Chapter 74: Three Distributions

Li Bai glanced at Lin Xiaoxiao before he began to talk into his mobile phone, "First, what are the detailed clinical symptoms of the patient? Second, the patient's onset time, population and regional distribution; third, the patient's relevant laboratory tests and results; fourth, the treatment methods and effects that have been taken; fifth, whether there is an increase in similar cases in other medical institutions in the jurisdiction; and sixth, how much do you know about the situation of the transmission tower?"

Li Bai asked 6 questions in a row, Lin Xiaoxiao felt that the other party should not be able to remember so many questions, Li Bai might need to ask them one by one, but after he asked so continuously, he should have told her to listen.

Sure enough, there was silence on the other end of the phone, and Li Bai started to ask from the first question.

"What is the patient's clinical presentation?"

"Well, the main symptom is fever, and there are many other symptoms, such as red throat, joint pain, flushing of the face, cough, headache, muscle pain, runny nose, red eyes, etc. ”

"Time of onset of the patient......"

Before Li Bai finished asking, the person on the other end of the phone was a little unbearable, "Director Li, call today, I just told you that there is such a situation, and I haven't had time to sort out other specific information, why don't we talk about it again next Monday?"

"Okay, next Monday, we will go to the Xincun community of Wanjiang Street to verify, and I hope that the prevention and protection department of your hospital can also send someone to go over. ”

Hanging up the phone, Li Bai asked Lin Xiaoxiao, "Did you hear clearly just now?"

"Well, it's very clear, and I understand it, if I receive a report of the epidemic in the future, I have to understand the situation from these aspects. ”

"Yes, your understanding has always been good. Li Bai approved.

"Team Lee, I still have a question. Lin Xiaoxiao changed the title of Li Bai from Director Li to Team Li.

Li Bai is the director of the emergency office and the leader of the emergency team, so it is reasonable to call Team Li.

"What's the problem?" Li Bai did not reject this title, if he wanted Lin Xiaoxiao to call him by his name, it seemed that it would take a process, and the current relationship between the two was not enough for her to call him by the title of her peers.

"Don't we really need to be on the scene now?"

"No, the people from the prevention and protection department of Wan'an Hospital made a private call because they were not sure whether the increase in fever patients was an outbreak, and if they confirmed, they would report it to the epidemic system network. If we receive an online report, we need to rush to the scene immediately to continue the investigation, but during this period, it is best for us to check the basic situation in the jurisdiction of Wan'an Hospital. ”

In the afternoon of the same day, Li Bai drove Lin Xiaoxiao's roommates back to school, and after that, the two returned to the emergency office.

Before going to the scene to investigate, the emergency response team should understand the basic situation of the jurisdiction of Wan'an Hospital.

Through the review of the data, the two found that there are 13 resident groups under the Xincun community of Wan'an Street, with a residential area of about 3.5 square kilometers and a permanent population of 11,000, of which about 8,000 are registered residents.

The community has a public Xincun Community Health Service Station and a private Xincun Hospital, of which there are two doctors at the Xincun Community Service Station, and the doctor who contacted Wan'an Hospital is one of the male doctors.

After sorting out the information, it was still early, and Li Bai didn't seem to be worried about the increase in fever patients.

Lin Xiaoxiao was dealing with this kind of fever patient incident for the first time, and she was faintly excited in her heart, "Team Li, what do you think will be the reason for the increase in fever patients this time? Could it be the flu?"

"We have two flu epidemic peaks in Yunhai City, winter, spring and summer and autumn, and now it is summer, and influenza epidemics are also possible. ”

No wonder Li Bai didn't look worried, it turned out that it might be the flu.

The flu is one of the most common viral epidemics, and if it's the flu, there's really no need to worry too much.

Li Bai suddenly said, "Influenza is our routine monitoring work, and recent influenza monitoring has shown that there has not been a large-scale influenza epidemic in Yunhai City, so this increase in fever patients may not be the flu." ”

Hey?

Isn't it the flu?

What would that be?

Lin Xiaoxiao's eyes asked, but Li Bai asked rhetorically, "It's summer now, what other viral diseases can cause people to have fever in the summer of our Yunhai City?"

gave her exam questions again, and Lin Xiaoxiao carefully recalled the knowledge she had learned in school.

"In addition to the flu, it could be dengue, leptospirosis, epidemic hemorrhagic fever, rubella, measles, and other ...... It can also be a radiation-related illness. ”

The prevention and protection doctor mentioned the radiation tower on the phone, so Lin Xiaoxiao also thought about radiation-related diseases.

"Well, I think about it quite comprehensively, and I have thought of several viral diseases that were common in Yunhai City before, but it may also be that foreign viral diseases have caused local transmission through imported cases. ”

"Ah, the odds of that should be low, right? If that's the case, it's a big deal!"

Li Bai: "So the smaller the chance, the greater the severity." ”

——

Monday.

Yunhai Center for Disease Control and Prevention, Emergency Office.

Li Bai was assigning the task of on-site verification to the members of the emergency team for a while.

"We went to the scene to verify the epidemic first, and the main purpose was as follows: first, to verify whether there was an outbreak or anomaly, second, to preliminarily determine the nature, scope and possible causes of the incident, and third, to propose preliminary response measures for each person. ”

Li Baiti's request was very specific, and several people began to act.

——

Xincun Community Health Service Station.

The Municipal Disease Control and Emergency Response Team and the professional and technical personnel of the Prevention and Protection Department of Wan'an Hospital rushed here for verification.

There are two doctors at the health service, and the female doctor is the one who reported an unusual increase in fever patients to Wan'an Hospital.

Through questioning, it was found that she had an outpatient diary, but it was not filled out properly.

Another male doctor did not have an outpatient diary.

Both doctors reported that they had recently treated patients with fever, and most of the patients were residents of the Xincun community, and the clinical manifestations were mainly fever, red throat, and very few rashes.

Female doctor: "We receive a fever patient, as long as the patient's body temperature is greater than 38 °C, the patient will be routinely given antipyretics, usually aminopyrine, analgin or bupleurum all the prescriptions are well kept. ”

According to this clue, Li Bai asked the emergency team to check the outpatient logs of female doctors and the prescriptions of male doctors since the beginning of the month, as well as the number of prescriptions of fever reducers containing any one of aminopyrine, analgin, and bupleurum as the basis for counting fever cases as the basis for counting fever cases.

Soon, the emergency team investigated the case clearly, and found that there were 43 cases of fever with a body temperature greater than 38 °C in the Xincun community since the beginning of the month, and the clinical manifestations of the cases were mainly fever, red throat, and joint pain.

Li Bai further analyzed the medical record information and made three distribution maps.

Each member of the emergency team stared at the distribution map of the three rooms, waiting for Li Bai's next instructions.