North China's critical moment is coming, where are the prevention and control loopholes?

At the beginning of the new year, the outbreak situation in Hebei Province, located in the heart of Beijing, has continued to intensify since January 2, following the outbreaks and super-spreading events in heihe, Shenyang and Dalian in the northeast.
, the whole of Hebei has entered a "war state", and hebei local government outbreak press conference really appears to be belated.
Map of Hebei, Lidicity, Hebei Province, January 2-6 reported a continuous increase in new crown pneumonia cases, Hebei five days of new 237 new infections yesterday (January 6) alone, an increase of 120 new infections, the largest increase in five months.
as of 2400 hours on January 6, there were 90 locally confirmed cases in Hebei (5 cases of heavy duty, 84 cases of general type and 1 case of light), and 144 cases of local asymptomatic infection were still under medical observation.
number of confirmed and asymptomatic infections has been increasing for several days, and the virus may have been quietly spreading in the region for some time.
, director of the Center for Disease Control and Prevention in Shijiazhuang City, China, believes that the Hebei epidemic has the characteristics of high incidence and family aggregation, resulting in a large number of cases in a short period of time.
January 6, Shijiazhuang City, the whole area of the city was adjusted to a high-risk area.
6, there are 1 high-risk areas and 48 medium-risk areas in china, and the rapid change of risk level reflects the serious complexity of the epidemic prevention situation.
January 6, Shijiazhuang for 11 million "Zhuangli people" in three days to carry out nucleic acid testing.
, director of the National Health and Wellness Commission, who went to Hebei to guide the epidemic prevention, also admitted that the current outbreak in Hebei is still in the development stage, the situation of epidemic prevention and control is serious.
national and local disease control departments through the flow, big data and other epidemics and pathogen detection determined that the outbreak virus in Hebei is not a native virus, is still imported from abroad virus, and the European import virus is highly congenable.
the Tainan Palace virus and Shijiazhuang virus are highly consoistdinant, and the cases in Nangong City are epidemiologically linked to the cases in Shijiazhuang City.
The hebei outbreak announced the relevant confirmed case action trajectory information shows that a number of confirmed cases in Hebei have participated in wedding banquets, funerals, trade fairs, conferences, examinations, village activities and other personnel gathering activities, which makes it difficult for close contact personnel to follow up investigation and testing.
, the source of the outbreak, the chain of infection, etc. are still under investigation and tracking.
more rural and asymptomatic infection cases, but also exposed rural epidemic prevention and asymptomatic infection prevention and control loopholes.
rural areas do not have the ability to detect new coronavirus nucleic acids, can not be detected and isolated in a timely manner asymptomatic cases, until more cases appear, the virus has been quietly spreading for some time.
The 97th meeting of the Leading Group on the Prevention and Control of the New Crown Pneumonia Epidemic held in Beijing on January 5th and the 50th meeting of the Coordination Mechanism for the Strict Administration of Joint Prevention and Control in the capital, also stressed that rural areas are the weak link of epidemic prevention and control, and that specific prevention and control programs should be studied and formulated to strictly manage activities such as wedding banquets and large gatherings in rural areas to prevent aggregation risks.
, an expert on the National Health And Wellness Commission's Advisory Committee on Disease Prevention and Control and director of the Fangzhuang Community Health Service Center in Beijing, told the media that the risk of transmission of the virus in rural areas is greater.
This is due to the relatively poor medical conditions in rural areas, the narrow coverage of publicity, the majority of the population is elderly and children, their personal awareness of protection and health knowledge is not as good as urban residents, and therefore more vulnerable to the "threat" of the virus.
The number of health technicians per 1,000 people in different parts of China in 2017, and the rural health management in China 2018, (38) 11,1377-1380 rural areas may face different health challenges, depending on their region.
each rural community should assess its unique susceptivity and vulnerability to the new crown outbreak.
the rural health service institutions in China are responsible for providing basic medical services and basic public health services to the rural residents, but the phenomenon of insufficient public health investment and the difficulty of implementing the funds for basic public health services per capita is widespread.
public health infrastructure, such as intensive care, isolation prevention and control, and lack of public health professionals caused by insufficient investment in rural health.
relevant government departments should strive to reduce the risk of transmission of the new coronavirus in rural communities and prepare for a surge in epidemic prevention materials and cases, and improve the overall health of the rural population, which may reduce the severity of the new coronary pneumonia pandemic.
similar problems in rural America.
many rural communities in the United States are highly vulnerable, according to the Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) report.
Kaiser Family Foundation has previously collected data showing that infection rates in rural areas are increasing at a higher rate than in urban areas, and that the new coronavirus is spreading from large urban areas such as New York to sparsely populated rural areas in the United States.
Confirmed and fatal cases in rural and urban areas of the United States, KFF rural areas of the United States grew faster than urban areas, and KFF researchers found that while mortality and per capita cases continued to increase in urban areas, the growth rate of both indicators in rural areas of the United States was very high.
Most of the country recently affected by cold snap weather, the natural "big cold chain" will increase the chances of transmission of the virus, as the beijing-Tianjin heavy hebei, with a special geographical location, located in the north of the most active economic belt around the Bohai Sea, west of Shanxi Province, the north and Liaoning Province and Inner Mongolia Autonomous Region adjacent to Henan Province and Shandong Province, are large population provinces, population mobility, more crucially, the Spring Festival winter vacation will come, this may increase the uncertainty of the outbreak.
Yesterday, the State Council Joint Prevention and Control Mechanism Integrated Group recently issued "on the new crown pneumonia epidemic prevention and control work during New Year's Day 2021 and the Spring Festival notice" clearly, guide workers and so on in the conditions allowed to stay in the work place for the New Year, guide and urge employers to do a good job in accordance with the rules of overtime pay and rest, guide migrant workers to return home from work.
The Beijing Outbreak Prevention and Control Conference has requested that the construction of an epidemic prevention barrier for foreign defense inputs be built to ensure the safety of the capital, and to strengthen the control of the Beijing-Beijing passageway, and strictly control the entry of high-risk personnel into Beijing.
need to make clear that the epidemic prevention and control is facing serious challenges, the epidemic in Hebei is still in the development stage, to do a good job in preventing the epidemic, fighting the big war of ideas and actions.
that not only in Hebei region or surrounding areas, all regions of the country should remain vigilant and do a good job of the virus.
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