According to the Lanzhou Daily, the reporter learned from the H7N9 epidemic prevention and control work conference held on the 25th that since April, the province has successively held Ganzhou, Shandan, Zhangzhou, Yumen, Guazhou and Zhangye cities in Jiuquan city. The H7N9 virus was detected in the routine surveillance of urban and rural areas outside Gaotai County. Currently, 3 cases of H7N9 infection have been diagnosed. According to external environmental monitoring results, experts have determined that there may be continued human cases of H7N9 infection in Gansu Province, and Jiuquan City The risk is higher in Zhangye City and other areas cannot rule out the possibility of a case.

The provincial party committee and the provincial government have attached great importance to the prevention and control of the epidemic and have held several meetings to arrange the deployment. On the 25th, the Provincial Health and Family Planning Commission, the Provincial Department of Agriculture and Animal Husbandry, the Provincial Administration for Industry and Commerce, and the Provincial Food and Drug Administration jointly issued the “Notice on Further Strengthening the Prevention and Control of H7N9 Epidemic Situation”, requiring relevant departments to analyze the situation of H7N9 prevention and control in depth. , In accordance with their respective responsibilities, to cooperate closely, strengthen information communication and epidemic briefings, especially the health family planning and farming and animal husbandry departments should promptly report the monitoring results and work together to prevent and control the epidemic.

3 cases diagnosed

The specific cases of 3 cases diagnosed in our province are as follows: On April 7, the first case of H7N9 in our province was diagnosed in Suzhou District, Jiuquan City. The patient was exposed to live poultry stores several times before onset and was discharged on April 18. On April 19th, Ganzhou District of Zhangye City reported one confirmed case. A 43-year-old woman was engaged in hot-skin washing, plucking and slaughter of live chickens in hot chicken shops. He is now hospitalized and is in stable condition. Before the onset of the disease, the patient had been working in a hot chicken restaurant and was exposed to live poultry for a long time. The CDC of Ganzhou District collected environmental samples from the store on April 16 and detected the H7N9 virus. On April 22, a confirmed case was reported in Guazhou County, Jiuquan City. Female, 47 years old, went to her husband’s operating poultry sales shop for help within 10 days before the onset of illness. There was no medical consultation on April 11th, April 17. After the illness became serious, she was treated in a private clinic. On April 20, the condition was aggravated and transferred to the Yumen City People's Hospital for treatment. He was diagnosed as a suspected H7N9 case and tested positive for the H7N9 virus. On April 21, the patient was transferred to Jiuquan People’s Hospital for isolation treatment. The condition was critical and multiple organ failure occurred. He is currently actively treating the patient.

Ensure the full coverage of environmental monitoring outside the main city

Since the beginning of this year, the number of H7N9 reported cases, the number of deaths, and the spread of the epidemic have continued to increase. In April, six counties and municipalities in two cities in our province detected H7N9 virus in the routine monitoring of the external environment. Three cases of human infection with H7N9 were diagnosed and the epidemic prevention and control work entered a new phase.

The notice requires that all localities further strengthen H7N9 monitoring and risk assessment, and in particular monitor the environment outside the live poultry market in the main city of H7N9 to ensure the full coverage of the external environmental monitoring in the main city. The health and family planning department should strengthen the monitoring of cases of influenza and unexplained cases of pneumonia. The collected samples shall be collected and examined immediately, and the test results shall be promptly reported. The agricultural and animal husbandry departments must carry out H7N9 monitoring on key areas such as large-scale breeding farms, live-bird market, fixed-point slaughterhouses, and farmer's backyard breeding sites across the province. When the birds and environmental H7N9-positive samples are found, effective measures are taken to prevent the spread of the disease. The industrial and commercial departments should strengthen the supervision of the live poultry market, do a good job in the standardized management of live poultry distribution points, and do their best to reduce the risk of virus transmission to humans. The food and drug supervision departments must strengthen the supervision and inspection of food safety in the food service sector and do a good job of prevention and treatment supervision. After the occurrence of human cases of H7N9 infection, the health and family planning departments of all localities must actively take the lead and coordinate the relevant units to carry out their work.

Put the lives of the patients in the first place

According to the notification, all localities must give priority to saving the lives of H7N9 patients. Medical and health institutions at all levels must standardize fever clinics, and ask patients with fever and respiratory symptoms to have a history of epidemiology, especially poultry exposure or live bird market exposure. For highly suspected cases, respiratory samples should be collected in time, especially for lower respiratory tract samples for H7N9 virus nucleic acid detection. Once suspicious cases are found, information should be reported promptly and antiviral drugs should be given at the same time. All localities must designate H7N9 cases to be designated to treat the hospital and one-on-one treatment for severe cases. It is necessary to implement relevant policies for the “first visit and subsequent charges” for medical treatment of patients, and resolutely put an end to the problems caused by expenses affecting treatment. All cases of H7N9 confirmed by the provincial Health and Family Planning Commission organization of clinical, disease control and other experts based on clinical manifestations of patients, epidemiological investigations and laboratory test results comprehensive judgments.

Do not sell poultry in the live poultry market

The notice requires that according to the changes in the epidemic situation, adjust measures to local conditions and implement one-site measures, timely and effective measures should be taken to strengthen the prevention and control of the source. In regions where the H7N9 virus is positive or where H7N9 cases are detected in the live poultry market, the live poultry market in the main city is immediately closed, and the closed live poultry market must undergo strict cleaning and disinfection. The H7N9 virus-positive live poultry business site was detected, and the live poultry were promptly culled and detoxified. Strengthen the control of the transfer of live poultry to the outside world, and limit the transfer of live poultry that has not been qualified for veterinary inspection. The live poultry market promoters shall fully implement the responsibility for food safety management, establish archives of live poultry sellers, check and retain copies of the social credit code or ID card of the live poultry seller, and check the animal quarantine for live poultry sold on the market. Qualifications, etc. Live poultry sellers must implement the main responsibility for food safety, establish a live poultry inspection and record system, and prohibit the sale of live poultry that fail to comply with the regulations for quarantine or quarantine. Business, food and drug administration and other departments must firmly ban and close live poultry stores that do not meet the market standards for live poultry trade. Do not sell poultry in the live poultry market. All live poultry markets must strictly implement the clean-up on a daily basis, disinfected on a weekly basis, be closed on January 1, and be kept overnight.

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