News (1)
The "eye of the storm" in the tuberculosis epidemic of Jiangsu Normal University: Only more than 30 students left in the Class of 79
Reporter : Qiu Haihong / Publisher : The Paper / http://www.chinanews.com/sh/2020/10-20/9317187.shtml / Translation, editing : Gan Yung Chyan, KUCINTA SETIA / Image courtesy : ISAC
"In the morning of 15 October, parents can still come to school to take their children home. In the afternoon, the school will not allow them." Jiang Yi told The Paper (www.thepaper.cn) that the parents were not at ease and were ready to come. Take her home for further inspection, the car is already on the highway. After receiving the news of "restricted school leaving", she had to inform her parents "Don't come."
Jiangyi is a student in Class 1 of the 2018 Software Class of the School of Science and Humanities of Jiangsu Normal University. She recently finished the PPD (tuberculin test) and her wrist swelled up to a large bag with a diameter of 15 mm, which is a strong positive.
According to her, several of her roommates were admitted to the hospital "because of tuberculosis", leaving empty desks and beds.
According to a report from Jiangsu Normal University on October 14, 22 students in the Faculty of Science and Arts were suffering from tuberculosis, and 43 students were still isolated for medical observation.
Jiang Yi's 2018 software class 1 is the "eye of the storm" of the tuberculosis epidemic. According to many students in the class, as early as 2018, a classmate in their class was suffering from tuberculosis, and thereafter “the classmates dropped out of school” each semester. According to their statistics, about 10 people in this class have been diagnosed with tuberculosis, which can be regarded as the “severe disaster area” where the students of the school are infected with tuberculosis.
According to the statistics of the class cadres of the 2018 software class 1, the total number of students in this class was 79 when they first entered the freshman year. At present, only more than 30 people remain in the school to continue the class.
It lasted more than a year from the emergence of earlier known cases of tuberculosis to the recent large-scale students being diagnosed or "shaded by chest CT". In the face of external issues such as "whether the school has concealed reports leading to ineffective epidemic prevention and control", Fei Chun, dean of the School of Science and Arts, Jiangsu Normal University, also expressed the school's helplessness. He said that although the school has the exact number of tuberculosis cases and patient status, according to current school regulations, the school has no right to issue a notification.
Lu Wei, Deputy Director of the Jiangsu Provincial Center for Disease Control and Prevention, also said in an interview with Xinhua News Agency that how to report the epidemic is "an old problem", and whether the grass-roots and epidemic-producing units can make the announcement, when and under what circumstances, sometimes no basis can be found.
News (2)
"Patient Zero" doubts
According to information officially disclosed by Jiangsu Demonstration University, the outbreak of tuberculosis was the independent college of the school, the Pan'anhu Campus of the School of Sciences and Arts. The infection of tuberculosis among school students began on August 21, 2019.
In addition, on October 15th, Jiangsu Normal University revealed to the Voice of China about the suspected "patient zero". According to the Voice of China report, on August 21, 2019, a student from the Academy of Sciences was diagnosed with tuberculosis in Huai'an. On September 3, Jiangsu Normal University received a call from the Center for Disease Control and Prevention in Jiawang District, Xuzhou City, informing him that he was diagnosed with tuberculosis. The school promptly informs the parents to go through the suspension procedures for the student, take him home for treatment, and explain the relevant treatment of tuberculosis.
The so-called "patient zero" was the first patient who contracted an infectious disease and began to spread the virus. In epidemiological investigations, it can also be called "initial case" or "identified case". Finding "patient zero" helps to quickly and more accurately identify important information such as the source of infection and the route of transmission of infectious diseases, so that effective prevention and control measures can be quickly adopted to achieve the purpose of curbing the development of the epidemic.
"During the military training in September 2018, a female student in our class was weak and coughing more than ever. The school arranged for her to participate in the'semi-training'." Jiang Yi from the software class 1 of the 2018 level recalled that this female student followed the military training team, but do not participate in training.
Soon after the military training ended, I heard that he had found tuberculosis, so he dropped out of school and went home, received treatment, and never appeared in the class again.
According to Huang Ying, who is undergoing isolation treatment, the above-mentioned "half-trained" classmate was the first case of tuberculosis in Class 1 of the 2018 software. At that time, several classmates had spoken to this female classmate, and these classmates are either The PPD skin test is strongly positive, or the CT image is abnormal. "In retrospect, they might have been infected by the first confirmed classmate." Huang Ying speculated.
Unexpectedly, a few weeks later, another boy was diagnosed with tuberculosis and dropped out of school and returned to his hometown for treatment.
A number of students in Class 1 of the 2018 software said that since the fall and winter of 2018, whenever someone is diagnosed with tuberculosis, the Academy of Sciences will organize PPD and chest X-ray examinations for current students, but the school did not inform everyone of the final test results.
Students claimed that after being infected with tuberculosis in the school, the school neither notified the whole school of the condition of tuberculosis, nor reminded everyone to wear masks, and did not take disinfection measures.
The above-mentioned main plot has been confirmed in relevant reports by Xinhua News Agency.
The location of the School of Science and Arts of Jiangsu Normal University-Wu Yunxia, Deputy Director of the Center for Disease Control and Prevention of Jiawang District, Xuzhou City, told Xinhua News Agency that in the summer of 2019, He XX, a student of the Academy of Sciences, was diagnosed with tuberculosis in the Huai'an First People's Hospital in his hometown. The district CDC notified the school after learning the news, and organized the first round of screening for 91 close contacts of the two classes in the software school where He XX was located, but no new cases were screened.
Since then, the school has successively carried out three rounds of screening, and some students have discovered "abnormal CT images" and new cases.
News (3)
About 10 people in a class are infected with tuberculosis
According to the official statement of the School of Science and Arts of Jiangsu Normal University, the School of Science and Arts is an independent college approved by the Ministry of Education. It has two campuses in Quanshan and Pan'an Lake, with more than 9,900 students. Fei Chun is the dean of the Academy of Sciences and Arts and the legal representative of the Academy.
The Pan’an Lake campus of the Academy of Sciences and Humanities is located in the northeast of downtown Xuzhou. After its opening in 2019, the 2018 and 2019 students moved to this campus, and the 2017 students still stay in the Quanshan campus.
"In the fall of 2019, we moved to Pan'an Lake campus to start our sophomore study and life, but in a brand new environment, the shadow of tuberculosis has always followed us." said Huang Ying from the 1st software class of 2018, the school just started in the fall of 2019 Soon, one night when she asked for leave to return to her hometown, she suddenly heard that her roommate had a fever and cough and went to the hospital to be diagnosed with tuberculosis. "Later, another classmate in our class kept coughing. He went to the hospital and found tuberculosis. Then he dropped out of school and was hospitalized." Huang Ying said.
Huang Ying told The Paper that in the first half of 2020, they did not return to school due to the covid epidemic and took online classes at home. In the meantime, some students discussed in the WeChat group that the number of students who dropped out of class 1 of the 2018 software software increased by about 5 people. Almost all of them were pulmonary problems. Some were tuberculosis, some were pneumonia or pulmonary hydrops, and some were pleurisy.
A student who claimed to be Class 1 of the 2018 software posted a post on the QQ confession wall that he was infected with tuberculosis in November 2019, and 10 people have returned home from school due to tuberculosis. Among them, 2 people have been diagnosed during the National Day holiday this year. .
“I’ve been in good health since I was a child and I rarely take injections and medicines. After going to university, the school organizes PPD skin tests and chest X-ray examinations every year.” said Deng Yang from the 1st software class of 2018. What made her incredible was that she A total of 5 skin tests were done, and the lump became larger than the other. In September this year, the diameter reached 15 mm, which is a strong positive. "I don't worry, I went to the hospital and found out that I was "successful"."
Many students, including Deng Yang, said that the screening conducted by the school (including only PPD skin test and chest X-ray examination) was not very accurate. Many students who dropped out of school due to tuberculosis had normal chest X-rays, and they could do CT examinations by themselves. There are problems. Some students with positive or strong skin tests still went to class as usual. The school did not organize them to continue screening such as CT and blood tests.
News (4)
Most students with abnormal CT have taken anti-tuberculosis drugs
The above-mentioned students and parents attributed the rapid spread of tuberculosis in the school to the school’s insufficient attention and ineffective prevention and control measures. They believe that improper screening methods and incomplete screening of infected students have led to cross-infection of patients.
In this regard, Zhou Ruguang, president of Jiangsu Normal University, said that in this incident, the School of Science and Arts of Jiangsu Normal University attached great importance to it from the beginning and has been "seriously" and "scientifically" under the guidance of the disease control department. "(New semester of this fall) After the students returned to the school for a special physical examination, they discovered a new situation." Zhou Ruguang said.
According to the official announcement of Jiangsu Normal University, from October 10th to 11th, CT screening of teachers and students who had a strong tuberculin test in the preliminary examination and key classes was carried out, and 43 students were found to have abnormal chest CT, which requires further diagnosis and exclusion.
A number of students from Class 1 of 2018 Software told The Paper that in fact, on October 12, the students of Class 1 and 2 of Software 2018 were taken to the Xuzhou Infectious Disease Hospital by the school bus. After seeing the CT, the doctor asked nearly 20 students from Software Class 1 to stay in the hospital for observation. About 40 people participated in the screening this time. In other words, half of the students in a class "have a problem with CT".
"However, because no one paid 1,000 yuan for the hospitalization fee, the school took us back to the newly built dormitory for isolation, and each one was isolated." Huang Ying, who was abnormal in CT, said that that night, a classmate asked the Academy of Sciences and Arts The QQ "confession wall" was published, and soon the "tuberculosis outbreak" was fermenting on campus.
According to a number of students with abnormal CT, two days later, on October 14, these students with abnormal CT were sent from the dormitory to the Xuzhou Infectious Disease Hospital for hospitalization. At present, they have basically no fever, cough, sputum, night sweats, etc. Symptoms, but the doctor said that it is clinically certain that it is tuberculosis, so the doctor has given them anti-tuberculosis drugs.
The above-mentioned classmates said that they hang up a bottle of "Rifampicin" every day and eat 4 kinds of drugs including isoniazid tablets, pyrazinamide tablets and ethambutol hydrochloride tablets.
"These drugs have great side effects. After hanging up, the urine and tears are red. Some students will get allergic rashes. The medicine will also cause various discomforts such as joint pain and nausea." Huang Ying told The Paper. Said, "We went to university alone, and we were infected with tuberculosis. Taking these drugs may become drug-resistant tuberculosis, and even if it is cured and discharged, it may relapse."
Now these classmates are beginning to worry about finding a job in the future, worrying that they will be discriminated against and alienated by employers or colleagues because of (ex) tuberculosis. From physical torture to invisible discrimination in the future, Huang Ying said that she felt that she had suffered an "unexpected disaster."
News (5)
There are only more than 30 students left in the 79-person class
A non-software student told The Paper that after the school was on the hot search for "tuberculosis", the class held an emergency class meeting. At the meeting, the counselor asked every student to wear a mask and not to gather, and informed the student dormitory and teaching building corridors to have disinfection work, and there was toilet paper at the elevator entrance to avoid contact.
The Paper reporter recently visited the scene and found that after October 14th, the Pan’anhu campus of the Faculty of Science and Arts of Jiangsu Normal University was closed, and there were many security guards at the school gate. Students must present a fake slip to leave the school gate, and to enter the school gate, they must check their credentials. , And find the fake slip.
"Because of the covid epidemic, the school's requirements for leaving school became strict after school started. When this happened (students were infected with tuberculosis), the control was even stricter." The seal must be signed by the school-level leader. "The guard only recognizes the seal and words."
Jiang Lian told The Paper that her 2018 software class has become a key class for tuberculosis, and the school strictly controls the leaving of their classmates. "We all want to go out and go back to the hospital in our hometown to check and treat ourselves. But the school is not allowed to go out." Jiang Lian said, "On the afternoon of October 15, the parents of a classmate drove the car to the gate of the school. They stopped."
According to Jiang Lian’s statement, the 2018 software class will be suspended for one day on October 15. On the 16th, Class 1 and Class 2 of the 2018 software group actually took a Japanese class together. "Everyone looked at each other during the class, for fear that they were also infected with tuberculosis." Fei Chun, dean of the Academy of Sciences and Arts, also told Xinhua News Agency that the current school teaching order is basically normal and there is no plan to close classes.
Jiang Lian revealed to The Paper that there were 79 students in the freshman year of Class 1 of the 2018 software. Later, some people were diagnosed with tuberculosis and dropped out of school. In October this year, more than 20 people were isolated for observation during CT screening. I was taken back by my parents for examination and treatment. "The class leader told me that there are only 33 people left in the class."
"Let’s not talk about those who have been diagnosed with tuberculosis. This time so many people are suspected of being infected with tuberculosis, and my roommate and I are strongly positive for PPD. Staying in the dormitory all day is very anxious and can't sleep every day." Jiang Lian said.
Jiang Lian and her roommate said that the classmates in their class have the following two major demands: First, let them go home to take online classes. Second, all students who are diagnosed with pulmonary tuberculosis and have a positive skin test are paying for their treatment, and hope the school will reimburse them.
Many students interviewed also told Xinhua News Agency that although the virus is eliminated and popular science is more frequent than before, they will inevitably still worry about being infected.
News (6)
How to report the epidemic is "an old problem"
A reporter from Xinhua News Agency learned that since enrollment this fall, students from the School of Science and Arts of Jiangsu Normal University have posted anonymously on the campus forum, questioning the school’s incomplete screening, inaccurate testing, and failure to report the epidemic.
"Students around me started to panic when they saw this information, and some even reported to relevant departments and contacted the media." A student who did not want to be named said that the school had asked the class with confirmed cases to be kept secret and had not been notified until the media paid attention. The exact number of cases.
The dean of the Academy of Sciences and Humanities Fei Chun told Xinhua News Agency that although the school has successively received case notifications from the local disease control department and has the exact number of cases and patient status, in accordance with relevant regulations, the school has no right to issue notifications. When students asked why they had to undergo tuberculin test screening and chest X-ray examination, they would only be informed of the tuberculosis case in the school.
Wu Yunxia, deputy director of the Center for Disease Control and Prevention in Jiawang District, Xuzhou City, said that most infectious diseases do not require disclosure to the public. The management of Category A or Category B infectious diseases is issued by government departments, such as novel coronavirus pneumonia. Other infectious diseases, such as hepatitis B, chickenpox, measles, tuberculosis, etc., are not required to be released, but they are required to be reported and registered in a timely manner to carry out prevention and control.
"How to report the epidemic is an old question," Lu Wei, deputy director of the Jiangsu Provincial Center for Disease Control and Prevention, told Xinhua News Agency that whether the grassroots and the unit where the epidemic occurred can be announced, when and under what circumstances, sometimes no basis can be found.
Lu Wei introduced that in accordance with laws and regulations such as the Infectious Disease Prevention and Control Law, the provincial health and health departments currently release the number of various infectious disease cases on a monthly basis, including the number of tuberculosis cases.
Behind the incomprehensibility of the epidemic notification procedure is personal privacy. The reality is that it is difficult to take into account multiple factors such as panic and the right to know.
"Most patients have a strong sense of stigma and do not want others to know that they have an infectious disease." Lu Zuxun, Chairman of the Social Medicine Branch of the Chinese Preventive Medicine Association and a professor at the School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, said that patients of tuberculosis and other infections and their families will worry about discrimination and social isolation.
"Because of the long treatment time for tuberculosis, for school students, the illness means that they have to suspend school and isolate for one or two semesters. After returning to school, daily life and social interaction will also face pressure." Lu Zuxun said.
Lu Wei believes that although tuberculosis is a common preventable and curable disease, it is an infectious disease after all. When announcing the case, it will consider whether it is legal and compliant, whether it will cause psychological panic, and worry about spreading rumors. "If the school informs students of all the specific case information for the purpose of epidemic prevention and control, it does not rule out that other students will have a psychological burden, or even spread rumors, how to control it is really a dilemma." He said.
As the first person in charge of the epidemic prevention and control of the Academy of Sciences, Fei Chun said frankly: “As the dean, I am afraid of causing panic and cannot release case information casually, but students have the right to know, and we are also very embarrassed.”
(in the text Jiang Yi, Huang Ying, Wei Lin, Deng Yang are all pseudonyms)
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