A sixty-year-old woman suffering from long-term diseases such as diabetes and kidney disease died suddenly while waiting for isolation at home. After her death, she was infected with new coronary pneumonia. The inquest on the cause of death continues today (1st). Doctor Ou Jiarong, who testified in court today, said that the nurse learned about the victim's condition that day, and saw that the victim had no symptoms, and his long-term illness was stable, and he had the ability to take care of himself. He agreed that the condition of the victim at that time was not a priority case.
Ou also said that if close contacts have long-term illnesses, they will generally be dealt with as soon as possible.
However, about a month before the incident, a dance group broke out, and the number of confirmed cases increased significantly. The center has been considering deploying staff.
The deceased Lu Shuxian (62 years old), on December 9, 2020, was sent to quarantine because the young girl Zhao Hailing who lived with her was infected with the new crown, and was listed as a close contact. She stayed alone in her apartment in Meilin Village, waiting to be admitted to the quarantine center. On December 12, he was found dead at home.
The autopsy report revealed that she died of new coronary pneumonia, which was presumed to have passed away on the 11th.
Ou Jiarong, chief doctor of the Infectious Disease Division of the Center for Health Protection, believes that according to the records of the deceased Lu Shuxian, Lui's situation at the time was not a priority case.
(Photo by Ling Ziqi)
The nurse will conduct an epidemiological investigation
Doctor Ou Jiarong testified in court today, saying that according to the epidemic prevention measures in December 2020, whenever the Department of Infectious Diseases receives a confirmed case, the nurse will conduct an epidemiological investigation by phone and follow up close contacts.
If the nurse can identify the close contacts, they will contact them in person to obtain personal information, contact history with the confirmed person, whether they have long-term illnesses, whether they have symptoms of new crown symptoms, etc.
If there are elders who are unable to understand the situation, nurses can obtain the above information through their family members or caregivers, and provide health quarantine.
Those who are asymptomatic will be provided with emergency support information
Ou Xu pointed out that if a close contact has symptoms of the new crown when the nurse conducts the investigation, it will be regarded as a suspected case and will be sent to the hospital directly; if there are no symptoms, the nurse will provide the telephone number of the nurse in the infectious disease department and the doctor on duty The paging number, or the 999 hotline should be dialed in case of an emergency.
After the nurse completes the call, he needs to fill in the visit form and the board and submit it to the health director (ie doctor) to issue the quarantine order.
After receiving the relevant documents, the staff of the special team of the quarantine center will arrange to send them to the quarantine center, and will contact the close contacts again for confirmation beforehand.
If they cannot be contacted, the task force will notify the Division of Infectious Diseases to follow up, and the Division of Infectious Diseases will contact the police if necessary.
Those who are chronically ill but able to take care of themselves will be dealt with as soon as possible
Regarding the detailed level of the telephone interview, Ou said that the nurse firstly identified whether the close contact had symptoms of the new crown, and secondly whether he had the ability to take care of himself, including: whether there was a long-term illness that made him unsuitable for admission to the quarantine center.
For example, Ou pointed out that if a patient with kidney disease needs regular kidney dialysis, and a diabetic patient cannot get injections by himself, they must be sent to the hospital.
However, if the close contact suffers from chronic diseases but has the ability to take care of himself, the department will deal with them as soon as possible.
Lu Wei's symptoms are not a priority case
Ou also pointed out that if close contacts are involved in clusters or outbreaks, and there is a chain of transmission in the community, the health director pointed out that the situation at that time is not a priority, and it will be specially marked as a priority, and ordinary cases that do not belong to the above categories will not be prioritized. Second-rate.
He believed that the nurse at the time, Kong Fengmei, judged that Lui's chronic disease was stable and able to take care of herself. He did not think that Lui should be given priority at that time, because the most important thing was to identify whether close contacts had symptoms.
If there are no symptoms at all and the ability to take care of themselves, then "there will be no priority, and I will not feel that some people should enter later and some people should enter earlier." A runny nose means that you have symptoms. At this time, you should contact the Infectious Diseases Department as Kong said when talking with Zhao earlier.
Key statements of other witnesses.
(See the picture below for details)
The quarantine center has been considering the deployment of manpower
Coroner Zhou Huizhu asked that Lui was issued a quarantine order on December 9, but due to the many evacuations during that period, resulting in a shortage of manpower, Lu Yan was finally contacted by the task force on the 13th. Did the prescription review after the incident? ?
Ou said that the number of confirmed cases has risen rapidly since mid-November, from a few dozen cases to more than 100 cases in December, so the quarantine center team has been asking for additional staff.
Some jurors were concerned, is it because of this incident that the department "made up its mind" to send additional staff all at once?
Ou said that he could not answer this question, and emphasized that the department has been deploying additional staff. However, a singing and dancing group appeared in late November, and the number of confirmed cases increased significantly. He believes that the department has the latest epidemic situation and is actively considering deploying additional staff.
At the same time, the evacuation of the building and the quarantine of the hotel must be handled
Chen Guoji, director of the task force of the quarantine center and senior operations manager, said that at the beginning of November 2020, the Department of Infectious Diseases issued about 25 quarantine orders per day, but the number had increased to more than 400 by the end of the month. At the same time, we need to deal with the work accumulated earlier, evacuate several buildings, and open a new quarantine hotel, so colleagues still have to work overtime.
Chen added that the team originally worked with 24 people. In late November, there were about 120 shifts per week, and it was able to process 200 quarantine orders per day. After that, the department added manpower three times, and it had risen to 178 shifts by mid-December. , but he said: "I will not ask for (additional manpower) today, and I will come as soon as I hear it."
Case No.: CCDI-367/2021(DK)
Chronically ill woman died from the epidemic. The Department of Health contacted twice but failed. The victim died after reading the news. The long-term sick woman died of the epidemic while waiting for isolation. Daughter alleges that no one from the Department contacted the two young people who died of the new crown. The doctor pointed out that The mortality rate of long-term patients is as high as 75%
