Wednesday, September 16, 2020

Domestic vaccine in confidence crisis again as Lanzhou announces brucella epidemic one year after

News (1)

Lanzhou virus leaks, domestic vaccine explodes confidence crisis again

Reporter : Changchun / Editor :Shang Yan / Publisher : New Tang Dynasty Television

Ref : https://www.ntdtv.com/gb/2020/09/16/a102942382.html / Translation, editing : Gan Yung Chyan, KUCINTA SETIA

Image : Video Screenshot



While SARS-CoV-2 is raging in the world, the brucella bacteria has quietly spread in Lanzhou, China due to human accidents. After the official understatement at the end of last year, no relevant data was released until 15 September 2020 when a bulletin was published on ScienceNet (see translation in News 2). However, the mainland media disclosed on 14 September 2020 that the number of infected persons exceeded the official data by more than ten times. One year has passed, and many infected people still cannot confirm whether they are sick, whether they should be treated or not, and what to do in the future.

In the cover report of Caixin Weekly, published on 14 September 2020, it was revealed that during the period from 24 July 2019 to 20 August 2019 of last year at the Lanzhou Biopharmaceutical Factory of China Animal Husbandry Co., Ltd., the leakage of brucella  caused by human factors, at least caused more than 3,000 people in the surrounding area to be infected with brucellosis.

Officials in Gansu and Lanzhou did not report the accident until 26 December 2019, claiming that the reason was that the Lanzhou Biopharmaceutical Factory "used expired disinfectants" in the process of producing brucella vaccines for veterinary use, which resulted in the incomplete sterilization of waste gas from the fermentation tank. Bacteria-containing aerosols were discharged, causing infections among students and employees of the Lanzhou Veterinary Research Institute located in the downwind direction, resulting in positive antibodies.

At that time, the authorities classified the leak that lasted for a month as an "unexpected incident," and only announced that a total of 204 people from the Lanzhou Veterinary Research Institute and Lanzhou University were positive for antibodies, and no relevant data has been released since. However, Caixin Weekly stated that through field investigations by reporters, the number of infected persons exceeded the official data by more than ten times. As of the end of February this year, Lanzhou had tested 20,000 nearby citizens, and about 5,000 people were initially screened for infections with positive antibodies to the bacteria. Later, the provincial health and disease control department went into repair nuclear and confirmed that more than 3,000 people were positively infected.

Dr. Xiao En, a former virology researcher at the US Army Research Institute, pointed out that this infection figure shows that the Lanzhou leak was a major public safety incident.

Former U.S. Army Research Institute Virology Researcher Dr. Xiao En said, “Because this brucellosis is actually tens of thousands of cases nationwide every year. For example, in 2014, the total reported cases nationwide was about 57,000. And the United States has been more than 20 years old. Inside, there are usually cases of brucellosis every year, and the total number in the country is about 100 per year. So you can see that brucellosis has been prevalent in China in recent years, especially after 2000. There is a trend of rapid rise."

Lanzhou Biopharmaceutical Factory of China Animal Husbandry Co., Ltd. is known as one of the oldest veterinary vaccine manufacturers in China. It is a subsidiary of China Animal Husbandry Co., Ltd., a listed state-owned enterprise, and a designated manufacturer of major animal disease vaccines by the Ministry of Agriculture and Rural Affairs. The authorities classified the spill that lasted for a month as "an accidental accident," but Dr. Xiao En pointed out that the actual exposure of the pharmaceutical factory's problems is far more than that.

Dr. Xiao En commented, "Such leaks occurred within a month, indicating that there were serious leaks in multiple links in the entire production process. One is the purchaser. Maybe the reagents you purchased are not qualified or expired. Others may It is also poorly managed, that is, this product has been stored for too long and has become invalid. In addition, every inactivated vaccine produced must also be tested. You should soon find that the inactivated vaccine has not achieved the inactivated effect."

Zhu Wei, medical director of a pharmaceutical company in the United States, said, "It has once again exposed the serious problems in vaccine production in China. In fact, China has experienced many vaccine quality problems and even poisonous vaccine incidents over the years. It is now difficult for the people in China to trust domestic vaccines. The international community Especially developed countries will not trust vaccines made in China."

Patients infected with brucellosis will have fever, muscle and joint pain, fatigue, skin rash and even orchitis. However, the Caixin Weekly reported that most of these patients were not diagnosed and only received a "Shuangyang" (double-positive) test sheet. Some people did not even get their own report and test results, and they were were not diagnosed. The control department took them away. These people do not know if they are sick, whether they should be treated, and what should they do if brucellosis remains hidden in the body.

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News (2)

Ref : http://news.sciencenet.cn/htmlnews/2020/9/445643.shtmTranslation, editing : Gan Yung Chyan, KUCINTA SETIA / Image : Video Screenshot

Bulletin Release : Lanzhou Health Commission 

Bulletin of the Handling of the Brucella Antibody Positive Incident of Lanzhou Veterinary Research Institute

 

On 28 November 2019, after the brucella antibody-positive incident occurred in the Lanzhou Veterinary Research Institute, the Lanzhou Municipal Party Committee and the Municipal Government attached great importance to them. 

According to the unified arrangements of the Provincial Party Committee and the Provincial Government, the Standing Committee of the Provincial Party Committee and the Secretary of the Municipal Party Committee Li Rongcan is the team leader, and Zhang Weiwen, deputy secretary of the Municipal Party Committee and Mayor Zhang Weiwen, is the leading group for the local aftermath of the brucella antibody-positive incident of the Lanzhou Veterinary Research Institute. They lead The Territorial Rehabilitation Work Plan for the Positive Brucella Antibody Incident and the Compensation and Compensation Program for the Persons Involved in the Brucella Antibody Positive Incident of the Lanzhou Veterinary Research Institute. 

11 public medical institutions were so far identified as designated hospitals. Green channels and special clinics were opened to provide free and convenient health testing and standardized treatment. Health files for those who are confirmed positive in the provincial review were established and designated personnel to carry out monthly health follow-ups were identified. At the same time, to organize professional and scientific popularization of science and answer questions by means of on-site counseling by experts, online consultation, hotline, and distribution of brochures must be carried out. 

As of 14 September 2020, a total of 21,847 people were tested and 4,646 were initially screened positive. The Provincial Center for Disease Prevention and Control rechecked and confirmed 3,245 people; established 3159 health files, accumulated 23,479 consultations, held 9 on-site medical diagnosis and treatment lectures, and distributed more than 15,000 promotional brochures to them.

On 26 December 2019, a joint investigation team composed of national, provincial and municipal experts confirmed, “From 24 July to 20 August 2019, China Animal Husbandry Lanzhou Biopharmaceutical Factory used in the production process of veterinary Brucella vaccine expired disinfectant caused incomplete sterilization of waste gas from production fermentation tanks, and the waste gas carrying bacteria-containing fermentation liquid formed bacteria-containing aerosols. During the production period, the main wind direction in this area was southeast wind. Lanzhou Veterinary Research Institute is located in Zhongmu Lanzhou Biopharmaceutical Factory. In the downwind direction, human body inhalation or mucosal contact produced positive antibodies, resulting in a positive brucella antibody incident in the Lanzhou Veterinary Research Institute. This incident was an accidental incident and an exposure in a short time." 

According to the results of the investigation, the provincial and municipal joint investigation team initiated the investigation and punishment of the responsible units in accordance with the law, and the relevant units and personnel were strictly and quickly held accountable in accordance with the law. 

On 13 January 2020, the Lanzhou Biopharmaceutical Factory's brucellosis vaccine production license was revoked. On 15 January, the Lanzhou Biopharmaceutical Factory's brucellosis vaccine (S2 strain) and the brucellosis live vaccine (A19 strain) were revoked. ) The product approval document number, and at the same time, a total of 7 veterinary drug product approval document numbers for vaccine products produced in the brucellosis vaccine production workshop of Lanzhou Biopharmaceutical Factory were cancelled.

Lanzhou Biopharmaceutical Factory closed the brucella vaccine production workshop on December 7, 2019, and released the "Apology Letter" on the company's website on February 4, 2020. At the same time, in accordance with relevant regulations, the 8 responsible persons were dealt with seriously. Lanzhou Biopharmaceutical Factory stated that it will learn lessons deeply and actively cooperate with provinces and cities in the aftermath disposal and compensation work.

The Provincial Health Commission organized experts to formulate the "Lanzhou Biopharmaceutical Plant Surrounding Masses Detection and Treatment Program", "Zhongmu Lanzhou Biopharmaceutical Plant Surrounding Masses Further Testing and Treatment Program", "Lanzhou Veterinary Research Institute Brucella Antibody Positive Event Antibody Positive Health Evaluation Work Plan" provides technical guidance for handling the incident.

At present, the aftermath disposal work is steadily carried out in a "lawful, scientific, standardized and orderly" process.

Firstly, accurately organize review and evaluation. 

In accordance with the requirements of the provincial "Notice on Printing and Distributing the Work Plan for the Health Assessment of the Brucella Antibody Positive Event of the Lanzhou Veterinary Research Institute", our city has started on 16 July 2020 and will concentrate for 2 months carry out the second re-examination and testing on confirmed brucella antibody-positive persons. 

The Municipal Health Commission organized the Municipal Pulmonary Hospital to conduct the second sampling of the event antibody-positive persons in batches. For the detection of antibodies to bacteria, the city’s pulmonary hospital conducts blood routine and liver function tests, and the results are included in the personal health file. For persons with positive Brucella antibodies confirmed by the Provincial Center for Disease Control and Prevention in the second review, the Chengguan District Health Bureau will review the data, and the Municipal Health Commission will report the data of those who meet the evaluation criteria for evaluation at the provincial level. The expert group organizes national and provincial experts to conduct health assessments. 

As of 2 pm on 14 September 2020, 2773 people have been re-examined, and the Provincial Center for Disease Control and Prevention has fed back 2,768 results. Currently, according to the requirements of "one person, one file", the evaluation materials for antibody-positive persons who meet the evaluation criteria after re-examination will be sorted and submitted to the provincial evaluation expert group in batches.

Secondly, actively promote popular science knowledge. 

Actively organize provincial and municipal disease control and medical authority experts to the Lanzhou Veterinary Research Institute and surrounding communities to carry out on-site special publicity and education lectures, produce brucella prevention and control science knowledge publicity panels, continue to distribute brucellosis prevention and treatment brochures, and set up designated sites. At the consultation point, one-to-one policy consultation and answering questions, implementing psychological counseling intervention, and making every effort to eliminate the panic and ideological concerns of the masses.

Thirdly, earnestly implement compensation and compensation. 

Strictly review and confirm the information of compensation personnel, ensure the accuracy of personal information, and provide detailed and accurate information accounts for the classification and classification of compensation and compensation work. At the same time, reasonable calculation of the costs of health testing, health assessment, compensation and other work, and actively supervise the Lanzhou Biopharmaceutical Factory of China Animal Husbandry Co., Ltd. to implement the compensation funds on time and in full to ensure the smooth progress of the compensation work.

In the next step, our city will fully implement the aftermath disposal work. 

One is to do a good job in popularizing science widely. Further intensify the publicity of science, carry out targeted publicity of brucella antibody positive science and answer questions, strengthen psychological counseling and humanistic care, and completely eliminate the public's ideological concerns and doubts. 

The second is to scientifically organize re-examination and evaluation, ensuring the re-inspection and health assessment work are carried out in an orderly manner. The Municipal Health Commission will submit the health assessment data to the provincial assessment expert group for assessment in batches, and the assessment results will be fed back to the parties as soon as possible. 

The third is compensation and compensation in accordance with laws and regulations. After the second re-inspection and health assessment work is completed, the Chengguan District Health Bureau will sort out and classify the health assessment data of relevant personnel, and coordinate and supervise Lanzhou Biopharmaceuticals in accordance with relevant laws, regulations and standards for the health assessment categories of relevant personnel. The factory actively carried out compensation and compensation work, which was carried out in batches in October to effectively safeguard the health rights of the people.


15 September 2020

 


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 Picture, copyright by : Gan Yung Chyan, KUCINTA SETIA