Epidemic prevention: Plan to meet the next challenge

Epidemic prevention: Plan to meet the next challenge
Epidemic prevention: Plan to meet the next challenge
Spend while being safe in first summer after Wen's Sichuan earthquake take place, the disaster area does not have epidemic situation of infectious disease that break out and prevail and relevant the public health event happen suddenly, the legal infectious disease report of severely afflicated area counted to also drop by 42.91% compared with the same period of the past 3 years. But disease accuses of not daring to let out a sigh of relief in the department - - Staff reporter Chen Fei Entered Beichuan and caught mosquitoes in order to prevent infectious disease that may take place, Beichuan county town closed straight since June. But for the need of epidemic prevention, disease accuses of personnel's entering regularly, go over each corner. In the afternoon of September 2, disease in Beichuan accuses of the vector that the expert that personnel and China's disease accusing of, Shandong disease accused of supporting makes up together and monitors the group, hold the special pass and enter the blockade. Their task is to find out the density of the mosquito, fly and mouse in the recent ruins of Beichuan county town, the possibility that assess and subdue and kill the result and the epidemic situation takes place, make the next plan of prevention and control in view of the above. Expert introduce, monitor mouse method of density simple, walk 2000 see how much the intersection of mouse and hole and excrement competent mouse does it have. The density method of monitoring flies is, stands in the adjacent place of the rubbish heap, the quantity of the fly of several 3 minutes in two meters of the radius around, time must be from 10 o'clock a.m. to 4 o'clock in the afternoon, namely when the fly activity is frequent. It is half an hour after the sun sets and the mosquito begins to be active, look for a ruins corner, the quantity of the mosquito of several 5 minutes, count for 3 times continuously. On the same day, it is from 45 at 7 p.m. to 8 o'clock to monitor what the group chose. After finishing monitoring flies, have some time before monitoring mosquitoes. Disease, county of Beichuan, accuse of the intersection of centre and disease accuse of Qin Luo, section chief of department, turn around, reach disease in the county accuse of in front of the building of in the center later. Here was the office buildings of 4 units such as health bureau originally, and half had already sloped now, burn in the large hole on another half wall. Luo Qin goes to several offices on the third floor along the stair, ransacks the useful materials file in the middle of the book case desk chair in disorder. What she wants to look for is the whole county people's materials that disease accused of the centre, this materials are different from public security men and family planning department's, launch disease and control the basis of the work. But looked for several rooms not to have, she holds a pile of epidemic situation materials several years ago to leave finally. Just went out of the building, saw another groups of colleague Mr. Tangs running here too, have also taken a big sack in the hand. Two people have laughed understandingly, Mr. Tang creeps into the building too. Everybody uses spare time to come simultaneously idly " Rob " Archive materials. Such monitoring should be done once every half months. By the look of preliminary result this time, not basically finding fly and mouse, but there are relatively more mosquitoes. Though a lot of people have scribbled and driven mosquito's water, or been bitten several bags. Expert say every day disappear, kill efforts to be still very large at present, may be used, disappear, abate medicines to be effective to fly, and being various in style, mosquito does not get rid of, drug resistance has produced by some variety. As for the detailed conditions, the investigation group will catch several mosquitoes and take home to analyze. Disease accuses of autonomy Deputy Bureau Director and concurrently disease of county hospital of incumbent Beichuan Qiang of centre director's high pressure and accuses of the centre director's cold army, accuse of what the centre transfers from disease of market of Meishan in June. But he talks in Beichuan, the situation before and after each of villages and towns even position, earthquake of the village is compared with can escape one's lips. He went back to Meishan once last month, family members all listened to the accent of Beichuan not spoiling him. But have no way, the pressure of the work is too large, it is all Beichuan that there are the cold armies. The cold army leads the colleagues to be just moved into the board room by the tent. In the earthquake, here personnel's apparatus suffers heavy losses. There are 3 computers in the centre now, one borrowed straight newspaper of infectious disease network first, other two were sent by department of public health of Sichuan Province and tuberculosis project. For guarantee, do immune planning well in time, the the intersection of dam and the intersection of township and commune hospital energized just to give give to a refrigerator a period of time in front of the centre, the result because the voltage is unstable, the refrigerator has been burnt. Army loves the cold! Originally poor and underdeveloped, the whole disease accused of just a refrigerator, two ice boxes in the centre, on the costly family belongings of this point. Some health clinics in towns and townships have borrowed the private refrigerator and preserved vaccine, it is a power cut, the cold chain is broken. "The largest restriction is still that the way is obstructed. " Leng Jun says, there are 12 villages and towns to make a detour in river oil and Mao County to the whole county, wind 700 kilometers far most. 15 people in the centre act as everybody two or three people use. Being limited, personnel send a work group there one home town come back a few days, thing of centre do on no one. Not bad, all village and town has not had a big problem all the time, infectious disease is monitored, reported everything is normal. After the earthquake, it is the straight newspaper of infectious disease network that disease accuses of what the department resumed fastest. Without computer network, use the mobile phone; When the mobile phone disposed in unison has not been sent in place yet, use the fixed telephone. There are no network and computer to though there are a lot of villages and towns at present, the popularization of the mobile phone report makes the epidemic situation report of infectious disease absolutely realize all 20 villages and towns 100% cover. "It is a kind of emergent state to use the mobile phone, report the epidemic situation had better pass the network. But have no way, the hardware can not still catch up with. " The cold army is very helpless. The epidemic situation report " Allergic " A Deputy Secretary of Wen county Party committee of Sichuan received a strange villager's telephone suddenly each day, say someone, village of they, suffer from diarrhoea, go, see the doctor either suddenly, let, send someone, come on, take him away quickly. It is very awkward that this lets disease in the county accuse of the department. Because not waiting for every day yet, the rural doctor that has patrolled regularly has found this case, sensitive villagers feel uneasy, appear in the newspaper directly through one's own route to know. Li ZhiXin from Center for Disease Prevention and Control of China becomes a honorary vice county magistrate in Wen Sichuan county. In his view, the propaganda of the knowledge of prevention from suffering from the diseases of disaster area is very effective, the villagers have very high vigilance to various infectious diseases, even make the epidemic situation report appear above-mentionedly in overstrain " Allergic " State. 60% of the health clinics in towns and townships have resumed the straight newspaper of computer network at present in Wen Sichuan county, the other villages and towns have realized the mobile phone report too. But what about the village under the township? Because rural a lot of people have a fever, suffer from diarrhoea etc. without going to the hospital to see, the rural doctor in the village will count generating heat, the patients of 8 kinds of relevant infectious disease and symptom of water sample from house to house every day soon, then send someone to investigate in the report. Reflecting the beautiful town, the rural doctor has already no longer seen the doctor, but specialize in the work of epidemic prevention of monitoring, disappearing and killing etc.. In Beichuan county, because infrastructure damage such as medical organization and road are serious, most villagers go to the hospital of the other counties to go to a doctor nearby. A lot of medical organizations in An county measure after there is diarrhoea patient from Beichuan county in August, give the information feedback to Center for Disease Prevention and Control of a county of Beichuan in time, assist them to look for the reason, take the counter-measure. The statistical data that disease of department of public health of Sichuan Province accuses of the place reveal, report to the unit and already resume spreading in 18 all 610 severely afflicated areas Catch an illness and report ability. In 564 units that have already realized the straight newspaper of computer network before the calamity, have already resumed 343? Distant the intersection of �� and Xu sigh, it scratches lemons to be only the intersection of � and the intersection of horsefly and black the intersection of amine and award of entangling Divinatory symbol, V of Jin, �� of �� girl hook flash, bring a case to court Chu intelligently Numerous and disorderly Mi sauce Wu Zhun Wu vulgar garden The refined Nao Zu Gong's whiz Shan Qu takes on �� and censures �� and faints in the man side of brother's �� Bang Cuo horsefly Melt �� of Yong helmet the intersection of Jian and the intersection of thumb and the intersection of �� and quiet Fei of �� the intersection of whiz and food �� reel silk from cocoons grind the latitude umbrella miserably? There is a special link in the infectious disease infectious disease prevention and control of key management to keep a firm hand on - -Manage infectious disease especially, including tuberculosis patient, HIV-positive person and methadone substitute and treat a patient. Infective, look for the tuberculosis patient to become a major issue that disease accuses of the department after the earthquake. "Some masses suffering from disaster find a room for, inhabit hundreds and thousands of people by some, have one it infects patients to be very terrible specially. " Disease of department of public health of Sichuan Province is accused of Wang TianGui, division chief of place and said. In Beichuan county, disease accused of the staff members in the centre stewed from the ruins out and accepted that resists the register that tuberculosis treated the patient free luckily, then begin to look for one by one in the masses suffering from disaster find a room for the tent clicked. "A lot of patients crowd in the tent with healthy people, and unwilling to expose one's own identity, it is dangerous and very big. " Disease accuses of personnel's saying. On May 25, the first tuberculosis patient was found. Later, 83 tuberculosis patients on the regular payroll before the earthquake, 73 people were found successively. "The place that can be looked for is looked for completely. Consider the factor that the earthquake dies in an accident and moves, can certainly say now, can't find within the territory of Beichuan county again. " Leng Jun said, though some patients presented either short or long breaking the medicine one, will exert an influence on the treatment in the future, but disease accuses of personnel's already doing one's best, send medicines to each commune hospital under the situation not unobstructed of the road yet at fastest speed, release to a patient. According to the statistics of mid-August of department of public health of Sichuan Province, the track implementation rate of tuberculosis patient, HIV-positive person in the disaster area reaches 90% and 85% of the the above respectively. The original tuberculosis patient has found, but it is unable to solve to send the patient's diagnosis newly. Because the fixed check in diagnosis and treating of tuberculosis needs the X-ray machine of the hospital, and the installing and using the requirement for protecting facilities specially of this kind of radiation medical equipment. The board room that the temporary medical organization uses is not nearly all qualified to install the X-ray machine. Radioactive protection house from selecting site, design to supervising build, install debugging, safety evaluation, administrative licensing,etc. to last a long time, it takes half a year at least under the normal situation. Reflecting the central commune hospital of beautiful town, put from 500 milliamperes of X-ray machines which Guangdong shipped for more than 3 months and has not devanned yet in the courtyard; In the medical health center temporarily of the county of Beichuan, the X-ray machine is having houses which protects facilities specializedly in construction, need the sanctioning coming into operation specially of related departments; The hospital of board room of market the People's Hospital of Dujiang Weir has not installed the X-ray machine either, needs to radiate the patient checking and needing dept. of radiology sent to the old site of the hospital by the ambulance. Disease accuses of what the department worried about, are not having transition period for construction of permanent hospital, X-ray machine key medical use of apparatus very loud to restrict, bring to local prevention and cure of disease difficult.


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