<strong>Objective:</strong> We assess the application effect of the “3 + 1” mode in the COVID-19 epidemic prevention and control at the infection ward of a designated comprehensive hospital for COVID-19 ...<strong>Objective:</strong> We assess the application effect of the “3 + 1” mode in the COVID-19 epidemic prevention and control at the infection ward of a designated comprehensive hospital for COVID-19 treatment.<strong> Method: </strong>Based on the features of the inpatients of the infection ward and their relatives, a “3 + 1” mode for the COVID-19 prevention and control is developed to conform to the demands for epidemic prevention and control and the overall prevention and control scheme of the whole hospital. Here, “3” stands for the epidemic prevention and control system, personnel management, and prevention and control measures;“1” stands for COVID-19 testing.<strong> Result: </strong>From March 1, 2020 to March 31, 2021, a total of 3056 patients were hospitalized in the three infection wards. Among them, 265 patients had a fever, and 113 patients had respiratory symptoms. None of them were infected with COVID-19. The participation rate of the test about the knowledge related to COVID-19 and the knowledge mastery rate were both 100% among the medical staff. None of the inpatients and their companions or the medical staff was diagnosed with COVID-19.<strong> Conclusion: </strong>Thus the “3 + 1” mode proves successful for avoiding nosocomial infection and the spread of the epidemic.展开更多
Objective: To explore the practice and application of infection prevention and control strategies in risk departments during the COVID-19 epidemic, and to formulate the infection prevention and control measures to pro...Objective: To explore the practice and application of infection prevention and control strategies in risk departments during the COVID-19 epidemic, and to formulate the infection prevention and control measures to provide advice and guidance in risk departments. Methods: According to the latest plan of diagnosis and treatment, prevention and control issued by the National Health Commission, expert advice and consensus, combined with the actual situation in our hospital, a series of infection prevention and control measures of COVID-19 in risk department was formulated. Results: During the epidemic period, the prevention and control measures of nine risk departments including emergency operation, anesthesiology, endoscopy center, blood purification center, otolaryngology, stomatology, medical imaging department, medical cosmetology department and pulmonary function room were established from six aspects, including pre-examination and screening, medical technology control, personnel management, personal protection, environmental disinfection, medical waste disposal, etc. Conclusion: During the epidemic period, the infection prevention and control strategy of risk departments is one of the key links to control the spread of the epidemic, and risk departments must pay attention to and strictly implement various infection prevention and control measures.展开更多
Corona Virus Disease 2019(COVID-19)is a new infectious disease that appeared in whan in December 2019 Since January23,the national health and fitmess commission has required hospitals to be designated in accordance wi...Corona Virus Disease 2019(COVID-19)is a new infectious disease that appeared in whan in December 2019 Since January23,the national health and fitmess commission has required hospitals to be designated in accordance with the principle of"concentrating patients,experts,resources and treatment".Designated hospitals are often the strength of the general hospital and general hospital complex layers of various kinds of personnel,campus area is large,multi-channel,ordinary outpatient accepts people more,for emergency and severe cases treatment in patients with normal difficulty pressuure big,suspected/confirmed cases,combined with the COVID-19 occurred when the traditional holiday,the country launched the emergency response since,process reform faces a difficult labor,shortage of mampower,protective shortages,short time limit,and many other difficulties,hospital infection prevention and control is facing unprecedented pressure.In this paper,the West China-Guang'an Hospital,Sichuan University(Guang'an people's hospital)as a designated hospital,on the basis of the relevant scheme of the national health committee,epidemic prevention and control of the actual,combined with comprehensive hospital leadership,mampower allocation,protection,security,patient management,disinfection isolation,preview triage,preventive measures,training,monitoring,etc.,with practical experience summary for the COVID-19 diring the hospital infection prevention and control to improve the practice exploration.展开更多
There are many patients in the blood purification center who need maintenance hemodialysis to maintain life. Those patients generally havelow resistance and are easily exposed to coronavirus because they go back and f...There are many patients in the blood purification center who need maintenance hemodialysis to maintain life. Those patients generally havelow resistance and are easily exposed to coronavirus because they go back and forth the hospital and residence three times a week andclosely contact with family, caregivers, community personnel, people in various means of transportation, medical staff, and other patientsvisiting hospital. Therefore, the blood purification center has become a high‑risk environment for the spread of COVID-19 infection. In viewof this, our center quickly responded to the formulation and implementation of infection prevention and control measures suitable for thecharacteristics of the blood purification center and continuous renal replacement therapy (CRRT) emergency plan for fever and suspectedpatients. According to these measures, we have a positive effect on preventing and controlling nosocomial infection in the blood purificationcenter.展开更多
Since the outbreak of the COVID-19 pandemic,under the strong leadership of the Central Committee of the Communist Party of China and President Xi Jinping,China has made firm decisions to prioritize people's lives ...Since the outbreak of the COVID-19 pandemic,under the strong leadership of the Central Committee of the Communist Party of China and President Xi Jinping,China has made firm decisions to prioritize people's lives and health.Efforts have been made to avoid foreign imported infection and domestic rebound of COVID-19 cases;the“dynamic zero COVID”policy has been executed without wavering;and the prevention and control measures have been optimized and improved in response to changing circumstances,actively responding to the impact caused by multiple waves of COVID-19 surge globally.China has made extraordinary efforts to safeguard people's lives and health.Meanwhile,prevention and control measures were timely updated to coordinate with economic and social development.On November 10,the Standing Committee of the Central Political Bureau held a meeting to discuss the latest situation of the COVID-19 pandemic in China.Twenty measures(referred to as“the 20-point measures”)were officially announced to further optimize the COVID-19 response.The latest prevention and control measures involve the requirements and guidance for isolation at home,high-risk area delineation,nucleic acid testing,international inbound flights and travelers,vaccination rollout,medical resource preparedness,and protection for special places and vulnerable population.展开更多
On November 11,2022,the Chinese government released the Scientific and Targeted Prevention and Control Measures to Optimize COVID-19 Response.Since that time,adjusted measures have been implemented throughout China,le...On November 11,2022,the Chinese government released the Scientific and Targeted Prevention and Control Measures to Optimize COVID-19 Response.Since that time,adjusted measures have been implemented throughout China,leading to major shifts in implementation of the national prevention and control strategy.On the basis of the current situation of the epidemic and the evolving SARS-Cov-2 variants,an additional 10 specifications(referred to as“the 10-point measures”)were officially released on December 7,2022,in an effort to further optimize the prevention and control measures.The latest adjustments pertain to the specification of:precise delineation of high-risk areas,nucleic acid testing scheme,isolation and health monitoring,restriction and lifting of high-risk areas,medicine supply,vaccination rollout among older people,health status of key populations,social functioning,and campus response.展开更多
BACKGROUND Coronavirus disease 2019(COVID-19)is an emerging,rapidly evolving disease that spreads through the respiratory system and is highly contagious.In March 2020,the World Health Organization declared the COVID-...BACKGROUND Coronavirus disease 2019(COVID-19)is an emerging,rapidly evolving disease that spreads through the respiratory system and is highly contagious.In March 2020,the World Health Organization declared the COVID-19 outbreak a pandemic.In China,the pandemic was controlled after 2 mo through effective policies and containment measures.Describing the detailed policies and containment measures used to control the epidemic in Chongqing will provide a reference for the prevention and control of COVID-19 in other areas of the world.AIM To explore the effects of different policies and containment measures on the control of the COVID-19 epidemic in Chongqing.METHODS Epidemiological data on COVID-19 in Chongqing were prospectively collected from January 21 to March 15,2020.The policies and prevention measures implemented by the government during the epidemic period were also collected.Trend analysis was performed to explore the impact of the main policy measures on the effectiveness of the control of COVID-19 in Chongqing.As of March 15,the cumulative incidence of COVID-19 in Chongqing was 1.84/100000(576 cases)and the infection fatality rate was 1.04%(6/576).The spread of COVID-19 was controlled by effective policies that involved establishing a group for directing the COVID-19 epidemic control effort;strengthening guidance and supervision;ensuring the supply of daily necessities and medical supplies and equipment to residents;setting up designated hospitals;implementing legal measures;and enhancing health education.Medical techniques were implemented to improve the recovery rate and control the epidemic.Policies such as“the lockdown of Wuhan”,“initiating a first-level response to major public health emergencies”,and“implementing the closed management of residential communities”significantly curbed the spread of COVID-19.Optimizing the diagnosis process,shortening the diagnosis time,and constructing teams of clinical experts facilitated the provision of“one team of medical experts for each patient”treatment for severe patients,which significantly improved the recovery rate and reduced the infection fatality rate.CONCLUSION The prevention policies and containment measures implemented by the government and medical institutions are highly effective in controlling the spread of the epidemic and increasing the recovery rate of COVID-19 patients.展开更多
Since December 2019, several cases of coronavirus infected disease 2019 (COVID-19) have been reported in Wuhan City, Hubei Province. COVID-19 has been rapid spread in other provinces of China and abroad. The preventio...Since December 2019, several cases of coronavirus infected disease 2019 (COVID-19) have been reported in Wuhan City, Hubei Province. COVID-19 has been rapid spread in other provinces of China and abroad. The prevention and control of outbreak is particularly important. Based on the development of network and medical and health resources in the context of the "Internet +" era, this article discusses strategies for the prevention and control of COVID-19 in the "Internet +" era, and provides a reference for the implementation of COVID-19 prevention and control.展开更多
In the phase of the normalized COVID-19 prevention and control,non-contact temperature measurement is one of the most efficient and convenient methods for initial screening of suspected cases.In the year of 2020 in Wu...In the phase of the normalized COVID-19 prevention and control,non-contact temperature measurement is one of the most efficient and convenient methods for initial screening of suspected cases.In the year of 2020 in Wuhan,such non-contact equipment was urgently demanded,standards development in the traditional way cannot satisfy the market needs.So,the research and development of this standard for infrared intelligent body temperature measurement system was carried out in a rapid way.展开更多
Remarkable progress has been made in infection prevention and control(IPC)in many countries,but some gaps emerged in the context of the coronavirus disease 2019(COVID-19)pandemic.Core capabilities such as standard cli...Remarkable progress has been made in infection prevention and control(IPC)in many countries,but some gaps emerged in the context of the coronavirus disease 2019(COVID-19)pandemic.Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic.Therefore,the core competences of IPC professionals during the pandemic,and how these contributed to successful prevention and control of the epidemic,should be studied.To investigate,using a systematic review and cluster analysis,fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID-19 pandemic.We searched the PubMed,Embase,Cochrane Library,Web of Science,CNKI,WanFang Data,and CBM databases for original articles exploring core competencies of IPC professionals during the COVID-19 pandemic(from January 1,2020 to February 7,2023).Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high-frequency technical terms.Cluster analysis was performed using the within-group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development.We identified 46 studies with 29 high-frequency technical terms.The most common term was“infection prevention and control training”(184 times,17.3%),followed by“hand hygiene”(172 times,16.2%).“Infection prevention and control in clinical practice”was the most-reported core competency(367 times,34.5%),followed by“microbiology and surveillance”(292 times,27.5%).Cluster analysis showed two key areas of competence:Category 1(program management and leadership,patient safety and occupational health,education and microbiology and surveillance)and Category 2(IPC in clinical practice).During the COVID-19 pandemic,IPC program management and leadership,microbiology and surveillance,education,patient safety,and occupational health were the most important focus of development and should be given due consideration by IPC professionals.展开更多
Since the outbreak of the COVID-19,various regions of China have been rapidly deployed under the leadership of the Central Committee of the Party to actively prevent and control the COVID-19.The rural areas of my coun...Since the outbreak of the COVID-19,various regions of China have been rapidly deployed under the leadership of the Central Committee of the Party to actively prevent and control the COVID-19.The rural areas of my country have weak links to the prevention and management of public health emergencies.Problems include lack of medical and health resources and farmers’low awareness of epidemic prevention.Situations that correspond to the prevention and management of the COVID-19 are more serious.As the patient’s first contact and“gatekeeper”in the fight against the epidemic,the general practitioner is responsible for the“first visit-subsequent ongoing intervention”.This article is about the prevention and control of the COVID-19 epidemics and epidemic prevention in terms of dissemination of knowledge,informed crowd control,joint prevention and control,and standardized management of people.This is a summary of the efforts of general practitioners.Quarantine at home,interactive referrals to medical consortiums,special care for contracted families.The function during the management period aims to analyze the role played by general practitioners during the epidemic and to provide new ideas for the prevention and management of the epidemic.Provide more targeted general practitioner-style services in rural areas to promote the implementation and improvement of health and poverty alleviation.The health level of the rural population provides a theoretical standard.展开更多
The outbreak of COVID-19 at the beginning of 2020 has a great impact on public health security at home and abroad.Community is the basic unit of urban epidemic prevention,and improving community resilience is of great...The outbreak of COVID-19 at the beginning of 2020 has a great impact on public health security at home and abroad.Community is the basic unit of urban epidemic prevention,and improving community resilience is of great significance for reducing the spread of the epidemic and maintaining the normal life of residents during the epidemic.Based on the concept of resilience,10 indicators were selected from four dimensions of urban space,including facilities,space,nature and society,to construct a community resilience evaluation indicator system for epidemic prevention,and 56 housing estates in Congtai District,Handan City,were selected for scientific evaluation.The results showed that the overall resilience of this region was relatively low and the resilience index decreased from southwest to northeast with the degree of urban development.The accessibility of urban open space,the proportion of redundant space area and the area of public space per capita had the lowest resilience index.Finally,policy suggestions were put forward to improve the resilience of housing estates in the region,so as to promote the steady progress of the city towards the agenda for sustainable development.展开更多
Objective:To explore the prevention mechanism of an anti-epidemic sachet on the new coronavirus pneumonia(COVID-19)based on the network pharmacology and molecular docking method.Methods:The chemical constituents and a...Objective:To explore the prevention mechanism of an anti-epidemic sachet on the new coronavirus pneumonia(COVID-19)based on the network pharmacology and molecular docking method.Methods:The chemical constituents and action targets of wormwood leaves,white peony,borneol,Rhizoma atracylodis,and Herba pogostemonis in the epidemic-preventive sachet were retrieved in TCMSP database.Query the genes of targets through the Uniprot database,and then use Cytoscape 3.7.2 software to build a medicinal drugs-active ingredients-targets(genes)network for visualization.Then we used DAVID to perform gene ontology(GO)function enrichment analysis and genome encyclopedia(KEGG)pathway analysis to predict the mechanisms of action.Draw histograms and bubble charts for visualization with Excel software and Omicshare database.The crystal structure of ACE2 was searched in the RCSB PDB database,and the compounds and proteins were molecularly docked with the help of PyMOL,AutoDockTool,and Vina software.Results:Sixty-seven effective chemical components in the anti-epidemic sachet were screened and a drugs-chemical components-targets network was constructed to obtain 948 targets,and 18 core targets and 28 core target pathways were predicted.6 compounds in Folium artemisiae argyi,13 compounds in Radix angelicae dahuricae,3 compounds in Rhizoma atracylodis,4 compounds in Fructus tsaoko,8 compounds in Herba pogostemonis,and 3 compounds in Rhizoma acori talarinowii have less binding energy with 1R42 than the ligand.Conclusion:It is predicted that the anti-epidemic sachet has prevention effects on new coronavirus pneumonia.展开更多
Background: The world is currently experiencing a healthcare crisis caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Healthcare workers (HCWs) are at the forefront of controlling the spread of t...Background: The world is currently experiencing a healthcare crisis caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Healthcare workers (HCWs) are at the forefront of controlling the spread of the disease;this response has resulted in a huge number of infections amongst HCWs and unfortunately some casualties. Infection prevention and control practices (IPC) are practical, proven methods that prevent avoidable harm to patients and protect health workers from contagious infection. This study was done to evaluate the effectiveness of IPC practices utilized in COVID-19 testing drive through facility in Lagos Nigeria. Method: The facility recruited 42 HCWs who were trained on IPC and use of Personal Protective Equipment (PPEs). Training on donning and doffing of PPEs, preparation of decontaminants and sample handling were done for relevant personnel. A daily log for monitoring COVID-19 symptoms was deployed to all HCWs;to help early detection of COVID-19 infection and prevent transmission amongst staff. Results: Of 42 personnel, 92.8% had a tertiary level of education while 71.4% had at least 5 years work experience. A total of 5 (11.9%) out of 42 HCWs were positive by week six of the study. All infected persons worked at the drive through centre. Most common symptom filled in the daily log tool was headache and fatigue. Conclusion: Despite all the measures introduced, 11.9% of HCWs became positive within 6 weeks, showing the highly infectious nature of the virus and the need to research into more effective measures in preventing the transmission of highly infectious pathogens to HCWs during outbreaks.展开更多
<strong>Background: </strong>In less than a year, COVID-19 has swept the world and continued, too, seriously threatening the safety of all mankind, and caused great social panic and global economic and fin...<strong>Background: </strong>In less than a year, COVID-19 has swept the world and continued, too, seriously threatening the safety of all mankind, and caused great social panic and global economic and financial crisis. At the beginning, the epidemic was first diagnosed in China and the epidemic was severe. Under the strong command of the highest level of the Chinese government, the whole Chinese people united as one, and achieved initial results in the struggle against COVID-19 with scientific prevention and control. <strong>Objective:</strong> Summarizing China’s experience and lessons in combating the epidemic is undoubtedly very beneficial to the people of the world in jointly combating the impact of the COVID-19 epidemic. <strong>Measures:</strong> The article shows the imminent Chinese experience in controlling the spread of SARS-CoV-2. It details the lines of action and the measures taken to control this epidemic in the country where the population is quite large. The most important experience is: strong organizational leadership, enhanced cooperation with the WHO, the establishment of a national anti-epidemic headquarters, responsible for the command and control of human, financial and material resources throughout the country, and local officials at all levels in the front line of the epidemic, Heart to heart with the people, breathing together and sharing a common destiny. Prevention is the first, prevention and treatment are combined. All measures were taken to control the source of infection, cut off the spread and protect susceptible people. <strong>Conclusion: </strong>As long as the people of the world unite, make scientific decisions and learn from the successful experience of countries around the world, especially the China’s experience, combine the national conditions of each country, and use the wisdom of all man-kind to deal with the common enemy SARS-CoV-2 and COVID-19, we can definitely win this people’s war against the disease.展开更多
Against the background of a complicated global pandemic situation and normalized pandemic prevention and control in China,leading human rights scholars from China,North America and Eurasia conducted fruitful discussio...Against the background of a complicated global pandemic situation and normalized pandemic prevention and control in China,leading human rights scholars from China,North America and Eurasia conducted fruitful discussions on the human rights jurisprudence during pandemic through the lens of the proportionality principle at the Sixth Session of the International Seminar Series on"Global Pandemic Prevention and Control and Human Rights Protection",which was organized by the Center for Human Rights Studies of Renmin University of China,under the guidance of the China Society for Human Rights Studies.Focusing on the pandemic-related human rights conditions and legal challenges in global context,participating scholars examined the role of the proportionality principle during the containment of COVID-19 in six topical dimensions,including the normative utility,practical logic,reasonable limits,necessary measures,balancing of interests,and proportional jurisprudence in the post-pandemic era.In oder to cohere human rights jurisprudence for the development of a global community of health for all,this international seminar fostered five fundamental proportionality consensuses from five interrelated perspectives,involving human rights—rule of law—balance—contexts—trends".展开更多
COVID-19 is a severe acute respiratory syndrome caused by the Coronavirus-2 virus(SARS-CoV-2).The virus spreads from one to another through droplets from an infected person,and sometimes these droplets can contaminate...COVID-19 is a severe acute respiratory syndrome caused by the Coronavirus-2 virus(SARS-CoV-2).The virus spreads from one to another through droplets from an infected person,and sometimes these droplets can contaminate surfaces that may be another infection pathway.In this study,we developed a COVID-19 model based on data and observations in Thailand.The country has strictly distributed masks,vaccination,and social distancing measures to control the disease.Hence,we have classified the susceptible individuals into two classes:one who follows the measures and another who does not take the control guidelines seriously.We conduct epidemic and endemic analyses and represent the threshold dynamics characterized by the basic reproduction number.We have examined the parameter values used in our model using the mean general interval(GI).From the calculation,the value is 5.5 days which is the optimal value of the COVID-19 model.Besides,we have formulated an optimal control problem to seek guidelines maintaining the spread of COVID-19.Our simulations suggest that high-risk groups with no precaution to prevent the disease(maybe due to lack of budgets or equipment)are crucial to getting vaccinated to reduce the number of infections.The results also indicate that preventive measures are the keys to controlling the disease.展开更多
On April 29,2020,China entered a normalization stage of prevention and control.By December 2021,more than 40 outbreaks had occurred in China,which reflected the shortcomings of the pandemic prevention and control meas...On April 29,2020,China entered a normalization stage of prevention and control.By December 2021,more than 40 outbreaks had occurred in China,which reflected the shortcomings of the pandemic prevention and control measures in China at that time.As the capital city of China,Beijing faces more pressure in epidemic prevention and control.We used the COVID-19 cluster containment evaluation indicators to determine the effects of prevention and control measures on four COVID-19 outbreaks in Beijing.After considering the specificity and operability of evaluation indicators and the availability of evaluation data,the evaluation system in our study consisted of six dimensions:epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,public protection effect,medical treatment and nosocomial infection prevention and control ability,and information release and public opinion response ability.The composite scores of the prevention and control effects of the Xinfadi,Shunyi,Daxing,and Ejina Banner–associated COVID-19 outbreaks in Beijing were 62,82,87,and 76,respectively.In the six dimensions,the epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,and public protection effect scores for the Xinfadi outbreak were lower than those for the Shunyi,Daxing and Ejina Banner–associated outbreaks.The medical treatment and nosocomial infection prevention and control ability scores for the outbreak associated with Ejina Banner were lower than those for the Xinfadi,Shunyi,and Daxing outbreaks.In managing cluster outbreaks,Beijing was able to detect index cases early enough to reduce the scale and duration of the outbreak and consistently release official information to reduce public panic,standardize the management of centralized quarantine sites to prevent cross-infection,adhere to the“dynamic COVID‐zero”strategy to accurately prevent and control outbreaks,reduce the societal influence of the pandemic,and coordinate the epidemic prevention and control and socio-economic development.展开更多
文摘<strong>Objective:</strong> We assess the application effect of the “3 + 1” mode in the COVID-19 epidemic prevention and control at the infection ward of a designated comprehensive hospital for COVID-19 treatment.<strong> Method: </strong>Based on the features of the inpatients of the infection ward and their relatives, a “3 + 1” mode for the COVID-19 prevention and control is developed to conform to the demands for epidemic prevention and control and the overall prevention and control scheme of the whole hospital. Here, “3” stands for the epidemic prevention and control system, personnel management, and prevention and control measures;“1” stands for COVID-19 testing.<strong> Result: </strong>From March 1, 2020 to March 31, 2021, a total of 3056 patients were hospitalized in the three infection wards. Among them, 265 patients had a fever, and 113 patients had respiratory symptoms. None of them were infected with COVID-19. The participation rate of the test about the knowledge related to COVID-19 and the knowledge mastery rate were both 100% among the medical staff. None of the inpatients and their companions or the medical staff was diagnosed with COVID-19.<strong> Conclusion: </strong>Thus the “3 + 1” mode proves successful for avoiding nosocomial infection and the spread of the epidemic.
文摘Objective: To explore the practice and application of infection prevention and control strategies in risk departments during the COVID-19 epidemic, and to formulate the infection prevention and control measures to provide advice and guidance in risk departments. Methods: According to the latest plan of diagnosis and treatment, prevention and control issued by the National Health Commission, expert advice and consensus, combined with the actual situation in our hospital, a series of infection prevention and control measures of COVID-19 in risk department was formulated. Results: During the epidemic period, the prevention and control measures of nine risk departments including emergency operation, anesthesiology, endoscopy center, blood purification center, otolaryngology, stomatology, medical imaging department, medical cosmetology department and pulmonary function room were established from six aspects, including pre-examination and screening, medical technology control, personnel management, personal protection, environmental disinfection, medical waste disposal, etc. Conclusion: During the epidemic period, the infection prevention and control strategy of risk departments is one of the key links to control the spread of the epidemic, and risk departments must pay attention to and strictly implement various infection prevention and control measures.
文摘Corona Virus Disease 2019(COVID-19)is a new infectious disease that appeared in whan in December 2019 Since January23,the national health and fitmess commission has required hospitals to be designated in accordance with the principle of"concentrating patients,experts,resources and treatment".Designated hospitals are often the strength of the general hospital and general hospital complex layers of various kinds of personnel,campus area is large,multi-channel,ordinary outpatient accepts people more,for emergency and severe cases treatment in patients with normal difficulty pressuure big,suspected/confirmed cases,combined with the COVID-19 occurred when the traditional holiday,the country launched the emergency response since,process reform faces a difficult labor,shortage of mampower,protective shortages,short time limit,and many other difficulties,hospital infection prevention and control is facing unprecedented pressure.In this paper,the West China-Guang'an Hospital,Sichuan University(Guang'an people's hospital)as a designated hospital,on the basis of the relevant scheme of the national health committee,epidemic prevention and control of the actual,combined with comprehensive hospital leadership,mampower allocation,protection,security,patient management,disinfection isolation,preview triage,preventive measures,training,monitoring,etc.,with practical experience summary for the COVID-19 diring the hospital infection prevention and control to improve the practice exploration.
文摘There are many patients in the blood purification center who need maintenance hemodialysis to maintain life. Those patients generally havelow resistance and are easily exposed to coronavirus because they go back and forth the hospital and residence three times a week andclosely contact with family, caregivers, community personnel, people in various means of transportation, medical staff, and other patientsvisiting hospital. Therefore, the blood purification center has become a high‑risk environment for the spread of COVID-19 infection. In viewof this, our center quickly responded to the formulation and implementation of infection prevention and control measures suitable for thecharacteristics of the blood purification center and continuous renal replacement therapy (CRRT) emergency plan for fever and suspectedpatients. According to these measures, we have a positive effect on preventing and controlling nosocomial infection in the blood purificationcenter.
文摘Since the outbreak of the COVID-19 pandemic,under the strong leadership of the Central Committee of the Communist Party of China and President Xi Jinping,China has made firm decisions to prioritize people's lives and health.Efforts have been made to avoid foreign imported infection and domestic rebound of COVID-19 cases;the“dynamic zero COVID”policy has been executed without wavering;and the prevention and control measures have been optimized and improved in response to changing circumstances,actively responding to the impact caused by multiple waves of COVID-19 surge globally.China has made extraordinary efforts to safeguard people's lives and health.Meanwhile,prevention and control measures were timely updated to coordinate with economic and social development.On November 10,the Standing Committee of the Central Political Bureau held a meeting to discuss the latest situation of the COVID-19 pandemic in China.Twenty measures(referred to as“the 20-point measures”)were officially announced to further optimize the COVID-19 response.The latest prevention and control measures involve the requirements and guidance for isolation at home,high-risk area delineation,nucleic acid testing,international inbound flights and travelers,vaccination rollout,medical resource preparedness,and protection for special places and vulnerable population.
文摘On November 11,2022,the Chinese government released the Scientific and Targeted Prevention and Control Measures to Optimize COVID-19 Response.Since that time,adjusted measures have been implemented throughout China,leading to major shifts in implementation of the national prevention and control strategy.On the basis of the current situation of the epidemic and the evolving SARS-Cov-2 variants,an additional 10 specifications(referred to as“the 10-point measures”)were officially released on December 7,2022,in an effort to further optimize the prevention and control measures.The latest adjustments pertain to the specification of:precise delineation of high-risk areas,nucleic acid testing scheme,isolation and health monitoring,restriction and lifting of high-risk areas,medicine supply,vaccination rollout among older people,health status of key populations,social functioning,and campus response.
基金School Funded Project of COVID-19 of Chongqing Medical University,No.CQMUNCP0204Young Scientists Fund Program of the Education Commission of Chongqing,No.KJQN201900443+2 种基金National Key Research and Development Project of the Ministry of Science and Technology of the People's Republic of China,No.2017YFC0211705Young Scientists Fund Program of the National Natural Science Foundation of China,No.81502826and General Program of the China Postdoctoral Science Foundation,No.2014M562289.
文摘BACKGROUND Coronavirus disease 2019(COVID-19)is an emerging,rapidly evolving disease that spreads through the respiratory system and is highly contagious.In March 2020,the World Health Organization declared the COVID-19 outbreak a pandemic.In China,the pandemic was controlled after 2 mo through effective policies and containment measures.Describing the detailed policies and containment measures used to control the epidemic in Chongqing will provide a reference for the prevention and control of COVID-19 in other areas of the world.AIM To explore the effects of different policies and containment measures on the control of the COVID-19 epidemic in Chongqing.METHODS Epidemiological data on COVID-19 in Chongqing were prospectively collected from January 21 to March 15,2020.The policies and prevention measures implemented by the government during the epidemic period were also collected.Trend analysis was performed to explore the impact of the main policy measures on the effectiveness of the control of COVID-19 in Chongqing.As of March 15,the cumulative incidence of COVID-19 in Chongqing was 1.84/100000(576 cases)and the infection fatality rate was 1.04%(6/576).The spread of COVID-19 was controlled by effective policies that involved establishing a group for directing the COVID-19 epidemic control effort;strengthening guidance and supervision;ensuring the supply of daily necessities and medical supplies and equipment to residents;setting up designated hospitals;implementing legal measures;and enhancing health education.Medical techniques were implemented to improve the recovery rate and control the epidemic.Policies such as“the lockdown of Wuhan”,“initiating a first-level response to major public health emergencies”,and“implementing the closed management of residential communities”significantly curbed the spread of COVID-19.Optimizing the diagnosis process,shortening the diagnosis time,and constructing teams of clinical experts facilitated the provision of“one team of medical experts for each patient”treatment for severe patients,which significantly improved the recovery rate and reduced the infection fatality rate.CONCLUSION The prevention policies and containment measures implemented by the government and medical institutions are highly effective in controlling the spread of the epidemic and increasing the recovery rate of COVID-19 patients.
文摘Since December 2019, several cases of coronavirus infected disease 2019 (COVID-19) have been reported in Wuhan City, Hubei Province. COVID-19 has been rapid spread in other provinces of China and abroad. The prevention and control of outbreak is particularly important. Based on the development of network and medical and health resources in the context of the "Internet +" era, this article discusses strategies for the prevention and control of COVID-19 in the "Internet +" era, and provides a reference for the implementation of COVID-19 prevention and control.
文摘In the phase of the normalized COVID-19 prevention and control,non-contact temperature measurement is one of the most efficient and convenient methods for initial screening of suspected cases.In the year of 2020 in Wuhan,such non-contact equipment was urgently demanded,standards development in the traditional way cannot satisfy the market needs.So,the research and development of this standard for infrared intelligent body temperature measurement system was carried out in a rapid way.
基金The National Natural Science Foundation of China,Grant/Award Number:52178080Major Research Project of the Hospital Management Research Institute of the National Health Commission,Grant/Award Number:GY2023011National Institute of Hospital Administration Management of China,Grant/Award Number:GY2023049。
文摘Remarkable progress has been made in infection prevention and control(IPC)in many countries,but some gaps emerged in the context of the coronavirus disease 2019(COVID-19)pandemic.Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic.Therefore,the core competences of IPC professionals during the pandemic,and how these contributed to successful prevention and control of the epidemic,should be studied.To investigate,using a systematic review and cluster analysis,fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID-19 pandemic.We searched the PubMed,Embase,Cochrane Library,Web of Science,CNKI,WanFang Data,and CBM databases for original articles exploring core competencies of IPC professionals during the COVID-19 pandemic(from January 1,2020 to February 7,2023).Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high-frequency technical terms.Cluster analysis was performed using the within-group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development.We identified 46 studies with 29 high-frequency technical terms.The most common term was“infection prevention and control training”(184 times,17.3%),followed by“hand hygiene”(172 times,16.2%).“Infection prevention and control in clinical practice”was the most-reported core competency(367 times,34.5%),followed by“microbiology and surveillance”(292 times,27.5%).Cluster analysis showed two key areas of competence:Category 1(program management and leadership,patient safety and occupational health,education and microbiology and surveillance)and Category 2(IPC in clinical practice).During the COVID-19 pandemic,IPC program management and leadership,microbiology and surveillance,education,patient safety,and occupational health were the most important focus of development and should be given due consideration by IPC professionals.
基金Innovation and Entrepreneurship Training Program of Sichuan University Students,fund number:S202010634125.
文摘Since the outbreak of the COVID-19,various regions of China have been rapidly deployed under the leadership of the Central Committee of the Party to actively prevent and control the COVID-19.The rural areas of my country have weak links to the prevention and management of public health emergencies.Problems include lack of medical and health resources and farmers’low awareness of epidemic prevention.Situations that correspond to the prevention and management of the COVID-19 are more serious.As the patient’s first contact and“gatekeeper”in the fight against the epidemic,the general practitioner is responsible for the“first visit-subsequent ongoing intervention”.This article is about the prevention and control of the COVID-19 epidemics and epidemic prevention in terms of dissemination of knowledge,informed crowd control,joint prevention and control,and standardized management of people.This is a summary of the efforts of general practitioners.Quarantine at home,interactive referrals to medical consortiums,special care for contracted families.The function during the management period aims to analyze the role played by general practitioners during the epidemic and to provide new ideas for the prevention and management of the epidemic.Provide more targeted general practitioner-style services in rural areas to promote the implementation and improvement of health and poverty alleviation.The health level of the rural population provides a theoretical standard.
基金Sponsored by Social Science Foundation of Hebei Province (HB19YS039)。
文摘The outbreak of COVID-19 at the beginning of 2020 has a great impact on public health security at home and abroad.Community is the basic unit of urban epidemic prevention,and improving community resilience is of great significance for reducing the spread of the epidemic and maintaining the normal life of residents during the epidemic.Based on the concept of resilience,10 indicators were selected from four dimensions of urban space,including facilities,space,nature and society,to construct a community resilience evaluation indicator system for epidemic prevention,and 56 housing estates in Congtai District,Handan City,were selected for scientific evaluation.The results showed that the overall resilience of this region was relatively low and the resilience index decreased from southwest to northeast with the degree of urban development.The accessibility of urban open space,the proportion of redundant space area and the area of public space per capita had the lowest resilience index.Finally,policy suggestions were put forward to improve the resilience of housing estates in the region,so as to promote the steady progress of the city towards the agenda for sustainable development.
文摘Objective:To explore the prevention mechanism of an anti-epidemic sachet on the new coronavirus pneumonia(COVID-19)based on the network pharmacology and molecular docking method.Methods:The chemical constituents and action targets of wormwood leaves,white peony,borneol,Rhizoma atracylodis,and Herba pogostemonis in the epidemic-preventive sachet were retrieved in TCMSP database.Query the genes of targets through the Uniprot database,and then use Cytoscape 3.7.2 software to build a medicinal drugs-active ingredients-targets(genes)network for visualization.Then we used DAVID to perform gene ontology(GO)function enrichment analysis and genome encyclopedia(KEGG)pathway analysis to predict the mechanisms of action.Draw histograms and bubble charts for visualization with Excel software and Omicshare database.The crystal structure of ACE2 was searched in the RCSB PDB database,and the compounds and proteins were molecularly docked with the help of PyMOL,AutoDockTool,and Vina software.Results:Sixty-seven effective chemical components in the anti-epidemic sachet were screened and a drugs-chemical components-targets network was constructed to obtain 948 targets,and 18 core targets and 28 core target pathways were predicted.6 compounds in Folium artemisiae argyi,13 compounds in Radix angelicae dahuricae,3 compounds in Rhizoma atracylodis,4 compounds in Fructus tsaoko,8 compounds in Herba pogostemonis,and 3 compounds in Rhizoma acori talarinowii have less binding energy with 1R42 than the ligand.Conclusion:It is predicted that the anti-epidemic sachet has prevention effects on new coronavirus pneumonia.
文摘Background: The world is currently experiencing a healthcare crisis caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Healthcare workers (HCWs) are at the forefront of controlling the spread of the disease;this response has resulted in a huge number of infections amongst HCWs and unfortunately some casualties. Infection prevention and control practices (IPC) are practical, proven methods that prevent avoidable harm to patients and protect health workers from contagious infection. This study was done to evaluate the effectiveness of IPC practices utilized in COVID-19 testing drive through facility in Lagos Nigeria. Method: The facility recruited 42 HCWs who were trained on IPC and use of Personal Protective Equipment (PPEs). Training on donning and doffing of PPEs, preparation of decontaminants and sample handling were done for relevant personnel. A daily log for monitoring COVID-19 symptoms was deployed to all HCWs;to help early detection of COVID-19 infection and prevent transmission amongst staff. Results: Of 42 personnel, 92.8% had a tertiary level of education while 71.4% had at least 5 years work experience. A total of 5 (11.9%) out of 42 HCWs were positive by week six of the study. All infected persons worked at the drive through centre. Most common symptom filled in the daily log tool was headache and fatigue. Conclusion: Despite all the measures introduced, 11.9% of HCWs became positive within 6 weeks, showing the highly infectious nature of the virus and the need to research into more effective measures in preventing the transmission of highly infectious pathogens to HCWs during outbreaks.
文摘<strong>Background: </strong>In less than a year, COVID-19 has swept the world and continued, too, seriously threatening the safety of all mankind, and caused great social panic and global economic and financial crisis. At the beginning, the epidemic was first diagnosed in China and the epidemic was severe. Under the strong command of the highest level of the Chinese government, the whole Chinese people united as one, and achieved initial results in the struggle against COVID-19 with scientific prevention and control. <strong>Objective:</strong> Summarizing China’s experience and lessons in combating the epidemic is undoubtedly very beneficial to the people of the world in jointly combating the impact of the COVID-19 epidemic. <strong>Measures:</strong> The article shows the imminent Chinese experience in controlling the spread of SARS-CoV-2. It details the lines of action and the measures taken to control this epidemic in the country where the population is quite large. The most important experience is: strong organizational leadership, enhanced cooperation with the WHO, the establishment of a national anti-epidemic headquarters, responsible for the command and control of human, financial and material resources throughout the country, and local officials at all levels in the front line of the epidemic, Heart to heart with the people, breathing together and sharing a common destiny. Prevention is the first, prevention and treatment are combined. All measures were taken to control the source of infection, cut off the spread and protect susceptible people. <strong>Conclusion: </strong>As long as the people of the world unite, make scientific decisions and learn from the successful experience of countries around the world, especially the China’s experience, combine the national conditions of each country, and use the wisdom of all man-kind to deal with the common enemy SARS-CoV-2 and COVID-19, we can definitely win this people’s war against the disease.
文摘Against the background of a complicated global pandemic situation and normalized pandemic prevention and control in China,leading human rights scholars from China,North America and Eurasia conducted fruitful discussions on the human rights jurisprudence during pandemic through the lens of the proportionality principle at the Sixth Session of the International Seminar Series on"Global Pandemic Prevention and Control and Human Rights Protection",which was organized by the Center for Human Rights Studies of Renmin University of China,under the guidance of the China Society for Human Rights Studies.Focusing on the pandemic-related human rights conditions and legal challenges in global context,participating scholars examined the role of the proportionality principle during the containment of COVID-19 in six topical dimensions,including the normative utility,practical logic,reasonable limits,necessary measures,balancing of interests,and proportional jurisprudence in the post-pandemic era.In oder to cohere human rights jurisprudence for the development of a global community of health for all,this international seminar fostered five fundamental proportionality consensuses from five interrelated perspectives,involving human rights—rule of law—balance—contexts—trends".
文摘COVID-19 is a severe acute respiratory syndrome caused by the Coronavirus-2 virus(SARS-CoV-2).The virus spreads from one to another through droplets from an infected person,and sometimes these droplets can contaminate surfaces that may be another infection pathway.In this study,we developed a COVID-19 model based on data and observations in Thailand.The country has strictly distributed masks,vaccination,and social distancing measures to control the disease.Hence,we have classified the susceptible individuals into two classes:one who follows the measures and another who does not take the control guidelines seriously.We conduct epidemic and endemic analyses and represent the threshold dynamics characterized by the basic reproduction number.We have examined the parameter values used in our model using the mean general interval(GI).From the calculation,the value is 5.5 days which is the optimal value of the COVID-19 model.Besides,we have formulated an optimal control problem to seek guidelines maintaining the spread of COVID-19.Our simulations suggest that high-risk groups with no precaution to prevent the disease(maybe due to lack of budgets or equipment)are crucial to getting vaccinated to reduce the number of infections.The results also indicate that preventive measures are the keys to controlling the disease.
基金funded by the National Natural Science Foundation of China(71934002,72122001)National Key Research and Development Project of China(2021ZD0114104,2021ZD0114105,2021ZD0114101).
文摘On April 29,2020,China entered a normalization stage of prevention and control.By December 2021,more than 40 outbreaks had occurred in China,which reflected the shortcomings of the pandemic prevention and control measures in China at that time.As the capital city of China,Beijing faces more pressure in epidemic prevention and control.We used the COVID-19 cluster containment evaluation indicators to determine the effects of prevention and control measures on four COVID-19 outbreaks in Beijing.After considering the specificity and operability of evaluation indicators and the availability of evaluation data,the evaluation system in our study consisted of six dimensions:epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,public protection effect,medical treatment and nosocomial infection prevention and control ability,and information release and public opinion response ability.The composite scores of the prevention and control effects of the Xinfadi,Shunyi,Daxing,and Ejina Banner–associated COVID-19 outbreaks in Beijing were 62,82,87,and 76,respectively.In the six dimensions,the epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,and public protection effect scores for the Xinfadi outbreak were lower than those for the Shunyi,Daxing and Ejina Banner–associated outbreaks.The medical treatment and nosocomial infection prevention and control ability scores for the outbreak associated with Ejina Banner were lower than those for the Xinfadi,Shunyi,and Daxing outbreaks.In managing cluster outbreaks,Beijing was able to detect index cases early enough to reduce the scale and duration of the outbreak and consistently release official information to reduce public panic,standardize the management of centralized quarantine sites to prevent cross-infection,adhere to the“dynamic COVID‐zero”strategy to accurately prevent and control outbreaks,reduce the societal influence of the pandemic,and coordinate the epidemic prevention and control and socio-economic development.
