General Administration of Customs: Strictly prevent unknown causes
Acute severe hepatitis in children afferent
In response to the successive reports of cases of acute severe hepatitis in children of unknown cause in many countries around the world, the General Administration of Customs has recently made arrangements for health quarantine at customs ports across the country to prevent the epidemic from being introduced to the mainland.
The General Administration of Customs requires customs throughout the country to strengthen quarantine inspection work such as health declaration, body temperature monitoring, medical inspection and other quarantine inspections for inbound passengers from countries/regions with case reports, and to carry out medical screening in accordance with the prescribed procedures for passengers with abdominal pain, diarrhea, vomiting and jaundice who voluntarily declare or are found on the spot. After medical investigation, passengers suspected of having acute severe hepatitis of children of unknown cause should be transferred to designated medical institutions for further diagnosis and treatment in a timely manner, and follow-up should be done.
Cases have been reported from 20 countries
Cases are predominantly aged 1 to 16 years
According to the World Health Organization, as of 1 May, at least 228 cases of unexplained childhood acute severe hepatitis and 50 suspected cases have been reported from 20 countries around the world. (Previously reported: Asia's first death case!) About hepatitis in unknown children, the WHO authoritative Q&A is coming)
Among them, the epidemic in The European region has spread to 14 countries, and the spread trend is obvious, and cases have also been found in countries in the Americas, the Western Pacific and Southeast Asia.
The age distribution of cases is mainly from 1 to 16 years.
Symptoms include jaundice, vomiting, diarrhea, etc
WHO: Thorough handwashing can help reduce transmission
Customs reminds that the symptoms of acute severe hepatitis in children of unknown cause include jaundice and gastrointestinal symptoms, such as vomiting and diarrhea, abdominal pain, etc.
During the entry and exit, if there are symptoms of discomfort, the flight attendant should be informed in a timely and truthful manner, and cooperate with self-protection. Passengers entering and leaving the country, especially children, who have gastrointestinal symptoms and jaundice, should report to the Customs in time so that they can obtain diagnosis and treatment as soon as possible.
WHO recommends that thorough handwashing, including supervising children, can help reduce the spread of many common infections.
Recent high incidence of illness! Guangdong DISEASE Control Emergency Reminder
As temperatures rise and rain increases, various viruses have also begun to become active, and Guangdong Disease Control has specially reminded 9 infectious diseases to beware of in May.
Neona coronary pneumonia
At present, the world is in the fourth wave of the epidemic downturn. The global dominant strain Omicron variant has strong transmission power, and the risk of overseas import will continue to be at a high level. The situation of epidemic prevention and control in Guangdong is grim.
Disease prevention guidelines
Vaccination: It is recommended that eligible people receive the COVID-19 vaccine as early as possible in the absence of contraindications to vaccination. People aged 18 years and over who have completed the full course of vaccination are given booster injections as soon as possible at 6-month intervals.
Protection: Please try to avoid going to medium- and high-risk areas or areas with case reports, and insist on doing a good job of washing hands frequently, wearing masks, ventilating frequently, and one-meter line every day.
Early investigation: self-health monitoring every day, if there is fever, dry cough, fatigue, sore throat, decreased sense of smell (taste), diarrhea and other uncomfortable symptoms, go to the fever clinic of the nearby hospital as soon as possible, and inform the doctor of the travel history, do not use your own medication; wear a mask throughout the process of medical treatment, avoid taking public transportation.
Special reminder
1. If there are people returning to Guangdong from epidemic risk areas, take the initiative to report to the community and cooperate with local epidemic management measures.
2. If you are from a province (returning) to Guangdong, for the health of you and your family, we advocate that you take the initiative to conduct a nucleic acid test and do a good job of self-health monitoring.
Hand-foot-and-mouth disease, herpetic angina
The epidemic intensity of hand-foot-and-mouth disease in Guangdong will increase significantly in May compared with April, and attention should be paid to the epidemic and prevention and control of herpetic angina. Childcare institutions are key places.
Disease prevention guidelines
Wash your hands frequently: Wash your hands with soap or hand sanitizer and running water, especially before eating and after going out to play and going home.
Frequent ventilation: The living room should often open the window for ventilation to maintain air circulation.
Less gathering: It is recommended to take children to crowded places as little as possible during the season of high incidence of disease, such as indoor children's playgrounds.
Frequent cleaning: Frequently wash and disinfect tableware and utensils such as tableware, bottles, pacifiers, and toys used by children.
Observe frequently: Pay attention to whether there are herpes or rashes in the mouth, hands, feet, buttocks and other parts of the child, and if so, seek medical attention as soon as possible.
Vaccination: EV71 is a viral type that is more likely to cause severe or even death in hand,peg-mouth cases, and EV71 vaccination (6 months to 5 years old) is effective in preventing hand-foot-and-mouth disease caused by EV71 infection. It is recommended to complete the vaccination procedure before 12 months of age.
Distant patients: Hand-foot-and-mouth disease and herpetic angina are highly contagious, and intimate contact with patients should be avoided, and it is not recommended to hug or share toys, tableware, toiletries, etc. with patients to avoid infection.
dengue fever
Recently, the density of mosquito vectors in Guangdong has gradually increased, and there is a risk of dengue importation in May.
Key prevention and control areas: Guangzhou, Shenzhen, Foshan, Dongguan and other cities with more closed-loop management of inbound personnel, as well as Shantou, Zhanjiang, Jiangmen, Chaozhou, Jieyang, Yangjiang and other areas where local clusters of dengue fever have occurred in recent years.
Disease prevention guidelines
Elimination of mosquito breeding sites:
Sealing: Cover water tanks, water tanks and other water-holding utensils.
Filling: fill in pits, waste water ponds, ditches, bamboo holes, tree holes.
Dredging: Dredging ditches, shore silt and weeds.
Drain: Drain all possible stagnant water from mosquitoes, including water from flowerpot trays, water from idle containers, and water from used tires.
Clear: Remove small containers of garbage, garbage plastic film bags, waste bottles and cans, cans and other garbage containers.
Anti-mosquito and anti-mosquito:
Partition: Wear light-colored long-sleeved clothes and trousers when going out, install screen doors and windows at home and use mosquito nets.
Avoid: Avoid staying in shade, grass, gazebos and other outdoor shade during times of frequent mosquito infestation.
Repellent: Apply mosquito repellent to exposed skin and clothing.
Kill: Timely use of insecticides, mosquito coils, electric mosquitoes to kill adult mosquitoes, etc., can be stocked in the water tank to eat mosquitoes and fish.
Chickenpox, measles, rubella, mumps
The chickenpox epidemic in Guangdong will show an upward trend in May. The key places are primary schools, and the key population is children who have not been vaccinated and have not been fully vaccinated with 2 doses of varicella vaccine.
The measles epidemic in Guangdong will show an upward trend in May, and there is a possibility of local clusters of outbreaks. The focus group is on school-age children who have not been vaccinated against measles in a timely manner.
In May, the rubella epidemic in Guangdong will show an upward trend, and there is a possibility of local clustering in population gathering places such as schools and factories. The focus group is women of childbearing age.
The incidence of mumps in Guangdong will remain at a high level in May. The key place is primary school. The focus population is for children of appropriate age who have not been vaccinated and have not completed 2 doses of measles vaccination.
Disease prevention guidelines
Prevention in schools and other collective units
Schools and other collective units should implement relevant disease prevention and control measures such as morning inspections, registration of absences due to illness, window ventilation, and daily disinfection.
Once a case occurs, it is necessary to strictly isolate the case as soon as possible, disinfect it in time, report it in time, and cooperate with prevention and control measures such as emergency vaccination.
Family and personal prevention
Vaccination: The easiest and most effective way to prevent chickenpox, measles, rubella and mumps is to give 2 doses of the vaccine containing the corresponding ingredients.
Special attention: Women of childbearing age are advised to receive rubella-containing vaccines and preconception eugenic tests before pregnancy.
Emergency vaccination: Susceptible people who are in close contact with the patient (people who have not had the corresponding disease in the past, have not been vaccinated or have not been fully vaccinated) can be vaccinated urgently to avoid illness or reduce symptoms.
Isolation of patients: chickenpox patients need to be isolated until all rashes are completely scabbed and dry, some patients who have been vaccinated against chickenpox in the past can not have herpes, only macules and papules, and should be isolated until 24 hours of no new damage to the skin and mucous membranes (spots, papules, etc.). In principle, measles patients are isolated until 5 days after the eruption, and those with complicated lung infections are extended to 14 days after the eruption. Patients with rubella are isolated until 5 days after the onset of the rash.
Foodborne illness
As temperatures gradually rise in May, there is more precipitation, and the risk of bacterial foodborne disease outbreaks increases. February to May is the ovarian development period of pufferfish, the most toxic, need to be vigilant against food poisoning caused by eating pufferfish.
In addition, In May, Guangdong is in the rainy season, warm and humid weather can easily lead to a large number of mushrooms, you need to be vigilant about eating wild mushrooms to cause food poisoning.
Wary! These wild mushrooms are highly toxic
Disease prevention guidelines
Comply with food safety points: raw and cooked food is handled and stored separately; food should be cooked thoroughly before eating; as far as possible when the meal is cooked, if there is leftover food, it should be placed in the refrigerator and thoroughly heated before eating.
Eating pufferfish requires caution: do not buy, do not catch and eat wild pufferfish, do not buy and do not eat whole pufferfish processed by enterprises that have not been approved by the state.
Do not eat wild mushrooms at will: Pick and eat wild mushrooms casually or "by experience".
Source: CCTV News, Customs Release, Nanfang Daily, Guangdong Disease Control, Science Popularization China
This issue is edited by Si Chen, Intern Huang Jingshan