A disease prevention and control of brothers is a long-term task

A disease prevention and control of brothers is a long-term task
A disease prevention and control of brothers is a long-term task
Brothers' mouth disease seems to be spreading in Shandong, Henan and other places with more swift and more violent tendency this year, and wide to it receives medias, public questions to be, at the basic level Ministry of Health conceal, fail to report again at the the intersection of mouth and the intersection of disease and these issue in brothers, why the past two years brothers' mouth disease will patronize every year, where the slip has happened? The ones that hold in Beijing on April 1 " Able to bear many medicines / able to bear tuberculosis of medicine and bear the national ministerial meeting high extensively " At the news briefing, Chen Zhu, minister of Ministry of Public Health, says while answering a media questions in Hong Kong: "Everybody pays close attention to the port disease epidemic situation of the brothers of some areas and reports the situation recently, the reason why we analyze now is because of the horizontal question of diagnosis of the Ministry of Health at the basic level, there is a problem not complete of a system either. Ministry of Public Health has held two national video-and teleconferences, emphasizes that must report in time, and turn this thing into the responsibility of local Ministry of Health and government, set up and ask the responsibility system. " Zhu Chen national the intersection of brothers and the intersection of mouth and group leader of leading group of prevention and control of disease too. Basic unit diagnose competence remain, raise brothers mouth disease to endanger children, the intersection of infant and pre-school children and healthy one important infectious disease, the case that Ministry of Public Health reports this year still takes children 5 years old and under as the core, accounts for 93.96%; In the case made a definite diagnosis of in laboratory, the intestinal virus EV71 type accounts for 75%. Cause brothers Ke Sa strange the intersection of virus and A16 type in a common one most in disease in mouth, in addition Ke Sa strange the intersection of virus and other one or intestinal virus EV71 type of A can also cause brothers' mouth disease. There are two areas, including the civil rights of Henan and pool of Shandong He by the focus fully this time, Ministry of Public Health has already sent the work group to these two areas. According to the introduction of director of Ministry of Public Health information office Deng HaiHua: "Work group find brothers the intersection of mouth and disease prevent and cure store in a great deal of problems in the intersection of civil rights and county. For example the county people's hospital is confused in management, it is unstandard to make a diagnosis and give treatment; Some the intersection of county and the intersection of township and grades of doctor lack vocational training, fail, grasp the intersection of brothers and standard of making a diagnosis, mouth of disease; This county requires ' three experts assert and report the case ' that does not accord with the ill actual conditions that make a diagnosis of mouths of brothers either. And the above-mentioned problem may all cause and fail to report. " The biological researcher of research institute of the etiology of the Chinese Academy of Medical Sciences has strange money to say when being interviewed by " scientific Times " before this: "In the laboratory, existing apparatus and technology can detect the intestinal virus EV71 type, 6- can publish the result in 8 hours. But brothers' mouth disease mainly depends on clinical diagnosis, it is impossible each hospital, each patient measure the laboratory. " It is its characteristic that the intestinal virus EV71 type infects clinical manifestation variously, from having light disease cases such as recessiveness infecting, common brothers' port disease and angina of symptom,etc., get neuron lung edema and breathe in weight disease infant such as being depleted, even die. Diagnose the intestinal virus EV71 type infect and mainly rely on the virus nuclear acid to measure and separate and train with the virus at present, at present, condition is not launched in the hospital at the basic level of our country and Center for Disease Prevention and Control, it adds some to be in weight to have typical the intersection of brothers and the intersection of mouth and disease behave at the case clinical disease, so the serious disease case is often difficult to diagnose clearly on the initial stage of breaking out in epidemic situation, often diagnosed as pneumonia. There are only epidemiology investigation of combining the case, clinical manifestation, especially measure the result in the laboratory, may diagnose clearly. "The reason why we analyze now, or because the horizontal question of diagnosis of the Ministry of Health at the basic level. " Chen Zhu says. " recently, East Asia including China that the intestinal virus EV71 type began to be popular, it is turned from A16 type into a EV71 type progressively that one mainly prevails, the intestinal virus EV71 type not merely can cause rash, especially can cause the damage of the central nervous system, and then cause the damage of other important life internal organs. " Chen Zhu says. Since 2007, EV71 began to wreak havoc in China, would once break out in Fuyang of Anhui in 2008, later spread to a lot of provinces rapidly. And the epidemic situation comes more violently, and come earlier than former years this year. Chen Zhu says: "In fact already the epidemic situation appears in the Bo state by Fuyang of Anhui in January, in Henan in February, break out sharply in Shandong recently. " In view of world, Bulgarian, Hungarian that EV71 was infected in the middle period of the seventies of the 20th century break out in succession, infect, lead to the fact Bulgaria 149 people, cause with central nervous system for main EV71 of characteristic paralysedly while being prevailing, 44 people die. On later stage of 1990s, EV71 began to spread in East Asia. Our country found this disease, a plurality of provinces (market) later in Shanghai since 1981 Area have, have illness coming on report every year. According to information that Ministry of Public Health announces on March 28, by March 26, besides Tibet, the whole country 30 provinces have brothers' mouth case take place this year, report 41846 cases together, 18 cases of death, the ill epidemic situation ascendant trend of national mouths of brothers is fierce at present, the whole country increases and reports about 3000 every day. "Ministry of Public Health has already fully estimated to the epidemic situation. Brothers' mouth disease has already been listed in legal infectious disease in 2008, will list in the straight newspaper system of the network, we emphasize that can't report by mistake, can't fail to report, let alone conceal. " Chen Zhu says. "Brothers' mouth disease is different from SARS, if the public can know relevant prevention knowledge, and take the apt measure, the serious epidemic situation will not take place, it is unnecessary to be panic. " Jin Qi says. Chen Zhu says: "Set up meanwhile to infant and pre-school children and screen the system, can recognise the children of each of trouble and brothers' mouth disease, especially recognise the serious disease infant, and should recognise in early days. Set up fixed hospital, set up children's serious disease to guard the ward PICU inside the fixed hospital, the fact proves, this reduces the means of very effective mortality. " "In fact include in East Asia Taiwan and Singapore,etc. a lot of countries and regions in our country are spreading. However, have not prevented and cured brothers mouth disease vaccine yet at present, and diagnose the means needs promoting. We have already fixed up the scientific research task in this respect. The prevention and control at brothers' mouth disease should strengthen scientific and technical innovation constantly in the middle, this is a long-term task. " Chen Zhu says. Ministry of Public Health expect, brothers the intersection of mouth and disease epidemic situation reach, have illness coming on peak from May to July.


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