The October Golden Week ended, and people were relieved in response to the epidemic, because during this long holiday where more than 500 million people participated in domestic tourism, the epidemic prevention and control was quite stable.

However, just over a week after the long holiday of November, the domestic epidemic has made a comeback.

On Monday, October 18th, a seven-person free travel group from Shanghai was diagnosed with all infections in Xi'an. Another person from Yinchuan who joined halfway was also diagnosed with infection.

Quickly it’s like toppling dominoes. The total number of confirmed cases in this wave of epidemics is not large, but the spread is wide enough. In less than a week, it involved nearly ten provinces, autonomous regions and municipalities. Although the tour group initially confirmed came from Shanghai , But Shanghai is screening 308 relevant personnel in Shanghai, and the nucleic acid test results are all negative, so there is a greater possibility that they were infected while traveling. This reminds us how to wake up and how to go. Defend?

"Newsweek" this week focuses on the epidemic situation during the journey.

  Multiple travel group spread chains point to Ejina Banner

  This week, the epidemic caused by the "tour group" continued to ferment. Following the earliest notification of the Shanghai tour group transmission chain in Xi'an, Shaanxi, multiple tour groups transmission chains emerged, including Zhejiang Huzhou tour group, Gansu Lanzhou tour group, Yunnan Kunming tour group, etc. .

The destinations of these tour groups are mostly famous tourist destinations in the four provinces of Shaanxi, Ningxia, Inner Mongolia, and Gansu. The outbreak of the epidemic brought an abrupt halt to the "late autumn northwest tour" during the peak season, and many foreign tourists were forced to stay in tourist destinations. .

Tour guide Ye Yuning: The

original plan was to go to the Tengger Desert in the Alxa League, then the Populus euphratica forest in Ejina Banner, and the Badain Jaran Desert for photography activities.

Then it reached Ejina Banner on the 17th, and was stranded in Ejina Banner because of the outbreak.

  Ye Yuning is a senior northwest tour guide. Now, he and his driver are stranded in a hotel in Ejina Banner, Alxa League. There are 30 tourists from the tour group with them. Their current nucleic acid tests are all negative.

This tour group is composed of retired elderly people from Shanghai. Those who love photography are most looking forward to photographing the Populus euphratica forest in Ejina Banner.

Tour guide Ye Yuning:

Ejina has 8000 acres of poplar trees. Every October there will be a Populus euphratica Festival. The scenery of the Populus euphratica Festival is the best route to enter the autumn in the current northwestern region of our country or the national tourist market. A large number of tourists come to Ejina Banner every October.

  Shanghai tourist Mr. Ning: In fact, we went in the Huyanglin Park in the morning to shoot sheep. After the filming, the staff came in on motorcycles to find us and told us that it was closed now and let us go out immediately.

In general, Populus euphratica forest is better in Erdaoqiao and Sidaoqiao, but they have not been completed.

  Two days before Ye Yuning and others arrived in Ejina Banner, that is, on October 14, the Shanghai tour group that was the first to report the confirmed infection left Ejina Banner. Before leaving, they also performed a nucleic acid test in the local area and the result was negative and arrived in Gansu. After Jiayuguan, they performed a nucleic acid test again, and the final result was positive.

The reason for repeated testing is that Xi’an, Shaanxi, the end of the trip, requires tourists from other provinces to hold a 48-hour nucleic acid negative certificate.

The reporter interviewed a tourist, Ms. Yu, who had traveled to Shaanxi recently. Shaanxi does have such requirements for tourists from other provinces.

Shanghai tourist Ms. Yu:

We did a nucleic acid test together in the Shanghai team, and then set off for Yan'an (Shaanxi).

It should be said that Shaanxi hotels basically provide a 48-hour nucleic acid test negative report.

Two days later, we were worried about some scenic spots in the back. We did it once in Yan'an because we did encounter some scenic spots that require 48 hours of nucleic acid certification.

  Ms. Yu originally planned to organize another group of colleagues to travel to Shaanxi, but this plan has been cancelled because of the outbreak of the epidemic.

In contrast, tourists stranded in Ejina Banner are in a more difficult situation.

This week, the prevention and control situation of Ejina Banner is escalating step by step, and the itineraries of multiple tour groups' transmission chains point to Ejina Banner.

In particular, a restaurant named Tongnan Pavilion became the focus. Not only did the Shanghai tour group that were the first to report ate here many times, the Lanzhou tour group and the Zhejiang Huzhou tour group that had confirmed cases also ate here. Five waiters have also been diagnosed with infection, and there are more than 20 cases associated with this restaurant.

On Thursday, the town of Daraihubu, where the restaurant is located, became a high-risk area.

Tour guide Ye Yuning:

According to our country's epidemic prevention policy, it must be cleared and there is no problem with the nucleic acid test before you can leave. The time of stay cannot be accurately predicted at present.

  According to statistics, nearly 10,000 tourists are stranded in Ejina Banner.

Starting from this Friday, the local area will provide food, medicine and other delivery services to stranded tourists.

  The room where Ye Yuning and the tourists currently live is 200 yuan a night, and they will pay for it at their own expense.

The average age of tour group members is 65 years old, and the oldest is 76 years old. Taking care of their diet and daily life is not easy.

Tour guide Ye Yuning:

High blood pressure, heart disease, diabetes, and so on. At present, most of the middle-aged and elderly people are stranded tourists, and the demand for these medicines is also relatively large.

  This Friday, Beijing’s Changping District added 4 local confirmed cases linked outside Beijing, and the 4 people have also traveled to Ejina Banner, Ningxia and other places in Inner Mongolia.

Although many clues point to the Ejina Banner, the chain of transmission and where the source of the epidemic is still needs to be investigated. As travel transmission presents the characteristics of a large number of people involved, high mobility, and a wide range of spreads, it is difficult to reconcile and trace the source. Very big.

  Wu Fan, member of the expert group of the Shanghai Leading Group for Epidemic Prevention and Control, Wu Fan, deputy dean of the Shanghai Medical College of Fudan University: We analyzed several possibilities. One possibility was that people from all over the country traveled to Ejina Banner and brought the epidemic in.

The second possibility is that Ejina Banner has a port with Mongolia. We are particularly worried about the port area, such as the border import, especially through the way of food. This time we noticed that a restaurant has become a The key point of dissemination is whether there will be some items originating outside the country. We have to wait for the final country's investigation before we announce it.

  The first wave of the epidemic was on Sunday when Xi'an notified a couple in a Shanghai tour group that had been diagnosed as a confirmed case.

The couple was diagnosed in the fourth nucleic acid test conducted in eight days. The reason why they have done so many nucleic acid tests has a lot to do with the requirements of the tourist destination, but some people say that they did not find out after the nucleic acid test. As a result, he has already embarked on another journey.

In fact, this did not violate the relevant regulations, but it exposed some blank areas in the relevant regulations. What should I do next?

How can destination epidemic prevention help us tighten the fence?

  Is the 48-hour nucleic acid test in the scenic spot worth promoting?

  On Thursday night, tourists who watched the performance of "Charming Xiangxi", after checking the health code and itinerary code, and passing the electronic thermometer detection, entered the venue one by one to watch this exquisite and vivid local performance.

  The "Charming Xiangxi" theater in Wulingyuan District of Zhangjiajie resumed its performance on the eve of the National Day after it was suspended for nearly two months due to the epidemic.

After the warning after the epidemic background, the number of theater receptions was controlled to no more than 50% of the total number of seats in the auditorium, and the audience was seated at intervals. The close interaction with tourists was also cancelled.

Tourist Ms. Fan: It

should be said that when I was on the way from Zhangjiajie, I received a call from the hotel owner asking me where I came from. First of all, this made me feel very good. Passengers are very responsible, and then including booking tickets, the ticket service is delivered from the front desk, and now everyone needs to use the itinerary card and health code to pick up the tickets by themselves, and then enter the entire charm of Xiangxi In terms of the entire process, I feel that the epidemic work is still well done.

  Since the reopening of various scenic spots in Zhangjiajie City, current limiting measures have been implemented, and it is stipulated that the passenger flow cannot exceed 50% of previous years.

In addition to preventing the risks caused by the instantaneous gathering of tourists, the detection of practitioners in scenic spots as the basis but the weak link has also been more strictly controlled.

  Xiang Yanchu, Director of the Bureau of Culture, Tourism, Radio, Film and Sports of Wulingyuan District, Zhangjiajie City: Scenic spot staff, tour guides and other front-line staff engaged in scenic spot services will not be allowed to work if they have not been vaccinated against the new crown vaccine. Front-line staff and tour guides have not completed the weekly test Nucleic acid testing is not available, and staff who have served the relevant cases are not allowed to work.

  In the new round of the epidemic caused by inter-provincial tourism, one thing that has attracted much attention is that the first confirmed case of Shanghai-born couples has frequently undergone four nucleic acid tests in eight days, and this is actually done for the destination. Required for travel.

According to Xi’an’s prevention and control requirements, personnel returning to Xi’an from outside the province must provide a negative nucleic acid test within 48 hours. In addition, the scenic spot they plan to visit-the Museum of Terracotta Warriors and Horses of Qin Shihuang also requires a separate test report.

Staff of the Dean of the Mausoleum of the First Emperor of Qin:

At present, we do not accept spectators from high-risk areas. Then spectators who come to Shaanxi and return to Shaanxi must hold the 48-hour nucleic acid test when they enter the museum before they can enter the museum.

  As early as late July, when the country’s summer vacation was highly mobile, three foreign tourists had visited Xi’an and other places before being diagnosed, which made various scenic spots in Shaanxi Province increase their management and control efforts to cope with the movement of people outside the province. risks of.

Three months later, two tourists who traveled from Gansu to the next destination, Xi'an, were tested positive in the fourth nucleic acid test prepared to enter the scenic spot.

Nucleic acid in scenic spots has also become a more stringent control method in addition to the current day-to-day protection measures.

Wu Fan, a member of the expert group of the Shanghai Leading Group for Epidemic Prevention and Control, Wu Fan, deputy dean of the Shanghai Medical College of Fudan University:

Imagine that if all scenic spots require this, how much social cost will it increase?

And this social cost refers to the official individual. This cost includes not only money, but also time cost, as well as the waste of medical resources of medical institutions.

What should we call security more?

That is, we need to provide people with a more daily and safer environment when there is no special situation in our daily life, and it is not a high-risk place. This is called normalized prevention and control.

  The risk can be reduced to a lower level after strict control, but how to reduce the social cost of prevention and control under the premise of ensuring accurate detection requires more balance.

Compared with the control test encountered by Shaanxi scenic spots, the Shanghai International Import Expo, which is currently under preparation, is facing more complicated risks of cross-provincial and even cross-border flows.

On Wednesday, Shanghai announced the plan for the prevention and control of the epidemic situation at the China International Import Expo. The epidemic prevention and control line of the exhibition was constructed in a detailed and comprehensive manner to ensure the smooth holding of the event.

Wu Fan, a member of the expert group of the Shanghai Leading Group for Epidemic Prevention and Control, Wu Fan, deputy dean of the Shanghai Medical College of Fudan University:

For these relatively concentrated large-scale events, our strategy is one activity, one plan, one strategy.

Every large-scale event has a different form, different people, different ways of activities, and different situations of interactions between people, and the things it may cause are for prevention and control. In other words, the potential risks are not the same. Therefore, for some large-scale events, we will generally do a special risk assessment to assess its prevention and control requirements based on its special form, so this is why, including the Canton Fair and the advancement For a series of large-scale events such as the Expo, it will have some special requirements for this large-scale event. I think this is a part of very precise prevention and control.

  The epidemic was found to be closely related to the relatively intensive requirements for nucleic acid testing, but Cheng Ye’s nucleic acid testing is also worth thinking about, such as the length of time for the results.

Sorting out the couple whose nucleic acid abnormality was first discovered this time, through their itinerary, they will find that they completed the nucleic acid collection at 9 am on October 15th, but the actual implementation of the isolation and observation measures has reached the first time. At five o'clock in the afternoon on the second day, the time difference between the two is really big enough. How can we make nucleic acid testing play a greater role?

  Can nucleic acid detection be faster?

Local residents: If

you have to go through the hospitalization procedures, the doctor will definitely ask you to do a nucleic acid test before you can be hospitalized.

Local residents:

I usually do business outside, so every time I go out and come back, I have to do a nucleic acid here.

  Whether it is hospitalization, escort, or participation in large-scale events, cross-regional mobility.

Since the normalization of epidemic prevention, nucleic acid testing has become a matter closely related to the lives of ordinary people.

Every day at nine o'clock in the morning, in this township health center in Tongxiang, Zhejiang, people come to take samples one after another.

Although they can leave after sampling, they all hope to see the report earlier.

Ni Xiaoyuan, deputy dean of the Third People's Hospital of Tongxiang, Zhejiang:

Generally, when we sample in the morning, the results are usually available in the afternoon. When we sample in the afternoon, the results will be available at night. We try our best to ensure that the report can be issued that day.

We are responsible for sampling at the township level, and we send the specimens to the inspection center of our group's general hospital for testing on a regular basis.

  Chen Zhengzheng, deputy director of the Laboratory Department of the First People’s Hospital of Tongxiang, Zhejiang: For example, after the nucleic acid samples of the township have been collected, when the samples are sent to us for reception, some quantity must be checked, and then when the quantity is correct, then we will do it again. Scan this sample into our system and enter the sample information.

  At this point, it has been an hour and a half from the time the samples were collected to when they were actually put on the experimental platform.

In the next three to four hours, the medical staff will complete the test and issue a report.

According to the local disease control department, under normal circumstances, the time from sampling to reporting can be compressed to six hours.

If there is an emergency situation and the sample size is large, the detection time can be further compressed.

Member of the Expert Group of Shanghai Leading Group for Epidemic Prevention and Control Wu Fan, Deputy Dean of Shanghai Medical College of Fudan University:

Our kits are often 96-well. What does 96-well mean?

96 samples can be measured at the same time.

Therefore, if there are many people in this medical institution, it may produce very fast results. Once a board is complete, I will go directly on the machine. It takes three or four hours to go on the machine. The machine is occupied, so you If you come to test one by one, the cost is quite high. Not only the cost of the test kit, but also a machine. I may only have two or three machines, these two or three machines, and I can do it as a person. Ten people do it too, so this is a different place, different medical institutions have different detection capabilities, so the length of time it may take is also different.

  In this round of the epidemic, the couple who were the first to find a nucleic acid abnormality were sampled from suspicious samples at Jiayuguan at 9 a.m. on October 15 to 5 p.m. the next day. Control measures were implemented in Xi’an. There were 32 During the hour's blank period, the two visited scenic spots such as the Big Wild Goose Pagoda and ate at restaurants.

How to use nucleic acid testing to grab valuable time for epidemic prevention has become a public concern.

In fact, in Wu Fan's view, once a suspicious test report is discovered, all parties should immediately be vigilant.

Wu Fan, a member of the expert group of the Shanghai Leading Group for Epidemic Prevention and Control, Wu Fan, deputy dean of Shanghai Medical College of Fudan University:

If we are on these journeys, I suddenly receive a notice saying that my test sample may have abnormal results in my test. Once you understand that your results are abnormal, you should actually treat yourself as if I am already positive. First, stop all your current activities, connect with the local disease control department, and ask what should be done?

What should you do if the local area informs you to do another test?

Then put on a mask and gloves, try not to take public transportation, and then when I get to the hospital, I should tell the hospital where I am, that my previous test has been abnormal, so at this time the hospital often treats such a person, and he will treat you as A suspicious positive is processed.

  Since last year, the State Council required all secondary general hospitals across the country to have nucleic acid sampling and testing capabilities, nucleic acid testing is no longer far from ordinary people.

A negative nucleic acid test certificate has increasingly become a necessary pass for many regions and occasions.

However, nucleic acid detection is only a method in scientific epidemic prevention, and people need to use this method correctly from a scientific perspective.

Wu Fan, a member of the expert group of the Shanghai Leading Group for Epidemic Prevention and Control, Wu Fan, deputy dean of Shanghai Medical College of Fudan University: During

your entire period of time from infection to illness, if you sample at different points in time, if you do nucleic acid testing, he will be completely It may appear negative in many cases.

So it means that I took the nucleic acid test report 48 hours ago. It does not mean that I am 100% safe now. It can only be said to be relatively safe. Therefore, we must look at this nucleic acid test report scientifically, and we cannot completely rely on nucleic acid. Negative tests. That’s why I said that we cannot rely on the fast and slow nucleic acid tests and the negative and positive reports of nucleic acid tests. We have to rely more on our daily self-protection work. The significance of protection lies in Two, if I have been infected, I can avoid passing it on to others, and if I am not infected, I can avoid passing it on to me.

  From the unblocking of Wuhan last year to the present, in one and a half years, we have also experienced wave after wave of local domestic epidemics, but also in this wave of epidemics, we have a deeper understanding of the virus. Knowing and discovering more problems, such as cold chain transmission of viruses, etc., then this time reminds us of the epidemic prevention during the journey and the speed and efficiency related to nucleic acid detection. To this end, what progress should we make? To respond?

Keywords: shanghai, tour group, xi'an, ye yuning, shaanxi, epidemic, tourism, wu fan, expert group, epidemic prevention, holiday, tourists, control, people, control measures