Source: Yangcheng Evening News
The development of Guangdong's health and health undertakings is the focus of discussion inside and outside the venue of this provincial people's congress, especially how to achieve the prevention and control of the new crown pneumonia epidemic. How to use big data to accurately identify epidemic risks and plug loopholes in advance? ...... The Yangcheng Evening News reporter interviewed Zhu Hong, director of the Guangdong Provincial Health Commission, on some hot issues of public concern.
Zhu Hong, Director of Guangdong Provincial Health Commission
Face Omikeron
Does Guangdong's epidemic prevention and control need to be "upgraded"?
As of 10 a.m. on January 19, the Ormicron variant had spread to at least 175 countries. At present, the Aomi Kerong strain has replaced Delta as the global dominant strain, does Guangdong's epidemic prevention and control need to be "upgraded"?
Zhu Hong pointed out that the experience of Guangdong and Aomi Kerong against each other shows that the Aomi Kerong variant has the characteristics of strong propagation ability and fast propagation speed. However, the Aumecreon variant does not affect the sensitivity and specificity of the existing nucleic acid detection reagents, and the general strategy of "external anti-import, internal anti-rebound" and the general policy of "dynamic clearance" are still effective in preventing the Opichron mutant strain.
"In the near future, we will strengthen all aspects of prevention and control from people and things to improve the accuracy and precision of prevention and control." Zhu Hong pointed out, "In terms of civil air defense, strict closed-loop management of all aspects of quarantine, transshipment, isolation, and medical treatment of inbound personnel from ports. Strictly implement the requirements of 14 days of centralized isolation for medical observation and 7 days of home health monitoring for inbound personnel to prevent cross-infection. The transfer link requires the whole process to wear masks in a standardized manner, avoid drinking water and eating in relatively confined places such as transport vehicles, and try not to speak. Centralized isolation sites strictly implement hierarchical and classified management, and inbound personnel are isolated separately from local personnel. Home health monitoring requires information push and personnel management to be double closed-loop, and centralized health management should be implemented for isolated personnel who do not meet the conditions for home health monitoring and live in old residential areas (poor living conditions, poor ventilation, etc.).
Zhu Hong pointed out that in terms of material prevention, the provincial epidemic prevention and control team recently issued a notice on further strengthening the prevention and control management of international mail express and cargo epidemic prevention and control, strengthening the prevention and control of international goods, and comprehensively disinfecting all aspects of ports and express delivery sorting centers.
Xinhua News Agency data map
In terms of emergency response, Guangdong will expand the scope of close contact screening. "We will determine the persons exposed in the same place and space as close contacts in the same place and space as close contacts, and carry out health management in a timely manner." Zhu Hong said.
Indigenous cases have emerged
Will it affect the people's return to their hometowns during the Spring Festival?
The Spring Festival has started, but recently there have been local cases of new crown pneumonia in Guangdong Province every day, what is the current epidemic situation in Zhuhai, Zhongshan and Shenzhen? Will the epidemic affect the people's return to their hometowns and travel during the Spring Festival?
Zhu Hong said that the epidemic in Zhongshan, Zhuhai is the same chain of transmission. Zhongshan City has not reported community cases for 8 consecutive days, and the epidemic situation has been effectively controlled. The epidemic situation in Zhuhai is currently limited to Nanping Town, and the newly reported cases are mainly "colleagues, classmates, and people living together", all of which are in the controlled population, and the transmission chain is clear. The newly reported epidemic situation in Shenzhen city, the epidemic was detected early, the control was timely, and there were no recurrence cases. After the outbreak of the epidemic, the three places all started to respond at the first time, and the party and government leaders of the province, city, district (town) formed an on-site command center to resolutely and decisively deal with the epidemic in accordance with the prevention and control plan, and at present, all close contacts and sub-close contacts have been controlled, and the epidemic continues to develop well.
As for whether the epidemic will affect the travel of the Spring Festival, Zhu Hong said that the state and provinces have issued a document clearly proposing "two restrictions, two avoidances and one promotion", strictly restricting the travel of people in medium- and high-risk areas and counties (cities, districts), other counties (cities, districts) in cities where medium- and high-risk areas are located are not necessary to travel across provinces, and those who really need to travel must hold a 48-hour nucleic acid negative test certificate; strictly restrict travel to medium- and high-risk areas and counties (cities, districts), and do not necessarily go to other counties (cities, districts) where medium- and high-risk areas are located. Try to avoid traveling to land border port cities outside the province; people in high-risk positions try to avoid inter-provincial travel. Advocate the timely completion of a nucleic acid test for the new crown virus after the arrival of cross-provincial mobile personnel in Guangdong, and strengthen self-health monitoring.
The Spring Festival flows frequently
Can early warning be achieved for epidemic prevention and control?
During the Spring Festival, the frequent flow of people has also brought great pressure to the prevention and control of the new crown pneumonia epidemic. Can the current prevention and control of the epidemic be done in advance? This is also a matter of great concern to the public. In fact, the effective early monitoring and early warning mechanism and emergency response measures established in Guangdong Province in 2020 have set an example for global epidemic prevention and control.
According to the reporter's understanding, in August 2020, the provincial financial investment of 88.62 million yuan officially set up a project to build the "Guangdong Province Intelligent Multi-point Trigger Disease Prevention and Control Early Warning System" (hereinafter referred to as the "Multi-point Trigger Early Warning System"), becoming the first province in the country to approve a project and start the construction of an intelligent early warning system, and the system has been put into use.
Zhu Hong introduced to reporters, "Guangdong Province has taken the lead in building an intelligent multi-point trigger disease prevention and control monitoring and early warning system in the country, which has improved the monitoring and early warning capabilities from three aspects: First, the 'breadth' of monitoring and early warning has been significantly improved." More than 3.7 billion pieces of data and information from multiple channels such as fever diagnosis, nucleic acid testing, vaccination, drug purchase registration, and multi-departmental data and information such as health, market supervision, public security, commerce, and drug supervision have been gathered to build a multi-dimensional early monitoring and early warning scenario model. Second, the 'degree of intelligence' of monitoring and early warning has been significantly improved. Realize the automatic capture of patient syndrome information and the comparison and analysis of nucleic acid detection, drug purchase and other information, and issue early warning signals for high-risk groups and places. Third, the 'practical application degree' of monitoring and early warning has been significantly improved. Timely issuance of special reports on epidemic early warning and risk prompt analysis to the provincial command office and various working groups (special classes) provides auxiliary decision-making support for identifying epidemic risks, reminding them to plug loopholes, and assisting in landing investigations. ”
Zhu Hong said that since the multi-point trigger early warning system was put into use, it has been built, used and improved in the actual battle of epidemic prevention and control. "At present, the system will monitor the hospital, fever clinic, cold storage cold chain, isolation of hotels and port terminal staff and other aggregated data for intelligent analysis and early warning, according to the size of the risk to generate red (high risk), orange (medium risk), yellow (general risk), blue (suspicious risk) and other signals to implement hierarchical classification of automated early warning, with this intelligent system, will help us accurately and quickly win the local epidemic prevention war, annihilation war."
Patients with neomnate pneumonia
What is the current effectiveness of treatment in Guangdong?
During the "14th Five-Year Plan" period, Guangdong Province proposed to improve the major epidemic treatment system. At present, how effective is the treatment of covid-19 patients in Guangdong? How to improve the ability to treat infectious diseases and severe diseases? Zhu Hong pointed out that the Provincial Health Commission has adopted four centralized treatment, high-level expert joint treatment, integrated traditional Chinese and Western medicine diagnosis and treatment mechanisms, and has gone all out to treat every new coronavirus infection. "According to statistics, since 2020, the province has received a total of 3,684 confirmed cases of new crown pneumonia and 3,360 cases of asymptomatic infection with new coronavirus; the cumulative treatment of 288 cases of severe or above cases, 8 deaths, and the cure rate of severe or above has reached 97.22%, and no deaths have been reported since March 2020." Zhu Hong said.
In order to further make up for the shortcomings of major public health epidemic prevention and control and treatment capabilities, Guangdong Province launched the "Three-year Action Plan for Public Health Prevention, Control and Treatment Capacity Building" in December 2020, focusing on building a hierarchical and hierarchical distribution of infectious disease treatment networks, concentrating on strengthening the capacity building of infectious diseases at all levels, and focusing on improving the ability to combine peacetime and wartime.
Zhu Hong said: "At present, 25 urban infectious disease treatment network construction hospitals in 21 prefectures and cities in the province have all completed the construction task, with 8486 beds for infectious diseases and 2784 beds for ICU; 77 county-level public hospitals have basically completed the construction of convertible infectious disease areas, and the number of county-level infectious disease beds has increased from 1845 to 4295. The medical treatment and security system has been more sound, and the capacity of the emergency response team for acute infectious diseases has been further improved. ”
Text/Yangcheng Evening News all-media reporter Zhang Hua Correspondent Yue Weixin