5 cases of Tianjin Baodi department store

category:Society
 5 cases of Tianjin Baodi department store


Inside a department store in Baodi District

Pneumonia cases with new coronavirus infection have appeared one after another

(the 34th, 36th, 37th, 43rd and 48th confirmed cases in the city),

It has become another cluster epidemic.

In the first three cases,

No epidemiological association seems to be found.

So how do these cases get sick?

What conditions can be traced before the onset of the disease?

How can we find out?

At the press conference on the prevention and control of pneumonia caused by the new coronavirus in Tianjin held at 16:00 on February 2, Zhang Ying, director of the infectious disease prevention and control room of Tianjin CDC, made a detailed analysis of the successive incidence of these five confirmed cases in a department store in Baodi District, and finally revealed the layer upon layer of fog.

Case 1

The first case in a department store in Baodi District was a salesman in the small appliance area of the building. The salesman was feverish on January 22, and the shopping mall was closed for the Spring Festival on January 26. After the onset of the disease, the salesman went to the community clinic for 4 consecutive days. There was no fever clinic in the community clinic. During this period, she continued to have a high fever and bought her own medicine to deal with at home. Until the 30th, the case was not cured, so on the 31st, accompanied by her husband, she went to the fever clinic of Baodi district hospital. Finally, it was confirmed as a confirmed case by Tianjin Center for Disease Control and prevention.

The key problem is that through epidemiological investigation, the case has no epidemiological history of Wuhan, has not been out, has not been exposed to similar confirmed cases or cases with suspicious symptoms.

Case 2

On February 1, we received a second confirmed case. This case is the husband of the first case. After the first case, he accompanied his wife to the community health service center and district hospital. And in the meantime, he had his own symptoms. As early as January 24, the second case had diarrhea, Zhang said. In the whole process of accompanying his wife to see a doctor, he just bought some medicine to take in the small drugstore at his door. Although he has been accompanying his wife to see a doctor, he did not go to the hospital to see a doctor himself.

Through epidemiological investigation, the second case also had no travel history of Wuhan and other epidemic areas. Apart from contacting his wife, a feverish patient, there were no other cases of suspected symptoms. So the source of the infection attracted the attention of the experts of the CDC at that time. How did the couple get infected? At that time, experts speculated that it might be because his wife sold small appliances in the department store, or brought the new coronavirus to the family in the customer group. However, just after that, there was a third case.

Case 3

The third case is a salesman from a department store. She is a jewelry salesman, working on the same floor with the first example, but not in a sales area. The first case and the third case did not have any contact and intersection, nor did they eat and chat together. The third case showed symptoms on January 24. In the course of epidemiological investigation, experts found that the third case went to other places to purchase goods on January 18 and contacted a high fever patient.

There are also cases in the place of purchase, which is the focus of the epidemic, Zhang said. However, this foreign high fever patient was not clinically diagnosed, nor confirmed by the laboratory. It is impossible to confirm whether the third high fever patient contacted in other places is a pneumonia patient infected with new coronavirus. Because the high fever patients did not see a doctor, no test. In the third case, the source of infection can only be marked with a question mark.

At that time, according to the analysis of disease control experts, would it be the third case that was infected with the new coronavirus and brought back to Tianjin, causing the spread in the department store and then the spread in the first case family? From the time of onset, experts can not establish an epidemiological link. Why? The third case occurred on the 24th and the first on the 22nd. If the third case is transmitted to the first case, it doesnt make sense logically.

In this way, the experts are completely confused. At a time when disease control experts were at a loss, there was a fourth case.

Case 4

The fourth example is also a salesman in a department store. She works in the shoes area, on the same floor as the first and third cases. According to the fourth self-report, she has no work intersection with the two previous salesmen who are ill.

At this time, the disease control experts were afraid to miss the key clues and found the leaders of the department store to inquire. Whether the Department Store held a party, a small party, a summary meeting before the Spring Festival, or used other forms to gather employees together. To the disappointment of the experts, the answer is: No. And the salesmen all go to eat by themselves, there is no dining room to provide a collective dining environment. So these three salesmen have no intersection in their daily work.

However, there is another situation in case 4 that has attracted the attention of experts. The case started as early as January 21. From January 12 to 13 before the onset of the disease, she once went to L City shoes wholesale market near Tianjin twice for purchase.

Experts searched the national epidemic reports online and found that there were cases of pneumonia infected with new coronavirus in L City, as well as local transmission. According to experts, it is possible that the fourth case was infected in the process of purchase in L City, and then came back to Tianjin. But how does she spread the virus to two other colleagues who dont interact with her daily work? There is also no way to establish an epidemiological link.

Will the experts once again be in the fog?

The disease control experts repeatedly confirmed with the first, third and fourth patients: have you ever noticed whether there is a moment of contact with each other? Even experts on the use of public toilets did not miss it. But the answer is: No.

This time, experts are deadlocked in the epidemiological investigation of the department store.

At a time when the experts were at a loss, a very key figure appeared. In the early hours of February 2, the fifth case was confirmed.

Case 5

The fifth case is not a salesman in a department store. She is a customer who used to go shopping in a department store. From 15 p.m. to 18 p.m. on January 23, she went to the shoe selling area (case 4) and jewelry area (case 3) of the department store at the same time. Then she spent more than three hours in the department store. Fever appeared on the 29th. A case of pneumonia with new coronavirus infection was confirmed on February 1.

This customer does not have any travel history or travel history of Wuhan and other epidemic areas, and has not been exposed to suspected or diagnosed cases. Experts judged that her infection could only come from the department store.

After finding the clues, the disease control experts in turn asked the third and fourth confirmed patients whether they were at work from 15:00 to 18:00 on January 23. The answer is: they are all there.

At this time, disease control experts have finally established an epidemiological link. The conclusion is that the fourth case was infected in other places, which caused the spread of the virus in the department store after returning to Tianjin. The customer caught up and she was infected. Then there was the first case that infected her husband.

Zhang Ying further analyzed and said: although the first, third and fourth cases of the disease were working in different areas, the sales areas were on the same floor, basically adjacent, without a clear boundary, without a distance of more than 4 to 5 meters between each other, and the actual distance was even less than 1 meter. In such an environment, a customer can be infected in three hours. We can imagine that the salesmen who work in eight hours cannot avoid being infected in such an environment.

At this point, the origin and development of the clustering epidemic in a department store in Baodi district is completely clear.

A clustering disease of Ye family in Dongli District

At the scene, Zhang Ying analyzed the infection process of the 39th, 40th and 41st confirmed cases in Tianjin.

Yes family of three is relatively simple, but it also serves as a warning.

They are from Wenzhou. They live and work in Tianjin. On January 20, they returned to their hometown of Wenzhou to visit their relatives.

During the period of 20-25, they attended three parties:

The first dinner party was held on the 21st, and Tang participated;

On the 23rd, Tang and yes mother participated in the meeting;

Ye had a dinner at his mother-in-laws house on the 24th.

Tang was confirmed as a pneumonia case infected with a new type of coronavirus in Wenzhou Wednesday,

On the 31st, Yes mother was tested positive and was also diagnosed.

On February 1, all three members of Yes family were diagnosed with pneumonia caused by the new coronavirus. Its all a dinner party.

Through the analysis of these cases, Zhang Ying reminds the people of the whole city that we cant take lightly the prevention and control of the new coronavirus.

We always tell you how to do it and how to prevent it. Id like to remind you that its better for you to protect yourself than others. Respiratory infectious diseases do not know who carries the virus. You dont know who is sick around you. So its impossible to know who is the case of pneumonia with the new coronavirus

So, how to protect yourself?

Family and friends do not get together. First of all, family and friends should not get together, Zhang said. After a busy year, we should take advantage of this holiday to have a good rest at home. Protect ourselves, our cases will be less and less, the possibility of transmission will be blocked. Soon the epidemic will be under control, and everyone will be able to return to work and school smoothly and earlier. If we run around, there is no way for us to prevent and control in place!

(function() {(window. Slotbydup = window. Slotbydup| []). Push ({ID: u5811557, container: ssp_, async: true});}) (); do not go to public places. The example of the department store is clear to everyone, Zhang said. The customer stayed in for three hours. Such a relatively closed and crowded area is the place where respiratory infectious diseases are particularly easy to spread. impossible to guard against. In addition, we do not protect ourselves properly, so we should try not to go to such public places. Dont go if you can. Dont give yourself medicine. Of the five cases in a department store in Baodi District, none of the first four cases went to the fever clinic at the first time. They all bought and took their own medicine in the drugstore, Zhang said. I didnt go to the hospital until I was out of control. Once again, I would like to remind you not to take medicine at home, otherwise it will bring many side effects. Fever clinic to remember. Zhang Ying said: the common fault of the first four cases in a department store in Baodi district is that after the fever symptoms appear, the first choice is to go to the community clinic instead of the fever clinic, which is very dangerous. Once again, I solemnly remind you that if you or your family have a fever, you should go to the 47 fever clinics publicized by Tianjin Municipal Health and Health Commission for treatment at the first time. Which district should you live in and see a doctor nearby? Source: responsible editor of morning news: Li Chao, nb12814

Dont go to public places. The example of the department store is clear to everyone, Zhang said. The customer stayed in for three hours. Such a relatively closed and crowded area is the place where respiratory infectious diseases are particularly easy to spread. impossible to guard against. In addition, we do not protect ourselves properly, so we should try not to go to such public places. Dont go if you can.

Dont give yourself medicine. Of the five cases in a department store in Baodi District, none of the first four cases went to the fever clinic at the first time. They all bought and took their own medicine in the drugstore, Zhang said. I didnt go to the hospital until I was out of control. Once again, I would like to remind you not to take medicine at home, otherwise it will bring many side effects.

Fever clinic to remember. Zhang Ying said: the common fault of the first four cases in a department store in Baodi district is that after the fever symptoms appear, the first choice is to go to the community clinic instead of the fever clinic, which is very dangerous. Once again, I solemnly remind you that if you or your family have a fever, you should go to the 47 fever clinics publicized by Tianjin Municipal Health and Health Commission for treatment at the first time. Which district should you live in and see a doctor nearby?