Epidemic data at home and abroad show that the spread of the Omikerong variant is fast and insidious, and the proportion of severely ill patients is relatively low. But is it "zero severe illness" and "flu" as some people say? How harmful is the Omiljunn variant? Experts of the state medical treatment group to Jilin were interviewed by Xinhua News Agency reporters a few days ago, and combined with the treatment of infected people in Jilin City and Changchun City, they made interpretation and response.
1
Patients still have to get on a ventilator
Since the outbreak of the epidemic in Jilin City on March 2, nearly 25,000 people have been reported to be infected with new crown pneumonia, most of whom are asymptomatic infected and mildly ill, accounting for 97.5%.
On March 26, at a nucleic acid test sampling point in Dadong Street, Chuanying District, Jilin City, the staff conducted nucleic acid testing and sampling for residents. Photo by Xinhua News Agency reporter Zhang Nan
Kang Yan, an expert of the national medical treatment group to Jilin and president of the West China Tianfu Hospital of Sichuan University, told reporters that in accordance with the principle of centralized admission and treatment according to hierarchical classification, asymptomatic infected and mild patients are centrally isolated and managed, and ordinary, severe, critical cases and cases with severe high-risk factors are concentrated in designated medical institutions such as Jilin Central Hospital.
According to reports, as of April 3, the total number of patients admitted to Jilin Central Hospital was 50 severe and 35 were critical. Currently, 10 patients still require mechanical endotracheal intubation, i.e., an invasive ventilator to support breathing.
"Experts from the national expert group stationed at the site to guide the designated medical institutions to carry out diagnosis and treatment in a standardized manner, all severe and critical cases will be admitted to the intensive care unit for treatment, and the principle of multidisciplinary coordination and 'one person, one policy' will be used to treat seriously ill patients, so as to maximize the cure rate and reduce mortality." Kang Yan said.
2
Patients with underlying diseases are at greater risk
"The damage caused by the new crown pneumonia is superimposed with the damage caused by the patient's underlying disease, which is an important reason for the deterioration of the patient's condition." Kang Yan said in response to the analysis of the treatment situation in Jilin City that the Aomi Kerong variant has a serious threat to special groups such as elderly patients and patients with serious underlying diseases, especially for people with poor basic conditions and low immunity such as long-term bedridden and hemodialysis patients.
On March 31, in the mining construction community of HadaWan Street in Changyi District, Jilin City, staff inspected "vegetable packets". Photo by Xinhua News Agency reporter Zhang Nan
Sang Ling, an expert of the national medical treatment group to Jilin and the chief physician of the Department of Critical Care Medicine of the First Affiliated Hospital of Guangzhou Medical University, introduced that the proportion of uremia patients infected in the current round of epidemic in Jilin City is relatively high, and from the current diagnosis and treatment situation, the pneumonia of such patients is heavy, the time of yin is long, and it is easy to develop into severe and critical after superposition with the patient's underlying diseases.
Yu Kaijiang, head of the national medical treatment expert group to Changchun and president of the First Affiliated Hospital of Harbin Medical University, introduced that since the outbreak of the epidemic in Changchun City to 18:00 on April 3, there have been 16,312 people infected with new crown pneumonia, including 411 ordinary patients, 42 severe patients and 2 critically ill patients.
"Some patients with underlying medical conditions were mild or ordinary when they first arrived, but then there was a transition and the condition worsened." Yu Kaijiang said.
3
In severely ill patients
The proportion of complete vaccinations is low
In the Affiliated Hospital of Jilin Medical College, a total of 124 cases of positive uremia dialysis patients were treated in this round of the epidemic.
Residents receive nucleic acid testing samples at a nucleic acid test sampling site in Nanguan District, Changchun City, on March 30. Photo by Xinhua News Agency reporter Zhang Jian
Sangling told reporters that the vaccination rate of these patients was only 11%. Because most patients are unvaccinated and immunocompromised, 15.3% of patients are moderately severe and critically ill, significantly higher than the general population.
Kang Yan introduced that the severe and critically ill patients admitted to Jilin Central Hospital show the characteristics of advanced age, low vaccination rate, and heavy underlying diseases. About 15% of people who completed 2 doses of inactivated COVID-19 vaccination were significantly lower than the general population.
"Judging from the epidemic situation in Jilin City, it is necessary to protect the health rights and interests of the people and adhere to the general policy of 'dynamic zero clearance' without wavering." Kang Yan said that at the same time, we should continue to strengthen vaccination, move forward the resources of severe treatment, and achieve early detection and early intervention of severe patients.
Source: Xinhua News Agency