Yunhai Center for Disease Control and Prevention, Emergency Office.

Five members of the emergency response team, plus four new interns, are busy in the emergency office.

Lin Xiaoxiao took the initiative to ask a few regular employees if they needed help.

Li Bai arranged a job for her to sort out the flow information of the past years.

In fact, every time there is an epidemic, the flow data will be sorted out and filed in a timely manner, and Li Bai turned the information out and asked Lin Xiaoxiao to reorganize it, which is also a process that makes her familiar.

Lin Xiao carefully comprehended, guarding a large pile of materials on the conference table and carefully sorting them out.

Three other interns joined in.

After sorting out for more than half an hour, the sanitizing department called to borrow someone.

Because the disease control is recently guiding the city-wide winter three-pest elimination operation, the sanitizing department is seriously understaffed, knowing that there are interns in each department on rotation, so I want to seconded interns.

Li Bai agreed, and the two intern boys were sent to help in the sanitizing department.

After being busy for a while, Yang Yufeng whispered there, "It's so boring to sort out the information." ”

Lin Xiaoxiao didn't react, and continued to bow her head to tidy up, and seemed to watch it with relish.

Yang Yufeng leaned over to Lin Xiaoxiao's side, "Xiaoxiao, you work so hard, you don't want to stay and work, right?"

"yes, I'm going to apply for the CDC. Lin Xiaoxiao does not hide his professional ideals at all.

Yang Yufeng happily gave her a thumbs up, "Okay, then you can sort out all these materials and lay the foundation for your future work, I plan to take the civil service exam, so I will quietly read the book of civil servants." ”

"You can read the book openly, the director didn't ask when these materials must be sorted out, nor did he ask all of us to come and sort out these materials, this job was requested by me on my own initiative, it doesn't matter if you don't do it. ”

Yang Yufeng quietly took out the book for the civil service exam and began to read it, and the office phone on Li Bai's desk suddenly rang.

The phone was connected, and Lin Xiaoxiao pricked up his ears to hear Li Bai's voice, "Arsenic poisoning?" Is it diagnosed?...... How many people...... Okay, I'll check it out on the pandemic website and I'll get back in touch later. ”

The ears of several other members of the emergency response team were sharper than Lin Xiaoxiao, and as soon as Li Bai hung up the phone, Yu Fei asked, "Boss, there is another epidemic?"

"Log on to the pandemic network, there is specific information on it. ”

Each member of the emergency response team has a computer and an account on the pandemic, and the new interns have computers but no accounts.

Lin Xiaoxiao wanted to know what was going on, and immediately leaned next to Li Bai, but he didn't dare to get too close, kept a distance, and tilted his head to stare at Li Bai's computer interface.

Li Bai noticed Lin Xiaoxiao's actions and didn't stop them, and his body seemed to be tilted to the side, revealing the entire computer screen for Lin Xiaoxiao to see.

Lin Xiaoxiao was already smart, and when she noticed Li Bai's attitude, she happily moved forward again.

When I opened the interface of the epidemic network, a message popped up.

Reporting unit: Fenghuang County People's Hospital

Patient Name: Jianguo Li

Gender: Male

Age: 44

Address: Fenghuang Village, Fenghuang County, Yunhai City

Pre-admission symptoms: itchy skin all over the body, maculopapular rash, headache, nosebleeds, chest tightness, cough, Michaelis line on the nails

Post-hospitalization physical examination: chest x-ray showed diffuse opacities in the lungs, impaired lung ventilation, normal blood count, normal liver function, and a urine arsenic level of 15.71 micromoles per liter.

Diagnosis: arsenic poisoning

Epidemiological history: unknown

There were three patients with similar symptoms, of which Zhang Cui was Li Jianguo's wife, and the other two patients, Li Dazhuang and Li Yiming, also lived in Fenghuang Village.

Lin Xiaoxiao's first reaction after reading the information was that several patients lived in Fenghuang Village, could it be that some grievances led to the poisoning incident?

If it was really poisoned, it should be under the control of the police department.

If it wasn't poisoning, what would be the cause of the poisoning? And this time it's a cluster, and the CDC should take care of it.

Several other members of the emergency response team have already read the reported news of the epidemic on the epidemic website.

Yu Fei: "Boss, now go to the scene to investigate?"

Gao Meng: "Arsenic poisoning, I haven't seen it for many years." ”

Zhang Lin: "Xiao Gao, it feels like you've seen it before, you entered the unit later than me, I haven't seen you before?"

Yang Le: "I saw it once when I was interning before, and I remember that it was an old woman, who was not in good health, and listened to the secret recipe of the village doctor, and took a pair of Chinese medicine back to eat, but the medicine contained a small amount of arsenic, and after eating it for a few days, she had arsenic poisoning symptoms." ”

Gao Meng: "Won't it be those villagers in Fenghuang Village who collectively ate arsenic this time?"

Yang Le shook his head, "No, is there still such a low IQ now?" ”

Yu Fei: "We can't be sure of anything before the on-site investigation. ”

Everyone's eyes were focused on Li Bai, who was the leader of the emergency response team, and all operations were under his command.

Li Bai dragged out a whiteboard from the conference room and wrote on it with a gel pen.

"There are several causes of arsenic poisoning, everyone is talking about it. ”

This is the rhythm of the beginning of the discussion.

The other 4 members of the emergency response team have become accustomed to it, and every time they encounter an epidemic, Li Bai will put forward several possible reasons in this form before the on-site investigation, so that everyone can focus on the on-site investigation.

Lin Xiaoxiao and Yang Yufeng encountered this form for the first time, and they were very interested.

Lin Xiaoxiao spoke enthusiastically, "Arsenic poisoning is mainly caused by arsenic compounds, trivalent arsenic compounds are more toxic than pentavalent arsenic, in China, arsenic is the oldest and most common arsenic compound, the main component is arsenic trioxide. There are other arsenic compounds, such as arsenic disulfide, also known as realgar, arsenic trisulfide, also called orpiment, and hydrogen arsenide, which are also commonly poisoned. ”

Li Bai nodded slightly and agreed, "I have a good grasp of book knowledge." ”

Yang Yufeng originally wanted to say a few words, but after searching in his mind, what he knew had already been finished by Lin Xiaoxiao.

Yu Fei participated in the discussion, "According to recent literature, the most common arsenic poisoning in real life is generally caused by ingesting arsenic-containing drugs by mistake, such as arsenic-containing rat poison, snail killers and insecticides. ”

Gao Meng: "A few years ago, we still retained the custom of using pesticides containing red letter stone, that is, arsenic trioxide, to plant peanuts in the spring before planting peanuts. ”

Zhang Lin: "In this regard, Director Li has also published relevant papers, but this situation has rarely occurred in recent years, and the more common is occupational arsenide poisoning, which is generally seen in the production workers who smelt arsenic ore to make alloys, glass, ceramics, and make arsenic-containing medicines, pesticides, and printing and dyeing. ”

Yang Le: "The cases that Zhang Lin just mentioned are occupational arsenic poisoning, and there are several local arsenic poisoning possibilities, such as water-source and coal-fired poisoning. ”

Zhang Lin: "Endemic arsenic poisoning is obviously local, we have not found water-borne and coal-burning arsenic poisoning in Yunhai City, these two situations can be ruled out, and occupational arsenic poisoning should be mainly considered now." ”

Yang Le: "Occupational arsenic poisoning has obvious occupational characteristics, but the villagers in Fenghuang Village who fell ill all made a living from planting tea plantations and had no occupational exposure. ”

Zhang Lin: "Now the information we can get is only the information reported from the epidemic information network, how can you be sure that they have no occupational contact? They are tea farmers, so they must spray pesticides on tea gardens, or spray pesticides on tea drugs that contain arsenic, these are all possible ways to ingest. ”

"Brother, it snows in winter, and now the whole area of Phoenix Mountain is covered with snow, will you use pesticides?"

"Even if you don't use pesticides, you may store pesticides at home, some pesticides are volatile, and arsenic-containing compounds can be absorbed by the body through the skin and respiratory tract. ”

Zhang Lin and Yang Le argued, and Li Bai wrote all kinds of reasons on the whiteboard.