The epidemic situation is severe and complicated, and the pressure of prevention and control is unprecedented! Three central media published five comments in a row, revealing important information.

The epidemic prevention and control in China is facing unprecedented pressure.

165438+1On October 28th, Xinhua News Agency, People's Daily and CCTV successively published comments on epidemic prevention and control.

Xinhua News Agency comments:

Do your best to provide convenience for the people.

There are no small things in the shelter.

"Three Unswervings" is the magic weapon to win.

People's Daily Yin Zhong:

Scientific and accurate, improve the effectiveness of epidemic prevention work

Cctv quick comment:

Win the battle of prevention and control of normalized epidemic with quick control.

Xinhua News Agency commented that practice has proved that our prevention and control policies can stand the test of history and the prevention and control measures are scientific and effective.

Success belongs to persistent people.

As long as we unswervingly adhere to the principle of "people-oriented, life first", unswervingly implement the general strategy of "external defense investment, internal defense rebound" and unswervingly implement the general policy of "dynamic zero clearing", the whole country and Qi Xin will work together, shoulder to shoulder, enhance the wisdom of scientific prevention and control, make overall plans and organize implementation, and we will certainly win the tough battle of normalized epidemic prevention and control.

The best choice to control the epidemic situation in time at this stage

According to the latest data of National Health Commission, 3 1 1 provinces and Xinjiang production and construction corps reported 3748 newly confirmed local cases and 36304 newly asymptomatic local infections at 0-24 on October 27th.

Xinhua News Agency and CCTV both made judgments on the current epidemic situation in China in their comments:

In this epidemic, Omicron mutant showed the characteristics of stronger immune escape ability, shorter incubation period and faster transmission speed.

The local epidemic situation is severe and complicated, with a wide range of transmission, many transmission chains and an expanded epidemic area.

Prevention and control is much more difficult than before, and the task is arduous and arduous, facing unprecedented pressure.

Yin Zhong, the People's Daily, pointed out that since the COVID-19 epidemic, we have been constantly adapting to the new characteristics of COVID-19 virus mutation and the new situation of epidemic prevention and control, and have successively issued 9 versions of epidemic prevention and control plans and the latest 20 optimization measures, and the severe illness rate and mortality rate in COVID-19 have always remained at a low level.

CCTV's quick evaluation pointed out that judging from the epidemic prevention effect in China in the past three years, only by taking rapid measures can we maintain a "dynamic clearance", thus ensuring China's extremely low morbidity, mortality and hospitalization rate, as well as the smooth operation of the economy and society. This is the epidemic prevention strategy with the lowest comprehensive social cost, and it is the best choice for China to control the COVID-19 epidemic in time at this stage. We must resolutely implement it.

Go, go, go.

Careful deployment requires all localities to resolutely implement it.

"Make a quick decision" is the key word mentioned in five commentary articles published by three central media.

Xinhua news agency commented that it is necessary to speed up the handling of local cluster epidemics and quickly control the epidemic; Yin Zhong of People's Daily pointed out that measures must be taken quickly to establish a front of prevention and control in the whole society.

Generally speaking, what is the requirement of "fast forward and fast out"? CCTV Quick Review gives a complete interpretation:

All localities should comprehensively, accurately and comprehensively implement the decision-making and deployment of the CPC Central Committee, adhere to the ninth edition of the prevention and control plan, and implement 20 optimization measures, unswervingly and without distortion;

Optimize the layout of nucleic acid sampling points, strengthen the normalization monitoring and early warning, timely find the infected people who control the society, accurately determine the close contacts under control, and timely and accurately delineate and announce the risk areas;

In the prevention and control of epidemic situation, it is necessary to effectively carry out quick inspection, quick turn, quick division and quick solution, cut off the source of infection as much as possible, control the spread of epidemic situation, reduce the time for handling epidemic situation and reduce the inconvenience caused by epidemic situation to people's production and life;

Resolutely and quickly rectify problems such as "layer upon layer plus code" and "one size fits all", and further correct practices that are inconsistent with the ninth edition of the prevention and control plan and 20 optimization measures;

We will do our best to ensure the production and living services of the masses, effectively meet the basic needs of the masses during the epidemic, ensure basic livelihood services such as medical care, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, solve the practical difficulties of the masses, and try our best to maintain normal production and living order.

The purpose of fighting the epidemic is to benefit the people.

All parties need to vigorously implement effective measures.

Two articles in Xinhua News Agency's commentary focus on two issues, namely containment measures and shelter facilities, which are widely concerned at present.

In terms of measures to contain the epidemic, the commentary pointed out that there is only one purpose to fight the epidemic, that is, to benefit the people and to protect everyone's health and safety. It needs the understanding, support and cooperation of the broad masses of the people to unite the strong synergy of the grassroots front line of epidemic prevention and control.

The government knows that many places have recently begun to make new arrangements and put forward new requirements for epidemic prevention and control, especially for community epidemic prevention and control.

Beijing proposed that it is strictly forbidden to block fire exits, unit doors and residential doors with hard enclosures, and the temporary control time should not exceed 24 hours in principle; Strictly control the handling of epidemic situation in shopping malls and supermarkets involving people's livelihood security in the city, so as to achieve quick closure and quick solution. In principle, it will be reopened after one day of closure, up to three days; In the recent actual operation of epidemic prevention and control, after some communities were positive, the sealing control measures were accurate to the unit and the sealing control was solved quickly.

Hefei explores the implementation of "16 no" negative list management, and strengthens door-to-door service for isolated people at home, and is not allowed to seal, lock or weld doors; Do not arbitrarily expand the sealing control area and extend the sealing control time; The building must not be sealed, and the necessary materials for life must be guaranteed in time.

In terms of reception facilities, many netizens have recently reported that there are problems such as poor environment in reception hospitals.

Xinhua News Agency commented that many hospice hospitals were temporarily transformed from exhibition centers, stadiums and gymnasiums, but due to the rush of time, the hardware setup, material preparation and personnel arrangement were not fully in place.

Many infected people who enter the shelter face many physical, life and psychological discomforts, and need thoughtful service and careful care. It is hoped that relevant regions can learn from good practices to ensure the construction speed and service quality.

It is necessary to listen to the opinions of patients in time, increase the allocation of materials, coordinate the forces of all parties, and adjust and improve as soon as possible. We should pay special attention to the warmth and coldness of the masses, especially to ensure the physical and mental health of special groups such as the elderly and children. Relieve their anxiety and difficulties, let them live in peace and recover as soon as possible.

Extended reading:

Why does this round of epidemic in Beijing remain high? Expert: Encountered the strongest virus strain in China.

This round of epidemic in Beijing has lasted for nearly two months. Beijing Municipal Health and Health Commission reported that1October 26th, there were 3560 asymptomatic infected people, with more than 4000 newly confirmed local cases 165438+747 cases in Beijing.

The same prevention and control, why is this epidemic so complicated? What do you think of the "neighbor-positive can stay at home" initiative circulating in some communities? In COVID-19, all four deaths were minor. Is it still meaningful to vaccinate?

165438+1On October 27th, Dong Li, chief physician of the Department of Respiratory and Infectious Diseases, Beijing You 'an Hospital, explained the public's concerns in this way.

Problem 1: The same or even greater prevention and control measures have been taken. Why is the number of infected people in this round of epidemic high?

Li Dongzeng: The main strain of this epidemic in Beijing is Omicron BF.7, which is a variant of Omicron. BF.7 is too contagious. The R0 of Delta is 5-6, and that of Omicron is above 10. Omicron has stronger immune escape ability and likes to breed in the upper respiratory tract, which means that infected people can infect more cases by talking and coughing, and people around them are more susceptible to infection. Omicron has more mild symptoms and is easy to reduce vigilance.

Even compared with other mutants of Omicron, such as BA. 1, BA.2 and BA.5, which were popular in many places some time ago, BF.7 is the COVID-19 mutant with the strongest spreading ability in domestic Omicron families.

In addition, Omicron can be detoxified 1 day after infection, and the second-generation cases can appear in two or three days. Therefore, according to the previous detection frequency, some people may be missed, and when they are positive, they have already spread; Judging from the cases I personally contacted, although the infectivity has increased and the intergenerational time has been shortened, the time to turn negative after infection is still 7- 10 days, and it has not been shortened. I think these have increased the difficulty of prevention and control.

Question 2: 2: What are the characteristics of BF.7?

Li Dongzeng: BF.7 is a branch of Omicron, so it also follows the characteristics of Omicron:

First of all, the immune escape ability is very strong. Although people who have been vaccinated and infected have obtained antibodies, they may still be infected again in the face of Omicron. From a global perspective, Omicron has caused an epidemic rebound everywhere.

Secondly, the incubation period in Omicron is shorter and the transmission speed is faster. Two or three days after infection, it is contagious and the second generation of cases can appear. Once the traffic slows down, the number of people may increase rapidly.

From the pathogenicity point of view, compared with the original strain and δ, it shows more symptoms of upper respiratory tract infection, such as fever and runny nose, and a few people have digestive tract symptoms.

Question 3: If the neighbors agree, the positive people can be isolated at home and not sent to the shelter. Is this method feasible?

Li Dongzeng: For asymptomatic infected people or close contacts, most people are willing to observe at home, but they should not only consider themselves, but also their families and communities.

From the family point of view, Omicron is too contagious, so family members with old people and pregnant women must be careful; Clinically, we can see that COVID-19's influence on every family is very different. Some elderly people will become severe and critically ill after infection, and the basic diseases will be aggravated. If there are no high-risk groups at home, are there any neighbors? Do they have any concerns?

When discussing this issue, we will see two views. Some groups agree, and some residents are very concerned about when their neighbors will move out after they become full members, for fear of affecting their families.

If it can be accurate, of course, it is one policy for one family, and one policy for one person is the best. However, professionals need to evaluate the residential environment, family ventilation and water use. To ensure the safety of the surrounding area. The reality is that there is no reliable evaluation method, and many communities can't do this. The strategy of centralized isolation is based on reality. How to adjust in the future must be well planned.

Question 4: Four people have died in this round of epidemic in Beijing. What are the characteristics? Is it still meaningful to vaccinate?

Li Dongzeng: From the overall information, all the deaths have serious underlying diseases. Judging from some patients we have seen, one is that the basic disease is very serious, and the other may be that the basic disease is aggravated after COVID-19's infection.

Regarding vaccination, according to feedback from all over the world, vaccines can reduce the incidence and mortality of severe diseases. The severe mortality rate of people who have completed vaccination is significantly lower than that of those who have not been vaccinated at all.

Regarding the hesitation of vaccines, vaccines are actually very safe, including chronic diseases that many elderly people are worried about. As long as they are in a stable period of disease, they don't have to worry too much. Many elderly people have completed the whole process of intensive vaccination, and the results are very safe. At present, the epidemic situation is grim, and winter is the season of high incidence of respiratory diseases. We call on the elderly to complete intensive vaccination as soon as possible.

Question 5: How are patients of different grades treated at present?

Li Dongzeng: Asymptomatic infected people have no symptoms, so they can not be treated for the time being and do not need to take medicine. However, it is necessary to distinguish high-risk groups, such as the elderly, basic patients, immunocompromised people, long-term smokers, obese people, and people in the third trimester. They may have symptoms or even be seriously ill.

For mild cases, it is mainly symptomatic treatment, and high-risk groups will also use antiviral drugs when necessary.

For ordinary cases, many are pneumonia. If the risk of progression is high, antiviral drugs can be added on the basis of clinical treatment.