When will the peak of this round of epidemic come? When can I leave? Can medical resources be sustained? How to protect the elderly at home?
This weekend, Dr. Zhang Wenhong participated in relevant professional conferences and made the latest research and judgment!
Xiao Nong has drawn out the key points for everyone
*This round of epidemic requires 2 to 4 months of preparation;
*Primary doctors at the community level will Facing more than 99% of the pressure to prevent the new crown epidemic;
* As the current peak period of infection is approaching, the elderly must be well protected. He specifically proposed the concept of "reverse protection", which is to prevent viruses from entering the elderly's living space.
Video screenshot
According to China Business News, at the Shanghai New Coronavirus Infection Medical Treatment Training Conference held this morning, Zhang Wenhong, Director of the Infectious Diseases Department of Huashan Hospital Affiliated to Fudan University, spoke in Singapore For example:
Singapore’s case fatality rate is 0.06%, which is much lower than influenza.
However, Singapore relaxed its policies on January 1 and did not reach the bottom until April 15. This period lasted for about 4 months.
Zhang Wenhong said that we need to be prepared for this round of epidemic for 2-4 months! Primary doctors at the community level will face more than 99% of the pressure of COVID-19 prevention.
Dr. Zhang Wenhong said at this meeting: Next, grassroots doctors at the community level will face more than 99% of the pressure of COVID-19 prevention to prevent a large number of patients from hitting secondary and tertiary hospitals;
At the same time, secondary and tertiary hospitals need to provide severe treatment to minimize the fatality rate.
Zhang Wenhong emphasized that in terms of general treatment, in addition to monitoring the condition of COVID-19 patients and antibacterial drug treatment, two things must be done at the community level, “One is to be equipped with nasal cannulas, and the other is to be equipped with masks; If possible, mixed hydrogen and oxygen inhalation can be used. In addition, in severe and critical situations such as patient oxygen and index deterioration and rapid imaging progress, treatment such as glucocorticoids can be taken immediately while being transferred to a higher-level hospital." .
“Our community doctors will face the largest wave of COVID-19 infections in history this time.” Zhang Wenhong said that in the past few years, our COVID-19 treatment has been carried out in designated hospitals, and community doctors often It's to help makeshift hospitals, or to do some nucleic acid testing. But this time, more COVID-19 patients will be concentrated in the community.
"Reverse protection" for the elderly!
Try your best to prevent the virus from entering their living space
On December 17, at the 2022 Sino-US Clinical Microbiology and Infectious Diseases High-end Conference At the forum, Zhang Wenhong said that as the current peak period of infection is approaching, the elderly must be well protected.
“If the elderly have not been vaccinated, they should reduce their activity and be sure to wear a mask when going out.
When visiting the elderly, you should also wear a mask Go again.
Ultimately, we hope that the elderly can be vaccinated and there are better drugs to protect them. ”
Zhang Wenhong said: “Judging from the data in Shanghai, it is mysterious. The Kron strain has shown a significant trend of decreasing virulence, but it is still aggressive to vulnerable groups, especially those over 80 years old. In addition to age, they are also the main serious patients with chronic kidney disease and high blood pressure. Blood pressure and some neurological diseases are a major cause of illness among vulnerable groups. Most deaths or severe cases occur among people who have not been vaccinated. Therefore, vaccination is very important to protect vulnerable groups." /p>
“Now, our focus is to fully protect the elderly. Specifically, we must do three things:
First, if they are infected and have symptoms, we must give them adequate protection. drug treatment;
Second, it is recommended that they be fully vaccinated;
Third, a reverse protection is formed for them during the pandemic to prevent the virus from entering their lives. Space."
Zhang Wenhong said that he hopes that more new vaccines against Omicron will be available as soon as possible, which will also be of high value in preventing Omicron infection in vulnerable groups. "Nonetheless, vaccination with existing vaccines is still effective in helping us develop some immunity to Omicron.
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Getting out of the epidemic is a foregone conclusion!
It is difficult for the "new crown" to reappear
Strains that spread faster
"We It is a foregone conclusion that we will soon emerge from this epidemic, and this trend will not be reversed. "Zhang Wenhong also said at the forum on the 17th.
"When the new coronavirus epidemic emerged, we knew that the spread of this virus far exceeded that of the influenza virus, and humans are generally concerned about this virus. No immunity. "Zhang Wenhong introduced that humans have never achieved the goal of controlling infectious diseases by eliminating a species. Therefore, after influenza was born in the world, it gradually reached a balance with our human immune system. As we humans are vaccinated and universal Infection, it will maintain a certain steady state with infectious diseases." Zhang Wenhong said that the new coronavirus also faces the same situation. "It can be seen from various current studies that after we are vaccinated, we are under great pressure on the evolution of the virus, which has greatly reduced the number of virus evolutions after vaccination. In the end, what we see today is only the Omicron strain Finally won. This strain has a certain evasion effect on human immunity, and its R0 value is close to around 16-18. A strain that spreads faster is born after jumping from the Omicron strain family. It’s already very difficult.”
Be fully prepared,
Don’t relax and don’t panic!
Especially protect the elderly!
Does everyone remember it?
Let’s get through this winter safely together!
Extended reading:
Doctor: Eat three more foods after getting erectile dysfunction
After the optimization of the new crown epidemic prevention policy, everyone’s daily life has also changed a lot. In the past, it was about stocking up on vegetables and other measures to control the epidemic, but now it is about stocking up on medicines and other measures to treat fever. Not only medicines are being stocked, canned peaches, electrolyte water, and lemons are also being snapped up and were once out of stock.
So if you get COVID-19, what can you eat for three meals to get better quickly? Some patients want to eat more, but they cannot eat due to fever, loss of appetite, or sore throat. What should they do at this time?
Colin Hanxiao, the attending physician of clinical nutrition at Guangzhou First People's Hospital, reminded that the more patients don't want to eat or can't eat, the more they should try their best to eat and eat hard. As their immunity improves, their condition will improve. Naturally, it heals quickly.
At the beginning of 2020, the National Health Commission issued the "Nutritional Dietary Guidelines for the Prevention and Treatment of Pneumonia Infected by Novel Coronavirus". Source: People's Daily.
1. Drinking water is really important
"Drink more hot water when you are sick" sounds like a cliché, but in fact drinking water is really important. If you feel that boiled water If it is too bland, you can substitute it with light tea, vegetable soup, fish soup, chicken soup, etc.
“Doctors in the fever clinic have seen many mildly dehydrated COVID-19 patients. When asked what was going on, they all said that they were too uncomfortable to be sick and did not even want to drink water.” Lin Hanxiao reminded that even if they are sick again Even if you feel uncomfortable, don’t forget to drink water.
“During fever and diarrhea, drinking more water plays an important role in regulating body temperature and preventing dehydration; drinking more water can ensure sufficient moisture in the respiratory tract and promote the removal of pathogens from the mucus cilia in the lungs; drugs are Good absorption, distribution, metabolism and excretion in the human body, normal metabolism of the human body and promotion of excretion of toxic substances all require water.”
So how much water is appropriate to drink? Please remember: 1500ml ~ 2000ml; you can drink more when you sweat a lot after the fever subsides, or when vomiting/diarrhea is severe; remember to take small sips and drink slowly. For special groups of people with basic diseases such as heart and kidneys who need to limit their water intake, they should follow the doctor's advice.
2. Eat more dairy products, soy milk and other protein supplements
When the body resists the invasion of harmful substances such as foreign microorganisms, the components of the immune system will be activated and consumed in large quantities. Supplementing protein will reduce the body's anti-infection immunity, which is not conducive to the body's recovery. However, many people are unable to eat solid food due to fever, poor appetite, sore throat and other reasons, so they just drink white porridge and pickles for three meals a day to get by.
Lin Hanxiao said that eating staple foods alone is far from meeting protein needs. The short course of the disease may not have much impact. Once the front line is extended, not only will immunity decline, but the body's muscles will also begin to be consumed, leading to weight loss.
Therefore, the more you don’t want to eat or can’t eat, the more you have to try your best to eat and eat hard. In order to supplement protein, you can:
①Drink dairy products and soy milk.
The real name here is to praise yogurt. You can drink it even if you are lactose intolerant, and it contains certain probiotics, which is also very meaningful for maintaining intestinal immunity.
②Make eggs into egg custard or egg drop porridge or egg drop soup.
To refute rumors here, eggs are an important source of high-quality protein. The so-called folk saying that "eggs are fat and should not be eaten when you are sick" has no scientific basis. Unless you are allergic to eggs, you can eat them.
③Can be used to make surimi, shrimp paste, minced meat, etc.
In short, try your best to overcome the problem of not wanting to eat or being unable to eat by changing the properties of food.
3. Eat more carbohydrates such as cereal porridge, rice, and noodles.
When there is a lack of carbohydrates, high-quality protein will first play the role of providing energy instead of being used by the body to synthesize other parts of the body. Important components, such as immune substances, etc., will be greatly reduced in effectiveness and wasted in vain.
Therefore, an appropriate amount of carbohydrates can provide energy to the body, improve the utilization of protein, and play a role in saving protein. Moreover, carbohydrates are easier to digest and absorb than proteins and fats, which is perfect for people who are sick.
If the symptoms are severe and affect your normal diet, you must find ways to eat all kinds of nutrients well, such as changing the properties of the food, trying to chop the ingredients into fine pieces, boil them until soft, and make them into half. flow or liquid.
“If you can’t eat white rice, you can boil it into porridge or rotten noodles. The porridge will be mushy and eaten directly. It is best to choose some whole grains, such as oats, millet, purple rice, etc. A bowl of hot multigrain porridge can provide more dietary fiber, B vitamins and minerals," Lin Hanxiao said.
In short, there is currently no specific medicine for the new coronavirus, which relies on one’s own immunity. Good nutrition is crucial to the normal operation of the immune system, and a scientific and reasonable diet can promote the body’s recovery.
Patients with COVID-19 should eat reasonably, not diet or be picky about food, maintain adequate sleep and be in a happy mood, so as to help recover from the disease. "For example, the new coronavirus is the enemy, you are the soldier on the battlefield, and good nutrition is like a sharp knife in your hand." Lin Hanxiao said.