Cai Weiping, Director Of The Infectious Disease Division Of The Eighth People'S Hospital Of Guangzhou, National People'S Congress: Strengthening The Awareness Of Medical And Nursing Protection And Building A Comprehensive Infectious Disease Hospital

Since the outbreak of SARS in 2003, many large and mega cities have built or expanded local infectious diseases hospitals and three general hospitals. Since then, it has been tested in the outbreak of non infectious diseases such as influenza, avian influenza and dengue fever. However, these hospitals still exposed many problems in this year's new crown pneumonia emergency response process, highlighting the shortage of infectious disease prevention and control system and medical treatment system.

Therefore, improving the prevention and control system of major public health emergencies has become a hot topic for delegates and members of the NPC and CPPCC this year.

Cai Weiping, a deputy of the National People's Congress and director of the infectious disease division of the Eighth People's Hospital of Guangzhou, has further thought about how the medical system should deal with the major epidemic situation. He suggested that we should combine peacetime and wartime, expand the scale of infectious disease hospitals, and build a comprehensive hospital with large infectious diseases to deal with all kinds of major epidemics.

Building a comprehensive infectious disease hospital

Cai Weiping proposed building a comprehensive infectious disease hospital. Infectious disease hospitals should not only have infectious diseases, but also build a comprehensive hospital with large infectious diseases. One of the modern medical systems is multidisciplinary collaborative diagnosis and treatment. Various disciplines support each other in order to improve the level of treatment for infectious diseases. Adequate beds for intensive care and Department of respiration should be established to improve the ability of critical care, especially for the treatment of severe respiratory diseases. Various disciplines should also develop together.

Infectious diseases, Department of respiration and intensive care personnel are seriously inadequate. In many cities, although fewer than 500 cases have already started preparations for temporary hospitals, they are usually not well prepared. More than 30 thousand medical personnel throughout the country support Wuhan, basically equipped with infectious diseases, critical care medicine and Department of respiration doctors.

Cai Weiping told the twenty-first Century economic news reporter that there are two different systems for the treatment of infectious diseases. The current mode of development in China is to establish infectious disease specialist hospitals, such as leprosy and tuberculosis hospitals, according to the former Soviet Union's model.

    The advantage of specialized hospitals is that they can treat a disease on a large scale, and can focus on one category of diseases. The limitation is that there is only one specialized subject, but the trend of medical development is more and more inclined to multidisciplinary treatment. Taking new crown pneumonia as an example, especially the treatment of critical illness, it is no longer confined to the lungs, but involves many fields such as the heart. Specialized hospitals are not conducive to adaptation medicine. In the direction of comprehensive discipline development, the ability of critical care is relatively weak.

Another pattern is the prevalence in Europe and the United States, that is, the construction of infectious diseases in general hospitals. In Europe and America, there are relatively few infectious diseases besides influenza, and most of the patients are not hospitalized in a large-scale influenza epidemic. The advantage is that the hospital has comprehensive departments to provide support for the infectious disease department. The comprehensive treatment capacity is relatively strong, but the disadvantages are obvious. The ability to administer the hospital is relatively weak, and the number of hospitalized patients is relatively small. Even if the patients are admitted in advance, the mortality is very high. Compared with this defect, the number of patients admitted to specialized infectious diseases hospitals in China is much higher than that in Europe and America, but the capacity for serious treatment is still not strong.

Therefore, we need two systems to integrate and build a comprehensive infectious disease hospital in peacetime and wartime.

Large infectious diseases hospitals should set up clinical P3 laboratories, so as to meet the requirements of biosafety when the epidemic situation is detected. They can carry out relevant tests normally and reduce the potential risks caused by outgoing samples.

Adequate medical staffs should be provided in infectious diseases hospitals, adequate medical staffs can be used to meet the needs of major epidemics, and also for foreign aid missions, especially for large infectious diseases hospitals. Staffing according to 1.3 times of normal bed allocation. The government should ensure the daily operation of infectious diseases hospitals and ensure the wages and salaries of health care workers for infectious diseases.

Strengthen protection consciousness

In addition, medical personnel need to enhance their awareness of general protection and detect infectious diseases.

Cai Weiping told the twenty-first Century economic news reporter that taking the new crown pneumonia epidemic as an example, in fact, which department may be exposed to patients with mild symptoms and asymptomatic infections, in the process of epidemic fighting, the Eighth People's Hospital of Guangzhou also organized some infectious disease prevention and control training, and organized other departments to fight against the epidemic.

In peacetime, all doctors and medical personnel need the basic knowledge and consciousness of infectious diseases. Many times, patients do not necessarily go to the infectious department first before they have a fever. They can see more cases in emergency and outpatient service. Fever and stomachache may also go to the Department of ENT. Therefore, no matter which department is concerned, the awareness of infectious diseases should be kept throughout. A few words focus on the onset of illness and enhance awareness of early detection. In normal work, medical staff in various departments need to normalize wearing surgical mask.

There were also insiders told reporters in twenty-first Century economic report that for hospitals, public hospitals and social medical hospitals need to wake up to reflect on emergencies.

And public health emergencies may exist in the respiratory tract, gastrointestinal tract, nervous system and other fields. In view of public emergencies, hospitals need new thinking of combining peacetime with wartime. Specifically, for example, young specialists can choose a major specialist direction and a secondary specialist direction, for example, an anesthesiology doctor can help minor disciplines, such as the ICU department, and conduct wartime coordination when necessary.

In addition, public hospitals have a certain system, large system and small system circulation system, and the future hospital system needs to be changed, such as layering, registration, payment, treatment, etc. small circulation can reduce the possibility of nosocomial infection. In terms of the major cycle, cross infection can be reduced, such as the distinction between internal medicine building, surgical building and inspection building. And ward isolation and other measures also need to continue to upgrade adjustment.

(author: Southern finance and Economics National two sessions report group Tang Weike)