On the evening of November 14, Beijing Municipal Commission of health and Health announced that suspected cases of plague were found in Xuanwu Hospital and Beijing Childrens hospital. Beijing organized experts to make a comprehensive judgment on two patients from Ordos City, Inner Mongolia. Combined with the epidemiological history, clinical manifestations and pathogenic examination of patients, the patients did not meet the diagnostic criteria of plague, excluded the plague and removed the isolation Observe.
On October 14, reporters from Beijing News visited Beijing Childrens Hospital and Xuanwu Hospital respectively and found that there was no abnormality in Beijing Childrens hospital. The fever clinic of Xuanwu Hospital was closed for disinfection.
Before that, on November 12, the health and Health Commission of Xilingol League in Inner Mongolia and Chaoyang District Health and Health Commission of Beijing Municipality jointly announced that Beijing Chaoyang Hospital had confirmed two cases of pulmonary plague from Inner Mongolia to Beijing.
On November 15, Beijing Municipal Commission of Health reported that one of the two patients was in stable condition and the other was still in critical condition and slightly improved after consultation by experts.
In the previous notice, the health and Health Commission dispatched 11 experts from tertiary hospitals, centers for Disease Control and TCM hospitals to form a municipal medical treatment expert group to treat the two patients. At the same time, Beijing has taken isolation treatment, isolation area management and terminal disinfection, close contact tracking, isolation medical observation and preventive medicine, health education and other work.
According to an internal summary of China CDC obtained by a reporter from Beijing News on November 14, two patients from Xilingol League suffered from the disease on October 25 and 31, respectively. Under the condition of poor local treatment effect, they were transferred from ambulances to the emergency treatment room of Beijing Chaoyang Hospital on November 3.
According to the summary of who in October 2017, the longest incubation period of plague is 7 days. According to the consultation opinion, the possibility of continuous infection of close contacts in Beijing is very low, and that of close contacts in Inner Mongolia is almost zero.
Beijing health and Health Commission reported that there were no new cases of plague in the city, and no reports of fever and other related abnormalities in close contacts were received.
Elimination of plague cases transmitted through Internet by Beijing Health Committee
On the morning of November 14, it was reported on the Internet that plague cases had been treated in Beijing Childrens Hospital and Xuanwu Hospital Affiliated to Capital Medical University, and now they have been admitted to Ditan hospital.
At about 10:00 a.m. on November 14, a reporter from Beijing News saw in Beijing Childrens Hospital Affiliated to Capital Medical University that the underground floor of the hospital was a dining area full of people, and other floors were normally open and crowded.
It may be disinfected in the morning, later than usual. A staff member on the first floor of the hospital told the Beijing news that the hospital normally opens at 6 a.m. and the blood drawing hall on the first floor at 7:30 is open, but today after disinfection, let in.
When the reporter of Beijing News visited, the blood drawing hall was reopened, and many parents were waiting in line with their children.
At noon, a reporter from the new Beijing News saw a cordon outside the fever clinic of Xuanwu Hospital in Beijing. Two security personnel wearing masks were on duty at the door.
One of the security guards said the fever clinic had been stopped and was being disinfected. The patient was unable to register properly.
At noon on November 14, the fever clinic of Xuanwu Hospital in Beijing was stopped for disinfection, and the cordon was raised. Photo by Zu Yifei, reporter of Beijing News
But in Xuanwu Hospitals outpatient and emergency department, the reporter saw that the medical order was normal.
The fever clinic of Xuanwu Hospital was still closed at 2:00 p.m. on the 14th. The reporter of the new Beijing News saw at the scene that some patients had a fever of 38.7 degrees Celsius and were registered in the emergency department.
In the emergency department, a pneumonia patient told the Beijing news that he had been transfusing fluid for five consecutive days in the fever clinic before, because the fever clinic stopped, he was transferred to the emergency transfusion.
On the evening of November 14, the official website of Beijing Municipal Commission of health and Health announced that suspected cases of plague were found in Xuanwu Hospital and Beijing Childrens hospital. Beijing organized experts to make a comprehensive judgment on two patients from Ordos City, Inner Mongolia. Combined with the patients epidemiologic history, clinical manifestations and pathogenic examination, the patients did not meet the diagnostic criteria of plague and excluded plague, Release the isolation observation.
In addition, two confirmed plague patients from Xilingol League, Inner Mongolia, one was in stable condition, the other was still in critical condition and slightly improved after consultation by experts, and were undergoing symptomatic treatment. Up to now, there are no new cases of plague in the city, and no reports of fever and other related abnormalities in close contacts have been received.
At noon on November 13, the outpatient service of Chaoyang Hospital was in normal order. Photo by Zu Yifei, reporter of Beijing News
Two confirmed cases have been deratization by themselves
On the evening of November 12, the health and Health Commission of Xilingol League in Inner Mongolia and Chaoyang District Health and Health Commission of Beijing Municipality jointly announced that Beijing Chaoyang Hospital had confirmed two cases of pulmonary plague from Inner Mongolia.
Reporters from Beijing News visited Chaoyang Hospital on the evening of the 12th and the 13th respectively. The hall area of the emergency area was free to enter and leave without obvious isolation signs or facilities, and few patients went to see a doctor.
A patient came to the respiratory department, and the doctor recommended him to go to another hospital. The nurse at the triage table also said that he may not be able to receive the patient this week, so he needs to be disinfected.
According to an internal summary of China CDC obtained by a reporter from Beijing News on November 13, the two confirmed cases in Chaoyang Hospital were husband wife relationship, 43 years old male, 46 years old female, herdsman. They are now living in a village and town of Sunit Left Banner, Xilingol League. They fell ill on October 25 and 31, respectively. Under the condition of poor local treatment effect, they were transferred from ambulance to Beijing Chaoyang Hospital on November 3 The emergency room was transferred to respiratory ICU on November 4 and 5, respectively. At present, the cases have been transferred to Ditan hospital for isolation treatment.
On November 14, the reporter of Beijing News learned from the Beijing Municipal Health Department that under the guidance of the national health and Health Commission, the emergency response mechanism for public health has been immediately launched, and 11 experts have been selected from the tertiary hospitals, the Centers for Disease Control and TCM hospitals to form the municipal medical treatment expert group. According to the national plague diagnosis and treatment plan, the relevant medical institutions are highlighting the advantages and characteristics of the integration of traditional Chinese and Western medicine to properly treat two patients with confirmed diagnosis.
The internal minutes also showed that the number of rodents in the living environment of the case increased significantly compared with the previous years. The two cases had carried out deratization on their own, and whether they had direct contact with rat bodies was unknown. The patients were not exposed to fever like patients before the onset of the disease.
Very low probability of reinfection
According to the plague diagnosis and treatment plan (Trial) (hereinafter referred to as the diagnosis and treatment plan) issued by the emergency office of the Ministry of health in 2011, plague is a Class A infectious disease regulated by the law of the peoples Republic of China on the prevention and control of infectious diseases, which is mainly transmitted between rodents in the natural focus of plague, mainly through fleas. At present, there are 12 types of plague natural foci in China, one of which is Brandts vole plague natural foci in Xilingol plateau.
According to a reporter from Beijing News, 12 strains of Yersinia pestis were successively detected in animal monitoring in the town where the case lived on August 14, 17, 20 and 25, 2019.
According to the above internal minutes, at present, the son and daughter of two cases of plague have no symptoms and have been transferred to Ditan hospital by emergency vehicle for medical isolation observation. The close contacts of the patients in the emergency temporary observation room of Chaoyang Hospital are further tracked by the disease control center of the jurisdiction; the close contacts of the patients and medical staff in Chaoyang Hospital have taken medical isolation observation measures, the asymptomatic patients have taken preventive medicine measures, and the people with relevant symptoms have taken streptomycin treatment.
According to who review in October 2017, the longest incubation period of plague is 7 days. Therefore, it is speculated that the possibility of reinfection of close contacts in Beijing is very low, and the possibility of reinfection of close contacts in Inner Mongolia is almost zero.
At present, two epidemic affected areas in Beijing and Inner Mongolia have carried out preventive medicine and health tracking for close contacts, delimited the scope of the epidemic focus and carried out disinfection and deratization.
The risk of further spread is very low
On November 13, Chinas centers for Disease Control and Prevention released a statement that the risk of further spread of the epidemic is extremely low. Citizens can work, live and go to medical institutions without worrying about the risk of infection.
According to the China CDC, Beijing is not the plague focus. There is no plague bacteria in the natural environment and no plague bacteria in the mice. The citizens have no chance to infect through contact with animals such as rats.
After the discovery of two imported cases, Beijing health system has timely isolated the cases, carried out a detailed epidemiological investigation on the activities of the cases after entering Beijing, carried out a detailed investigation on the suspicious exposed population, carried out medical observation and preventive medication on the contacts, carried out final disinfection on the relevant places, and strengthened the monitoring of fever patients.
On November 13, Wang Jian, former deputy secretary of the CPC Committee of China CDC, told the Beijing news that hospitals usually place plague patients in negative pressure wards for isolation. It is mainly to cut off the communication channels between people. As long as this goal is achieved, where is it? How to isolate? According to the specific situation. Wang Jian led the expert group to Madagascar in 2017 to assist the local plague prevention and control work, with rich experience in plague prevention and control and emergency response.
It is understood that the cases of plague this time are all pneumonic plague. Pneumonic plague can be spread through human respiratory tract and droplets. Wang Jian said, keeping a healthy lifestyle, not spitting, wearing masks in public places, not coughing, etc. are effective measures to prevent plague..
Wang Jian pointed out that if the citizens have fever, lymphadenopathy, pneumonia and other suspected plague symptoms, they need to go to the hospital in time, and inform the doctors whether to go to the epidemic area, whether they have contact with infected patients and other information, and the doctors will make further diagnosis according to the situation.
According to the diagnosis and treatment plan, streptomycin (SM) is still the first choice for the treatment of plague, which is used in combination with other types of antibiotics, and the strategy of early, sufficient and total amount control is emphasized. Antibiotics have preventive and therapeutic effects on those who are in direct contact with plague patients or may be infected.
Experts have been sent to trace the source of cases
On November 13, the plague epidemic situation in China released by China CDC showed that before the founding of new China, the plague epidemic situation in China was very serious. After the founding of the peoples Republic of China, the Chinese government attached great importance to the prevention and control of plague, and the number of plague cases decreased significantly. In the 1980s, an average of 20 cases were reported annually. In the 1990s, the plague epidemic in southern China rose briefly. Since 2010, only sporadic cases have been reported annually, mainly in some provinces in Northwest China.
The reporter of Beijing News combed the information of plague cases officially released in recent years. From 2009 to September 2019, 27 cases of plague were found nationwide, with 12 deaths. Among them, plague patients in 2009 were the most, a total of 12 cases, of which 3 died.
In September this year, 1 case of plague and 1 case of death occurred in Gansu Province. According to the report on the official website of Gansu Provincial Health and Health Commission, on September 27, Aksai County, Jiuquan City, Gansu Province reported a suspected case of plague. On September 29, it was confirmed that the plague was of blood abortion type. Jiuquan City immediately launched the three-level emergency response of the plague control plan, and the epidemic was put out in time. On October 6, it terminated the three-level emergency response of the pre plague control plan. According to statistics, from 1958 to 2018, there were 32 cases of human plague in Gansu Province, 71 cases of which occurred and 44 cases died. More than 80% of human plague was directly infected by marmots.
Inner Mongolia Autonomous Region belongs to the plague historical natural foci. There are four types of foci, i.e. Mongolian marmot, Daur Rattus, Mongolian gerbil and Brandts vole, which are distributed in 57 Qi counties with a total area of 337000 square kilometers. Although there are many types and wide areas of plague foci, there are few human plague cases under the efforts of health departments at all levels and disease prevention and control institutions for many years. The previous case of human plague occurred in 2004, 15 years ago.
According to the official website of the health and Health Commission of Inner Mongolia Autonomous Region on November 14, local experts have been sent to Xilingol League and Sunitezuoqi to trace the source of cases and investigate close contacts.
After learning the news, the health and Health Commission of Inner Mongolia autonomous region arranged for the disposal of the epidemic situation as soon as possible. On the same day, the comprehensive disease prevention and control center of Inner Mongolia Autonomous Region sent relevant experts to Xilingol League and sunitezuo banner to guide the local work of case tracing, identify the source of infection and the route of transmission, investigate the close contacts, carry out medical observation and preventive work Medication, etc.
Source: responsible editor of Beijing News: Du Shuo, nb12556