Lianhai Center for Disease Control and Prevention, Emergency Office.

Among the 6 people in the emergency team, only Gu Yanan and Xiao Chu were there.

Zhou Lao and Gao Fei went to the development zone to guide local food safety spot checks.

Lu Li and Wang Xiaoxiao went to a three-day biosecurity training meeting in the next province and will not be able to return until this evening.

Gu Yanan was sorting out the information of the previous epidemic, and Xiao Chu sat at the desk opposite, staring at Gu Yanan thoughtfully.

As if sensing a strange gaze, Gu Yanan suddenly raised his head and met Xiao Chu's gaze.

"Xiao Chu, do you have any questions for me?" Gu Yanan asked.

Xiao Chu smiled awkwardly and hurriedly found a topic, "Sister Yanan, I recently saw news on the Internet, a reporter broke the news that a reporter broke the news that Sister Jiahui and Dr. Gu were dating, is this true?" Is Dr. Gu in a relationship with Sister Jiahui? ”

Gu Yanan didn't answer directly, but asked rhetorically, "Aren't you good buddies with Li Jiahui's younger brother Li Yixuan?" He didn't tell you the inside scoop? ”

"I asked Yixuan, and he said that Sister Jiahui has been in love recently."

"Oh, that's true."

Xiao Chu deliberately sighed, "Sister Jiahui has finally found her true destiny, she likes Dr. Gu's polite type, no wonder my brother has been chasing her for so long, and she has never agreed." ”

"Your brother Chu Qingfeng is pursuing Li Jiahui?" Gu Yanan asked in surprise.

"Yes, my family and Sister Jiahui's family are world friends, Sister Jiahui and my brother grew up together, and they are childhood sweethearts. My brother has liked Sister Jiahui since he was a child and has been pursuing her, but Sister Jiahui has rejected my brother many times, and my brother has not given up. Sister Jiahui fell in love this time, I think my brother should give up. ”

"Your brother still doesn't know the news that Li Jiahui is in love?" Gu Yanan asked, there are some things he must figure out.

"I definitely don't know, I watched him prepare a birthday gift for Sister Jiahui yesterday, Sister Jiahui has a birthday every year, my brother will prepare a special gift, this is his habit since he was a child."

Gu Yanan was shocked, is this Chu Qingfeng schizophrenic? pursued Li Jiahui over there, and continued to show favor to her here, and went to her parents' house with gifts.

Gu Yanan wanted to ask Xiao Chu some more news about Chu Qingfeng, but the mobile phone rang suddenly.

Caller ID brother Gu Yoshiki.

Connected to the mobile phone, Gu Jiashu's slightly anxious voice came, "Little sister, our hospital has received two cases of suspected human infection with avian influenza, these two people are colleagues, and they have both been in contact with dead birds in the wild, which may be a cluster case outbreak." ”

Gu Yanan knew that the matter was serious as soon as he heard it, and hurriedly asked, "How is the patient doing now?" Ever asked where the dead birds were touched? Did any of his other colleagues get sick? Also, has your hospital been tested for avian flu-related antigens or antibodies? ”

"Both patients had severe respiratory symptoms, one of them had severe meningitis symptoms and was still in a coma, and the other was conscious despite meningitis symptoms. As for where the dead birds came into contact, we only know the general range, they are all members of the survey team, and they went to the wetland park near Kongwang Mountain last Friday to do a survey. The patient, Lao Zhang, was first sent to the hospital, and the attending doctor suspected Japanese encephalitis and did a Japanese encephalitis related examination to rule out Japanese encephalitis. Later, Lao Zhang's colleague Xiao Li was also sent to the hospital with similar symptoms, with respiratory and meningitis symptoms, and Japanese encephalitis was also tested to rule out Japanese encephalitis. According to Xiao Li, they have all been exposed to dead birds, so I suspected that it was bird flu and called you immediately. ”

"Okay, you first have people send the cerebrospinal fluid samples of the two patients to the laboratory of the Municipal Center for Disease Control and Prevention, and I will let them do the relevant tests for avian flu first, and I will go to the hospital right now."

hung up the phone, and was about to take Xiao Chu to the hospital to do a flow survey for the patient, but suddenly remembered that he had promised to install a new high-throughput sequencer in the experimental building this morning, and the manufacturer would come to debug it.

It is important to go to the hospital now, but she is also indispensable for the installation of new instruments in the sequencing center.

Gu Yanan was hesitating about how to arrange the work, when Xiao Chu suddenly said, "Sister Yanan, you can be busy with the new instruments in the sequencing center, and I can go to the hospital alone to do flow control for two patients." ”

Xiao Chu took the initiative to ask, Gu Yanan thought about it and agreed.

"Okay, pay attention to personal protection during the flow investigation in the hospital, the flow investigation case is ready, do you want to drive the on-site flow shunting car?"

"No, the hospital is not far away, it's too troublesome to drive, I'll ride my little electric donkey."

Every time he went to the scene to go on a mission before, Xiao Chu followed Gu Yanan or other old members of the emergency team, this was the first time he went to the scene alone, and he was a little excited.

——

Lianhai First People's Hospital, Office of Infectious Diseasesman.

Xiao Chu carried the on-site flow box and found Gu Jiashu in the doctor's office.

"Xiao Chu, are you coming alone?" Gu Jiashu was a little surprised, the emergency team came to the hospital to do the investigation before, and if one of them was an old member, it was basically two people.

"Well, it's just me, the rest of the emergency team is busy, Sister Yanan thought I could go out on the scene alone, so she sent me alone. Dr. Gu, can you show me the patient's medical record file first? And in which ward is the patient in? I'd like to ask them some basic flow questions. ”

Xiao Chu stated very clearly, and he did have the ability to go out on the scene alone.

"Here are the medical records of two patients, Lao Zhang and Xiao Li, after reading it, I will take you to the outside of their isolation ward, and you can make inquiries through the telephone visual system."

Xiao Chu first finished reading the medical records handed over by Gu Jiashu, and found that the two had similar onset times, both from last night to this morning.

If it was bird flu, it was estimated according to the incubation period of bird flu, and last Friday they went to the field to investigate, and they may have come into contact with the pathogen during their encounter with wild birds.

Xiao Chu stared at the symptom column in the medical record, both patients had meningitis symptoms, but meningitis was not included in the main symptoms of avian influenza, and it was suspicious that both patients had symptoms that were not common in avian flu at the same time.

However, now that the pathogen has not been identified in the laboratory, the patient has respiratory symptoms, and has been in contact with wild birds, and all the fingers are pointed at avian influenza, then the investigation is carried out according to the epidemic method of avian influenza cases.

Outside the isolation ward, Xiao Chu asked Xiao Li, a patient who was conscious, through the video phone system.

In addition to the clinical symptoms, Xiao Chu focused on asking them about the specific location where the dead birds were found in the field last Friday, as well as the types of dead birds and the external conditions of the corpses.

Patient Xiao Li explained the situation very clearly, from the place where they got off the car during the survey, which path they followed, which small lake they stopped, and the specific location of the dead bird in the grass.

Finally, Xiao Li added, "Not only are there dead birds in the grass next to the small lake, but also in other parts of the wetland park, and on the day we surveyed, there were no less than a dozen dead birds, and I felt very bad at the time, and I didn't care, I also carried those dead birds with my hands, but I didn't expect to be infected with bird flu." ”