Beijing's 2-year-old child is positive, and parents are advised to stay in the shelter so as not to drag their neighbors down. Warm-hearted details are exposed.

On November 27th, a warm-hearted video of Good Neighbors in China was screened. In the video, a 2-year-old child in the community was positive for nucleic acid. In order not to drag down the neighbors, the parents wore protective clothing and took the child to the shelter for isolation. Neighbors rushed to persuade the family to stay because the child had asthma. After the video was released, netizens commented on "moving", "full of warmth" and "support". According to reports, the incident occurred in the Sunshine Community of Huigu, Chaoyang District, Beijing. After the process of winning and signing with the neighbors of the unit, the street now allows the parties to decide whether to go to the shelter.

On November 28th, a staff member of Donghu Police Station in the jurisdiction told xiaoxiang morning herald that the street was responsible for the transshipment of the epidemic, and the police were not clear. If residents were worried about the follow-up treatment, the police could help to reflect it to the community. "You certainly don't have to worry about the safety of this child. Even if he is isolated and really has an illness, he must see a doctor and won't say that he won't go." The staff member said.

Webcast video screenshot

A video with a duration of about 2 minutes shows that a man wearing protective clothing and carrying a schoolbag came out of the unit building with a child wearing protective clothing, followed by several "Dabai", ready to go to Fangcang Hospital. The man explained that the child had asthma. At this time, several neighbors quickly dissuaded him: "If the family can't take care of it, can the shelter take care of it?" "Take the children to the shelter? Oh, my God! " "Shelter only basic medical care, do you know what? Which cabin to go to? "

Webcast video screenshot

After the man replied "I don't know", some neighbors said that "the cabin doesn't even have medicine, so it's too dangerous for the doctor to take care of you with the children", and some neighbors said that "people in our same community can still help you in case of emergency" and "Call 12 to go to the hospital", and everyone advised the family to stay. Subsequently, the man returned with his child in his arms.

Neighbors urged the men's family to stay

It is reported that this happened in Huigu Sunshine Community, Chaoyang District, Beijing. On November 27th, according to media reports, this matter was followed up. A friend in the community confirmed that the street now allows the parties to decide whether or not to go to the shelter. There is also news that the father of the child said on WeChat: "At present, we are at home. The community just called us and said let us decide for ourselves. "

pictures posted on the internet

Another picture posted on the internet shows that a number of community owners signed a letter of commitment downstairs, and the parents of the children said in the community owners group: "At present, I am at home with my children, and a police station called me. I provided the hospitalization records of my children with asthma for three times. When communicating with me, I will consider the specific situation of the children, and I believe the street will give a reasonable result. I think the group said that Unit 2 of Building 27 is currently closed. Please pay attention to self-protection and daily disinfection. "

pictures posted on the internet

On November 28th, xiaoxiang morning herald reporter learned from the property of Huigu Sunshine Community and the community in Guolingli that this did happen, but the donghu street office needs to be consulted for the subsequent processing results. The reporter called the donghu street office several times, but it was not connected as of press time.

On 28th, a staff member of Donghu Police Station told xiaoxiang morning herald that the street was responsible for the transshipment of the epidemic, and the police did not know that if residents were worried about the follow-up treatment, the police could help reflect it to the community. "You certainly don't have to worry about the safety of this child. Even if he is isolated and really has an illness, he must see a doctor and won't say that he won't go." The staff member said.

The customer service staff of Beijing 12345 Citizen Hotline Service told xiaoxiang morning herald that the home isolation of a positive infected person must first ensure that there are no high-risk groups, such as the elderly, people with acute or chronic diseases, in their roommates and neighbors, before preliminary identification can be made. "And it must also be approved by the residents around his community." The customer service staff also introduced that the handling methods will be different in different regions.

According to the Beijing Municipal Health and Health Commission, from : to 24: on November 27th, there were 84 locally confirmed cases and 348 asymptomatic infected persons, 28 locally suspected cases, 3414 isolated observers and 474 social screening personnel. 16 confirmed cases imported from abroad and 23 asymptomatic infected people were added. 235 cases were cured and discharged, and 655 cases were asymptomatic infected.

According to Beijing Daily, if neighbors agree, positive people can be isolated at home and not sent to the shelter. Is this idea feasible at present? Li Dong, chief physician of the Department of Infectious Diseases of Beijing You 'an Hospital and medical expert of Xiaotangshan Fangcang Hospital, once said that for asymptomatic infected people themselves, most people are willing to observe at home. However, as a doctor, I do see that some elderly people will develop into severe cases or aggravate the original basic diseases after being infected.

Therefore, residents in the same community who have old people, patients or are about to take exams and have important work to deal with may hold different views on this. "If it can be accurate,' one family, one policy' and' one person, one policy' are of course the best. However, this requires professionals to evaluate the community environment, family ventilation and water conditions, etc., to ensure that the surrounding residents are safe. 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 the reality. " Li Dong once said.

xiaoxiang morning herald reporter Jiang Ziwen

Is it feasible to further read

"Positive home isolation is not sent to the shelter"? Expert analysis

This round of epidemic in Beijing has lasted for nearly two months. According to the Beijing Municipal Health and Health Commission, on November 26th, there were 747 locally confirmed cases and 3,56 asymptomatic infected people in Beijing, with the number exceeding 4,.

under the same prevention and control measures, why is this epidemic so complicated? What should we think of the "neighbor-positive can stay at home" initiative circulating in some communities? All four deaths were mild in COVID-19. Is it still meaningful to vaccinate?

On November 27th, Li Dong, the chief physician of the Department of Respiratory and Infectious Diseases, Beijing You 'an Hospital, cleared up doubts about many issues of public concern.

question 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 still high?

Li dongzeng: the main strain of this epidemic in Beijing is Omicron BF.7 As a variant of Omicron, BF.7 is too contagious, with R of Delta being 5-6 and Omicron exceeding 1. And Omicron's immune escape ability is stronger, and he likes to breed in the upper respiratory tract, which means that infected people can infect more cases through talking and coughing, and people around him are more likely to catch it. Omicron's mild symptoms are more, and it is easy to reduce vigilance.

even compared with other mutants in Omicron, such as BA.1, BA.2 at the beginning of the year and BA.5 which was popular in many places some time ago, BF.7 has faster spreading speed and stronger spreading ability, and it is the most powerful COVID-19 mutant among Omicron families in China.

In addition, Omicron can be detoxified in one day after infection, and the second generation of 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, it has already caused transmission; From my personal contact cases, although the infectivity has increased and the intergenerational time has been shortened, the time to turn negative after infection is still 7-1 days and it has not been shortened. I think all these have made it more difficult to prevent and control.

question 2: what are the characteristics of 2：BF.7?

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

First, people who have been vaccinated and infected have strong immune escape ability. Although they have acquired 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 flow slows down, the number of people may increase rapidly.

From the pathogenicity point of view, compared with the original strain and Delta, 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 can be isolated at home and not sent to the shelter. Is this method feasible?

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

From the family's point of view, Omicron is too contagious, so you must be careful if there are old people and pregnant women in your family. Clinically, we can see that the influence of COVID-19 on every family is very different. Some elderly people will become severe and critical cases after infection, and their basic diseases will get worse. 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 viewpoints. Some groups agree, and some residents are very concerned about when to move away after their neighbors are positive, fearing that it will affect their families.

if it can be accurate, it is of course the best to have one policy for one family and one policy for one person. However, professionals need to assess the community environment, family ventilation and launching conditions, etc. to ensure that the surrounding area is safe. 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 the reality. How to adjust in the future, we must make a good plan.

Question 4: There have been four deaths 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. From some patients we have seen, one is that the underlying disease is very serious, and the other may be that the underlying disease is aggravated after COVID-19 infection.

With regard to 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 people who have not been vaccinated at all.

Regarding the question of vaccine hesitation, vaccines are actually very safe, including chronic diseases that many elderly people are worried about. As long as the disease is in a stable period, there is no need to worry too much. Many elderly people have completed the whole process and intensified 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 the 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 there is no need to take drugs. 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, who may have symptoms or even severe diseases.

For mild cases, symptomatic treatment is mainly used, and high-risk people will also use antiviral drugs if necessary.

For common cases, many patients already have pneumonia. If the risk of progress is high, antiviral drugs can be added on the basis of clinical treatment.