The medical people's train of thought of the first type H1N1 influenza is taken an exam of

The medical people's train of thought of the first type H1N1 influenza is taken an exam of
The medical people's train of thought of the first type H1N1 influenza is taken an exam of
Medical humanity is not " The rear-view mirror " ,Ought to illuminate the way ahead, face the severe realistic proposition directly, explore with technology the spirit regarded as equal is dug. We hope for more clinical physician Israel " The non- technological thinking " Come to participate in the cultural and educational building and constructing of medical science, make the public health event each time all become and mould public health consciousness, lead the public to understand the social educational activities of medical science. One party of the king SARS epidemic situation: Reach from public health event " The psychological incident of social culture " ,Reach from health incident " The spiritual incident " No doubt, medical humanity must face the great epidemic situation straightly. Because medical science can't only act the part of technological tutor, should demonstrate pluralism shows loving care for. The epidemic situation is attacked, " I " (individual) Disease turn into " We " (colony) Disease,prominent in characteristic in that disease,it is pay close attention to to last earnest society, and the strong psychology is shaken. For example, in that burst of SARS epidemic situation 6 years ago, medical workers mobilized in the twinkling of an eye on one hand, give one's life and go to the aid of one's country, emit and extremely meet the virus head-on; On the other hand, cultural and educational spirit to medical science makes inquiries to dig with value, turn this public health event into " psychological incident of social culture " ,Change health incident " The spiritual incident " ,Have brought to the whole society and thought deeply about globalization and about deep layer in many aspects such as the life, death, devoting, and let people realize - -First, such fields as globalization is not merely limited to economy, politics, military, as a kind of compensation, we will also face the globalization that disease propagated. Public health policy and measure must contain the globalization of disease effectively in the course of meeting the economic globalization. Second, high case fatality rate of SARS initiate the public's fear and sensitivity to the death, bring " life and death is variable " Sigh meaning," grow to dying " after stimulating people , " highly value life " , " revere the life " Philosophical thinking and value distillation. Third, animal's cause of disease is to the recourse of the civet cat, revere natural ecological doctrine consciousness after promoting people. The prevention and control of fourth, high-standard and high sense of organization, and the hygiene propaganda and education of high density, promote bad hygienic habits of the public ' Such as spitting everywhere) Transition,push social health civilized. Fifth, Beijing Temple of Earth hospital accept 176 patients for medical treatment, among them 40% are the medical worker infected. The high infection rate and high case fatality rate of the medical worker reflect medical science " Technology succours " With " redeem ethically " Double value. Sixth, the uncertainty endangered is society's panic origin. From November of 2002 to July of 2003, SARS epidemic situation lasted 8 months, the total number of the infected was 8096, 774 people died, the case fatality rate is 9.6%. The same period, traffic accident of China death toll 110,000~12 Wan. No matter the ill number of people, or death toll, absolute value is not big, but the society initiated is panic and very strong, the reason is that such respects as people find the danger intensity of SARS virus, reduce poisonous speed and spread law, vaccine lead time have no determinability. They can associate it with, the worst situation is that the global influenza in 1918 prevails big, the death toll is in terms of ten million. Just, already enormous changes have taken place to the society after all, people sink into " history often recur " With " historical and unable to recur " Paradox among. So, it is multifactor on the basis of science, technology, history, society in coordination with prediction and mechanisms early warning to last means important of psychologies panics social. First type H1N1 influenza: Not merely come to the scene personally, will do close-range investigation; Leave scene also, make remote thinking after 6 year, another accompany by " spirit is frightened " First type H1N1 influenza epidemic situation come at us. As to this, can medical humanity offer new spirit to illuminate? Especially No. of prevention and control of the future, what does medical humanity have to opens and realize? This is another end-of-term examination that medical humanity faces. We will not merely come to the scene personally, will do close-range investigation; Also leave the scene, do remote thinking. Obviously, the danger of first type H1N1 influenza virus is lower than people expect the intensity of prewarning with WHO, people generally have " Just so so " Idea of leaving things to chance. Subsequent second wave epidemic situation has not formed the threat yet, then can the nerve which we tightened be relaxed? The uncertainty that influenza virus endangers inspects infectious disease and has illness coming on in the history, bacterium and virus all have a trend (someone calls that " tame " that virulence decrease progressively sequentially Mechanism) . Why? The object, according to the view of American pathologist Lewis, the virus does not want to do mischief innately, only because it is a playboy, crave for innovation in the course of duplicating, change the new appearance out to come carelessly, and once it finds that is endangering the mankind by oneself, a fall has been turned over. The subject, the human immune adaptive capacity is working. However, we can't be only concerned about a side, but ignore the virus and " increase the poison " Trend. At present, people's worry to the second wave of epidemic situations concentrates on the integration of bird flu virus and pig's influenza virus genetic fragment, so that produce the new mutation with stronger virulence, like what Lewis prophesy, virus " playboy " May continue " Innovation " ,Derive the new mutation that the human immunity can't be discerned out. So until first type patient of H1N1 influenza the intersection of symptom and slight optimism should leave sufficient leeway instantly we. When the society apt perceptual SARS of the respiratory system prevails, a nameless poet wrote like this: "Lung! You are so fragile, you are so strong. " True, lung dirty to have living beings to be easy to be perceptual, because it does not have " intestinal protective screen " ,Also have " The blood protective screen " ,Connect directly with the nature. Because of the continuity which the human air exchanges, it is the organ that the environmental dependence is supreme that the lung is dirty. Gauze mask, the intersection of nose and cover under the extraordinary state, exercise restraint in, exposed to " from space to protective screen " All only one kind remedy. The problem is, " naked " of what humanbeing evolution is formed progressively in several ten thousand years and natural environment Is it unable to maintain why suit? We must wear the gauze mask for a long time, life even wear the gas mask to come? Perhaps, manage the environment that we worsen day by day, improve mankind's common breath condition in really colored strength, dispel the origin apt to be perceptual of the society, it is a perfect selection scheme. " the eagle catches chickens " The bankrupt of the fable is since having research and development and application of antibiotic, the considerable progress of the antiviral medicine, the understanding of infectious disease which people initiate to the bacterium, virus changes. We no longer fear it, it seems that the relation between mankind and infectious disease is that " the eagle catches chickens " Relation. Later, statistics of the disease table strengthened this view too. However, prevalence of AIDS, difficult curing tuberculosis Replying the overflowing of sprouting, surprise attack of SARS, bird flu of the disease, and wreak havoc in the whole world of the first type H1N1 influenza, make " the eagle catch chickens " Fable bankrupt. On earth? Vie for, hate narrow to play ���� so cut? Chirp Jia strong �� Wu Bi Mi that �� dies that stupid to stand tall and upright bang the extensive clock basket is worried Is the male tomb impossible and idle? Pathogenic host " Unusual " Change several short during the decade, AIDS, Ebola virus are guided from jungle of Africa out through the wild animal by people, SARS epidemic situation can also trace back to on the intersection of civet cat and this kind relying mainly on wild, raising and training until on the animal that complement. However, popular bird flu, first type H1N1 influenza lock the goal on domestic animal in recent years. Then, what it is strange strength let mankind and its producing so enormous face-off between the the intersection of poultry and domestic animal in the food chain? By the look of research materials of mad cow disease, in that human avarice: The mankind excessively intervenes feed and breeding for pursuing the high yield, has brought the variation of the biological population. These questions are all " And then first type H1N1 influenza era " Need reviewing deeply. It is that this epidemic situation of having the whole scheme takes place to suitable for handling in North America area, happen to be U.S.A.'s financial storm. For the worry to the economic recession, American various countries have not demonstrated the posture of prevention and control of acting speedily and vigorously. After Mexico presents a large number of the infeted and death toll straight line to rise, they just improve the standard of prevention and control under the urgency of the international community, the epidemic situation reduces the standard at once once relieving, still improve the rank of prevention and control and express to the country where China,etc. has gone through SARS epidemic situation " Allergic " Complaint. U.S.A. basically adopts the posture not interfered, there is no special event in the media, the Ministry of Health has not released ordering within a time limit either, seem on good terms. U.S.A.'s epidemic situation is heavy but reacts gently, China's epidemic situation is light but the response is stronger. The national conditions are different, suitable for handling and having the whole scheme. In a word, medical humanity is not " rear-view mirror " ,Ought to illuminate the way ahead, face the severe realistic proposition directly, explore with technology the spirit regarded as equal is dug. Meanwhile, medical humanity, to to it understands to be open great epidemic situation, from think orbit that distinguish, review, trace back to. We hope for more clinical physician Israel " The non- technological thinking " Come to participate in the cultural and educational building and constructing of medical science, make the public health event each time all become and mould public health consciousness, lead the public to understand the social educational activities of medical science.


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