Observations on "health protection and serious illness prevention" from rural Xinjiang

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Early in the morning, village doctor Kuwanamu Yiming of Shengli Village, Qiman Town, Kuche City, Aksu District, Xinjiang, picked up his family doctor’s follow-up bag and started his day of household follow-up work as he does every normal day.

82-year-old farmer Kasmu Saibi was hale and hearty and was cleaning up his yard. As soon as Kuwanamu entered the yard, he took the coal bucket carried by the old man and guided him to sit down in the house.

“How do you feel today, did you take your medicine on time?” Kuwanamu skillfully put the finger clip pulse oximeter on the old man’s finger, helping him to measure his oxygen saturation and ask about his health condition.

A week ago, Kasmu felt weak and his family immediately called the village doctor to report the situation. The village doctor arrived immediately, measured the antigen and asked about his medical history, and decided that he had a mild case of neocoronavirus infection, and gave him free medicine and instructions to rest. After taking medication and following up with the village doctor day by day, the old man gradually recovered.

Victory Village is half an hour’s drive from downtown, and in the past month, elderly people like Kasmu, who suffer from underlying diseases such as hypertension, have been the subject of extra attention from the village doctor. Once a family member reports or finds symptoms of a new coronavirus infection during a follow-up visit, the village doctor immediately observes and diagnoses, and if there is a tendency for serious illness, he or she is transferred to a higher-level medical institution at the first opportunity.

It is only a few hundred meters walk from Victory Village to the town health center. In the pharmacy of the health center, 18 kinds of drugs involving the treatment of neo-coronavirus infection such as Lianhua Qingdian capsule and ibuprofen tablets are placed all over the medicine shelf.

“The current stock of relevant drugs can guarantee two months of medication for 20% of the population in the township, and instruments such as defibrillators, electrocardiogram machines, oxygen machines and ventilators are also in place.” Tulhongjiang Tuldi, secretary of the party branch of the health hospital, said that the hospital’s 108 medical and nursing staff on standby to duty at any time, encountering serious and critically ill patients, but also through three ambulances to timely transfer to higher hospitals for treatment.

The fever clinic opened in Qiman Town Center Health Center in Kucha City.

When the reporter was interviewing in Koktikan Village, Bixibag Township, Kucha City, a team of family doctors from the county and rural medical institutions was examining the elderly at the home of Usman Kheemu.

In April 2021, Gusman was diagnosed with esophageal cancer and underwent surgery, and has been receiving chemotherapy and is a “deferred vaccinator”.

The village doctor, Rizvanguly Muzi, helped the old man lie down and took his blood pressure and oxygen.

The family doctor of the township health center, Khan Risnisha Yasen, was guiding Rizvangul to operate and giving advice from time to time. Khan Risnisha is a 28-year veteran doctor, who visits households no less than three times a week, and has been working as the family doctor for the old man in Usman for one year.

“Every year, the township health center will organize medical checkups for villagers and dynamically adjust the family doctor team personnel according to the results to ensure that family doctors specialize in the right diseases for villagers.” She said.

Another member of the family doctor team, Dr. Lu Kaihang from the emergency department of Kucha People’s Hospital, also goes down to the village to visit households from time to time, this time to take a comprehensive look at Guzman’s physical condition.

“The blood oxygen saturation is a little low, but his mouth, lips and nail bed are red in color, we will continue to follow up, take some oxygen if necessary, and pay attention not to catch cold and avoid coughing.” After checking the state of the old man, Luke Kaihang instructed Zhezvangul.

At the end of the examination, Usman’s wife sent the doctor away at the door. He was unable to speak, and waved goodbye inside the house with gratitude in his eyes.

On Jan. 12, village doctor Rizvanguly Muzi of Koktikan village, Bixibag township, Kucha city, measured blood oxygen saturation for villager Usman Kheemu at his home.

According to Xu Liangliang, party secretary of the health committee of Kucha City, the focus of the local epidemic prevention and control work in rural areas is to “protect health and prevent serious illnesses”, the city’s medical supplies are well-stocked, the county and village medical service system is perfect, the reasonable deployment of medical and nursing forces to sink services, to give more than 65 years old with basic diseases and other key groups of people focus on attention, help. Help.

“We will continue to strengthen the health management and monitoring of key populations, relying on the county medical community to improve the medical security capacity of the new coronavirus infection in rural areas, smooth the referral mechanism to improve the ability to treat serious illnesses.” He said.