The epidemic in Shanghai will reach its peak within a week, and it will continue for a month or two after the peak. On December 22, Zhang Wenhong gave the "New Crown Prevention and Health Lecture" at the First Affiliated Hospital of the Naval Military Medical University (Shanghai Changhai Hospital) Make the above prediction.
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Zhang Wenhong said that when the number of patients increases sharply, it is inevitable that there will be a run on medical resources, so the ability to monitor the elderly at home and the treatment capabilities of primary medical institutions should be improved.
Some experts appealed that if the infected person only has a fever and does not have symptoms such as shortness of breath, chest pain and palpitations, they can choose a community fever clinic near their home for consultation, so as to reduce the run on medical resources and leave precious emergency resources to those who need them more.
As the health gatekeepers of community residents, community health service centers always play an important role.
From December 19, 2022, all 2,594 fever clinics of various community health service institutions (centers, sub-centers, service stations, and village clinics) in Shanghai will be opened.
Photo by China News Agency reporter Xu Mingrui
What is the current situation of community fever clinics?
In the early morning of the 22nd, the reporter visited the fever sentinel of the community health service center in Taopu Town, Putuo District, Shanghai.
"I saw an announcement in Shanghai saying that the community health center near my home can also prescribe antipyretics. Let's try it today..." Mr. Zang said that he had a high fever once yesterday, and he ran out of antipyretics at home. He came here to prescribe the antipyretics today. , "The process is very convenient".
Photo by China News Agency reporter Xu Mingrui
The reporter saw at the scene that a diversion channel was set up at the gate. "There is a body temperature measuring instrument at the entrance. Patients with a fever can go directly to the fever clinic, and ordinary patients can also see the doctor normally." Su Yi, deputy director of the Taopu Town Community Health Center, introduced "During the opening service hours, residents can receive services such as fever diagnosis, symptomatic treatment, and health guidance when they come to the community fever clinic."
Photo by China News Agency reporter Xu Mingrui
The fever sentinel point was not newly established. As early as 3 years ago, the community health center had specially set up a fever sentinel point. However, in the past, it was mainly responsible for transferring fever patients to centralized isolation points.
Today, the two consultation stations in the fever sentinel are beginning to help patients with symptomatic treatment.
"A few days ago we also opened a second consultation room. At present, there is one consultation station in one consultation room. If there are more (patients) in the later stage, we can send more staff, and each consultation room has two consultation stations."
Su Yi introduced that at present, there are two doctors, two nurses and a toll collector in the fever sentinel point, "This allows patients to directly solve the one-stop problem of registration, consultation, prescription, and fee collection in the consultation room, saving time for both parties. ".
Photo by China News Agency reporter Xu Mingrui
Su Yi introduced that an important function of the sentinel point is to ensure the "first pass" and do a good job in the screening of severe cases. "We will evaluate every patient who comes. One of the important inspection data is the oxygen saturation. If When encountering individual elderly, poor mental state and low oxygen saturation, the patient will be advised to go to a higher-level hospital for treatment."
Photo by China News Agency reporter Xu Mingrui
Is there a shortage of medicines in community outpatient clinics?
Su Yi introduced that the current drug storage situation is not bad. "The stock situation of the four types of antipyretic, cough, antibacterial, and antiviral drugs in the outpatient clinic is not bad, and can basically meet the needs of community residents. The Health and Medical Commission announced at a recent meeting that it will provide Community hospitals are inclined to allocate cold and fever-reducing medicines, and we have already received some Beifoning, and I believe others will arrive one after another.”
Photo by China News Agency reporter Xu Mingrui
On the 21st, at the Caolu Community Health Service Center in Pudong, Shanghai, around 11:00 a.m., the reporter saw a drug delivery vehicle driving into the hospital.
It is understood that the medicines provided are mainly for antipyretic, antiviral and respiratory symptoms, which also timely alleviated the shortage of medicines in community health centers.
"It's a bit of a low-grade fever, and now it's mainly coughing. The doctor prescribed strong loquat extract and Lanqin oral liquid, which can be covered by medical insurance." A patient said in an interview with a reporter.
Photo by China News Agency reporter Xu Mingrui
In addition to fever sentinel points in community health centers, which are convenient for residents to prescribe medicines nearby, nucleic acid testing kiosks are also directly converted into fever sentinel clinics in some areas of Shanghai, so that citizens in need can receive corresponding medicines without entering a health service center.
In the remodeled fever sentinel clinic, the doctors and nurses are busy treating the citizens who came.
Each window here is equipped with two medical staff, one is in charge of consultation and prescribing medicine, and the other is in charge of taking medicine.
The staff said: "This used to be a sampling booth, and everyone is familiar with it. The fever sentinel clinic is open 24 hours a day, and it is equipped with senior and experienced medical staff to diagnose and treat our residents."
According to Su Yi, the Taopu Community Health Center has also set up five stations to facilitate nearby residents to see a doctor and get medicine.
"Shared medicine box" shows the truth
To survive the epidemic together, we must rely on the mutual assistance of neighbors.
Recently, the official Wechat accounts of multiple districts in Shanghai released "A Letter to the Citizens", which called for: enhancing awareness of personal protection, taking the initiative to vaccinate as soon as possible, seeking scientific and rational medical treatment, and adjusting the mentality to maintain optimism.
At the same time, it also advocates mutual help among neighbors, and provides support and assistance to neighbors in need on the premise of personal protection.
Long before this, the residents of Leye No. 2 Village in Shanghai had spontaneously carried out "mutual drug assistance".
Xu Ying, Secretary of the Party Branch of Leye No. 2 Village, introduced that the community was equipped with some over-the-counter medicines, and the residents helped each other and shared them with ibuprofen, which was in short supply at the time.
After two days of operation of the "Shared Medicine Box", the quantity and types of medicines purchased and stored exceeded expectations.
Picture of the "Shared Medicine Box" in Leye No. 2 Village, Yuepu Town, Baoshan District.
Photo courtesy of Xu Ying
"Distribute 2,000 ibuprofen free of charge to solve the urgent needs of families in urgent need of medication!" On the afternoon of December 20, Formei Pharmacy in Songjiang District, Shanghai posted such a message in the community group to solve the urgent needs of families in urgent need of medication.
After seeing the news, the residents praised and thanked them one after another.
Chat screenshot.
Source: Shanghai Songjiang
On the 19th, Tencent launched the "New Crown Protection Drug Public Welfare Mutual Aid Platform" mini-program.
In less than two days after the platform was launched, more than one million users entered the mutual assistance page, and a total of more than 50,000 help and help messages were posted.
Nuan Nuan, who lives in Yangpu District, Shanghai, works in an innovative pharmaceutical research and development company. On the 21st, she accidentally joined the mutual aid platform after learning about the information of the mutual aid platform in the WeChat group. "Because I just recovered and work in the pharmaceutical industry, I am still very sensitive to drugs. So If I have the strength, I am willing to help those around me.”
In one day, Nuannuan tried to deliver the medicine twice. "I found a pregnant woman in the next door community who needed help, so I contacted her immediately. She was also surprised. But she was ready to go to the hospital at that time, and said she was very grateful to me. "Although the medicine was not delivered successfully, Nuan Nuan still hopes to contribute, "I shared this small program in the circle of friends, and at the same time sent a link in the group of friends who are close to me, hoping to get more people's attention, whether it is To help others is to be helped.”
There is no winter that cannot be overcome, and there is no spring that will not come.
Let us join hands to step through this cold winter calmly, experience three difficult years of cold and heat, and usher in three springs and warm sun together.
(Author of China News Agency WeChat Official Account: Li Qiuying, Xu Mingrui, Yang Haiyan, Xie Mengyuan)