Happy Health | exceeded 100,000 cases! In 60,000 isolation rooms, experts talk about patients still having to get on ventilators

On April 6, the number of new indigenous infections (confirmed + asymptomatic) hit a new high this year, with more than 20,000 cases for two consecutive days. The ongoing local outbreak since March has affected 30 provinces, autonomous regions and municipalities.

The Shanghai Municipal Health Commission reported on the 7th that from 0 to 24:00 on April 6, there were 322 new confirmed cases of local new coronary pneumonia and 19,660 cases of asymptomatic infection in Shanghai. Since March, shanghai has reported more than 100,000 positive infections in this round of the epidemic.

Lei Zhenglong, deputy director of the Disease Control Bureau of the National Health Commission and a first-level inspector, said at the State Council's joint prevention and control press conference on April 6 that since mid-March, Guangdong, Shandong, Hebei and other provinces and cities where the epidemic was more serious have shown a good trend, but the epidemic in Shanghai and Jilin is still in a state of development.

Lei Zhenglong said that the epidemic situation in Shanghai is at its peak, and more community transmission has occurred and spilled over to many provinces and cities, and the situation of prevention and control is very grim. The cumulative number of reported infected people in Jilin Province exceeded 60,000, and the epidemic situation in Changchun City continued to progress and remained at a high level; the fluctuation of the epidemic situation in the main urban area of Jilin City decreased.

Shanghai will continue to carry out nucleic acid testing or antigen testing throughout the city today

On April 7, it was learned from the press conference on the prevention and control of the epidemic in Shanghai that as of 9 o'clock on April 7, the epidemic in Shanghai has accumulated 149839 close contacts in Shanghai, and 149839 have been controlled, of which 123523 have negative nucleic acid test results, and the rest are being tested. The 115629 people who have been identified in shanghai have been controlled, and 108971 of them have negative nucleic acid test results, and the rest are being tested.

Today, Shanghai will continue to carry out nucleic acid testing or antigen detection throughout the city to achieve early detection and early control of risk personnel as soon as possible.

Jiangsu and Zhejiang will provide 60,000 isolation rooms for Shanghai

On April 6, it was learned from the regional group of the Shanghai Municipal Leading Group for Epidemic Prevention and Control that according to the unified deployment of the joint prevention and control mechanism of the State Council, in early April, Jiangsu and Zhejiang will urgently provide housing for relevant quarantined personnel during the epidemic of Shanghai's fight against the new crown epidemic, with a total of 60,000 rooms. Among them, Jiangsu and Zhejiang have 30,000 rooms each.

The isolation housing provided by Suzhou and Zhejiang is used for close contacts of confirmed COVID-19 positive patients (including asymptomatic infected people) in Shanghai. All inter-provincial transport personnel must be quarantined for 14 days. All food and accommodation expenses during the quarantine period shall be borne by the treasury and shall not be charged to individuals.

Shanghai has received positive infected patients in a hierarchical and classified manner, and continued to convert large public facilities into square cabins

At a press conference on the prevention and control of the epidemic in Shanghai held on April 7, Wu Qianyu, a first-level inspector of the Shanghai Municipal Health Commission, introduced how Shanghai can do a good job in managing positive infected people at different levels.

Wu Qianyu introduced that according to the national diagnosis and treatment plan, positive infected people are classified and treated. Designated hospitals give priority to the treatment of patients with ordinary and above confirmed diseases, as well as some mild patients and asymptomatic infected patients, including pregnant women, children, the elderly, etc., who generally need to be focused on care or accompanied by chronic diseases.

For patients with mild and ordinary diseases, it is mainly to support symptomatic treatment, closely observe the changes in the condition and treat it in a timely manner, supplemented by traditional Chinese medicine treatment. For elderly patients and patients with underlying diseases (diabetes, hypertension, tumors, etc.), close monitoring, early warning, on the basis of treatment of the primary disease, give comprehensive treatment measures such as adjusting the body's immunity, inhibiting the inflammatory response, and improving the function of the organs, so as to prevent the trend of severe disease.

Fang Cabin Hospital mainly treats asymptomatic infected and mildly ill patients. It is mainly to isolate and observe and follow up whether the condition changes, actively carry out traditional Chinese medicine intervention, and adjust and improve the physical function of the admitted person. If necessary, timely transfer to the designated hospital.

Wu Qianyu further introduced that since the epidemic, we have successively opened a number of designated hospitals and cabin hospitals. At present, it continues to convert some large-scale public facilities into square cabin hospitals, such as the National Exhibition and Convention Center, which can provide more than 40,000 beds after the reconstruction, and strives to realize the receivables of infected people.

Experts from the national medical treatment team in Jilin talked about the harm of Omicron

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 from the state's medical treatment team in Jilin were interviewed by a Xinhua reporter a few days ago to make an interpretation and response.

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%.

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.

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.

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.

The proportion of critically ill patients who have completed the full vaccination process 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.

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.

7,500 members of the Jiangsu Aid Shanghai Medical Team went to Shanghai to support nucleic acid sampling

In the early morning of April 7, 7,500 jiangsu medical team members set off for Shanghai from all over the world to support nucleic acid sampling, and are expected to return on the same day after performing the mission.

On April 4, the same group of team members participated in the large-scale nucleic acid sampling mission in Shanghai. After returning to various places from the night of the 4th to the morning of the 5th, they went to the front line again during the period of isolation and recuperation and health monitoring. Since March 27, Jiangsu has sent a sampling team, testing team and cabin team composed of more than 14,000 medical workers to support Shanghai, completing the detection of about 460,000 nucleic acid samples, the Shanghai Pudong Lingang Cabin Hospital officially opened on April 5, and the 2,054 people of the Jiangsu Aid Shanghai Medical Team are expected to take over 7,308 beds.

Workers Daily client "Le Health" No. 202

Source: Workers Daily client Workers Daily reporter Ji Wei