Zeng Guang: Why make fall down into Germany's epidemic situation was traced " The trap "

Zeng Guang: Why make fall down into Germany's epidemic situation was traced " The trap "
Zeng Guang: Why make fall down into Germany's epidemic situation was traced " The trap "
Staff reporter Zheng dexterous On June 10, many persons in charge of responsible institutions of Germany announce, confirm the bean sprouts dish is infection sources causing this enterorrhagia Escherichia coli epidemic situation of Germany, and claim to remove the edible alarm to the cucumber, tomato, romaine lettuce at the same time. However, several over the past ten dayses epidemic situation arch-criminal has asserted already after a lot of repetition, this time a sound of orders of lifting a ban, can make people right to be called before this " Suspect " Vegetables rest assured? Expert's once mere professor called chief epidemiology in Center for Disease Prevention and Control of China when being interviewed by staff reporter a few days ago, Germany releases in this epidemic situation in succession and infects the wrong information of the source, influences the public trust of government's management. Its lesson, is worth all countries' keeping in mind. The incident is returned " suspected real murderer " Alter, it is reported the intersection of Germany and enterorrhagia the intersection of Escherichia coli and epidemic situation break out at the beginning of mid-May ceaselessly, infect pursuing to raise the curtain promptly in work of the source. Soon, the federal organization of Germany announces, tomato, cucumber, romaine lettuce,etc. are closely related with having illness coming on with the patient, and warn people not to be raw and eat these vegetables. On May 26, the German hamburger hygiene research institute announced, found O104 on the cucumber that Spain imported: Escherichia coli of Model H4. Then, it is known as " poisonously " that Spain imports cucumbers The cucumber, has become the epidemic situation arch-criminal who everybody fears. May 31, officer, hygiene of Hamburg, announce again, Spain import cucumbers although detection Escherichia coli, but not the chief culprit of this epidemic situation. On June 4, German media invokes the news from expert of one hertz of research institutes of Robert department under the jurisdiction of this country Ministry of Public Health, suspect spearhead point to Hamburg in from May 6 to 8 a annual celebration run in the daytime, infecting the source to the epidemic situation makes new advances to infer. On June 5, Germany's lower Saxony state officer's declaration, the preliminary testing result is found, of bean sprouts which enterprises produce in this state will be probably epidemic situation sources, appealing for the consumers of the north of Germany does not need the edible bean sprouts products. On June 6, this state Ministry of Agriculture announces, examined 23 samples of this enterprise in the German laboratory of health and epidemic prevention department, the result has not found that cause the germ of the epidemic situation. On June 8, the cucumber becomes " suspects " once again . The same day, declaration of lower Saxony - Ann Harte state Ministry of Public Health of Germany, find enterorrhagia Escherichia coli O104 while checking to the cucumber in the garbage bin of a family of Magdeburg in Capital this state: H4. On June 10, one hertz of research institutes of national Robert department of Center for Disease Prevention and Control of Germany announces, confirm beans and bean sprouts products that that suspicious enterprise of lower Saxony state produces are germ sources of the epidemic situation. Incident analysis Reply, enter by mistake right away while being at the beginning of " The trap " It is analyzed that the epidemic situation of this German running fire infects the wrong information of the source, has only pointed out, basic reason its that trace epidemic situation infect source work and fall into " trap " at the beginning . In the face of the epidemic situation proruption of the unidentified reason, find out that tracks down the epidemic situation to infect the source, need epidemiology, aetiology, three respect experts of clinical medicine to make up the job group together, cooperate each other. Most primary one is to launch on-the-spot epidemiology rapidly to investigate, the professional personnel of epidemiology will enter the scene as soon as possible. Laboratory measure, infect a component in source track down just, but does not infect the source and track down all of the work definitely. Zeng Guang says, ignores on-the-spot epidemiology to investigate and assess and analyze with the epidemic situation epidemiology state, value laboratory, measure result one-sided only, crisis easy to make mistake reply, in public health. In fact, the pathogen detected in laboratory might not be the pathogen which initiate the epidemic situation, but need to presume the epidemiology investigation result of the control group is proved. Based on leaving the epidemiology investigation, only measure the result in the laboratory of voucher one, can't trace to the source and draw a conclusion to the epidemic situation. Otherwise, will possibly fall into " trap " . Zeng Guang says, if fail to catch the epidemic situation arch-criminal on the initial stage of breaking out in epidemic situation, as the epidemic situation is propagated and spread, will become more and more complicated to infect source and spread chain. And the epidemic situation, travel stage of spreading in initial stage its, it infect source search and prevention and control should different in countermeasure. The present epidemic situation is replied, not only should continue strengthening and monitoring but also should expand the range monitored. Incident brief on break down epidemic situation, propagate the most key latest epidemic situation report to reveal rapidly, the epidemic situation which German Escherichia coli initiated has already caused 33 deaths at present, nearly 3100 people are ill. Zeng Guang says, infectious disease has 3 basic links prevailingly: Infect source, spread route, more easily infected group. Lack any link among them, infectious disease will all be blocked while prevailing. In view of the above, in the face of the epidemic situation proruption of this infectious disease, under infecting the unidentified situation of the source, the government should implement the measure of intestinal infectious disease generality prevention and control effectively in time, instruct the masses how to prevent " Disease goes in by the mouth " ,Cut off the spread of the epidemic situation rapidly. Mistakes made reflect in this epidemic situation, ones that have influenced to epidemic situation are controlled effectively in Germany, also make it suffer enormous losses in economy. In the face of the proruption of great epidemic situation, need to disclose information to the society in time, but it is open and clear to never mean pursuing information for being one-sided, it is eager to play the final conclusion to infectious disease and source in cases the fact is unclear. Zeng Guang says, announces to the masses information must be scientific, should be functioned as the authority to release in unison by the government. Otherwise, will influence the government to exercise the public trust of the management function of the public health. Have only thought, promote and happen suddenly the emergency ability of the public health event, it is nowadays common subject that the countries all over the world face. This time Germany deals with the lesson of the epidemic situation, deals with and warns function on the public health event of our country too.


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