The tactics of prevention and control of infectious disease is needed " Should sometimes change "

The tactics of prevention and control of infectious disease is needed " Should sometimes change "
The People's University of China the intersection of medical reform and HuFeng Wang, director of research center, the first type H1N1 influenza erupted has been travelled very fast since March of this year. At the beginning of July, the countries of America and Great Britain announce that out of control in succession, the epidemic situation spreads in the whole world rapidly. Our country originally includes Model A H1N1 influenza in infectious disease and prevents and cures the class-B infectious disease that France stipulates, and take the preventive, control measure of the class-A infectious disease, isolate for treatment. This according to a traditional one " Control and infect the source, cut off and propagate the route " The thinking was dealt with. Adjust the tactics of prevention and control formally on July 8, does not concentrate medical science on observing to all persons who keep in close touch again. On the basis of the new situation at present, consider in term of making the protracted war, the suggestion country adjusts the intersection of prevention and control and tactics further and improves. It is to " control and infect the source that the intersection of traditional prevention and control and tactics runs into and challenges and deals with the tactics of prevention and control with traditional infectious disease, cut off and propagate the route, protect more easily infected group " ,But this kind of tactics has not made the satisfactory result to infectious disease like first type H1N1 influenza. The reason has three respects. The intersection of and particularity of epidemic situation this. First, influenza and initial symptom of first type H1N1 are similar to ordinary influenza, the case fatality rate is similar to ordinary seasonal influenza, but show a tendency to rise progressively, the disguise endangered is strong; Second, the patient has illness coming on quickly, recessive the infeted can arrange maliciously and infecting others, the infection source is difficult to totally control; Third, new influenza virus has infective the higher one, can spread with human, and propagate the route more; Fourth, very great difference appears in the case, the light disease patient does not need to treat and can fully recover, the serious disease patient is difficult to save to rescue with all strength, to patient's very hard-to-use " makes it rigidly uniform " Way prevent and cure; Fifth, although the mutant probability of virus is small, can not get rid of, the consequence is unexpected, have very strong uncertainty. The characteristic of epidemic situation can summarize disguise strong as epidemic situation, infect source to be difficult to control, propagate the route more, the case difference is great, prognostic uncertainty is strong. The second respect is the grade of epidemic situation and deals with sense of propriety difficultly with assurance. World Health Organization is upgrading to the first type H1N1 influenza epidemic situation alarm constantly, because the epidemic situation is complicated, various countries know and judge the difference, reactions vary, it is different to reply. But no matter " Urgent " Policy still" From loosing " Policy,last results ideal, be spread being objective realitied already constantly at the whole world epidemic situation. The pressing or otherwise intensity of the epidemic situation is difficult to define, it is difficult to generate strategy, the traditional tactics of prevention and control do not work in front of the new epidemic situation, form a characteristic of this epidemic situation. The third respect is that the control on epidemic situation of an economic and political factor has increased the difficulty. Because of financial crisis and economic crisis of the world, some countries, in order to accelerate the economic recovery, abuse the relaxed epidemic situation to control, or " unable to do what one wants very much to do " ,The international situation of union prevention and control is difficult to form, a large number of inputs the existence of the venereal disease example internationally, make the prevention and control of a country diligent and difficult to be righteous alone in a community where the general moral tone is low. Influence each other internationally and strengthen with the interference of economic factor, it is another background characteristic of this epidemic situation. Deal with new infectious disease to expect new idea and new strategy are according to characteristic of this epidemic situation, I propose " Contain by oneself and isolate " New for concept,with should difficult to now for prevention and control situation that is and not may getting more difficult in future. Contain by oneself, isolate, mean whom government make and announce according to the needs of epidemic situation, have the intersection of policy and effectiveness, the government for support and cooperate with the related departments, grass-roots units such as employing unit and community,etc. organize, supervise the separation measure implemented by oneself. It is that a government announces to tell specifically that contains area and time isolated by oneself according to the epidemic situation, organ, undertaking, enterprise's unit and community manage etc., can be on the voluntary foundation, the standard that the ones that put forward according to the country instruct, make the methods of condition, implementation of isolating, related measure specifically, suit measures to local conditions and adopt the feasible segregation method to the patient or suspected patient, reduce and propagate the channel to the greatest extent, relieve and control the epidemic situation to develop. This kind of way is with isolating by force " It is isolated that hard" Compare, it is a kind of self-disciplining " soft segregation " ,Arouse social forces to participate in extensively, it is apt to form the situation of mobilizing the vast majority masses for prevention and control, with low costs, the applicability is strong, sustainable characteristic. It if you can't realize, contain by oneself isolate,corresponding without being needed upgrade by prevention and control tactics,propose I should until H1N1s first type is in the tactics of infectious diseases new in influenza: " the society works in coordination with, contain by oneself and isolate, technical support, the measure forms a complete set, strengthen resident's one's own resistance " . " social synergistic " With manage idea, come on, command disease, prevent and control while being public, can't guide, prevent and control with medical technology while being simple, arouse the whole society to participate in extensively and cooperate and prevent and control the epidemic situation actively through the public policy. " contain by oneself and isolate " It is a core of the new tactics, it is the key to controlling epidemic situation. " technical support " It is the health and epidemic prevention department and medical organization that put forward relevant technical standard, information of prevention and control according to the need for isolating in self-containment, related medical services. " the measure forms a complete set " Including: First, make and contain policies such as relevant diagnosis, sick leave, checking and rating, salary treatment during isolating,etc. by oneself from the aspect of public policy; Second, make and contain measures such as sick leave, having holidays by turns, house official working while isolating,etc. by oneself by oneself in unit's inside, adjust internal rules such as the attendance, examining, comparing and assessing, salary,etc. correspondingly. " strengthen resident's resistance " Mean that catches the enhanced characteristic of resident's health consciousness when the epidemic situation breaks out, propagate and protect knowledge extensively and through methods which improves resistance such as scientific diet, health tempering, bad hobby of withdrawal,etc., meanwhile, inoculate vaccine appropriately, promote resident's resistance and immunity in an all-round way. Concrete measure adjust suggestion, set up with controlling epidemic situationing and implementing expert that tactics suitable for make policy and consult the organization. Organized by this expert and assessed the epidemic situation, propose countermeasure supports government's decision-making reference. Social science expert of inviting public policy, emergency management, diplomacy, medical treatment to ensure etc., construct from the public policy, social emergency management, dealing with the height of the non-traditional safety factor, will study and offer the policy consultation with the expert in the medical field together. Make and issue implementing " Contain management by oneself " Guidance opinion. Regard employing unit and community at the basic level as the centre, design and implement prevention and control, offer respects such as asking for leave, examining, salary,etc. essential policy support for containing management by oneself in the grass-roots unit, such as implementing " Contain by oneself and isolate " Delaying calling in sick during this time must go to the hospital to open the regulation of the certificate of diagnosis, managed etc. by the situation self-containment of the unit foundation. Discuss and make the relevant technical standard. Include directing against the prevention and cure guide simple and easy to do of residents, the family, employing unit, community, isolate and contain technical guide that isolate by oneself by force, until serious the intersection of disease and patient accuse of and standard, isolate standard light the intersection of disease and patient, accuse of with standard, standard that self-containment isolate by force, isolate general knowledge, personal protection method,etc., for containing the unit reference isolated by oneself. Set up and improve and meet an urgent need service guarantee is Interconnected system. Mobilize and organize the medical department of the hygiene to set up network platform, service centre of the telephone, offer untouchable consultation service, guide oneself's treatment to the light disease patient; Encourage the health organization of the community to offer service of bringing midical service to the patients' homes, retailing the pharmacy and sending medicines to the doorstep; The medical organization sets up convenient influenza to make a diagnosis and give treatment in the landscaped roadway; The medical insurance policy forms a complete set correspondingly, simple and convenient settlement method. So as to isolate the accessibility of infecting the source, reducing and propagating the chance, improving patient's medical treatment and convenience of the self-containment segregation. Seize the opportunity, launch scientific research. First type H1N1 influenza is the newly discovered virus, it is hardly last time similar epidemic situation or the last kind of new influenza virus. While dealing with this epidemic situation, launch the health education, promote the ability of prevention and control too, improve the tactics of prevention and control, improve the opportune time of technical support, while strengthening medical research to the epidemic situation, should also organize carrying on research from angles such as management, economics and sociology,etc., so as to there should be more confidence in victory in the future.

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