The epidemic prevention and control situation in Shanghai remains severe
Writing | Wang Hang
Source | “Medical Community” Official Account
The Shanghai Municipal Health Commission announced this morning that 50 new local confirmed cases of the new crown and 3,450 asymptomatic infections were added in the city yesterday.
This is the third consecutive day that the number of new infections in Shanghai has exceeded 2,000 in a single day, and the number of new positive infections every day is still increasing at a relatively rapid rate. From March 1 to 27, there have been more than 16,000 new local infections in this round of epidemic in Shanghai, showing the coexistence of regional aggregation and city-wide distribution, and there is a potential risk of surface outbreaks.
At the press conference on epidemic prevention and control held on the morning of the 28th, Wu Jinglei, director of the Shanghai Municipal Health Commission, announced that Shanghai has launched a new round of nucleic acid screening. Antigen testing will be carried out simultaneously, and the construction of centralized isolation and treatment facilities will be accelerated, and efforts will be made to achieve “acceptable collection” of positive infections.
Shanghai New Coronary Pneumonia Epidemic Prevention and Control Press Conference
Why a new round of nucleic acid screening?
On the evening of the 27th, the Office of the Leading Group for the Prevention and Control of the New Coronary Pneumonia Epidemic in Shanghai issued the “Notice on Doing a Good Job in the City’s New Round of Nucleic Acid Screening”, starting from 5:00 on March 28 , Shanghai will implement nucleic acid screening in batches with the Huangpu River as the boundary.
The first batch, key areas such as Pudong New Area to the east and south of Huangpu River and adjacent areas (including the entire Pudong New Area, Pujin Street and Pujiang Town in Minhang District, and Xinbang Town in Songjiang District) , Shihudang Town, Maogang Town, Yexie Town, Fengxian District, Jinshan District, Chongming District).
The second batch includes key areas and adjacent areas such as Minhang District, Xuhui District, Jiading District, and Huangpu District west of the Huangpu River, including other areas other than the first batch.
How will the nucleic acid screening work be advanced? Director Wu Jinglei explained that from 5:00 on March 28 to 5:00 on April 1, the first batch of areas will be strictly closed and managed for 4 days, and nucleic acid tests will be carried out at least 24 hours apart.
The second batch of regions will be strictly closed and managed for 4 days from 3:00 on April 1 to 3:00 on April 5, with two nucleic acid tests conducted at least 24 hours apart. From March 28th to April 1st, the second batch of regions strictly implemented the closure and control management in key areas, and carried out an antigen test in non-key areas. Airports, railways, and international passenger and freight operations are operating normally.
On the 28th, the Shanghai Municipal Public Security Bureau issued a notice, following the principle of “do not come to Shanghai unless it is necessary, do not leave Shanghai unless it is necessary, and must hold a negative nucleic acid certificate within 48 hours when leaving Shanghai”. It was decided to implement traffic control on batch nucleic acid testing areas. In the closed area, the residential area is under closed management, all personnel stay at home, and personnel and vehicles can only enter and exit.
At the press conference this morning, the reporter asked: Why is this round of nucleic acid screening carried out? What effect will this have on Shanghai’s epidemic prevention?
Wu Fan, a member of the expert group of the Municipal Epidemic Prevention and Control Leading Group and Vice Dean of Shanghai Medical College of Fudan University, responded that by analyzing the screening results, there are two coexistence of regional clustering and city-wide distribution of the epidemic in Shanghai. It is a characteristic, and there is a risk of outbreak on the surface.
“After comprehensive research and judgment, it is necessary to take more decisive and resolute measures to further reduce the social mobility of the population, quickly identify infected persons, and completely eliminate the hidden community transmission of the virus.”
p>Wu Fan introduced that this round of nucleic acid screening was carried out in pieces, checked the bottom, and checked the surface. It was based on the progress of the epidemic and on the basis of the original slicing and grid strategy. , optimize the prevention and control measures, quickly control the rising trend of the epidemic according to the time and situation, and realize the social zero as soon as possible.
“The key to the victory is that the people of the city work together and move in unison, with full coverage, no omissions, less flow, and strict control.” Wu Fan said.
How to provide supplies and medical care
As the nucleic acid screening involves a large area and a large number of residents, daily necessities and medical needs have become the focus of attention. Many keywords such as “delivery food” and “support Shanghai” rushed to the hot search on Weibo.
Gu Jun, head of the material guarantee team of the Shanghai Epidemic Prevention and Control Leading Group and director of the Municipal Commission of Commerce, responded at the press conference that the people’s governments of all districts have formulated a work plan for the guarantee of living materials, and each district guides the streets (Town) and village (neighborhood) committees have set up 24-hour service guarantee hotlines in residential quarters to respond in a timely manner to “urgent, difficult, and worrying” issues related to the guarantee of living materials.
Shanghai and district governments are also increasing the organization of supply sources, actively coordinating supply guarantee companies to further expand procurement channels, carrying out wholesale and retail docking, production and sales docking, increasing procurement volume, and ensuring market supply. For example, the Vegetable Group actively connects with the vegetable extension base and continuously transports various vegetables to the city.
As a large number of medical resources are tilted towards epidemic prevention and control, the medical needs of some critically ill patients cannot be met in time.
Director Wu Jinglei emphasized that a special work plan has been formulated for this, requiring all medical institutions to effectively ensure the smooth flow of emergency green channels, and to ensure that fever clinics, hemodialysis, critical care, obstetrics, pediatrics, Radiotherapy and chemotherapy and other key department services and hospital admissions.
For residents with general medical needs, such as high blood pressure, diabetesFor patients with chronic diseases such as diabetes, the local family doctor team should do a good job of docking, focusing on key groups such as the elderly, children, pregnant women, and the disabled. Residents can also conduct online consultations, follow-up consultations, and dispensing medicines through Internet hospitals.
For residents with symptoms such as fever, the street town or village committee will arrange a special car or contact “120”, and transfer them to the nearest fever clinic for further investigation, and a closed loop should be done during the process. manage.
For residents who really need to go out for medical treatment, non-critical and critically ill patients, after reporting to the community management and control staff, the town and village committees will arrange special vehicles to close the patient’s loop. Transfer to designated medical institutions. For critically ill patients, the town or village committee should contact the “120” emergency vehicle for transport. If the patient or family members dial “120” by themselves, the emergency center will give priority to dispatching vehicles to meet the medical needs of critically ill patients.
In response to the increasing number of new positive infections every day, Shanghai has also accelerated the construction of centralized isolation and treatment facilities. Director Wu Jinglei introduced that at present, Shanghai has selected large-scale public facilities and started the follow-up construction plan.
As of March 27, in addition to the original designated hospitals such as the Municipal Public Health Clinical Center, 6 backup designated hospitals have been opened at the city and district levels, and 2 gymnasiums, 1 talent apartment, 1 large exhibition hall, and another in Chongming as a centralized isolation and treatment place.
Zhejiang delivered medical staff to Shanghai overnight
Shanghai currently has a resident population of about 24.87 million. The workload of large-scale nucleic acid screening, isolation, and transfer of epidemic prevention and control is huge, and front-line medical staff are facing multiple pressures.
Director Wu Jinglei emphasized that “including designated hospitals, back-up designated hospitals, centralized isolation sites, and medical staff in various positions such as nucleic acid sampling, transfer, testing, and daily diagnosis and treatment, all night, day and night, sleepless. They are under tremendous physical and psychological pressure, and at the same time, they have to carry out high-intensity work tasks under isolation and protection conditions.”
If one side is in trouble, all sides support! According to the information released by the WeChat official account of “Zhejiang Highway and Transportation”, the Zhejiang Provincial Department of Transportation urgently dispatched 50 buses to transport medical personnel to Shanghai overnight.
On the evening of March 27th, the Zhejiang Provincial Government held an emergency meeting on helping Shanghai, and quickly assembled 50 buses to arrive at the Provincial People’s Hospital and Zhejiang Hospital before 4 am on the 28th. At the departure point of each hospital, the epidemic prevention materials were quickly loaded and medical staff were connected, and they rushed to Shanghai at 4:30 as scheduled. At 7:30, the convoy had safely arrived in Pudong, Shanghai, and more than 1,500 medical staff from Zhejiang arrived at the destination, and the epidemic prevention and control work began immediately.
Zhejiang medical staff depart for Shanghai
The pictures posted by several netizens show that medical staff from several hospitals in Zhejiang Province have participated in nucleic acid testing in some areas of Shanghai.
Nucleic acid testing site
Image source: Weibo user “-Sumu-“
“Thank you to the medical staff from all over the world. I hope Shanghai will overcome the epidemic soon.” A netizen commented.
Source: Medicine
Editor in charge: Zheng Huaju
Proofreading: Zang Hengjia
Plate making: Xue Jiao