The number of new positive persons reported daily in Zhejiang has exceeded 1 million cases, and the peak is expected to advance to…

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On the afternoon of December 25, Zhejiang Provincial Government Information Office held the one hundred and twenty-fourth press conference on the prevention and control of the new crown pneumonia epidemic.

Yu Xinle, deputy director of the Provincial Epidemic Prevention and Control Leading Group Office and deputy director of the Provincial Health and Wellness Commission, introduced the overall situation of the current epidemic prevention and control work in Zhejiang Province.

In the past week, the highest number of fever outpatient visits in the province was 408,400 on a single day. The province is currently treating a total of 13,583 cases of neonic pneumonia in hospitals, 1 serious case caused by neonic (currently in stable condition) and 242 serious and critical cases caused by underlying diseases (1.78%).

As of December 24, a total of 6,595 fever outpatient clinics were opened in the province, and based on 90 visits per clinic day, the maximum daily capacity of fever clinics in the province can reach 600,000 visits.

In terms of inpatient medical resources

There are 101,082 designated and sub-designated hospital beds in the province. In terms of critical care resources, the province’s new 1,600 ICU beds have been built and equipment configurations are in place. The number of ICU beds available for critical care in hospitals above the third level in the province has reached 12,398, accounting for 9.90% of the actual number of open beds.

In terms of critical care team construction

Through modular and practical training that combines theory and practice with the old and the new, the province has completed special training for more than 20,000 medical personnel in ICU skills, mastering the operation of key life-support equipment such as ventilators and the training of major therapeutic tools such as prone ventilation.

At present, the number of new positive persons reported daily in Zhejiang has exceeded 1 million cases. According to the results of recent case monitoring and community sampling surveys, the infection situation is predicted to arrive early in Zhejiang’s peak and enter a high plateau period around New Year’s Day, during which the maximum number of new positive persons will reach 2 million daily, and the peak period is expected to last about a week.

Through the efforts of many parties, recently, Zhejiang cold and fever medicine supply has increased, the tension in medical institutions has been eased, in terms of drug distribution, localities have also increased the tilt to the grassroots medical institutions, and take a lot of warm-hearted initiatives to fever patients service gateway forward, such as Wenzhou through the pharmacy to residents in need of antipyretic drugs, Huzhou set up the city’s unified service hotline for residents in need of fever Home delivery of medication. According to data monitoring, the number of fever patients attending fever clinics in the province has begun to decline, and the proportion of fever patients attending primary care clinics has increased from 20% to 44.7%.

The provincial party committee and the provincial government attach great importance to medical treatment and response preparations, and have repeatedly studied and deployed them, putting forward the clear requirements of “protecting health, preventing serious illnesses and curbing deaths”. Recently, with the increase in the number of infections in the elderly, the number of hospitalization needs and serious illness is increasing, in order to effectively cope with the peak of hospitalization, at this stage will continue to do the following six aspects of work.

Continuously improve the service capacity of fever outpatient clinics and enhance the accessibility and convenience of services

According to the current changes in outpatient workload and the needs of febrile patients, some general outpatient clinics and specialty clinics will be adjusted to fever clinics to improve service capacity. A simple fever dispensing clinic was also set up at the same time to simplify the process and achieve rapid dispensing and rapid triage of febrile patients. Increase the procurement and supply of fever and antipyretic drugs and tilt them to primary health care institutions, and encourage village health offices, individual clinics and outpatient clinics to receive fever patients.

Encourage localities to provide services for fever patients in the vicinity through the use of roving vans into the community, the use of nucleic acid testing booths to set up simple fever consultation rooms, and the establishment of simple fever consultation service points in the community. Guiding localities to set up service hotlines to provide home quarantine patients who lack medication with fever-reducing drugs at home.

Continuously enhance the ability to treat seriously ill patients

Comprehensively strengthen the capacity of critical care at the provincial, municipal and county levels, increase investment in the allocation of resources for critical care, and add 3,000 ICU beds in the province on the basis of the 1,600 new ICU beds built in the early stage (mainly to enhance the critical care capacity of prefectural and municipal hospitals), with emphasis on supporting county (city and district) level hospitals and provincial hospitals. Simultaneously start the training reserve of professional forces for critical care, and strengthen the stockpile of drugs for critical care facilities.

Strictly implement the first-call responsibility system, comprehensively squeeze the responsibility for critical care, and require medical institutions to merge existing wards that do not admit enough patients, vacate a number of comprehensive and specialized wards, and increase the number of beds for admission. Expand the emergency room area, establish a rapid triage mechanism within the hospital for emergency patients, and effectively identify and quickly admit emergency critical care patients to wards.

Quickly start 120 capacity expansion

Expand personnel capacity in accordance with the requirement to expand 120 service capacity to more than 5 times the current scale. Synchronize the expansion of hardware facilities such as answering lines and dispatching seats to ensure the smooth flow of emergency calls.

Further improve the configuration of ambulance on-board monitors, defibrillators, ventilators, etc. to ensure that a certain number of ambulances in the district have the ability to transfer critically ill and critically ill patients.

Expand the number of drivers, stretcher bearers and responders through multiple channels, and do the relevant training in advance. Strengthen the connection and coordination between 120 and medical institutions to ensure rapid transfer and rapid admission capacity.

Focus on strengthening the medical treatment of children, maternity, the elderly and other key populations

The total number of available consultation rooms in fever clinics (clinics) in the province can meet the current demand for fever patients, but there are still long queues in pediatric fever clinics in children’s specialty hospitals and some general hospitals. To this end, on the basis of strengthening the medical service capacity of children’s specialty hospitals and maternal and child health hospitals, other hospitals with pediatrics and obstetrics departments are mobilized to participate in children’s and maternal medical services, and make every effort to protect the needs of febrile mothers and children.

We will pay close attention to elderly patients, strengthen the waiting room rounds, identify and treat elderly patients with serious illnesses as early as possible, and strengthen the provision and use of antiviral drugs to effectively reduce the rate of serious illnesses among the elderly.

Strengthening monitoring and early warning and coordinating scheduling

We will dynamically monitor fever outpatient consultations, the use of general beds and ICU beds in medical institutions, the stockpiling of medical supplies, the sales of the “four categories” of cold medicine, antipyretic drugs, antiviral drugs and antibiotics, and the progress of vaccination, so as to provide timely warning, scientific decision-making and efficient scheduling, and respond to the peak of the epidemic in an orderly manner.

Care for front-line medical staff and grassroots cadres

At present, the front-line medical staff in medical institutions, especially those in fever clinics, emergency rooms, wards and ICUs, as well as community workers, are working overtime and continuously, and many of them are persisting despite various difficulties.

I hope that all relevant departments at all levels in the province in accordance with the requirements of the relevant documents of the provincial prevention and control office, strict implementation of the security measures. I also hope that the whole society together to care for this team, everyone in the process of medical treatment, but also more than one tolerance, more than one understanding.

In general, the current medical treatment load in Zhejiang is affordable, the next step, we will pay close attention to the development of the epidemic and the actual needs of the people, continue to comprehensively enhance medical treatment capacity, strengthen the dispatch of treatment resources, optimize and improve the hierarchical treatment system, carefully guard people’s lives and health safety, and the province’s people work together to smoothly pass the peak of the epidemic.