Revised and released the seventh edition of the new crown and the 2020 edition of influenza prevention and control plan
multiple measures to meet the high incidence of infectious diseases (Big Health Watch)
General Secretary Xi Jinping pointed out that it is necessary to be cautious, continue to work hard, do a good job in external defense input and internal defense rebound, and adhere to the organic combination of normalized, precise prevention and control and local emergency response.
Currently, the epidemic in China has been effectively controlled, but the epidemic is still spreading globally. Newly imported confirmed cases and asymptomatic infections continue to be reported. There is always a risk of sporadic domestic cases and local outbreaks.
Coupled with the high incidence of infectious diseases in autumn and winter, the prevention and control situation has become more severe.
However, China is ready.
Multiple rounds of training medical staff
Do a good job of preventing multiple diseases
Faced with the severe situation of prevention and control, the National Health Commission and various departments have guided various localities to carry out a series of preparations for the prevention and control of infectious diseases in autumn and winter.
According to Wu Liangyou, deputy director of the CDC of the National Health Commission, the following work was mainly carried out.
The first is to revise and improve the prevention and control plan for key infectious diseases such as new coronary pneumonia.
Organized and revised the seventh edition of the new crown pneumonia prevention and control plan, and at the same time updated and improved the influenza prevention and control plan, and put forward more precise and detailed requirements for the prevention and control of infectious diseases in autumn and winter.
The second is to accelerate the prevention and control of various infectious diseases in autumn and winter.
Through various forms such as national disease control work promotion meetings and infectious disease epidemic consultations in key provinces, dispatching and guiding localities on the basis of normalizing the prevention and control of the new crown pneumonia epidemic, do a good job in influenza, AIDS, tuberculosis and other conventional infectious diseases Prevention and control work.
The third is to organize preparations for the prevention and control of key infectious diseases in autumn and winter.
Organize to do a good job in the preparation of personnel, testing capabilities, prevention and control materials, isolation places, etc., to ensure that it is "preferable to be prepared instead of used, not available and not prepared".
Especially in terms of strengthening the construction of the staff team, a number of rounds of training including nucleic acid detection of new coronary pneumonia, on-site epidemiological investigation, and on-site analysis and judgment of the epidemic have been carried out nationwide, and a total of 2.9 million medical personnel have been trained, which has effectively improved the theory of professionals. Level and actual combat capability.
The fourth is to carry out field supervision on the prevention and control of the new crown pneumonia epidemic.
The State Council’s joint prevention and control mechanism has carried out field inspections on epidemic prevention and control in 17 provinces, urging all localities to continue to improve the epidemic prevention and control command system, and earnestly prepare for the prevention and control of infectious diseases in autumn and winter, and do not relax in the autumn and winter infections. Prevention of sickness together.
Issue a national prevention and control plan
Highlight the role of social vaccines
Not long ago, the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council released the 2020 version of the "National Influenza Prevention and Control Plan", which is the third consecutive year that a national influenza prevention and control plan has been issued.
"This year's plan has clarified 17 key tasks. Compared with the previous prevention and control plan, there are six highlights." Wu Liangyou said. The first is to innovate a multi-channel monitoring and early warning mechanism.
Fully learn from the role of big data and other information technologies in epidemic prevention and control, and on the basis of strengthening routine influenza sentinel monitoring, further strengthen the coordination of public health, medical services, emergency management and other parties, and improve direct network reporting, sentinel, public opinion, etc. Multi-channel monitoring to improve the sensitivity and accuracy of influenza monitoring.
The second is to clarify the common prevention of influenza and new coronary pneumonia.
As a respiratory infectious disease, influenza and new coronary pneumonia have similarities in prevention and control strategies and key measures.
Therefore, the plan this time emphasizes the overall planning and coordinated advancement of prevention and control work.
The third is to highlight the role of "social vaccine"-adhere to the "one-meter noodle", maintain hand hygiene, standardize the wearing of masks, emphasize cough etiquette, and reduce gatherings in public places.
The fourth is to adjust the key populations for influenza vaccination, and determine that the key populations for influenza vaccination this year are medical staff, children, the elderly, and patients with chronic diseases.
Fifth, we will continue to promote the facilitation of vaccination, requiring all localities to set up additional vaccination sites, start vaccination appointments early, extend the vaccination cycle, and increase daily service hours.
Finally, it has strengthened the prevention and control of influenza with traditional Chinese medicine, requiring localities to give full play to the unique advantages of traditional Chinese medicine, combine the concepts and technical methods of traditional Chinese medicine to treat diseases, further improve traditional Chinese medicine prevention and control strategies and measures, and improve the deployment and promotion of traditional Chinese and Western medicine. , A coordinated and highly effective long-term influenza prevention and control system.
Fever clinic renovation and upgrade
Pre-inspection and triage strict screening
Under the current background of normalized epidemic prevention and control, fever clinics play an important role as checkpoints.
In July, the state allocated funds specifically for the renovation and upgrading of fever clinics in county-level hospitals. At the same time, it required the construction of fever clinics in various places to be standardized, including setting up relatively independent areas. Basic inspections such as imaging and nucleic acid testing should be completed in the fever clinic area. Avoid the risk of disease spread.
"The fever clinic is an outpost, but what we emphasize is not only the fever clinic, but also the pre-examination and triage is also very important." said Wang Guiqiang, director of the Department of Infectious Diseases of Peking University First Hospital. "It must be carried out in the emergency department, general outpatient department or the gate of medical institution. Pre-check triage."
Wang Guiqiang said: “New coronary pneumonia may have symptoms such as diarrhea, cough, loss of smell and taste. These patients who do not have a fever should be screened out in the pre-examination and triage and lead to the fever clinic for further treatment. At the same time, there is no need for those who do not have a fever. For symptomatic patients, the pre-inspection and triage should conduct epidemiological history inquiry, and patients from epidemic areas should also be guided to fever clinics."
This year, the National Health Commission has taken a series of measures to ensure the effective functioning of fever clinics and to ensure strict screening of patients by pre-examination and triage.
By adhering to such measures, the potential risk of the disease can be effectively controlled.
Chinese medicine is well prepared
Very effective in treating flu
In recent years, in the various infectious disease guidelines and diagnosis and treatment plans issued by the National Health Commission and the National Administration of Traditional Chinese Medicine, the content of traditional Chinese medicine has become more and more abundant, and the evidence of clinical efficacy has also increased.
Liu Qingquan, dean of Beijing Hospital of Traditional Chinese Medicine, said that Chinese medicine is very effective in treating influenza in four aspects.
First, it takes a quicker, more stable, and more lasting cooling time.
Second, it has a very good effect on the relief of some flu symptoms such as sore throat and joint pain.
Third, it has a good effect on alleviating cough symptoms after a cold.
Fourth, for some severe and critical illnesses, combined treatment with Chinese and Western medicine can reduce the use of antibiotics and ventilators, and reduce the mortality rate.
At the same time, Chinese medicine has rich theories and techniques for treating respiratory infectious diseases and influenza. There are effective Chinese herbal decoctions and Chinese patent medicines, and acupuncture, massage and other Chinese non-drug therapies also have very good effects.
"Therefore, whether it is for influenza or other infectious diseases of the respiratory tract, Chinese medicine is very well prepared from the theoretical level, technical level, drug level, and material level." Liu Qingquan said.
Establish a corresponding buffer zone
Encourage online appointments
This winter, in order to effectively control the new crown epidemic and influenza epidemic, medical institutions have made very full preparations.
According to Wang Guiqiang, first, for chronic diseases, including cancer patients, dialysis patients, elderly patients, and patients who need to return to the hospital regularly, various medical institutions have established corresponding buffer wards.
The second is that the mode of buffering the ward is also adopted for emergency patients.
In the emergency department, gynecology, and surgery, there is a need for first aid, and for cardiovascular and cerebrovascular diseases that require green channels for stents and thrombolysis, corresponding specific wards have also been set up to meet the medical needs of patients with potential disease transmission risks.
The third is to emphasize the need for special wards to solve the problems of emergency delivery of pregnant and lying-in women.
Nowadays, outpatient clinics of many hospitals can make appointments through mobile APP, telephone and other channels.
"We encourage everyone to make online appointments for outpatient clinics, because the general chronic diseases are not very urgent. Online appointments are used across the country to see doctors in different areas and time periods. This is also the general trend." Wang Guiqiang said, "Schedule appointments reduce patient waiting time and avoid This reduces the gathering of people during the waiting process, reduces the risk of the spread of the epidemic, and reduces the pressure on the hospital to maintain order."
Xiong Jian