Gu Jiashu: "Little sister, the Department of Infectious Diseases of our hospital has just admitted a patient who was transferred from Guanyun County Hospital, with high fever and severe pneumonia with symptoms of coughing up blood and hematemesis, and has ruled out the possibility of Japanese encephalitis, jaundice viral hepatitis and hantavirus infection, and now it is suspected that it may be other viral hemorrhagic fever, or dengue fever. ”

There was a suspected epidemic, and Gu Yanan reflexively responded, "Okay, I'll take someone to the hospital for sampling and basic flow survey." ”

Hanging up the phone, Wang smiled: "Sister Yanan, there is another patient in the hospital that we want to deal with?" What are the symptoms this time? Are there any suspected pathogens? ”

"Fever with severe pneumonia with bleeding symptoms."

"Hemorrhagic fever? Has the pathogen species been identified? ”

"The hospital has not yet determined, but several have been ruled out, among which hantavirus has been ruled out."

"If you exclude the most common, the rest will be uncommon, hey...... This time, it is estimated that the flow survey will be busy again. ”

Wang Xiaoxiao said as he silently closed the computer browser, the epidemic came, and this dinner was ruined again.

Gu Qingcen asked Gu Yanan, "Go to the hospital for sampling and basic flow survey, do you want me to go with me?" ”

"You go to the hospital with me, Xiaoxiao informs the laboratory department to prepare relevant testing reagents, and Lu Li prepares relevant materials for on-site investigation according to the investigation of the hemorrhagic fever epidemic."

Zhou Lao: "What about me and Gao Fei?" ”

"You and Gao Fei have just come back from the county district, and they have been busy for three or four days, so we will rest first, and then determine the specific content of the next flow survey after the laboratory results come out."

——

5 p.m.

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

Gu Yanan and Gu Qingcen carried the sampling box and appeared in the corridor outside Xia You's room.

Xia Youfa was admitted to a single isolation ward.

His wife, Li Xiaoju, was guarding outside the ward.

Li Xiaoju could only wait outside the ward because the doctor told him that her husband might have a highly contagious disease and could not be in close contact, so she could only wait outside the ward, looking anxious.

Seeing the attending doctor Gu Jiashu coming with two people wearing protective clothing, Li Xiaoju immediately cheered up and stepped forward and asked, "Doctor, has my husband's illness been diagnosed?" ”

Gu Jiashu shook his head, "Not yet, but we are doing various tests, these two experts from the CDC are experts from the CDC, and now I want to sample Xia Youfa and ask some questions, I hope you can cooperate with the answer." ”

"Cooperate, I will definitely cooperate, as long as I can find out what disease my husband has and cure my husband, you can ask anything."

Gu Yanan saw Li Xiaoju looking in through the glass on the door of the ward from time to time, and she was very worried about her husband, but she also knew the rules of the infectious disease department, and the visiting privileges of family members were strictly restricted in cases like this suspected to be highly contagious.

In order to figure out the situation, do a good job of basic investigation, and also to help Li Xiaoju fulfill her wish, Gu Yanan said to Gu Jiashu: "Doctor Gu, give her an isolation gown and take her into the ward together, there are some things that may require the cooperation of the two of them to answer." ”

Gu Jiashu was stunned for a moment, but according to Gu Yanan's request, he asked someone to find an isolation gown, put it on Li Xiaoju, and the four of them entered Xia Youfa's ward together.

Xia Youfa, who used to be dark and strong, because of sickness and vomiting, diarrhea and coughing up blood for days, has now lost weight, his face is sallow, his eyes are half-open, and his eyeballs are bloodshot.

After the previous symptomatic treatment, Xia Youfa woke up from the coma when he was first admitted to the hospital and was already conscious.

Seeing a large group of doctors coming in, and his wife was still heavily armed, as soon as he saw this posture, Xia Youfa knew that his illness was not simple, and he struggled to squeeze out a few words from his throat, "Doctor, what disease do I have?" ”

Gu Jiashu: "Serious disease, fortunately, you transferred to the hospital in time, and now the condition is basically under control, but we are still doing an examination of the specific cause, and the experts from disease control and control will come to take samples for you, and ask some questions, I hope you will cooperate with the answer." ”

Xia Youfa defaulted to cooperation.

Gu Qingcen took out a blood collection tube from the sampling box he carried, took blood for Xia Youfa, a nasopharyngeal swab, and a cerebrospinal fluid.

After collecting the sample, Gu Yanan began to ask questions.

Because he had already seen Xia Youfa's medical records on the way here, Gu Yanan asked directly, "What things have you been exposed to in the month before the onset of the disease, especially in the days before the onset of the disease, such as the places you often go, or the places you don't often visit, and what special things have you touched or eaten?" ”

Xia You's illness was weak, and his wife Li Xiaoju answered for him, "My husband usually works in the fields every day, either to the paddy fields by the river, or to the orchards in the mountains, and he has never gone far.

Oh, by the way, when I was in the county hospital, the doctor asked me if I had pigs at home, if I had mosquitoes, if I had dogs, if I had rats, and I had pigs and dogs at home, and there were also mosquitoes and mice, was this related to my husband's illness? ”

Pigs, dogs, mosquitoes, rats......

There are many diseases that can be transmitted by these animals.

Specimens from these animals need to be collected for testing to identify specific pathogens.

Gu Yanan: "Does it have to do it at your house, and the specific flow can be determined?" ”

"What? Going to my house? What is a flow tune? ”

"The epidemiological investigation is to go to your home to do some relevant tests, which will help us find the cause of your husband's illness and do some basic disinfection to prevent the spread of the disease."

"Do you want money?" When Li Xiaoju heard that she was going to go to her home for inspection and disinfection, she thought that disinfection must be done with medicines, and it must cost money, so she couldn't help but ask.

Gu Yanan was stunned by Li Xiaoju's question, and then shook his head, "Our CDC inspection and disinfection are free, public welfare, and do not cost money, and some environmental samples and daily necessities that you usually come into contact with will be collected in the process, but you will not take too much, you just need to cooperate." ”

Li Xiaoju immediately agreed, "Okay, the key to my house is placed under the first stone in the north of the flower bed at the door, you go and check it yourself, I still have to guard my husband here, although I can't keep it in the ward all the time, it's good to look outside the ward." ”

When I came out of the People's Hospital, it was already dark and it was past the end of work.

Gu Yanan glanced at the time of the watch on his wrist, thought about it for a while, picked up his mobile phone and called the people from Guanyun County Disease Control, and explained that they went to Xia Youfa's house to collect environmental samples, including water samples, soil samples, domestic pigs, and domestic dogs, and collected samples of mice and mosquitoes as much as possible, and sent them to the laboratory of the Municipal Center for Disease Control and Prevention overnight after collection.

After instructing the county CDC to complete the work, Gu Yanan and Gu Qingcen sent the collected specimens of Xia Youfa to the CDC laboratory.

The two returned to the emergency office.

It was dark outside, the office was brightly lit, and Lu Li and Wang Xiaoxiao were still there.