Insistence on Prevention and Treatment...2020/03/18 · 湖北省卫生健康委员会 Health Commission of Hubei Province The number of low-risk districts is 45, increasing from

Insistence on Prevention and Treatment

--Hubei's Combat against COVID-19 Outbreak

Mr. LIU Dongru

Health Commission of Hubei Province

March 12, 2020

湖北省卫生健康委员会 Health Commission of Hubei Province

Major Measures

To fully prevent and contain the epidemic and

follow the principle of “four earlys”

To fully treat and cure patients and follow the

principles of “four concentrations”

To fully construct the closed cycles of information

and work

To fully build epidemic-free communities and

residential compounds

湖北省卫生健康委员会 Health Commission of Hubei Province0

20

40

60

80

100

120

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

1/1

1/2

1/3

1/4

1/5

1/6

1/7

1/8

1/9

1/10

1/11

1/12

1/13

1/14

1/15

1/16

1/17

1/18

1/19

1/20

1/21

1/22

1/23

1/24

1/25

1/26

1/27

1/28

1/29

1/30

1/31

2/1

2/2

2/3

2/4

2/5

2/6

2/7

2/8

2/9

2/10

2/11

2/12

2/13

2/14

2/15

2/16

2/17

2/18

2/19

2/20

2/21

2/22

2/23

2/24

2/25

2/26

2/27

2/28

2/29

3/1

3/2

3/3

3/4

3/5

3/6

3/7

发病率（

1

/

1

0

万）

病例数

发病日期

新增

发病率

The epidemic situation in Hubei province continues to improve.

As of March 11, daily reported confirmed cases in Wuhan are under

20 for 5 straight days, and 0 reported cases in other cities for 7

straight days. The day of March 11 reported 8 confirmed cases.

Case Number

Attack Rate

1/100 thousand

Date

New Cases

Attack Rate


The number of low-risk districts is 45, increasing from 11

in late February.

Low and medium-risk districts account for 84 percent of

all districts.


“Three full

coverages”

• Screening

• Sealing residential complexes

• Control of public places

“Two closed

cycles”

• Data information

• Admission and treatment

“Four

ensures”

• Ensure every suspected

case is quarantined

• Ensure every confirmed

case is hospitalized

• Ensure everyone needs to

be tested could be tested

• Ensure every patient is

attended to

Two key procedures:

Prevention&Containment

Treatment&Medical rescue


Prevention and containment in full force on the principle of “four earlys”

Prevention & Containment

Community control

screening

Epidemiological survey

Nucleic acid testing

Centralized treatment of

different categories of people

“Four earlys”

Early detection

Early report

Early quarantine

Early treatment


24/7 self-isolation

management

villages

communities

residential

compounds

settlements


Individual-based

comprehensive check

and screening

Asymptomatic

cases

Suspected

cases

Confirmed

cases

Close

contacts


Epidemiological

survey

Activities

Disease control

and prevention

Close

contacts

Community

Trail management of 274790 people

Case investigation of 67781 person


Nucleic acid testing for all the "four categories of people”.

An accumulated total of 1,215,690 people were tested in Hubei province.

"four categories of people ”receive different levels of centralized treatment: all confirmed cased are centralized admitted; all suspected case are centralized treated; all patients with fever are centralized isolated for observation; and all close contacts are centralized quarantined for observation.


Treatment and medical rescue with full efforts on the principle of “four concentrations”

Treatment

To build hospitals and increase

hospital beds

To coordinate resources

To save serious and critical

patients

To prevent mild patients from

turning into severe patients

four concentrations

To concentrate patients

To concentrate experts

To concentrate resources

To concentrate treatment


To build hospitals

and increase

hospital beds

238

designated

hospitals

16

temporary

hospitals

91143

hospital beds

3920

isolated

sites


resource

coordination

Medical teams

supporting Hubei

Respirators

ECMO

Other medical

equipment

A total of 395 batches of medical teams and 42,821 medical personnel are

dispatched to Hubei Province, mainly supporting the key area of Wuhan, helping

other cities and counties at the same time.


Severe

patients

treatment

Academician team

medical tour

Pairing-support

from specific

hospitals to

departments

Pairing-support

from specific

provinces to

departments

Individualized

treatment

schedule

Severe patients are concentrated in top comprehensive

hospitals, with about 9,000 beds open for them.


Prevent mild condition from

turning into severe condition

TCM

Isolated

sites

Temporary

hospitals

To make full use of TCM and promote the three agreed prescriptions

The usage rate of TＣＭ exceeds 99.93% in temporary hospitals


To fully construct the closed cycles of information and work

Information and work flow chart

Info closed cycle: setting up a three-member

working group of party member, police officier

and medical personnel

work closed cycle: centering on the four links of

screening, transferring, admission, and treatment


To proactively build epidemic-free communities

135，9.6% 3021，42.5% 1350，69.5%

epidemic-free communities

as of 18:00, Mar. 8

epidemic-free residential

compounds

as of 16:00, Mar. 8

epidemic-free villages

as of 16:00, Mar. 8.


Thanks for listening

Documents

Insistence on Prevention and Treatment...2020/03/18 · 湖北省卫生健康委员会 Health Commission of Hubei Province The number of low-risk districts is 45, increasing from