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【防控小课堂】新形势下新冠肺炎防治注意事项
来源: 原阳县新冠肺炎疫情防控指挥部办公室 发布时间: 2020-02-16
拐点尚未到来 隐患依然存在

新冠肺炎疫情防控仍需警钟长鸣

当前,新冠肺炎疫情依然严峻,形势仍然复杂,河南省卫健委主任日前明确表示,河南疫情还处于流行前期,尚未到达拐点。新乡市最近发生的确诊病例表明,疫情已经从湖北(武汉)输入病例为主转为本地病例为主,而且家庭聚集型感染病例居多。为切实加强我县疫情防控,现通报两个案例,以案促改,切实提高广大群众防控意识。
一、案例分析
案例一:某地确诊病例贾某,于1月13-17日曾接触过武汉返乡人员李某,经调查,李某及其家属无人发病。贾某于1月22日发烧,1月 31日到村卫生室就诊,效果不好。2月6日到乡镇卫生院转县医院就诊,2月12日被确定为疑似病例,2月13日被定为确诊病例。
警示:此案例显示,贾某自1月13日接触武汉返乡人员李某后,2月13日才得到确诊,说明两个问题:第一,新冠病毒在人体内有可能存活长达一个月,因此医学隔离14天并不是绝对安全的天数;第二,县乡村相关医护人员及患者本人对新冠肺炎认识的敏感性不够高。
案例二:某地轻型病例李某,核酸检测为阴性。1月20日带女儿自湖北黄冈到娘家河南探亲,之后李某父亲被确诊为新冠肺炎。经对李某父亲密切接触者家庭4人(李某、李某母亲、李某女儿、李某兄弟)进行核酸检测,除李某核酸检测阴性外,其他3人均为阳性,但无症状。
警示:此案例显示,李某具有湖北旅行史,并无明显症状,但是传染了一家人。说明无症状感染者(或者轻型病例)的传染能力一点儿也不差,预防起来更难。
综合以上两个案例,并对我市56例病例进行分析,得到以下启示:
1.感染病例在2月4日及以前,以湖北(武汉)输入病例为主,自2月4日以来,以本地病例为主。目前发生的均是本地感染病例,而且感染病例中有多起家庭聚集性感染病例,往往一个人感染,造成一家人感染甚至亲戚也受到感染。
2.有疫区旅行史的居家隔离14天马上解除,并不能保证绝对安全。
3.无症状病毒携带者和轻症患者更应该引起我们的高度重视。
4.广大群众对新冠肺炎传染能力之强思想认识不够,自我约束不够,采取的防护措施不够,居家隔离标准执行的不够,特别是广大农村地区群众更是如此。
5.县乡村各级医疗机构、医护人员对新冠肺炎认识的敏感性,以及采取的应急措施还需要进一步加强。
二、防控要求
1.要进一步加强舆论宣传。切实增强全县群众对新冠肺炎疫情防控紧迫性的认识,不能有丝毫的懈怠,必须做到“三门、三人、三不”,即:看紧门、少出门、不串门;查清人、管住人、不聚人;不造谣、不信谣、不传谣。
2.要进一步规范居家隔离。严格按照指挥部下发的居家隔离技术要点进行,居家隔离单人单间,不接触家人或他人。家人全部佩戴口罩,就餐实行分餐制,病人餐具、洗漱用品专人专用、高温煮沸消毒。病人及家人每日两次测量体温,病人按时服药,坚持用84等含氯消毒液每日两次消毒家庭环境,发现病情加重随时到定点医院复查就诊。
3.要进一步增加安全系数。从湖北(武汉)等疫区返乡人员,居家隔离14天后,在条件允许的情况下,建议多增加几天自我隔离,增加安全系数。
4.要进一步提高职业操守。各级医疗机构和医护人员要进一步提高新冠肺炎诊断的敏感性,对所有潜在感染者务必做到应诊尽诊、应收尽收、应治尽治。
5.要进一步强化防范意识。隔离人员发热后更要严格佩戴口罩,不要接触他人,应及时就近到乡(镇)卫生院(社区卫生服务中心)预检分诊或到县级定点医院县人民医院、县中医院、县中心医院发热门诊就诊。
6.要进一步配合医学调查。发热患者到医疗机构就诊时,要主动真实详细地向医生报告近期特别是1个月内旅行或接触过疑似病例、确诊病例、外来返乡人员等相关情况,积极配合医生进行诊治。
7.要进一步做好疫情防控。发热患者随行亲属等人员都要佩戴口罩,注意个人防护,车辆要注意消毒。


          原阳县新冠肺炎疫情防控指挥部办公室
                          2020年2月15日

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  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