How to adjust measure of a first type H 1N a influenza prevention and control

How to adjust measure of a first type H 1N a influenza prevention and control
How to adjust measure of a first type H 1N a influenza prevention and control
Staff reporter Meng QingPu The standing meeting of the State Council determined to adjust and improve the measure of first type H1N1 influenza prevention and control a few days ago. Why did the country make adjustment to the relevant measure? How about adjusting the direction? What is the focal point adjusted, prevented and controlled? On July 6, Ministry of Public Health, Ministry of Education, State Bureau of Quality Testing jointly hold the news briefing, the relevant person understands this. The measure adjusts thinking, in the newly-increased case of our country of the near future on the basis of epidemic situation characteristic and international method expert, here will count and exceed the input venereal disease example to count if here infects the case, the community may happen to spread at any time while concentrating, also may present serious disease or death case, the epidemic situation is prevented and controlled and can't be relaxed. But it is very necessary to make adjustment to the measure of prevention and control, mainly because of two respect reasons: --First type H1N1 influenza virus " The true features " Make first appearance. The hygiene of Ministry of Public Health meets an urgent need Liang Wan, Deputy Director of office, says every year, at first, new influenza virus which initiates this epidemic situation has higher infection, this virus is less likely to initiate serious disease and viral pneumonia at present. The possibility of making a variation of virus is relatively small in short term. Secondly, the condition is relatively gentle. Most case and the intersection of upper respiratory tract and symptom, as main fact, serious disease or death case less in order to generate heat, using the neural amino acid enzyme inhibitor antiviral medicine if reaches Philippines to treat and cure effectively. The present case fatality rate is similar to seasonal influenza. Third, it is difficult to discern to infect the source, prevent and control and bring the difficulty to the epidemic situation. Mainly infect the source for the patient, and infective in one day before having illness coming on, recessive the infeted can arrange the poison and infect others. Fourth, the whole world spreads extensively. More than 120 national reports have made a definite diagnosis of the case already, the expert of World Health Organization thinks, the epidemic situation may last from one year to 2, about 1/3 of the people in the world may be infected. --Consult and draw lessons from the current method in most countries. It is reported after epidemic situation take place, country and region concerned react rapidly, early to take the strict measure of prevention and control. But as the change of the epidemic situation develops, many countries and regions all direct against the actual conditions, have adjusted tactics of prevention and control and measure in time. For example U.S.A. includes first type H1N1 influenza in seasonal influenza to carry on regularly and monitor in the last ten days of May, implement the tactics of prevention and control relying mainly on clinical treatment. Adjust the direction to stress further the pertinence expert says, my national defence accuses of the direction in which the measure adjusts and summarizes: Insisting on " Two do not change " ," reduce two case, prevent community strictly from travel, strengthen serious disease treat and cure, tackle epidemic situation change " Prevention and control wise with " Should accuse of, the joint defence antithetical couplet, handle scientifically in accordance with the law to pay close attention to, positive" On the foundation that the principle of prevention and control does not change, improve port quarantining, medical treatment expense compensation policy, do key place and key crowd's preventing and controlling, serious disease case treating and curing, should strengthen to the second wave of epidemic situations, work of monitoring etc. of strengthening the epidemic situation of influenza well. The persons who keep in close touch will observe at home, the light disease patient can isolate for treatment at home. Liang Wan say every year, in respiratory tract infectious disease is prevented and controlled, it is necessary for persons who keep in close touch to implement certain control measures. The persons who keep in close touch include: On the premise of not protecting effectively, once diagnosed, treated the medical worker who makes a definite diagnosis of case or suspected case, accompany accompanying and attending to personnel, the personnel (the members substantially as living together in a family) keeping in close touch at short range of the patient Wait, in addition also include the personnel who have contacted the case and polluted the environment. In the concrete practice, because it is more difficult for some last crowds to define, Ministry of Public Health is organizing experts to revise the file, the persons who further keep in close touch clearly define. In management, because Model A H1N1 influenza is a class-B infectious disease, manage according to class-A infectious disease, the persons who keep in close touch demand to concentrate on observing. Consider the epidemic situation will be further developed in the future, the especially key area, there will be many quantity of the persons who keep in close touch, centralized management has certain difficulty. Various prevention and control experiences show too at the same time, whether no matter centralized management or house management, so long as according to the management expectancy of the persons who keep in close touch strictly, there is no difference in the management result of getting up finally. The next step can implement the persons who keep in close touch at home medical science is observed. Treat and cure the respect in the case, classify the measure accepted for medical treatment progressively. Lighter to the clinical symptom, and the patient who has complication, under the principle of agreeing by oneself, after the specialized department assesses, can consider isolating for treatment at home. If every province value the disease case, need to be held a consultation by provincial expert panel, make the scheme of making a diagnosises; The case dies to confirm the death reason by the expert panel of Ministry of Public Health in the first of every province, every province expert panel confirms the death reason to the case dies in follow-up. Die of first type the intersection of H1N1 and influenza or caused by it original basic disease, aggravate death that cause directly, charge to the death case and count. Pay close attention to the work of seasonal influenza vaccinations. Stress first type H1N1 influenza vaccine, medicine and medical organization and treat and cure the preparation of the respect on one hand, including vaccine key technology research, vaccine produce and store, inoculate the immune tactics making and new research and development against virus medicine etc.; Stress the inoculation work of vaccine of seasonal influenza on one hand. The first type H1N1 influenza technological group's vice group leader Luo HuiMing of Center for Disease Prevention and Control of China says, the main crowd that influenza attacks is the elderly over 65, like the medical personnel with the person who keeps in close touch patient of influenza, the person who suffers from chronic diseases such as chronic hepatitis, chronic nephritis,etc., children. Inoculating vaccine of seasonal influenza in more easily infected group on a large scale has special meanings, not only can reduce the ordinary influenza morbidity, but also the high-incidence season taking place at future first type H1N1 influenza and seasonal influenza altogether, help to distinguish fast, find dangerous influenza virus early. So, must pay close attention to the seasonal influenza vaccinations work of the current year. At the request of Ministry of Public Health, follow and inoculate the principle voluntarily, all parts should arrange to work in seasonal influenza vaccinations of 2009~2010 before September of this year, strive for and finish key crowd's inoculating before the end of November this year. Solve a patient and treat and cure the expenses properly. Make the first type H1N1 influenza patient's medical treatment method as soon as possible. At present, treat and implement the medical observer's expenses and implement the free policy to the first type H1N1 influenza patient. The related departments are studying the clear medical treatment expense policy. The total principle is, the policy for according with urban medical insurance, resident's medical insurance, submitting an expense account newly and agriculturally jointly, include the range in submitting an expense account according to the regulation; For not having medical insurance and life poverty, unable to bear the hospitalization cost, can succour by medical rescue system of urban and rural areas. The expenses that medical organization paid first, are solved properly according to the actual conditions by the local government before this. The school of key area can have a holiday ahead of time. The hygiene Liao WenKe, Vice chief of department of sports of Ministry of Education says, Ministry of Education has been already to Beijing, Shanghai, Fujian, Guangdong, 5 key areas of Sichuan School go on arrangement, these the schools of area, after finishing teaching to plan and have an examination, can simplify the work of summarizing, completing a course etc. in term, let students leave school as soon as possible. According to the situation feedbacked newly, the relevant regional schools have already had a summer holiday ahead of time. The hospital defends infecting in the courtyard especially. Public place, means of transportation should be taken with the clean environment and made the window to ventilate for the hygiene measure of the main fact, carry on essential disinfecting. In addition, the epidemic situation prevails in the area and tries hard to avoid holding the large-scale activity, must be held, trying hard to be outdoor to hold. As to key crowd, the more important thing is to avoid participating in the activity of gathering, should make a diagnosis and give treatment in time when present symptom. The quarantine measure of the port will be adjusted. It is reported, from April 25 to July 5 70 days, the whole country enter and leave the border check, examine organ, find, generate heat, have symptom and transfer the intersection of person and 8272 people of the Ministry of Health together, it is 323 people, 42% accounting for the hinterland to input the venereal disease example to make a definite diagnosis of first type H1N1 influenza finally. The business Liu DePing, Vice chief of department of clearance of State Bureau of Quality Testing introduces, the department of next inspection and quarantine will be at the request of categorised management, while strengthening and checking key area, key crowd, key route,etc., adjust and improve relevant measures in time, accelerate checking and releasing the speed. Include insisting and improving the system of declaring healthily and report; Strengthen the means of transportation of the countries and regions that come from having first type H1N1 influenza to make a definite diagnosis of the case especially, or report that there is quarantine of the means of transportation of symptom; Insist entry personnel's body temperature measures the measure, strengthen the body temperature of the specialized passway, scene of inspection of passengers to measure etc. especially. First type H1N1 influenza and infectious disease make a reservation or adjust. It is introduced, in order to safeguard the public to be healthy to the greatest extent, in the initial epidemic situation is unidentified, present a large number of to die under the situation of the case in Mexico, our government classifies Model A H1N1 influenza as infectious disease and prevents and cures the class-B infectious disease that France stipulates, and manage in the light of class-A infectious disease and implement case the report, a report on day. Develop and change with the epidemic situation, especially first type H1N1 influenza and seasonal influenza are very close on the manifestation, does it need adjusting to define the level infectious disease of the first type H1N1 influenza? Liang Wan influenza, seasonal influenza is a class-C infectious disease, the present preliminary evidence shows first type H1N1 influenza similar to case fatality rate of ordinary seasonal influenza,s. But because first type H1N1 influenza virus is a kind of new virus, scientific circles, hygiene circle are also at primary stage to its understanding, not knowing to it deeply as ordinary seasonal influenza, in addition influenza virus is very apt to make a variation, so, we determine him as class-B infectious disease, has taken stricter monitoring and control measures compared with seasonal influenza. Not further discover,H1N1s first type influenza since aetiology, it is prevailing that if you can't endanger, if you can't have, the same as totally in ordinary seasonal influenza really, we will adjust him to manage the classification at any time. If it is more serious, may rise by a rank. It is revealed related departments organize expert study at present, until " whether class-B infectious disease take class-A the intersection of infectious disease and the intersection of prevention and control and measure " influenza, H1N1 of Model A, Change to " Take the measure of class-B infectious disease prevention and control " Feasibility. DePing Liu say infectious disease manage the classification make, change, according to the hygiene Quarantine Law of the People's Republic of China of territory, first type the intersection of H1N1 and influenza too by a present one " Quarantine infectious disease " (it is equivalent to class-A infectious disease, and plague, cholera, yellow fever,etc. " the treatment is the same " ),Change to " Monitor infectious disease " (get rid of and quarantine the others of infectious disease legally and report infectious disease) ,And means of transportation and passenger that will implement at present examine the double body temperature of the passway to measure, change to and measure the body temperature only in passenger's inspection passway. Meanwhile, no longer concentrate on isolating and observing the close contact on the means of transportation person, and implement the house ' Residence) Medical science is observed.


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