Chapter 209: Death Melts
Gu Yanan and his entourage provided counterpart assistance to Kenema City, where the epidemic was most severe.
The government hospital in downtown Kenema is the place to go this time.
On the way to the government hospital, the black official briefed Gu Yanan and his party on the local situation.
The Ebola outbreak began more than a month ago and has now reached very serious levels.
Many of the villages and towns around Kenema have been affected by the outbreak, with heavy casualties.
The situation is even worse in the urban area of Kenema, where medical conditions are poor and most patients are concentrated in government hospitals in the city centre.
However, the municipal government hospital is a general hospital, not a specialized infectious disease hospital, and its medical conditions and reception capacity are limited, and with the outbreak of the epidemic, a large number of Ebola patients have poured into the hospital, resulting in cross-infection of patients in the hospital and infection of medical staff.
So far, more than 20 local health care workers have been infected and died, and the remaining health care workers have also gone on strike, and the government hospital has to be temporarily taken over by Médecins Sans Frontières and the Red Cross.
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Kenema Government Hospital, Sierra Leone.
At the entrance of the hospital is a white medical tent erected by Médecins Sans Frontières.
Many people lined up outside the medical tents, waiting for doctors inside to take their temperatures, check their symptoms, and triage them.
After Gu Yanan and his party of more than 10 people arrived, they first went to the small conference room next to the government hospital, had a brief consultation with the officials who were presiding over the work in the hospital, assigned work tasks, and then began to work.
Clinicians are responsible for receiving and treating patients, and Gu Yanan is a disease control doctor, responsible for testing and environmental disinfection.
Among the relief materials delivered this time are rapid test reagents for the detection of Ebola virus, which have a short testing time, low requirements for the environment and equipment, and can produce results in 30 minutes, which is most suitable for emergency testing for this large-scale outbreak.
Gu Yanan and several other disease control doctors moved the testing reagents from the car to the room of the laboratory and began to test the blood samples of patients sent from the ward.
Batches of patients have been tested for blood, and the Ebola virus positivity rate is very high.
Now there are four people working in the laboratory department of the government hospital, Gu Yanan is Chinese, one is a member of Médecins Sans Frontières, and the other two are members of the Red Cross.
The Ebola outbreak in West Africa was caused by the Zaire subtype of the Ebola virus, which has the highest case fatality rate among the Ebola viruses, with a case fatality rate of 90%.
Every positive specimen is detected, indicating that a patient is likely to die.
Four people in the laboratory complete the blood samples of all patients, which is an easy workload compared to clinicians who are treating patients outside, so the four of them are also responsible for the disinfection of the surrounding environment.
Taking advantage of the fact that the next batch of patient specimens had not yet arrived, Gu Yanan wore a protective suit and carried disinfectant on his back, preparing to disinfect all parts of the hospital.
In addition to the disinfection of the surrounding environment of the hospital, the disinfection of the isolation ward area is a top priority.
The isolation wards are filled with critically ill patients confirmed to be infected with the Ebola virus, with new patients entering and more deaths being carried out every day.
Every time a fatal case is lifted, the beds are thoroughly disinfected.
Gu Yanan carried the disinfectant on his back and entered the isolation ward.
The so-called isolation ward is a gate that separates the entire building from the outside world, and there are guards in protective suits at the door, and inside are people with Ebola haemorrhagic fever.
Seeing a patient with Ebola hemorrhagic fever up close for the first time, Gu Yanan was shocked.
Although I have seen many photos of the symptoms of Ebola patients on the Internet and in various literatures, I know that the Ebola virus can cause obvious hemorrhagic fever symptoms in humans, and in the early stage there will be fever, body pain, similar to the symptoms of a severe cold, and in the later stage, the coagulation function will be disordered, and there will be nosebleeds, bleeding from the corners of the eyes, bleeding from internal organs, hematemesis, coughing up blood, and bleeding from every hole in the body.
But now that I'm there and see it with my own eyes, it's a shock that I couldn't have imagined before.
It's like hell on earth, and it's so terrifying that it makes Gu Yanan feel unreal.
Gu Yanan carefully disinfected the area around each bed.
When the disinfection reached one of the beds, Gu Yanan stopped.
On the hospital bed lay a little black girl of eight or nine years old.
The girl was emaciated, with a lot of braids on her head, her eyes were half-open, but hollow, as if she couldn't see anything, blood was flowing from the corners of her eyes, and there was unclotted dirty blood in her nostrils.
A doctor in a protective suit was changing the girl's infusion bottle, but bleeding appeared near the needle hole in the girl's arm, which did not stop after wiping it with a cotton ball.
The doctor shook his head imperceptibly, found a new blood vessel, and pricked the needle, and fixed the needle with adhesive tape before leaving.
Gu Yanan's eyes stopped at the little black girl, she reminded Gu Yanan of her neighbors in China, there was also an eight or nine-year-old girl, who held her mother's hand to go to school and went to tutoring classes every day, and she looked happy every day.
Thousands of miles away, there is a group of children of the same age who are suffering from illness.
Gu Yanan stood in front of the little black girl's hospital bed for two seconds, when suddenly someone next to her pulled her.
Looking back, a clinician in a hazmat suit pointed to a corner of the ward.
There was a patient who had just died, and two doctors were preparing to pack the body and transport it out, and Gu Yanan needed to replace and disinfect everything that the patient had used and made on the bed.
Walking to the bed in the corner of the ward, the dead patient was a middle-aged dark-skinned man in his 40s, covered in blood, the sheets under him were also covered with blood, and there was a pile of blood-colored sticky matter under the bed that had vomited not long ago.
When the doctor moved the body, a viscous blood-colored fluid was squeezed out of the deceased's mouth and various orifices.
After the doctors put the body into the body bag, Gu Yanan disinfected the body bag, and the two doctors carried the body out of the ward.
After that, Gu Yanan began to pack up the things on the hospital bed.
Blood-stained bed sheets can no longer be used, they need to be packed and sent for incineration, and the blood stains on the beds should be wiped clean and disinfected with disinfectant.
After everything was taken care of, Gu Yanan was ready to go to the next ward.
Suddenly, a familiar figure walked by the door of the ward, although the person was wearing a white protective suit, Gu Yanan could still see at a glance that it was someone she was very familiar with.
Gu Yanan chased after her, but the man disappeared around the corner of the corridor, as if he was deliberately avoiding her.
Gu Yanan searched around but didn't find the figure, and finally pulled a doctor in the ward to ask.
"Did you just see an Asian man? He looks like he is about 30 years old, thin and tall, about 1.80 meters. ”
The foreign doctor who was pulled shook his head, "Now the doctors in the government hospital come from all over the world, there are doctors without borders, the Red Cross, the CDC of various countries, many people I don't know, and I don't know Asians, you can ask other people." ”