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How to improve the capacity of rural new crown severe disease treatment? Official response

 Last Update: 2023-02-01
 Source: Internet
 Author: User

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On the 14th, the joint prevention and control mechanism of the State Council held a press conference to introduce the relevant situation
of health protection for key groups.
Mi Feng, spokesperson of the National Health Commission and deputy director of the Department of Publicity, said that doing a good job in medical treatment is the key
to responding to the epidemic after the implementation of "Class B and B management".
The peak of fever clinics and emergency departments nationwide has passed Jiao Yahui, director of the Department of Medical Administration of the National Health Commission, said that a total of 16,400 fever clinics have been opened in medical institutions above the second level, and 43,100
fever clinics or fever clinics have been opened in primary medical and health institutions 。 The number of fever outpatient consultations and treatments nationwide peaked at 2.
867 million on December 23, 2022, and then continued to decline, falling back to 477,000 on January 12, a decrease of 83.
3
% from the peak 。 Jiao Yahui said that the detection rate of new crown positive infections in fever clinics also continued to decline, with a peak detection rate of 33.
9% on December 20 and falling to 10.
8% on January 12, a trend indicating that the peak of fever clinics has passed
.
She also said that the emergency department overall showed a continuous downward trend
after peaking.
The number of emergency consultations nationwide peaked at 1.
526 million on January 2, and then continued to decline, falling to 1.
092 million on January 12, down 28.
4%
from the peak.
The detection rate of new coronavirus positive infections in emergency departments has steadily decreased from a peak of 8.
8% on December 22 to 2.
9%
on January 12.
This data shows that the national emergency room peak has passed
.
The number of nosocomial infections has shown a continuous downward trend Jiao Yahui said that monitoring data shows that the number of new crown infections hospitalized now shows a continuous downward trend
.
It peaked at 1.
625 million hospitalized COVID infections on January 5, and then fell continuously to 1.
27 million
on January 12.
Among them, 1.
17 million people were admitted to secondary medical institutions and above, and 100,000 people were admitted to designated hospitals and sub-designated hospitals, and the proportion of new crown infections in hospitals showed a continuous downward trend
.
It peaked at 27.
5% on January 3, continued to decline after that, and fell back to 21.
7% on January 12, down 5.
8 percentage points
from the peak.
The monitoring data also showed that two weeks after the peak of fever clinics, the number of new crown-positive severe patients in the hospital also peaked, and then showed a slow downward trend
.
The number of critically ill patients in hospital is still at a high level
.
On January 5, 2023, the number of new crown positive severe patients in the hospital peaked at 128,000, and then fluctuated and declined, and by January 12, the number of positive severe patients in the hospital fell back to 105,000, and the utilization rate of intensive care beds was 75.
3%, and the intensive care beds could meet the needs
of treatment.
Jiao Yahui said that the severe patients infected with the new crown virus have the following characteristics: First, they are mainly
elderly people.
The oldest was 105 years old, with an average age of 75.
5 years
.
89.
6%
were aged 60 and above.
Second, there are a variety of underlying diseases
that are commonly combined.
Patients with one underlying disease accounted for 40.
7%, two underlying diseases accounted for 24.
6%, and three or more underlying diseases accounted for 34.
8%.

Most underlying diseases are cardiovascular and cerebrovascular diseases, endocrine system diseases and respiratory diseases
.
Tertiary hospitals will send medical staff to designated county hospitals during the Spring Festival Jiao Yahui introduced that as of January 12, more than 5,000 medical institutions, designated hospitals and sub-designated hospitals above the second level in the county had received a total of 301,000 new crown infections, accounting for 23.
7% of all new crown infections, showing a seven-day continuous downward trend
.
There are 15,800 new crown positive severe patients in the county, accounting for 15.
1% of the national total, of which 518 cases of severe new crown virus infection, accounting for 6.
7%
of the national new crown virus infection severe disease.
She said that the following measures are mainly taken to improve the capacity of rural new crown severe treatment: First, give full play to the leading role of county hospitals, prepare beds, equipment, facilities and personnel, and improve the capacity
of severe treatment.
Second, relying on the counterpart support mechanism of urban and rural hospitals that has been formed, all urban tertiary hospitals are zoned and establish one-to-one support relationships
with county hospitals.
Urban tertiary hospitals and county hospitals are connected to telemedicine services
24 hours a day.
During special periods, such as the Spring Festival, tertiary hospitals also send medical staff to county hospitals to station.

The third is to increase the intensity of roving and patrolling rural areas, early detection of changes in the physical health status of key groups, especially the elderly with underlying diseases, to ensure timely medical treatment
.
The fourth is to establish a support and referral mechanism and green channels between cities and counties to ensure that critically ill patients in rural areas can be referred and admitted in
a timely manner.
(End)

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