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People's Daily: Wuhan unexplained pneumonia cannot be concluded to be SARS,7 cases in critical condition

[Latest news:# Wuhan pneumonia cannot be determined to be SARS#, most of the pneumonia cases are South China Seafood City operators] According to news from relevant departments in Hubei Province, since December, Wuhan has continued to carry out influenza and related disease surveillance and found 27 cases of viral pneumonia, all of which were diagnosed as viral pneumonia/lung infection. In 27 cases, 7 cases were in critical condition, the remaining cases were controllable, and 2 cases were improved to be discharged in the near future.

The survey found that most of the pneumonia cases were South China Seafood City operators. At present, the relevant virus typing detection, isolation treatment, terminal disinfection and other work is underway.
A number of hospitals in Wuhan said that the cause of the disease is not yet clear, and it cannot be concluded that it is the SARS virus rumored on the Internet, and other severe pneumonia is more likely. And even if it is the SARS virus, there has been a mature prevention, control and treatment system before, and the public need not panic.

Wuhan Municipal Health Commission official website: a briefing on the current pneumonia epidemic in our city.

Recently, some medical institutions have found that many pneumonia cases received are related to South China Seafood City. After receiving the report, the Municipal Health Commission immediately carried out case search and retrospective investigation related to South China Seafood City in the city's medical and health institutions. At present, 27 cases have been found, of which 7 are in serious condition, the rest are in stable and controllable condition, and 2 cases are scheduled to be discharged in the near future. The main clinical manifestations of the cases were fever, dyspnea in a few patients, and chest X-ray showed infiltrative lesions in both lungs. At present, all cases have been isolated and treated, the follow-up investigation and medical observation of close contacts are in progress, and the hygiene investigation and environmental hygiene disposal of South China Seafood City are in progress.

Wuhan organized clinical medicine, epidemiology, and virology experts from Tongji Hospital, Provincial Center for Disease Control and Control, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan Infectious Disease Hospital, and Wuhan Center for Disease Control and Control to conduct consultations., Epidemiological investigation, preliminary laboratory testing and other aspects of the situation analysis believe that the above cases are viral pneumonia. So far, no obvious human-to-human transmission has been found in the investigation, and no infection of medical personnel has been found. At present, the detection of the pathogen and the investigation of the cause of infection are in progress.

Viral pneumonia is more common in winter and spring, can be sporadic or outbreak, the main clinical manifestations are fever, body aches and pains, a small number of breathing difficulties, lung infiltration. Viral pneumonia is related to the virulence of the virus, the route of infection, the age and immune status of the host. Influenza virus is the most common virus causing viral pneumonia, and other viruses are parainfluenza virus, cytomegalovirus, adenovirus, rhinovirus, coronavirus, etc. Confirmation depends on etiological tests, including virus isolation, serological testing, and viral antigen and nucleic acid testing. The disease can be prevented and controlled, keep indoor air circulation on prevention, avoid closed public places with poor air circulation and places with many people, and wear masks when going out. Clinical symptomatic treatment, bed rest. If you have the above symptoms, especially if you have persistent fever, you should go to a medical institution in time.

December 31, 2019

According to the Hubei Provincial Health Commission and the Propaganda Department of the Wuhan Municipal Party Committee, the expert group of the National Health Commission arrived in Wuhan on December 31 and is launching relevant testing and verification work.

unexplained pneumonia cases

The so-called unexplained pneumonia cases refer to the following 4 pneumonia cases that cannot be clearly diagnosed at the same time: fever (≥ 38 ℃); imaging features of pneumonia or acute respiratory distress syndrome; the total number of white blood cells in the early stage of the disease is reduced or normal, or the lymphocyte classification count is reduced; after 3-5 days of standard antibiotic treatment, the condition has not improved significantly.
Medical staff of medical institutions should carefully understand the medical history of patients with unexplained pneumonia, especially the history of poultry contact. All medical institutions that treat patients with pneumonia of unknown origin should be treated with single isolation. At the same time, hospitals must not shirk critically ill patients.

Medical institutions
1. Medical staff in the diagnosis and treatment work should wear work clothes, follow the standard principles of prevention, contact with all patients should wear surgical masks, strict implementation of hand hygiene.
2. Medical staff should be familiar with the epidemiological and clinical features of influenza and pay attention to prevention.
3. Before and after diagnosis and treatment, should correctly wear off isolation protective equipment. Carefully implement hand hygiene, personal hygiene disposal at the end of work, and pay attention to the protection of respiratory tract and mucous membrane.
4. Strictly abide by the rules and regulations of disinfection and droplet isolation, and wear latex gloves, goggles/protective surface screen and isolation gown when carrying out operations that may cause splashing.
5. Medical staff should see a doctor in time when they have respiratory symptoms such as fever, cough and sore throat to avoid infecting others with the disease.
6. Patients transferred out of the air and bed units for terminal disinfection.
7. Strengthen the cleaning and disinfection of medical devices, contaminated articles, object surfaces, floors, etc., at least twice a day, and select the correct disinfectant according to the actual situation (preferably use the disinfectant that can kill the virus) for disinfection.

1. Table of things sanitary wipes:

The compound double-chain quaternary ammonium salt disinfectant impregnated with non-woven fabric can kill Klebsiella pneumoniae.

2. Ansett disinfectant:

The disinfectant with chlorhexidine acetate as the main active ingredient has a chlorhexidine acetate content of 1.0%± 0.1%(W/V) and other ingredients are humectants, surfactants and synergists. Air spray disinfection is also used for hand and substance tables. It can be used in crowded places such as poultry breeding, fresh food markets, bathrooms, kindergartens, hotels, etc. to block influenza transmission routes (droplets, air, hand contact, substance tables) and defend family health.

3. Antibacterial hand sanitizer (wash hands frequently and do a good job in hand hygiene):

Chlorhexidine gluconate 0.3%± 0.03%(w/w), glycerin, collagen, vitamin E, long-lasting protection after hand washing.

4. Pulejie Hand Disinfectant

Chlorhexidine gluconate content is 0.45-0.55 (w/v), ethanol content is 63.0-77.0 (v/v), wash-free sterilization, can be used for hospital health care workers and other people in need (farms, hatcheries, fresh markets, etc.) for rapid hand disinfection. It is especially suitable in the case of lack of clean water supply or inconvenient water use.

Part of this article comes from People's Network, official website of Wuhan Municipal Health Commission, etc. It is partially or fully quoted. If CCTV has any infringement, please contact the author to delete it.