I can see the status bar

Chapter 975 - 9 D-day
The Yunhe City Health Commission reported that there were no new confirmed cases throughout the day on the 13th.But the report did not receive "universal" approval.On the contrary, a piece of news made people all over the country nervous.

The WHO informed that Thailand notified the WHO of a confirmed case of a new type of coronavirus pneumonia from Yunhe on the 13th.At present, through cooperation with WHO, China has submitted the full sequence of the virus to the GISAID platform.The WHO named the pathogen found in this detection as 2019-nCoV.

At this press conference about the confirmed diagnosis of Yunhe tourists in Thailand, the Yunhe City Health Commission immediately notified the latest investigation results - no clear evidence of human-to-human transmission has been found, and the possibility of limited human-to-human transmission cannot be ruled out. However, the risk of sustained human-to-human transmission is low.

Professor Zhang Zhifu's understanding of these three paragraphs is as follows.

There is currently no way to sequence the entire genome of the virus in all patients, so it is impossible to tell whether the virus is spreading from person to person or from a contaminated site.

At present, there are indeed confirmed patients who cannot trace their contact history in the seafood market, and human-to-human transmission is possible in terms of results and logic.

Among the close contacts who have been intensively observed so far, there is no clear report that can be used to judge intergenerational transmission.In other words, there is a lack of evidence to judge sustained human-to-human transmission.

The confirmed cases in Thailand are a warning sign-when a region begins to export patients to other cities or even countries, the number of confirmed cases in the area will most likely not be too small.As for whether the occurrence of this case is a low-probability event, you only need to see if there are any confirmed cases exported later.

According to Professor Zhang Zhifu, the current situation of the spread of the new coronavirus is still in a fog.Although there are some not so good signs, conclusive evidence is still lacking.

But for the entire Fourth Court, these signs were enough for them to sound the alarm.Just like rescue, many things must be done first, so that it is possible to avoid the lack of preparation of doctors when more serious situations occur.

"The situation of the third hospital is special, but the kind of 'friendly reception' without a mask on the second hospital and the central hospital is not allowed in our hospital!" Dean Song said at the lunch work video conference held at noon today , issued the most stern warning, "If you think this kind of bloody rule can make patients feel at ease, then don't do it at all! You have a pit in your head!"

"There is no department in our hospital that does such a thing, right?" Sun Lien asked Zhou Ce in a low voice beside the computer while watching the video, "What's the trick of not letting doctors wear masks?"

"The Central Hospital and the Second Hospital are having a hard time these days." Zhou Ce replied, "The number of patients they went to see a doctor has dropped a lot during this period, probably because they are in a hurry, so they even resorted to such tricks, right? "

The Central Hospital and the Second Hospital are located in the old town of Ningyuan, which is an area with relatively higher living and living costs.With the rapid development of the quiet area as a new urban area in recent years, the old urban area has gradually shown signs of fatigue.Even the train station has been moved to a quiet area, and the Central Hospital and the Second Hospital have almost become "goods" that no one cares about.Patients who used to come to Ningyuan to see a doctor from surrounding provinces and cities, now mostly choose Ningyuan Fourth Hospital or the First Affiliated Hospital of Ningyuan Medical College because of traffic reasons.

Probably because of this reason, in order to improve their "people-friendly" level, the Central Hospital and the Second Hospital came up with such a stupid idea that makes people's blood pressure rise, that is, all front-line doctors and nurses Masks cannot be worn.The logic of their decision-making is also very clear. Compared with the living person who can see the face and the doctor who cannot see the face, the one who can see the face seems to be more approachable.

But this decision ... completely fails to consider why doctors and nurses need to wear masks to work.In Dean Song's words, this is an out-and-out decision of "the ass decides the head", a decision that "you don't even need the brain for the sake of making money".

"Secondly, from today onwards, all outpatient doctors, including nurses, will adopt level-[-] protection. Respiratory and fever clinics need to adopt level-[-] protection." Dean Song took two bites of the boxed lunch in front of him, and then continued, "The fever clinic deploys doctors from the emergency department and the respiratory medicine department, and in principle only rotates once within a month. The outpatient clinic and treatment of the stomatology department need to be carried out after confirming that the patient has no fever and travel history in Yunhe. If the patient has relevant symptoms, Withhold treatment unless the patient is critically ill - such patients should be refused treatment."

As soon as this statement came out, Sun Lien raised his head immediately.

Dental clinics can refuse patients?This level of prevention and control can be called astonishing.

"If a patient in the Department of Stomatology must be treated, and the patient has a fever or a history of traveling in Yunhe, the patient's oral cavity or blood samples must be sent to the Comprehensive Diagnostic Center for testing..." Song Wen was still reading out the latest regulations, but in the proposed At this point, she suddenly asked Sun Lien, "Director Sun, can the kit you developed be put into use now?"

"The current accuracy of the kit is not high enough, and the detection rate for confirmed positive samples is only about 50%." Sun Lien frowned and replied, "The accuracy of such reagents is not enough for clinical use... "

"The important thing now is to solve the problem first." Song Wen interrupted Sun Lien, "Get the kit first. Take four samples from each patient. If there is a 50 to 50 situation, go to mNGS to clarify. We have to have a test that can target this disease."

"Understood." Sun Li'en nodded, "I will contact Yuhua Biology now and ask them to send the kit."

"When you encounter a patient suspected of being infected with a new type of coronavirus pneumonia, isolate them immediately. Take a sample, and then contact the hospital infection department. They will be responsible for transferring the patient." At the end of the entire video conference, Song Wen told everyone The directors attending the meeting said, "All suspected and confirmed patients will be transferred to the Comprehensive Diagnostic Center for treatment - all the rooms over there can be transformed into negative pressure rooms to ensure infection control..." She raised her head to Sun Lien Dao said, "The outpatient work of your department will be suspended from today, and the renovation work will start in the afternoon."

"They have another patient with one bed." Xiao Lirong explained, "It's an American with stage IV breast cancer metastasizing throughout the body."

"Get her out of the hospital, or transfer her to Zhongfu Hospital for treatment, we don't have time to take care of her now." Song Wen said quickly, "I ask all of you, all departments, to transfer all your strength and attention to In this epidemic prevention process, we are the most important medical force in the entire Tranquility Zone and even the entire Ningyuan City, and this position must not be lost!"

(End of this chapter)