After the implementation of centralized isolation management for mild cases, the fang cabin hospital will be an ideal place.
Written by | Tian Dongliang
Source | "Medical Community" public account
After Jilin City, Changchun City and Langfang City, Nanchang City and Quanzhou City also built square cabin hospitals.
Fujian Quanzhou Fang cabin hospital is located in the badminton hall and basketball hall of Quanzhou Strait Sports Center, with a total capacity of 1,000 beds, and has been put into use on the evening of March 20 to receive mild and asymptomatic patients. Jiangxi Nanchang Fangchang Hospital is located in xinyue Lake Gymnasium in the newly built area, which is currently under construction for 24-hour all-night operations, and after completion and use, it will be used to receive and isolate asymptomatic infected people.
Picture from "Quanzhou Pass Client"
On March 15, the National Health Commission issued the Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia (Trial Version 9), which clarifies that mild cases are subject to centralized isolation and management. This requires that cities where the epidemic occurs must have specific places for receiving light patients and asymptomatic infected people for isolation and management, and the cabin hospital will be the ideal place.
The proportion of mild patients is high
According to the epidemic situation report issued by the National Health Commission, on March 20, there were 1,947 new locally confirmed cases and 2,384 new local asymptomatic infected cases in Chinese mainland. For two consecutive days, the number of new asymptomatic infected people in the mainland has exceeded the number of confirmed cases.
Shanghai is the city with the largest increase in the number of asymptomatic covid-19 infections, and on March 20, 24 new cases of local infection and 734 cases of asymptomatic infection were confirmed in Shanghai. Shanghai has been for many consecutive days, and the number of new asymptomatic infections per day is much higher than the number of confirmed cases. At a press conference on epidemic prevention and control in early March, Wu Fan, vice president of Shanghai Medical College of Fudan University, explained the phenomenon that the majority of asymptomatic infected people are.
Wu Fan said that Shanghai's judgment of asymptomatic infected people is carried out in strict accordance with national standards, and there are three reasons for the increase in asymptomatic infected people: First, the new crown virus is constantly mutating, the spread is strong, but the pathogenic force is declining, resulting in a higher and higher proportion of mild and asymptomatic diseases, which is a trend around the world; second, the large-scale immunization of vaccines has played a very important role in protecting susceptible people; third, it is related to the immunity of infected objects and specific individuals, and young people are more likely to have asymptomatic situations.
Jilin Province is still the most serious province in the mainland in this round of the epidemic, with 1,542 of the 1,947 new confirmed cases in Japan on March 20 in Jilin Province, and 549 new asymptomatic infected people.
Zhang Li, deputy director of the Jilin Provincial Health Commission, introduced at the press conference on the prevention and control of the epidemic held on the morning of the 20th that the main transmission in Jilin Province is the SUBtype of the Aomi Kerong strain BA.2, which is more contagious, faster and more insidious. Judging from the cases in the province, it is mainly mild, and the proportion of mild patients in Jilin Province has reached more than 98%, and the overall medical treatment work is smooth.
At present, Jilin Province has built 9 square cabin hospitals, providing 16,302 beds, and there are 11,673 isolation rooms in hotels, hotels, training centers and other isolated rooms throughout the province.
The square cabin hospital will become
Is it standard for future epidemic prevention and control?
Tan Qindong, who had previously entered the public eye because of the "Hongmao Medicinal Liquor Incident", as early as March 13, before the release of the ninth version of the diagnosis and treatment plan, suggested through his personal Weibo "Dr. Tan Yuyan" that the provincial capital city needs to build a cabin hospital.
After the release of the ninth edition of the diagnosis and treatment plan on March 15, Tan Qindong sent a weibo: A little changed, personally suggested that provincial capitals and transportation hub cities must build fang cabin hospitals for emergency use.
Since the ninth edition of the COVID-19 protocol was issued during this outbreak, many mild patients everywhere are still admitted to hospitals. For example, the Jilin Provincial People's Hospital has opened 1,500 beds, and as of 8 o'clock on March 20, 1,396 patients with new coronary pneumonia have been treated, including 17 severe.
The fang cabin hospitals built in Nanchang and Quanzhou are clearly used to treat people with mild and asymptomatic covid-19 infections, and their practices are more in line with the requirements of the ninth edition of the diagnosis and treatment plan.
It should be pointed out that in the ninth edition of the diagnosis and treatment plan, there is no description of how asymptomatic infected people are managed, for asymptomatic infected people, Jiang Rongmeng, vice president of Beijing Ditan Hospital, told the "medical community" that asymptomatic infected people have always been defined and managed in the "prevention and control plan", so it depends on how the ninth version of the prevention and control plan is adjusted. "The ninth version of the prevention and control plan is also fast, and it will be released in two days."
In the eighth edition of the prevention and control plan, it is clearly required that asymptomatic infected persons should be subjected to centralized isolation for medical observation in designated medical institutions for 14 days, and in principle, those who have tested negative nucleic acid on two consecutive specimens (sampling time interval of at least 24 hours) can be released from centralized isolation for medical observation.
In the context of mild disease patients are no longer admitted to the hospital, it is foreseeable that asymptomatic infected people will no longer be admitted to designated medical institutions.
Previously, Shanghai also reported that Minhang, Jiading and other districts were building fang cabin hospitals, but they were all debunked by Shanghai. On March 20, a video allegedly caused by the dissatisfaction of nurses because Ofupu Hospital was planned to be transformed into a cabin hospital was circulated online, in which a young woman who was appeased said loudly: "We don't want to become a cabin hospital" and "We can go to the cabin hospital to support, but we can't turn the hospital into a cabin hospital."
Previously, hospitals were usually used as designated institutions to receive COVID-19 patients, and there was no precedent for converting hospitals into square cabin hospitals. On March 30, 2020, the Department of Housing and Urban-Rural Development of Hubei Province issued the "Relevant Technical Requirements for the Design and Reconstruction of Fang Cabin Hospital (Revised Version)", which clarified that the location of Fang Cabin Hospital should be as far away from residential areas, kindergartens, primary schools and other urban crowded activity areas, and away from the production and storage sites of flammable and explosive toxic and harmful gases. You can choose such as convention and exhibition centers, gymnasiums, large factories, warehouses, dormitories and other facilities and equipment and buildings with good fire fighting infrastructure.
For the video of Zhoupu Hospital being converted into a square cabin hospital on the Internet, the "medical community" verified with the relevant staff of the Shanghai Municipal Health Commission, and the other party said, "It is not a square cabin, it is a temporary treatment point." ”
As for the recommendation in the ninth edition of the diagnosis and treatment plan for the centralized isolation and management of patients with mild diseases, the staff member said, "It has not been implemented." ”
Source: Medical community
Editor-in-charge: Zheng Huaju
Proofreader: Zang Hengjia
Plate making: Xue Jiao