Hangzhou currently has 1,637 cases in the hospital; the city's fever clinic received a peak of more than 60,000 visits; the average daily number of 120 calls and trips is more than three times that of the same period last year

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Hangzhou Municipal People’s Government Information Office held the 60th press conference on December 25, 2022 at 11:00 on the prevention and control of the new coronavirus pneumonia outbreak in Hangzhou, inviting the Municipal Health Commission, the Municipal Economic and Information Bureau, the Gongshu District Government, relevant persons in charge, medical experts to introduce the situation and answer questions from reporters.

Hangzhou latest briefing: 1637 cases currently in hospital.

The average daily number of 120 police calls is close to 3400

The current epidemic prevention and control work has entered a new stage, the focus of prevention and control policy has changed from prevention of infection to health protection and prevention of serious illness.

As of 15:00 on December 24, there were 1,637 cases in the city’s hospitals, and the current condition is stable. In order to scientifically and precisely respond to the upcoming peak, try to delay the peak, effectively cut the peak, and smoothly degree the peak, the city’s medical service protection work at this stage is mainly focused on the following aspects.

First, the rapid expansion of emergency forces to ensure the smooth flow of the green channel of life. Recently, the number of police calls and trips to the 120 emergency center in our city has continued to rise, with a daily average of more than 3,400 calls and more than 900 trips, which are more than three times the number of the same period last year. We immediately launched a reinforcement program, through the city’s Prevention and Control Office unified coordination and dispatch, reinforcing doctors, drivers, etc., to ensure that the city’s pre-hospital medical treatment to maintain efficient operation, fully guarantee the transfer of critical and serious patient care. I would also like to take this opportunity to appeal to you not to call 120 for non-emergency cases, and to leave the limited emergency resources for patients who really need emergency treatment.

Second, accelerate the expansion of fever outpatient clinics and consultations to meet the public’s demand for emergency care. According to the public demand for fever outpatient consultation, the city has accelerated the multiplication and expansion of fever clinics and fever consultation rooms while increasing the number of fever clinics receiving consultation and extending the consultation hours for medical and nursing staff. At present, 64 fever clinics are opened in medical institutions above the second level in the city, 190 primary medical institutions and 96 private medical institutions have opened fever clinics, and 1,150 clinics have been opened on the move, exceeding the provincial target of 1,118 clinics. The number of visits to fever clinics has increased from more than 4,000 on December 5 to more than 50,000 at present, with a peak of more than 60,000.

Thirdly, we have comprehensively improved our treatment capacity and made every effort to treat patients. The city has been doing its best to provide medical assistance to patients with new crowns by continuously optimizing the hierarchical medical treatment system and integrating the city’s medical treatment forces. First, it is clear that the city’s second- and third-level hospitals can treat patients with new crowns, fill the shortcomings of the treatment capacity of the designated non-designated hospitals, and strive to realize that patients should be admitted and treated as much as possible, especially for patients with critical and serious illnesses should be admitted and saved as much as possible, to protect the public’s treatment needs. The second is to give full play to the advantages of Hangzhou both provincial and municipal medical resources, adhere to the power down, strengthen the medical treatment capacity in rural areas to enhance. The establishment of twinning resources medical treatment mechanism, the provincial and municipal hospitals in Hangzhou and some districts and counties with relatively weak medical treatment capacity between the establishment of one-to-one and peer-to-peer support relationships, the implementation of zoning responsibility mechanism, smooth referral channels, and make every effort to do a good job of medical treatment of patients in rural areas. Third, the city’s medical staff to carry out training on the new crown treatment capabilities. Among them, 70,391 people were trained in general treatment capacity, and 8744 people were trained in theory plus practical exercises in critical care capacity. Fourth, the establishment of expert groups at the urban and municipal levels, the improvement of the consultation system of experts, the implementation of a 24-hour on-call system, the timely consultation of patients with serious and critical illnesses, and guidance in planning medical treatment.

Fourth, the development of the home health service platform, priority protection of key populations of services. The city has organized a R&D team to develop a home health service platform – Hangzhou Anti-epidemic Health Station, which is currently running on a trial basis in some streets in Gongshu and West Lake and will be officially launched in the near future. Users can log in through the anti-epidemic port under the health code, or search for the Hangzhou Anti-epidemic Health Station app in Alipay and click to log in. The main purpose of the platform is to provide a channel for the general public to make requests and provide convenient services for home treatment and rehabilitation.

As one of the mechanisms for the operation of Hangzhou Anti-epidemic Health Post, the city has set up a team of health service commissioners in each village and community in the city. After citizens log in to the platform, they can check the telephone numbers of the epidemic prevention and control hotlines in various districts and counties, one-stop links to the ports of applications such as Internet hospital reservation and registration, fever clinic information inquiry, etc. The platform is interoperable with the data of the nucleic acid testing platform and the Hang Antigen platform, and those who have tested positive in medical institutions or regular nucleic acid testing checks within one week, or those who have declared positive antigen self-tests through Hang Antigen, can be automatically identified by the system after logging in as infected person. Through the platform, you can directly contact the health service specialist in your community for text consultation or telephone consultation.

For the key people infected, the key people here are those whose physiopathological characteristics are prone to serious illnesses, such as the elderly over 80 years old, those with unstable underlying diseases or those with stable underlying diseases but not receiving vaccines throughout; the elderly over 65 years old on dialysis, those with radiotherapy for tumors, or the elderly who are disabled; and pregnant women whose due dates are between this month and March next year.

The city has already combined big data pairs, household surveys, telephone surveys, etc., the city’s 65 years of age or older mapping survey, the results of these surveys are all entered into the platform, for key personnel infected, the system will provide further service content:.

First, you can point to the family doctor at the system’s one-click to consult on issues related to disease prevention and treatment.

The second is to achieve the community’s precise drug delivery, you can click in the system I want to send drugs, check the relevant symptoms, register the delivery address and other information. After the back office receives such information, community health service commissioners can implement free delivery of antipyretics and antigens according to the offline mechanism to ensure that limited resources are precisely directed to key people, which is also a prominent highlight of Hangzhou Anti-epidemic Health Post.

Third, it provides medical delivery services. For special groups among key people such as widows, solitary, disabled, etc., they can also click I want to send medical treatment and put forward specific service needs. After the background receives the information, community health service commissioners will coordinate and contact them to solve the problem of sending medical treatment.

It should be noted that, taking into account the special situation of the elderly, we have tried to design the platform in a simple and easy-to-use way, and also support the agency.

Of course, because the system design and development time is relatively short, the initial functions are also relatively single, and it is currently running in some streets on a trial basis, there are definitely still many defects, so please be tolerant. In the future, also welcome the general public to put forward comments and suggestions, we will carefully study, and in the future continue to iterate upgrade and improve.

Recent Hangzhou daily procurement of antipyretic drugs nearly 100,000 boxes.

Coordinated the allocation of antipyretic drugs nearly 10 million capsules

Q: At present, the public still demand for fever-reducing drugs and other resources, I would like to ask about Hangzhou’s next initiatives?

Lu Jianxiang, deputy director of the Municipal Bureau of Economic and Information Technology.

Recently through different channels urban two hospitals and drug distribution enterprises, daily procurement of antipyretic drugs nearly 100,000 boxes, we also coordinated the allocation of antipyretic drugs nearly 10 million copies, while actively doing a good job in the replacement of Hang products, for four drug manufacturers to help coordinate the supply of raw materials to solve the problem, and efforts to ease the tension of antipyretic drugs.

The next step, for some of the urgent clinical needs of the market supply of drugs, the main responsibility of medical institutions at both urban levels, and actively explore drug procurement channels in addition to continue to do the following aspects of work.

First, continue to strengthen the study of drug demand, strengthen the drug targeted procurement efforts.

Second, timely adjustment of government emergency reserves, and further improve the emergency equipment reserves.

Third, actively coordinate with higher-level departments and production and distribution enterprises outside the city.

At present, most of the patients take home treatment and rehabilitation. There are many key people who need special attention. For example, the elderly with technical diseases, etc., it seems more necessary to give the rescue drugs directly to them.

Next, we will take to distribute some of the antipyretic drugs and antigen detection reagents to the community health service centers. Take advantage of the city’s home health service platform to better realize online on-demand application and offline precise delivery of drugs.

Please rest assured that we will do our best to raise more life-saving drugs through multiple channels to better meet the needs of our citizens.

Positive infected people can be released from quarantine if they meet two conditions

Q: Recently, Beijing and Shanghai have released measures to optimize the home isolation of people infected with the new coronavirus and then released from isolation to return to work, may I ask if Hangzhou has considered measures in this regard?

Cui Weiwu, member of the Party Committee and Deputy Director of the Municipal Health and Wellness Committee.

We have also been paying attention to the dynamic changes in policy. 24 December, the provincial prevention and control office officially issued a notice, Hangzhou will also conscientiously implement the relevant requirements, and properly do a good job of home isolation of newly coronavirus-infected patients after recovery from isolation and return to work measures to ensure social production and social order.

First, positive infected persons meet the following two conditions at the same time can be released from home isolation, resume normal life and go out: First, home isolation for 7 days, since the date of positive nucleic acid antigen test results after the appearance of symptoms; Second, home isolation for 7 days, without the use of antipyretic drugs, fever symptoms disappeared, subsided for more than 24 hours and symptoms significantly improved or no obvious symptoms.

Second, if the positive infected home isolation on the seventh day, still have fever and other symptoms, continue to implement home isolation, to be lifted after meeting the above conditions.

Third, special industries, special positions of personnel home isolation lifting and return to work requirements, in accordance with the provisions of the competent industry departments.

Fourth, after the release of isolation, you can return to work, without nucleic acid and antigen testing.

Here we also call for the continued strengthening of personal protection after the release of isolation, advocating universal vaccination, universal wearing of masks, diligent hand-washing, frequent ventilation, maintaining social distance, good standing self-protection, and being the first person responsible for their own health.

Health Post digital platform in trial operation

How is it being used?

Q: Recently, it has been reported in the news that Gongshu District is carrying out warm-hearted services such as “sending medicine to the people and shopping on their behalf”, and Director Cui has just introduced the digital platform of the Health Post which is running on a trial basis.

Deputy Governor of Gongshu District Government Bao Xiaodong.

After the epidemic prevention and control has entered a new stage, we have shifted our focus to health protection and prevention of serious illnesses, paying attention to the safety of people’s lives. Now we have to build six mechanisms, together with the neighborhood watch, in the same boat. The six mechanisms are mainly the community community volunteer service mechanism, the drug stockpile of science and education mechanism and so on.

First, medical assistance to do their best. Now all 15 community hospitals in the district have set up fever clinics, and also rammed health service guidance work, accumulating more than 200 cases to solve the people’s medical needs. The company also opened psychological guidance, the elderly, maternity and other key groups of people to establish health files, classification guidance, publicity, the implementation of the community dispensing system. December 21 we announced the contact information of 260 family doctors in the region.

Second, the government to strengthen the guidance. There are 1,335 grids in the district, we linked the joint construction of joint units in the district, in situ transformed into help for the elderly and help for the poor, formed a distribution squad. At the same time to mobilize all kinds of volunteer power, such as the release of building leaders, party members, residents backbone, net car drivers and other types of power for the people.

Third, the mobilization of social mutual help. For the people now have needs but no medicine, some of them still have spare medicine, we promote the drug recovery, promote the sharing. We set up a shared medicine box inside the building, advocating that we have a surplus out of some, take some as needed. Community, district and building three-level groups, community secretary, district commissioner and building manager act as group leaders respectively to summarize the situation and collect everyone’s needs.

Just yesterday, the Hangzhou Health Post digital platform went online, and our district, as an early and pilot area, has carried out training for relevant personnel.

The public home isolation medication to pay attention to these 7 points

Q: How to pay attention to the medication for the citizens who are infected with the new crown at home now?

Huang Jinsong, President of Hangzhou Xixi Hospital.

Medication treatment requires attention to the following matters.

First, whether the indication of the drug corresponds to this symptom.

Second, whether the drug is within the expiration date.

Third, the use of drugs should not be changed at will, and the dose should not be increased or decreased at will, not the greater the dose, the better the effect. Randomly increasing the dose will instead cause more side effects, and serious cases may cause liver function damage.

Fourth, the underlying disease medication more people, pay special attention to the interaction between drugs, it is recommended to consult a professional physician or pharmacist.

Fifth, try to avoid a variety of cold medicine and antipyretic drugs mixed use, choose a symptomatic cold medicine and antipyretic use, antipyretic use to pay attention to the interval.

Sixth, do not arbitrarily believe in the informal way of publishing the so-called new crown special drugs.

Seven, their own purchase of drugs must be obtained through formal channels, such as the formal offline or online pharmaceutical and medical institutions.