Shanghai old man who lined up after the epidemic lining up to take over the new crown vaccine: "One step later, it will fall" "

Participating in the community's elderly vaccine injection special session is the first reason to get out of the house after the 78 -year -old Fu Wenguan's epidemic. For more than a year, he will contact Yang Xiaoyun, a doctor of the Shanghai Xinhong Community Health Service Center every few months.

After the 80s, Yang Xiaoyun was a family doctor of the Aibo Sancun community in Xinhong Street. It was the first person to consult many elderly people in the community before vaccine.

In Shanghai in early June, some vaccination points for the vaccination of the "new crown vaccine over 60 years of age" have been opened. "The team lined up longer than a day," said an volunteer who vaccinated.

The "Popular Science and Popularization Questions and Answers" recently released by the China Disease Prevention and Prevention Center mentioned that "inoculation and enhancement of severe causal and death risk can be reduced by more than 90%... The absolute taboos of no new crown vaccine must actively vaccinate the new crown vaccine as soon as possible. "

During the epidemic, the enthusiasm of the old people's enthusiasm for vaccination suddenly rose, but not all old people in the team were ready: Yang Xiaoyun had seen in the team where the new crown vaccine injected, a 60 -year -old aunt arranged back and forth. Three or four trips, whenever you are your turn. She tightly held the informed consent of the vaccine that had not signed. Every time she met a person in a white coat, she came up and told her condition ...

I was eager to try in front of the vaccine, but it was difficult to determine. In Shanghai in May and June, such contradictions happened to many elderly people.

On May 13th, the new crown vaccine injection of the elderly in the Emperor Sancun community in Minhang District, Shanghai. Tang Lijun's picture

"Double people are here"

The old man who was originally registered for vaccination was more than 80, but the day of the vaccination came 160 old people who were vaccinated, and finally the spare injections also used it.

The first elderly vaccine on May 13th after the epidemic was lined up in the first elderly vaccine. For this grand occasion, Tang Lijun, the secretary of the community party branch, acknowledged that he was "a bit of a hunch, but it was still beyond expectations."

On May 13th, the new crown vaccine injection of the elderly in the Emperor Sancun community in Minhang District, Shanghai. Tang Lijun's picture

The Three Village of Aibo is a medium -sized community built in 2010 in Minhang District, Shanghai. There are 6,250 residents, of which the elderly population over 60 years old accounts for nearly a quarter of the elderly. From mid -to -late March this year, the sporadic epidemic occurred in the three villages of Aibo, and the number of infections reached more than 20 people. During that time, Tang Lijun would receive some community elders to call for vaccine injection every day. "I haven't hit it yet! What should I do now?" Some elderly people told the phone.

Many of the community are demolished houses. The residents were originally a nearby village, and they were also a half -acquaintance society. Perhaps because of this, the emotions of the elderly who want to get vaccines spread quickly in the community.

Yang Xiaoyun remembers that once she was sieved in nucleic acid for the residents, and a dozen uncomfortable call numbers were displayed in just one morning. The call was called by the elderly in the community. They complained that they had symptoms such as sore throat, cough, and worried that they would be infected. A aunt called Yang Xiaoyun's comfort for several days in a row, constantly telling the "suspected symptoms" that he was infected with the new crown, and asked if he was suitable for vaccination.

In early May, the epidemic in Aibo Sancun was controlled as a "prevention zone". At this time, Xinhong Street, where the community is located, is planning to vaccinate the elderly in the prevention of the prevention area. Aibo Sancun became the first community to register for the streets.

After the first vaccine time was confirmed, everything began to arrange according to the old man's habits: the building leader to notify the vaccination message a few days in advance. Click in the community public banquet hall where the air is relatively circulating, so that you can pick up the materials on the spot and place a row of row of dining chairs in the place where the queue is waiting for vaccination to facilitate the elderly to rest in line. After receiving the registration data, Tang Lijun Apply to the Street Epidemic Prevention Office: At the injection site, more vaccine injections are configured than the number of applicants -various details arrangements, which are intended to get the "care" of more elderly people on the day of vaccination.

This goal was quickly achieved at the scene. All the elderly people who signed up were present. After hearing the news, many elderly people temporarily joined the team.

Fu Wenguan was ranked in this vaccine that day, and he waited for more than an hour in the flow of people who slowly approached the section. In fact, there are only more than 20 elderly people waiting for the pre -examination in front of him, but everyone is constantly describing the details of their condition to the threshold, and some will repeatedly confirm the doctor's opinion.

Fu Wenguan can understand why the team is "slow" -everyone is determined to get vaccine, but the old man is not good in physical background, and concerns are inevitable. In fact, before the injection of the new crown vaccine, Fu Wenguan had the habit of regularly injection of some elderly people infected with disease vaccines. Before the winter comes, he will get a flu vaccine. However, he was dragged to the first new crown vaccine until now. It was because of the intensification of coronary heart disease last year, and he reinstalled the pacemaker, and his body indicators have been unstable.

Hou Yuexiu, 63 that day, was also in the team. Because she had hypertension and high blood sugar, she had no vaccine for more than a year. During this period, she has been in a state of self -closed, and she has intensified after the epidemic. She dare not go downstairs except for nucleic acid. "Where can I do this before? I have been to 15 countries after retiring, and my passport has also used several copies ..." Hou Yuexiu said that the reason why he came to vaccine was to dare to go out and walk in the future. In another elderly vaccine injection special, old Shen, who was in his 60s, claimed to be "replenishing the third needle". Originally, after seeing the information of the virus infected with the virus after seeing the injection vaccine, he did not want to strengthen the needle. But in April, his lover also infected the new coronal virus, which made him determined to make up for the last shot. Afang, who discussed the problem with Lao Shen, was a recovery of a square cabin more than a month ago. She had only a general concept of injection vaccine: "It is recommended that the infected was fought after half a year, but I still want to do it If you want to go out to play, you want to see your friends, and you will hit the third needle. "

Fu Wenguan found that many of the old people who came that day were the "difficult households" of the community's vaccine. Talking about the biggest source of motivation for these elderly people to inject vaccines, most of them mentioned several words- "after the epidemic in Shanghai".

On June 3rd, the elderly vaccine injection special waiting area of ​​the elderly in Guanchang Street, Yangpu District. Yang Shuyuan Photo

Restlessness and courage

Hou Yuexiu's daughter -in -law's daughter -in -law's daughter -in -law measured blood pressure and blood sugar: high pressure did not exceed 130, and the empty blood glucose was 5.6. She was relieved.

She signed up with a lover who was ready to inject the third needle, and her son was accompanied by the whole process. The medical staff asked her which new crown vaccine to inject, and she immediately said: "I want the safest, best, and most expensive one, and it doesn't matter."

This mentality is extremely common at the vaccine injection scene of the elderly. On June 3rd, the reporter came to the first elderly crown vaccine injection site in the first elderly vaccine in Penta Street, Yangpu District. There is an old couple in the crowd, and his wife accompanies her husband to take the second needle. Because the husband suffers from chronic diseases such as hyperlipidemia and hypertension, his wife has a history of allergic to penicillin. The two agreed that each time they hit the new crown vaccine, they were hit first, and the other one was every few days. "If two people are injected together, they are afraid that both people will have bad reactions and can't take care of each other." The aunt who accompanied her lover to get an injection explained.

A 75 -year -old aunt with diabetes was to inject the first needle. She chose to sit in a remote corner of the Guanzuan District. After hearing the doctor who asked her to drink plenty of water during injection, she took the mineral water but did not dare to pick up the mask. She kept her hands at the bottle mouth. Later, her daughter adjusted her seat in the direction of her back to the crowd, and she quickly took off her mask to drink a few sips of water. During the half -hour observation time after that, she always did not say a word to the crowd.

The concerns of the elderly are not unprecedented, and some elderly people are really not suitable for vaccination. The lady in front of Wen Guan that day was persuaded to return because of physical condition. Fu, Fu, was a little uneasy, but he still told the doctor that his chest was a little stuffy these days and had a cold symptoms. The doctor suggested that he go home to adjust first.

"I am a bit discouraged. I lined up for more than an hour. When I registered, my body was okay." Fu Wenguan hated and annoyed.

There were more than 30 elderly people who registered in the Three Village communities in Aibo, and more than 30 were persuaded to return because their physical conditions were not met. The old man who finally completed the injection was 128. After the elderly injection special, the vaccination rate of the elderly over the age of 60 was about 65%, an increase of nearly 10%.

Just before March, the new crown vaccine injection rate of the new crown vaccine over the age of 60 in Aibo San Village was still hovering at about 56% -this number is still worse than the vaccination rate of the elderly in the country and Shanghai.

On March 29, 2021, the National Health and Health Commission released the "Guide to the New Crown Virus vaccination Technical Guide (first edition)" (hereinafter referred to as the "Guide"), which mentioned that "people 60 and above are infected with the infection of the new crown virus. Personal risk of death ... From the clinical research data of Phase/IIII, the crowd vaccination is good for vaccination, and the vaccine will also have a certain protective effect on people over 60 years of age. It is recommended to vaccinate. "

The new crown vaccine injection of the elderly in the three villages of Aibo also started from then. In the whole year of last year, the community's announcement board, WeChat public account, and the WeChat group in the corridor channel will release the new crown vaccination information. Tang Lijun knows that some communities will publicize the vaccination rate in the corridor's bulletin board in order to inspire residents, especially the elderly residents, such as "the vaccination rate of the corridor is less than 70%."

Last year, after experiencing a fixed -point injection of the new crown vaccine in the four or five rounds, the vaccination rate of the elderly in the three villages of Aibo was increased a lot. Most of the elderly people who have not been vaccinated have basic diseases or they are taboo. In order to "clear the obstacles" to these elderly people, Tang Lijun and several community cadres promised that as long as the elderly wanted to vaccine, he would drive a private car to the street to designate the injection point.

"There are about 70 or eighty people who have been on my car. One -third of the people have not made up their minds in the car, so they want to find a doctor to judge it." Tang Lijun said. However, no matter how detailed the community and grass -roots medical workers were promoted by vaccination at that time, there were always elderly people who did not dare to act.

On May 13th, the new crown vaccine injection of the elderly in the Emperor Sancun community in Minhang District, Shanghai. Tang Lijun's picture

"Adverse reactions"

Few people know that in April last year, when his father took the notification from the unit from the unit, Yang Xiaoyun also signed a "disagreement". Yang Xiaoyun's concern at the time was that there were very few elderly people who vaccinated vaccines in Shanghai at that time. Although she was studying medicine, she could do her father as a daughter.

After seeing the father, his father was anxious, and immediately stated that "this is the benefit of the country to our elderly, I want to vaccinate!" Under the persistence of his father, Yang Xiaoyun accompanied him to inject the first new crown vaccine.

"I am a medical worker and the earliest group of people to inject vaccines. But this matter is put on my father, my mentality and cognition need to be changed slowly, let alone ordinary elderly people." Yang Xiaoyun thought of it from this thought of thinking Essence

Since then, Yang Xiaoyun has been more patient with the elderly's problem of vaccine in vaccination. She will pay special attention to the vaccination data of the national new crown vaccine in CCTV News Broadcasting. Sometimes she tells these numbers to the elderly who are looking for her vaccine. "Only when the elderly feel that most of the peers are injected can they have a sense of security."

Yang Xiaoyun later slowly understood the logic of the old people. In fact, the most worried things for vaccine injection were actually concentrated in the so -called "adverse reactions".

On May 13th, the vaccine injection time of the Ebot Village was not willing to sit in the stay of viewing, and directly pulled a chair to protect the doctor. The doctor asked him if he was uncomfortable. He shook his head, and then he pointed to the first aid equipment such as the defibrillation and ECG monitor next to the doctor, "I sit next to you, I have hypertension, coronary heart disease, and coronary heart disease , Now I have a vaccine. If I have any uncomfortable, you can rescue me as soon as possible. "

"After injection of the new crown vaccine, there are at least 20 elderly people who are worried about the adverse reactions." Yang Xiaoyun said that most of the elderly people who came to consult were just preventive understanding, and there was no actual adverse reaction. Body weakness.

In fact, the "Popular Science and Popularization Questions and Answers of the New Crown Vaccine Vaccine of the Elderly" has pointed out: The overall report rate of the new crown virus vaccine in the age of 60 and above is slightly lower than the report level of people under the age of 60. Most of them are general reactions. Individual recipients have severe abnormal reactions such as allergic shock, but the incidence of reports of severe abnormal reactions is less than one -millionth.

However, many elderly people still cannot be treated rationally, and even some elderly people came to ask Yang Xiaoyun: "I heard that I would get pneumonia after playing a new crown vaccine. Is this true?"

"Before the vaccine, I felt sore on my body, and the whole person was panicked. I belonged to those who were not suitable for vaccine." Hou Yuexiu described. In the second half of last year, she watched the community's partners who danced the square dance with her one by one injected a new crown vaccine. Every time I heard who injected the first needle, she had to go forward to ask, "Do you feel uncomfortable?" Almost everyone's answer was positive. She had the urge to vaccinate the vaccine several times, but she persuaded herself: "They are all healthy elderly people, I am worse than them." After the community was defined as a prevention area in May, she also wanted to go out and breath. Essence But when she thought that she hadn't vaccinated, she had to get up at 4:30 in the morning every day, and quickly went home in the empty community.

There are also elderly people who are not allowed to sudden illness after the vaccine is injected. Whether it is a adverse reaction after vaccination, do you need to stop the subsequent vaccination. The 63 -year -old Wang Haiqin (pseudonym) was infected with shingles in less than 12 hours after injection of the second needle earlier last year. During that time, Wang Haiqin, who had no basic disease, had been pondering the reason why she had to have shingles. She thought that she had a housework at that time, which was a state of overdraft. Injecting vaccines may be just inducement. Even if the closest friend came to consult her vaccine, she could not attribute this shingles to "adverse reactions". "I can only tell them truthfully, but I really dare not take the third needle again." Wang Haiqin said.

What kind of elderly people can inject vaccines? In addition to the comparison guidelines and the objective physical conditions of the elderly, Yang Xiaoyun also has another strings in his heart: during the pre -inspection before vaccination, in addition to the objective condition, some elderly people will repeatedly mention "what kind of soreness", and then accompanied by accompanied The old man's torment, she understood that the other party was not ready in her mentality. She often comforts: "Would you like to adjust his body and come again?" She knew that once the elderly had psychological resistance before the vaccine, once any physiological reactions occurred after the vaccine was injected, they would increase the consequences infinitely, but let them follow up subsequent vaccination. The psychological burden of the second and third stitches is heavier.

Yang Xiaoyun found that in order to bear less career risks, Yang Xiaoyun often added a sentence after the judgment of the elderly's inoculation or not. Will be dismissed. So for the elderly who met the injection conditions to consult, Yang Xiaoyun tried to give a clear answer as much as possible, "OK or not, it is a refreshing judgment."

On June 3, the elderly vaccine injection of the elderly in Guanchang Street, Yangpu District. Yang Shuyuan Photo

"Broast" under the standard

Beginning in April last year, Yang Xiaoyun began to frequently participate in the new crown vaccination technology training organized in the district. "At that time, the vaccination work of the elderly had just begun, and the main point of training lies in the continuous practice of the elderly's vaccination and renewing the standard of vaccination." She recalled.

Yang Xiaoyun always remembered what He Hai (a pseudonym) came to her: He pushed the wheelchair by his lover, held the Huafa pill bottle he had taken for a long time, and urgently asked himself if he could inject the new crown vaccine. 75 -year -old He Hai is a patient with coronary heart disease and cerebral infarction. It needs to take anticoagulant drugs for a long time. Yang Xiaoyun persuaded him to return to him twice: the first time was that the vaccine injection work of the elderly had not yet begun, and the second was to integrate his condition and medication. Compared with the injection guidelines at the time, he still did not meet the vaccination requirements.

But more than ten days later, Yang Xiaoyun received the updated version of the vaccine injection guide. She found that in this version of the rules, "patients with Huafalin's coronary heart disease for a long time" were drawn from the original temporarily inquired crowd. She quickly contacted He Hai and asked him to complete the first vaccine injection in June last year.

On June 3, the elderly vaccine injection of the elderly in Guanchang Street, Yangpu District. Yang Shuyuan Photo

At present, Yang Xiaoyun's main reference vaccination work manual, the "common chronic disease screening" column is clearly specified on the scope of indicators such as hypertension and diabetic patients. But whether many relatively rare patients with chronic diseases can inject vaccines still need to judge with the experience of doctors. "The most common problem is the problem of inoculation of tumor patients in the rehabilitation period. We can only determine according to individual conditions." Said a doctor at the vaccine injection site of the Pentai Street.

Wei Wei, the medical director of the Internet medical platform "Dr. Lilac", found that after the release of the national unified version of the country, many local vaccination operation guides will also be introduced. Many times, grassroots staff in the community are more cautious about treating the elderly in injection of vaccines.

"We often found behind Dr. Lilac on the article on the new crown vaccine science science. Netizens told that their parents went to get the new crown vaccine and were advised to return the doctor. Wei guess that this is related to the relatively general summary of many chronic disease judgment standards that can be injected with vaccines. For example, how should "the situation of" good recovery of chronic disease control "be defined? It is also difficult to have a unified standard.

In response to this problem, Wei Wei suggested that the standards of injection of new crown vaccines in various chronic diseases can be more operable. For example, the "Consensus on Chinese Experts for Patients with Patients with Breast Cancer" released in 2021 clarifies the problem of how breast cancer patients injected new crown vaccines during the course of the disease. "If the special disease is for each special disease, the expert group can issue a vaccine injection guide. Many old people may have a more scientific reference department." Wei Wei reminded. At the same time, Wei Wei also suggested that the relevant departments can further disclose the current adverse reaction cases after the injection of the new crown vaccine and the protection efficiency tracking after the vaccine injection. "This will make more wait -and -see elderly people act," he said.

The continuous renewal and refinement of the new crown vaccine injection standard is the confidence of the elderly to the vaccine vaccination point.

Until now, Yang Xiaoyun still has to participate in the training of grass -roots medical staff organized by the new crown vaccine organized in the district every one or two months. Her mobile phone is equipped with the "People's Good Doctor" APP, while strengthening learning and completing the learning effect test questions after training. Yang Xiaoyun remembers that in the first edition of the vaccination guidance she received in the training, there are many restrictions on the elderly. "He must be a healthy elderly person under 80, without basic diseases, and elderly people over 70 years of age need family members. Accompanying, even the indicators of white cells should not be less than much. "But these restrictions are slowly no longer rigid regulations in later training.

At the end of May, Mr. Fu received the news that the community would carry out the second special vaccine injection for the elderly. After the cold was cured, he signed up again. "This time it really fell without playing." There were more than a dozen elderly people in the building where Fu Wenguan was located without injection of the vaccine. This time, several of them also signed up for the first step. This vaccine injection of Tang Lijun received a total of 100 elderly registration information. Special vaccination in the elderly like Aibo Sancun has recently been every 10 to 15 days.

In June in Shanghai before the summer, Hou Yuexiu, who had been vaccinated, went to the community around the community in the evening, and Fu Wenguan was still waiting for a smooth new crown vaccine injection.

Liberation Daily · Shangguan News Original manuscript, reprinting without permission

Author: Yang Shuyuan

WeChat editor: nano

School pair: 咚

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