With the centralized isolation and management of light cases, makeshift hospitals will be ideal places.
Writing | Tian Dongliang
Source | “Medical Community” Official Account
Following Jilin, Changchun and Langfang, Nanchang and Quanzhou also built makeshift hospitals.
Fujian Quanzhou Fangcai Hospital is located in the Quanzhou Strait Sports Center Badminton Hall and Basketball Hall, with a total capacity of 1,000 beds. It was put into use on the evening of March 20 to receive mild patients. and asymptomatic patients. Jiangxi Nanchang Fangcang shelter hospital is located in Xinyue Lake Gymnasium in Xinjian District. It is currently under construction for 24 hours overnight. After it is completed and put into use, it will be used to receive and isolate asymptomatic infected persons.
The picture is from “Quanzhou Tong Client”
On March 15, the National Health and Medical Commission released the “New Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial Version 9)”, which clearly stated that centralized isolation management should be implemented for mild cases. This requires that the city where the epidemic occurs must have a specific place for the isolation and management of light patients and asymptomatic infections, and the makeshift hospital will be an ideal place.
High proportion of mild patients
According to the epidemic report issued by the National Health and Medical Commission, on March 20, there were 1,947 new local confirmed cases and 2,384 new local asymptomatic infections in mainland China. For two consecutive days, the number of new asymptomatic infections in mainland China has exceeded the number of confirmed cases.
Shanghai is the city with the largest increase in the number of asymptomatic infections of the new crown. On March 20, Shanghai added 24 local confirmed cases and 734 asymptomatic infections. For several days in a row in Shanghai, the number of new asymptomatic infections is much higher than the number of confirmed cases. At the press conference on epidemic prevention and control in early March, Wu Fan, deputy dean of Shanghai Medical College of Fudan University, explained the phenomenon that there are many asymptomatic infections.
Wu Fan said that Shanghai’s judgment on asymptomatic infections is strictly in accordance with national standards, and there are three reasons for the increase in asymptomatic infections: First, the new coronavirus is constantly mutating, and it is highly transmissible. The virulence is declining, leading to a higher and higher proportion of mild and asymptomatic cases. This is a global trend. Second, mass immunization of vaccines has played a very important role in protecting susceptible people. , It is related to the immunity of specific individuals, and young people are more likely to have asymptomatic conditions.
Jilin Province is still the most serious province in this round of the epidemic in the mainland. Of the 1,947 newly confirmed cases in Turkey on March 20, 1,542 were in Jilin Province, and another new There were 549 asymptomatic infections.
Zhang Zhang, deputy director of the Jilin Provincial Health and Health Commission, introduced at a press conference on the prevention and control of the epidemic held on the morning of the 20th that currently the main transmission in Jilin Province is the Omicron strain BA.2 A subtype that is more contagious, spreads faster, and is more insidious. Judging from the cases in the whole province, mild cases are the main ones. At present, the proportion of mild cases in Jilin Province has reached more than 98%, and the medical treatment work is smooth as a whole.
Jilin Province has built 9 makeshift hospitals, providing 16,302 beds. In addition, there are 11,673 isolation rooms in hotels, hotels and training centers across the province.
The makeshift hospital will become
Is it standard for future epidemic prevention and control?
Tan Qindong, who was brought into the public eye because of the “Hongmao Liquor Incident”, posted on his personal Weibo “Dr. Tan Yuyan” as early as March 13, before the release of the ninth edition of the diagnosis and treatment plan. “Suggestion: Provincial capital cities need to build makeshift hospitals.
After the release of the ninth edition of the diagnosis and treatment plan on March 15, Tan Qindong posted on Weibo again: It has changed a bit. I personally suggest that provincial capital cities and transportation hub cities must build makeshift hospitals for emergency use. .
Since the ninth edition of the COVID-19 diagnosis and treatment plan was issued during this round of epidemics, many mild patients are still admitted to hospitals in various places. For example, Jilin Provincial People’s Hospital has opened 1,500 beds. As of 8:00 on March 20, 1,396 patients with new coronary pneumonia have been treated, including 17 severe cases.
The Fangcang shelter hospitals built in Nanchang and Quanzhou are clearly used to treat patients with mild and asymptomatic infections of the new crown, and their practices are more in line with the requirements of the ninth edition of the diagnosis and treatment plan.
It should be pointed out that in the ninth edition of the diagnosis and treatment plan, there is no description of how to manage asymptomatic infections. For asymptomatic infections, Jiang Rongmeng, vice president of Beijing Ditan Hospital, told “medical Asymptomatic infections have always been defined and managed in the “prevention and control plan”, so it depends on how the ninth edition of the prevention and control plan is adjusted. “The ninth edition of the prevention and control plan is coming soon, and it will be released in the next two days.”
In the eighth edition of the prevention and control plan, it is clearly required that asymptomatic infected persons should undergo centralized isolation and medical observation in designated medical institutions for 14 days, and in principle, the nucleic acid test of two consecutive samples is negative Those who (sampling time interval of at least 24 hours) can be released from centralized isolation medical observation.
And under the background that mild patients are no longer admitted to hospital for treatment, it is foreseeable that asymptomatic infections will no longer be admitted to designated medical institutions.
There have also been reports in Shanghai that Minhang, Jiading and other districts are building makeshift hospitals, but all of them have been refuted by Shanghai. On March 20, a video allegedly caused dissatisfaction among nurses due to the planned transformation of Zhoupu Hospital into a makeshift hospital circulated on the Internet. In the video, a young girl who was appeased said loudly: “We don’t want to become a makeshift hospital.” “We can go to the makeshift hospital for support, but we can’t turn the hospital into a makeshift hospital.”
In the past, hospitals were usually used as designated treatment institutions to receive patients with new crowns, and there was no precedent for converting hospitals into makeshift hospitals. On March 30, 2020, the “Technical Requirements for the Design and Reconstruction of Fangcang Cabin Hospitals (Revised Edition)” issued by the Hubei Provincial Department of Housing and Urban-Rural Development clarified that the site selection of Fangcang shelter hospitals should be as far away as possible from residential areas, kindergartens, and primary schools. and other urban densely populated areas, away from the production and storage sites of flammable, explosive, toxic and harmful gases. Facilities and equipment such as convention and exhibition centers, gymnasiums, large workshops, warehouses, dormitories, etc., and buildings with better basic fire protection conditions can be selected.
As for the video that Zhoupu Hospital is going to be converted into a makeshift hospital, the “medical community” verified with the relevant staff of the Shanghai Municipal Health Commission, and the other party said, “It’s not a makeshift hospital, Temporary treatment point.”
As for the recommendation in the ninth edition of the diagnosis and treatment plan on the centralized isolation and management of patients with mild symptoms, the staff member said, “It has not been implemented yet.”
Source: Medicine
Editor in charge: Zheng Huaju
Proofreading: Zang Hengjia
Plate making: Xue Jiao