Author of this article: inch inch
"We're like a loudspeaker at the mouth of a village." Li Haoran described the experience of doing nucleic acid sampling for all employees in a village in the east.
Due to the limited knowledge of protection, villagers often take off their masks face-to-face at the sampling points to chat, gather for discussion, and even spit on the ground. In order to persuade the villagers to abide by the epidemic prevention norms, Li Haoran repeated the same sentence to the crowd all day long: "Wear a mask and a distance of one meter." "Basically at the end of the day, my throat is dumb."
Nowadays, nucleic acid screening for all employees has become a common means of epidemic prevention and control in many places, and "big speakers" like Li Haoran cover all parts of the country.
The "big horn" at the mouth of the village
Two years ago, Li Haoran was one of the first medical staff to support Wuhan. "In Wuhan, our group is in the intensive care unit, and the management of the ward and the measures for three-level protection are perfect."
Compared with the strict prevention and control on the front line at that time, Li Haoran felt more uncertainty in the process of grass-roots work, and these uncertainties often came from the local material conditions and the situation of the prevention and control site, "the local area is not fully prepared, and the epidemic prevention personnel need to take the initiative to coordinate."
The first thing the medical team does when they arrive is to communicate with the local village committee to confirm the extent to which the prevention and control requirements can be implemented. "The materials at the sampling points are not fully prepared, and the prevention and control conditions that the village can provide are limited, and there is even no distinction between three districts and two passages." The medical team can only make temporary on-site improvements, and separate the medical staff channel, the resident channel and the patient channel of the sampling point as much as possible.
Image source: Visual China
"Although there are many documents to guide and many drills, the documents give the general direction, and the on-site prevention and control work is different in each district." When you really arrive at the emergency scene, there may be a situation where the leader has the final say, and there is no fixed mechanism, interrupting the rhythm of the work of the epidemic prevention personnel and causing chaos on the spot."
Li Haoran and the members of the medical team are playing the dual roles of "support" and "training" at the same time.
Originally, the medical team was only responsible for nucleic acid sampling, and the local government was responsible for the isolation management of confirmed and close contact populations, but if it involved door-to-door nucleic acid testing, Li Haoran would take the initiative to communicate with the local area to confirm the protection level and protection process, "such as positive when sampling, how should the area through which the tester passes be handled." In the communication again and again, we will promote the standardization of operations and strengthen the awareness of epidemic prevention for local staff and volunteers.
Behind big data, the people who process the data
In the precise prevention and control of big data, Li Runze, a cadre stationed in the village, Huang Renjie, a disease control personnel, and Dr. Zhou Yuzhe at the isolation point, are all people who deal with big data behind them.
The popularity of electronic operations has increased the "more trivial work content" in Dr. Zhou Yuzhe's eyes.
In the nucleic acid sampling process, each person's information corresponds to a bar code, Zhou Yuzhe originally only needed to paste the bar code on the sampling test tube, and now, he wants to log in to the mini program with his mobile phone and manually enter the personnel information. In the twice-a-day temperature measurement, in addition to the usual measurement and registration, he also needs to enter the collected information into another procedure. When entering data, Zhou Yuzhe must wear protective clothing, wear two layers of gloves, and wear a sterile bag on his mobile phone to operate.
Epidemiological investigation is an extremely important part of epidemic prevention and control, in order to do a good job in circulation, Li Runze, a cadre stationed in the village, needs to obtain personal information, travel history in the epidemic area, case contact history, itinerary... Every piece of information is an important data point, but all Lee can receive is the phone number and the risk zone of the route.
In order to connect a complete epidemiological chain between the two thin data points, Li Runze, a cadre stationed in the village, needs to call and fill in the report continuously: the reporting forms include the circulation slip of the control hotel, the dynamic table that records the change data, and the change table for detecting the situation of the control personnel; the data that sinks to the village is also submitted according to the four types of personnel classified according to centralized isolation, home isolation, nucleic acid, and nucleic acid report.
The hardest part is to ask for a name, "I asked the other person what his name was, and the other person angrily asked me, 'You don't know my name, what are you calling me for?'" 」
What's harder than finding data is finding people.
In order to screen all the contacts of a sub-close case, Huang Renjie watched each surveillance video of the 12 buses that the case took in 5 days, and "finally found more than 280 people."
At 10 p.m. one night, Li Runze, a cadre stationed in the village, received data from a person in a risk area. After contacting the other party by phone, Li Runze went to the door according to the address provided by the other party, but found that the information was false, and no one answered the call. "After the traceability of the circulation is completed, it is most difficult to persuade the personnel to cooperate with the control."
Li Runze could only contact the other party's wife through the public security, and then went to the door to do half an hour of work before saying that the other party moved, "We said that the conditions of the isolation point are very good, there is no need to pay for eating, drinking, and accommodation, and the isolation time is not particularly long." By the time people were sent to the quarantine point, it was already 5 a.m.
Today, they have all come up with a set of experiences in communicating with people.
Li Runze said, "If it is a foreigner who asks the landlord to negotiate, he will not be able to say that he will not be able to live; if it is a local, let the village cadres say, which is more prestigious for the villagers." The most difficult thing to control is that people who do not live permanently are afraid that they will find various reasons if they are isolated and cannot go back."
Huang Renjie's answer was more bitter: "If two people appear in the same place at the same time, but only one person is judged to be close, that person will certainly be more difficult to understand why this is the case." All we can do is make them scold, or just let them complain."
Between "hero" and "deserter"
The epidemic, which has lasted for two years, has changed the trajectory of everyone's life.
Zhou Yuzhe's wife is also a doctor at a public hospital in Wuhan, and at the beginning of the epidemic, she was still on spring break and received a notice from the hospital that she needed to urgently resume work. Their children were less than five months old, and there was a mother with neurotic deafness. The two reported the situation to the hospital leaders but did not receive a reply, and the request for a cross-city vehicle pass was also rejected.
In the process of negotiating and handling family affairs, Zhou Yuzhe's wife arrived at work 1 day after receiving the notice, and because of this 1-day time difference, she was called a "deserter" by the leader.
The difficulties and pressures faced by epidemic prevention personnel are always used to shape their "hero" identity.
Huang Renjie did not recognize this, and he was worried that society would thus form an impression: "If you are not hard, you have no credit, it is not right", and over time hard work has become the bottom line of their work. Li Haoran has a similar view, he hopes that the epidemic prevention personnel can receive "substantial benefits", rather than seeing the "virtual hero identity" across the screen, increasing manpower, more rest time, and less deduction of wages, which are more important to their lives.
Between the "heroes" and the "deserters", the living space of the epidemic prevention personnel has been repeatedly compressed.
Zhou Yuzhe originally planned to go abroad to study for a doctorate, but now it has been shelved indefinitely, and he has never left the province since the epidemic began. "The epidemic came to do nucleic acid, and the epidemic went away to vaccinate." Today, he starts working at 6 o'clock every morning, the doctor's phone at the isolation point is open to every quarantine person, and every morning in the morning, Zhou Yuzhe can't choose when the phone rings: "Someone is uncomfortable, or has a problem to consult, sometimes they want us to help send the courier." 」
The work at the isolation point requires Zhou Yuzhe to be on standby 24 hours a day, "If there is an infection at the isolation point, we will be punished; if the first negative sample is negative, the next time someone else takes a positive test, we will also be responsible." In the past two years, Zhou Yuzhe has lost thirty pounds in a row.
Since the epidemic, Huang Renjie's mobile phone has not been turned off. Recently, due to local cases, Huang Renjie and his colleagues have been sleeping for only 2 to 3 hours a day for nearly two weeks, and the office of the disease control is equipped with folding beds and toiletries, "Some people are worried about emergencies to stay in the office, and some people don't know when they can go home."
Zhang Miao's colleague asked for leave of absence to get married, but when an epidemic broke out in the local area, not only did the wedding not complete, but also lost the marriage leave. Zhang Miao has not returned home for 3 years, but she does not dare to ask for leave, "for fear of being isolated, may not be allowed to return for several months, and the lack of training will be made up later." Haven't we always been 007, get used to it."
Zhang Miao's concern also revealed his understanding of his colleagues in the hospital. Nurse Lou Ying, who is recently retired, said that she was previously isolated because her colleagues in the department went out to sample and encountered the epidemic, and in the next ten days, she "1 person topped the class of 11 people".
Complaints, wear and tear and hope
There are also some changes that Zhang Miao did not expect.
Zhang Miao's hospital has a detailed set of hospital infection prevention and control procedures, emergency training guidelines, hospital infection office and health bureau will check the learning situation from time to time, in the most direct way - back pumping. "Medium- and high-risk areas are updated every day, and we all have to memorize them, and if we don't pass the check, the teachers in the department will be deducted."
In addition, after the implementation of the requirements for hospital infection prevention and control, "hospitals have received more complaints."
From the hospital gate, patients are required to provide detailed epidemiological information: address, identity information, when the vaccine was given... Every problem can be a trigger for an emotional outburst. A patient once slapped the table and shouted to Zhang Miao, "Are you curing the new crown or curing the disease?" She could only explain to reassure or ask the security guards to deal with it.
In addition to the complaints about the treatment process, there were also complaints about the dishes in the canteen, "because I didn't let the escort, I didn't let the food be delivered, and at first I didn't take into account the diabetic patients, it was all staple food, and then our hospital made improvements."
Li Haoran reminded patients to wear masks and show health codes at work, which was also not understood by patients, "They feel that I am hindering them."
The value of work in Huang Renjie's eyes is being worn out by some formal things.
In epidemiology, it is necessary to form an investigation report to provide a basis for the implementation of prevention and control measures, but in actual operation, Huang Renjie's circulation report cannot avoid being modified due to the preferences of his superiors, and he smiled helplessly, "Some people blow the charge trumpet, no one blows the rest."
"As an ordinary disease controller, I really didn't expect that it would be so difficult to face the epidemic, there were people who stayed up for 3 days and stayed up all night, and we were not the hardest... Forgive me for not being able to lose my temper, or not forgive, I'm sorry, I'm really too tired, and I really feel too hard..." This message in the comment area of the WeChat public account of Shanghai Cdtec touched the hearts of Huang Renjie, Li Haoran, Li Runze, Zhang Miao, and Zhou Yuzhe. Sampling, streaming, control, reporting... They are like cogs biting into each other, spinning non-stop.
Huang Renjie now sees the phone ringing in fear and is tired of the emergency notice that appears at any time, which means that he "has to let go of everything at hand". In his view, his current work is lagging behind the time of the emergence of cases, which requires a lot of manpower, material and financial resources to block, and he feels that "to defeat the new crown, it still depends on special drugs".
The new crown special drug is a word that they mention invariably when talking about the future. In the high-pressure work with no end in sight, this holds their greatest hope for the improvement of the status quo.
(In the text, Li Haoran, Li Runze, Huang Renjie, Zhou Yuzhe, Zhang Miao, and Lou Ying are pseudonyms)
Curated: Y^OH
Executive Producer: Gyouza
Title image source: Visual China
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