one was almost late at night. Chen Bei, deputy secretary general of the Beijing Municipal Government, announced: The emergency response level of public health incidents was adjusted to level two. Some netizens replied under the live broadcast, "It is false to say that you are not nervous, but with the support of previous experience and the extremely transparent press release, I believe Beijing will be able to successfully break through."
As of July 19, Beijing has held a total of 156 press conferences. Beijing Municipal Government Spokesperson Xu Hejian hosted 156 games without landing; Pang Xinghuo, deputy director of the Beijing Municipal Center for Disease Control and Prevention, also attended 107 games. For netizens who watch the live broadcast of the press conference on time at 4 pm every day, the live information is concise and clear, but the workload behind each release is extremely huge. "The time to prepare the materials is very tight. It is necessary to distill the dozens of pages of circulation report of each case into two or three hundred words of'small tofu cubes', covering the core points, and distilling the risk points in these cases. , Reminder point, convert it into popular science knowledge." For Pang Xinghuo, who is over sixty years old, "I felt very happy to sleep 4 hours a day during that time."
While holding daily press conferences, they also helped the media to go deep into the front line of the fight against the epidemic, and carried out more than 150 collective interviews; timely sorted out social hot spots, and responded through various channels such as news releases, expert interpretations, new government media, and news clients. Social concerns over 300 times; monitoring online rumors, verifying the situation, releasing the truth, clarifying the facts, and calming people's hearts.
Internally, news releases have firmly played the role of a "ballast stone" in the public opinion field for epidemic prevention and control and a "weathervane" of the war epidemic; externally, transparent information and rapid response have made foreign media "like" Beijing. According to a summary study conducted by Qu Ru, Dean of the Capital Institute of International Cultural Communication, Beijing International Studies University: In the past month, foreign media reports on the prevention and control of the epidemic in Beijing tended to be 95% positive and neutral, including the Washington Post and Reuters. Overseas mainstream media such as the Press, The Associated Press, and The Times of India have all introduced in detail the measures and successful experience of Beijing's epidemic prevention and control. "Beijing's efficient and strict press release mechanism established during the epidemic will surely have a profound impact in promoting the ultimate victory of epidemic prevention and control, and promoting the modernization of the capital's social governance system."
At 4 pm on July 11, the 148th press conference, a full month after the clustered epidemic in Xinfadi wholesale market occurred on June 11, the host said emotionally: "This month is one of Beijing’s anti-epidemic activities. This month is a month for tracking close-coupled nucleic acid screening and a month for full treatment of confirmed cases. This extraordinary anti-epidemic journey will surely be recorded in the history of Beijing."
At 4 pm on July 19, the 156th press conference announced: "Since 0:00 on July 20, the emergency response level for public health emergencies in Beijing has been adjusted from Level 2 to Level 3." Some reporters present, Eyes with tears: 40 days of fighting against the epidemic in Beijing, victory was hard-won!
When the reporter finished writing, the "Beijing Public Health Emergency Regulations (Draft)" was being formulated...Beijing will pass legislation to solidify the effective system measures explored in practice, resolve problems, and make up for shortcomings. The Beijing Leading Group for the Prevention and Control of the New Coronary Pneumonia Epidemic emphasized: "When the exam is not due to hand in!" The epidemic prevention and control in Beijing is still in progress...
Our reporter: Zhu Jingruo, He Yong, Wang Haonan
Shi Fang Wei Wei
Layout design: Shen Yiling