Some medical institutions in Wuhan have seen patients with pneumonia of unknown cause. The notice requires each medical institution to follow up the statistics and treatment in a timely manner and report it in time as required.According to the Hubei Provincial Health and Health Committee and the Wuhan Municipal Party Committee Propaganda Department, the National Health and Medical Committee Expert Group has arrived in Wuhan on the morning of the 31st and is currently conducting relevant inspection and verification work.
Wuhan Health and Health Commission official hotline 12320 staff also responded to the first financial and economic affairs, said the specific virus is still waiting for the final test results.
According to the National Surveillance, Investigation, and Management of Unexplained Pneumonia Cases (hereinafter referred to as the “Plan”) issued by the former Ministry of Health in 2007, cases of unexplained pneumonia refer to the following 4 cases of pneumonia that cannot be clearly diagnosed: ≥38 ℃); with the imaging characteristics of pneumonia or acute respiratory distress syndrome (ARDS); the total number of white blood cells was reduced or normal in the early stage of onset, or the lymphocyte classification count was reduced; the condition was not significantly improved after 3-5 days of antibiotic treatment.
In the face of the disaster, medical workers in Wuhan have always struggled to be at the forefront, using their sweat to protect the safety of the people.
See How Medics Fighting Virus in Wuhan
icon-bell Content of the notification on January 5
On January 5th, the Wuhan Municipal Health and Health Commission issued a briefing on unexplained viral pneumonia. According to the report, as of 8:00 on January 5, a total of 59 patients with unexplained diagnosis of viral pneumonia were reported in Wuhan, of which 7 were critically ill, and the vital signs of the remaining patients were stable. Isolation treatment, no deaths.
An epidemiological survey showed that some patients were operating households in Wuhan South China Seafood City. As of now, preliminary investigations have shown no clear evidence of human-to-human transmission and no medical staff infections. Respiratory pathogens such as influenza, bird flu, adenovirus, infectious atypical pneumonia (SARS) and Middle East Respiratory Syndrome (MERS) have been excluded. Pathogen identification and cause tracing are still underway.
icon-bell-o Content of the notification on January 3
Since December 2019, our committee has carried out surveillance of respiratory diseases and related diseases, and found cases of viral pneumonia of unknown cause. The clinical manifestations of the cases are mainly fever, a few patients have difficulty breathing, and chest radiographs show bilateral lung infiltrative lesions. As of 8:00 on January 3, 2020, a total of 44 patients with unexplained diagnosis of viral pneumonia were found, of which 11 were critically ill, and the vital signs of the remaining patients were generally stable. At present, all cases are receiving isolation treatment in Wuhan medical institutions. 121 close contacts have been tracked and medical observations have been tracked. The follow-up of close contacts is still in progress.
An epidemiological survey showed that some cases were operating households in Wuhan South China Seafood City. As of now, preliminary investigations have shown no clear evidence of human-to-human transmission and no medical staff infections. Pathogen identification (including nucleic acid detection and virus isolation and culture) and cause tracing are ongoing, and common respiratory diseases such as influenza, avian influenza, and adenovirus infection have been ruled out.
After the outbreak, the State and Provincial Health and Health Commission attached great importance to it and sent working groups and expert teams to Wuhan to guide the local epidemic response and disposal work. Wuhan Municipal Health and Health Commission has conducted relevant case searches and retrospective investigations in medical institutions throughout the city, and has completed the environmental sanitation disposal of South China Seafood City, and further hygiene investigations are ongoing.
icon-bell Content of the notification on December 31
Recently, some medical institutions found that many of the pneumonia cases received were related to South China Seafood City. After receiving the report, the Municipal Health and Health Commission immediately launched a case search and retrospective investigation related to South China Seafood City in the city’s medical and health institutions. Twenty-seven cases have been found, of which 7 are in serious condition, and the remaining cases are stable and controllable. Two patients are expected to be discharged in the near future. The clinical manifestations of the cases were mainly fever, a few patients had difficulty breathing, and chest radiographs showed bilateral lung infiltrative lesions. At present, all cases have been isolated for treatment, follow-up investigations and medical observations of close contacts are ongoing, and hygiene investigations and environmental sanitation disposals for South China Seafood City are ongoing.
Wuhan organized consultations with clinical medical, epidemiological, and virological experts from Tongji Hospital, Provincial CDC, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan Infectious Diseases Hospital, and Wuhan CDC. According to the analysis of epidemiological investigations and preliminary laboratory tests, the above cases are considered to be viral pneumonia. Investigations so far have not revealed any apparent human-to-human transmission or infection by medical staff. Detection of the pathogen and investigation of the cause of the infection are ongoing.
Viral pneumonia is more common in winter and spring, and can be spread or outbreak. The clinical manifestations are fever, soreness, dyspnea in a small part, and lung infiltration. Viral pneumonia is related to the virulence of the virus, the route of infection, and the age and immune status of the host. Viruses that cause viral pneumonia are common with influenza viruses, others are parainfluenza virus, cytomegalovirus, adenovirus, rhinovirus, and coronavirus. Confirmation depends on pathogenic tests, including virus isolation, serological tests, and viral antigen and nucleic acid tests. The disease is preventable and controllable, and indoor air circulation can be prevented to prevent closed and airless public places and crowded places. Masks can be worn outside. Symptomatic treatment is the main clinical practice, and bed rest is required. If you have the above symptoms, especially the persistent fever, you should go to the medical institution in time.
icon-ambulance How to prevent pneumonia
In life, being well protected helps people reduce the risk of pneumonia infection. For the protection of pneumonia of unknown cause, Sohu Health made reference to the National Health and Health Commission’s official website “A SARS Clinical Performance and Preventive Treatment 55 Questions” as follows:
How can the public prevent atypical pneumonia?
To prevent atypical pneumonia, the following precautions are taken:
1. Strengthen personal hygiene and wash hands frequently.
2. The room is often ventilated and ventilated to maintain air circulation in the living and working environment, improve environmental hygiene, and dry clothes and bedding. Go to outdoor activities often, breathe fresh air and strengthen your physique.
3. Maintain good personal hygiene and wash your hands after sneezing, coughing and cleaning your nose. Wipe dry with clean towels and paper towels after washing your hands. Do not share towels.
4. According to weather changes, pay attention to cold protection and warmth; take more exercise to enhance your ability to resist disease.
5. Pay attention to a balanced diet, regular exercise, adequate rest, reduce stress and avoid smoking, increase or decrease clothes according to climate change, and strengthen the body’s resistance.
6. People who come into contact with respiratory infection patients need to wear masks, pay attention to the cleaning and disinfection of hands.
7. Avoid contact with suspicious animals, birds and birds.
When should I wear a mask?
In general, you don’t need to wear a mask in outdoor public places, but you should avoid direct contact with other people’s sneeze and other respiratory secretions. Patients with suspected atypical pneumonia should wear masks to avoid transmission to others. Wear masks when visiting atypical patients to prevent infection. After close contact with a patient who has been confirmed to have severe acute respiratory syndrome, wear a mask for at least 2 weeks from the date of last contact. Medical personnel should routinely wear a mask when diagnosing and treating respiratory infections.
To prevent respiratory infections, why emphasize hand washing?
Studies have proven that respiratory secretions in patients with respiratory infectious diseases, such as snot and sputum, contain a large number of pathogens, which can be transmitted to healthy people by touching the secretions with their hands. Experts therefore emphasize the need to pay attention to hand hygiene. Hand washing and disinfection are important measures to prevent respiratory infectious diseases and foodborne infectious diseases.
If a family member or friend is diagnosed with SARS, what precautions should be taken?
If a family member or friend is diagnosed with atypical pneumonia, to ensure the health of the patient’s family members, contacts, and others, the following measures should be taken: under the guidance of the local disease prevention and control agency, in the place where the patient’s home or recent stay Perform disinfection, including air, furniture, clothing, etc.
In order to control the epidemic situation, close contacts of patients should cooperate with the disease control agency for medical observation or relative isolation. The period is generally 2 weeks. Try to rest at home as far as possible without participating in group activities or traveling far. If you have any discomfort, please seek medical treatment as soon as possible and take the initiative to inform “have had close contact with similar patients”.
Avoid visiting patients. When you need to visit, you must wear a mask. Pay attention to your physical condition, pay attention to personal hygiene, and wash your hands frequently.
What should I do if I have fever, cough, or soreness?
If you have symptoms and signs of fever (temperature above 38 ° C), cough, and general soreness, you should take the following measures immediately: Go to the hospital as soon as possible.
Pay attention to personal hygiene, cover with tissue paper when sneezing and coughing.
Reduce opportunities for close contact with family, colleagues and others.
Take care to keep indoor air flowing when you are with others.
What measures can be taken to prevent respiratory infectious diseases in the family living environment?
If no atypical pneumonia patients have stayed in the home, routine disinfection of air is usually not required.
The simplest and most effective measures are regular indoor ventilation and ventilation, promote air circulation, clean the environment, and dry clothes and bedding.
If the ventilation conditions are poor, physical and chemical disinfection methods can also be used.
How to avoid getting infected in the office?
If you are unwell, you should seek medical treatment as early as possible, or stay at home and do not go to work; office staff should pay attention to personal hygiene and cultivate healthy living habits; maintain indoor air circulation, open windows and ventilate frequently;
What to watch out for when dining together?
There is no evidence that patients with atypical pneumonia can spread their pathogens through food, but they can be infected by contact with patients’ respiratory secretions. Therefore, it is recommended to use public chopsticks and spoons in addition to paying attention to the ventilation and fresh air of the dining environment.
What should I pay attention to when traveling?
1. Follow the latest traveler warnings.
2. Pay attention to personal hygiene and wash your hands frequently.
3. Add or remove clothes at any time to avoid colds.
4. Few places with dense crowds and poor ventilation.
5. If you feel unwell during travel or after you return, especially if you have high fever (temperature above 38 ° C), cough, or sore body, go to the hospital in time.