Resist " first flows " What is needed to do now

Resist " first flows " ,What is needed to do now
Staff reporter Meng QingPu
After going through a relatively steady summer, first type H1N1 influenza " ran riot " suddenly after entering autumn and winter . Since the October, of our country the intersection of Mainland and case count surge, report 90 more than the intersection of example and serious the intersection of disease and case and 6 die case. " first flows " in the future To what kind of trend will develop? How should we reply?
Epidemic situation " climbing " Will still last
Peak value or appearing at the end of the year
Notify according to Ministry of Public Health, from September 28 to one month of October 31, report that makes a definite diagnosis of the case to increase to more than 46,000 suddenly from less than 20,000ing in first type H1N1 influenza in the hinterland of our country, increase the total of 5 months before the case number exceeds newly in one month. Chief of Beijing Municipal Health Bureau side come Great Britain say the intersection of Beijing and the intersection of influenza and season peak value over the years in December - January, but influenza prevails in season and breaks with tremendous force this year, 1 month ahead of more time than former years - 2 months.
"We can say, the second wave of first type H1N1 influenza epidemic situation has already begun. " China disease accuse of the intersection of centre and chief Guang Zeng, expert of epidemiology, say at will it be the end October first national public health academic meeting of Chinese Medical Association that hold.
" first flows " To what kind of trend will develop? The reporter learns from the related departments, expert's preliminary judgement to the epidemic situation tendency is at present: First, " first flows " Virus one new influenza virus, crowd exchange sense generally, spread in crowd it seasonal 4 times of influenza virus about in ability, so its peak value is higher than seasonal influenza. The epidemic situation is still presented in the future " Climbing " Tendency,in musty condition in the whole country,it is estimated peak value it might present at the beginning of next year the end of this year. Second, the virus presents mutant probability not big. " first flows " Have already prevailed for more than 6 months, especially already passed for one winter in South America, up till now, have not found the great mutant sign yet.
The law still needs to further investigate to cause death
The case fatality rate is calculated and based on seasonal influenza
On October 29, a big new student of Beihang University because " first flow " The news that passed away has occupied the front page of a lot of newspapers. The first 4 of the report of our country " First flows " 3 examples are the young people about 20 years old in the death case. Young people are infected with " First flows " Why is more fragile after the virus? What is its mechanism of causing death?
Notify up to October, report global one " first shed " according to World Health Organization Make a definite diagnosis of over 400,000 cases, more than 5000 cases of death. The expert discovers, " first flows " Serious the intersection of disease and case 3 days -5 days the condition begin to worsen after symptom appeared generally. The condition worsens very fast, a lot of patients develop to breathe the depleted intensity within 24 hours. Primary viral pneumonia is the most common in the serious disease case, and often cause the death. Can see and continue the taking place bacterial infection in about 30% of the death cases, breathing depleted and difficult curing shock belongs to the most common cause of the death. Though known some have basic disease ' Includes gestation) Patient face risk high,but " flow first " Serious the intersection of disease and clinical feature and seasonal disease mode of influenza of case have prominent differences. For example, " first flows " The serious disease case takes place on healthy young people in the past. As to this, the experts are still unable to find out at present. (leave and rotate the 7th) (have and connect the 1st)
First type H1N1 influenza clinical group leader of expert panel, Beijing Chaoyang director Wang Chen of Ministry of Public Health said when being interviewed by reporter a few days ago, as one new virus, until " first shed " clinical experts at home and abroad The research of mechanism of causing death is still in deepening constantly, there is much anything that isn't understandable at present. To that " first flows " The calculation of the case fatality rate is based on seasonal influenza too. There was not death of seasonal influenza and had illness coming on and counted in the past in our country. U.S.A. has 300 million people, the number of people dying because of seasonal influenza every year is probably 36000. According to this calculation, first type H1N1 influenza serious disease case, death case of our country may continue appearing constantly.
The infective disease of Beijing Temple of Earth hospital is treated Li XingWang, director of centre, and said, high-risk group ( For instance pregnant woman, chronic disease patient,etc.) After influenza and one kind of symptoms appeared, should pay great attention, carry on the nuclear acid measuring and other essential inspections of first type H1N1 influenza virus as soon as possible, and take the corresponding treatment measure.
"The total principle is, encourage the light disease patient's house treatment, take more time to rest. But serious the intersection of disease and patient want, arrive conditional general hospital or fixed hospital that appoint treat. " Wang Chen says.
It is reported, Ministry of Public Health has treated and cured and already launched numerous training to the serious disease case. Consider some regional health care technology is a little bit poorer, Ministry of Public Health is in the coordinated cooperation system of the study organization, and support to the hospital at the basic level of large hospital,etc. in the same area including supporting between provinces.
The school prevents and controls the main battle field as the epidemic situation
It is the soft rib that school physician's consciousness of parents' prevention and control understaffed is faint
By October 28, over 96% of gathering epidemic situation that reported 1502 of hinterland of our country gets up correlate with school. October 29, Ministry of Public Health emergency do the intersection of Deputy Director and annual to analyze present the intersection of our country and " first flow " Wan Liang Say, " first flows " when the characteristic prevails in the epidemic situation The virus is like other virus, it is very easy to spread in the school. Our government has a requirement to prevent and control from the beginning for the epidemic situation of the school,
Epidemiology expert, disease in Beijing accuse of He Xiong, Deputy Director of centre, and write articles to point out a few days ago, school physician's consciousness of parents' prevention and control understaffed is faint,etc. the question is the school " First flows " Prominent soft rib that came out while preventing and controlling. A lot of parents are afraid of delaying the child's course on one hand, on the other hand it is convenient to pursue oneself, ignore the relevant regulations of school and responsible institution, think that sends the child to the school to rest assured most. Cause student insist on, have a class in spite of illness in fact in this way, then one that lead to the fact in the class and even in the school " first shed " Spread. Still some unwilling one's own children of parents come back home to isolate, even if students have been infected with, parents will neglect or conceal, bury very great hidden danger for the development of epidemic situation too. He Xiong thinks, the cooperation between the education department and Ministry of Health, resultant of forces of the family, school, society, preventing and controlling " First flows " China seems particularly important.
China's disease accuses of centre's meeting an urgent need and going through Deputy Director Yu HongJie to especially remind, in the epidemic situation of the school is controlled, the masses of teachers and students must firmly implement " Sick don't go to school again " Measure. Practice has proved, it is very effective to examine the system in the morning when a lot of schools adopt.
Vaccine is prevented " First flows " The most effective measure
The medical worker should take the lead to inoculate
Continue China and take the lead in starting in the whole world on September 21 " First flows " After vaccine inoculation work, countries all over the world inoculate " first shed " Vaccine activities are accelerated collectively in October. However, a kind of seemingly contradictory phenomenon is thereupon appearance: On one hand, produced and can be restricted by vaccine, the vaccine shortage problem is serious; On the other hand, there are many people but give up inoculating because of being worried about the vaccine safely. In U.S.A., the opinion poll in mid-October of the media reveals, 62% of the people say that will not inoculate vaccine, only 52% of the parents say that will inoculate one's own child against. In those choices do not allow the parents of one's own child's vaccine inoculation, 53% of the people are in consideration of vaccine security. In our country, people suspect too about the security of vaccine. "Child's school notifies playing ' first flow ' vaccine, could you tell me vaccine is safe? Do you hit for children? " A domestic some is being famous " It is entered that it is small the beginning " On the specialized education forum, one of parents' doubts attracts thousands of with the card.
Margaret Chan, Secretary General of World Health Organization, calls upon, though some people will have slight response after vaccine inoculation, but vaccine inoculation is still prevented " First flows " The most effective measure. Have only thought, produce the principle, experiment course from vaccine and inoculate the situation to read actually, " first flows " Vaccine is safe.
"Health authorities and medical health organs at all levels are while finishing first type H1N1 influenza vaccine immunization campaign work of this area conscientiously, should take the lead in launching the work of inoculating in the health care system, health care personnel should play a demonstrating and taking the lead role. " Chen Zhu, minister of Ministry of Public Health, requires at a systematic video telephone meeting of national hygiene held a few days ago, the medical worker should take the lead to inoculate.
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