When and how this round of the new crown epidemic will end
"Among the five provinces and cities with severe epidemics before, Guangdong, Shandong, and Hebei have shown a positive trend, but the epidemic situation in Shanghai and Jilin is still developing." At the press conference held by the State Council's joint prevention and control mechanism on April 6, the state Lei Zhenglong, deputy director and first-level inspector of the Bureau of Disease Control and Prevention of the Health and Health Commission, said that the comprehensive team of the joint prevention and control mechanism of the State Council will continue to guide local governments to improve their ability to respond to large-scale epidemics.
Since March 1, a total of 176,000 local infections have been reported across the country. The large-scale epidemics in Jilin and Shanghai have aroused continuous concern. Community transmission and epidemic spillover are intertwined. How long will this situation continue?
How can it end?
How long will it last?
"The duration of this epidemic situation depends on our prevention and control strategies and the strength of the implementation of prevention and control measures." Wu Zunyou, chief epidemiologist at the Chinese Center for Disease Control and Prevention, said that the prevention and control measures should be implemented strictly and practically in every link. , the situation of the recent spread of the epidemic will soon improve.
"Since mid-March, with the effective implementation of epidemic prevention and control measures in various places, Guangdong, Shandong, Hebei, etc., where the epidemic situation was more serious before, have all shown a positive trend." Lei Zhenglong said that the epidemic situation in many places has been effectively controlled. It is still effective and scientifically necessary to take strict measures such as isolation, control, containment, screening, etc. to deal with the local clustered epidemic caused by the mutant strain of Omicron, and can achieve the established policy of "dynamic clearing".
What to do to end it?
The current round of the epidemic is still running at a high level, which is closely related to the hidden and fast spread of the Omicron variant.
In order to end the current round of the epidemic as soon as possible, we must adhere to the external defense input to block the source, and the internal defense rebound to cut off the spread.
"Affected by the fourth wave of the global epidemic, especially the high level of the epidemic situation in neighboring countries and my country's Hong Kong Special Administrative Region, my country's 'foreign import defense' is under great pressure." Wu Zunyou said that the imported epidemic was discovered in the first generation of cases and control, which are the earliest discovered, fastest, and most effective strategic measures.
To this end, it is necessary to do a good job of isolation and observation of inbound personnel, as well as daily monitoring of personnel involved in overseas cold chains or cargo transportation, so as to timely detect imported infected persons, "human-to-human transmission" and secondary "human-to-human transmission".
In terms of internal defense against rebound, Wu Zunyou emphasized that the understanding and cooperation of the general public on the development of epidemic prevention work is very important.
"It is clear that everyone is the first responsible person for their own health." Wu Zunyou said that everyone can put in place personal measures for normalized prevention and control by raising their health awareness and developing good health habits.
In terms of early detection of infected persons, timely detection of close contacts in the transmission chain of each infected person is an important measure for early detection.
Wu Zunyou introduced that for the detection and management of close contacts, one must be complete, and the other must be fast.
Through traditional epidemiological investigations and big data to discover "space-time companions" and other methods, further risk investigations are carried out to find close contacts.
Relevant departments should do a good job in epidemic prevention and control in a timely and strict manner: strengthen the control of the movement of people in areas affected by the new crown epidemic, and strictly prevent the outflow of infected people from bringing the new crown epidemic to non-epidemic areas, causing new epidemics; strengthening the monitoring of outpatients and treating fever Patients with suspected new crown or cold such as cough, etc. should undergo nucleic acid testing; those with symptoms such as throat swelling, pain, cough, etc., can use the antigen screening method for self-testing. If positive, they should report to the local epidemic prevention department in time.
Guarantee the basic living and medical needs of the closed area
In response to the problem of how to ensure the treatment, diagnosis and treatment of other major diseases for residents in closed and controlled areas and other major diseases during the epidemic, the joint prevention and control mechanism of the State Council requires all localities to strengthen the reserve of isolation points and makeshift hospitals to improve the ability to handle large-scale epidemics; do everything possible to help the masses solve practical problems, Guarantee the basic living and medical needs of residents.
"In the process of new crown epidemic prevention and control, both epidemic prevention and control and basic medical treatment are very important and indispensable." Wang Guiqiang, director of the Department of Infectious Diseases of Peking University First Hospital, said that during the gathering of the epidemic, the closure and control areas and the control areas The problem of seeing a doctor for the masses should be paid great attention, and a series of measures should be taken to ensure that these patients can receive timely and effective treatment.
Wang Guiqiang introduced that the joint prevention and control mechanism of the State Council emphasizes that there should be corresponding emergency areas or buffer wards in emergency rooms, rescue rooms, operating rooms, hospital wards, and obstetrics and gynecology departments to solve the problem of treating critically ill patients before nucleic acid test results are available.
At the same time, all localities are required to count the basic numbers of pregnant and lying-in women, people on dialysis, and people undergoing radiotherapy and chemotherapy, so as to find out the background and establish a ledger, so that these patients can be effectively followed up and treated in time when needed.
For patients with chronic long-term medication, the nearest medical institution should be arranged to give corresponding drug prescriptions (which can be extended to 12 weeks), and provide door-to-door drug delivery services.
Health consultation and psychological consultation, including consultation and consultation of chronic diseases, should be required for the use of drugs by the masses in the closed and controlled areas, and the advantages of Internet diagnosis and treatment should be fully utilized to solve the daily medical needs of the people without leaving home.
"Leaving the community and entering the hospital" requires coordination and proper arrangements from all parties. When necessary, government vehicles and volunteer vehicles can be requisitioned to ensure point-to-point pick-up and drop-off services.
Our reporter Zhang Jiaxing