Source: Zhejiang News
Today (December 25) afternoon, Zhejiang held the 124th new coronavirus pneumonia press conference on epidemic prevention and control.
Yu Xinle, deputy director of the Office of the Zhejiang Provincial Epidemic Prevention and Control Leading Group and deputy director of the Provincial Health Commission, introduced the overall situation of the current epidemic prevention and control work in Zhejiang Province.
In the past week, the highest number of visits to fever clinics in Zhejiang province in a single day was 408,400. There are currently 13,583 COVID-19 cases being treated in hospitals across the province, 1 severe case caused by COVID-19 (currently in stable condition), and 242 severe and critical cases caused by underlying diseases (accounting for 1.78%).
As of December 24, a total of 6,595 fever clinics have been opened in the province. Based on each clinic receiving 90 patients per day, the province's maximum daily capacity of fever clinics can reach 600,000.
In terms of inpatient medical resources, the province currently has 101,082 beds in designated and sub-designated hospitals. In terms of critical care resources, the province has completed the construction of 1,600 new ICU beds and all equipment configurations are in place. The number of ICU beds available for critical care in hospitals at level 3 and above in the province has reached 12,398, accounting for 9.90% of the actual number of open beds.
In terms of building a critical care team, through modular and practical training that combines old and new, team-based, theory and practice, the province has completed special training on ICU skills for more than 20,000 medical staff, mastering the operation of key life support equipment such as ventilators and training on major treatment methods such as prone position ventilation.
At present, the number of newly reported positive people in Zhejiang has exceeded 1 million. . Based on recent case monitoring and community sampling survey results, the infection situation is predicted. It is expected that the peak in Zhejiang will arrive early and enter a high plateau period around New Year's Day. During this period, the number of new positive people per day will reach up to 2 million, and the peak period is expected to last about a week.
Through the efforts of many parties, Recently, the supply of cold and fever-reducing drugs in Zhejiang has increased, and the tension in medical institutions has eased. In terms of drug distribution, various localities have also increased their efforts to support primary medical institutions, and have taken many heart-warming measures to move the service front for fever patients. For example, Wenzhou distributes anti-fever drugs through pharmacies to residents in need, Huzhou has set up a city-wide unified service hotline to deliver medicines to residents with fever in need. According to data monitoring, the number of fever patients visiting fever clinics across the province has begun to decline, and the proportion of fever patients attending primary care has increased from 20% to 44.7%.
The Provincial Party Committee and the Provincial Government attach great importance to medical treatment response preparations, conduct multiple special studies and deployments, and put forward clear requirements of "protecting health, preventing severe illness, and curbing death from the disease." Recently, with the increase in the number of infections in the elderly, the need for hospitalization and the number of severe cases are increasing. In order to effectively cope with the hospitalization peak, we will continue to do the following six aspects at this stage.
1. Continue to improve the service capabilities of fever outpatient clinics and improve service accessibility and convenience
Based on the current changes in outpatient workload and the needs of fever patients, some general outpatient clinics and specialist outpatient clinics will be adjusted into fever outpatient clinics to improve service capabilities.
and simultaneously set up a simple fever dispensing clinic to simplify the process, achieve rapid dispensing, and quickly triage fever patients.
Increase the purchase and supply of fever and antipyretic drugs, favor primary medical and health institutions, and encourage village clinics, individual clinics, and outpatient departments to receive fever patients.
encourages localities to provide services to fever patients nearby through patrol cars entering communities, using nucleic acid testing kiosks to set up simple fever clinics, and setting up simple fever diagnosis and treatment service points in communities. Guide various localities to set up service hotlines to provide door-to-door antipyretic drugs to people in home isolation who are short of medicines.
2. Continue to improve the ability to treat severe patients
Comprehensively strengthen the three-level severe treatment capabilities of provinces, cities and counties, and increase investment in the allocation of severe treatment resources. Based on the 1,600 new ICU beds in the early stage (mainly improving the severe treatment capabilities of prefecture-level hospitals), the province will add an additional 3,000 ICU beds, focusing on supporting county (city, district) level hospitals and provincial hospitals. Simultaneously launch the training reserve of professional personnel for critical care treatment and strengthen the drug reserve of critical care treatment facilities.
Strictly implement the first-diagnosis responsibility system , comprehensively consolidate the responsibility for the treatment of severe and critical illness, and require medical institutions to merge existing wards with insufficient patient care, vacate a number of comprehensive and specialist wards, and increase the number of treatment beds. Expand the emergency room area, establish a rapid diversion mechanism for emergency patients in the hospital, and effectively identify and quickly admit emergency severe patients to the ward.
3. Quickly start the 120 capacity expansion
According to the requirements of expanding the 120 service capacity to more than 5 times the current scale, the staff expansion will be carried out.
simultaneously expanded the capacity of hardware facilities such as alarm lines and dispatch seats to ensure smooth access to emergency calls.
further improves ambulance on-board monitors, defibrillators, ventilators and other equipment to ensure that a certain number of ambulances in the jurisdiction have the ability to transport severe and critical patients.
Expand the number of drivers, stretcher bearers, and police officers through multiple channels, and conduct relevant training in advance.
Strengthen the connection and coordination between 120 and medical institutions to ensure rapid transportation and rapid admission and treatment capabilities.
The fourth is to focus on strengthening medical treatment for key groups such as children, pregnant women, and the elderly.
The total number of existing clinics in fever clinics (clinics) across the province can meet the current demand for treatment of fever patients. However, there are still long queues in children's specialized hospitals and pediatric fever clinics in some general hospitals.
To this end, on the basis of strengthening the medical service capabilities of children's specialized hospitals and maternal and child health hospitals, other hospitals with pediatrics and obstetrics departments are mobilized to participate in children and pregnant women's medical services to fully meet the needs of pregnant women and children with fever. Pay close attention to the medical treatment of elderly patients, strengthen waiting and observation rounds, identify and treat elderly patients with severe symptoms as early as possible, and at the same time, strengthen the deployment and use of antiviral drugs to effectively reduce the rate of severe illness in the elderly.
Fifth, it is to strengthen monitoring, early warning and overall planning.
Dynamically monitor fever outpatient visits, the use of ordinary beds and ICU beds in medical institutions, medical supplies reserves, cold medicines, antipyretics, antiviral drugs, antibiotics "four major" drug sales, vaccination progress, etc., to achieve timely warning, scientific decision-making, efficient dispatch, and orderly response to the arrival of the peak of the epidemic.
6. Care for frontline medical staff and grassroots cadres
Currently, frontline medical staff in medical institutions, especially medical staff in relevant positions such as fever clinics, emergency rooms, wards, and ICUs, as well as community workers, are working overtime and continuously, and many of them are persisting despite various difficulties. It is hoped that relevant departments at all levels in the province will strictly implement various safeguard measures in accordance with the requirements of relevant documents of the Provincial Prevention and Control Office. I also hope that the whole society will care for this team so that everyone can be more tolerant and understanding during the medical treatment process.
In general, the current medical treatment load in Zhejiang is within a tolerable range. In the next step, we will pay close attention to the development of the epidemic and the actual needs of the people, continue to comprehensively improve medical treatment capabilities, strengthen the dispatch of treatment resources, optimize and improve the hierarchical treatment system, carefully protect people's lives, health and safety, and work together with the people of the province to smoothly pass the peak period of the epidemic.
Source: Zhejiang Daily trainee reporter Tu Jiayu Lin Xiaohui
