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After the peak of "deep" rural infections: the second wave has not arrived, but the health system remains weak

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With the implementation of domestic epidemic prevention and control measures, cities have gradually emerged from the peak of infection, but the situation in rural China still attracts widespread attention. Not long ago, after the release of the Plan, the fight against the epidemic in rural areas became the focus. However, the actual situation shows some worrisome problems.

On January 4, 2023, we arrived in the town of Canzi, Dazhou City, in northeastern Sichuan Province, a typical agricultural town that once passed the peak of infection, but new problems followed. The crowds on the streets gradually increased, young people wandered the streets in bright clothes, old people gathered in the center of the town, and some even stopped wearing masks. However, in the health facilities closest to rural residents, such as village clinics and township health centers, the ability to prevent severe disease has been challenged.

After the peak of "deep" rural infections: the second wave has not arrived, but the health system remains weak

At the peak of infections, outpatient visits to health centers surged, the number of fever patients soared, and doctors were exhausted. One doctor recalled that the peak number of outpatient visits was four or five times that of usual, and the number of fever patients was dozens of times that of the past. Drug reserves are quickly depleted, and some fever-reducing drugs are insufficient. Doctors can only "hang water" to cool people with high fever or administer antibiotics.

Canzi Town is more than 30 kilometers away from Dazhou City and has a population of more than 30,000, a considerable number of whom have gone out to work. This makes mobility in rural areas a potential risk factor. Some doctors observed that at the beginning of the peak of infection, students aged 7-15 who returned from Dazhou City were the first to visit, then adults, and finally the elderly. This seems to indicate that the outbreak may spread from urban to rural areas, adding to fears that the Chinese New Year may usher in a second wave.

After the peak of "deep" rural infections: the second wave has not arrived, but the health system remains weak

For health facilities in rural areas, the challenges are even greater. Township health centers can usually only use essential medicines, while some necessary medicines can only be used in secondary medical institutions and above. In addition, the doctor's job title limits the kinds of drugs they can use. The financial situation of the hospital is also not optimistic, and the financial allocation has not been in place for a long time, resulting in operational difficulties, the payment of pharmaceutical companies cannot be paid in time, and it has become difficult to purchase drugs.

After the peak of "deep" rural infections: the second wave has not arrived, but the health system remains weak

However, despite all the difficulties, the fight against the pandemic in rural areas continues. Communities and villages are actively taking measures to care for the elderly over 60 years old with underlying medical conditions, distributing health kits, conducting health monitoring and disseminating epidemic prevention knowledge. Despite the challenges, these primary care facilities are still struggling to cope with the current situation.

In short, the fight against the pandemic in rural areas still has a long way to go and faces challenges. As the Spring Festival approaches, rural areas need more support and attention to ensure the health and safety of rural residents. It is hoped that more effective solutions will emerge in the future to protect people living in rural areas.

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