Original title: Clash of the first domestic Delta mutants to raid Guangzhou and sum up ten experiences
As of yesterday, Guangzhou had “zero new cases” of local cases for 20 consecutive days, and the whole city was a low-risk area; on July 8th, all hospital-infected patients in this round of the local epidemic in Guangzhou were cleared, achieving “zero deaths” of infected people… …Faced with the first domestic sudden attack of a mutant strain of the new crown virus (Delta), Guangzhou completely contained the epidemic during the two incubation periods. What “Guangzhou experience” can be provided for the country to prevent and control the mutant strain of new crown virus?
Yesterday, the Information Office of the Guangzhou Municipal People’s Government held a press conference on the results of Guangzhou’s epidemic prevention and control work and the promotion of economic and social development. Relevant persons in charge of the Municipal Health Commission and experts in the fields of treatment, disease control, emergency response and other fields introduced Guangzhou’s epidemic prevention and control Work practices and effectiveness.
Give full play to the health management role of “Health Code”
Huang Guanglie, Party Secretary and Director of the Guangzhou Municipal Health Commission, recalled the past 7 weeks and stated that in accordance with the requirements of “firm confidence, help each other, scientific prevention and control, and precise policy”, according to the characteristics of the Delta mutant strain, Guangzhou City will adjust while exploring and improving while implementing. , To achieve “prevention and control before lock-in, expand investigation and run first”, thoroughly contain the epidemic during the two incubation periods, and effectively protect the people’s life and health and economic and social development.
“Summing up this prevention and control experience, under the comprehensive guidance of the Guangdong Working Group of the Joint Prevention and Control Mechanism of the State Council, we believe that sensitive and efficient fever clinics are an important line of defense for the detection of epidemics; high-quality epidemiological investigations are the implementation of precise prevention. An important basis for control; rapid and accurate laboratory testing capabilities are an important support for epidemic research and judgment; resolute and decisive implementation of closed containment is an important measure to stop the spread of the epidemic; centralized isolation and management of high-risk populations is an important means to completely eradicate the epidemic; give full play to’ The health management function of the’Health Code’ is an important starting point for promoting the active investigation of people involved in the epidemic. I believe this will provide the province and the whole country with useful reference and experience in epidemic prevention and control.” Huang Guanglie said.
Start the construction of public health committees at all levels
Huang Guanglie said that Guangzhou started the construction of public health committees at all levels at the end of June. At present, public health committees have been established in cities, districts, and towns (streets), and regular work meetings will be held to strengthen the overall coordination, guidance and supervision of public health work in the region, study major public health safety issues, and organize optimization and improvement of acute infections in the region Prevention and treatment strategies for diseases and major diseases.
Before July 31, Guangzhou will establish a village (community) public health committee in the village (resident) committee. The village (community) public health committee can coordinate primary-level medical and health institutions, property service companies, representatives of units in the jurisdiction, representatives of village (resident) residents, party members, community grid members, community volunteers and professional social workers who report in the community Etc., regularly negotiate to resolve other issues such as village (resident) health needs, family doctor contracted services, and basic public health services in the jurisdiction, and complete various health tasks.
Seven treatment experiences of “zero deaths” of infected persons in this round
Deng Xilong, director of the Department of Critical Care Medicine of the Eighth Hospital of Guangzhou Medical University, introduced that the Eighth Hospital of Guangzhou Medical University summarized seven treatment experiences as a designated medical institution.
One is closed-loop treatment. The “three separations” classification and treatment measures are adopted for local cases to achieve centralized medical isolation and observation of cases and positive cases, imported cases and local cases, abnormal health surveillance and occupational exposure personnel and other district management, to strictly prevent cross-infection.
At the same time, according to the different age classification of patients, the patients will be concentrated, and the “three centralized” admissions will be implemented. Centralize the admission of elderly patients and patients with severe illness tendency, closely observe changes in the condition, and achieve early intervention to effectively reduce the rate of severe illness; centralized admission of child patients, setting up centralized children’s admission wards; centralized multidisciplinary diagnosis and treatment, and organization of multidisciplinary teams Jointly develop a treatment plan.
The second is precision rescue. The city’s eight hospitals have a management model of “one case, one policy, one team” responsibility system, which closely monitors the physical signs of each patient, fully predicts the changes in the condition, and takes intervention measures in advance to prevent mild cases from turning to severe cases to the maximum extent. Improve the treatment effect, and further reduce the rate of severe illness and the mortality rate of severe illness.
Other experiences include: adherence to integrated traditional Chinese and western medicine, active use of antibody therapy, use of plasma from patients with new coronary disease, early intervention in rehabilitation treatment, and strengthening of psychological treatment and nutritional support.
Zhang Zhoubin, deputy director and spokesperson of the Municipal Center for Disease Control and Prevention, said that Guangzhou is focusing on promoting the new crown vaccination work for middle-aged and elderly people over 59 years old, and it is recommended that those who meet the vaccination requirements actively make appointments and vaccinate the new crown vaccine, and actively vaccinate influenza in the second half of this year. The vaccine achieves the effect of preventing new coronary pneumonia and influenza together.
In addition, one of the top ten livelihood facts in Guangzhou in 2021-the free influenza vaccination program for the elderly aged 65 and above with household registration will be officially implemented in the second half of the year after the influenza vaccine is on the market.
“Guangzhou Experience” in 10 Aspects
At the press conference, Huang Guanglie specifically introduced the “Guangzhou experience” in ten aspects: “first, accurate, precise, dense, strict, stable, warm, solid, tight, and good”.
Build a three-dimensional flow mechanism to be the “first”
The implementation of the “four synchronizations” disposal mechanism of synchronous delivery to hospitals, synchronous review, synchronous flow adjustment, and synchronous management and control of people with positive nucleic acid tests. Establish a three-dimensional circulation mechanism led by disease control and public security, and close cooperation with the community. Through the “three simultaneous” (disease control and public security rush to the scene at the same time, carry out investigations, and carry out epidemic treatment at the same time), make full use of the “human defense, physical defense, and technical A variety of means of “prevention”, the investigation scope is wider, the speed is faster, and the coordination is closer. Through high-quality epidemiological investigations, quickly clarify the complete virus transmission chain and effectively cut off the transmission route.
Investigate key crowds and lock them in “quasi”
Innovatively use big data technology to centrally isolate and assign red codes to close and sub-closed users; assign yellow codes to people around key places to maximize management and investigation of people at risk of infection. All cases in this round of the epidemic were discovered through active investigations, and all new cases after June 12 were discovered in key populations under strict control.
The implementation of hierarchical and classified prevention and control is the “precision”
According to the changes in the epidemic situation, the prevention and control unit is timely delineated, the risk level is dynamically adjusted, and the grading, classification, and precise prevention and control are implemented. Two high-risk areas and 16 medium-risk areas have been delineated. At the same time, in the prevention and control area, the closed management area, the closed management area and the closed loop management area are scientifically and finely divided according to the risk level, and different management measures are implemented to accurately control the risk of virus transmission within a known range.
Promote nucleic acid screening to cover “secrets”
For close and sub-closers, medium and high-risk areas, low-risk areas involved in the epidemic, and populations in other areas, we will advance multiple rounds of multi-level nucleic acid screening in an orderly manner. The largest-scale nucleic acid sampling work in the world’s cities has been completed. Since May 21, the city has carried out six rounds of nucleic acid testing for a total of 57.8 million people.
The flow of management personnel is bound to be “strict”
Those who do not need to leave the ears or leave the province, but do need to leave the ears and leave the province, need to show the green code of the “health code” and hold a certificate of negative nucleic acid test within 48 hours to strictly control the spread and spillage of the epidemic.
Go all out to treat patients and highlight “stability”
According to the principle of centralized patients, centralized experts, centralized resources, and centralized treatment, all patients will be transferred to the Eighth Municipal Hospital for centralized treatment as soon as possible. Establish a joint diagnosis and treatment team of experts at the national, provincial and municipal levels to implement comprehensive multidisciplinary treatment and combined Chinese and Western medicine treatment, as well as “one case, one file, one policy” refined management, scientific research and judgment of indicators, fully predict the changes in the condition, and make every effort Prevent asymptomatic transfer to diagnosis, mild disease to severe disease, and maximize the treatment effect.
The medical service guarantee in the closed closed zone reflects “warmness”
In the southern area of Liwan District, the hospitals in the area were rapidly rebuilt and expanded, and professional medical teams were deployed to form an organizational system. The three-level network of “community three-person team-community health service center-secondary medical institutions” was quickly established to strengthen the health of the people in the region Monitor and timely meet the medical needs of the masses.
Implementation of new crown vaccination to promote “real”
Coordinate the epidemic prevention and control and vaccination work, adjust vaccination strategies in a timely manner according to the prevention and control situation, open multi-channel appointment methods such as online appointment, telephone appointment, WeChat appointment, and group appointment, and optimize and upgrade the online appointment system many times. As of 24:00 on July 8, a total of 22.5 million doses and 12.37 million people had been vaccinated in the city, of which 10.21 million had completed the entire vaccination process.
Epidemic prevention and control education and guidance are posted “tightly”
Published 34 daily epidemics and prevention and control policy information at the city’s epidemic prevention and control press conference, and released the “Daily Epidemic Bulletin” and “Risk Level Adjustment Bulletin” on the Municipal Health Commission’s portal. Location or community” and other information. Strengthen the manpower of the 12320 health hotline to respond to the concerns of the people around the clock. Continuously improve the self-protection awareness of the masses and create an atmosphere of group prevention and control.
Exemplary vanguard role of party members to play “good”
Established the temporary party committee for the treatment of new coronary pneumonia in the eighth city hospital and the temporary party general branch of the medical team of the Guangzhou Iron and Steel Hospital for medical treatment to strengthen the unified leadership of the hospital’s prevention and control work. The Municipal Health Commission established 20 temporary party branches in the dispatched medical team to play a leading role in party building and let the party flag fly high on the front line of epidemic prevention and control.
Source: Guangzhou Daily
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