This weekend, Dr. Zhang Wenhong attended relevant professional meetings and made the latest judgment!
Small farmers laid out the key points for everyone.
* This round of epidemic should be prepared for 2 to 4 months;
* Primary doctors at the community level will face more than 99% epidemic prevention pressure in COVID-19;
* At this stage, the peak of infection is coming, and the elderly should be well protected. In particular, he put forward the concept of "reverse protection", that is, to prevent the virus from entering the living space of the elderly.
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According to the report of China Business News, at the training meeting on medical treatment of COVID-19 infection held in Shanghai this morning, Zhang Wenhong, director of infection department of Huashan Hospital affiliated to Fudan University, took Singapore as an example to analyze:
The mortality rate in Singapore is 0.06%, which is far lower than the flu.
In Singapore, it was released from 1 to 1, and it took about four months to reach the bottom in April of 15.
Zhang Wenhong said that it will take 2-4 months to prepare for this epidemic! Grassroots doctors in COVID-19 will face more than 99% epidemic prevention pressure.
Dr. Zhang Wenhong said at this meeting: Next, grassroots doctors at the community level will face more than 99% epidemic prevention pressure in COVID-19 to avoid a large number of patients impacting secondary and tertiary hospitals;
At the same time, secondary and tertiary hospitals need to do intensive care to minimize the mortality rate.
Zhang Wenhong emphasized that in general treatment, in addition to monitoring the condition of COVID-19 patients and antibacterial treatment, two things must be done at the community level: "One is to equip with a nasal catheter, and the other is to equip with a mask; If conditions permit, mixed inhalation of hydrogen and oxygen can be used. In addition, in severe and critical cases, such as the deterioration of patients' oxygen and indicators and the rapid progress of imaging, glucocorticoid and other treatments were taken while being referred to higher hospitals. "
"Our community doctors will face the biggest wave of COVID-19 infection in history this time." Zhang Wenhong said that in recent years, our COVID-19 treatment has been carried out in designated hospitals, and community doctors often help Fangcang Hospital or do some nucleic acid tests. But this time, more COVID-19 patients will be concentrated in the community.
"Reverse protection" for the elderly!
as ... as possible
Avoid viruses from entering their living space.
12 17. At the 2022 China-US High-end Forum on Clinical Microbiology and Infectious Diseases, Zhang Wenhong said that at the moment when the peak of infection is coming, it is necessary to protect the elderly very well.
"If the elderly have not been vaccinated, they should reduce their activities and wear masks when they come out.
When you go to see the elderly, you have to wear a mask before you go.
Finally, I hope that the elderly can be vaccinated and have better drug protection. "
Zhang Wenhong said: "According to Shanghai data, the virulence of Omicron strain has obviously decreased, but its aggressiveness to vulnerable people still exists. Especially the elderly over 80 years old, are also the main severe patients. In addition to age, chronic kidney disease, hypertension and some nervous system diseases are the main causes of illness in vulnerable people. Most deaths or serious cases occur in people who have not been vaccinated. Therefore, vaccination is very important to protect vulnerable people. "
"Now, the focus of our work is to fully protect the elderly, which is manifested in three aspects:
First of all, once the infection has symptoms, it should be given adequate drug treatment;
Second, it is recommended that they be fully vaccinated;
Third, during the epidemic, they will be provided with a reverse protection to prevent the virus from entering their living space. "
Zhang Wenhong expressed the hope that more new vaccines against Omicron will come out as soon as possible, which is also of great value in preventing vulnerable people from being infected with Omicron. "Despite this, the vaccination of existing vaccines still effectively helps us to form a certain immunity to Omicron."
Getting out of the epidemic is a foregone conclusion!
"COVID-19" is hard to appear again.
A strain that spreads faster
"It is a foregone conclusion that we are about to get out of this epidemic, and this trend will not be reversed." Zhang Wenhong also said in the 17 forum.
"When the COVID-19 epidemic appeared, we knew that the virus spread far faster than the influenza virus, and humans generally had no immunity to this virus." Zhang Wenhong said that human beings have never achieved the goal of controlling infectious diseases by destroying a species. So after the flu was born in the world, it gradually reached a balance with our human immune system. With the vaccination and widespread infection of the vaccine, it will maintain a certain stable state with infectious diseases. "
Zhang Wenhong said that COVID-19 is also facing the same situation. "At present, it can be seen from various studies that after vaccination, the evolutionary pressure of the virus is great, which greatly reduces the number of times of virus evolution after vaccination. Finally, what we saw today was that the Omicron strain finally won. The strain has a certain escape effect on human immunity, and its R0 value is close to the level of 16- 18. It is difficult to jump out of the Omicron strain family and produce strains that spread faster. "
Be fully prepared,
Don't relax or panic!
Especially to protect the elderly!
Do you remember?
Let's spend this winter safely!
Extended reading:
Doctor: Eat three kinds of food after sunrise.
After the optimization of epidemic prevention policy in COVID-19, great changes have taken place in everyone's daily life. In the past, grain hoarding and other controls were imposed. Nowadays, fever such as hoarding medicine is not only hoarding medicine, but also canned peaches, electrolyte water and lemons have been snapped up and sold out once.
So, come on, COVID-19, what can you get from three meals? Some patients want to eat more, but they can't eat because of fever, loss of appetite and sore throat. What should they do?
Colin Xiao Han, the attending physician of the Clinical Nutrition Department of Guangzhou First People's Hospital, reminded that the more patients who don't want to eat or can't eat, the more they should try their best to eat and eat hard, and their immunity will go up, and their condition will naturally improve soon.
At the beginning of 2020, the National Health Commission issued a nutritional diet guide for the prevention and treatment of pneumonia in novel coronavirus. Tuyuan people's daily.
Drinking water is really important.
"Drink more hot water when you are sick" sounds like a cliche, but drinking water is really important. If you think boiled water is too weak, you can use light tea, vegetable soup, fish soup and chicken soup instead.
"Doctors in fever clinics have received many patients with mild dehydration in COVID-19. Asked what happened, they all said that they were too sick to drink water. " Lin reminded everyone not to forget to drink water even if you feel uncomfortable again.
"When you have a fever or diarrhea, drinking plenty of water plays an important role in regulating body temperature and preventing dehydration; Drinking plenty of water can ensure that there is enough water in the respiratory tract and promote the clearance of pathogens by mucocilia in the lungs; Good absorption, distribution, metabolism and excretion of drugs in human body, normal metabolism of human body and promotion of excretion of toxic substances all need water. "
So how much water is appropriate to drink? Please remember:1500ml ~ 2000ml; Drink plenty of water when sweating, and vomiting/diarrhea is serious after fever has gone down; Remember to sip slowly. For special people who have basic diseases such as heart and kidney and need to limit their drinking water, they should drink according to the doctor's advice.
2. Eat more dairy products and soybean milk to supplement protein.
When the human body resists the invasion of harmful substances such as foreign microorganisms, the components of the immune system will be activated and consumed in large quantities. If protein cannot be supplemented in time, the body's anti-infection immunity will decline, which is not conducive to the recovery of the body. But many people can't eat solid food because of fever, poor appetite, sore throat and other reasons. They drink pickles and rice porridge for three meals a day and make do with it.
Lin said that simply eating staple food is far from meeting the demand for protein. A short course of disease may have little effect. Once the front line is stretched, not only will immunity decline, but it will also start to consume the muscles of the body, leading to weight loss.
Therefore, the more you don't want to eat or can't eat, the more you should try your best to eat and eat hard. To supplement protein, you can:
① Drink dairy products and soybean milk.
Here, yogurt is praised by its real name. You can drink it if you are lactose intolerant, and it contains some probiotics, which is also very meaningful for maintaining intestinal immunity.
② Make eggs into custard or egg congee and egg drop soup.
It is widely rumored that eggs are an important source of high-quality protein. There is no scientific basis for the folk saying that "eggs are hair and can't be eaten if they are sick". They can eat eggs unless they are allergic to them.
③ You can make minced fish, shrimp and minced meat.
In short, do everything possible to overcome the problem of not wanting to eat or not eating by changing the characteristics of food.
3. Eat more carbohydrates such as miscellaneous grains porridge, rice and noodles.
When carbohydrates are scarce, high-quality protein will play the role of providing energy first, instead of being used by the body to synthesize other important components of the body, such as immune substances, and the effect will be greatly reduced and wasted.
Therefore, a proper amount of carbohydrates can provide energy for the body, improve the utilization rate of protein and save protein. And compared with protein and fat, carbohydrates are easier to digest and absorb, which is very suitable for sick people.
If the symptoms are serious and affect the normal diet, we should try to eat all kinds of nutrients well, such as changing the characteristics of food, chopping up the ingredients as much as possible, boiling them soft and thoroughly, and making them semi-liquid or liquid.
"If you can't eat white rice, you can cook it into porridge, make it into rotten noodles and eat it directly. It is best to choose some whole grains, such as oats, millet and purple rice. A bowl of hot miscellaneous grains porridge can provide more dietary fiber, B vitamins and minerals. " Lin said to.
In a word, there is no specific medicine in COVID-19 at present, and it is about autoimmune. Good nutrition is very important for the normal operation of the immune system, and a scientific and reasonable diet can promote the recovery of the body.
COVID-19 patients should eat reasonably, not diet, not picky eaters, and keep enough sleep and happy mood, which will help to recover. "For example, COVID-19 is the enemy, you are a soldier on the battlefield, and good nutrition is like a sharp knife in your hand." Lin said to.