Bai
Yansong
:
last year's January 23, Wuhan is closed from the days of the Han channel, Wuhan is China's quarantine control has made a significant action quite successful.
It is cities that are closed and controlled. For a long time, the focus of our epidemic prevention has been cities because of the dense population.
However, in this January of this year, the situation seems to be different. At the press conference of the State Council’s Joint Prevention and Control Mechanism held this Wednesday, it was informed that there were 757 newly diagnosed local cases nationwide last week, and the number of close contacts under medical observation reached ten. The largest number in the past month, and an important feature is that most of the epidemics occurred in rural areas, such as Shijiazhuang, Hebei and Wangkui County, Heilongjiang, where the main outbreaks occurred in rural areas.
What to do with rural epidemic prevention?
How to make up for shortcomings?
Heilongjiang Epidemic "Eye of the Storm"
Huiqi Village that was "emptied"
After a sudden epidemic, Huiqi Village, which was covered in snow, was empty.
Chen Zhihong, deputy secretary of the Party Committee of Huiqi Town, Wangkui County: The
villages are all sealed up, and the entire normal crossing is sealed up, leaving (only) one exit.
The organization arranges the killing, leaving some passages, just keep this one.
Police cars patrol the village 24 hours a day to prevent anyone from entering.
More than ten days ago, the first confirmed patient and the earliest 45 asymptomatic infections of Heilongjiang’s current round of the epidemic came from here, and soon the entire village began to be transferred in batches.
Because relatives in the family were diagnosed, Xiao Chen was one of the first villagers to be sent to quarantine. Fortunately, he and his wife and children have been tested negative for four nucleic acid tests.
Among the 1051 displaced villagers, except for the positive cases who were sent to designated hospitals for treatment, most of the villagers were transferred to centralized isolation hotels in the county.
Xiao Chen's 14-day quarantine is coming to an end. Whether he can return to the village immediately is unclear.
In the days after leaving the village, he was most worried about the care of more than 30 cows besides his family. Through video surveillance at home, he found that volunteers arranged in the village came to help feed every day.
Xiao Chen, a villager in Huiqi Village: The
volunteers do not
belong to
our village. They belong to other villages. We have many pigs, cattle, and sheep in our village. Now there are few volunteers and we can't hire people.
After I have finished quarantining here, I (want to) return to the village to become a volunteer and help tidy up these pigs and cows.
On Wednesday, January 20, Wangkui County was adjusted to a high-risk area, and all villages were closed for management.
Some counties and cities close to Wangkui County have also adopted rural closed control measures.
In various villages in Baoshan Town, Economic Development Zone, Suihua City, there are volunteers guarding the entrance of the village community 24 hours a day, and people are prohibited from entering and exiting for 7 days.
Pu Wenjiang, a volunteer
from
Baoshan Village, Baoshan Town, Suihua City: To
prevent outsiders, watch our family and do not go out.
I am really afraid of this new crown virus. This is a battle.
Zhang Shiguo, Secretary of the Baoshan Village Branch, Baoshan Town, Suihua City: In
winter, everyone is very tightly closed. We use our hand-held loudspeakers to patrol the community anytime and anywhere.
They all live in a village. Everyone is very familiar with each other. When you come to my house, I will go to your house and sit and chat for a while. This is a custom, so our village uses broadcast and propaganda to refuse to let him visit.
Because the community is closed, the daily needs of the villagers can only be delivered by supermarket personnel.
The villagers want to purchase New Year's goods like in previous years, I am afraid it will take a while.
In these rural areas affected by the epidemic, can the villagers have a year of peace of mind?
Bai
Yansong
:
At a news conference on Wednesday, the person in charge of the Ministry of Transport introduced that it is expected that around 1.7 billion passengers will be sent during the Spring Festival travel season in 2021, and many of them will return to the countryside.
On the same day, the Health and Health Commission stated that starting from January 28, personnel must return home with a negative nucleic acid test result within seven days. After returning home, they will also carry out home health monitoring for 14 days without gathering or moving, every seven days. Carry out a nucleic acid test.
Obviously, we are building a line of defense for rural epidemic prevention.
Nucleic acid results are required for returning home
The detection point ushered in a small peak
Since the beginning of winter, the epidemic situation in rural areas of my country has been sporadic and concentrated in some areas.
As the Spring Festival approaches, the large-scale movement of people during the Spring Festival will also pose new challenges to epidemic prevention in rural areas.
On Wednesday, January 20, Japan, the National Health Commission stated that in the 40 days from the 28th to the end of the Spring Festival travel, returnees must have a negative nucleic acid result within seven days.
Sun Die, deputy director of the Outpatient and Emergency Office of the Central Hospital of Minhang District, Shanghai:
Today (January 21), there are quite a lot of people who came to do nucleic acid testing. In the past, there were about 100 to 200 people at this time (8 am).
It is currently estimated to be 200 to 300 people visually.
So we opened a window, sent additional personnel, and arranged some volunteers to maintain order here.
Just after the National Health Commission clarified that returning people and returning home must carry negative nucleic acid results, in the past few days, many nucleic acid testing sites have ushered in a small peak of detection like this. Most people who come to do nucleic acid testing voluntarily It is the people who return home from across provinces and cities who are going to be reunited with their families in the near future. They are also ready to undergo regular health monitoring after returning home.
In Hongling Village, Xinmin City, Liaoning Province, a junior college student who returned from Dalian's holiday was isolated at home after local reporting and nucleic acid testing.
Tang Hongshuai, leader of the fifth group of Hongling Village, Xinmin City, Liaoning Province:
She came back on January 9th, and the nucleic acid result in Dalian was negative. After she came back, we would notify her to isolate herself at home.
We patrol every day, and this child is more supportive and very cooperative in the prevention and control of the epidemic.
Anytime, anywhere shortcomings, including rice noodle oil, daily necessities, etc., I sent her.
The resident population of Hongling Village is 1215. The return home information collected by the village grid staff shows that during this Spring Festival, 23 migrant workers are expected to return from Beijing, Hebei, Liaoning and other places where there are risk areas. .
During this period, the village grid staff also contacted these migrant workers who were about to return to the village one by one to inform the epidemic prevention policy.
In fact, at least 29 provinces, autonomous regions and municipalities across the country have issued the "New Year's Day" initiative, and announced specific measures and requirements for returnees.
On Wednesday, the National Health Commission stated
that there is no need to quarantine after returning home with a negative nucleic acid test, but home health monitoring is required for 14 days, and a nucleic acid test will be performed on the 7th and 14th days after returning home. .
At the same time, it is also mentioned that localities should determine the scope of rural areas in accordance with local actual conditions and combined with national policies, formulate the implementation rules of the province, and provide related supporting services.
Gao Ao, director of the village committee of Hongling Village, Xinmin City, Liaoning Province:
The first condition for returning is to have a negative nucleic acid result and report to our village.
Now the nucleic acid test in our village is done uniformly at Xinmin City People's Hospital, and it is reported to the village at any time.
If you come back from a medium-high risk area, take the initiative to report.
After the report is reported, the city will arrange a centralized isolation, and the isolation will expire, and the village will now send a special car to pick it up.
Bai
Yansong
:
The shortcomings of epidemic prevention in rural areas can sometimes be felt from the results of the flow adjustment. For example, in the local epidemic prevention and control conference in Hebei, it was mentioned that the zero case may be earlier than December 15 last year, but this is the first case in Hebei. The confirmed cases were not notified until January 2. The time difference between them was the shortcoming, that is, they could not be detected and isolated early. Then what will the localities do?
"Township sampling, county testing"
Can towns and villages with weak sanitation foundations do it?
This month, the epidemic in Shijiazhuang, Xingtai and other places in Hebei Province has attracted considerable social attention.
It is not difficult to see from the earlier reported cases that the outbreak is mainly concentrated in rural areas.
How to prevent and control rural areas has become the focus of social attention.
The local area of Hebei introduced at a press conference that patient zero was as early as December 15, but the first confirmed case of the epidemic in Hebei was not notified until January 2.
In this epidemic that occurred in rural areas, the infected person was not found in the first time, which brought difficulties to the follow-up prevention and control work.
Du Yonggui, member of the Hebei Centers for Disease Control and Prevention Expert Group on Epidemic Prevention and Control:
One is that the rural areas do not have enough awareness of the epidemic. It is likely that some people think that since they have a fever and cough.
Generally speaking, it is generally considered that for a common cold, you may go to the village doctor in the village, or even higher, you may go to the township health center. For example, the health center does not have the ability to screen for the first time for nucleic acid, and often gives him ordinary fever and anti-inflammatory drugs. It is possible to suppress the symptoms in a short time.
It is not difficult to see from the information on the flow of confirmed cases reported early that many people have had symptoms of discomfort before being diagnosed, and some cases have been treated at the village clinic for many days last year.
Du Yonggui, member of the Hebei Center for Disease Control and Prevention Expert Group on Epidemic Prevention and Control:
A complete set of procedures should be formed in this regard, and the rules and regulations should be put in place. It cannot be done on paper or form. This is definitely not good.
After the outbreak in Hebei, the Shanxi Drug Administration issued a notice requiring pharmaceutical retail companies to suspend the sale of antipyretic drugs to the public, and the shelves of antipyretic and anti-inflammatory drugs were gradually emptied.
Zhang Fulan, the person in charge of a pharmacy in Shanxi:
We received the notice and immediately removed 43
anti-
fever medicines for immediate storage. If there is fever, we will guide customers to the nearest medical institution for medical treatment.
In fact, all localities have accumulated experience from the key information in Hebei’s fight against the epidemic, and have successively strengthened the management of grass-roots pharmacies and medical institutions. This Tuesday, the State Council issued the "Work Plan for the Prevention and Control of New Coronary Pneumonia in Rural Areas in Winter and Spring". It was pointed out that after a rural pharmacy found a patient who had purchased anti-fever drugs, anti-infectives and other drugs, they had to report upward within 2 hours.
However, in order to screen suspects as soon as possible, it is inseparable from the further improvement of basic nucleic acid sampling and detection capabilities.
The "Plan" also mentioned that rural areas will implement "township sampling and county testing", that is, the township health center will be responsible for sample collection and inspection, and the county level will be responsible for testing, expanding the scope of "doing all inspections".
In Jiande, Zhejiang, grassroots doctors who have completed nucleic acid collection training are sampling for the residents of the township. In fact, the sampling point of the township has only been put into use for more than ten days. In the near future, the local area will deploy a total of five sampling points to complete the “township sampling”. ", but achieving this goal is not easy.
Wang Tian, Director of the Jiande Health Bureau of Zhejiang Province:
Our township hospitals are all houses decades ago. It is difficult to renovate on the original basis.
He Yuan, head of infrastructure construction of Zhejiang Jiande Health Bureau:
Because we have three areas and two passages, we designed it based on the layout of the fever screening room. Now it is used as a nucleic acid sampling point, and the function needs to be adjusted.
Located in the Xiaya Township Health Center in Jiande, Zhejiang Province, the temporary heating observation room in the past is preparing to be converted into a nucleic acid sampling site this week.
Due to urgent tasks and tight schedules, slab houses and tents are often the preferred options for sampling sites in towns and townships. To solve the problem of venues and facilities, it is necessary to train primary medical personnel with sampling qualifications as soon as possible.
Dai Wen, Dean of Xiaya Town Health Center in Jiande, Zhejiang:
Everyone has to know the most basic things. After all, we have relatively few actual operations, mainly nurses and inspection personnel, but our training purpose is for all staff, including logistics Personnel, as long as you know what you can do.
When I want to transfer him, that is also a strength.
In August last year, the State Council required secondary hospitals to have nucleic acid testing capabilities. When "county testing" can be basically achieved, the work of "township collection" will be submerged and implemented, which will help the basic level of nucleic acid testing capabilities to be further improved
. , The roll out of the grassroots "should check and do everything" will enable rural prevention and control to achieve "early detection" as much as possible.
Du Yonggui, member of the Hebei Center for Disease Control and Prevention Expert Team for Epidemic Prevention and Control: It is
recommended that villagers have a fever and cough, at least they should go to the township for a preliminary diagnosis.
Some time ago, there was still a fee to go to the hospital for collection. It is possible that some people still have to consider the cost.
We are now comprehensive nucleic acid testing, this does not exist.
It is a good way to collect samples from the township and go to the county for testing. The investment is not particularly large, and the quality of testing can be guaranteed, suspicious cases can be detected in time, and further prevention and control measures can be taken.
Bai
Yansong
:
The "Work Plan for the Prevention and Control of New Coronary Pneumonia Epidemics in Rural Areas in Winter and Spring", which has received widespread attention this week, has made many people feel that returning home this year has become stricter, but in fact, it should be felt that all aspects of rural epidemic prevention have received greater attention. The virus does not care about cities or rural areas, public officials or farmers. Only when the shortcomings are filled can there be fewer loopholes in epidemic prevention, and the overall health and safety of society can be more protected.