After two generations of cases appear

After two generations of cases appear
Staff reporter Meng QingPu On May 29, Ministry of Public Health notifies, one of the close contact of a inputting first type H1N1 influenza case of the report of Guangdong Province person is diagnosed as and made a definite diagnosis of the case, this case is two generations of cases of first type H1N1 influenza presented for the first time in hinterland of our country. The appearances of two generations of cases, what kind of influence will emerge to the society? Does the tactics of prevention and control of first type H1N1 influenza of our country need to make adjustment? What is two generations of cases? According to Guangzhou Municipal Health Bureau, two generations of cases of the first first type H1N1 influenza of hinterland of our country are beauty experts of one studio of Guangzhou, wear some, female. On May 25, the second inputting first type H1N1 influenza case Li in Guangzhou goes to this studio to shoot the photograph of wedding gauze kerchief, wear some and Li 16 people go to Foshan by an air conditioner minibus together city south sea area shoot the exteriors subsequently. In the morning of May 27, wear some to swallow and ache, have a headache, generate heat consciously in the afternoon consciously. On the 28th, wear some and have a rest at home, examine 37 �� of body temperature by oneself. Disease in Guangzhou accuses of centre's recalling it in the studio while surveying staff member of the studio, measured 36.5 �� of body temperature, swallowed aching, had a headache, sent Guangzhou city the eighth the People's Hospital to isolate for treatment it with the ambulance immediately. In the morning of the 29th, the expert panel of Guangdong Province holds a consultation to judge this case makes a definite diagnosis of the case for first type H1N1 influenza. At present, patient's state is good, only the swallowing department feels uncomfortable slightly. Beijing Temple of Earth hospital infects head of the department Li XingWang and says, two generations of cases refer to in some particular range, such as a family, ward, dormitory, nursery, kindergarten teams and groups,etc., after infecting the case first, it is the shortest with the case that appears between the longest incubation period at this disease, called having illness coming on the example continuously too sometimes. Reach first type H1N1 influenza and speech specifically, because is a kind of input disease to our country, so, popular and national case of coming from the epidemic situation is known as the input venereal disease example, also call a generation of cases, and the native patient infected by a generation of cases is known as two generations of cases. "Say strictly, two generations of cases are only a specialized term, help professional personnel confirm different measures of prevention and control, the meaning is not very great as to ordinary common people, do not mean infecting the increase of the risk. " China disease accuse of central the intersection of epidemiology and chief the intersection of expert and Guang Zeng say, input, spread through sex intercourse It is a very common spread mode to influenza. According to the observation of a plurality of countries, it is being infective at end that this first type H1N1 influenza case is being hidden, there is some the infeted's too slight to even generate heat symptom, but can play a role in infecting the source. These biological foundations propagated and happened in native country. The expert says, should be engaged in replying in speciality by public health workers mainly after presenting two generations of cases. The public needn't be panic to the epidemic situation, but will keep certain vigilance again at the same time. The public should grasp relevant knowledge such as symptom of this disease, spread characteristic, also find out about the authoritative multidate information of the epidemic situation in time, do a good job of the personal protection according to one's own health and life state, once should seek medical advice at once if relevant symptom appears. Still " at present, two generations of cases presented in hinterland of our country can find clear infection source and spread chain within the controllable range in the epidemic situation, the close contact of two generations of cases person can track and take the measure of medical prevention and control too, so the epidemic situation is still within the controllable range. " Li XingWang says, this and infect differently in the native country of Japan's appearance before this, can not find the clear infection source in native case of Japan, and the contagiousness of infecting the source is very strong, cause the case to increase in short term. It is reported, Japan makes a definite diagnosis of the first first type H1N1 influenza to input the venereal disease example at the early May. On May 16, find the first does not input the venereal disease example in Japan. On the second day making a definite diagnosis of this case, many high school students were made a definite diagnosis of too. A few days subsequently, the epidemic situation is spread to the society by the school, make a definite diagnosis of the case and soar rapidly, after reaching peak value on May 20, the newly-increased case is a downward trend wholly. By May 29, Japan makes a definite diagnosis of 367 first type H1N1 influenza cases together, becomes the fourth largest epidemic-stricken area ranked after U.S.A., Mexico, Canada in the whole world. As to the concrete reason that Japan's case increases sharply, the scientist has not found the convincing evidence yet at present. Zeng Guang says, in human history, whenever influenza virus presents new variation after one, various countries will begin by inputting the venereal disease example and spreading into in succession, then it happens that infected in the native country quickly. After this first type H1N1 influenza takes place, because some countries including our country have taken the strict measure of prevention and control in early days, postpone native spread of case effectively already, store for medicine, vaccine research and develop and the intersection of epidemic prevention and goods and materials plan, try, reach valuable time. He point out that our country take at present the intersection of prevention and control and measure effectively, not effective, among them one important factor whether the intersection of we and spread chain in virus grasp clearer. Start with entering a country and quarantining, find, input the case into while being the 1st generation of in time, once a case is made a definite diagnosis of, arouse all strength that can be aroused, find the persons who keep in close touch as much as possible, observe medical science, make it unable to continue propagating the virus to it. "The measure of prevention and control is adopted the earlier well, control one now, it is higher than to control 100, 1000 efficiency afterwards. " Find and treat and cure serious the intersection of disease and the intersection of case and 2 generations of first cases appear, early, our country can present the situation that the native case increase sharply rapidly, just like Japan happen? Li XingWang says, the epidemic situation tendency is not easy to judge at present. But is even infected with the case more native country in the hinterland of our country, the public needn't be panic either. "According to making a definite diagnosis of the clinical treatment of the case, the condition is still gentler, even lighter than seasonal influenza. " He says, our country makes a definite diagnosis of the case from a year old and more than to more than 60 years old at present, there is every age bracket, men and women have, include itself have hypertension basic disease, present one serious the intersection of disease and case so far too among them, there is not a death case even more. The patient leaves hospital after being through adopting therapy of combining traditional Chinese and Western medicine, indicate this disease can be managed. Li XingWang thinks, once make a definite diagnosis of the case and run up, even the situation increasing sharply in short time, focal point of medical treatment should put in on serious the intersection of disease and case find and treat and cure early. In this respect, our country treat and cure in the activity accumulating the abundant experience in SARS, bird flu, the intersection of earthquake and wounded last year of preventing and curing. On one hand, should make good preparations for hardware of medical treatment, software actively, strengthen doctors and nurses' staff training,etc.; On the other hand, according to " the centralized patient, centralized expert, centralized resource, concentrate on, treat and cure " The principle, do a good job of the concentration of the serious disease case to treat and cure especially. "Improve the rescue success rate of the serious disease case, can already reduce the losses of patient's individual life, also can stabilize the whole society and resist the epidemic situation Confidence. " The measure of prevention and control is adjusted in right time to it is reported, after two generations of cases appeared for the first time in the hinterland of our country, Ministry of Public Health pay close attention to, Zhu, secretary of the leading Party members' group Chen, minister of Ministry of Public Health, Zhang Mao can hold expert association of dealers that very night, dispose the influenza prevention and control of first type H1N1, and send the comrade expert panel with team at director-general level to take the earliest flight to go to Guangdong Province to guide prevention and control on the 29th. In the morning of the 29th, Ministry of Public Health holds the video and knows the association of dealers, studies and judges the epidemic situation situation with the Ministry of Health of Guangdong Province, guide and launch the work of preventing and controlling; In the afternoon of the 29th, Ministry of Public Health holds the systematic video conference of the national hygiene, further disposes the influenza prevention and control of the whole country first type H1N1. The expert thinks, the appearances of two generations of cases, mean it is further strengthened that the risk that human propagating and community's level propagates happens in the hinterland of our country, exclude from, appear national broad lasting human world of virus propagate with based on community's level prevalence and break out, on the tactics of prevention and control is to defend inputting, internal non-proliferation to the outside. The focal point of preventing diffusion of epidemic situation is strengthened and monitored, find early that propagates the case in the native country, find out it and infect the route, and take the corresponding control measure and reduce its speed of spread. It is reported, direct against the newest progress of the epidemic situation, Ministry of Public Health issued a few days ago <>(see that chains 1) With <>(see that chains 2) ,To monitoring and the epidemic situation breaks out and dealing with, preventing intervening measure,etc. to dispose. China disease accuse of centre meet an urgent need, run the intersection of expert and QiaoHong Liao, say, watch according to a plurality of national first type the intersection of H1N1 and development of influenza, its spread generally divides 3 stages popularly: Spread outside the border; Appear to send out case, input case, lead to the fact within the border appearing the native country travel while being limited person who input, there are clear infection sources in the case, there are clear epidemiology connections among the case to or distribute; Appear lasting human world of virus propagate with based on community's level prevalence and break out. At every stages, the measure of prevention and control taken will be laid particular emphasis on to some extent. At present, our country is at between the second stage and third stage, once enter the third stage (organize by Ministry of Public Health in the expert panel to analyze, judge specifically) ,Will monitor the focal point by the discovery to the case at present, report and diagnosing that contents such as intensity and health care resource requirement,etc. endanger and prevail paying and monitoring to aetiology, disease of the virus to change into. On the concrete measure, after two generations of cases appear, the task of top priority is to implement and expand relevant work that national influenza monitors the network conscientiously. At present, influenza of our country monitors the network to already expand, include altogether 209 of influenza monitor the network laboratory and 354 sentry posts and some hospitals. China's disease accuses of centre's already finishing assigning in the newly-increased network laboratory and warble some user names and passwords of information system of hospital a few days ago, guarantee to launch formally from June 1 this year. Since June 1, the province that monitors in half a year seasonal influenza previously should begin to monitor in the whole year, other southern provinces continue monitoring in the whole year. Meanwhile, should do well conscientiously influenza monitor some hospitals in the network laboratories and sentry posts and cover every preparation of all districts and cities by the end of this year. Secondly, epidemiology of doing a good job of case is investigated and the epidemic situation breaks out and dealt with. Throughgoing and painstaking flowing and adjusting is to find out and propagate the chain, implement the foundation of the means of concrete prevention and control. Have illness coming on example, have the intersection of instruction and case and serious disease or death,etc. that model display for the first time key case focal point that epidemiology investigates. Because not totally clear yet in first type H1N1 influenza incubation period at present, it is a experience from one day to 7 days in general seasonal influenza incubation period to use for reference, it is safe, should investigate the case appears in the epidemiology history of the first 10 days of symptom. At the same time, in order to improve the sensitivity of present supervision on first type H1N1 influenza epidemic situation, report first type the intersection of H1N1 and the intersection of influenza and area to make a definite diagnosis of case can improve the intersection of influenza and kinds of case break out epidemic situation monitor early warning sensitiveness of index while being appropriate already. The expert emphasizes, first type H1N1 influenza prevents the application of the intervening measure heavily to operate scientifically in accordance with the law. Regard the school suspends classes and measure of having a holiday as the example, as some ground presents the epidemic situation to break out, for example 2 or the above first type H1N1 influenza case appears in 2 weeks, local health authorities should organize experts to study and judge the epidemic situation conscientiously, according to the risk assessment result, together with education department, offer the suggestion of suspending classes or having a holiday to the local government in accordance with the law. Chain 1 First type the intersection of H1N1 and the intersection of influenza and epidemiology investigate and break out the intersection of epidemic situation and the intersection of treatment technology and guide ' Try) This guide is mainly suitable for distributing the case in inputting first type H1N1 influenza of our country's appearance, or interpersonal spread appears, popular stage that even community's level breaks out. First, discoveries and reports of epidemic situation (1) Relevant definition. The epidemic situation breaks out in first type H1N1 influenza: In 14 days, presenting 2 and the above first type H1N1 influenza with epidemiology connection is suspected, and/or make a definite diagnosis of the case. One kind of cases of influenza: Generate heat ' The body temperature is greater than or equal to 38 ��) ,One of the symptoms, lack the other laboratories and confirm that diagnose the basis with coughing or swallowing aching. One kind of cases of influenza breaks out: In one week, it has one kind of cases of influenza with related epidemiology that 30 and the above happen in the same school, kindergarten or other collective units; Happen 5 and the above in hospital case because of the intersection of influenza and kinds of symptom ' Excluding leaving the view case in clinic) ; Or 1 and the above influenza and one kind of cases happen to die. (2) Discoveries and reports of the first type H1N1 influenza epidemic situation. The discoveries and reports of the epidemic situation break out in first type H1N1 influenza. The medical health organs at all levels are while making good case case finding, report, the discoveries and reports of the epidemic situation break out to should strengthen first type H1N1 influenza. The possible discovery route includes: ( 1) Find while carrying on tracking, investigation the common persons who expose of the first type H1N1 influenza case; ( 2) Find in the close contact of the first type H1N1 influenza case person follows the trail of and observes with medical science; ( 3) Find in the first type H1N1 influenza epidemic situation involves the area and strengthens monitoring; ( 4) It is found after diagnosing in the laboratory that the epidemic situation breaks out in one kind of cases of influenza; ( 5) Other routes and ways. Any unit and individual find the epidemic situation breaks out in first type H1N1 influenza, should be on request, here in 2 hours " The reporting system of the public health event happens suddenly " Carry on the straight newspaper of network, and do a good job of the process report and wind up the case in the report. All suspected making a definite diagnosis of casing, wanting, carrying on network frank newspaper and relevant materials of case send on request, and " the public health event happens suddenly to report the management information system " China carries on the relation of the case case. Second, epidemiology are investigated (1) The investigating live of first type H1N1 influenza case case. Suspected and making a definite diagnosis of the first type H1N1 influenza case except the questionnaire investigation doing a good job of the case and collection of relevant materials, should also investigate deep on-the-spot epidemiology: 1. The basic situation of the case, including its demography basic information, living environment, contact detail, medical history previously,etc.. 2.Morbidity and visit process of the case, does including it have illness coming on for time, examine time for the first time, examine the hospital for the first time, is admitted to hospital for timed, transfers from one hospital to another and changes the place of examination? Ancient wine vessel made of horn of the pavilion The skirt �� goes straight towards Huan Does the atmosphere Cha go straight towards Bang's proper ��'s tool and go straight towards Lai to fetch? 3.Clinical materials of learning to check in clinical symptom, physical sign, laboratory and image of the case etc.. 4.The epidemiology history of the first 10 days of symptom appears. ( 1) Traveling history: Traveling history of the country or area that attends first type H1N1 influenza and makes a definite diagnosis of the case; ( 2) Suspected or make a definite diagnosis of the contact history of the first type H1N1 influenza patient; ( 3) Contact history of one kind of cases of other influenza; ( 4) The medical organization exposes the history: Because other diseases or reasons are exposed to the situation of the medical organization; ( 5) Expose the history in the laboratory: Under not taking the valid safeguard procedures condition, deal with or find the clinical sample suspected or which makes a definite diagnosis of the first type H1N1 influenza case; ( 6) Suspicious the animal ' For instance pig, birds,etc.) Contact the history. (2) The investigating live of epidemic situation breaks out. Diseases at all levels accuse of organization's receiving influenza after the epidemic situation report broke out in one kind of cases or first type H1N1 influenza, should organize relevant personnel to verify the epidemic situation immediately, investigate epidemiology, and the clinical sample that gathers the case as soon as possible measures the laboratory. If influenza kinds of case break out epidemic situation confirm first type the intersection of H1N1 and influenza as, should each person suspected making a definite diagnosis of casing, finishing detailed the intersection of epidemiology and case, investigating to to break out in the epidemic situation. 1.Verify the epidemic situation. 2.Search for and investigate the case, the scale that confirm breaking out. 3.Investigate example and instruction case that one has illness coming on. 4.Investigate the key case. 5.Collect relevant information. 6.Analyze that the reason breaks out. Analyze contact way, frequentness and time array exposed, had illness coming on especially each other among the case. According to preliminary investigation result, analyze, set up, break out reason of epidemic situation suppose, design case contrasting or historical formation to study and verify supposing. 7.Analyze, judge the development trend of the epidemic situation. Dynamic analysis break out 3 rooms of epidemiology of the epidemic situation ' Time, space, human world) Distribution characteristic, and the case (especially serious disease or death case) Morbidity, visit, condition progress and rotate to return,etc.,combine by control measure that be taken already, the influence of the epidemic situation breaks out in comprehensive assessment, appraise the result of the processing measure, analyze the development trend of the epidemic situation, thus make investigation tactics and control measure pointedly. Third, break out the intersection of epidemic situation and sample gather with laboratory measuring, getting up, breaking out epidemic situation should gather 20 respiratory tract sample of patient at least each time. If disease case should all sample in 20 cases of the following now. Have illness coming on example for the first time, case of instructing, serious disease or death case must be sampled in hospital. It is dealt with that the epidemic situation breaks out in fourth, first type H1N1 influenza (1) The case is isolated for treatment and infected and controlled. 1.One kind of cases of influenza breaks out in the epidemic situation, all cases should stop going to work or going to school. 2.If find for the first type H1N1 influenza case, or it is confirmed as first type H1N1 influenza and broken out that the epidemic situation breaks out in one kind of cases of influenza, should send the case to the local fixed hospital to isolate for treatment immediately, and do to a medical worker well and accept the infection in the medical organization for medical treatment to control. The case can be removed and isolated for treatment after reaching the standard of leaving hospital that Ministry of Public Health makes. (2) The persons who keep in close touch follow the trail of and observe with medical science. If find for the first type H1N1 influenza case, or it is confirmed as first type H1N1 influenza and broken out that the epidemic situation breaks out in one kind of cases of influenza, should do judging to accuse of and medical science is observed of the persons who keep in close touch well on request in the organization in diseases at all levels. (3) Reduce the measure that the crowd contacts. Lacking the specificity and preventing the control means ' Such as vaccine and antiviral medicine) Prerequisite under,can by way of expanding the distance between men,it reduce between men each other it travel chance, can reduce the risk that the virus travels in the crowd. In breaking out in the range of certain region that the epidemic situation involves, the provincial people's government can develop and assess dynamically according to the epidemic situation, it consider taking on schooling, suspending classes, nurseries and kindergartens organization park, ask, at the time of fault on and off duty, cancel or postpone measures such as big assembly,etc.. (4) School, nurseries and kindergartens organization and other unit in collective measures of prevention and control. 1.Set up the morning and examine the system, strengthen the work of report of the epidemic situation. Break out as the intersection of influenza and kinds of case epidemic situation make a definite diagnosis of, break out for first type H1N1 influenza, the local government should develop and assess dynamically according to the epidemic situation, confirm that the region range that the epidemic situation may be involved breaks out. All schools and nurseries and kindergartens organizations in this area should strengthen examining and reporting system in the morning, tell ABC of students and their the parents first type H1N1 influenza. The students substantially as finding companion's influenza and one kind of symptoms, should report to controlling organization of the local prevention from suffering from the diseases immediately. 2.Isolate the case. If during having a class in the school, the student or faculty and staff have presented influenza and one kind of symptoms, isolate the case as soon as possible, and report to the controlling organization of the local prevention from suffering from the diseases. 3.Suspend classes and the measure of having a holiday. Break out epidemic situation handle, in first type the intersection of H1N1 and influenza, local health authority should according to regulation of " infectious disease prevent and cure law ", organize the expert panel to develop to the epidemic situation and the development trend is analyzed, judged, according to the result of risk assessment, together with education department, putting forward to local government and suspending classes according to the following principles or measure suggestion of having a holiday. ( 1) In principle, range and development trend that the range of suspending classes should be involved according to the epidemic situation, from small to big, for instance from grade to the whole school, get to many schools,etc. from a school from class to the grade. ( 2) Such as in 14 days, when 2 and the above first type H1N1 influenza case appear in the same class, this class can suspend classes; Such as in 14 days, when the same school or nurseries and kindergartens organization has 2 and the above classes that suspend classes, the grade of this class can suspend classes; Such as in 14 days, when the same school or nurseries and kindergartens organization has 2 and the above grades that suspend classes, this schools or nurseries and kindergartens organizations can all suspend classes. ( 3) Before suspending classes, except should tell the relevant knowledge of the first type H1N1 influenza of student, parents and teaching and administrative staff ing, should let student, parents and teaching and administrative staff keep in touch with school, he presents influenza and one kind of symptoms for report. The school should report to controlling organization of the prevention from suffering from the diseases of possession and education department to the health status of students and the teaching and administrative staff every day. ( 4) Time is generally 7 days to suspend classes, from the date on which the last first type H1N1 influenza case is isolated or left school. Can and teach according to the students on holiday The worker's health status, adjust the time limit of having a holiday at any time. ( 5) In view of the particularity of students and the children, the management outside school of student or children that the school or nurseries and kindergartens organization must strengthen and have a holiday after having a holiday, avoid its mutual contact outside the school and assemble. ( 6) Reply after class, should continue not isolating for treatment at home what has been fully recovered student,to 7 day or symptom after being ill of it after disappearing totally for 24 hour (with getting getting more accurate than more elder between the two) ,Can go to school. ( 7) Reply it after class, the school or nurseries and kindergartens organization should also continue strengthening examining and case report in the morning, and report to controlling organization of the prevention from suffering from the diseases of possession and education department to the health status of the students of the whole school and the teaching and administrative staff every day, it lasts 14 days at least. (this newspaper has some abridgement) Chain 2 First type the intersection of H1N1 and influenza prevent the intersection of intervening measure and the intersection of application technology and guide ' Try) Guide this suitable for our country appear first type the intersection of H1N1 and the intersection of influenza virus and propagating with the intersection of community and level breaking out prevailing staging between men lasting. First, personal hygiene( Slightly) Second, classify, go to a doctor influenza kinds of case can according to the intersection of condition and the intersection of weight and intensity, classify and go to a doctor. The light disease case should reduce the unnecessary visit, can have a rest and isolate for treatment at home. Serious disease case and apt high-risk group who cause the serious complication should go to a doctor in time. Suspected or make a definite diagnosis of the first type H1N1 influenza case and should be gone to the local designated hospital to isolate for treatment. (1) Light the intersection of disease and the intersection of influenza and one kind of cases should try hard to reduce unnecessary going out while having a rest and isolating for treatment at home ' , work and other social activities) including going to school ,Especially avoid getting to the place which the crowd gathers or participating in the public activity. If need to go out ' Including seeking medical advice) ,Must wear the gauze mask. Have a rest and isolate and reduce the close contact with family as much as possible during the treatment period at home, finish personal protection contact, ' Such as wearing the gauze mask) . The place isolated for treatment is separated with the public area of the family as much as possible, it had better be the single room. One kind of cases of influenza needs rest which keep good, supplement the moisture (drink the electrolytic beverage etc. such as water, sport beverage, baby) more ,And pay attention to the personal hygiene. It have a rest at home and it if you can't isolate for treatment time, appear symptom beginning, 7 day or symptom after ill by oneself after disappearing 1 day (with getting more accurate than elder at the two) . (2) One kind of cases of following influenza should go to see doctor in time: 1. Children's case presents one of the following symptoms or physical sign on the basis of previous symptom: Breathe rapidly or have difficulty in breathing; Skin color is blue or ashen, or cyanosis; The appetite fails; Vomit seriously and continuously; Have a liking for and sleep or slow in reaction; Agitated; Influenza and one kind of symptoms are aggravated. 2.Adult's case presents one of the following symptoms or physical sign on the basis of previous symptom: The chest aches or suffers from abdominal pain, or uncomfortable in chest or abdominal distension; It is dizzy to dash for ward the hairdo; Consciousness obstacle; Vomit seriously and continuously; Influenza and one kind of symptoms are aggravated. 3.It is apt to cause the high-risk group of the serious complication: The children 5 years old and under, especially the baby 2 years old and under; 65 years old and the elderly; Cardiovascular vessel disease ( Get rid of hypertension) , chronic respiratory disease, liver renal function are not complete, blood disease, disease of nervous system, neural muscle function obstacle, chronic disease patients such as metabolic disease,etc.; Suffer from immunity, inhibit adult and children of disease ' Including medicine or HIV infects the immune inhibition that causes) ; Pregnant woman; Smaller than the person who accepts aspirin treatment of the teenagers' midium or long term of 18 years old; Personnel in old people's home and other chronic disease rehabilitation institutions. Third, infection of case family are controlled (1) Kinsfolks' shelter. Look after, contact light the intersection of disease and the intersection of influenza and one kind of cases that have a rest and isolate for treatment at home by 1 kinsfolks fixing as much as possible. The high-risk group in the family avoid keeping in touch with the case as much as possible. All kinsfolks should do a good job of personal protection and personal hygiene while keeping in close touch with the case. Meanwhile, keep ventilating in the good room. Kinsfolks avoid keeping in touch with the case face-to-face as much as possible. After contacting the case directly, after especially dealing with the articles that the case has used, must wash hands with the soap. Propose the kinsfolks who look after, contact the case wear the gauze mask while being out, reduce the possibility of transmitting disease. The case has a rest and isolates during the treatment period at home, should control the health status of oneself and other kinsfolks closely. Once kinsfolks present unusual symptoms such as generating heat and acute airway infection of continuing the hair,etc., should report to controlling organization of the local prevention from suffering from the diseases in time. (2) The family sterilizes. Towel, handkerchief and napkin,etc. that the case has used should be dealt carefully with. The case has a rest and isolates during the treatment period at home, propose using antiseptic to polish surfaces of object such as the furniture, daily necessities and toy,etc. regularly. Kinsfolks can share the tableware after washing. Use the soap to wash the dirty clothes, and dry in time, the conditional family can heat and dry. Must wash hands with the soap after contacting the dirty clothes of case. (3) Application of gauze mask. Should wear the gauze mask while contacting with the case, and shorten contact time as much as possible. Must wear the gauze mask too while being out in case. The healthy crowd does not propose wearing the gauze mask in daily life and normal social activities. Without special circumstances, the regular dispensary or surgical gauze mask which the shop sells can meet the personal protection demand. The gauze mask must be used according to the correct method, the size must totally hide and shut up the nose, narrow the chink between face and gauze mask as much as possible while wearing the gauze mask. Must change after trying hard to keep the gauze mask dry, moist. The patient substantially as needing to assist with the acute respiratory disease uses the atomizer or inspirator to treat, propose wearing the medical use and protecting the gauze mask. Case isolate during the treatment period carrying on above-mentioned treat, at home, should as to independent and with go on in the the intersection of family and public the intersection of area and space that separate in one as much as possible. Deal with the gauze mask after use in time, avoid reusing the gauze mask. The gauze mask, must sterilize and dry strictly after using as it is reusable. Must use the soap to wash hands or sterilize with alcohol rival after removing the gauze mask. Fourth, not reduce exposed to crowd by chance it last crowd, exposed to the measures of chance of, include whether school suspend classes, park, ask nurseries and kindergartens organization, at the time of fault on and off duty, cancel or postpone big assembly,etc.. One kind of cases and high-risk group should try hard to avoid participating in the large-scale public conference in influenza. (1) Close the school or nurseries and kindergartens organization. When it is limited that a kind of quantity of the case of influenza appears in the school or nurseries and kindergartens organization, reduce the tactics that disease propagates in order to find the case is isolated with the case at home in early days as much as possible, wouldn't propose closing the school or nurseries and kindergartens organization. If the student or faculty and staff present influenza and one kind of symptoms during having a class in the school, need to isolate the case as soon as possible. Strengthen to students and health monitoring of faculty and staff at the same time ' Examine in the morning) With the propagation and education of personal hygiene. Parents need to cooperate with the school to be a good student and examine the work in the morning too. Act as it together At one school or the intersection of nurseries and kindergartens and organization appear the intersection of influenza and kinds of case break out epidemic situation, local health authority should organize expert develop to epidemic situation and the development trend is analyzed, judged, take the essential holiday, shut-down measure according to the result of risk assessment. In principle, the range of taking measures should be from small to big, can be from class to the grade, from grade to the whole school, get to many schools from a school. Management outside school of student or children that the school or kindergarten must strengthen and have a holiday after having a holiday, avoid its contact outside the school, reduce the spread of disease. (2) Postpone or cancel the large-scale public conference. In the first type H1N1 area with prevailing influenza, try hard to reduce or postpone all unnecessary large-scale public conferences. Large-scale public conference that must hold, hold while being outdoor as much as possible; While holding in the room, should avoid using the central air conditioner? �� 3 is expired by ownly and violently Shu �� ]Support Qin Ju if the intersection of the sixth of the twelve Earthly Branches and the intersection of moat and neon, �� of Huan, go straight towards Huan? Fifth, go out or the suggestion of travelling (1) One kind of cases of influenza avoids unnecessary going out of everything as much as possible. (2) First type the intersection of H1N1 and influenza prevail resident of area reduce or prevent the intersection of everything and leaving, should prevail travel of district unnecessary from as much as possible, in order to reduce the risk that first type H1N1 influenza spreads extensively. (3) The residents of the other areas reduce or avoid entering first type H1N1 influenza to prevail in the area and travel as much as possible. If must go, should consult traveling attentive matters that the related departments release, do a good job of the personal protection. Sixth, all parts of health education should utilize ways such as TV and broadcast, network, newspaper, propaganda folding, putting up the picture, short information of cell phone,etc., strengthen the propaganda of the knowledge of first type H1N1 influenza prevention and control and measure of prevention and control, improve the public's prevention and cure consciousness. Health education and main point propagated include: (1) Classify the measure of going to a doctor. (2) Ordinary healthy crowd's behavior. Seventh, precautionary measures of the high-risk group (1) Students in middle and primary schools. School and parents should strengthen generating heat and monitoring of respiratory tract symptom and physical sign of students. Report immediately, ask for leave if necessary if acute respiratory tract symptom appears. Parents should confirm whether children inoculate relevant vaccine in time, and strengthen the immunity. Should encourage the children who suffer from chronic disease to insist on regular drug therapy. When parents or children carry on consultation, the doctor deals with its health propaganda and education of carrying on first type H1N1 influenza preventive treatment knowledge. (2) Women breast-feeding their children can breast milk feed at the beginning as soon as possible, if can the breast milk is fed due to illness, can use the breast pump. If is unable to offer the breast milk due to illness, can use the milk power and or use the person milk up to the standards that her offered. (3) Cardiovascular patient should self-provided two week therapeutic the intersection of cardiovascular vessel and regular medicine of disease of quantity; Don't stop medicines, especially seasonal influenza or airway infection patient without authorization without permission of doctor. The heart should pay close attention to one's own respiratory rhythm is changed while declining a patient, unusual should tell a medical worker in time. (4) The urban rural worker waits for floating population to strengthen self- hygiene consciousness and ability of preventing disease, keep the room ventilating, should be reported immediately when present acute respiratory tract symptom, and try hard to ask for leave and have a rest and isolate by oneself, seek medical advice if necessary. (5) The person who attends to case: Wash the hands of oneself and persons who are attended to hardworkingly with the soap and water, should wash hands behind sucking hands in especially children's case; Avoid contacting at short range as much as possible and the frequent skin keeps in touch; Have avoided not washing toy and object contacted with the lips of children in use two times completely; The toy should be put at the place where far away from the mouths of children; Reduce the time to contact at short range as much as possible when must contact patients at short range, and try hard to wear the gauze mask; Embrace children at the case, let chin its by combine surface outwards, so as to prevent children from facing toward own face and cough in one's own shoulder. And the cloth gauze mask that can be re-utilized by the washing of ordinary detergent is pressed with the iron. (6) Each contact case, the intersection of case and room, relative of case, or behind the washroom, employ soap and water or including alcohol to wash the intersection of hand and liquid and wash hands. When patient contacts with the case chronic disease, should wear the gauze mask, reduce the time to contact as much as possible, and use the hands of water washing of soap after contact. (this newspaper has some abridgement)

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