Calm down: China's "public health emergency of international concern"!

The novel coronavirus pneumonia epidemic in Geneva has been a public health emergency of international concern (PHEIC), WHO director general Tan Tak held a news conference in late January 30, 2020 As soon as the news came out, it attracted great attention in China So, what event is defined as "public health emergency of international concern"? Has it ever happened in history? What should we think of it? 1 "The first negation, the second confirmation" ~ the final determination of the two meetings A novel coronavirus outbreak in People's Republic of China and other countries imported from Geneva on Thursday, January 30, 2020 (Central European time) were held at the 13:30 hours to 13:30 18:35, according to the international health regulations The WHO Secretariat provided an overview of other countries Previously, at the first meeting, members expressed different opinions on whether the incident constituted a public health emergency of international concern At that time, the proposal was that the outbreak did not constitute a public health emergency of international concern, but the members considered the situation urgent and suggested that the committee should continue to meet the next day The next day the meeting reached the same conclusion In view of the significant increase in the number of cases and the fact that more countries have reported confirmed cases, the Committee held its second meeting on 30 January 2020 First of all, the Committee welcomes the leadership, political commitment and determination of the top leaders of the Chinese government in terms of transparency, as well as efforts to investigate and control the current epidemic China's rapid identification of the virus and sharing of its genetic sequence have led to the rapid development of diagnostic tools that allow other countries to quickly diagnose and take protective measures Photo source: according to the official website Committee of the Ministry of foreign affairs, as long as countries take strong measures to detect, isolate and treat cases as early as possible, track contacts, and advocate corresponding measures to reduce social contact according to the risk level, it is still possible to block the spread of the virus It should be noted that with the continuous change of the epidemic situation, the strategic objectives and measures to prevent and reduce the spread of infection will be adjusted accordingly The committee agreed that the outbreak has now met the standards of public health emergencies of international concern and recommended the issuance of relevant interim recommendations Photo source: Official Website of the World Health Organization 2 After the announcement of domestic response to the announcement, our government respected the practice of the World Health Organization and recognized its workflow, and broadcast the news in news broadcast for the first time, and timely communicated the decision of the World Health Organization to our people Since China's novel coronavirus infection has been infected by the Ministry of Foreign Affairs (Hua Chunying), the Chinese government has been taking the most responsible and strict measures to prevent and control the people's health Many measures have gone far beyond the requirements of the international health regulations We have the confidence and ability to win the battle against the epidemic At the same time, China, in an open, transparent and responsible manner, timely informs all parties concerned of the epidemic information and shares the gene sequence of the virus The World Health Organization and many countries have fully affirmed and highly praised this China novel coronavirus infection prevention and control work has been highly valued by the Chinese government, and the most stringent control measures have been taken, the website of the National Health Protection Committee website of the State Health Commission said We are confident and able to effectively control and ultimately overcome the epidemic It is hoped that the international community will understand and support China's epidemic prevention and control work, and work with China to do a good job in epidemic prevention and control and maintain regional and global public health security in accordance with the international health regulations and the recommendations of the World Health Organization 3 What are the international events? The novel coronavirus outbreak is not a partial case of the new coronavirus outbreak in China As early as 2003, the SARS epidemic has been identified for many times Here is a review No1 ~ 2003 / SARS the first case of SARS infection was found in Foshan, Guangdong Province, China in 2002, which spread rapidly to Southeast Asia and even the world, and was gradually eliminated in August 2003 After the outbreak of SARS, the pathogen of the infectious disease was unclear for a long time It was isolated and confirmed as coronavirus several months later, which not only affected the prevention and control work, but also caused social panic In 2003, the SARS epidemic peaked about half a year later, and cases were reported in 32 countries and regions around the world, especially in China (including Hong Kong and Taiwan) As of August 2003, there were 8422 infected people in the world, 7747 in China, and 1000 medical workers There were 919 deaths in the world, 829 in China, and 300 medical workers Wild bats may be the natural host of SARS virus, civet cat and other intermediate hosts, and they are the final host The first case of influenza A (H1N1) from NO2 to 2009 was found in Mexico on April 13, 2009 Subsequently, 63 countries and regions, including the United States and New Zealand, have reported confirmed infected persons In late April 2009, there were outbreaks of influenza A (H1N1) around the world In June, who announced that the world entered the stage of influenza a pandemic On April 30, the World Health Organization (who) confirmed and announced the infection of influenza A (H1N1) virus and issued it as pheic According to the analysis of experts from the World Health Organization, the influenza A (H1N1) virus in 2009 was naturally generated It is very similar to the 1918 "pandemic influenza" virus It is likely that the latent virus in that year mutated and broke out again this year There were four major outbreaks of influenza A in 1889, 1918, 1957 and 1968 The 1968 flu, also the mildest one, is called "Hong Kong flu" It killed 35000 people in the United States and 700000 people in the world No3-2014 / polio epidemic From 2003 to 2009, 133 cases of wild poliovirus (polio causing) have been imported into 29 countries, and 60 outbreaks have occurred Since 2014, 112 new cases of polio have been found in the world, and the cases of wild poliovirus have spread to Pakistan, Iraq, Syria, Afghanistan, Equatorial Guinea, Cameroon, Nigeria, Ethiopia, Somalia, etc There are new cases of polio In 2014, who identified the polio outbreak as pheic From No4 to 2014 / Ebola epidemic in West Africa in 2014, Ebola epidemic broke out in West Africa Through retrospective investigation, it was found that the first case of infection occurred in a small village in Guinea in November 2013, and then the disease quickly spread to Liberia, Sierra Leone and other countries, affecting far more people than before It has been confirmed that the pathogen is Zaire Ebola virus, the natural host is African fruit bat, the intermediate host is primate, antelope, wild boar and other animals, and the final host is human and primate In August 2014, the World Health Organization announced that the Ebola epidemic constituted pheic As of March 2015, the global number of infected persons was 24237, and 840 medical workers were infected; the global death toll was 9961, and 461 medical workers were infected No 5 ~ 2016 / Zika virus epidemic Zika virus is a kind of insect borne virus It was discovered from rhesus monkeys in Uganda as early as 1947 Because it only caused a few cases of slight infection, it has not attracted people's attention Until 2015, when the outbreak of the outbreak of infectious diseases in South America and other South American countries such as Brazil, the incidence rate of local small headed and Guillain Barre syndrome increased significantly This ancient virus, which had been silent for more than half a century, has attracted worldwide attention Zika virus, Japanese encephalitis virus, dengue virus and West Nile virus belong to Flaviviridae From April 1947 to 2007, there were only a few cases of Zika virus infection in Africa and Southeast Asia Until April 2007, the outbreak of Zika virus in Yapu Island caused about 73% of the residents to be infected, which attracted people's attention In this outbreak, Zika virus infection mainly manifested as skin rash (90%), fever (65%), arthralgia (65%) and conjunctivitis (55%) The first outbreak of Zika virus in Yapu island has not been hospitalized or died, but it has attracted people's attention because of its rapid spread and wide range Following the outbreak of the outbreak of the outbreak of the outbreak of the outbreak of the outbreak in Yap Island, a larger outbreak of the outbreak of Chai virus occurred in France and Polynesia between 2013 and 2014 Unlike the previous symptoms of fever caused by fever and rash, the incidence rate of Guillain Barre syndrome (GBS) increased significantly According to statistics, from November 2015 to February 13, 2016, 5280 cases of microcephaly and / or central nervous system malformation were reported in Brazil, including 108 deaths However, from 2010 to 2014, the annual incidence of microcephaly was only 163 Moreover, it has been found that the incidence rate of small head deformity in the 3 most serious states in Brazil is the most significant In addition, on February 1, 2016, the World Health Organization declared nervous system diseases such as small head deformities associated with Zika virus infection as pheic No6 ~ & 2019 / Congo Ebola virus on August 1, 2018, the epidemic of Ebola virus broke out in North Kivu province of Congo (DRC) This is the second and 10th Ebola virus epidemic in the country in 2018 So far, the epidemic has lasted for more than one year, and the scope of the epidemic continues to expand Many imported cases have occurred in transport hub cities, neighboring provinces and neighboring countries On July 17, 2019, who designated the Ebola epidemic in Congo (DRC) as pheic At that time, there were 2532 cases, 1705 deaths and 80 new cases every week As of January 20, 2020, the total number of cases has reached 3416, with 2237 deaths 4 What should we think of it? First of all, for the sake of global public health, who is in accordance with the working process, in-depth understanding of the first-line epidemic in China, and the premise of repeated meetings, we should respect its decision Second, we are worried about the damage to the national economy Although the director general of who announced that "there is no need to take measures to restrict international travel and trade, who does not recommend measures to restrict travel and trade", huge economic losses are inevitable, but objectively speaking, timely stop loss is not only responsible for the world, but also for itself Moreover, under the current epidemic situation, the highest level of the country is the most difficult to sleep and eat Since the highest level agrees with who's practice, it naturally has a solid foundation For ordinary people, such as the author, if they can do their best to prevent the epidemic and treat all kinds of rumors calmly (very important!) , maybe it is also a kind of silent support for the current epidemic situation If you can work at home and in other places, it will be better.. Stability is really the foundation of everything! Come on, Wuhan! Come on Hubei! Go China! Reference: Ministry of Foreign Affairs / national health and Health Commission / news broadcast / official website of the World Health Organization / Zhiwang literature / Elsevier literature, etc Editor in charge | listen to the white statement: this point of view only represents the author himself, not the position of yaozhi.com, welcome to exchange and supplement in the message area; if you need to reprint, please be sure to indicate the author and source of the article.