{"title":"Analysis on the advantages and shortcomings of the capacity of the new infectious diseases control and prevention in Wuhan","authors":"Chengyue Li, Peiwu Shi, Qunhong Shen, Zhaoyang Zhang, Zheng Chen, Chuan Pu, Ling-zhong Xu, Zhi Hu, A. Ma, Zhaohui Gong, Tianqiang Xu, Pan-shi Wang, Hua Wang, Chao Hao, Xiang Gao, Li Li, Qingyu Zhou, M. Hao","doi":"10.19428/J.CNKI.SJPM.2020.20269","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2020.20269","url":null,"abstract":"Based on the systematic evaluation of the capacity of the new infectious diseases control and prevention of the 32 provincial capital cities and municipalities with independent planning, the advantages and shortcomings of Wuhan could be described as follows: (1) The legal framework for epidemic prevention has been established, but the effective actions have not been carried. (2) With an organizational basis for responding to the epidemic, a coordination mechanism has not been effectively established. (3) The management mechanism has been improved, but responsibilities among different departments were not clear enough. (4) The disease reporting system has been running well, the capacity of the incidence trend forecasting and early warning was still needed to be enhanced. (5) The insufficiency of public health service delivery was observed owing to a lack of financial investment. It is not too late for each city in China to resolve the problems and strengthen the capacity of the new infectious diseases control and prevention, so that we could combat the disease epidemic more effectively. \u0000 \u0000Key words: \u0000the new infectious diseases control and prevention; capacity evaluation; advantages; shortcomings; Wuhan","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44164964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
上海预防医学Pub Date : 2020-04-29DOI: 10.19428/J.CNKI.SJPM.2020.20218
ShengQiong Nie, June Cao, Anxie Tuo, Yuan-cui Zheng
{"title":"Public's status of KAP for COVID-19 and its influencing factors","authors":"ShengQiong Nie, June Cao, Anxie Tuo, Yuan-cui Zheng","doi":"10.19428/J.CNKI.SJPM.2020.20218","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2020.20218","url":null,"abstract":"[Objective] \u0000To understand the current status and influencing factors of the public's cognition, attitude, and behavior (KAP) for COVID-19, and to provide a reference for formulating strategies for mass prevention and treatment. \u0000 \u0000 \u0000[Method] \u0000Through the snowballing method, the Internet invites the public to conduct an anonymous questionnaire survey. \u0000 \u0000 \u0000[Results] \u0000A total of 1576 questionnaires were received, 1553 were effective, and the effective recovery rate was 98.54%; the epidemiological knowledge awareness rate was 87.3%; the etiology knowledge awareness rate was 93.1%; the prevention and treatment knowledge awareness rate was 85.9%; the average score of fear attitude towards COVID-19 is (15.47 ± 3.15);The average score of government attitudes is (11.28 ± 1.58); Average score for preventive behavior is (24.47 ± 2.61); Men ’s knowledge scores in epidemiology and etiology are higher than women’s (P<0.05) ; Women’s fearful attitude towards the epidemic and the government ’s identification attitude scored higher than men ’s (P<0.05); urban household registration public prevention knowledge scores were higher than rural household registration (P<0.05). Regression analysis showed that gender, age, occupation, household registration, attention level, epidemiological knowledge, and prevention knowledge are the influencing factors for the fear attitude to the epidemic (P<0.05); attention degree and prevention knowledge are the influencing factors for prevention behavior (P<0.05). \u0000 \u0000 \u0000[Conclusion] \u0000The public's awareness rate of the COVID-19 and to the government's attitude towards identification are relatively high. The degree of fear of the epidemic and the preventive behaviors are above average. It is recommended to carry out targeted public education on COVID-19. \u0000 \u0000 \u0000Key words: \u0000COVID-19; the masses; KAP; influencing factors","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49365934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
上海预防医学Pub Date : 2020-04-09DOI: 10.19428/J.CNKI.SJPM.2020.20092
Saiduo Liu, Xiangao Jiang, Hongye Ning, X. Ye, Ning Pan, Zheng-xing Wu, Yueying Zhou, Chaochao Qiu, Jichan Shi
{"title":"Analysis of clinical features of 42 cases of new coronavirus pneumonia","authors":"Saiduo Liu, Xiangao Jiang, Hongye Ning, X. Ye, Ning Pan, Zheng-xing Wu, Yueying Zhou, Chaochao Qiu, Jichan Shi","doi":"10.19428/J.CNKI.SJPM.2020.20092","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2020.20092","url":null,"abstract":"[Objective] \u0000To investigate the clinical features, laboratory findings, chest CT findings and treatment of 42 patients with 2019-ncov pneumonia after discharge from our hospital, and to analyze their relationship with prognosis. \u0000 \u0000 \u0000[Methods] \u0000from January 2020 to February 2020, the clinical data of 42 patients with 2019-ncov pneumonia admitted to the sixth people's Hospital of Wenzhou City were analyzed retrospectively. \u0000 \u0000 \u0000[Results] \u0000the clinical symptoms of 42 cases included fever (35 cases) , cough (26 cases) , fatigue (14 cases) , sore throat (4 cases) , Muscle Ache (5 cases) , headache (2 cases) , nausea (4 cases) , diarrhea (6 cases) , aspiration (9 cases) and abdominal pain (1 case) . The absolute number of blood lymphocyte decreased in different degree, more than half of the patients Lactate dehydrogenase obviously, the PROCALCITONIN (PCT) had no obvious change, the imaging manifestations were cloud-like and ground-glass-like high density shadows scattered outside the lungs, small flaky consolidation and bronchus inflating sign were seen locally. A few images showed diffuse high density, most of the lesions showed consolidation or striate change, and local fibrosis was formed in the lower lobes of both lungs. \u0000 \u0000 \u0000[Conclusion] \u0000Fever and cough are the first symptoms of 2019-ncov pneumonia, and a few cases are associated with shortness of breath and diarrhea, accompanied by different degrees of systemic symptoms, most of the patients improved. The disease is highly infectious and its condition changes rapidly. Therefore, early detection, early diagnosis and comprehensive treatment of the whole body as soon as possible are the keys to treatment. \u0000 \u0000 \u0000Key words: \u00002019 novel coronavirus; 2019 novel coronavirus pneumonia; clinical features","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45680652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practical experience and lessons learnt on public health interventions to prevent and control novel coronavirus pneumonia (COVID-19) in Huangpu District, Shanghai","authors":"Huadong Zhuang, Fei Shu, Yun-hui Lu, Jing Wang, Wenxiong Zhou, Caipeng Cheng","doi":"10.19428/J.CNKI.SJPM.2020.20129","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2020.20129","url":null,"abstract":"The novel coronavirus pneumonia (COVID-19) quickly spread from Wuhan, Hubei Province to the all other provinces in China, and globally since December 2019. Huangpu District of Shanghai is one of the communities where COVID-19 occurred earlier. By summarizing and reviewing experience and lessons learnt in Huangpu District, Shanghai, the article characterized the innovative public health interventions to prevent and control COVID-19 that may be of relevance to urban communities in other provinces and cities of similar size. \u0000 \u0000Key words: \u0000novel coronavirus pneumonia; working mode; practice; thought","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45300189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
上海预防医学Pub Date : 2020-04-08DOI: 10.19428/J.CNKI.SJPM.2019.20117
Yuan Tian, Zhihua Wu, Xiao-liang Han, Yueping Wang, Hong Liu
{"title":"Epidemiological investigation on the first family aggregation epidemic of novel coronavirus pneumonia in Yangzhou","authors":"Yuan Tian, Zhihua Wu, Xiao-liang Han, Yueping Wang, Hong Liu","doi":"10.19428/J.CNKI.SJPM.2019.20117","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2019.20117","url":null,"abstract":"[Objective] \u0000To explore the transmission pattern of novel coronavirus pneumonia (NCP) in the population by describing an imported case of novel coronavirus infected pneumonia epidemic situation. \u0000 \u0000 \u0000[Methods] \u0000Using the method of field investigation, epidemiological investigations were carried out for the imported NCP case and the close contacts related to this epidemic cluster. Data were collected such as the date of onset, isolation of the case and the close contacts. The novel coronavirus nucleic acid was collected from the throat swabs of the case and the close contacts. These samples were detected by real-time fluorescence quantitative RT-PCR. \u0000 \u0000 \u0000[Results] \u0000In this epidemic cluster, the imported NCP case introduced to Yangzhou had effected 36 people (12 people in the family and 24 people outside the family) and 2 people in the family were diagnosed as asymptomatic infections. \u0000 \u0000 \u0000[Conclusion] \u0000In the process of transmission, NCP mainly exists in respiratory droplets and close contact transmission, which is easy to cause family aggregation epidemic. \u0000 \u0000 \u0000Key words: \u0000novel coronavirus infected pneumonia; family aggregation epidemic; epidemiological investigation","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48793101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
上海预防医学Pub Date : 2020-03-24DOI: 10.19428/J.CNKI.SJPM.2020.20081
Xiao Tan, Zhi Qian, Hong wei Zhang
{"title":"Cure and mortality trend in the early outbreak of Coronavirus Disease 2019 (COVID-19) in China","authors":"Xiao Tan, Zhi Qian, Hong wei Zhang","doi":"10.19428/J.CNKI.SJPM.2020.20081","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2020.20081","url":null,"abstract":"[Objective] To investigate the cure and mortality trend in the early outbreak of Coronavirus Disease 2019 (COVID-19) in China, enhance the entire epidemiological knowledge about COVID-19, screen the more effective evaluation indicators, and supply the solid evidence for assessing the prevention and control measures and input-output. [Methods] The daily new confirmed cases, the cumulative cure and death cases in China and Hubei Province and outside Hubei Province, which were reported officially from January 20, 2020 to February 20, 2020, were collected to calculate the fatality rate, the ratio of the numbers of cumulative cure cases to cumulative death cases, et al, and to make the epidemiological description. [Results] Till Feb 20, 2020, the fatality rate of COVID-19 in Hubei Province was 3.42%, which was a little higher than that of the global country (2.96%). The fatality rate of COVID-19 outside Hubei Province in China was 0.71%. The trends on the indexes, including the daily new cure cases, daily new death and the ratio of cumulative cure cases to cumulative death, in Hubei Province and the whole country was highly consistent, while the significant difference existed between Hubei Province and outside Hubei Province in China. The daily ratio of cumulative cure cases to cumulative death in Hubei Province (the global country) exhibited the U trend, which reached to the lowest point on Jan 27 and subsequently grew more rapidly after Feb 5. [Conclusion] The ratio of cumulative cure cases to cumulative death was easier and effective to reflect the outbreak situation than other absolute indexes like the daily new cure cases or death. Since Feb 5, 2020, the daily cure status of COVID-19 was superior to the daily death, which indicated the effectiveness of series of the joint defense and control measures from our government and society. However, plenty of challenges exist when recovering the normal production and life if the epidemic reaches to be sustainably defensed and controlled.","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42822085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
上海预防医学Pub Date : 2020-03-24DOI: 10.19428/J.CNKI.SJPM.2020.20122
L. Luo, G. Bai, R. Dai, Qian Wang, Huanhuan Zhu, Xin Liu, Ping Wu, Tiantian Zhang
{"title":"Comparing the process of early control of government between H7N9 avian influenza in Shanghai in 2013 and COVID-19 in Wuhan in 2019/ 上海预防医学","authors":"L. Luo, G. Bai, R. Dai, Qian Wang, Huanhuan Zhu, Xin Liu, Ping Wu, Tiantian Zhang","doi":"10.19428/J.CNKI.SJPM.2020.20122","DOIUrl":"https://doi.org/10.19428/J.CNKI.SJPM.2020.20122","url":null,"abstract":"[Objective] \u0000To analyze and judge the possibility of early control in Shanghai if COVID-19 begins in Shanghai. \u0000 \u0000 \u0000[Methods] \u0000Compare the process of early control of H7N9 avian influenza in Shanghai in 2013 and Wuhan COVID-19 in 2019. The early incidence data of Korean COVID-19 was simulated and analyzed to predict whether the medical resources needed in Shanghai were available. \u0000 \u0000 \u0000[Results] \u0000(1) It would take 22 days from the first case to the government's emergency response in terms of Shanghai. (2) It is estimated that there would be 602-763 patients with cumulative onset and onset after incubation period. (3) At least 500 beds of infectious diseases can be allocated in Shanghai in case of emergency. Through adding beds and resources reallocation in the whole city, patients can be fully admitted and treated. \u0000 \u0000 \u0000[Conclusion] \u0000If COVID-19 epidemic occurs in Shanghai, early control is possible. \u0000 \u0000 \u0000Key words: \u0000COVID-19; H7N9 avian influenza; Shanghai; Wuhan; early control","PeriodicalId":63878,"journal":{"name":"上海预防医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43834611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}