Guolingli property

165438+1On October 27th, a warm-hearted video of "Good Neighbors of China" was screened. In the video, a 2-year-old child in the community is nucleic acid positive. In order not to drag down neighbors, parents wear protective clothing and take their children to shelters for isolation. Neighbors hurried to persuade the family to stay because the child had asthma. After the video was released, netizens commented on "moving", "full of warmth" and "support". According to reports, the incident occurred in Huigu Sunshine Community, Chaoyang District, Beijing. After the process of winning and signing a contract with the neighbors of the unit, the street now allows the parties to decide whether to go to the shelter.

165438+128, a staff member of Donghu police station in the jurisdiction told xiaoxiang morning herald that the street was responsible for the transfer of the epidemic, and the police did not know that if residents were worried about the follow-up treatment, the police could help reflect it to the community. "Of course you don't have to worry about the safety of the child. Even if you are isolated and really sick, you have to see a doctor and you won't sayno. " The staff member said.

Screenshot of live webcast video

A video of about 2 minutes shows that a man wearing protective clothing and carrying a schoolbag walked out of the unit building with a child wearing protective clothing, followed by several "big whites", ready to go to the shelter hospital. The man explained that the child had asthma. At this time, several neighbors quickly dissuaded him: "If the family can't take care of it, can the shelter take care of it?" "Take the children to the shelter? Oh, my God! " "The shelter only has basic medical care, you know? Which cabin to go to? "

Screenshot of live webcast video

After the man answered "I don't know", some neighbors said that "the cabin doesn't even have medicine, so the doctor can't take care of you with your children" and "it's too dangerous", and some neighbors said that "our community can still help you in case of emergency" and "call 120 to go to the hospital", and everyone advised the family to stay. Subsequently, the man came back with his child in his arms.

Neighbors advised these people to stay.

According to reports, this happened in the Sunshine Community of Huigu, Chaoyang District, Beijing. 165438+1October 27th, according to media reports, this matter has been followed up, and some friends in the community confirmed that at present, the street allows the parties to decide whether to go to the shelter after trying to sign a contract with their neighbors. It is also reported that the child's father said on WeChat: "At present, we are at home. The community just called us and said let us decide for ourselves. "

Network transmission picture

Another online picture shows that several community owners signed a letter of commitment downstairs in the unit. The parents of the children said in the community owner: "At present, I am at home with my children, and the police station called me. I provided three hospitalization records of children with asthma. Communication with me will consider the specific situation of children, and I believe the street will give a reasonable result. I think the group said that Unit 2 of Building 207 has been closed at present. Please pay attention to self-protection and daily disinfection. "

Network transmission picture

165438+1On October 28th, the reporter from xiaoxiang morning herald learned from the property of Huigu Sunshine Community and Guolingli Community that this did happen, but the follow-up processing results need to be consulted with donghu street Office. The reporter called the donghu street office several times, but it was not connected as of press time.

On the 28th, a staff member of Donghu Police Station told xiaoxiang morning herald that the street was responsible for epidemic transshipment, and the police did not know that if residents were worried about the follow-up treatment, the police could help reflect it to the community. "Of course you don't have to worry about the safety of the child. Even if you are isolated and really sick, you have to see a doctor and you won't sayno. " The staff member said.

The customer service staff of Beijing 12345 Citizen Hotline Service told xiaoxiang morning herald that the family isolation of positive infected people should first ensure that there are no high-risk groups among their roommates and neighbors, such as the elderly and people with acute and chronic diseases, before it can be initially determined. "They must also get the consent of the residents around the community." The customer service staff also introduced that different regions will handle it differently.

According to the report of Beijing Municipal Health and Health Commission,1from 0: 00 to 24: 00 on October 27th, 165438+ added 840 local confirmed cases, 3,048 asymptomatic infected cases, 28 local suspected cases, 34 isolated observers14 and 474 social screening personnel; There were 6 newly imported confirmed cases/kloc-0, and 23 asymptomatic infected people. 235 cases were cured and discharged, and 655 cases were asymptomatic infection.

According to the Beijing Daily, if neighbors agree, positive people can be isolated at home and not sent to shelters. Is this idea feasible at present? Dong Li, chief physician of the Department of Infectious Diseases of Beijing You 'an Hospital and medical expert of Xiaotangshan Fangcang Hospital, once said that most people are willing to observe asymptomatic infected people themselves at home. But as a doctor, I do see that some elderly people will develop serious diseases or aggravate the original basic diseases after being infected.

Therefore, there are elderly people, patients or residents who are about to take exams and have important work to deal with in the same community, which may hold different views. "If it can be accurate,' one family, one policy' and' one person, one policy' are of course the best. However, this requires professionals to evaluate the residential environment, household ventilation and water use. To ensure the safety of surrounding residents. The reality is that there is no reliable evaluation method, and many communities can't do this. The strategy of centralized isolation is based on reality. " Dong Li once said.

Xiaoxiang morning herald reporter Jiang

Extended reading

Is it feasible to isolate positive people at home and not send them to a shelter? Expert analysis

This round of epidemic in Beijing has lasted for nearly two months. Beijing Municipal Health and Health Commission reported that1October 26th, there were 3560 asymptomatic infected people, with more than 4000 newly confirmed local cases 165438+747 cases in Beijing.

The same prevention and control, why is this epidemic so complicated? What do you think of the "neighbor-positive can stay at home" initiative circulating in some communities? In COVID-19, all four deaths were minor. Is it still meaningful to vaccinate?

165438+1On October 27th, Dong Li, chief physician of the Department of Respiratory and Infectious Diseases, Beijing You 'an Hospital, explained the public's concerns in this way.

Problem 1: The same or even greater prevention and control measures have been taken. Why is the number of infected people in this round of epidemic high?

Li Dongzeng: The main strain of this epidemic in Beijing is Omicron BF.7, which is a variant of Omicron. BF.7 is too contagious. The R0 of Delta is 5-6, and that of Omicron is above 10. Omicron has stronger immune escape ability and likes to breed in the upper respiratory tract, which means that infected people can infect more cases by talking and coughing, and people around them are more susceptible to infection. Omicron has more mild symptoms and is easy to reduce vigilance.

Even compared with other mutants of Omicron, such as BA. 1, BA.2 and BA.5, which were popular in many places some time ago, BF.7 is the COVID-19 mutant with the strongest spreading ability in domestic Omicron families.

In addition, Omicron can be detoxified 1 day after infection, and the second-generation cases can appear in two or three days. Therefore, according to the previous detection frequency, some people may be missed, and when they are positive, they have already spread; Judging from the cases I personally contacted, although the infectivity has increased and the intergenerational time has been shortened, the time to turn negative after infection is still 7- 10 days, and it has not been shortened. I think these have increased the difficulty of prevention and control.

Question 2: 2: What are the characteristics of BF.7?

Li Dongzeng: BF.7 is a branch of Omicron, so it also follows the characteristics of Omicron:

First of all, the immune escape ability is very strong. Although people who have been vaccinated and infected have obtained antibodies, they may still be infected again in the face of Omicron. From a global perspective, Omicron has caused an epidemic rebound everywhere.

Secondly, the incubation period in Omicron is shorter and the transmission speed is faster. Two or three days after infection, it is contagious and the second generation of cases can appear. Once the traffic slows down, the number of people may increase rapidly.

From the pathogenicity point of view, compared with the original strain and δ, it shows more symptoms of upper respiratory tract infection, such as fever and runny nose, and a few people have digestive tract symptoms.

Question 3: If the neighbors agree, the positive people can be isolated at home and not sent to the shelter. Is this method feasible?

Li Dongzeng: For asymptomatic infected people or close contacts, most people are willing to observe at home, but they should not only consider themselves, but also their families and communities.

From the family point of view, Omicron is too contagious, so family members with old people and pregnant women must be careful; Clinically, we can see that COVID-19's influence on every family is very different. Some elderly people will become severe and critically ill after infection, and the basic diseases will be aggravated. If there are no high-risk groups at home, are there any neighbors? Do they have any concerns?

When discussing this issue, we will see two views. Some groups agree, and some residents are very concerned about when their neighbors will move out after they become full members, for fear of affecting their families.

If it can be accurate, of course, it is one policy for one family, and one policy for one person is the best. However, professionals need to evaluate the residential environment, family ventilation and water use. To ensure the safety of the surrounding area. The reality is that there is no reliable evaluation method, and many communities can't do this. The strategy of centralized isolation is based on reality. How to adjust in the future must be well planned.

Question 4: Four people have died in this round of epidemic in Beijing. What are the characteristics? Is it still meaningful to vaccinate?

Li Dongzeng: From the overall information, all the deaths have serious underlying diseases. Judging from some patients we have seen, one is that the basic disease is very serious, and the other may be that the basic disease is aggravated after COVID-19's infection.

Regarding vaccination, according to feedback from all over the world, vaccines can reduce the incidence and mortality of severe diseases. The severe mortality rate of people who have completed vaccination is significantly lower than that of those who have not been vaccinated at all.

Regarding the hesitation of vaccines, vaccines are actually very safe, including chronic diseases that many elderly people are worried about. As long as they are in a stable period of disease, they don't have to worry too much. Many elderly people have completed the whole process of intensive vaccination, and the results are very safe. At present, the epidemic situation is grim, and winter is the season of high incidence of respiratory diseases. We call on the elderly to complete intensive vaccination as soon as possible.

Question 5: How are patients of different grades treated at present?

Li Dongzeng: Asymptomatic infected people have no symptoms, so they can not be treated for the time being and do not need to take medicine. However, it is necessary to distinguish high-risk groups, such as the elderly, basic patients, immunocompromised people, long-term smokers, obese people, and people in the third trimester. They may have symptoms or even be seriously ill.

For mild cases, it is mainly symptomatic treatment, and high-risk groups will also use antiviral drugs when necessary.

For ordinary cases, many are pneumonia. If the risk of progression is high, antiviral drugs can be added on the basis of clinical treatment.