SARS 10 years ago, bird flu 10 years later。The Pearl River Delta 10 years ago, the Yangtze River Delta 10 years later。

　　The "bird flu epidemic in China" has recently become one of the hottest topics in domestic and foreign media。Where is the source?？Will there be a major outbreak？How dangerous is it?？Various issues were hotly debated over and over again。H7N9 is seen by foreign media as the first problem facing China's new government。

　　As of 17:00 on April 8, 2013, a total of 24 confirmed cases of human infection with H7N9 avian influenza have been reported nationwide, including 7 deaths。Of the reported cases, 11 were reported in Shanghai, including 5 deaths.8 cases in Jiangsu Province;2 cases in Anhui;In Zhejiang, there were 3 cases and 2 deaths。

　　Compared with 10 years ago, the government and the public have made great progress in responding to public health emergencies.But there is still much to be done。

　　Most cases are severe

　　"This infection, there is a very strange phenomenon, early patients seem to have no feeling, but to 7 to 11 days of sudden deterioration, most patients or respiratory failure, because it infringes on the main part of the lungs, lung oxygenation capacity is poor, then cardiopulmonary capacity is poor, multiple organ failure.。Liang Weifeng, deputy director of the infectious disease department of Zhejiang University, described。

　　As the details of H7N9 bird flu cases were disclosed, the haze of SARS 10 years ago once again surged into the hearts of Chinese people。

　　In the past two weeks, cases of bird flu have been reported in some provinces, highlighting the government's desire for "information transparency" and frequent rumors。

　　On April 5, Weibo reported a confirmed case of H7N9 bird flu in Guangxi。The next day, the Guangxi Health Department made it clear that influenza A (H1N1) and H7N9 bird flu is not the same thing, the current Guangxi region has not found H7N9 bird flu cases, I hope we do not spread rumors。

　　In Beijing, where no suspected cases of bird flu have been reported, various information released by the "Dongzhimen Hospital Infection Office" has been flying all over the Internet。Dongzhimen Hospital of Beijing University of Chinese Medicine later issued a statement on its Weibo account: "Pure fabrication and nothing to do with our hospital。”

　　The "good" news is that the likelihood of human-to-human transmission of bird flu is very low。

　　The World Health Organization (WHO) said on Friday that there was no evidence so far that the H7N9 bird flu virus came from pigs。400 close contacts have not contracted the virus and there is no evidence yet of "sustained human-to-human transmission" of the virus.。

　　As a result, dead pigs floating in the Huangpu River were ruled out as a possible source of infection。

　　Academician Yuen Kwok-yong, director of the State Key Laboratory of Emerging Infectious Diseases at the University of Hong Kong, said: "There has been no poultry death from H7N9。After our study of the virus samples, the good news is that the virus does not carry pig and human genes, so it can be said that the possibility of human-to-human transmission will be very low。”

　　For the development of bird flu, Jiang Qingwu, dean of the School of Public Health at Fudan University, said that as the weather gets warmer, some birds will migrate from south to north, and the virus has a passing environment。

　　Kang Gyeong-oh said, Now is the time for migratory birds to wake up and fly from south to north。Bird flu has its special ecological environment, now the climate of Shanghai, Beijing in May, Harbin in June, there is a process of pushing from the south to the north, for the national situation, there should be such a worry。”

　　Zhong Nanshan, academician of the Chinese Academy of Engineering and leader of the Guangdong bird flu prevention and control expert group, also said that the discovery and development process of this round of H7N9 virus infection is different from that of SARS 10 years ago。SARS has a clear strong infectivity, found infectivity, in turn to find the cause。Now H7N9 is not so much a continuous occurrence, as a continuous discovery。

　　So far, most cases have been severe。On the afternoon of 7, Wu Fan, director of the Shanghai Center for Disease Control and Prevention, said that a 4-year-old boy was in good condition and had recovered。This shows that people infected with H7N9 bird flu virus is not all serious。

　　However, the medical field still lacks a clear picture of the disease as a whole。

　　Some relatives of bird flu victims still can't understand: "How could a healthy young man die so quickly?。”

　　Local governments responded quickly

　　On April 6, Tsinghua University independent recruitment re-examination was held, one of the interviews was entitled:

　　"Recently, Shanghai, Nanjing, Hangzhou and other places have continuously appeared 'H7N9 bird flu', causing concern。The public really wants to know about this。If you are a press secretary, what kind of information do you think the public needs？What if society panics after you publish information？”

　　This question is being answered by the central and local governments。

　　On April 2, the National Health and Family Planning Commission (hereinafter referred to as the "Health and Family Planning Commission") issued the "Notice on the issuance of the" Diagnosis and Treatment Protocol for Human Infection with H7N9 Avian influenza (2013 version 1)"。

　　On the morning of the 5th, Li Bin, director of the Health and Family Planning Commission, held a meeting of the epidemic prevention and control leading group to study and deploy the epidemic prevention and control work。

　　李斌说，习近平总书记、李克强总理近日分别作出重要指示和批示，要求做好病人救治和防控工作。

　　In addition, the Health and Family Planning Commission has sent clinical experts of traditional Chinese and Western medicine to the epidemic area to guide clinical treatment work, and started the procedure of sharing the virus strain with the WHO Collaborating Center for Influenza Reference and Research。

　　The city with the outbreak of the epidemic has continued to launch various "combined fists" since the 6th.。

　　In Shanghai, which has the largest number of bird flu cases, live poultry trading has been suspended and live poultry markets closed since Saturday.Road passenger transport has also been fully launched to prevent and control the H7N9 bird flu epidemic measures。

　　In addition, the Shanghai Municipal Education Commission formulated and issued publicity materials, held a special meeting on the prevention and control work of the city's schools, and deployed the prevention and control work of human infection with H7N9 bird flu in the city's schools。

　　When asked by the public why it took more than 20 days to announce H7N9 infection information, Wu Fan, director of the Shanghai Center for Disease Control and Prevention, answered:

　　"H7N9 is a new virus, the case was tested in the outpatient and admission process, first excluded SARS and other known viruses, and then unknown virus judgment and diagnosis and treatment.。After gene sequencing and comparison, and sent to the National Center for Disease Control and isolation of the virus confirmed, it was determined that it was infected with H7N9 virus。Detection of unknown causes is difficult and takes time。”

　　In other provinces where H7N9 cases have been reported, namely Jiangsu, Zhejiang and Anhui, emergency response measures have been launched。At the same time, Yunnan, Hubei, Sichuan, Shandong, Yunnan and other provinces that have not yet had an outbreak have also taken corresponding measures to strengthen prevention and control。Many local governments have promised to the media that they will not hide information about the epidemic。

　　On April 4, Beijing officially issued the "Beijing Administration of Traditional Chinese Medicine human infection H7N9 bird flu prevention Program (2013 first edition)" once the city appears the epidemic trend, will start the program。

　　In response to the rapid response speed, Weibo celebrity "emergency department superwoman Yu Ying" sighed: "Beijing is now also catching up!You can go into the history books!"

　　Meanwhile, the Beijing Municipal Bureau of Agriculture has issued an emergency notice to deal with the domestic flu.The Beijing Municipal Headquarters for the Prevention and Control of Major Animal Diseases has initiated emergency surveillance of highly pathogenic avian influenza (H7N9).Health authorities are also on alert。

　　Hong Kong "Wen Wei Po" article said that from the beginning of the fight against SARS 10 years ago, 10 years, the Chinese government and people have grown in response to the epidemic, in the face of the H7N9 bird flu epidemic, the government is effective in prevention and control, the people do not need to panic。

　　In the treatment of H7N9 patients, Zhong Nanshan stressed that "early detection" is one of the keys。The current direction of efforts is to make some mature screening reagents such as fluorescent PCR available at an early date。He admitted that at present, the application of these reagents needs to go through the relevant process, and the actual application may be too late。

　　"When treating H7N9, there should be emergency funds and medical assistance channels from the government," Zhong said.。

　　He admitted that 10 years have passed since SARS, and he still hopes that the government can establish a routine organization or research group, which should include disease control, clinical and agricultural agencies, to form a routine organization to deal with these public health events。

　　Prevention and treatment options are unclear

　　In the treatment plan, Zhong Nanshan revealed that the use of Chinese herbal medicine is considered, but there is no treatment plan for H7N9 at present。

　　And the vast majority of the people have also thought of the "divine medicine" Isatidis root。

　　Local pharmacy isatis root out of stock scene reappearance。

　　Netizen "green media element" said: "10 years, the virus has changed, but Isatidis root is still the attending。”

　　Xie Guoxiang, an expert and chief physician of the Nanjing Center for Disease Control and Prevention, said that Isatidis is a heat-clearing and detoxification drug, and its essence is to treat diseases, rather than prevent epidemics。

　　Health departments around the country have issued prevention programs: Yupingfeng powder particles, isatis root granules, astragalus oral liquid, massage Yingxiang points and other acupoints...

　　In the Chinese Medicine Prevention Plan for human H7N9 bird flu in Jiangsu and Beijing, several Chinese medicine prescriptions for preventing bird flu have been published。There was no isatidis in these prescriptions。

　　However, the plan points out that the targets of TCM prevention include two key groups: those engaged in poultry slaughtering, trafficking and cooking, and other people who have close contact with poultry and poultry products;Children, the elderly, chronic underlying diseases and other people with low immunity。Moreover, the use of preventive Chinese medicine should be prescribed by a medical practitioner, and can not be judged and selected by itself。

　　Experts say that the elderly and children should take it under the guidance of a doctor;Use with caution in chronic disease patients and women during menstruation and postpartum;Contraindicated for pregnant women。Traditional Chinese medicine prevention prescription should not be taken for a long time, generally take 3 to 5 days。

On April 6, the State Food and Drug Administration announced that the anti-influenza drug Peramivir sodium chloride injection has been approved for accelerated approval。

　　Peramivir is a novel anti-influenza virus drug, and the existing clinical trial data show that it is effective against influenza A and B。According to the World Health Organization, H7N9 is a subtype of influenza A virus, and preliminary test results show that neuraminidase inhibitors may work against the virus。

　　When people are at a loss in the face of various prevention programs, more people are beginning to look at H7N9 patients。

　　Some have called for the sudden infectious disease to be included in the free treatment system as soon as possible, and Zhong also suggested setting up a special fund for free treatment of H7N9 patients。However, other experts said that the premise of free treatment of H7N9 bird flu is human-to-human transmission。

Whether the future treatment of H7N9 bird flu patients will be free treatment, or related compensation, is still unknown。