Zhengzhou crisis: the novel coronavirus designated hospital fell, and 61 infected people were added in two days

Just when the epidemic in Nanjing spilled over to many provinces and cities across the country and Zhangjiajie became the new epidemic center due to a performance of more than 2000 people, two more news came from Zhengzhou: the director of Zhengzhou Municipal Health Commission was dismissed; The party secretary of Zhengzhou Sixth People’s Hospital, the designated hospital for Xinguan patients, was removed from office; This is a very unusual sign.

At that time, Zhengzhou only reported one asymptomatic infected person, a lady surnamed Zhou, who went to hospital for cervical spondylosis.

During routine nucleic acid testing, there were abnormal results.

On July 30, she was rechecked and confirmed as asymptomatic infected and sent to Zhengzhou Sixth People’s Hospital for isolation treatment“ Zhengzhou’s action shows that the actual situation may be more severe than that reported.

” Reviewing the reaction of Zhengzhou on Saturday afternoon, an epidemiologist analyzed the eight o’clock health news.

It is likely that nosocomial infection occurred in the sixth hospital.

Subsequently published infection data confirmed the above speculation.

This round of epidemic situation in Zhengzhou is grim: one day after the first case was found, that is, one day on July 31, there were 32 new infected people in Zhengzhou – 12 confirmed and 20 asymptomatic.

Moreover, the epidemic mainly occurred in the hospital, involving people including cleaners, medical personnel and ward patients, showing a local spread state.

On August 1, another 29 infected people were added in Henan – one confirmed and 28 asymptomatic infected people.

In other words, Zhengzhou hospital sense triggered a surge of 61 local infected people in two days.

The details behind the suddenly changing numbers make life more cold.

Before turning to the sixth hospital for fixed-point treatment on the afternoon of the 30th, according to the published preliminary flow survey results, Zhou and Zhengzhou Sixth People’s hospital had no intersection.

The only connection is that Zhou’s community is only about 800 meters away from the sixth hospital.

On July 30, Zhou was sent to the hospital for treatment, and a large number of staff infections were found the next day.

Were these two independent events or were they related to each other? Did Zhou’s virus infect these medical staff, or did they co infect each other in some way? Where is the source of this infection? Is it the epidemic in Nanjing? Or was it caused by the fact that Zhengzhou No.

6 hospital, as a designated hospital of the novel coronavirus, admitted overseas imported cases? The most crucial question is when does the sense of courtyard of the sixth hospital occur? There is hardly any sign in the current public information.

Even, in addition to the information about the first infected person mentioned how she was detected positive, how were the other 30 cases of nucleic acid positive, especially the hospital staff, detected positive in the routine nucleic acid test, or before the medical treatment due to physical discomfort, or in the large-scale test of relevant personnel triggered by the first diagnosis? We don’t know.

The only thing we know is that, like the Nanjing airport, there is a large scale clustering infection in the key places and key groups of the novel coronavirus, which shows that the defense line has a big loophole and has lost its presence in front of COVID-19.

32 cases a day, most of which are related to infectious disease hospitals.

What does it mean? In the epidemic situation, nosocomial infection is very dangerous.

An epidemiologist told the 8:00 health news that the sense of hospital will make the hospital a “super amplifier”, and each large-scale outbreak starts from the hospital.

Ma Jiarui, a young member of the nosocomial infection branch of the Chinese Preventive Medicine Association and a nurse in charge of infection control, introduced to 8:00 Jianwen that nosocomial infection had occurred in some medical institutions in Wuhan in the early stage and spread among different wards and wards of the hospital.

Novel coronavirus pneumonia was diagnosed by the reports at that time.

15 medical workers were diagnosed at the beginning of the epidemic in Wuhan.

A more serious case was that the Wuhan mental health center had nosocomial infection, which resulted in about 80 doctors diagnosed with novel coronavirus pneumonia.

Li Dong, chief physician of the infection department of Beijing You’an Hospital, once told 8:00 Jianwen that the epidemic situation in Qingdao in December 2020 was caused by nosocomial infection because inpatients and confirmed cases shared a CT machine.

At that time, Jiao Yahui, the supervisor of the medical administration and medical administration bureau of the National Health Commission, made it clear that he required “zero infection in medical institutions”, that is, the “zero tolerance” for the sense of hospital.

After that, once there was a sense of hospital, the removal of the director of the Health Commission has become a routine action.

This also explains why Henan removed the Secretary and director of the Party group of Zhengzhou Health Commission and the Secretary of the Party committee of Zhengzhou sixth hospital immediately before the release of the flow survey results.

Zhengzhou Sixth People’s hospital is not only the designated hospital for novel coronavirus patients in Zhengzhou, but also a class III class A infectious disease hospital.

Some infectious disease experts pointed out that although the existing protective measures can completely avoid the occurrence of nosocomial infection, the reality is that there will always be nosocomial infection events due to some accidental factors.

If it is accidental occupational exposure and does not cause the spread of infection, it is of one nature.

If it is caused by loopholes in system management and what should be done is not done in place, it is of another nature.

Moreover, if the nosocomial infection events can not be handled and reported in time, it will lead to the outbreak of nosocomial infection, and the consequences will be more serious.

If it cannot be controlled in time, there will be a pile of close connections.

Even if there is no disease, it will paralyze multiple departments of the hospital, and even paralyze the whole hospital.

   However, like the sixth hospital in Zhengzhou, 20 or 30 nosocomial cases were exposed at once, which was almost a geometric growth.

It can be said that it was very critical and rare.

It could be called the most severe rebound since the Wuhan epidemic.

A virology expert told eight o’clock health news that if double-digit infected people continue to appear in the hospital in the next 2-3 days, it proves that “the sixth hospital should be polluted”.

In fact, the sense of courtyard may have overflowed.

According to the novel coronavirus pneumonia prevention and control group office held in Zhengzhou on July 31st evening, the 11 year old Zhao was the first asymptomatic infected person to contact with the 5 people who were released by the press conference.

He and Zhou were not involved in the Zhengzhou operation.

According to the eight o’clock Jianwen query map, the Guangxing Jieyun Garden community where they are located is only more than 800 meters away from the hospital.

Although the starting time of transmission has not been determined, many experts still tend to believe that the epidemic has been simmering for some time, and the transmission range of the epidemic may be larger than expected.

According to the report of Shangqiu City on August 1, there has been a confirmed case in the city.

Before July 27, he accompanied the hospitalized family members in the Sixth Hospital of Zhengzhou and returned to Shangqiu on the 27th.

This is also the first non city case in the communication chain of Zhengzhou.

At present, the Sixth Hospital of Zhengzhou has implemented closed-loop management and stopped receiving treatment.

According to the requirements, since July 16, the personnel who go to the Sixth Hospital of Zhengzhou for treatment, escort, detention and other personnel have to go to the designated institution for nucleic acid testing.

Before the results come out, they should be isolated at home.

Next, the growth of confirmed cases in the next few days will also determine the final trend of the epidemic in Zhengzhou.

This is not the first time that the infectious disease hospital has fallen behind many times.

In October 2020, the novel coronavirus positive patients in Qingdao were admitted to the hospital, and the COVID-19 infected people in Qingdao Chest Hospital shared the CT epidemic in the hospital during the hospitalization.

Fortunately, there was no community communication, and this was the fourth time that there was a sense of hospitalization in Qingdao.

In the recent epidemic in Guangzhou, the delta strain broke through the urban defense line for the first time, which also caught the local infectious disease Hospital Guangzhou Eighth People’s Hospital unprepared, resulting in the infection of two medical staff.

According to the analysis of infectious disease experts, in the event of a large-scale epidemic, even the specialized infectious disease hospital is obviously understaffed.

It has to send recruits to fight, which naturally increases the risk of infection exposure.

In addition, in April 2020, the First Affiliated Hospital of Harbin Medical University and the second hospital of Harbin stopped diagnosis due to the emergence of novel coronavirus cases..