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Rush to the hot search! This highly contagious disease ＂reappears＂ and does great harm to infants and young children →

　　Yesterday (March 28th) afternoon.

　　Topic # whooping cough reappearance # Rushing to hot search

Rush to the hot search! This highly contagious disease "reappears" and does great harm to infants and young children →

　　Some netizens commented that

　　I have been coughing for days.

　　I suspect that I have whooping cough.

　　↓↓↓

Rush to the hot search! This highly contagious disease "reappears" and does great harm to infants and young children →

　　Since the beginning of spring, with the extinction of influenza and mycoplasma, another respiratory disease that has not existed for many years has been mentioned again-whooping cough.

　　According to the "National Epidemic Situation of Legal Infectious Diseases" published by the National Bureau of Disease Control and Prevention in official website on a regular basis, from January 1 to February 29, 2024, 32,380 cases of whooping cough were reported nationwide, nearly 23 times that of the same period in 2023 (1,421 cases). It is worth noting that among the more than 30,000 cases of pertussis, there were 13 deaths.

　　Unusual signs have aroused the vigilance of the disease control department. At a recent conference, Shen Hongbing, deputy director of the National Bureau of Disease Control and Prevention and director of the China Center for Disease Control and Prevention, pointed out that "the current prevention and control of whooping cough in China should be paid attention to."

　　According to reports, adults and adolescents with inconspicuous symptoms have become the main body of infection for infants and young children. Moreover, even though the DTP vaccine (made of pertussis vaccine, diphtheria toxoid and tetanus toxoid, which can prevent pertussis, diphtheria and tetanus at the same time) still maintains a high vaccination rate, pertussis still shows a trend of making a comeback. Academic circles believe that this phenomenon is called "pertussis reappearance"
resurgence）”。

　　Pertussis is becoming more easily found.

　　Recently, pediatricians have noticed that there are more and more children with whooping cough in clinic.

　　Gao Zheng, a pediatrician at Zhuozheng Medical (Shanghai), said that during the period around New Year’s Day, children with clinical characteristics of whooping cough were encountered. "After checking and verifying by targeted sequencing of pathogens, it was found that it was’ whooping cough’ or it would scare us. Because of the clinical history, this child who came to see a doctor is likely to have become a source of infection at this time. "

　　Yao Ting (pseudonym), director of the Department of Infectious Diseases in a first-tier city children’s hospital, also felt that since last year, the number of children with whooping cough has increased significantly, as has the surrounding prefecture-level cities. Among the patients, the symptoms of older children are sometimes atypical; The baby’s cough is more serious, especially at night, "almost choking with cough."

　　In fact, since 2014, the incidence of whooping cough in China has shown an upward trend.

Rush to the hot search! This highly contagious disease "reappears" and does great harm to infants and young children →

　　Reported incidence of whooping cough in some provinces of China from 2004 to 2019.

　　(From official website, Chinese Medical Association)

　　Some disease control people believe that the improvement of testing ability may be an important factor affecting the increase of pertussis prevalence data.

　　A grass-roots health worker recalled that when he participated in an academic report a few years ago, it seemed that only a few hospitals in a city could carry out the etiological detection of whooping cough. Today, hospitals with a small scale have the ability to carry out the etiological detection of whooping cough. Even if they can’t detect it themselves, they can send it to a third-party institution for help.

　　Let infants and young children before DTP vaccination

　　In a high-prevalence environment of whooping cough.

　　The risk is enormous

　　Many clinicians said that severe or fatal cases of whooping cough were still concentrated in unvaccinated infants. However, the family cluster disease makes the mode of transmission from adults to infants more and more severe.

　　Chang Rongshan, an epidemiologist, said that the hidden danger of the change of epidemic characteristics of whooping cough lies in the fact that adolescents and adults with whooping cough often have mild symptoms because of their sound immune system, so it is difficult to attract attention. But it is these neglected teenagers and adults with pertussis that are becoming an important and dangerous source of infection, threatening vulnerable babies.

　　What are the symptoms of whooping cough

　　How to treat and care?

　　Let’s watch it together

　　↓↓↓

　　What is whooping cough?

　　Pertussis is an acute respiratory infectious disease caused by a kind of bacteria called Bordetella pertussis. Like other respiratory infectious diseases, whooping cough is transmitted by droplets in the mouth and nose, which is highly contagious. All ages are susceptible to infection, and the course of disease can reach 2-3 months. Please note that whooping cough is a Class B infectious disease and needs to be isolated.

　　What are the symptoms of whooping cough?

　　The whole course of whooping cough is divided into three stages. For your convenience, let’s list it with a chart.

Rush to the hot search! This highly contagious disease "reappears" and does great harm to infants and young children →

　　△ Click on the image to view a larger image.

　　Some patients with pertussis have relatively mild symptoms and only show cough, but severe cough of infants under 6 months old may cause purple lips, apnea, convulsion, bradycardia or cardiac arrest, so parents and pediatricians should pay more attention to it.

　　What tests do you need to do for the diagnosis of whooping cough?

　　1.
Blood drawing: "Finger blood" blood routine will increase white blood cells in the early stage, but it cannot be diagnosed. The accuracy of "venous blood" pertussis antibody is high, but the result is slow, which takes 7-14 days.

　　2. Detection of nucleic acid by nasopharyngeal swab: "poking nose" or "scraping throat" to detect the DNA of whooping cough has high accuracy and quick results, and the report is usually issued in 1-4 days.

　　3. Chest X-ray: The lung infection caused by pertussis can be detected. Compared with other pathogens, the probability of pneumonia caused by Bordetella pertussis is less.

　　How to isolate whooping cough?

　　Pertussis is a national legal class B infectious disease and needs to be isolated.

　　Pertussis is highly contagious. When coughing or sneezing, Bordetella pertussis spreads rapidly with droplets. Patients who have not been treated with antibiotics are most contagious within 3 weeks of onset. Effective antibiotic treatment can shorten the bacteria discharge period.

　　Isolation period: untreated patients were isolated for 21 days after onset.

　　Five days after treatment with sensitive antibiotics.

　　I have been vaccinated against pertussis. Why did I get it again?

　　First of all, the current pertussis vaccine is not durable enough, and most school-age children and adults have passed the vaccine protection period. This is the most important reason.

　　Secondly, children and adolescents often show chronic cough after infection, and adult cases can not be paid attention to because of atypical symptoms or occult infection, thus becoming the source of infection for infants and young children, making the infection easier to spread.

　　Although whooping cough cannot produce lifelong immunity. However, vaccination can reduce the risk of severe illness and death, and it is still the most economical and effective means to prevent and control whooping cough, which is very necessary.

　　Does whooping cough really take a hundred days?

　　That’s not true.

　　From the three stages of whooping cough, we can see that the first and second stages usually last for four to eight weeks, and the recovery period is uncertain. Most patients can "end the battle" within two months.

　　Therefore, whooping cough may not last for 100 days, and certainly it will not come to an abrupt end in 100 days, and it needs active treatment.

　　How is the vaccination plan for whooping cough arranged?

　　China has implemented the planned immunization since 1978. At present, the combined pertussis-diphtheria-tetanus vaccine (DTP vaccine) is applied to pertussis. Infants and children should be vaccinated with one dose of DTP vaccine at 3 months, 4 months, 5 months and 18 months respectively.

　　Parents, please note that at present, the DTP vaccine used in China can only be used for children under 7 years old, so there is no vaccine for preventing pertussis for adolescents and adults aged 7 and above.

　　How to treat pertussis?

　　At present, oral medication is recommended, and macrolides are the first choice. If macrolides are resistant, compound sulfamethoxazole is recommended.

Rush to the hot search! This highly contagious disease "reappears" and does great harm to infants and young children →

　　△ Click on the image to view a larger image.

　　Can it be treated with traditional Chinese medicine?

　　Sure.

　　National Health Commission and the State Administration of Traditional Chinese Medicine jointly issued the whooping cough diagnosis and treatment plan (2023 edition), which clearly mentioned the treatment plan of traditional Chinese medicine and shared it with you. Of course, Chinese medicine pays attention to "seeing, hearing and asking questions", and the specific prescription adjustment still depends on face-to-face consultation with Chinese medicine practitioners.

Rush to the hot search! This highly contagious disease "reappears" and does great harm to infants and young children →

　　△ Click on the image to view a larger image.

　　How to care at home?

　　The general principle is: rest more! Less excitement!

　　1. Environmental care: ventilation, proper indoor temperature and humidity, and avoidance of various stimuli that induce convulsions and coughs.

　　Avoid scaring and disturbing: the environment is quiet, avoiding unnecessary stimulation, so as not to cause paroxysmal spasm and cough; Less reprimand, more comfort, less excessive attention to spasmodic cough, and avoid patients’ psychological tension.

　　Avoid odor stimulation: keep the indoor environment fresh and avoid odor stimulation such as smoke and oil smoke.

　　It is advisable to keep patients in a good mood; Adequate rest should be ensured.

　　2. Diet care: balance diet nutrition and ensure the supply of nutrition; Eat a small amount and eat more slowly.

　　Suitable for digestible and non-irritating foods, such as noodles, rice porridge, steamed eggs, etc.

　　Avoid cold, spicy and greasy food.

　　Comprehensive gossip, health consultation, @ China CDC, Yan Chai Hospital

[Editor in charge:

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Many of Zhuge Liang’s eight great inventions are still in use today, and we often eat the last one.

Zhuge Liang has always been a representative figure of loyal ministers and wise men in history. He made great contributions to the establishment of Shu. After the establishment of Shu, he was made prime minister, helped the people at home, and made sincere efforts to unite with Wu to resist Wei. In order to realize the revival of the Han Dynasty, he made several northern expeditions, but in the end he fell short and died in Wuzhangyuan at the age of 53. During Zhuge Liang’s life, he invented many things, among which eight inventions were the greatest, and some of them have been used to this day and are loved by people.

First, the wooden ox is flowing.

Mu Niu Liu Ma should be a famous invention of Zhuge Liang, which was invented by Zhuge Liang in the Northern Expedition to facilitate the transportation of grain. According to historical records, Zhuge Liang used Mu Niu in the fifth Northern Expedition and Liu Ma in the sixth Northern Expedition. Mu Niu Liu Ma is good at going uphill and downhill, and is suitable for mountainous areas, because their images are like cows and horses. There is a rope inside, and the rope ends and legs are connected, and it is twisted every 20 kilometers.

Second, send a crossbow.

The repeating crossbow was invented by Zhuge Liang for the first time. In the past, the old crossbow could only fire one arrow at a time, so Zhuge Liang improved it and invented that it could fire ten arrows at a time. The repeating crossbow was slightly wider than the ordinary crossbow, and it was extremely lethal when shooting arrows horizontally.

Third, the Eight Diagrams Array

This is the battle array created by Zhuge Liang himself after he came out of the mountain. He called it the Eight Diagrams Battle Array. The soldiers are arranged in a gossip shape, with eight doors in and eight doors out. This array is not easy to crack and is good at confusing the enemy. Zhuge Liang later transformed this array many times, and it evolved from an army array to a stone array and a horse array.

Fourth, Kongming Lantern

Kongming lantern is also called sky lantern, and now it is also called wishing lantern. Legend has it that it was invented by Zhu Gekongming in the Three Kingdoms period. At that time, Zhu Gekongming was besieged by Sima Yi in Yuping, and could not send troops out of the city for help. Kong Ming calculated the direction of the wind, made a floating paper lantern, tied with a message for help, and then escaped as expected, so later generations called this lantern Kong Ming Lantern.

Fifth, the bridge gun

After Zhuge Liang pacified the south, he decided to send troops to the north to fulfill Liu Beixing’s last wish to restore the Han Dynasty. The terrain leading to the north is extremely difficult, with many mountains and rivers. It’s okay to climb the mountain, but the key is to cross the river: soldiers spend a long time bridging the bridge every time. Zhuge Liang was also troubled by this. One day, he thought of how the ancients made a sickle hook, thus inventing a bridge gun. The shaft of the bridge gun is as long as the red tassel gun, and the head of the gun is spiral (a bit like a screwdriver now).

Sixth, mines

Everyone knows that Zhuge Liang played against Sima Yi in the last game. In this game, he used mines, but unexpectedly it rained heavily, which made the pre-laid mines wet with gunpowder and could not explode. Zhuge Liang wasted all his efforts and vomited blood angrily, and issued a heartfelt sigh that "Man proposes, God disposes".

Seventh, Kong Mingqi

In 228 AD, there was a rebellion in the south of Shu, so Zhuge Liang decided to marry himself to put down the rebellion. On the way, the weather in the south was changeable, Meng Huo was unwilling to surrender for a long time, and the soldiers in the army were bored, so Zhuge Liang invented a kind of chess, which could send away the soldiers’ boredom.

Eighth, steamed bread

This is Zhuge Liang’s seven attempts to capture Meng Huo and pacify Na Man, and he was prevented from crossing the river by the ghosts who died in battle. Zhuge Liang was so worried about this scene that he thought about it and had to pay homage to the river god, pray for God’s blessing, punish evil spirits and bless the living beings. Zhuge Liang could not bear to sacrifice his head and invented steamed bread as a substitute. So he ordered the sheep and pigs to be slaughtered, wrapped into dough and thrown into the water as a sacrifice. Later, people learned this custom.

(Original title: Zhuge Liang’s eight great inventions in his life, many of which are still in use today, and the last one we eat every day)

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Health and Health Commission responds to the tight supply of influenza vaccine： the overall supply and demand are basically balanced now.

　　Cctv newsOn January 25th, a press conference was held in National Health Commission to introduce the prevention and control of infectious diseases in winter and spring and the prevention and response of common diseases during festivals. When answering a reporter’s question, Lei Zheng Long, deputy director of the National Health Commission Municipal Bureau of Disease Control and Prevention, said that with the successive arrival of vaccines, the supply has been basically balanced.

　　Reporter: It is reported that after the vaccine incident last year, there was a shortage of influenza vaccine supply in our country. Is there any data or what it is? Are there any measures to improve it?

　　Lei Zheng Long: Because the vaccine manufacturers’ acquisition of influenza vaccine strains from the World Health Organization and the purchase of standard reagents were delayed by two months compared with previous years, the relevant work was delayed accordingly, which led to the time when influenza vaccines were started in previous years, and there were cases where vaccination sites had not yet started. However,With the subsequent arrival of vaccines, the current supply has been basically balanced.

　　According to our statistics on the use of influenza vaccine,At present, 14.26 million vaccines have been purchased and 10.97 million vaccines have actually been vaccinated, which means that some vaccines have not been vaccinated this year. So now the overall supply and demand are basically balanced.

Space is not small／policy has been put in place to test drive SAIC Roewe E50.

　　[Original test drive] Speaking of it, I believe that since its listing on November 5 last year, everyone has almost forgotten it. The reason is quite normal, of course. For one thing, it is not in the 4S sales system of SAIC brand, which means you can’t see it in Roewe 4S store. For another thing, it is only sold in the region at present, unless you have relatives with Shanghai household registration and buy it for you, that’s ok. However, all these will not affect the Roewe E50 being put on the market as a pure electric product with great ideas. From the product point of view, I think it is still necessary to bring you a simple test drive article today to see what is extraordinary about this car.

■ Appearance introduction: original two-door design, providing blue/white color matching.

　　From the earliest E1 to the E50 production car in front of us now, everyone who has seen a real car has praised the appearance with "fashion" and "agility". Judging from the body size, Roewe E50 is an out-and-out model with high originality in appearance. The official design calls it "dolphin-style short kiss" body. This design can not only show the sense of science and technology, but also meet the avant-garde that new energy vehicles want to present, which can effectively reduce and improve the utilization rate of interior space.