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On April 22, according to the release of “Healthy Shanghai 12320”, there were 11 new local deaths in Shanghai on April 21, with an average age of 84.2 years and a maximum age of 94 years (2 cases).
All 11 patients were complicated with severe multi-organ underlying diseases, and were in critical condition, including coronary heart disease, Cardiac insufficiency, end-stage liver cirrhosis, cerebral infarction, Parkinson’s disease, Alzheimer’s disease, uremia, etc. After the patient was admitted to the hospital, his condition progressed rapidly, and he died after resuscitation failed. The immediate cause of death is the underlying disease. ①
Since 3 deaths were reported on April 17, as of At 24:00 on April 21, the current round of the epidemic in Shanghai has seen death cases for 5 consecutive days, with a total of 36 cases. The direct cause of death was caused by underlying diseases.
Three alerts this round of epidemic has brought us!
1. Omicron variant, definitely not “big flu”
In response to the current remarks comparing the Omicron variant to a “big flu”, the National Health Service on April 10 Liang Wannian, head of the expert group of the Leading Group for the Response and Disposal of the New Coronary Pneumonia Epidemic of the Health Commission and Executive Deputy Dean of the Vanke School of Public Health and Health of Tsinghua University, said in an interview with the media on the epidemic prevention situation in Shanghai: “I would like to emphasize that Omi The Chiron variant is not influenza, let alone the current epidemic situation as influenza, because it is significantly different from influenza.”①
Xinhua News Agency interview screenshot
First, from a global perspective, the mortality rate of the new crown among the elderly is dozens of times higher than that of ordinary flu, and even nearly a hundred times higher for those over 80 years old. Shanghai is a super city with a population of 25 million. A little carelessness can cause health damage to vulnerable groups, and must be taken seriously.
Second, not only the case fatality rate, but also the mortality rate, everyone can be infected Keron, the entire population is the “denominator”. For Shanghai, which has a high proportion of elderly people, if it is not controlled and large-scale infections occur, the number of severely ill people will add up to a huge number.
Third, if it is not controlled, it will inevitably affect the demand for normal medical and health services and cause a run on medical resources. ②
2 . Adhere to the dynamic clearing, and adhere to the epidemic prevention measures unswervingly!
Why can’t my country cancel the epidemic prevention measures like abroad? On March 22, Liang Wannian, the expert group leader of the National Health Commission’s New Coronary Pneumonia Epidemic Response Leading Group, said in an interview with CCTV News “News 1+1” that the protection strategies and specific measures adopted by various countries are based on their Prevention and control concept. China’s prevention and control philosophy is “people first, life first”. Since the outbreak of the epidemic, China has been insisting on dynamic clearing, and constantly optimizing prevention and control measures. It can be said that we have protected the people from the so-called herd immunity and natural immunity.
We mainly build an immune barrier by enhancing resistance through active vaccine immunization. But from an international point of view, some countries choose to “lie down” because two kinds of immunity coexist. One is through natural immunity, that is, group infection. It can be said that a considerable proportion of the people have been infected with the new crown virus, and the other is through active immunity. vaccine immunization.
In this case, if China also chooses “lying flat”, it does not insist on dynamic clearing, especially It is the current vaccination rate, especially the vaccination rate of the whole course and booster shots, which is not completely high enough to form a solid immune barrier, which will inevitably make a large group of elderly, vulnerable and vulnerable people prone to infection. In this case, we must adhere to the policy of dynamic clearing and keep our strategies and measures unswerving. This is also a time window for us. If we strengthen vaccination and speed up scientific and technological research and development, including drug research and development, vaccine research and development, I think we may also have a chance, maybe Omicron has changed again, become more mild, and the transmission rate and disease rate are lower. , that’s our best chance. Therefore, at this stage, we insist that the general strategy and general policy remain unchanged, which should be the best choice, and it is also in line with China’s anti-epidemic reality. ③
3. The elderly and people with underlying diseases must be vaccinated as soon as possible! strong>
on April 6th At the press conference of the joint prevention and control mechanism, Wang Huaqing, chief expert of the immunization program of the Chinese Center for Disease Control and Prevention, said, “The two risk factors that previously led to severe illness and death of infected persons were advanced age and underlying diseases. Now another one has been added. factor, that is not vaccinated.”
Wang Huaqing said, “We saw that there is a designated hospital in Jilin for the treatment of the new coronavirus. The proportion of vaccination, especially the proportion of the whole process, is only 15%.” Severely ill patients do appear to be unvaccinated at advanced age and have chronic underlying diseases. For the elderly and people with underlying diseases, the best measure to reduce severe illness and reduce death is vaccination. ④
Peking University Wang Guiqiang, director of the Department of Infectious Diseases at a hospital, also said at the press conference of the Joint Prevention and Control Mechanism of the State Council on April 6, “The Hong Kong epidemic data gives us a very important reminder that vaccination is closely related to the case fatality rate. From the Hong Kong epidemic data It can be seen that the three-shot vaccination can effectively reduce the mortality rate of Omicron infection.”④
On April 5, the Chinese Center for Disease Control and Prevention released the “New Crown Vaccination Science Questions and Answers for the Elderly” and also reminded that for the elderly who have not been vaccinated or have not received the “booster shot”, if there is no absolute vaccine Contraindications, it is recommended to take the initiative to vaccinate as soon as possible. ⑤
Wu Jinglei, director of Shanghai Municipal Health Commission The press conference on March 17 also called for: If the chronically ill people who take regular medication are not in the acute exacerbation period, or the condition is well controlled and in a stable period, they can be vaccinated. It is recommended that eligible elderly people unblock the community and nearby vaccination points. Vaccinate as soon as possible after opening, and boost the vaccination as soon as possible after 6 months of full vaccination to produce better results. ⑥
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This article is synthesized from:
①2022-04-22 Health Shanghai 12320 “Yesterday there were 1,931 new local confirmed cases, 15,698 asymptomatic infections, 1,732 local confirmed cases were cured and discharged, and 26,256 cases were released from medical observation”
②2022-04-10 Xinhua News Agency “Liang Wannian: The Epidemic in Shanghai Must Not Be Taken Lightly”
③2022-03-22 CCTV News “News 1+1”
④2022-04-06 Press Conference of the Joint Prevention and Control Mechanism of the State Council
⑤2022-04-05 China CDC “Q&A on New Crown Vaccination for the Elderly”< /span>
⑥2022-04-17 Shanghai New Coronary Pneumonia Epidemic Prevention and Control Press Conference
Editor: span>Lu YangReviewer: Yang Xiaoming