Choi and humans have been entangled for thousands of years, and the world is experiencing the seventh cholera?
Author:21st Century Economic report Time:2022.07.12
21st Century Business Herald reporter Liu Qian intern Shu Yunhan reported on July 11, Wuhan Wuchang District Health and Health Bureau issued an announcement saying that there was a case of infectious diarrhea in Wuhan University, mainly with vomiting and diarrhea, accompanied by low heat. After reviewing the provincial and cities' third -level illness and control centers, the serotism condensation test of this case is O139 positive and diagnose the cholera. At present, patients have been effectively diagnosed and treated, and their condition has been controlled, and the symptoms have disappeared.
Subsequently, Wuhan University issued an announcement saying that on July 9, the case was determined that the case was densely connected (2 people who lived in the same roommate and 1 person in the same meal), which had been transferred to the school isolation point to be separated. As of 19:36 on July 10th, a fast inspection was conducted through 264 key groups and 259 points. No new cases were found in O1 and O139 group cholera.
According to the "Prevention and Control of the People's Republic of China", the cholera is divided into class A infectious diseases, and another type of Class A infectious disease is an plague. At present, the new crown pneumonia that plagues the world is a class B infectious disease, but it is managed according to class A infectious diseases. As a result, the topic of "confirming cholera" in Wuhan University once caused widespread heated discussion.
On July 12, Professor Lu Hongzhou, a well -known domestic infectious disease expert and dean of Shenzhen Third People's Hospital, said in an interview with the 21st Century Business Herald that cholera is an acute intestinal infectious disease caused by cholera. For diarrhea, puzzle -like stool, vomiting, etc.
According to Lu Hongzhou, the cholera is mainly transmitted through dung channels. Patients with cholera are cholera, and the choleraja is expelled from the body through the patient's diarrhea, polluting water and food. After intake of foods or water contaminated by Joory Kylas, symptoms occur from 12 hours to 5 days, and the incubation period is generally 1-3 days.
"From the perspective of in recent years, drinking wild water in the wild, eating fresh seafood, and the history of personnel in the epidemic or epidemic areas are the main reasons for the recent cholera cases in China." Lu Hongzhou said that it is relatively developed in science and medicine. In the 21st century, China has established a sound and effective public health system. In recent years, there are few epidemics caused by cholera. Basically, they are basically cases. After a case, they are soon controlled.
The seventh cholene condition in the world
According to historical materials, the disease of cholera has been entangled with humans for thousands of years, especially since 1817, 7 worldwide cholera has occurred around the world.
"At present, the seventh cholera, which is currently in 1961 from Indonesia in 1961." Lu Hongzhou introduced that the World Health Organization data shows that there are 1.3 million to 4 million people in the world infected with cholera each year, and the number of diseases and deaths will be from 21,000 to 21,000 to to 143,000. "From this perspective, cholera is indeed a terrible epidemic."
As intestinal infection diseases, Lu Hongzhou introduced that the transmission of cholera is closely related to factors such as non -clean drinking water and food, hot weather, and unhygienic living environment.
Outbreak in Europe in the 19th century was due to the surge in the urban population after industrialization, but urban planning did not keep up. Due to the lack of complete launch and sewage systems in many cities, a large number of poor lives in an environment with dirty sanitary conditions, which has caused these cities to become the hardest hit areas for cholera.
"The cholera itself is not terrible. What causes death is the acute diarrhea caused by the infection of Joined. Diamonds bring severe dehydration, which brings risk of death." Lu Hongzhou described "the cholera is like a human body pumping machine and pump water out." In severe cases, there are severe, painless vomiting and diarrhea. The excrement is like rice water. At the same time, muscle pain occurs, and surrounding circulation failure and renal failure will occur in the late stage. Because a large amount of water is lost with electrolytes, patients will quickly urinate and have no urine. Symptoms such as nerve and mental symptoms (irritability, indifference, dull expression) and eyeballs, deep cheeks, dry lips, and disappearing skin disappear.
With the establishment of modern cities, the urban sewage system and drinking water disinfection system have been continuously improved and the development of medical levels has been effectively prevented in many countries. However, in some countries with incomplete public health systems, the prevention and control of cholera is still difficult.
According to CCTV news reports, on July 10, local time, Heer Mande provincial health officials in Afghanistan said that 20 people have died of cholera in the past 24 hours and 120 were infected. Last year, there was also a cholera condition in Nigeria, and a total of 31,425 suspected cases had been reported, of which 816 were killed.
Hoo choings are easy to treat domestic cases less
For China, Lu Hongzhou said that due to the establishment of a sound and effective public health system, there have been fewer and less cholera cases in recent years, and the mortality rate is very low, because the epidemic caused by cholera is also very small. "In the past 15 years, a total of 864 cholera cases have been reported nationwide, and only a case of death has occurred in 2013."
According to data previously released by the National Health and Health Commission's Disease Control and Control Bureau, 11 cases of choice reported in the country in 2020 have no death cases; in 2021, there are 5 cases of choice reported in the country, and there are no death cases.
"Chilen is a disease that is easy to treat. It is not difficult to prevent and control the choice in China." Lu Hongzhou introduced that most patients can be successfully treated through timely oral replenishment. On the first day Adult patients with dehydration. Patients with severe dehydration are in danger of shock and need to quickly obtain intravenous infusion; according to the actual situation, proper antibiotics need to be used for these patients to shorten the diarrhea time and reduce the amount and excretion time of cholera. However, Lu Hongzhou said that it is not recommended to use antibiotics on a large scale, because this has no actual effect on controlling the virus spread, and it may promote antibiotic resistance. The reporter noticed that the China Disease Prevention and Control Center has also issued reminders that as long as it is discovered early, it is not difficult to use antibiotics in time to supplement moisture and electrolyte solutions in time. It is not difficult to treat cholera.
In addition, Lu Hongzhou reminded that similar to the new crown, there are some patients infected with cholera, and there will be no symptoms. However, there will still be cholera bacteria in their feces, and they are excreted into the surrounding environment. A fast and accurate detection methods such as anal swabs can be found, isolate and treat mild and non -infected infections in time.
"In China, the food safety and water drinking system have been well guaranteed, and the infectious disease monitoring system is also perfect." Lu Hongzhou said that compared with respiratory diseases such as the new crown, digestive tract diseases such as cholera are difficult to spread on a large scale.
CCTV once filmed a documentary "A Never Stop Epidemic War", which mentioned cholera. Thanks to the world's largest infectious disease monitoring network, the network direct reporting system established in China. In August 2012, 18 cholers epidemic occurred in many provinces in the south were monitored as soon as possible.
At that time, the scientists of the China Centers for Disease Control and Prevention launched the first pathogenic identification network in my country. As a result of epidemiological survey, most of the patients with onset were turtles. Disease control staff immediately sampled the turtles on the local market, separated the pathogen in the laboratory, and uploaded sample data such as O139 infected by turtles to the database.
Finally, the reason why the cholera epidemic caused by 2012 was contaminated by the O139 group of cholera, and entered people's families through logistics, and then entered people's families. The disease -control staff found and closed the turtle pond, and also ended the epidemic from the source.
Lu Hongzhou suggested that from the perspective of preventing diseases, individuals are mainly to do good environmental sanitation and develop good eating habits, such as to wash hands, drink water, eat cooked food, etc., and put good diseases from the mouth.
Wuhan University also stated in the announcement on July 11 that summer is the high incidence of intestinal infectious diseases. At present, the school is good in order and the work is carried out normally. A series of preventive measures have been taken to protect teachers and students' health.
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