“Shanghai has always adhered to active prevention and control, precise prevention and control, scientific prevention and control, and comprehensive prevention and control.”
Writing | Ten II
Source | “Medical Community” Official Account
The epidemic in Shanghai has been going on for two weeks.
On March 16, as of 15:00, 1 new case of local new crown was confirmed in Shanghai, and 19 new cases of local asymptomatic infection;
On March 15, 5 new local new crown cases were confirmed, and 197 asymptomatic infections;
On March 14, 9 new local new cases were confirmed, and 130 asymptomatic infections were reported.
…
Since the notification of a local confirmed case in the community on March 1, as of 15:00 today, a total of 1,073 local new coronavirus infections have been reported in this round of epidemic in Shanghai.
This is the most serious local epidemic in Shanghai after the normalization of epidemic prevention and control, and it also makes the former “top students in epidemic prevention” now face various doubts and accusations:
“Shanghai even gave up the necessary vigilance in order to show ‘accuracy’.”
“As long as there is no nucleic acid test, there will be no diagnosis.”
“It’s not accurate to have spillover.”
…
The more ugly comments will not be excerpted. The author just wants to say that these netizens may wish to know some more information before “angrying”, such as the following set of data:
In 2021, Shanghai will undertake a total of 14,137 international and Hong Kong, Macao and Taiwan flights, accounting for 35.6% of the total number of inbound flights in the country.
As of February 28, 2022: Shanghai reported a total of 3,958 imported confirmed cases, accounting for 27.4% of the national total;
Shanghai has tracked a total of 58,000 imported close contacts and 1.224 million inbound personnel under quarantine and health observation, which is much higher than other provinces and cities.
According to the official website of the Shanghai Health and Health Commission, the first local confirmed case of the epidemic in Shanghai was reported on March 1, and the previous week, Shanghai received 405 imported cases of infection.
At the same time, due to the recent fifth wave of the epidemic in Hong Kong, a large number of people from Hong Kong who returned to the mainland arrived in Shanghai. As of March 10, 2022, a total of 612 imported confirmed cases in Shanghai have been treated in hospitals. Among them, 481 cases were from Hong Kong, China, accounting for nearly 80%.
Similar data, but not all.
It can only be said that this is Shanghai. As an important medical center and a large port city in China, since the outbreak of the new crown epidemic, Shanghai has always adhered to resource sharing and undertaken too many epidemic prevention outside the mainland. Responsibility.
Undoubtedly, this also means stronger pressure for epidemic prevention and a higher probability of “incident”. The “Huating Hotel” incident in Shanghai is a lesson. Shanghai has already clearly responded that the virus carried by imported cases from abroad contaminates the environment, and due to management omissions, it causes local infection and spreads. Yesterday’s press conference on epidemic prevention and control stated that Shanghai has established an investigation team and is conducting a special investigation into the centralized isolation point of Huating Hotel.
However, this cannot be a reason to deny or even refute “precise prevention and control”. At the two-day press conference in Shanghai, the Deputy Secretary-General of the Shanghai Municipal Government and the leader of Shanghai’s epidemic prevention and control Gu Honghui, director of the group office, has a clear attitude: Shanghai has always adhered to active prevention and control, precise prevention and control, scientific prevention and control, and comprehensive prevention and control, adjusted Shanghai’s prevention and control strategies according to the situation and circumstances, and strived to reduce the impact of the epidemic on the normal production and living order of citizens. to the minimum.
March 15 Shanghai Epidemic Press Conference
Why insist on “precise epidemic prevention”?
Yes, since the pressure of epidemic prevention is so great, why does Shanghai not give up “precise epidemic prevention”? After all, we all know that as long as the virus is all “pulled out” and then “closed”, the spread can be quickly stopped. Nucleic acid testing of all employees and home isolation of the city’s residents seem to be the most convenient and predictable measures.
But the fact is that Shanghai has 16 districts covering an area of 6,340.5 square kilometers and nearly 25 million people. Although local epidemics have occurred intermittently in the past year, the number of new cases has always remained low. . In this case, easily implementing nucleic acid testing for all staff, or large-scale closed control, obviously does not have the benefits of health economics, or at least it is not the best choice.
Here is a piece of information. In the national GDP statistics last year, under the severe epidemic situation, Shanghai exceeded 4 trillion yuan for the first time, with a growth rate of 8.1%, far exceeding that of the State Council and the State Council at the beginning of the year. The 6% growth target set by the Shanghai government, and the total economic output of 4.32 trillion yuan ranks first among all cities in China.
Although economic growth cannot represent everything, it must be said that it is remarkable that the economy can grow beyond expectations while preventing and controlling the epidemic.
Therefore, Shanghai has always adopted “scientific and precise prevention and control” to control the epidemicIt does not interfere with the pace of urban life and development. Objectively speaking, Shanghai has also achieved great results due to the implementation of “precise prevention and control” in the past two years, and has won the reputation of “Top Student in Epidemic Prevention”.
For example, the “Disney Epidemic” in Shanghai on October 31, 2021.
There were tens of thousands of tourists in the park at that time. Only 3 days later, on November 3, Shanghai Disney announced that it would resume business, a decision that caused a lot of doubts online at the time. However, it turned out that the epidemic did not spread in the follow-up.
Shanghai “Disney Epidemic” scene map in 2021
It must be pointed out that it is not about “precise prevention and control”, it seems to be a more leisurely and labor-saving approach. On the contrary, to do accurate prevention and control, not only the efforts of epidemic prevention personnel, but also To “science” as the cornerstone.
It is reported that the Shanghai epidemic prevention and control professional administrative management team is composed of professionals with backgrounds in clinical medicine, public health, pharmacy, law, etc. Grassroots and different levels of health administration experience.
With the support of professional talents, an expert in hospital infection management from a tertiary hospital in Shanghai told the “medical community” that the Shanghai government provided experts with a lot of advice and suggestions during the entire epidemic prevention process. In addition to taking into account administrative requirements and professional considerations, he is good at combining viewpoints from all parties to make scientific decisions at first.
This all paves the way for timely, rapid and precise prevention and control. It is for this reason that since the 2020 epidemic, although there have been many rounds of sudden outbreaks in Shanghai, the city can always turn the corner. Behind these data is the continuous running and work of countless prevention and control workers day and night.
On March 16, a circle of friends from a Shanghai medical worker
There was no ‘lockdown’ before, and it doesn’t need to be ‘locked down’
Today, the epidemic situation has undergone new changes with the mutation of the virus and the changes in the overseas situation. In a word, the difficulty of prevention and control has been escalated. Let me briefly say two points for everyone to feel- ―
From March 1st to 14th, of the 851 newly infected people in Shanghai, 824 were asymptomatic, and only 1 asymptomatic infection turned into a confirmed case.
One case: On March 2, 5 people were identified as asymptomatic infections during screening. These 5 people were involved in 50 related close contacts and were quickly quarantined and controlled. But it wasn’t until March 9 that one of the 50 people who had been under control for nearly a week was diagnosed with the infection and remained asymptomatic.
Even the infected person is hard to detect, which shows the cunning of the virus and the difficulty of epidemic prevention. In this regard, Shanghai is also dynamically adjusting its epidemic prevention measures and efforts under the principle of “precise prevention and control”. At the Shanghai Epidemic Press Conference on the 15th, Gu Honghui introduced:
Do not leave Shanghai unless it is necessary, and Shanghai will expand social nucleic acid screening. Based on the situation of epidemiology, regional risks, etc., a number of key areas are delineated, and block-type and grid-based nucleic acid screening is implemented. Further strengthen social prevention and control, and encourage qualified units and enterprises outside key areas to implement home office as much as possible…
Obviously, in the face of this round of Omicron BA.2, the “Top Student in Epidemic Prevention” Shanghai has adjusted its epidemic prevention efforts, with many closed management areas and a wide range of risk investigations. This is the first time in the two years since the fight against the epidemic.
But even so, Gu Honghui still emphasized: “(As of now) Shanghai has not ‘closed the city’, and there is no need to ‘closed the city’ now.”
What is gratifying is that just yesterday, the state promulgated the latest “New Coronary Virus Pneumonia Diagnosis and Treatment Program (Trial Ninth Edition)”, among which several points that have attracted much attention are: The virulence of Mikkelon has decreased, mild cases are no longer transferred to designated hospitals, and centralized isolation management is implemented to ease the pressure on medical institutions. At the same time, the State Food and Drug Administration further approved two specific anti-new coronavirus drugs.
You see, in the face of the new features of the new coronavirus, the country’s epidemic prevention policy is also making dynamic adjustments. We have reason to believe that with more accurate research and judgment on the epidemic at the national level and anti-epidemic measures, Shanghai, and even all parts of the country, will be able to usher in the inflection point of the epidemic earlier and turn danger into safety, just like every time in the past.
Source: Medicine
Editor in charge: Zheng Huaju
Proofreading: Zang Hengjia
Plate making: Xue Jiao