China News Service, March 27 (Xinhua) According to the WeChat official account of the Yunnan Health Commission, Yunnan Province has rich and numerous wild fungi species. Wild edible fungi species account for more than half of the country's total, and there are many wild toadstool species. In order to effectively safeguard the life safety and health of the people and effectively reduce the occurrence of toxic wild fungus poisoning incidents, Yunnan Province has strengthened departmental coordination and taken multiple measures simultaneously, and achieved positive results. The number of deaths from wild fungus poisoning in the province has dropped for four consecutive years. The number of wild fungus poisoning incidents and incidences in 2023 has dropped compared with the same period last year, and the number of deaths has decreased by 10.
Attach great importance and arrange deployment in advance
Yunnan Province conscientiously implements the "Regulations on the Food Safety Responsibility System for Local Party and Government Leaders", including the prevention and control of wild fungus poisoning as an important agenda item for party committees and governments at all levels, and as an important part of the annual food safety evaluation and assessment of governments at all levels. In the early stage of the launch of wild mushrooms in 2023, the Provincial Government Food Safety Office and the Provincial Health and Health Commission organized a province-wide video and telephone conference on food poisoning prevention and control, and a training class for the special collaboration group on food safety risk analysis and disposal, to emphasize, arrange and deploy again. The Provincial Health Commission organized a training meeting on the prevention and control of wild fungus poisoning at the provincial, city, county and township levels, and formulated and issued a series of documents on strengthening the prevention and control of foodborne diseases, food poisoning early warning and medical treatment, and popular science publicity and education, etc., to provide guidance on the prevention and control of wild fungus poisoning. We put forward specific requirements for each link of the control work, organized research and supervision in Kunming, Wenshan, Dali, Honghe and other prefectures, cities, counties, townships, and villages, and firmly shouldered the responsibility for the prevention and control of wild fungus poisoning at all levels.
Strengthen monitoring and early warning, and ensure prevention and control
The first is to build a solid foodborne disease surveillance network. The province has established 1,873 foodborne disease surveillance hospitals and 30 sentinel hospitals for active surveillance, achieving 100% coverage in towns (communities) and extending to villages; improving and optimizing the wild fungus poisoning reporting system and process, and integrating rural areas, schools , construction sites and unit canteens as key places for reporting to improve the pertinence, timeliness and accuracy of reports. The focus of prevention and control will be lowered to rural areas and to the grassroots level, and clear provisions will be made on the timely detection, timely reporting, timely first aid, timely referral of patients with wild fungus poisoning in village clinics and township health centers, and the simultaneous implementation of wild fungus poisoning services for family doctors. Promote poisoning knowledge and build a solid grassroots network for prevention and control of wild fungus poisoning in rural areas. Targeting different seasons, different groups of people, and different eating habits, more than 20 issues of early warning information on preventing wild fungus poisoning were released, and 3 special promotional videos were filmed; the role of village doctors, village cadres, and team members stationed in the village was fully utilized to focus on people in rural and remote areas. , using new media, new positions, and new forms to carry out science popularization. With the support of the National Food Safety Risk Assessment Center, Yunnan Province established a DNA barcode database of 375 common toxic wild fungi and 10 toxic wild fungus toxin detection methods to determine the categories and varieties of toxic wild fungi as soon as possible; compiled and officially published "Common in Yunnan" "List of Wild Edible Fungi" and "Illustrated Guide to Wild Toadstools in Yunnan" provide scientific basis for epidemiological investigations and medical treatment.
Strategize and carry out targeted prevention and control
In order to accurately prevent and control wild fungus poisoning incidents, the Provincial Health Commission based on the province’s wild fungus poisoning data from 2020 to 2022, combined with local toxic wild fungus species (focusing on wild fungi that cause death by poisoning, such as red mushrooms and highly toxic amanita Category, etc.), the risk of wild mushroom poisoning in counties (cities, districts) under the jurisdiction of Yunnan is divided into three levels: high, medium and low, and the "2023 Yunnan Province Wild Mushroom Poisoning Risk Grading Map" and "2023 Yunnan Province Wild Mushroom List of Poisoning Risk Classifications. The province has designated 7 high-risk areas for wild mushroom poisoning, 51 medium-risk areas, 62 low-risk areas, and 9 unreported areas. For areas with different risk levels, the province's 2023 toxic wild fungus poisoning risk prevention and control measures will be formulated in a hierarchical and targeted manner in terms of publicity and mobilization, information submission, strengthened monitoring, precise intervention, strengthened supervision, emergency response, and strengthened treatment. .
Integration of medicine and prevention to improve treatment capabilities
Focus on carrying out case studies on wild fungus poisoning and continue to improve medical treatment capabilities. Establish a wild fungus identification expert group composed of disease control experts, botanists, and medical experts, summarize and improve the "Yunnan Experience in the Treatment of Toxic Wild Fungus Poisoning", take the lead in formulating China's expert consensus on clinical diagnosis of amanitaxin-containing mushroom poisoning, and strengthen training for front-line Medical staff have the ability to identify common types of toxic wild fungi and can accurately identify the types of wild fungi that cause poisoning through pictures and videos, providing professional solutions to poisoning patients across the province. As the clinical treatment base for food poisoning in Yunnan Province, the Affiliated Hospital of Yunnan University has extended its experience in combining medical and prevention measures for toxic wild fungus poisoning to prefectures, cities and other provinces to help more prefectures and cities solve poisoning problems and benefit more people. Adjust and enrich the provincial, state and city level 2 medical treatment expert groups, coordinate the allocation of medical institution resources, open green channels, strengthen the use of provincial, city, county and township remote consultation systems, and send provincial experts to primary medical institutions for on-site guidance to minimize deaths.