Reporters : Chen Fang, An Bei, Bai Jie, Qu Ting, Hu Zhe, Hou Wenkun
Publisher : XinhuaNet via China News Network / Extract translation, editing
Ref : http://www.chinanews.com/gn/2020/09-06/9284301.shtml
Extract translation, editing : Gan Yung Chyan, KUCINTA SETIA
Together in the same boat to fight the "epidemic" record-China's fight against covid
Xinhua News Agency, Beijing, 6 September 2020. Title: The "epidemic" of fighting together in the same boat-a full record of China's fight against novel coronavirus pneumonia epidemic
This is the most serious global public health emergency since the end of the Second World War.
Faced with the unprecedented and sudden outbreak of novel coronavirus pneumonia (covid), China took the lead in reporting, taking the lead in the march, and with a responsible attitude to all mankind, launched a people's war, overall war, and deterrence war on epidemic prevention and control.
A city with a population of tens of millions of people and a thoroughfare in nine provinces closed the Lihan channel; more than 40,000 medical staff were in white clothes and rushed to support the starry night; 1.4 billion Chinese people were confident and united in a city... This is the bravest prevention and control measure in human history, too An unprecedented voluntary sacrifice.
Crossing winter and spring, experiencing death and life.
In this magnificent fight against the epidemic, General Secretary Xi Jinping personally directed and deployed, and put forward the general requirements of "firm confidence, help each other, scientific prevention and control, and precise policy implementation", and clearly "resolutely curb the spread of the epidemic and resolutely win the prevention and control of the epidemic." The overall goal of "blocking war" is to adjust prevention and control strategies in response to the times and circumstances.
Always put people’s life safety and physical health first-under the strong leadership of the Party Central Committee with Comrade Xi Jinping at the core, China has adopted unprecedented scientific and precise prevention and control strategies and measures with resolute courage and determination. Efforts, it took more than a month to initially contain the spread of the epidemic, and it took about two months to control the daily new cases in the local area within single digits, and it took about three months to achieve the defense of Wuhan and Hubei. The decisive result of the defense war, the epidemic prevention and control battle has achieved major strategic results, and the overall promotion of epidemic prevention and control and economic and social development has achieved positive results.
The Chinese people have survived! By adhering to the concept of a community with a shared future for mankind, people of all countries will be able to overcome difficulties and challenges and build a better world if we work together and overcome difficulties together.
(One)
31 December 2019, Wuhan.
At noon on this day, the Wuhan Municipal Health Commission publicly notified a pneumonia of unknown cause.
The notification pointed out: "At present, 27 cases have been found, 7 of which are in serious condition" and described the clinical manifestations of the cases.
Unusual signs were first discovered in two tertiary hospitals-Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine and Wuhan Central Hospital.
Wuhan in December is cold and humid.
Beginning on the 26th, Zhang Jixian, director of the Department of Respiratory and Critical Care Medicine of Hubei Integrated Traditional Chinese and Western Medicine Hospital, successively received a number of strange pneumonia patients: first a family of three with the same lung CT findings, and then a merchant in the South China Seafood Market.
"A family of three came to see the doctor, and they had the same disease at the same time, unless it was an infectious disease." Zhang Jixian, who had participated in the treatment of SARS, became alert.
On December 27, Zhang Jixian reported the 4 suspicious cases to the hospital, which reported to the Jianghan District Center for Disease Control and Prevention in Wuhan.
This evening, Zhang Dingyu, Dean of Wuhan Jinyintan Hospital, and Huang Chaolin, Vice Dean of Wuhan City received a call from Tongji Hospital affiliated to Huazhong University of Science and Technology in their office. The other party hopes to refer a patient with unexplained pneumonia and prompts that this may be a new viral infection.
Jinyintan Hospital-the only infectious disease hospital in Wuhan. This call reminded that the string in Zhang Dingyu's mind suddenly tightened.
On December 29th, Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine again reported 7 cases of clustered pneumonia of unknown cause.
After receiving the report, the Hubei Province and Wuhan Municipal Health Commission’s Disease Control Department instructed Wuhan CDC, Jinyintan Hospital and Jianghan District CDC to conduct epidemiological investigations in the hospital.
Since the patient has been checked for various common viruses, on the morning of December 30, Zhang Dingyu led a team to collect the bronchoalveolar lavage fluid of the first seven patients admitted to the hospital and sent them to the Wuhan Institute of Virology, Chinese Academy of Sciences for testing.
It is like a piece of broken "puzzle" gradually converging: different from the previous negative results of some throat swabs, the SARS nucleic acid test of alveolar lavage fluid was all positive.
On the same day, the Wuhan Municipal Health Commission issued the "Emergency Notice on Doing a Good Job in the Treatment of Pneumonia of Unexplained Causes" to medical institutions in the jurisdiction, requesting all units to immediately check and count similar cases received in the past week and report them before 4 pm.
The National Health Commission and the China Centers for Disease Control and Prevention organized the dispatch overnight after learning about the verification.
On December 31, the front working group of the National Health Commission arrived on the first flight from Beijing to Wuhan. The first group of experts then arrived in Han.
After SARS, my country launched an infectious disease and public health emergency monitoring information system (direct network reporting system) in January 2004, covering health institutions across the country. Pneumonia of unknown cause is one of the focus of its monitoring and reporting.
In the afternoon of 31 December, the direct reporting system received a report of “aggregated pneumonia epidemic in Wuhan Huanan Seafood Market in Jianghan District, Wuhan”.
On New Year's Day 2020, a person in charge of the National Health Commission led relevant personnel to Wuhan to supervise and guide the local epidemic prevention and control work.
A group of scientists and experts moved on hearing the order, racing against time to carry out research on virus traceability, virus transmission mode, infectivity, and virulence to study and judge the epidemic situation.
At 8 a.m. on 1 January, the national disease control expert arrived at the South China Seafood Market, collected 515 environmental samples from the merchants and neighborhoods related to the case, and shipped them to the virus laboratory for testing.
Based on preliminary findings, the Huanan Seafood Market was closed.
On January 2nd, upon receipt of case specimens submitted for inspection by Hubei Province, Wu Guizhen, chief biosafety expert of the China Centers for Disease Control and Prevention, and the team of Tan Wenjie and Zhao Xiang of the Institute of Viral Diseases, immediately entered a "relay race" to decipher the genetic code of the virus.
After 24 hours, the full-length genome sequence of the virus was deciphered. The genome comparison results show that the virus is quite different from known coronaviruses, and the similarity with SARS is 82%.
On January 3, four top scientific research institutions, the Chinese Center for Disease Control and Prevention, the Chinese Academy of Medical Sciences, the Wuhan Institute of Virology of the Chinese Academy of Sciences, and the Academy of Military Medical Sciences, carried out parallel laboratory testing of case samples.
Although there are still many unknowns about the virus at this time and the situation is confusing, China has issued a warning to the world for the first time.
Starting from January 3, 2020, China will regularly and actively report the epidemic information with the World Health Organization, relevant countries and regional organizations including the United States, and China's Hong Kong, Macau and Taiwan regions.
Since 4 January, the head of the Chinese Center for Disease Control and Prevention and the director of the US Centers for Disease Control and Prevention have made many phone calls to introduce the epidemic situation and exchange technical cooperation matters.
On 5 January, the World Health Organization first notified cases of unexplained pneumonia in Wuhan, China.
In the global influenza shared database and the DNA sequence database established by the National Center for Biotechnology Information of the United States, Chinese scientists uploaded the virus gene sequence for the first time.
Within a week after this, China successively notified the WHO of viral nucleic acid detection primer probes and viral genome sequence information.
This means that the whole world can share these source technical information to develop testing reagents, vaccines, etc., to "clash" with the virus head-on!
On January 7, important experimental evidence for the "true culprit" of the novel coronavirus was released. The Chinese Center for Disease Control and Prevention observed a typical coronavirus particle shape under an electron microscope, and successfully isolated the first novel coronavirus strain.
Identify the pathogen in 8 days! And 17 years ago, it took several months for the world to track SARS as the pathogen that caused atypical pneumonia.
On January 9, the expert evaluation team of the National Health Commission released information on the pathogen of Wuhan virus pneumonia of unknown cause, and the pathogen was initially judged to be a new type of coronavirus.
"The initial identification of the virus in such a short period of time is a remarkable achievement." The World Health Organization website commented on the same day.
So far, "novel coronavirus", an unfamiliar vocabulary, has swept across countless lives.
The average number of patients in the fever clinic of Wuhan Tongji Hospital has increased from 40 to 50 per day, and the highest peak suddenly increased to thousands.
The information from the front line of the epidemic, the in-depth scientific understanding, etc., is sent to the desk of the decision maker.
After the outbreak, General Secretary Xi Jinping always paid attention to the situation of the epidemic, made epidemic prevention and control a top priority, personally directed and deployed, and made many important instructions and instructions.
On 7 January, when General Secretary Xi Jinping presided over a meeting of the Standing Committee of the Political Bureau of the Central Committee, he put forward requirements for the prevention and control of the new coronavirus pneumonia epidemic.
On 8 January, the second batch of experts from the National Health Commission arrived in Wuhan and revised and improved the methods of diagnosis and treatment, monitoring, epidemiological investigation and disposal, sampling and testing of new coronary pneumonia.
People with hidden onset, long incubation period, asymptomatic infection.The cunning novel coronavirus makes prevention and control extremely difficult.
On 13 January, the World Health Organization issued a statement stating that it had received a report of a confirmed case of a Chinese traveller in Thailand with the new coronavirus.
This means that Wuhan’s existing social control measures can no longer prevent the spread of the epidemic.
It has become a top priority to study and judge the epidemic situation as soon as possible to provide a reference for decision-making.
On 18 January, 84-year-old Academician Zhong Nanshan squeezed from Guangzhou on the train bound for Wuhan.
Zhong Nanshan, who is about to arrive in Wuhan, is the leader of the national high-level medical and prevention and control expert group. The other members are Academician Li Lanjuan, the leader of the national key disciplines of infectious diseases.
Six academicians and experts were ordered in danger and were urgently convened by the National Health Commission. They were to jointly study and judge the epidemic situation with the working group sent to the front in the early stage, and provide reference for decision-making by the central government.
On 19 January, after attending the epidemic seminar in the morning, the high-level expert team immediately went to Wuhan Jinyintan Hospital and Wuhan CDC for field investigation. There was no time to rest at noon, and the meeting lasted until 5 o'clock in the afternoon, and then boarded the flight to Beijing. Arriving in Beijing, the group immediately rushed to the National Health Commission for a meeting and returned to the hotel. It was early morning.
After obtaining the first-hand investigation data in Wuhan, the members of the expert group became more and more convinced that the new crown virus is spreading from person to person!
"Therefore, we call on people from Wuhan not to go out and people from other places not to come in." The expert group members recalled.
On the morning of 20 January, six high-level experts walked into Zhongnanhai, directly faced the decision-making makers, and reported their opinions on the epidemic.
The executive meeting of the State Council that day also added an agenda for epidemic prevention and control deployment. Zhong Nanshan and Li Lanjuan were invited to attend and put forward specific suggestions on epidemic prevention, control and treatment.
This is a turning point in the fundamental change of the war against the "epidemic" situation——
On 20 January, General Secretary Xi Jinping issued important instructions on the pneumonia epidemic caused by the new coronavirus, emphasizing that the safety and health of the people should be put first and resolutely curbing the spread of the epidemic.
On the afternoon of the same day, the National Health Commission organized a high-level expert group to hold a press conference. The leader of the team, Zhong Nanshan, looked solemn: "Now it can be said that, for sure, there is a phenomenon of human transmission."
During the Spring Festival, people are intensively flowing in a large area. Wuhan, at the hub of the Spring Festival Transport, is a thoroughfare of nine provinces and a place where people gather and scattered.
Epidemic prevention and control, when it breaks, it stops.
On 20 January, the National Health Commission issued an announcement that the new coronary pneumonia will be included in the Class B infectious diseases stipulated by the Infectious Disease Prevention and Control Law, and Class A management will be implemented. Led by the National Health Commission, a joint prevention and control work mechanism involving more than 30 departments was established.
At the same time, China promptly communicates with relevant countries and international organizations in the world.
Since late January, President Xi Jinping has spoken or met with many foreign politicians and heads of international organizations, maintained close communication, shared the situation of China’s epidemic prevention and control, and conveyed the firm determination of the Chinese people to fight the "epidemic" in unity and courage.
The severity of the new crown pneumonia epidemic exceeded everyone's expectations.
The ICU of Jinyintan Hospital is full of severely ill patients with respiratory failure. Due to the surge in patients and shortage of kits, many suspected patients cannot be tested. The hospital could not confirm the diagnosis, and they were afraid of infecting their family members when they went home. They, who were tormented and running around, became a huge source of mobile infection.
Hubei and Wuhan, at the center of the storm, began to enter the state of "wartime"——
On 22 January, Hubei Province initiated a level II emergency response to a major public health emergency, which was upgraded to a level I response two days later.
On 23 January, Wuhan implemented the decision and deployment of the Party Central Committee and closed the channel from Han to Han.
This is a difficult big decision. It coincides with China's Spring Festival Transport, the largest human population migration, and the "closing" of a modern metropolis with a population of over 10 million has put unprecedented pressure on policymakers.
General Secretary Xi Jinping said: “It takes great political courage to make this decision, but it must be taken when it is time to take action, otherwise it will continue to stop and be in chaos."
Caught off guard, facing a new war between mankind and the virus world, a country of 1.4 billion people did not hesitate to take the lead in fighting the battle.
Since 23 January, 30 provinces, autonomous regions, and municipalities have successively launched the "Level I Response to Major Public Health Emergencies", formulated and implemented community prevention and control measures, and implemented grid-based and carpet-based management;
Extension of the 2020 Spring Festival holiday, postponement of the opening of colleges, universities, primary and secondary schools, postponement of the National Two Sessions...Under the strong leadership of the Party Central Committee with Comrade Xi Jinping at the core, various localities have adopted the most comprehensive and most comprehensive measures of "prevention of external import and internal non-proliferation" The strictest and most thorough national epidemic prevention and control has been officially launched.
A city away, protect a country's people.
This unprecedented prevention and control action by China is also the clearest warning signal sent to countries around the world.
"The epidemic is the devil, and we cannot let the devil hide." On January 28, President Xi Jinping said when meeting with the Director-General of the World Health Organization Tedros Adhanom Ghebreyesus in Beijing.
The world also pays great attention to China's epidemic prevention and control measures. Reuters and The Times believe that closing the Lihan Channel is the first attempt in the history of modern medicine. However, some media quoted experts as saying that there is no evidence to show the effectiveness of the "closure", and isolation may trigger panic and aggravate the strain on medical resources.
The so-called good and bad, effective or ineffective, ultimately depend on facts. The prevention and control of infectious diseases has always been a process of gradual understanding, a brutal confrontation between humans and viruses.
China has adopted the largest quarantine and quarantine law in history. "Mobile China" decisively presses the "Pause button." By 20 March, the Japanese cases disappeared in stages, and the cumulative number of confirmed cases reported in China has increased from more than 800 to more than 80,000. It took 57 days to effectively delay the spread of the virus!
A new study conducted by Yale University and Jinan University in China shows that as of 29 February , the national and provincial public health measures implemented in China may have prevented more than 1.4 million infections and 56,000 outside Hubei. The number of basic infections (R0), which reflects the spread of the virus, dropped rapidly from 2.992 at the end of January to 1.243 at the end of February, and dropped to 0.614 outside Hubei.
"The speed and scale of China's actions are rare in the world. This is the advantage of the Chinese system, and the relevant experience is worth learning from other countries," said WHO Director-General Tedros.
(two)
At 10 o'clock on 23 January 2020, stainless steel guardrails will completely seal the entrances, and the entrance passages of the three major stations in Wuhan, Hankou and Wuchang will be officially closed.
More than 5 million people left Wuhan before then, but 9 million people remained here. The invisible and intangible new coronavirus has made many people feel fear.
Compared with closing external channels, the more dangerous and difficult challenge is how to prevent the spread of the epidemic in a city with a population of tens of millions.
The sense of responsibility of medical staff for life transcends the fear of the unknown. More than 60,000 local medical staff took the lead in building the "White Great Wall".
Seeking doctors, asking for medicine, hoarding necessities... This Spring Festival, Wuhan people will never forget. The fever clinics of various hospitals were crowded with patients, and the pictures and videos of the doctors eating biscuits and instant noodles that year’s dinner were refreshed.
The New Year of the Rat, watched by hundreds of millions of Chinese, temporarily joined the anti-epidemic program. "Isolate the virus, but never isolate love" This sentence has made countless people tears in their eyes.
At a critical moment, General Secretary Xi Jinping issued a general mobilization of "the epidemic is the order, and prevention and control is the responsibility"!
On 25 January, the first day of the first lunar month, the Standing Committee of the Political Bureau of the CPC Central Committee held a meeting to re-study, re-deploy, and re-mobilize the epidemic prevention and control work.
"Life is heavier than Mount Tai"-The Party Central Committee with Comrade Xi Jinping at the core decided to set up a central leadership group for response to the epidemic, and sent a central steering group to Hubei and other severely epidemic areas to comprehensively strengthen the centralized and unified leadership of epidemic prevention and control. At the request of the Party Central Committee, the State Council’s joint prevention and control mechanism has given full play to its role in overall planning and coordination in the fight against the epidemic.
The weight of a city is about the overall situation.
Mobilize the country's best doctors, the most advanced equipment, and the most urgently needed resources in order to maximize the detection rate and cure rate, and minimize the infection rate and death rate. These five "mosts" have been running through China's fight against the covid epidemic.
On New Year's Eve when thousands of families are reunited, a plane comes "retrograde"-Destination: Wuhan Tianhe Airport! The fight against the epidemic in Wuhan became the country's largest disaster relief operation after the 2008 Wenchuan earthquake.
On 27 January, entrusted by General Secretary Xi Jinping, Li Keqiang, member of the Standing Committee of the Political Bureau of the CPC Central Committee, Premier of the State Council, and leader of the Central Leading Group for Response to the Novel Coronavirus Infection Pneumonia Epidemic Situation, Li Keqiang went to Wuhan to inspect and guide epidemic prevention and control work, and expressed condolences on behalf of the Party Central Committee and the State Council Medical personnel on the front line of prevention and control.
On the same day, the Central Steering Group headed by Vice Premier Sun Chunlan of the State Council entered Wuhan. During his stay in Han Dynasty, he made many requests for the open and transparent release of epidemic information.
On 31 January, the WHO declared COVID-19 a public health emergency of international concern.
After that, Li Lanjuan, Wang Chen, Huang Luqi, Zhang Boli, Chen Wei, Qiao Jie, Tong Xiaolin and many other academicians and experts gathered in Wuhan from all directions.
"Everyone, help from the whole country, Wuhan will be able to pass. Wuhan is a very heroic city." Zhong Nanshan said with tears in his eyes during an exclusive interview with Xinhua News Agency at the end of January.
Starting from February, the backbone team of the critical care medicine department of general hospitals from more than ten provinces, led by the dean or secretary, will take over the new ward in an integrated system and bring life-saving equipment such as ventilators, monitors, and ECMO.
In this great rescue of life in Hubei, 42,600 medical personnel and more than 900 public health personnel were put on the main battlefield. Among them, the army sent more than 4,000 medical personnel. 19 provinces supported 16 prefectures and cities in Hubei Province except Wuhan City in the form of counterpart assistance.
Following the internship General Secretary Jin Ping’s requirement of “receivable and urgent”, the Central Steering Group worked with Hubei Province, especially Wuhan City, every day to “use your fingers to count the beds”.
Under the guidance of the Central Steering Group, Wuhan has deployed community-based “four types of personnel” to manage diagnosed patients, suspected patients, close contacts of confirmed patients, and general fever patients in a centralized management. The requirements of “exhaustive inspections and separations should be carried out”, and continued to carry out three battles of dragnet investigation, centralized treatment, and clear investigation.
While reforming, while receiving treatment. The general wards of several general hospitals in Wuhan have been partitioned and sealed and transformed into designated hospitals to collect and treat confirmed patients.
is almost synchronized with the "closing the city", the "Beijing Xiaotangshan" model reappears in Wuhan.
Military-civilian cooperation mode, centralized treatment of patients-Huoshenshan, Leishenshan two infectious disease specialist hospitals will be completed in more than ten days, providing about 2500 beds.
Hundreds of millions of Chinese have witnessed the extremely compressed battle of time and space through the "Cloud Supervisor". At the peak, 40,000 builders fought day and night. Thousands of excavators and bulldozers "stopped people without stopping", and a huge roar rang through the sky.
Large-scale and strong medical support operations have greatly eased the predicament and pressure of shortage of medical resources in the hardest-hit areas in Wuhan and Hubei Province.
But this battle with the new crown virus is far from over, the situation is stalemate and confrontation——
A total of 5,142 cases were confirmed in Wuhan on February 2, 6,384 cases were confirmed on February 3, 8,351 cases were confirmed on February 4, and 18,454 cases were confirmed on February 10... The curve of the growth of cases is almost a vertical line.
At a critical moment when the whole country is united in the fight against the novel coronavirus pneumonia epidemic, on February 3, the Standing Committee of the Political Bureau of the Central Committee held a meeting to study the next step of epidemic prevention and control. General Secretary Xi Jinping emphasized that we should race against time and fight the disease, resolutely curb the spread of the epidemic, and resolutely win the fight against the epidemic.
From the closing of the Lihan-Li Hubei passage to mid-February, two key measures have always been effective in controlling the overall situation: one is to mobilize the national critical illness force to bring rescue equipment, and the "integrated system" rushes to take over the Wuhan ward; The "four concentration" principle of patient, concentration of experts, concentration of resources, and concentration of treatment concentrates the superior forces on the main battlefield.
To win the fight against the epidemic, the focus is on "prevention."
On the afternoon of February 10th, General Secretary Xi Jinping came to Anhuali Community in Chaoyang District, Beijing. Wearing a mask, rolling up his sleeves, and taking his body temperature, he practiced in the neighborhood committees of the community, calling for a nationwide fight against the epidemic.
"The prevention and control of the new crown pneumonia epidemic is a people's war. We must trust the masses, mobilize the masses, and give full play to the community's'blocking role' in the prevention and control of the epidemic." General Secretary Xi Jinping said.
Coordinate the two battlefields of epidemic prevention and control and medical treatment. A system of joint prevention, joint control, group prevention and group control has been established, unprecedented large-scale isolation measures have been taken, and national resources have been mobilized for treatment.
The "field hospital" cabin was creatively used for large-scale rescue operations in peacetime, and it was a "smart soldier" in this life defense war.
With the gradual deepening of the understanding of the new coronavirus, it was found that the proportion of patients with mild illness was about 80%. The large number of mildly ill patients is the "faucet" of the spread of the epidemic and the source of the severe "dammed lake"!
"The opening of a large-space, multi-bed'square cabin hospital' is a key move for the country in a critical period and a major public health measure taken by China." said Wang Chen, vice president of the Chinese Academy of Engineering and president of the Chinese Academy of Medical Sciences.
In just over a day, at 10 pm on 5 February, Jianghan Fangcai Hospital in Wuhan International Convention and Exhibition Center took the lead in opening. More than 1,500 beds were opened to patients sent from various communities at one time. The other of the first three Fangcai hospitals The two also quickly opened.
It is midwinter, and Wuhan is raining and snowing. It is not easy to build thousands of beds in one day.
Allocate the person in charge of a number of large Wuhan hospitals to take over the Fangcai hospital; from fire prevention and electricity use, to three meals a day nutrition, from the establishment of a library corner recreation room to the deployment of special police forces for public security patrols...
As of 28 February, 16 shelter hospitals had admitted a total of 12,000 patients, and one out of every 4 patients in Wuhan was treated in shelter hospitals, achieving "zero infection, zero death, and zero return".
"The square cabin hospital is one of China's very important innovative measures to successfully respond to the epidemic." Richard Horton, editor-in-chief of The Lancet, commented that this is a very important factor in China's success in fighting the epidemic, and it is also the world Important lessons that other countries can learn from.
On 16 February, Wuhan once again deployed a three-day centralized screening investigation to find out the bottom line, resolutely curb the spread of the epidemic, and truly treat the infected.
Through two rounds of intensive screening of 4.21 million households in the city, Wuhan found a total of 9,037 confirmed and suspected patients, as well as a large number of close contacts, and realized "collect all receivables and treat all those who should be treated."
36 disease control and epidemic prevention teams rushed to help Hubei, mobilized 3 mobile P3 laboratories across the country, solved the "bottleneck" link that affects investigation and treatment, and continued to improve nucleic acid detection capabilities.
So far, Wuhan has formed a treatment system of “graded and classified admissions, and smooth transfers between hospitals”: namely, requisition hotels as centralized isolation points to isolate close contacts; Fangcang shelter hospitals accept confirmed mild and suspected patients; Huoshenshan, Leishenshan and Tongji Hospital And other large general hospitals treat critically ill patients, and more than 9,000 critically ill beds are open. Director General Tedros said.
"People waiting for bed" has finally become "bed waiting for people"!
As of 17 February, the national average time from onset to diagnosis of new coronary pneumonia patients has dropped to 4.95 days; the proportion of severe cases in Wuhan has dropped from 38% in the initial period to 18%. This means that the early medical run in Wuhan has gradually subsided.
The key to improving the cure rate, reducing the mortality rate, and ultimately defeating the epidemic depends on technology.
On 2 March, General Secretary Xi Jinping made a special trip to the Academy of Military Medical Sciences and the School of Medicine of Tsinghua University to inspect the scientific research work on the prevention and control of new coronary pneumonia. He emphasized: "At present, to win the People's War, the overall war, and the deterrence war for the prevention and control of the epidemic, we still need to work hard. The more we face this situation, the more we must insist on seeking answers and methods from science."
At a critical moment in the fight against the new crown pneumonia epidemic, on 10 March, General Secretary Xi Jinping went to Wuhan, Hubei Province to inspect the epidemic prevention and control work, and emphasized that the epidemic prevention and control should continue to be the top priority and most important task at present, and should not be paralyzed, war-weary, or not. Relax, do not relax, pay close attention to all prevention and control work, and resolutely win the defense war of Hubei and Wuhan.
Medication is like soldiers, and medicine is like generals. The diagnosis and treatment plan is followed by the clinician's treatment, and it also represents the understanding of a disease by a country's top medical team.
Doctors gradually discovered that the cause of death for critically ill patients with new coronary pneumonia is not just lung problems, but also multiple organ failure. Traditional ventilation and even ECMO cannot stop the patient's systemic failure.
It was in the difficult groping that the two treatment experiences of early intubation and prone ventilation emerged and became the key way to reverse the patient's condition.
"The key is the timing of intubation." Critical specialists hit the nail on the head, and they should not be afraid to intubate because they are worried about "difficult to pull out after intubation".
In the Sino-French New City campus of Wuhan Tongji Hospital, a 20-person "intubation commando" was established. At the same time, a "special combat knife company" was quickly formed, including the heart protection team, the kidney protection team, the liver protection team, and the brain protection team. It cooperated with 17 medical teams from Shanghai, Qingdao and other places to treat critically ill patients.
For the sake of life, I do whatever it takes. According to statistics, by the end of May, the per capita treatment cost for critically ill patients in my country exceeded 150,000 yuan, and the treatment cost for a small number of critically ill patients reached hundreds of thousands or even more than one million yuan, and medical insurance was reimbursed according to regulations.
Persistence is not because of hope, but because of persistence.
Concentrate the most elite medical resources to the places where they are most needed, and treat severe cases with "one person, one policy". As of the end of May, my country has successfully cured more than 3,000 patients with new coronary pneumonia over the age of 80, ranging from the elderly over a century to the newly born babies, with an overall cure rate of over 94%.
"In the face of a major epidemic, we clearly proposed from the very beginning that the safety of people’s lives and health should be the top priority. We will mobilize the best doctors, the most advanced equipment, and the most urgently needed resources across the country, and we will go all out to treat the epidemic. The treatment costs are all borne by the state. The people are supreme, life is supreme, and the safety and health of the people can be protected at all costs.” On May 22, during the two sessions of the country, General Secretary Xi Jinping firmly stated when participating in the deliberations of the Inner Mongolia delegation.
People will never forget these names: Jiang Xueqing, Liu Zhiming, Li Wenliang, Xia Sisi, Peng Yinhua... They fulfill their mission with their lives and protect the common people with great love. A group of medical personnel, cadres and workers, and community workers died on duty.
From the release of the first version of the national diagnosis and treatment plan on January 16, the diagnosis and treatment plan was upgraded to the seventh version within 50 days; the diagnosis and treatment plan for severe patients was revised three times... Asymptomatic infections may be contagious, and the recovered plasma treatment A series of new discoveries were promptly written into the revised version, and the level of medical treatment for new coronary pneumonia has been continuously improved.
Wuhan has brought hope to the world. Wuhan was "unblocked" on 8 April.
Every life lost in the epidemic is the death of the family and the pain of the city's heart. In order to ensure open and transparent information and accurate data, in response to patients who died at home due to insufficient admission and treatment capabilities in the early stage of the epidemic, incomplete information registration and other reasons, on April 17, Wuhan City announced revised data on confirmed cases of new coronary pneumonia, including confirmed cases A nuclear increase of 325 cases and a nuclear increase of 1,290 deaths among confirmed cases.
The World Health Organization stated on the same day that Wuhan, China, revised the number of confirmed cases of new coronary pneumonia and the number of confirmed deaths based on a review of previous statistical data so as not to omit any case records. As the epidemic progresses, other countries may also revise epidemic data. Such data correction should be done sooner rather than later.
On 24 April, the severe and critically ill patients in Hubei were cleared and on 26 April, the patients with covid in the hospitals in Wuhan were cleared!
Life is above everything-76 days, the heroic people of Wuhan wrote an arduous scene of history; more than 1,800 hours, the brave Chinese people have created an unforgettable feat in the history of human civilization.
Hubei and Wuhan, as the main battlefields of the nation’s fight against the epidemic, have achieved phased victories, but the potential threat of the new crown pneumonia epidemic still exists, and the epidemic prevention and control situation facing the whole country is still not optimistic.
On 27 March, as an asymptomatic infected person imported from abroad, breaking the tranquility of the small border town of Suifenhe City, Heilongjiang Province, Suifenhe gradually became the focus of "foreign defense import" across the country.
Experts and medical personnel from all over the country rushed to help, and anti-epidemic materials were deployed quickly. Many soldiers in white clothes who had returned from Hubei set out again. Nucleic acid testing laboratories were established in time... Patients with new coronary pneumonia who entered the Suifenhe port were treated in time, and a life guard was built along the border line. From 0:00 on May 6, the epidemic prevention risk level of Suifenhe City was lowered to low risk, and production and life began to recover in an orderly manner.
Go forward unimpeded through rain or shine, and accurately prevent and control the epidemic. Except for Suifenhe, Beijing is the capital, and the epidemic affects people's hearts.
On 11 June, a cluster of epidemics occurred in a new place in Beijing, and Beijing entered a wartime state for the first time, starting a "backwater war" that can only be won but not lost. Through rapid response, precise, efficient, and scientific prevention and control, and after 26 days of hard work, on July 6, there was "zero increase" in newly confirmed cases in Beijing.
On 19 July, the relevant person in charge of the Beijing Municipal Government announced at a press conference on epidemic prevention and control: From 0:00 on 20 July, the emergency response level for public health emergencies in Beijing will be adjusted from Level 2 to Level 3. So far, a war "epidemic" that lasted nearly 40 days has achieved initial results.
At the same time, the domestic epidemic prevention and control situation is still severe and complicated.
Also on 19 July, the Xinjiang Uygur Autonomous Region New Crown Pneumonia Epidemic Prevention and Control Work Headquarters decided that Tianshan District and Shayibake District of Urumqi City were high-risk areas; Urumqi Economic and Technological Development Zone (Toutunhe District), high-tech industries The development zone (new urban area) and Shuimogou District are medium-risk areas; other counties (cities, districts) are low-risk areas.
News (1)
Dalian became low-risk on 16 August
In the early morning of 22 July, a local confirmed case of covid was discovered in Dalian City, Liaoning Province. Half an hour later, the employees and family members of Dalian Kaiyang World Seafood Co., Ltd. who had a confirmed case were quarantined on the spot and the company was completely closed.
One east and one west, one coast and one inland, facing the unexpected outbreaks in Xinjiang and Dalian, China has more experience and confidence in fighting the epidemic.
Scientifically delineate risk levels, tighten up the "control circle", and promote comprehensive nucleic acid testing... This is an "encounter battle" with the virus. 25 days later, on 16 August, Dalian was reduced to a low-risk area, and normal economic and social order was fully restored.
News (2)
Urumqi declared low-risk on 29 August
The same good news also came from Xinjiang.
According to the relevant regulations of the State Council’s response to the new crown pneumonia epidemic situation and the covid epidemic situation in the Xinjiang Uygur Autonomous Region, the autonomous region’s covid epidemic prevention and control headquarters has studied and decided that from 0:00 on 29 August, the Tianshan District and Shasha Adjusted the epidemic risk level in Yibak District from high risk to low risk; adjusted the epidemic risk level in Urumqi Economic and Technological Development Zone (Toutunhe District), High-tech Industrial Development Zone (new urban area), and Shuimogou District from medium risk to low risk.
In the great practice of fighting against the epidemic, the party has led the people to show extraordinary courage and wisdom time and time again, and with one victory after another, they practiced the important concept of "people first, life first".
(three)
In September, more than 2,800 primary and secondary school kindergartens in Wuhan ushered in the beginning of school, and millions of students returned to their long-lost classrooms.
News (3)
End of epidemic second wave in Urumqi
Publisher : China News Network
Ref : http://www.chinanews.com/gn/2020/09-07/9285067.shtml
Translation, editing : Gan Yung Chyan, KUCINTA SETIA
On 7 September, the last three confirmed patients in Urumqi City met the discharge criteria for confirmed cases of covid from the National Health Commission of China and were cured and discharged. One asymptomatic infection was released from medical observation. So far, all confirmed cases in the Xinjiang Uygur Autonomous Region (including the Xinjiang Production and Construction Corps) since the outbreak of the epidemic on 15 July have been cured and discharged, and all asymptomatic infections have been released from medical observation.
Lu Chen, Vice President of the Xinjiang Novel Coronavirus Pneumonia Medical Treatment Designated Hospital, said that after 55 days of meticulous treatment, all confirmed patients were cured and discharged, and all asymptomatic infections were released from medical observation. In this epidemic, we adhered to the principle of treating both minor and severe cases and the "four early" principles, and insisted on moving forward in medical treatment, in accordance with the requirements of homogeneity and standardization, multidisciplinary coordination, equal emphasis on Chinese and Western medicine, rehabilitation treatment and psychological counseling. , Effectively preventing the conversion of light and common types to heavy and critical types. At the same time, experts have taken daily ward rounds and research judgments for severe and critical patients, and formulated a one-person, one-policy personalized treatment plan, which effectively improved the cure rate and shortened the treatment cycle. At the same time, "zero" infections of medical staff and "zero" deaths of confirmed patients have been achieved.
In the second wave of this epidemic, 826 confirmed cases have been cured and discharged from hospital in Xinjiang, and 238 cases of asymptomatic infections have been released from medical observation, with a total of 1064 cases.
No comments:
Post a Comment