Lianhai First People's Hospital, Department of Infectious Diseases.

Gu Yanan and Lu Li listened to Gu Jiashu talk about the condition of two pneumonic plague patients in the infectious disease doctor's office.

Gu Jiashu: "The patient was sent early this morning, and the patient admitted to the emergency department, a man and a woman, both in their 20s, had their blood checked, and the blood level was very high, and it was suspected that it was a bacterial infection.

Because the patient had a severe cough and bloody sputum, he was sent to the infectious disease department. When I examined the patients, I found that both patients were bruised and had typical bleeding symptoms, and I suspected that it was hemorrhagic fever, but I found that the patients also had swollen lymph nodes, and then I thought of the pneumonic plague warning information just issued by the city, and I suspected that the two patients were pneumonic plague nine times out of ten.

With this suspicion, I contacted the laboratory department of the hospital, which happened to have a reserve of plague rapid test reagents, and did a sputum of the patient, and the initial screening was positive. ”

"What are the rapid tests used for?"

"Commercialized kits for the colloidal gold method. I know that there is a false positive rate with these kits, but the odds are very low. These two cases can still be clinically confirmed as pneumonic plague, and the laboratory screening is positive, and it will take a few days to get the strain confirmed. Moreover, I have sent someone to send the patient's specimen to the laboratory of your city's disease control and control. ”

"Well, the main thing now is to find out where these two patients got the pneumonic plague? Who have you been in contact with? To whom the plague may be transmitted. ”

"Your disease control and flow control first have to ask the patient, this time you don't need to enter the ward to ask for the news, the isolation ward has just been installed with a telephone visual system." Gu Jiashu said.

"That's great, less contact is less chance of infection."

Outside the isolation ward, Gu Yanan asked the female patient who was still awake through the telephone visual system.

From the name and address to the occupation, place of work, and the people who have been in contact with it in recent days.

When the patient talked about the place of work, the Paradise Shopping Center on Wuyang Road in the Development Zone, Gu Yanan chuckled in his heart.

Paradise Mall, where one of the deceased members of the hearse crew had been.

The patient in front of him was most likely infected by him.

Gu Yanan took out a photo of the deceased in the hearse and asked the patient in the ward through the video, "Have you seen this person in the past few days?" ”

The patient stared at the photo in the video for a moment and nodded definitely, "Yes." ”

"When?" Gu Yanan asked.

"Three days ago. I remember very clearly, the man in the photo was accompanying her girlfriend to my store to buy clothes, his girlfriend took a fancy to a pure white down jacket, he said that white was unlucky, and finally chose a pink one of the same style, and finally the man paid, more than 3,000 yuan. At that time, the man was coughing while talking, and I thought that I could go shopping with my girlfriend even if I was sick, and I seemed to have a good relationship, so I had an impression of him. ”

The patient in front of him had close contact with the person who had been diagnosed with pneumonic plague and was supposed to have been infected by him.

Gu Yanan asked another male patient the same question.

The male patient was also a staff member at Paradise Mall, a waiter at a dessert shop on the second floor of the mall.

Gu Yanan took out the photo of the deceased in the hearse and showed it to him.

The male patient shook his head, "Not impressed." Our dessert shop has a lot of traffic, so many customers are hard for everyone to remember. ”

Yes, the shopping mall has a large number of customers, and people who the deceased came into contact with his girlfriend in the mall may be infected.

Infected customers and store staff can spread the plague further.

This is to find out all the people who have been to the mall among the more than 20 million permanent residents in Lianhai City, in addition to checking the mall monitoring, but also by taking the initiative to report.

——

Paradise Mall.

Several exits were cordoned off, and the shopping mall was temporarily closed.

Staff at the mall were asked about recent activity by checking their temperatures one by one.

Gu Yanan took people to check the surveillance video of the mall, focusing on finding the route of the hearse staff and his girlfriend in the mall that day and the people they came into contact with.

The route of the target in the surveillance video is clearly presented.

"The target person has been in these stores for a long time, and the clerks of these stores should focus on investigation." Gu Yanan made an opinion.

During the investigation, the owner of a store asked Gu Yanan, "How long will our mall be closed?" This is about to be the New Year, and it is the time when the flow of people can make money. ”

"Look at the control of the epidemic, at least 14 days."

The owner of the shop calculated in his heart that if it was 14 days, it happened to be the New Year, and he would not be able to open until the eighth day of the new year.

The shopkeeper sighed, "Although I missed the peak of the Chinese New Year, I can take a complete annual leave this year, although there is an economic loss, but I can still have a good New Year with my family." ”

Lu Li comforted: "You have no direct contact with the source of infection, and now you can isolate at home, and some people who have been in direct contact with the target person can only be isolated separately in the hotel, which is called trouble." ”

The shopkeeper asked worriedly, "How many days will I be quarantined?" ”

"Asymptomatic, 14 days; If you have symptoms, then you will be hospitalized to see how you recover. ”

The entire shopping mall was filled with a tense atmosphere, with people being sorted, some asked to stay at home for observation, some were asked to stay in a government-arranged hotel for centralized medical observation, and those with fever symptoms were sent directly to the hospital for isolation and treatment.

Because the staff with fever symptoms in the mall have been active in their respective communities, and the epidemic has a tendency to spread in the community, the communities they have been active in are required to carry out first-level control.

The emergency response of the entire Lianhai City was upgraded to a Level 1 response.

——

11:30 p.m. that day.

Seeing that the investigation of Paradise Shopping Mall was about to end, Gu Yanan's mobile phone rang again.

Caller ID Wang smiled.

The phone was connected, and Wang Xiaoxiao's anxious voice came.

"Sister Yanan, I received a fax in the office just now, which is the result of the investigation from the province next door. When Li Erzhu's daughter and son-in-law returned to the next province, they took a bus with 48 people, and after an investigation in the next province, 12 of the 48 people were infected, and the rest were under medical observation. The range of movement of the 12 infected people has also been clarified, and there are second-generation cases of infection in the community where they live, and the next province of H has also launched a first-level response. ”

Gu Yanan's heart trembled, the epidemic has spread to the next province, it seems that the national level will attach great importance to it, and the expert guidance team sent by the state should arrive soon.

Gu Yanan: "Xiaoxiao, send me an electronic copy of the results of the investigation, you stay in the emergency office, notify me immediately if there is any situation, there is instant noodles in the conference room next door to the office, eat a little if you are hungry." ”

Wang Xiaoxiao replied very happily, "I understand, now is the first-level response period, there are no weekends and no vacations, fortunately, Sister Yanan had the foresight to stock up on some instant noodles before, otherwise I wouldn't have to eat supper." ”

"I have already reported to the canteen of the unit that they should prepare a little supper, and they can go to the canteen for supper tomorrow night and go back to the office."

Wang Xiaoxiao was alone in the office, although she could not go home at night, but she was not at the scene of the investigation, and there was no direct contact with the patient, which reduced the risk of infection, and she was very worried about her colleagues at the scene.

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