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Written by: Cui Zheng Zheng
2020-02-16 00:08
Last updated: 2020-02-16 00:36The "Wuhan pneumonia" epidemic in Hong Kong has continued and 56 cases have been confirmed so far. They have been hospitalized in 9 public hospitals. Many hospitals need to mobilize their staff to join the "Dirty Team" to take care of the diagnosed and suspected patients. FactWire found that at least 11 public hospitals do not have a "washing period". The medical staff of the Dirty Team does not need to be quarantined. Back to work in the ward, some doctors bluntly worried that once the infection became the source of the virus transmission.
Among them, Dr. Dirty Team of the Eastern District Hospital yesterday (15th) has changed the doctors. There are 4 doctors in this batch.
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As of February 13, the fax service had contacted more than 30 medical staff from 13 public hospitals. Some of them have been drawn into the Dirty Team. They will take care of patients with pneumonia in Wuhan in high-risk isolation wards for 2 to 6 weeks, but most of them The hospital did not provide a wash period for the Dirty Team after completing the work period. Among them, four Dirty Team doctors from the Eastern Hospital were dispatched yesterday. They started working in the isolation ward on February 4 and completed a change on February 15. However, the doctors returned directly to their ward after work without a wash period.
The FAX stated that at present only North District Hospital and Tuen Mun Hospital have a wash-up period for doctors. North District Hospital doctors have a two-week wash-up period, and implementation details are still under discussion. Tuen Mun Hospital doctors made their own "short-term washing period" and coordinated work that would not contact patients 7 days after the change. In order to reduce the impact of manpower, batch washing was started from the second week after the change. A doctor at Queen Elizabeth Hospital said there would be no washing period due to lack of staff. Many doctors are worried that there is no washing period before Dirty Team returns to the general ward to work, and there is a chance to spread the virus in the ward during the incubation period of Wuhan pneumonia.
Some are about to make arrangements for the medical staff of the Dirty Team. (Facsimile drawing)
In addition, the fax service found that none of the hospitals had a washing period for nurses of the Dirty Team. Numerous nurses, who asked not to be named, told the fax service that the lack of a wash-up period made medical staff feel indignant and worried because nurses have more opportunities to contact patients and have a higher risk of infection than doctors.
Some medical staff revealed that the public hospital network received instructions from the Hospital Authority at the end of last month, stating that Dirty Team medical staff did not need a washing period. According to the briefing on the work of the online frontline health care Dirty Team, it was stated that there will be no “wash-out” period required after deployment to high risk areas with full compliance to infection control measures.).
Connected public hospitals gave a briefing on the work of Dirty Team to frontline health care according to the HA's instructions. (Courtesy of Fax Agency)
Huang Renkuang, a member of Xinglin Awakening and a specialist in cardiology at Tuen Mun Hospital, points out that the medical staff are divided into Clean Team and Dirty Team because Dirty Team colleagues have been exposed to risks for a long time and always have the opportunity to be infected. Contact will have the opportunity to infect other people, so the "washing period" on the 14th is necessary, otherwise the meaning of Clean Team and Dirty Team will not be distinguished. Huang Xu pointed out: "It seems that we split the spicy soup base and the clear soup base on the side stove. The tools used on both sides will be separated. If the soup is finished, do not wash the chopsticks and then put the clear soup. After a while, the two soups will be the same. Then you don't have to call two soup bases. "
Xinglin Awakens spokesman, public hospital doctor Huang Renkuang. (Profile picture / Photo by Luo Junhao)
The facsimile agency inquired the Hospital Authority about the establishment, work details and washing period arrangements of the Dirty Team in each public hospital. The Hospital Authority responded that each public hospital would arrange medical staff on duty according to its operation. Generally speaking, the hospital will arrange the same team of personnel to focus on taking care of the confirmed patients and make rotation after a period of time.
Regarding the issue of the washing period, the HA replied that since medical staff working in isolation wards and conducting high-risk medical procedures need to wear appropriate personal protective equipment, they are not close contacts of the diagnosed patients, so no quarantine is required. isolation. According to the emergency response level, employees on duty in the high-risk area can have an extra day of vacation every two weeks. They can also apply to stay in the hospital or apply for special rental allowances, with a daily limit of 500 yuan. However, the HA did not respond to the Dirty Team medical staff in each hospital. During its duty period, did it still need to be responsible for outpatient and general ward work, and did not respond to how it would ensure that without the wash period, the Dirty Team medical staff returned Cross-infection does not occur during ward or outpatient work.
The fax agency found that at least 11 public hospitals do not have a "washing period". After the medical staff of the Dirty Team left the isolation ward and made changes, they could return to the ward to work directly. (Profile picture / Photo by Yu Junliang)
The facsimile agency reviewed the information, and the Dirty Team system established for the control of infectious diseases originated from the SARS work in 2003. In October 2003, a SARS expert committee report entitled "Learning from Experiences to Prevent Precautions" reported that SARS outbreak occurred in Ward 8A in Sha Tin Prince of Wales Hospital that year. In order to curb the spread of the disease and control the infection, the Victoria Hospital adopted one of them. The measure is to divide the medical staff into Dirty Team and Clean Team. The former is responsible for caring for SARS patients and the latter is responsible for caring for all patients without SARS. Avoid cross-infection with patients.
The SARS Expert Committee report also mentioned that of the 1,755 SARS infected patients in that year, 386 were medical staff, accounting for 22% of the total. Of these, 320 were HA staff who were infected while on duty, including 180 nurses, 62 health services assistants, 49 doctors. According to the figures of the National Health Commission of China as of February 11, a total of 1,716 medical staff nationwide were diagnosed with Wuhan pneumonia, accounting for 3.8% of the country's confirmed cases, of which 6 died.
Number of infections among health workers in SARS in 2003. (Facsimile drawing)
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