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Written by: Chen Qianting
2020-04-12 14:55
Date of last update: 2020-04-12 14:55The outbreak of new pneumonia epidemic in Hong Kong has been more than three months ago. At the beginning of the outbreak, there were gaps in the city, and private doctors were no exception. Cai Jian, the former president of the Medical Association, revealed that his clinic was out of stock at that time, and he needed to line up with the nurses to buy masks for two hours, describing private doctors as "orphans without a mother's reason". The government did not help private doctors to purchase suitable protective equipment. As a result, doctors are reluctant to diagnose fever patients, and they have increased the pressure on public health care. As a result, the government recently wanted private doctors to help collect saliva samples from mild patients in the community, and some doctors were unwilling to cooperate.
As for the equipment of public hospitals, the Hospital Authority said that the supply of N95 is unclear. Lu Zhicong, director of the Hong Kong Island East Network, revealed that the N95 code model is more suitable for colleagues and needs to find replacements as soon as possible. Some hospitals are also testing masks of the same level.
Cai Jian once uploaded a photo on a social platform, saying that he was queuing to buy a mask in San Po Kong. (Cai Jian Facebook picture)
The outbreak of the new coronavirus pneumonia, the first outbreak in Wuhan, continues to spread globally. Due to the mild symptoms of some infected patients or the invisible transmission chain in the community, the Department of Health has expanded the laboratory surveillance program and called on private doctors to help collect Throat saliva samples are submitted to the government for testing.
Cai Jian, the former president of the Medical Association, mentioned on the Hong Kong and Taiwan TV program "Urban Forum" today (12th) that private doctors account for half of the total number of doctors in Hong Kong, which should help the government to do more in the fight against epidemics. Since the outbreak, private doctors have not been able to purchase basic protective equipment such as masks. Older doctors do not know how to buy online. They also need to line up with clinic nurses for two hours to buy masks when they are seventy years old. He described private doctors as "no "Ma's orphans are justified." Doctors who are unequipped have to refuse to diagnose fever patients, disguised to increase public medical pressure, so "the doctor spends time to keep sputum (deep throat saliva samples) at home."
He believes that the government should provide more guidelines to private doctors, at least let doctors know which masks are safer to buy, and should assist in the uniform distribution of masks.
Some medical care can only be combined with N95 code and urgently need to find alternatives
Public hospitals are currently facing the same problem of protection equipment supply. Lu Zhicong, director of the Hong Kong East Network of the Hospital Authority, said that some medical care can only be used with the N95 fine code model, but the supply is uncertain, and the HA needs to find a substitute of the same level as soon as possible. It was also revealed that some hospitals are testing models other than N95, but he emphasized that the safety of protective equipment cannot be compromised, and it must be compliant with the standard and passed a rigorous scientific evaluation before it can be used. He also pointed out that some colleagues had dissatisfaction when switching models, and communication with colleagues will be increased in the future.
As for the protection equipment of the second-line isolation wards, Lu Zhicong admitted that there is no isolation room in the second-line isolation wards, which is different from the first-line isolation wards, but reminded colleagues to slowly change their clothes according to the guidelines when removing protective clothing. A total of 10 patients on Hong Kong Island East have been transferred to the second-line room, and 3 of them have been discharged.
At present, no public hospitals have been infected during their work. Ma Zhongyi, chairman of the Hong Kong Public Medical Doctors Association, believes that the medical equipment in the isolation room is sufficient, but there are invisible wards or invisible patients. The problem is that the hospital has insufficient space and the wards have extra beds In addition, fever patients may not be able to deal with them in the community. These loopholes must be followed up.
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"10 + 4" quarantine is a way out of the doctors urge the government to strengthen the supervision of quarantine
In terms of quarantine, close contacts of patients who have been diagnosed are required to stay in the quarantine center for 14 days. However, due to the lack of quarantine facilities, the government implements the "10 + 4" measure. Close contacts are in the quarantine center for the first 10 days. If the situation is stable and tested If you are negative, you can go home and complete the remaining 4 days of quarantine.
Cai Jian described it as a "method out of nowhere", which can only be solved unless new places such as military camps can be opened, or hospitals can be quickly built. He pointed out that the measures must be risky, but they are also forced to accept the vacancies. Ma Zhongyi pointed out that some patients are still positive after completing the 14-day quarantine. The government needs to strengthen the monitoring of people who complete the quarantine at home. The public should also follow the rules after returning home.
Xu Shuchang, a lecturer in respiratory system at the Chinese University of Hong Kong, revealed that the median incubation period of infected patients is 4 days, and 75% of people will get sick within a week. This measure is only applicable to close contacts who are suitable for the environment at home.
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