What should China's rural areas, which have a vast territory and a large population but limited medical resources per capita, do in the face of a possible peak of new crown infections?
And in the face of the coming wave of returning home, what preparations should rural areas make?
"News 1+1" connects Guo Wanshen, deputy director of the Henan Provincial Health Commission, and Wu Hao, head of the community prevention and control expert group of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Leading Group, and pays close attention to: Double Festival is approaching, how to deal with the new crown infection in rural areas ?
The elderly with underlying diseases in rural areas,
Coupled with the impact of the new crown virus, what should we do?
Guo Wanshen, deputy director of the Henan Provincial Health Commission:
For the key groups in rural areas, especially the elderly, we have also formulated a series of requirements to ensure their medical treatment.
First of all, we also realize that there are many elderly people with basic diseases in rural areas, and for some elderly people with basic diseases and low immunity, especially those who have not been vaccinated, the probability of severe illness will greatly increase, so we attach great importance to it.
So in terms of specific measures, we must first strengthen vaccination. We have adopted differentiated and targeted measures for the elderly who are unwilling, afraid, or unable to get vaccinated, and strive to make everyone who can get vaccinated as much as possible. To increase the vaccination rate of the elderly population and reduce their probability of severe illness.
There is also the need to carry out the screening of key groups, and identify all the 65-year-olds one by one, especially who has which underlying diseases, their current conditions, etc., so that it is convenient to carry out targeted health consultation services.
The other is to develop the accessibility of services, establish a counterpart contact mechanism for the elderly population, and carry out health monitoring for them, so as to find problems and deal with them in a timely manner.
Another point is nursing homes, and nursing homes are a key point.
So as this key place, we are mainly institutions that can provide health services for these disabled and semi-disabled elderly and establish corresponding service contacts, which is also very important.
When facing the peak of infection,
What are the biggest challenges facing rural areas?
Dong Qian:
A week ago, the relevant state departments issued two documents related to the prevention and control of the rural epidemic. A very specific request, and one to be fulfilled by the end of December.
Then we will connect with an expert, the leader of the community prevention and control group expert group of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Work Leading Group, and Wu Hao, the dean of the School of General Medicine and Continuing Education of Capital Medical University.
Dean Wu, just now we have been emphasizing that compared with cities, rural areas have relatively weak medical resources. So what is the biggest challenge facing rural areas at this time of possible infection peaks?
Wu Hao, leader of the community prevention and control expert group of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Work Leading Group:
I think one is that there are many elderly people and children, especially these elderly people have more underlying diseases, which have not been effectively controlled, and they themselves The discovery ability, even the early detection ability is relatively weak, so I think this is one of the main reasons.
The second reason is the weakness of medical resources.
In addition, remote traffic in rural areas may also affect medical treatment, which is the biggest risk.
Dong Qian:
In rural areas, county-level hospitals play the role of critical medical treatment, but it is obvious that the medical resources of county-level hospitals in rural areas are not perfect. What should we do in this case?
And who will help them improve at this time?
Wu Hao, leader of the community prevention and control expert group of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Work Leading Group:
Director Jiao Yahui has made a very clear point before, that is, to play the role of a package and expert guidance of our prefecture-level hospitals , including the role of sinking, to help and assist county-level hospitals, especially the guidance of professional skills in severe cases, and all cities should also do a good job in coordinating this aspect.
Dong Qian:
From the perspective of urban resources, what can we do to help rural areas?
Wu Hao, leader of the community prevention and control expert group of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Work Leading Group: I think with the opportunity of this wave of infections, if after the double festival, the city's medical run should be significantly improved. The mobilization of urban medical resources to advance action includes sending some professional and technical cadres and technical backbones directly to township health centers for hierarchical diagnosis and treatment and technical assistance to promote early detection, early control, and early treatment.
If the peak of infection comes,
What should the elderly in rural areas do if they are sick?
Dong Qian:
Dean Wu, just now we asked comrades from the Henan Health and Health Commission that we now have to screen the elderly in rural areas one by one, so that we can know what diseases the 65-year-old elderly in rural areas have and who needs special attention.
We have such a list. If the peak of infection really comes, what role will it play? What should they do if they get sick?
Wu Hao, leader of the community prevention and control expert group of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Work Leading Group:
I think the first one is that we need to promptly identify and classify it as a high- and medium-risk area. If some old people say that we follow this procedure According to the relevant documents of the National Health and Medical Commission, it can be listed as a red mark. If the red mark is red, we can pass graded diagnosis and treatment instead of referrals. We can directly pass through our township health centers, or open up green channels. Transfer to designated county-level hospitals, or even to our relevant hospitals above the city level for timely treatment.
(CCTV news client)