(Fighting New Coronary Pneumonia) How does Hebei's fight against the epidemic face the new characteristics of "rural gathering"?
China News Service, Shijiazhuang, January 19th, title: How does Hebei's anti-epidemic face the new characteristics of "rural gathering"?
China News Agency reporter Lu Da Chen Lin
The prevention and control of the new crown pneumonia epidemic is an additional test question that all localities must do well.
In Hebei, the confirmed cases in this round of the epidemic were mainly concentrated in rural areas, highly concentrated in some areas, and rapid growth in initial cases. How to fight the epidemic in the local area has attracted attention.
Data map: On January 15, firefighters from Gaocheng Brigade of Shijiazhuang Fire Rescue Detachment were killed at the intersection of Xiaoguozhuang Village.
Photo by China News Agency reporter Zhai Yujia
Centralized outbreaks in rural areas highlight weak links in epidemic prevention and control
Unlike previous outbreaks that occurred in cities in many places, this round of the epidemic in Hebei was concentrated in rural areas, and the patients were mainly farmers.
At present, the epidemic is mainly concentrated in Shijiazhuang, while the cases of Shijiazhuang are mainly in the rural areas of Gaocheng District.
As of 12:00 on January 18, the city has reported a total of 745 local confirmed cases, including 626 in Gaocheng District.
There are 190 local asymptomatic infections in the city, including 161 in Gaocheng District.
The first confirmed case in this round of the epidemic came from Xiaoguozhuang Village, Zengcun Township, Gaocheng District, and was detected in Shijiazhuang on January 2.
The disease control experts initially estimated that the zero case would be earlier than December 15, 2020.
Since then, more infected people have been found in Zengcun.
Professor Wang Weibing, director of the Epidemiology Teaching and Research Office of the School of Public Health of Fudan University and a doctoral supervisor, said that the ability of epidemic prevention and control in rural areas is relatively weak, and rural residents' awareness of disease prevention is relatively insufficient.
The confirmed cases are concentrated in rural areas, and clustered epidemics are mostly related to collective activities such as weddings and funerals.
Some confirmed cases have a history of self-medication and village clinic visits, indicating that they do not know enough about the disease, have low awareness, or have insufficient access to medical treatment.
"From the perspective of the development of the epidemic, rural prevention and control should be a weak link." said Liu Dianwu, former dean of the School of Public Health of Hebei Medical University and a public health expert. The reason behind this is the lack of high-level medical personnel in rural areas and the prevention and control of rural people. The lack of knowledge and the influence of some customs and habits may affect the prevention and control of the epidemic.
Data map: Nucleic acid testing staff change isolation clothes.
Photo by China News Agency reporter Zhai Yujia
Present a high degree of aggregation and multiple measures to prevent spreading
The director of the Emergency Office of the Hebei Provincial Center for Disease Control and Prevention and an epidemiologist Jian Jian, who has been involved in the prevention and control of the epidemic, said that the current cases are analyzed by epidemiology, and the initial stage of case discovery shows a rapid increase in cases. When the case was discovered, other people had been infected. On the other hand, it was also related to the living habits of the local people and the approaching year.
Shi Jian said that this round of the Hebei epidemic is characterized by a high concentration of rural areas.
At present, the cases are distributed in more than 90 villages, accounting for 85% of the total number of cases. Among them, the cases distributed in Zengcun towns in Gaocheng District account for more than 80% of the total number of rural cases, and they are highly concentrated.
He told reporters that after the first confirmed case was discovered on January 2nd, Gaocheng District, a key area, especially some villages in Zengcun Town in the north of Gaocheng, was implemented closed management that night to prevent the spread of the epidemic.
Later, with the development of the epidemic, the scope of containment control was expanded.
At the same time, the close contactor and the close contactor are isolated.
Currently, many places in Hebei have implemented closed management.
Shijiazhuang, the provincial capital, has conducted closed-loop control over the city’s communities and rural areas while quarantining people in key areas. At present, residents have lived at home for 14 days.
Two rounds of nucleic acid testing have been carried out for all employees in the city, and several rounds have been carried out in key areas.
The data showed that 247 cases were positive in the second round of Shijiazhuang, a decrease from the 354 cases detected in the first round.
Wang Weibing said that nucleic acid testing for all employees can detect the source of infection as soon as possible, especially when the spread is widespread in the community and there are more undetected infections.
Through several rounds of nucleic acid comparison, the general trend of the epidemic can be judged. If the number of positives in the next round is significantly lower than the previous round, the epidemic can be considered to be better controlled.
Data map: A prevention and control checkpoint about 100 meters from the entrance of Xiaoguozhuang Village.
Photo by China News Agency reporter Hou Yu
Insist on problem-oriented adjustment and promotion of primary health work
Primary-level medical and health institutions are the front line of epidemic prevention and control. This round of epidemic has exposed the lack of basic health services in rural areas and the weak awareness of prevention and control of some grassroots doctors.
Since the outbreak of the epidemic, Hebei's health department has carried out epidemic prevention and control training for basic medical and health institutions across the province.
“After the outbreak, the Municipal Health and Health Commission, based on the current reality, adhered to the problem-oriented approach, and quickly adjusted and improved relevant work." Shijiazhuang City Health and Health Commission Deputy Director Zhang Guojun said that the local requirements for township health centers and community health service centers to improve For fever screening clinics, all primary medical and health institutions strictly conduct temperature measurement, code verification, and registration, strictly implement the responsibility system for the first consultation, strictly implement pre-examination and triage, and strictly screen fever patients.
Regarding how to improve the level of disease prevention and control in rural areas, Liu Dianwu said that in the near future, emergency training should be strengthened for rural grassroots medical staff on epidemic-related knowledge, and knowledge and skills related to infectious disease prevention and control should be mastered for practical work.
In the long run, relevant policies should be formulated to increase the introduction of high-level medical professionals and improve the level of disease prevention and control in rural areas.
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