It is understood that the fever with thrombocytopenia syndrome found in Henan mainly occurred in May-August, and the onset age was mostly 40-70 years old. The main features of the disease are fever with leukopenia, thrombocytopenia and multiple organ dysfunction. The incubation period is 1-2 weeks, most of which are acute onset and persistent high fever, which can reach above 40 degrees Celsius. Its clinical manifestations are general malaise, fatigue, headache, muscle aches, nausea, vomiting, anorexia and diarrhea. May be accompanied by heart, liver, kidney and other organ dysfunction.
Friendly Reminder
● Insect control Because ticks mainly inhabit grasslands and forests, it is best to spray mosquito repellent on bare skin when going out to play, and try to avoid sitting and lying in the wild for a long time. Pay attention to personal protection and wear tight, light-colored and smooth long-sleeved clothes. Ticks often attach to the scalp, waist, armpit, groin, ankle and other parts of the human body.
● If you find ticks attached to your body, you should immediately remove them with tweezers and other tools. Because the liquid on the tick body or the damaged skin may contain infectious pathogens, do not take out the tick directly by hand or crush it with your fingers.
Treatment: early detection is the key
According to experts, it is necessary to pay close attention to whether platelets drop after a fever, and delay in treatment will lead to complications.
In 2007, Henan Provincial Center for Disease Control and Prevention received 3 cases of difficult cases reported by Xinyang. All three patients had high fever of unknown cause, accompanied by serious gastrointestinal diseases. After testing, their platelets and white blood cells have been significantly reduced.
This exposes the management problems of the current medical system, and also shows that basic health and epidemic prevention and medical foundation are too weak. Now, the tragedy has happened, and how to make up for it better must obviously be put on the agenda of the government's epidemic prevention and control as soon as possible.
This summer, many people died after being bitten by a bug called tick, which caused panic among the villagers. The main reason is that most patients are misdiagnosed during the treatment, and many dead people go to the village doctor first when they get sick, and they are all diagnosed as common cold. The Information Office of the Health Department of Henan Province announced on the evening of the 8th that as of September 8th, 20 10, 557 cases of this syndrome had been found in Henan Province, with 18 deaths, mainly distributed in Shangcheng County, Shihe District, Guangshan County and Pingqiao District of Xinyang City.
Mites can spread "phagocytic anaplasma" and reduce platelets and white blood cells. The industry calls this disease "anaplasmosis". Although the pathogen and transmission route of "suspected anaplasmosis" are not fully understood at present, the disease can be completely cured as long as it is diagnosed accurately and treated properly. However, why do small ticks take many lives? And this is not a "strange disease", the cause and treatment are very simple.
According to the report, "suspected anaplasmosis" appeared as early as 2007, and the Ministry of Health also issued the "Technical Guide for Prevention and Control of Human Granulocytic anaplasmosis (Trial)" in February 2008. On May 24th this year, the National Center for Disease Control and Prevention also sent personnel to the local area to train doctors and township leaders. It can be seen that although primary medical staff have received training on the disease, some primary medical staff have not followed the guidelines, resulting in misdiagnosis and mistreatment, or delayed treatment. Of course, it does not rule out that individual doctors deliberately misdiagnose, such as giving saline before diagnosis and treatment, in order to gain more benefits.
This exposes the management problems of the current medical system, and also shows that basic health and epidemic prevention and medical foundation are too weak. Specifically, after training primary doctors, the superior medical department did not take further measures to make the training work really play a role. The original intention of the training is to let grassroots doctors acquire the knowledge and methods of scientific diagnosis and treatment of diseases, and on this basis, urge grassroots doctors to treat patients according to the training guidelines.
Whether doctors at the grass-roots level practice medicine according to the training methods cannot be allowed to drift, and supervision must be strengthened. Obviously, in this link, the relevant authorities have not fulfilled all their responsibilities. As a result, some village doctors misdiagnosed or deliberately delayed the patient's illness for various reasons, so that after the problem occurred, the local management department used "maintaining stability" to cover up the responsibility of improper management. If a stable physical examination system can be established, local medical administrative departments or CDC can regularly check the specific implementation of grassroots doctors, especially when major diseases are prevalent, we can correct and prevent doctors' mistakes in advance. This is a system reorganization in advance.
In addition, it needs to be recognized that on the issue of public health and epidemic prevention, we should not only rely on the weak township medical personnel and facilities, but must first strengthen the government's epidemic prevention, immunization and diagnosis and treatment. The phenomenon that ticks claimed many lives shows that due to the weak health and epidemic prevention and medical foundation at the grassroots level, the former is actually unable to even delay the prevention and control of the epidemic. Now that the tragedy has happened, it is obviously necessary to put it on the government's epidemic prevention and control agenda as soon as possible and do our best to avoid the next tragedy.