The progress of the Lanzhou brucellosis event: 6,620 confirmed antibody-positive persons
CCTV News, Beijing, November 6 (Reporter Ren Mengyan and Wang Yan from CCTV) Recently, the Voice of China, CCTV, paid attention to many people infected with Brucella in Lanzhou after being diagnosed with brucellosis, but they still received After the report on the "health certificate" was broadcast, the relevant departments of Lanzhou City held a press conference on the 5th, promising to treat patients free of charge and be responsible for life.
The eight responsible persons of the Lanzhou Biopharmaceutical Factory involved have been punished, and related compensation work has begun.
But why is it that people concerned about the masses have been diagnosed with brucellosis, but still get a health certificate?
Relevant departments of Lanzhou City stated that this requires an evaluation by an expert team from Gansu Province.
At the press conference, Wei Qingxiang, the deputy mayor of Lanzhou City, introduced that the vaccine production workshop of the Lanzhou Biopharmaceutical Factory involved has been completely dismantled, and testing for surrounding residents is nearly complete. There are currently 6,620 positive people.
Wei Qingxiang: Up to now, 55,725 people have been tested, and the number of people tested has reached 97.5% of the residents in the Yanchang Road Sub-district, and 6,620 people confirmed positive in the provincial review.
Jiang Weichuan, deputy director of the Lanzhou Municipal Bureau of Agriculture and Rural Affairs, stated at the press conference that China Animal Husbandry Industry Co., Ltd. has already dealt with the eight responsible persons seriously.
At present, the first batch of compensation funds of 10 million yuan has been allocated to a special account on September 24 to carry out monitoring, diagnosis and treatment and compensation compensation. China Animal Husbandry Lanzhou Biopharmaceutical Factory promises to guarantee the follow-up compensation in time and in full according to the payment progress. Required funds.
Jiang Weichuan: The director of China Animal Husbandry Lanzhou Biopharmaceutical Factory shall be given intra-party warnings and administrative warnings, the deputy director in charge of production shall be given serious warnings in the party and the deputy director shall be removed, and the assistant director in charge of quality assurance and brucellosis vaccine shall be given Party discipline and administrative dismissal of the two persons in charge of the production workshop, party discipline and political disciplinary sanctions for the assistant to the factory manager and the person in charge of the logistics center in charge of production technology, and the transfer of the treasury from the job.
Wei Qingxiang, the deputy mayor of Lanzhou City, introduced that Lanzhou City will continue to standardize free mass inspections and speed up compensation and compensation.
Wei Qingxiang: To achieve "all inspections" and "willing to do all inspections", free and standardized treatment is provided to those who have positive antibodies and cause adverse reactions, and achieve long-term health follow-up and lifelong responsibility.
In accordance with the results of the public health assessment, complete compensation and compensation work in accordance with laws and regulations to ensure that compensation and compensation work is scientific and legal, and the people are satisfied.
Urge the Lanzhou Biopharmaceutical Factory to further speed up the relocation of the entire plant and the progress of the work of leaving the city and entering the park to eliminate hidden dangers from the source.
In the media questioning session of the press conference, Wang Jianyun, a member of the Gansu Provincial Testing, Diagnosis and Health Assessment Expert Group and vice president of Lanzhou Pulmonary Hospital, responded to “why an infected person was diagnosed in another hospital but received a'health certificate'”.
Wang Jianyun: National and provincial experts made a prediction of the incident based on the difference between brucellosis antibody positive and brucellosis.
With reference to the 2012 edition of the national guidelines for the diagnosis and treatment of brucellosis and the expert consensus on the diagnosis and treatment of brucellosis 2017, the work plan was formulated.
The assessment results are generally divided into three categories. The first category is no health damage, that is, no typical symptoms and signs of brucellosis.
The second category is no correlation, that is, the symptoms are caused by other diseases.
The third category is adverse reactions.
Three conditions must be met for the evaluation of adverse reactions at the same time, namely, antibody positive, typical symptoms and organic damage.
Then these three conditions must be met at the same time, and the expert group will evaluate based on the medical examination and treatment data.
If you only have a diagnosis certificate for brucellosis issued by other hospitals, you have not provided the above medical information.
According to the work plan, the expert team will assess that there is no health damage.
If you disagree with the current evaluation results, you can complete the medical institution's medical information, and then submit a reconsideration to the expert group.
Regarding the report by the Voice of China of China Central Radio and Television that some people have been diagnosed with brucellosis but are still identified as "positive and no health damage" by the incident expert group, Yang Yanyou, director of the Lanzhou Municipal Health Commission, introduced that they will Handed over to the Gansu Province expert group for evaluation.
Yang Yanyou: A few people tested positive in the local hospital in Lanzhou, but were diagnosed with brucellosis in the hospital outside.
For this issue, we suggest going to the Lanzhou Pulmonary Hospital and improving the relevant examination data. The Lanzhou Pulmonary Hospital will report the relevant information to the Gansu Provincial Health Assessment Experts based on the "Health Assessment Plan" issued by the Gansu Provincial Disposal Coordination Leading Group Office. Group for evaluation.
However, when interviewing many confirmed patients, the reporter found that not only hospitals from other provinces and cities have diagnosed the residents around Lanzhou Biopharmaceutical Factory as brucellosis, but also local hospitals in Lanzhou have many confirmed cases.
Ms. Li lives in the vicinity of Lanzhou Biopharmaceutical Factory. She has experienced fatigue, repeated fever, joint pain and other symptoms since September last year. On January 7 and January 21 this year, she was taken to the Anning Branch of the People’s Liberation Army 940 Hospital in Lanzhou and Lanzhou respectively. The First University Hospital was diagnosed with brucellosis.
Similarly, Ms. Li also received the "Health Certificate" in October this year, proving that she was only positive for Brucella antibodies and did not harm her health.
This made her unacceptable.
Ms. Li: The orchid doctor I went to diagnosed me with brucellosis first, so he took the medicine. Later, my colleague suggested that I go to Lankong Hospital (940 Hospital) because Lankong had treated brucellosis. Hurry to Lan Kong, and after I went, I was hospitalized and said that my disease was caused by brucellosis (arthritis). You should treat brucellosis first, and the leg pain will not be so painful if the bacteria is controlled.
I have been diagnosed, hospitalized, and have taken two courses of medicine. You tell me that I am not sick?
Did I take this medicine for nothing?
The same is true for Ms. Yi. She was issued a health certificate by the expert group. She went to Lanzhou Pulmonary Hospital for treatment in early October of this year. She was only "positive for Brucella."
Ms. Yi: Joint pain, muscle pain, headache, hand joint deformity.
After being admitted to the pulmonary hospital, he said that he would check you first, and after the check, he did not have any symptoms.
He just said that blood culture should be done, that is to say, the infection is considered to be an infection if the blood is cultivated.
After waiting for a week, I asked him if he hadn't done it, and there was no result.
Finally, we wrote a pain on the discharge certificate, saying that our epidemiological history is not correct, so we are not brucellosis.
On October 27, Ms. Yi went to the Anning Branch of the PLA 940 Hospital. Two days later, she was diagnosed with brucellosis.
She questioned why in Lanzhou, the pulmonary hospital could not find anything, so other hospitals could directly make a diagnosis?
Ms. Yi: After I went, I showed the list of my tests from last year to this year and showed it to the doctor. After reading it, he said to check it again, took a blood sample, waited for a day and the result came out. I was directly diagnosed with brucellosis. After the diagnosis, I was prescribed some medicine and suggested that I be hospitalized.
Wang Jianyun, deputy dean of Lanzhou Pulmonary Hospital, stated at the press conference that their diagnosis was based on the “2012 version of the national guidelines for the diagnosis and treatment of brucellosis”. However, the reporter carefully checked and found that there was no “confirmed diagnosis” as he claimed. For Rouscellosis, it is necessary to find the words "organic damage".
According to the requirements of the "Guide", as long as there is an epidemiological history and clinical manifestations-a history of close contact with livestock or animal products, cultures of Brucella, etc. before the onset, the clinical manifestations are: fever, fatigue, hyperhidrosis, muscle And joint pain, or accompanied by enlarged liver, spleen, lymph nodes and testicles, etc., can be determined as a suspected case.
Afterwards, if the tiger red plate test is positive, it is a clinically diagnosed case, and once the test tube agglutination test is 1:100++ and above, or the disease course is more than one year, the titer is 1:50++ and above, or Brucella is isolated Otherwise, it can be diagnosed as brucellosis.
The explanation from Vice President Wang Jianyun made Ms. Li dumbfounded. How did the state’s diagnostic criteria for diseases change when they arrived in Lanzhou?
Ms. Li: Said I did not meet the epidemiological history.
I said that there are three conditions for the diagnosis of brucellosis. The first is tiger red (tablet) and the test tube agglutination test, the second is epidemiological history, and the third is clinical symptoms. As long as these three conditions are met, it can be determined as cloth. Disease, this is clearly stated in the white paper on the diagnosis of brucellosis, right?
In an interview with reporters, Qin Enqiang, deputy director of the infection center of the Fifth Medical Center of the PLA General Hospital, said that if patients with brucellosis are not treated in time, they will become chronic or even late, which will have a great impact on the body.
Qin Enqiang: If not treated in time, some patients will have long-term fever and hyperhidrosis, especially some severe joint pain will always exist. In the chronic stage to the late stage, it may be very difficult to treat. If it is more serious, it may be Will affect fertility.
In this incident, what was the basis for the Lanzhou expert group's claim that the patient was not infected with brucellosis?
Has anyone got brucellosis?
How many people got brucellosis because of this?
Are they likely to be delayed for treatment?
The Voice of China of China Central Radio and Television will continue to pay attention.