Sunday, September 23, 2012

Community first type H1N1 influenza breaks out and controls the working scheme prevailingly ' Try)

Community first type H1N1 influenza breaks out and controls the working scheme prevailingly ' Try)
Community first type H1N1 influenza breaks out and controls the working scheme prevailingly ' Try)
In order to contain the spreading of community's first type H1N1 influenza epidemic situation effectively, science launches the influenza epidemic situation prevention and control of first type H1N1 in an orderly manner, specially make this working scheme. A definition (1) Community: In this scheme the community refers to the community in urban and rural areas, including the range that the subdistrict office or people's government of villages and towns has jurisdiction over. (2) The community breaks out: Mean within the range of community, 14 day many to appear a plurality of first type the intersection of H1N1 and the intersection of influenza and definite diagnosis case that here is infect a bit, and obvious gathering appears in the case. (3) The community prevails: Mean that within the range of community, the epidemic situation breaks out to a lot of first type H1N1 influenza appears, the many cases patient propagates the chain non- clear, and propagate the phenomenon continuously. Divide the work in second, function (1) The people's governments at all levels of the government are responsible for organizing and leading the influenza prevention and control of first type H1N1 in the area under one's jurisdiction, set up joint defence and unite and accuse of working mechanism or prevent and control the command post, organize experts to evaluate epidemic situation situation, and adjust the tactics of prevention and control in time, offer and prevent and control special funds and guarantee of goods and materials, supervise and guide and check several and prevent and control the situation of implementation of work. (2) The health authorities of Ministry of Health are responsible for organizing and coordinating and supervising and guiding the implementation of the measure of medical every prevention and control of health organ, coordinate the management of implementing the persons who keep in close touch. The community takes place while prevailing, is responsible for allocating the health care resources in the area under one's jurisdiction. All types of medical health organ is responsible for the area under one's jurisdiction the epidemic situation monitors report, case making a diagnosis and giving treatment, epidemiology is investigated, work such as the knowledge propaganda and education of preventing disease. (3) The relevant department unites and accuses of working mechanism or prevents and controls the division of duty of the command post according to the joint defence, do relevant prevention and control well. Third, measure of prevention and control that the community breaks out take the measure of comprehensive prevention and control specializing in infecting source management, slow down the epidemic situation and propagate, control the epidemic situation to spread. Take place first type the intersection of H1N1 and influenza break out community of epidemic situation take the following concrete measure: (1) Professional measure 1. Strengthen and standardize the intersection of epidemic situation and reporting system, pay close attention, gather the intersection of venereal disease and example, case in hospital and the handling of the incident breaks out. 2.The medical organization launches the infrared body temperature to monitor, strengthen the preexamination and divide examining, in order to generate heat and the upper airway infection patient offers surgical gauze mask,etc. to protect the articles, strengthen medical personnel's personal protection, do the work of infecting and controlling in the hospital well. 3.Epidemiology of the epidemic situation breaks out to investigate, confirm the epidemic situation involves the range, track and manage, implement the corresponding measure of prevention and control the persons who keep in close touch. 4.Launch and strengthen aetiology of one kind of cases and unidentified reason pneumonia case of influenza and sift and check the work. 5.Monitor and due to illness absent from school and monitor, strengthen control over key places such as the old people's home,etc. and influenza and one kind of symptoms to monitor the school, nurseries and kindergartens organization's symptom. 6.The public place, means of transportation, collective unit take with the clean environment and make the window to ventilate for the hygiene measure of the main fact, carry on the essential work of treatment of disinfection. 7.According to the intersection of prevention and control and actual need, implement preventative administration and vaccine meet an urgent need, inoculate to high close contact person and high-risk group to infect risk. The high persons who infect the close contact of the risk include: In prevention and control, in case of not protecting effectively in last 7 days, close contagion and a first type H1N1 influenza are suspected or makes a definite diagnosis of medical worker, public health personnel, laboratory and other relevant staff members of the case. The high-risk group include: The children 5 years old and under, especially the baby 2 years old and under; 65 years old and the elderly; Pregnant women; Chronic respiratory disease, the intersection of cardiovascular vessel and disease ' Except hypertension) , the blood, nerve, neural muscle system or kidney, liver, supersession, endocrine disease patient, the immunological function is inhibited ' Cause the low one of immunological function including employing immune inhibitor or HIV to be infected with etc.) ,Persons who take aspirin for a long time under the age of 19; Personnel in the old people's home or other chronic disease convalescence organs of the collective livelihood. (2) Community's measure 1. In accordance with relevant laws and regulations, the subdistrict office or government of villages and towns mobilizes social forces, provide safeguard to the separation measure in the epidemic place, include supplying etc. the logistics of the medical observer. 2.Person who keep in close touch implement, concentrate medical science on observe and medical science observe at home, to do follow up a case by regular visits to, report actually medical every day such as health organ. 3.Propose the patient of one kind of symptoms of influenza has a rest at home, avoid going out, restrain from or reduce unnecessary public conference and travelling,etc. activity. 4.The school, nurseries and kindergartens organization, old people's home, construction site launch the health monitoring voluntarily; Offer social basic service, personnel's intensive enterprises and institutions to start the morning to examine the system. 5.Announce the epidemic situation and measure information of prevention and control in time, strengthen the work of information announcement and notice in the area. 6.Utilize the various forms to launch the work of communicating with the risk in health education extensively, popularize the knowledge of first type H1N1 influenza prevention and control, advocate the good personal hygienic habit, take measures of making the window and ventilating etc., dispel the public's panic mood; Do the work of communicating in the media well, produce information of media communication and function of guiding the public opinion. Classify and managing the case by fourth, popular measure of prevention and control of community, take the measure of comprehensive prevention and control taking strengthening the serious disease case and treating and curing, reducing the case fatality rate, lightening the danger of epidemic situation as main fact. On the basis that the measure of prevention and control breaks out in the community, take place in the first type H1N1 prevailing area of influenza community and do the following job well especially: (1) Professional measure 1. Assess the resource requirement of health care in time, once resources are insufficient, should file an application with government of higher level in time, supplement. 2.Collect and report influenza kinds of case go to a doctor count, case count in hospital, especially serious the intersection of disease and case and death case situation, medicines, vaccine and operating position of other prevention and control goods and materials,etc.. 3.Classify making a diagnosis and giving treatment and manage to the case. The serious disease patient is concentrated on accepting for medical treatment by the fixed hospital, the heavier patient is accepted for medical treatment by infection disease department of the general hospital, the light disease patient encourages at home or accepts for medical treatment in the community medical organization. 4.The medical organization provides surgical gauze mask,etc. for patient going to see doctor to protect the articles, do the work of infecting and controlling in the hospital well. 5.Launch the reserve hospital, set up temporary medical treatment to click if necessary. 6.Strengthen to aetiology of first type H1N1 influenza virus and is able to bear nature monitoring. (2) Community's measure 1. In accordance with relevant laws and regulations, the local people's government is responsible for mobilizing social forces, provide safeguard when the measure in implementing the treatment at home of one kind of cases of influenza. 2.Adopt and reduce or restrain personnel from flowing, the place of entertainment stops doing business, cancel or postpone measure of big assembly,etc.. The enterprises and institutions can implement concentrating on having a holiday or system of having holidays by turns in the community. 3 . According to relevant regulations, the measure of taking the school, nurseries and kindergartens organization to suspend classes. 4.Offer social basic service, personnel's intensive enterprises and institutions to start the reporting system of the health, strengthen and manage unit and place of population concentration of flowing? Hui �� Cui Gou awake �� Gather dai the pupa rests on Zu The beer of acute communicable diseases? 5.Isolate and control the measure the epidemic place if necessary, the epidemic-stricken area implements the quarantine of traffic. 6.Strengthen volunteers to train, organize and encourage volunteers to participate in preventing and controlling the activity. 7.Keep community's normal life order, ensure the supplying normally of resident's necessary for life. 8.Intervene the public psychology, strengthen the psychology to dredge, reduce and avoid the harmful effects that the epidemic situation causes to the public psychological health. This working scheme should be adjusted in time according to the needs of development and prevention and control of the epidemic situation.


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