The Paper's reporters Li Jiawei, Chen Sisi, and Zou Jiawen
Did you get struck by a comment this morning?
Screenshot of Shanghai release
"As an ordinary disease controller, I really didn't expect it to be so difficult to face the epidemic. There are many people who stay up for 3 days and two all-nighters, and we are not the hardest. Community transporters are said to have slept only 10 hours in five days..."
This morning, Shanghai released a message about the disease control staff, which was praised by netizens, and some people replied that "the taste that cannot be said in the heart" "It is really difficult, it is really difficult to race against the virus, take your life in the race, salute you."
This is a glimpse of Shanghai's epidemic prevention.
On January 13, Shanghai reported 2 new confirmed cases of local covid-19 and 3 asymptomatic infected people, all of which were related to one case of asymptomatic infection imported from abroad reported on January 11, and were found through routine nucleic acid testing during isolation and control. At the same time, the emergency response mechanism has been activated, and the comprehensive and accurate epidemiological investigation, relevant personnel investigation, sampling and detection, and isolation control are operating efficiently.
Epidemic prevention personnel completed community transfer work. Courtesy of respondents
On January 15, the surging news reporter interviewed the frontline work of the dispatch team, community prevention and control workers, nucleic acid sampling personnel, who shuttled around the city day and night, and guarded the "fortress of the epidemic" in Shanghai side by side with many prevention and control workers.
Circulation personnel: There is no time to shout tired, this is our responsibility and obligation
On the morning of January 15, when interviewed by the surging news reporter, Yang Xiaoming's hoarse voice revealed the fatigue after continuous all-night long in the frontline.
"It's about seven o'clock in the morning, and I'm home." Yang Xiaoming raised his tone and beat his spirit to cooperate with the reporter's interview.
Yang Xiaoming is a staff member of the Shanghai Jing'an District CDC and also a member of the first echelon of the center, every time there is an epidemic, the circulation task is one after another, watching the monitoring, making phone calls, and completing the circulation report on the spot. These days she stays up late every day and rarely has time to rest.
Yang Xiaoming is one of many members of the transfer team. She told reporters that at about 20:00 on the evening of January 13, she received the latest single-tone task, put down the dishes and chopsticks and set off immediately. This single task is to arrange the crowd of people in a public place.
The members of the squad are in the platoon. Courtesy of respondents
During the epidemic prevention and control period, every time a confirmed case or asymptomatic infected person appears, a large number of close, sub-close and high-risk groups are involved. These tasks are intertwined, very complex, must be fine, behind which are thousands of prevention and control personnel like Yang Xiaoming.
"There is no room for sloppiness, every task is critical, and the flow must be completed quickly and accurately." She said.
At 21:00 on January 13, Yang Xiaoming and his colleagues arrived at the designated place. On the way, she has contacted the street and related properties, and with their cooperation and assistance, she has quickly carried out her work.
First, look at the monitoring. In the process of circulation, in addition to asking, looking at monitoring is a very effective technical means, "This process is very complicated, to study the time, what place, who is around the relevant personnel, whether they have contact, whether they wear masks when contacting, whether to maintain social distance, ventilation of the place and so on." She said.
Viewing monitoring is not an easy task. For example, sometimes the relevant personnel can not be located in the monitoring, and it takes a long time to adjust forward and backward to find the person. Sometimes, the person is located, but there are monitoring blind spots in its activity trajectory, and it is necessary to call up the monitoring at a longer distance to accurately locate it again.
Yang Xiaoming always tirelessly stares at each frame of the picture carefully, checking whether the relevant personnel have taken off their masks, whether there are takeaway workers who come in to pick up meals when eating, whether the service personnel wear masks when serving food, whether the personnel have been to the bathroom, and how the protective measures are.
In addition to viewing and monitoring, the flow team members will go to the field to further determine the actual location, surrounding environment, and related distance of the close contacts, check the ventilation status of the place, etc., and also communicate with the relevant personnel.
At more than two o'clock in the morning on January 14, Yang Xiaoming grasped the location of relevant personnel and wrote and uploaded the circulation report overnight. Only if it is fast enough, the follow-up community and other prevention and control departments can also control the relevant personnel faster and completely cut off the potential spread of the epidemic.
As a member of the circulation team, Yang Xiaoming said that watching monitoring is a test of experience, and it is necessary to quickly and accurately locate it after watching more. In addition, the members of the circulation team should also be good at communication, because the crowd they face is very large, and they need to obtain the most accurate information when communicating.
She said that most of the public is now very cooperative with the epidemic prevention work, and the efficiency of circulation is also very high. Everyone also has a strong sense of collaboration and is very supportive of the flow adjustment work, which is also gratifying.
However, she has also encountered some situations. Yang Xiaoming said that once she called to verify the information of the transfer, the other party reported to the police, and after the police verified the identity of the disease control personnel with this person, the other party still did not believe it and suspected the liar. "I told him for half an hour, but I have not cooperated, this situation is still relatively helpless, and it also affects the efficiency of the flow."
On January 14, Yang Xiaoming stayed up another big night to assist other teams to complete the relevant prevention and control work, and returned home on the morning of January 15.
"There is no time to shout tiredness, this is our responsibility and obligation as a disease control person." Yang Xiaoming said that at this time, there are too many people around her who are carrying out prevention and control work day and night, and everyone is sticking to their posts.
Community grassroots epidemic prevention personnel: 100 phone calls in 2 hours
"Epidemic prevention work is our current priority, and even if we work overtime on weekends and holidays, we are obligated." At noon on January 15, Xiao Xu, a grassroots epidemic prevention personnel in the Shanghai community, took advantage of a short lunch break to accept an interview with the surging news reporter.
From 2019 onwards, Xiao Xu was responsible for the epidemic prevention work of the neighborhood committees under the street. At less than 8 o'clock in the morning of the 15th, she rushed to the neighborhood committee to start the day's work.
"According to the requirements of epidemic prevention and control in Jing'an District, we need to implement 2+12 control over the shopping malls involved in the recent cases, and at present, there are 5 relevant people in the community I am responsible for, all of whom have entered a 12-day health observation period, and we need to understand and register their health status and nucleic acid testing in 12 days." On the morning of the same day, Xiao Xu consulted the temperature and health status of these personnel. She also contacted inbound personnel who were about to enter the 7-day community health monitoring immediately after the end of the 14-day centralized quarantine period.
Community workers carry out circulation in buildings, residential areas and other places. Courtesy of respondents
"Community health management for inbound personnel is also part of my job. At present, Shanghai has clarified the 'six noes' principle for inbound personnel during the 7-day health monitoring period, before this part of the personnel enter the community, we will call them in advance to consult whether they choose to live in our community in the next 7 days, or choose to go to other hotels for health monitoring, if you choose to live in the community for 7 days, I need to inform the 'six no', first through WeChat to issue a notice, a letter of commitment, etc., so that they can understand in advance. ”
Asking requires patience and meticulousness, and communication requires skill. Xiao Xu said: "If these people only rent us here, we also need to understand the landlord's information, if it is the owner, we will communicate with them, cooperate with the community epidemic prevention and control measures, and then apply to the urban transportation center to help their residence install the door magnet, after they are transferred to the community, we will tell them a series of processes in detail, such as signing the consent form, etc., and then tell them in time to do a good job of temperature detection twice a day, as well as regular nucleic acid test results, everyone's information needs to be registered in time." ”
At its peak, Xiao Xu managed about 15 community health observers at the same time.
Epidemic investigation is also part of the work of grass-roots epidemic prevention personnel, "for example, who has been to medium- and high-risk areas in the community needs to be contacted one by one, and once there is an epidemic in Shanghai, we all need to carry out investigation." Xiao Xu said that not long ago, she received the task of checking the users who had ordered milk tea shops in medium-risk areas online one by one through telephone contact, and asked their home addresses one by one, which was only one part of the investigation.
Xiao Xu said she and her colleagues must ensure that the phone is open 24 hours a day. In her impression, there have been 2 hours to make 100 phone calls, to check the high-risk areas of the epidemic to Shanghai and return to Shanghai, but also at 9 o'clock at night to receive emergency calls, in 10 minutes to understand the home address of 10 people and where they have been, etc., "epidemic prevention and control is a race against the clock, can not wait for a moment." ”
In the process of epidemic investigation and community health management, most of the people Xiao xu encountered can comply with the corresponding control measures, but there are also some people who are unwilling to cooperate with the epidemic prevention work, such as not willing to disclose their own information, or unwilling to go to centralized isolation points, etc. We have to do a lot of communication and coordination work.
On behalf of all the staff involved in the grass-roots epidemic prevention, Xiao Xu would like to say a word to everyone: epidemic prevention is not a one-person affair, it involves the safety of the whole city, and your small move means more safety for yourself and your family and even many people around you.
Less than 1 minute to complete a one-person sample, many nights spent in the hospital
At the nucleic acid testing point of Yangpu District Central Hospital, citizens lined up to do nucleic acid. Photo by The Paper's reporter Chen Sisi
Recently, many nights have been spent in the hospital.
She is the head nurse of the Infection Department of Yangpu District Central Hospital and has led a nucleic acid testing team, and these days, the demand for nucleic acid testing in Shanghai citizens has gradually risen.
"On weekdays, the nucleic acid test volume in our hospital is about 1500 people per day, and in recent days it has hovered around 2000-3000 people." Jiang Min said that the longest working hours of the team she led reached 8-10 hours, and the morning, middle and evening shift system was implemented, and everyone took turns on duty 24 hours a day. "The work is very hard, but no one flinched, today (January 15) there is another nurse, was temporarily notified to come to complete the sampling task, she came 4 hours in advance, we also added a window to carry out nucleic acid testing work."
Jiang Min told the surging news reporter that there are three types of people who have recently come to do nucleic acid sampling, one is the student group on vacation, the second type is the business traveler, because Shanghai has recently appeared in medium-risk areas, they go to other provinces and cities to hold meetings and need nucleic acid test reports, and the third type is returnees, mainly migrant workers in Shanghai.
Jiang Min recalled that she once cooperated with two colleagues to complete the nucleic acid sampling task, the colleague was responsible for information registration, she was responsible for nucleic acid sampling, and completed the nucleic acid sampling work of about 400 people in 4 hours, almost in less than a minute to complete a person's nasopharyngeal swab sampling.
"In order to let more people complete the nucleic acid test in the fastest time, our nurses will not stop working during lunch and dinner, everyone takes turns to eat lunch and dinner, and I can often see nurses eating a bite of lunch at 1 p.m." Jiang Min said.
Jiang Min said that the nursing department of the hospital has also set up an emergency nucleic acid sampling team, which is divided into five groups in total, each group has 30 people, and where there is a need, the team will be urgently dispatched to go there. "On the one hand, in the face of the sudden epidemic, we must do a good job of screening relevant personnel in the shortest possible time, whether it is evening or weekend, on the other hand, we must also try our best to meet the needs of society, and carry out nucleic acid testing for some people and student groups who need to return home during the Spring Festival."
Tongren Hospital nucleic acid testing site staff command order. Photo by The Paper's zou jiawen
The No. 1 sampling window of Tongren Hospital is the care window photographed by The Paper's reporter Zou Jiawen
At 8:10 a.m. on January 15, the surging news reporter saw at the west gate of the Tongren Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine that dozens of people had come to queue up for nucleic acid testing, and as the order of the on-site staff was maintained and the online rapid registration was guided, the citizens were put in batches and moved forward faster.
Zhang Xuan, chief nurse of the outpatient clinic of Tongren Hospital, told reporters that Tongren Hospital promised the society that it could complete 10,000 nucleic acid test samples a day, and ordinary citizens would report in 6 hours and emergency patients in 2 hours.
On January 14, the 5 sampling windows and emergency windows of the tongren hospital testing point were all opened, and nearly 6,000 samples were completed during the day shift from 7:30 a.m. to 4:00 p.m., and 5 windows were opened at night, completing nearly 2,000 samples.
Zhang Xuan sighed that since the normalization of epidemic prevention and control, the process of nucleic acid testing has become increasingly optimized and smooth, and the hardware and software have been comprehensively improved. She remembers that the first one or two thousand nucleic acid tests were busy enough for everyone to choke, and at that time, it was unimaginable that nearly 10,000 samples could now be tested in an orderly manner.
Behind this, there are also the efforts of medical staff day after day.
During the period of duty, the sampling window staff wore anti-leakage N95 masks, coated with a layer of anti-fog spray on the glasses, put on protective clothing, and stabbed and scratched the citizens in front of the window one by one. Zhang Xuan said that the mask is worn tightly, the oxygen consumption is very high, and because the protective clothing is extremely inconvenient, standardized and demanding, the sampling personnel generally rarely drink water, so as to reduce the number of times to go to the bathroom.
Nucleic acid testing sampling point manpower increased, it is indispensable to transfer medical workers from other departments to support, time is tight, the task is urgent, the hospital will consider deploying several senior nurses who have worked in the infection department for many years to "pair" with "newcomers". "They control the whole process and guide the young nurses to standardize the operation, which is also for the safety of the people who come to sample." Zhang Xuan introduced, but at the same time, she is very distressed about these relatively old nurses, "female comrades go up in age, easy to urinate frequently, in fact, it is very difficult, but they have not complained." ”
Editor-in-Charge: Xu Xiaoyang