37. In which year was the first case of HIV infection discovered in mainland my country?

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In which year was the first case of HIV infection discovered in mainland my country?

2018-11-27 11:10:37

A thoughtful person

1985

Discovered China in June 1985 at Peking Union Medical College The first patient with AIDS was an overseas tourist and an Argentinian American.

Up to now, AIDS has experienced the process of introduction, spread and rapid growth, and it has been in our country for 30 years. Judging from the current epidemic situation, from 1985 to 1988, most of the AIDS infections and patients discovered in these years were overseas tourists. Four of them were domestic and were infected by imported blood products. By 1989, HIV infection was discovered among drug users for the first time in my country, with 146 cases discovered in one year. This was a milestone event for the epidemic of AIDS in China. It marked that from that time onwards, AIDS had already had a local epidemic in China. spread. In less than ten years from 1989 to 1998, AIDS was discovered and reported in 31 provinces, municipalities and autonomous regions in mainland China. By the end of August 2007, more than 210,000 infected people and patients had been discovered and reported in 31 provinces, municipalities and autonomous regions in our country.

China's first AIDS discoverer - Wang Aixia was born in Shanghai in 1932. She graduated from the Medical Department of Shanghai First Medical College in 1956 and worked at Peking Union Medical College Hospital in the same year. He has been engaged in the diagnosis and treatment of infectious diseases for many years. He has rich experience in the diagnosis and differential diagnosis of fever, the diagnosis of septic shock and the clinical application of antibiotics, and the clinical treatment of AIDS. He has extensive experience in the diagnosis and treatment of difficult diseases in other professional groups of internal medicine. The diagnosis of this kind also has unique insights. He successively discovered my country's first AIDS patient and the first Chinese sexually transmitted HIV infection. In 1995, he formulated national standards for AIDS diagnosis and treatment, and presided over the revision of the national standards in 2001. On June 3, 1985, the early summer in Beijing was just getting a little hot. An Argentinian patient was admitted to the intensive care unit of Peking Union Medical College Hospital due to severe lung infection and respiratory failure. That night, the patient's trachea was cut open and he began to lose consciousness. Early in the morning on June 4, Professor Wang Aixia, then deputy director of the Department of Internal Medicine, was invited for consultation. The patient's chest X-ray showed typical Pneumocystis pneumonia (PCP), and the condition progressed extremely rapidly. "It's so typical, late-stage AIDS!" A shocking diagnosis immediately jumped into Wang Aixia's mind. According to the ID that the patient brought, comrades from the Foreign Medical Department made a call to the patient’s telephone office in Los Angeles that night (because of the time difference with Beijing). With the help of the telephone company, they quickly contacted the patient's family doctor, and it turned out that the patient had long been diagnosed with AIDS in their country. To convince colleagues that AIDS patients have appeared in China, we must provide evidence, serological evidence! At the same time as the consultation that day, Wang Aixia took 5 ml of the patient's blood and went to the laboratory in person to separate only 2.5 ml of serum specimen. This is a blood sample that scares everyone and makes them avoid it. "No one is allowed to move, I will do it myself." She asked Comrade Zhang Huayuan from the Institute of Drug and Biological Products of the Ministry of Health to help with the test. A few days later, the result came out, and the HIV serum antibody was positive. On the afternoon of June 5, 1985, the patient died. The pathology report a few days later supported the diagnosis of AIDS, as did the serology report. At that time, newspapers and TV stations reported repeatedly that Peking Union Medical College Hospital had discovered the first case of AIDS in the country, which shocked the whole country and the world. Because it is difficult for traditional China to accept the emergence of AIDS, which is mainly characterized by sexual transmission, on its own land, because this year was only four years after the first case of AIDS was discovered in the world. After all, the first AIDS patient was a foreigner. Is it true that there are no Chinese people? Among the cases reported internationally, AIDS is more common among homosexuals, drug addicts and blood donors. In 1989, Wang Aixia launched HIV screening among blood donors in China. At that time, HIV-infected and AIDS patients were very rare. Where could they easily find them? After pondering hard, Wang Aixia's thoughts suddenly became enlightened: Syphilis and AIDS are both sexually transmitted diseases. Will syphilis seropositive patients hide their HIV positivity? She immediately went to the laboratory department of the hospital and obtained the serum samples collected by the laboratory department from patients who had been diagnosed with syphilis. As a result, one of the 67 serum samples was screened positive for HIV. In order to obtain clinical confirmation, based on the patient's home address in the medical record and with the help of the local police station, her student visited the patient's home with a letter of introduction. The result was that the patient had gone abroad to Australia. The tracking of this case was thus stranded. What a coincidence. One day a few years later, Wang Aixia suddenly received a call from Comrade Liu Ying of the Dongcheng District Epidemic Prevention Station: "Professor Wang, do you still remember the HIV-positive patient reported that year? A few days ago, I went to Sydney, Australia to participate in an academic exchange By the way, Australian officials said that there is indeed a patient named so-and-so from Beijing who is the gay partner of a local AIDS patient. When he first came here, he was only HIV-positive, but after only one year he became HIV-positive. He developed AIDS symptoms and is now an AIDS patient. "This is the first HIV infection in an adult gay patient discovered in my country.

The discovery of the third AIDS patient is also full of magical colors like Sherlock Holmes. A 29-year-old young man was initially diagnosed with tuberculosis due to fever and was admitted to the sixth bed of the third floor ward on the 8th floor of the old building of Union Hospital. The hospital bed was very close to the bathroom, but the young man always said that walking from the hospital bed to the bathroom made him feel suffocated and wanted to get some oxygen. Lower-level doctors complained that "the patient is too squeamish." After listening to the medical report, Wang Aixia came to the patient's bedside. After careful auscultation, she asked the patient to sit up from the bed. At that moment, Wang Aixia caught a small detail, the patient's nose flapped. This is an expression only seen in severe respiratory distress. A blood gas analysis was done immediately, and the partial pressure of oxygen was only a little over 70. It was most likely shortness of breath caused by PCP. To confirm the diagnosis, blood tests are taken immediately. At that time, many people in the ward said, "Doctor Wang is too obsessed with AIDS. Everything he sees is AIDS." The diagnosis did not go smoothly. The Western blot test performed on the patient by the epidemic prevention station resulted in negative antibodies, which did not support the clinical diagnosis. Wang Aixia thought: In the early stages of infection, patients will have low antibodies and high antigens, so they drew another 20 ml of blood. As expected, the P24 antigen was indeed very high in the test of the Academy of Preventive Medicine. The results once again supported Wang Aixia's judgment. The patient's condition quickly stabilized after active treatment. When he expressed his gratitude to Wang Aixia, Wang Aixia said, "Thank me, and persuade your partner to come to me for outpatient treatment." Now 13 years have passed, the patient has died, but his sexual partner is still alive and well. With the support of the international AIDS academic community and scientific research projects, Wang Aixia used free treatment drugs obtained from various channels for long-term use on patients who came for treatment, and most of them achieved satisfactory treatment effects. Over the years, Wang Aixia has persisted in preaching HIV/AIDS prevention and treatment knowledge and new developments in various study classes, and has trained a large number of AIDS specialists across the country. Under her initiative, Union Hospital took the lead in the country in March 2001 to carry out anti-HIV antibody testing for all patients before surgery, hemodialysis and invasive procedures. Currently, this practice has been promoted nationwide. She sent her students Li Taisheng and others abroad for training. Now Union Hospital has an AIDS academic team that impresses its peers. In this year alone, it diagnosed the first cases of AIDS combined with Guillain-Barré and multifocal leukoencephalopathy in China. cases. The "Research on Antiviral Treatment of AIDS Patients in China" led by Union Hospital has confirmed that the efficacy of domestic anti-AIDS drugs is no less than that of Europe and the United States. The Ministry of Science and Technology held a press conference to announce this major achievement.

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