Epidemic prevention and control, seeing a doctor and dispensing medicines, community health services... The director of the Municipal Health and Health Commission responded to the focus topics-KYD Mask machine
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Epidemic prevention and control, seeing a doctor and dispensing medicines, community health services... The director of the Municipal Health and Health Commission responded to the focus topics


Source:kydmaskmachine    writer:www.kydmaskmachine.com    Date:Thu-Jul    (509 )

Xinhuanet, Shanghai, July 20th (Reporter Yuan Quan) On the morning of the 20th, Wu Jinglei, director of the Shanghai Municipal Health Commission, was a guest at the "2022 People's Livelihood Interview", from the new trend of epidemic prevention and control, to the vaccination situation, and then to the community health service center The high-quality development of the city has answered a series of public concerns.


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Wu Jinglei (first from the right), director of the Shanghai Municipal Health Commission, was a guest at the "2022 People's Livelihood Interview" on the 20th.


The epidemic prevention situation is generally improving, and measures still need to be implemented in detail


Since July 3, Shanghai has reported more than 600 local positive cases. Since the relevant epidemic mainly involves indoor closed environments such as KTV, and the "landing" of new mutants, the current round of epidemic in Shanghai has also shown some "new characteristics".


Wu Jinglei concluded that, first, the speed of transmission is fast, people are highly gathered, and they are exposed to the same environment at multiple points and multiple times, and individuals are basically unprotected, resulting in the rapid spread of the virus in a short period of time; second, the spread of the virus is wide, and most of the infected people are young and active. High degree of infection and wide range of activities; third, there are relatively many confirmed cases, and the early diagnosed cases are mostly young people, with strong immunity, and obvious symptoms such as fever after infection with the virus; Sequencing of the KTV epidemic-related positive infected person at No. 148 Lanxi Road showed that it was a variant of Omicron BA.2.2, with a short incubation period, a fast transmission speed, and a highly homologous virus, showing the same transmission chain.


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On July 14, at the nucleic acid screening site of a residential community in Songjiang District, ice cubes were placed under the feet of the volunteers responsible for scanning codes to cool down. Photo by Xinhua News Agency reporter Liu Ying


The new features bring new challenges to epidemic prevention and control, and also put forward new requirements for further compaction of epidemic prevention and control.


"This round of epidemic also reminds that various prevention and control measures still need to be continuously implemented and detailed." Wu Jinglei said that the current situation of epidemic prevention and control in Shanghai is generally improving. However, with the spread of new virus variants around the world, and the recent increase in inbound flights and the number of people, social production and life have gradually recovered, and the mobility of personnel has increased. Therefore, the pressure of "foreign defense against imports and internal defense against rebound" still exists. It is necessary to further strengthen the implementation of various control measures to prevent the epidemic from rebounding.


As for the Omicron variant BA.5, Wu Jinglei said that although the new variant spreads faster and has enhanced immune escape ability, it is generally not very different from the previously popular Omicron variant BA.2. There was no difference in the risk of death and critical illness. The findings also showed that vaccination was still effective in preventing critical illness and death following BA.5 infection.


"Therefore, the key prevention and control measures such as the 'three sets of epidemic prevention' and the 'five protections', as well as vaccination against the new crown pneumonia, are still useful and effective." Wu Jinglei said.


Resource reserves are better prepared than used, unavailable but not prepared


During the epidemic prevention and control period from March to May, in the face of a surge in the number of positive infected persons, designated hospitals and makeshift hospitals in Shanghai became the main battlefield for the reception and treatment of positive infected persons. "Now that the epidemic has recurred, is Shanghai ready to respond if there is a wider spread? How is the overall preparedness of the number of beds in designated hospitals and makeshift hospitals?"


In the face of questions from the public, Wu Jinglei summed up the current reserve of Shanghai's backup medical resources by "preferring to prepare rather than use, not available but not prepared".


Wu Jinglei introduced that in accordance with the principle of classified treatment, Shanghai treats patients in a centralized manner to designated hospitals and Fangcang shelter hospitals, coordinating all forces, concentrating experts and medical equipment, and classifying and treating patients. "One person, one policy". At present, Shanghai has one designated hospital with more than 1,100 beds and one makeshift hospital with more than 2,700 beds.


At the same time, a plan to strengthen the construction of designated hospitals has been specially formulated, and a group of hospitals with strong comprehensive capabilities, high level of treatment, and good infection prevention and control foundations are designated as designated hospitals at the city and district levels. The total number of designated hospitals in the city is not less than 8,000. It is required to do a good job in the preparation of backup designated hospitals, complete relevant facilities and equipment, strengthen the construction of medical personnel echelon, and ensure that they can be put into use within 24 hours when necessary.


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On May 31, the largest Fangcang shelter hospital in Shanghai, the National Convention and Exhibition Center (Shanghai) Fangcang shelter hospital, was officially closed. Photo by Xinhua News Agency reporter Ding Ting


"At present, Shanghai has reserved several large-scale and well-conditioned 'normalized square cabin hospitals', with more than 25,000 beds at the municipal level, and each district reserves beds in proportion to 2.5‰ of the permanent population to ensure immediate response to demand and put it into use. "Wu Jinglei said.


If the epidemic fluctuates, in addition to having sufficient space for the admission and treatment of infected persons, whether the nucleic acid detection capability can "keep up" is also the key to realizing "early detection, early reporting, early isolation, and early treatment" of positive infected persons.


Wu Jinglei said that since the outbreak of the local epidemic in Shanghai in March, Shanghai's nucleic acid detection capacity has been greatly improved, and the maximum single-day detection capacity has reached more than 8.5 million tubes. At present, the city's nucleic acid testing volume can meet the needs of large-scale screening and normalized testing.


Basic health services should let the masses "run less"


During the epidemic prevention and control period, the problems of difficulty in seeing a doctor and dispensing medicines were more prominent, and medical institutions often faced a dilemma in ensuring strict epidemic prevention and ensuring convenient medical treatment for the masses.


In this regard, Wu Jinglei said frankly that in the prevention and control of the epidemic, citizens' regular dispensing of medicines, especially for chronic diseases, does face some difficulties. The grassroots community makes multiple improvements to the entry point.


The first is to continue to promote long-term prescriptions. Long prescriptions for chronic diseases can not only facilitate citizens to "run less", but also reduce crowds in hospitals.


The second is to maintain extended prescriptions. The extended prescription policy launched in 2016 is very popular. Since the beginning of this year, Shanghai has issued a total of about 543,000 extended prescriptions. The medicines prescribed by citizens in higher-level hospitals can be prescribed at community health service centers. However, the current drug catalog has not yet been completed, and relevant units are constantly increasing and adjusting the catalog.


The third is to provide better services for citizens during the epidemic through Internet dispensing. "Through the epidemic, we also feel the importance of continuous service. We will further strengthen the service quality of the window of medical institutions to dispense medicines on the premise of preventing and controlling the epidemic." Wu Jinglei said that currently the Shanghai Municipal Health Commission is also Summarize and extend the experience of Internet services. For example, at present, citizens can realize the interconnection of medical records of various hospitals in Shanghai within 6 months, making medicine dispensing more convenient.


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On May 17, at the office of Beicai Community Health Service Center in Pudong New Area, doctors Ma Junling (top) and Guo Haiying, doctors of the community health service center, dispense medicines for patients. Photo by Xinhua News Agency reporter Li Haiwei


"In terms of daily diagnosis and treatment services, Shanghai's annual outpatient and emergency services exceed 200 million people, and community health service centers account for 1/3. It is conceivable how important community health service centers are." Wu Jinglei said that since more than two years From the anti-epidemic experience, the tertiary medical service system, especially the community health service center, has become the foundation of this anti-epidemic and an important basic guarantee for winning the "Great Shanghai Defense War".


Wu Jinglei introduced that in the next step, the Shanghai Municipal Health and Health Commission will continue to promote the construction of high-quality community health service centers, consolidate the bottom of the residents' health service network, implement contracted services, and continue to promote the construction of the family doctor system. At the same time, community delayed services have been fully implemented to facilitate residents to seek medical treatment at off-peak times, and to maintain continuous and uninterrupted services during the epidemic. In addition, continue to promote community Internet diagnosis and treatment services, realize online signing, follow-up, follow-up and fee settlement, and improve the convenience and experience of residents in medical treatment.


Produced by Xinhua News Agency's "Decoding Magic City" studio


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