With the approach of the Spring Festival, farmers and college students who go out to work have returned home one after another, and the mobility of people in rural areas has increased, which has increased the risk of the spread of COVID-19 epidemic. Doing a good job in rural epidemic prevention and control has become the focus of epidemic prevention and control in the new stage of our country, which has aroused social concern.

65438 10/7, the State Council Joint Prevention and Control Mechanism held a press conference on epidemic prevention and control in rural areas, demanding that both rural epidemic prevention and control and stable agricultural production and supply should be paid attention to. Recently, many places in China have set up special classes for rural epidemic prevention and control to do a good job in rural epidemic prevention and control.

What is the current situation of epidemic prevention in rural areas? How about epidemic prevention in rural clinics, township hospitals and county hospitals? A few days ago, reporter Jim visited many villages, township hospitals, county hospitals and other institutions in Taihu County, Anhui Province, trying to find the answers to the above questions.

Si Qian town hospitals infusion room

Most villagers recovered from fever after taking medicine.

Taihu County is located in the southwest of Anhui Province, with an area of 2,040 square kilometers and a population of 580,000. This is an ancient civilization with a long history and an important birthplace of Zen culture in China.

Luoxi Village, Si Qian Town, about 27 kilometers away from Taihu County, has beautiful scenery and pleasant scenery. Like many villages in this mountain village, the permanent population is mainly left-behind elderly people and children, and young people make a living outside.

65438+1at 2 pm on October 3, 73-year-old Ye took care of his grandson and chatted with the villagers on the fitness square in the village. She looks in good spirits. Ye is a left-behind old man in the village, with two great-grandchildren and a big son-in-law.

At the end of June 5438+February last year, Ye developed cough symptoms, but she did not have a fever. She took a little cold medicine and drank a lot of boiled water every day, probably because she was in good health, and her cough symptoms disappeared after a few days. During this period, she also received three ibuprofen tablets from the village. Ye's eldest son-in-law and two great-grandchildren had a fever, and they all recovered smoothly after taking medicine at home.

"Some people have a fever, some people have a headache, and some people have a sore throat. Most of our villagers have some symptoms, and few people have no symptoms at all. But now it is basically good, and only a few people still have some symptoms such as cough. " Ye said that most villagers with symptoms will bring some medicine by themselves and carry it hard at home. Only those who can't handle it will go to the doctor. There is only one doctor in the clinic in their village. Generally, villagers do not give injections and infusions, but only prescribe medicines.

Master Ye, 43, is a villager in Xihe Village. He drives a truck for a living. 13 days ago, his eldest son began to have fever, and the highest temperature was close to 40 degrees Celsius. He went to the village clinic and prescribed some cold medicine. After the eldest son took two tablets of cold medicine, Master Ye gave him hot water to soak his feet for treatment. After a few days, the eldest son basically recovered. But then, Master Ye, his wife and his younger son also developed fever symptoms one after another.

"In addition to the fever, my whole body aches, especially the pain in my waist, which makes me restless." Master Ye recalled the symptoms at that time. He took cold medicine and a few painkillers, drank a lot of boiled water every day, and basically recovered after 4 days. The recovery process of the wife and younger son is also quite smooth, and there are no other sequelae.

Master Ye said that most villagers in Xihe Village had symptoms such as fever. The villagers all brought some medicines and treated them in some indigenous ways at home. Now it's basically recovered. However, a few elderly people still have some sequelae, and some elderly people with basic diseases in nearby villages have not survived this wave of infection.

In Xiaochi Village, Xiaochi Town, not far from Taihu County, 78-year-old villager Uncle Wang bought vegetables and walked home. He looks a little hunched and is recovering well. More than ten days ago, uncle Wang, who was alone at home, developed symptoms of bone pain. I took a little cold medicine and basically recovered after two days. He said that during this period, most villagers had symptoms such as fever, but now they have basically recovered, and some old people died after being infected with COVID-19.

Xiaochi town hospitals

Some old people didn't make it.

65438+1on the morning of October 4th 10, in the infusion room of Si Qian Town Health Center in Taihu County, more than 20 patients were receiving infusion, most of whom were elderly people. Since then, there have been a constant stream of patients coming for infusion, and four nurses are busy, shuttling between the infusion room and the inpatient ward. This hospital has nearly 10 wards and about 20 beds, most of which have been used, but there are still a few empty beds.

In one of the wards, 89-year-old Liu's father is receiving infusion. The villagers accompanying him said that Dad Liu was a five-guarantee household in Wang Fan Village, Si Qian Town. After being infected with COVID-19 virus, he developed lung infection and was seriously ill. He has been in hospital for several days.

Mr. Wu, who is going to go through the discharge formalities, is a villager in Wang Fan Village, Si Qian Town. June 65438+February 65438+June last year, at the age of 60, he returned to his hometown after working in other places. Four days later, he developed fever and chills, took some ibuprofen antipyretics, and his fever dropped that night. I felt fine the next morning, but I had a fever again in the afternoon and took some cold medicine and amoxicillin. On the third afternoon, he had a low fever again. After staying at home for a few days, the symptoms never disappeared, and there were discomfort such as chest tightness. On February 29th last year, Mr. Wu came to the town health center for treatment. After examination, the doctor told him that he had bronchitis and slight lung infection, and he went through the hospitalization procedures for him.

"I receive infusion treatment every day, and the main drug is cephalosporin. Now the symptoms have basically disappeared. " Mr. Wu said that since he moved in these days, many patients have gone to the hospital for infusion every day, and the number of hospitalized patients has also increased. Most patients are caused by COVID-19 infection, and most of them are elderly people.

Mr. Wu also said that there are six families near his home. During this time, only one person did not have fever and other symptoms, and the symptoms of others were not as serious as his. Basically, I just took some medicine at home. His wife, daughter, son, grandson, etc. I had a fever in other places, but now I have recovered.

"I am going to let my son not go home this New Year. This time is more sensitive. " Mr. Wu said.

Father Liu, a villager in Si Qian, is also a patient in the inpatient ward. He is 73 years old and is a left-behind old man. He lives alone at home, and his son and daughter-in-law work outside. Fever, cough, general pain and other symptoms occurred in 65438+February and 65438+August last year. After taking cold medicine, I stayed at home, but the symptoms of discomfort never disappeared, and there were symptoms of heart discomfort. In desperation, he went to Si Qian Town Health Center for medical treatment. The doctor diagnosed white lung and needed hospitalization. After several days of treatment, Liu's father's symptoms have obviously improved, and he can be discharged in two days.

"I was in good health before, and there was no basic disease. I got three shots of COVID-19 vaccine. Other villagers usually get better in a few days. I don't know why my situation is so serious? " Liu's father felt a little puzzled.

65438 1 on the morning of October 5, a farmer in Xiaochi village, Xiaochi town was in the process of funeral, and an 81year-old man died. The old man had a basic disease before. He had a fever a few days ago. He took some cold medicine at home and his symptoms eased, but he died suddenly two days ago.

Patient Mr. Wu is hospitalized in the town health center.

There are medical staff working continuously for three days and nights.

65438+1At 3: 30 pm on October 3, Dr. Fan, a village doctor in Luoxi village clinic of the town, was on duty. No patients come to see a doctor at this time. According to Dr. Fan, in this round of infection, it is estimated that 80% of the villagers in Luoxi Village have had symptoms such as fever, but most of them have recovered. He believes that this round of epidemic in the village has basically ended, and there are still a few villagers vomiting and diarrhea.

Dr. Fan said that villagers usually get over a fever in a day or two, which is not serious. Some old people died when they were old because of basic diseases. At the beginning of this epidemic, the village clinic was short of ibuprofen and Lianhua Qingwen, but there were some other cold medicines, and ibuprofen also arrived recently. During this period, villagers come to the clinic to see a doctor. If the situation is not too serious, he will prescribe some western medicine or Chinese medicine, and suggest them to cooperate with local methods such as soaking feet in Jiang Shui and stewing black sesame seeds in pears at home. If the situation is serious, he will advise them to see a doctor at a higher medical institution.

Dr. Wang, the vice president of the town health center, told the reporter that there were not many villagers who came to see a doctor recently because of fever, and most of them came to see a doctor because of lung infection after being infected with COVID-19.

Dr. Wang said that the peak of the epidemic began in mid-February of 65438 last year and reached its peak at the end of February of 65438. At present, the peak period has basically passed, but in recent days, there are still many patients coming to see a doctor in COVID-19. At present, there are about 20 patients in the hospital, and about 60 to 70 people need infusion every day. Some patients have symptoms of lung infection.

According to Dr. Wang, there are 42 medical staff in their hospital. During the current epidemic, medical institutions at higher levels transferred individual medical staff from hospitals because of shortage of staff. At the height of the epidemic, almost all the medical staff in the hospital were infected, and the manpower was very tight at that time.

"No matter how nervous people are, we must also ensure the normal operation of the hospital. At the worst of the epidemic, I worked day and night, even if I had a fever. A nurse in the hospital worked continuously for three days and nights because all the other nurses were running a fever. At that time, all the medical staff in the hospital were gritting their teeth and finally survived the most difficult period. " Dr. Wang believes that from now until the Spring Festival, the hospital will still be in a relatively busy state, and some elderly people with sequelae after being infected with COVID-19 will come to see a doctor one after another. They have made corresponding preparations in personnel and medicines, and the superior health and health commission has been paying close attention to the epidemic situation and actively guiding them to carry out their work.

65438+1At 9: 00 am on October 5, there were very few patients in Xiaochi Town Health Center in Taihu County, and only one elderly patient received infusion in the infusion room. His companion told Jim that the old man didn't come to see a doctor because he was infected with COVID-19 virus. No patient was hospitalized in the inpatient ward of the hospital.

A doctor in Xiaochi Town Health Center said that the local epidemic peak lasted for about two weeks from the middle of June 65438+February last year to about February 28+65438. Of the 4 1 medical staff in their hospital, 39 had a fever, but they all recovered. "During the peak period, more than 100 patients come to the hospital every day, and some seriously ill patients go directly to the county hospital." The doctor said that at the peak of the epidemic, there were also shortages of medicines and manpower in hospitals, but they have all been solved at present.

Worried that the tide of returning home will aggravate the epidemic.

On the afternoon of October 4th, 65438/KLOC-0, the words "respiratory disease specialist clinic" were posted at the entrance of five consultation rooms in the new campus of Taihu County People's Hospital, but there were not many patients in the waiting area. The guidance nurse said that if the patient's condition is not serious, it is recommended to postpone hospitalization. Most beds in the respiratory ward on the inpatient department 12 floor of the hospital have been used.

Dr. Liu Hu, deputy director of the emergency department of Taihu County People's Hospital, said that in this round of epidemic prevention and control, their hospital, as the largest hospital in the local area, undertook the treatment of most severe and critically ill patients and became the main battlefield of local anti-epidemic. Since mid-February, 65438, the emergency department of this hospital has visited more than 40 people every day, and 200 to 300 patients receive treatment every day. At present, there are nearly 1000 inpatients, most of whom are seriously ill and critically ill patients infected with COVID-19. Because there are many local mountainous areas, sometimes a single visit takes more than three hours, and the medical staff are very hard. During this time, they are almost overworked. Some time ago, more than 40 medical staff in the emergency department were almost infected, but due to the shortage of manpower, most medical staff insisted on taking up their posts despite illness.

Taihu county people's hospital internal medicine waiting area

Liu Hu introduced that in order to cope with the epidemic, the hospital added nearly 200 beds on the basis of 800 beds, and made full preparations for personnel and materials in advance. The local county party Committee, county government and county health and health commission have given full support in all aspects.

"Last year, 65438+February, 17 to 27, was the peak period for our hospital to receive patients in this round of epidemic. From last year's 65438+February 27 to the present, the daily number of patients in the hospital is still at a high level, and it is estimated that this situation will continue until the Spring Festival this year. " Liu Hu said that his biggest concern now is that more local people will be infected with COVID-19 virus as local migrant workers return home.

Liu Hu said that at present, all hospital leaders, doctors, ambulance drivers and nurses are sticking to their front-line posts, and all medical staff are responding to the epidemic in a "wartime" state.

65438+ 10 7, a staff member of Taihu County CDC told Jim that the epidemic situation in Taihu County has passed the peak of infection and is at the peak of hospitalization, and the situation of epidemic prevention and control is generally stable and orderly. In order to ensure the smooth and safe passage of the epidemic peak, Taihu County has established a flat command system under the command of the main responsible comrades of the party and government at the county and village levels, coordinating the county's medical rescue forces, improving medical rescue capabilities, ensuring drug supply, strengthening key population testing and medical services, and caring for front-line medical personnel.