China News Service, Beijing, January 14th (Wei Xianghui) On the 14th, the State Council's joint defense and joint control mechanism held a press conference to introduce the health protection of key groups.

Mi Feng, spokesperson of the National Health Commission and deputy director of the Propaganda Department, said that medical treatment is the key to responding to the epidemic after the implementation of "Class B and B Control".

The picture is taken by Wei Xianghui at the press conference

The peak of fever clinics and emergency departments across the country has passed

　　According to Jiao Yahui, director of the Department of Medical Affairs of the National Health and Health Commission, there are now a total of 16,400 fever clinics in secondary medical institutions and 43,100 fever clinics or fever clinics in grassroots medical and health institutions.

　　The number of fever clinics nationwide peaked at 2.867 million on December 23, 2022, and then continued to decline until January 12, when it fell back to 477,000, a decrease of 83.3% from the peak. Currently, all provinces, autonomous regions, municipalities and Xinjiang are producing The number of visits to fever clinics and consulting rooms in the Construction Corps has shown an overall downward trend after peaking, and it has also shown a downward trend in rural areas.

　　Jiao Yahui said that the detection rate of new crown positive infections in fever clinics also continued to decline, with a peak of 33.9% on December 20 and a drop to 10.8% on January 12. This trend indicates that the peak of fever clinics has passed.

　　She also said that the emergency department showed a continuous downward trend after peaking.

The number of emergency visits nationwide peaked at 1.526 million on January 2, and then continued to decline, falling to 1.092 million on January 12, a drop of 28.4% from the peak.

The detection rate of COVID-19-positive patients in the emergency room dropped steadily from a peak of 8.8% on December 22 to 2.9% on January 12.

This data shows that the national emergency peak has passed.

The picture is taken by Wei Liang in the intensive care unit of the hospital

The number of hospital-acquired patients showed a continuous downward trend

　　According to Jiao Yahui, monitoring data show that the number of hospitalized COVID-19 patients is showing a continuous downward trend.

It reached a peak of 1.625 million hospitalized COVID-19 infections on January 5, and then continued to decline, falling back to 1.27 million on January 12.

Among them, 1.17 million people were admitted to medical institutions above the second level, and 100,000 people were admitted to designated hospitals and sub-designated hospitals. The proportion of patients infected with the new crown showed a continuous downward trend.

It reached a peak of 27.5% on January 3, then continued to decline, and fell back to 21.7% on January 12, a drop of 5.8 percentage points from the peak period.

　　Monitoring data also show that two weeks after the peak of fever outpatient visits, the number of critically ill patients with COVID-19 in the hospital also peaked, and then showed a slow downward trend.

At present, the number of critically ill patients in hospital is still at a high level.

On January 5, 2023, the number of COVID-19 positive critically ill patients in the hospital peaked at 128,000, and then continued to fluctuate and decline. By January 12, the number of positive severe patients in the hospital fell back to 105,000, and the utilization rate of intensive care beds was 75.3%. The intensive care beds can meet the treatment needs.

　　Jiao Yahui said that severe patients infected with the new coronavirus have the following characteristics: First, they are mainly elderly.

The oldest is 105 years old, and the average age is 75.5 years old.

89.6% are aged 60 and over.

Second, it is common to have multiple underlying diseases.

Patients with one underlying disease accounted for 40.7%, two underlying diseases accounted for 24.6%, and three or more underlying diseases accounted for 34.8%.

Most basic diseases are cardiovascular and cerebrovascular diseases, endocrine system diseases and respiratory system diseases.

Data map: Medical staff conduct oxygen saturation tests for citizens.

Photo by Yin Liqin

The tertiary hospital will send medical staff to the county hospital during the Spring Festival

　　Jiao Yahui introduced that as of January 12, more than 5,000 medical institutions above the second level, designated hospitals, and sub-designated hospitals in the county have admitted a total of 301,000 new crown-infected patients, accounting for 23.7% of all new crown-infected patients, showing a 7-day continuous decline. trend.

There are 15,800 severe cases of COVID-19 positive in the county, accounting for 15.1% of the national total, of which 518 are severe cases of COVID-19 infection, accounting for 6.7% of the country's severe cases of COVID-19 infection.

　　She said that the following measures should be taken to improve the ability to treat severe cases of the new crown in rural areas: First, give full play to the leading role of county hospitals, and prepare for beds, equipment, facilities, and personnel to improve the ability to treat severe cases.

　　The second is to rely on the already formed urban and rural hospital counterpart support working mechanism, all urban tertiary hospitals will be subdivided into medical treatment, and establish a one-to-one support relationship with county hospitals.

Urban tertiary hospitals and county hospitals need to be connected to telemedicine services 24 hours a day.

During special periods, such as during the Spring Festival, tertiary hospitals will also send medical staff to the county hospitals at designated locations.

　　The third is to increase the intensity of tours and inspections in rural areas, early detection of changes in the health status of key populations, especially the elderly with underlying diseases, to ensure timely medical treatment.

　　The fourth is to establish support and referral mechanisms and green channels between cities and counties to ensure that critically ill patients in rural areas can be referred and admitted for treatment in a timely manner.

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