Science has proved that laughing is healthier: laughing 100 times is equivalent to riding for 15 minutes.

  The reference news network reported on July 24. Spain’s "Fun" monthly magazine published an article in May, saying that smiling is healthier. Why do some funny things make some people laugh while others are indifferent? "I think humor is a way of looking at life and an immune mechanism at the same time," said Javier Cansado, a Spanish comedian. "I always think my children are funny, but they are not humorous. I may be able to teach them how to taste wine, but a sense of humor is innate. "

  According to the article, laughter is a widely studied behavior in the scientific community for decades, and humor shows more about what we think and feel about our relationship with others. Humor is an emotion, so it is difficult to measure.

  Capture the funny dance of neurons

  With the help of advanced neuroimaging technology, we know that humor originates from the misidentification area in the center of the brain, which is located directly above the corpus callosum connecting the left and right hemispheres. From this position, you can "supervise" all other areas of the brain that perform their duties.

  When we are listening to a joke, the sound waves emitted by words will be transmitted to the brain through electrical pulses. How can I hide an elephant in a cherry tree? Faced with such a brain teaser, the left hemisphere will immediately start sorting out information and try to guess the logical ending. At the same time, a small active area in the right hemisphere will help us imagine this narrative from a very absurd angle. In addition, we also need the help of a brain region related to processing language and memory in a short time. When the answer "dye its hooves red" appeared, the surprise broke our expectations. The error recognition area is responsible for synchronizing the logical and illogical parts of the narrative. Once an error is detected, the brain will get compensation by releasing dopamine called "happiness hormone", which will trigger laughter. "A sense of humor requires a flexible brain, because the processes of understanding a joke, finding the interesting part and laughing are highly synchronized." Natalia Lopez Moratalla, an expert in biochemistry at Navarra University, pointed out.

  According to the article, humor can stimulate positive emotions, but it may not necessarily eliminate negative emotions. In fact, in a sad atmosphere such as a funeral, sometimes we can’t help laughing. Although it seems very rude, it is just a way to deal with existing emotions. Humor can even help us get closer to others in tense moments.

  The same effect as doing exercise.

  Lisa Rosenberg, a researcher at Rush University Medical Center in Chicago, analyzed how humor can help in jobs that require quick and accurate decisions. "Joking often can relax our brains and increase our objectivity in the face of great pressure." Rosenberg said. Humor and its most common expression, laughter, are not only very useful to us as a psychological defense mechanism, but also bring benefits to our bodies. First of all, laughter is an aerobic exercise, and the exercise effect achieved by laughing for 100 times is equivalent to riding a bicycle for 15 minutes. In addition, the health of laughter lies in "accelerating the heart rate and supplying oxygen to the brain", Moratalla said, "People with a sense of humor have healthier immune mechanisms, the probability of myocardial infarction will be reduced by about 40%, and the average life expectancy will be increased by four and a half years".

  According to the article, many scientists suggest laughing for at least 15 minutes every day, because laughter may even have the effect of "painkiller". A scientific team at Allegheny College in Pennsylvania, USA, found in the experiment that if people happened to watch a drama before being shocked, the pain they felt would be less intense. The reason is that laughter can promote the production of endorphins, which are considered to be the natural "morphine" secreted by the body.

  "Obviously, laughter and humor can’t cure the pain by themselves, but they can bring benefits to diseases with low pain, such as fibromyalgia, and can also relieve emotional disorders, anxiety and depression." Manuel Arias Gomez, an expert from the Spanish Society of Neurology, said.

  Laughter therapy

  Therefore, the so-called "laughter therapy" has appeared as an auxiliary method in the treatment of some diseases. More and more hospitals have recruited volunteers, usually artists, to bring warmth to the cold hospital environment. At present, a number of organizations have sprung up in Spain, such as Smile Doctor of theodora Foundation, Clowns Without Borders, and Smile Medicine, which are dedicated to promoting the laughter therapy.

  Madrid psychologist Begonia Cabello has devoted herself to studying the relationship between health and humor and how it can be used by medical staff for many years. "I don’t think enough attention is paid to the way to help patients relieve their pain through emotions." She pointed out.

  "It turns out to be really effective: when the patient is refreshed, the recovery situation can be more ideal. This has been verified not only in children and patients, but also in adults and the elderly. " Cabello said. Humor, like exercise, is our best "tonic", a healthy living habit and the most accessible "medicine". (Compile/Han Chao)

Plague is no longer so terrible! Experts interpret its transmission characteristics and prevention methods.

  Li dongzeng

  editorial comment/note

  Recently, a case of bubonic plague was confirmed in Wulate Zhongqi, Bayannaoer City, Inner Mongolia Autonomous Region. Subsequently, Inner Mongolia Autonomous Region announced that three plague foci had been discovered, and close contacts had been observed in isolation at home. This is the second case of plague in Inner Mongolia since last November. Because there have been many plagues in human history, many people turn pale at the sight of them. In fact, today, through effective preventive isolation measures and treatment, plague has long been less terrible. In this issue, we will introduce the spread characteristics and prevention methods of this disease in detail.

  one

  The infectivity of different plague is high or low.

  There are three common types of plague, namely bubonic plague, pneumonic plague and septicemic plague. Plague is usually transmitted from animals to people through rat fleas biting the skin. After a rat flea carrying Yersinia pestis bites a person, Yersinia pestis invades the body from the skin and first reaches the nearest lymph node, causing inflammation of the lymph node, which leads to high fever and swollen lymph nodes. The swollen lymph nodes can be felt from pigeon eggs to the size of eggs, which is bubonic plague.

  If patients with bubonic plague are not treated in time, swollen lymph nodes may fester and rupture. These pus are also contagious and may be infected if they are touched. Yersinia pestis may also spread to the blood and lungs, becoming septicemic plague and pneumonic plague.

  Pneumonic plague developed from bubonic plague is called secondary pneumonic plague, and patients with pneumonic plague will have severe pneumonia. There is Yersinia pestis in the respiratory secretions of patients with pneumonic plague, which is highly contagious. Others will be infected after inhalation. People who inhale Yersinia pestis from the respiratory tract can directly suffer from pneumonic plague, which is called primary pneumonic plague. Whether it is primary pneumonic plague or secondary pneumonic plague, the manifestations are similar, and they all have the ability of respiratory transmission. Plague spread from person to person is mainly pneumonic plague.

  Bubonic plague is the most common, but the risk is lower than pneumonic plague, and it is generally not contagious. However, patients with pneumonic plague are highly contagious, and the mortality rate is relatively high if they are not treated in time.

  When Yersinia pestis spreads into the blood from lymph nodes or lungs, it may become septicemic plague. Septic plague is rare, but it is the most dangerous and has a high mortality rate. If the patient is not rescued in time, he may die within 1 to 3 days after onset. Septic plague appears ecchymosis because of bleeding under the skin, and the skin is purple-black. Therefore, it was called "Black Death" after the outbreak of plague in medieval Europe.

  2

  There is little chance of infection without entering the epidemic focus.

  The main sources of infection of plague are rats and other rodents, and in China, it is mainly Rattus and Marmota. Other animals such as rabbits, foxes, wolves, camels and some domestic animals such as cats, dogs and sheep can also become sources of infection. The spread of plague among animals is mainly due to being bitten by rats and fleas.

  Plague itself is spread among animals. There are 12 types of plague natural foci in China, distributed in 19 provinces, and animals in these natural foci may carry Yersinia pestis. Under normal circumstances, plague will not infect humans, but some people are at risk of being infected because of their professional needs or because of travel and exploration. Therefore, the staff in pastoral areas are often high-risk people infected with plague. People who enter pastoral areas are most likely to be bitten by rat fleas in the lower limbs, so the most common symptom of bubonic plague is swelling and pain of inguinal lymph nodes. There are also some people who enter the plague natural focus because of hunting or traveling, and they are also at risk of infection after contacting animals. If you strip animals suffering from plague, you may be infected by rat flea bites, or you may be infected by skin wounds touching the blood and body fluids of sick animals. Plague infected by stripping animals is more common in axillary and cervical lymph nodes of upper limbs.

  If ordinary people do not enter the natural focus of plague, there is little chance of being infected with plague, and rats in urban areas usually do not carry Yersinia pestis. If you plan to travel to the plague natural focus, you must know the local plague situation in advance, try to keep a distance from wild animals, and don’t get in touch with the woodchuck when you see it. When entering the grassland, try to wear long trousers and gloves, avoid being bitten by rats and fleas, don’t sit and roll on the grassland, don’t picnic and camp on the grassland, and try to reduce the risk of infection.

  three

  Symptoms and treatment after plague infection

  People infected with plague have different symptoms according to different types. The common characteristics of plague patients are rapid onset, repeated high fever, chills, shortness of breath, rapid heartbeat and severe headache. The symptoms of bubonic plague are mainly swelling and pain of lymph nodes, mainly groin, armpit and neck, which are generally unilateral swelling and pain. Patients dare not move easily when the pain is severe. The bubonic plague may be misdiagnosed as other causes of lymph node swelling and pain, such as acute lymphadenitis, lymphadenopathy caused by filariasis, tuberculosis of lymph nodes, etc., but other diseases with lymphadenopathy usually start slowly and develop less rapidly than bubonic plague.

  Pneumonic plague is characterized by severe chest pain, cough, expectoration, hemoptysis, dyspnea and wheezing. Pneumonic plague is easily misdiagnosed as common bacterial pneumonia or viral pneumonia, so it needs to be distinguished from other pulmonary infection diseases, including lobar pneumonia, pneumonia secondary to influenza, novel coronavirus and so on.

  Septic plague can be characterized by high fever, no increase in body temperature, unconsciousness, confusion and even coma, extensive bleeding, ecchymosis, cyanosis and necrosis of the skin, and some patients’ bodies are purple and black after death. Septic plague is easily misdiagnosed as coma and shock caused by other reasons, such as hemorrhagic fever with renal syndrome, septicemia caused by epidemic cerebrospinal meningitis, epidemic Japanese encephalitis spread by mosquito bites, shock caused by staphylococcus aureus or streptococcus infection, etc.

  After people are infected with plague, the disease can be effectively controlled through timely drug treatment. At present, the treatment of plague is mainly antibacterial treatment, supplemented by symptomatic support treatment. Antibacterial treatment refers to the use of antibiotics to sterilize. Streptomycin is the most effective antibiotic against Yersinia pestis, especially in the treatment of pneumonic plague, mainly by intramuscular injection, which can be injected continuously for 10 days. Gentamicin can also be used in the case of human infection with plague. Tetracycline has bacteriostatic effect, which is effective for mild patients. It can be taken orally or used together with other antibiotics. Sulfonamides are widely used in the treatment and prevention of plague. Sulfonamides are the earliest synthetic antibacterial drugs, which have good curative effect on plague, and they are easy to use, stable in nature and low in price. Symptomatic support therapy refers to helping patients recover as soon as possible by means of antipyretic analgesia, anti-shock, respiratory support and nutritional support.

  four

  What should I do if I find a mouse at home?

  Domestic hamsters and rabbits usually don’t have access to wild animals, and animals don’t naturally carry infectious diseases. Without the source of infection, they won’t be infected, so there is no need to worry about domestic hamsters and rabbits catching plague. However, rats, rabbits and other animals do have a lot of bacteria in their mouths. After being bitten, it is necessary to disinfect the wound in time to avoid bacterial infection. If the wound shows signs of infection such as redness, swelling, pain and skin color change, you need to seek medical attention in time.

  Families find that rats need to be scientifically killed. The first is to clean up the dead corners and garbage in time to reduce the living space of rats. Secondly, try to block all the passages that mice may enter and leave the room, such as air-conditioning pipe holes and sewer holes, so that mice have nowhere to hide and can’t enter the room. Around houses, corridors and other areas, compliant rat traps, rat boards and rat poison can be placed in places where rats are infested, and eye-catching signs should be made at the same time to prevent others, especially children, from accidentally contacting rat poison.

  Don’t put snacks in the house at will. The food and all kinds of food in the house should be stored out of the reach of mice. If conditions permit, community managers should invite professional rodent control companies to carry out rodent control in a unified way to improve efficiency. If you find dead rats at home, don’t touch them with your bare hands to avoid being bitten by rats and fleas. You can wear long trousers, masks and gloves, collect the dead rats in sealed plastic bags, and contact the community property management department to dispose of the dead animals.

  Plague prevention includes bubonic plague prevention and pneumonic plague prevention. The bubonic plague is mainly caused by the bites of rats and fleas on animals, so the prevention of bubonic plague by ordinary people is mainly to avoid contact with animals in the natural focus of plague, and to prevent rats and fleas. If you must enter the epidemic area, you can wear long trousers, boots and gloves, and try not to expose your skin to avoid being bitten by rats and fleas.

  During the tour, everyone should try not to touch wild animals, including wild animal carcasses. Don’t buy wild animals. If you find dead animals on the roadside, you should report them to the local health and disease control departments in time.

  If you are just traveling, you can do these preventive measures well, and you don’t need to use drugs in advance to prevent it. If you are bitten by rat fleas in areas with plague, or have close contact with patients with pneumonic plague without protection, you can use tetracycline, doxycycline, sulfanilamide and other drugs to prevent it. (Author: Deputy Chief Physician, Department 2, Infection Center, Beijing You ‘an Hospital)

Notice of the General Office of Beijing Municipal People’s Government on Printing and Distributing the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing

Beijing Zhengban Fa [2005] No.59

The people’s governments of the districts and counties, the commissions, offices and bureaus of the municipal government, and the municipal institutions:

  "Beijing highly pathogenic avian influenza emergency plan" has been approved by the municipal government and is hereby issued to you, please implement it carefully.

  November 22nd, 2005

Emergency plan for highly pathogenic avian influenza in Beijing

(Revised in 2005)

catalogue

 1 General rules

  1.1 Purpose of compilation

  1.2 Compilation basis

  1.3 Scope of application

  1.4 working principles

  1.5 epidemic situation confirmation

  1.6 epidemic classification

2 Organization and responsibilities

  2.1 emergency command organization

  2.2 Daily management organization

  2.3 Expert Advisory Group

  2.4 Emergency handling institutions

  2.5 Responsibilities of District and County Governments

3 Early warning and reporting

  3.1 Early warning level

  3.2 Early warning release

  3.3 Early warning response

  3.4 epidemic situation report 

 4 emergency response

  4.1 the principle of emergency response

  4.2 Graded response

  4.3 Basic emergency

  4.4 Expand emergency response

  4.5 Emergency response in areas without epidemic situation

  4.6 Safety Protection of Emergency Handling Personnel

  4.7 Termination of emergency response

 5 after-treatment

  5.1 Late evaluation

  5.2 Reward

  5.3 Responsibility

  5.4 Disaster compensation

  5.5 Pensions and subsidies

  5.6 Resume production

  5.7 Social assistance

 6. Guarantee of emergency response

  6.1 Technical Support of Command System

  6.2 Communication Guarantee

  6.3 Emergency resources and equipment support

  6.4 Technical Reserve and Guarantee

 7 Training, exercises and publicity and education

  7.1 Training

  7.2 exercise

  7.3 publicity and education

 8 supplementary provisions

  8.1 Definitions and descriptions of noun terms and abbreviations

  8.2 Plan Management and Update

  8.3 Plan Interpretation Department

  8.4 implementation time of the plan

  1 General rules

  1.1 Purpose of compilation

  Through the preparation and implementation of this plan, we will earnestly strengthen the basic work of emergency treatment of highly pathogenic avian influenza, build a long-term management and emergency treatment mechanism that combines prevention and extermination, realize systematic prevention, scientific decision-making, intelligent command and overall security, ensure that administrative and technical resources can be mobilized in time when a highly pathogenic avian influenza epidemic occurs, and take strict measures to effectively control and exterminate the epidemic, so as to minimize the losses caused by the epidemic.

  1.2 Compilation basis

  This plan is formulated in accordance with People’s Republic of China (PRC) Animal Epidemic Prevention Law, People’s Republic of China (PRC) Entry-Exit Animal and Plant Quarantine Law, Emergency Regulations on Major Animal Epidemic, National Emergency Plan for Sudden Major Animal Epidemic, National Emergency Plan for Highly Pathogenic Avian Influenza, Measures for Beijing to Implement People’s Republic of China (PRC) Animal Epidemic Prevention Law, Beijing Overall Emergency Plan for Public Emergencies and related regulations.

  1.3 Scope of application

  This plan is applicable to the emergency treatment of highly pathogenic avian influenza epidemic that has caused or may cause serious losses in poultry production and serious damage to public health.

  The management object of this plan is the poultry and its products produced, slaughtered, transported, stored, imported and sold in this city, the poultry used for viewing, performing arts, competitions, scientific research and teaching, diagnosis and treatment, and wild poultry such as migratory birds.

  1.4 working principles

  1.4.1 Territorial management

  Governments at all levels shall uniformly lead and direct the emergency handling of highly pathogenic avian influenza epidemic; Territorial management shall be implemented for emergency handling of epidemic situation; Governments at all levels are responsible for extinguishing the epidemic situation of highly pathogenic avian influenza within their respective administrative areas, and all relevant departments shall, in accordance with the provisions of the plan, do a good job in emergency handling of the epidemic situation within their respective functions and duties. According to the scope, nature and degree of harm of highly pathogenic avian influenza epidemic, the epidemic situation shall be managed at different levels.

  1.4.2 Rapid response

  Governments at all levels shall, in accordance with relevant laws and regulations, establish and improve the emergency system, emergency response mechanism and emergency handling procedures for highly pathogenic avian influenza epidemic, and improve the emergency handling capacity for highly pathogenic avian influenza epidemic; When a highly pathogenic avian influenza epidemic occurs, governments at all levels should respond quickly and take decisive measures to control and extinguish the epidemic in time.

  1.4.3 Prevention first.

  Carry out the policy of putting prevention first, implement various prevention and control measures, do a good job in emergency reserve of personnel, technology, materials and equipment, and carry out technical training and emergency drills on a regular basis as needed; Carry out epidemic monitoring, early warning and forecasting, and timely analyze and warn all kinds of situations that may lead to highly pathogenic avian influenza epidemic, so as to achieve early detection, quick action and strict handling.

  1.4.4 Scientific control

  Implement scientific prevention and control, further establish and popularize scientific immunization and disinfection procedures, strengthen epidemiological research, standardize the operating procedures of epidemic prevention and quarantine, and realize scientific and standardized prevention and control work.

  1.4.5 Group prevention and control

  Strengthen the propaganda of epidemic prevention knowledge, popularize the epidemic prevention knowledge of highly pathogenic avian influenza, popularize immunization, diagnosis and disinfection techniques, improve the epidemic prevention awareness and self-protection awareness of animal breeding practitioners and the general public, and enhance the awareness of the whole society to prevent highly pathogenic avian influenza; The emergency treatment of highly pathogenic avian influenza epidemic situation depends on the masses, the whole people’s epidemic prevention, and mobilization of various resources to achieve mass prevention and control.

  1.5 epidemic situation confirmation

  1.5.1 After receiving the epidemic report, the supervising agency for animal epidemic prevention immediately dispatched two or more epidemic prevention personnel with relevant qualifications to the site for clinical diagnosis and put forward preliminary diagnosis opinions.

  1.5.2 In case of suspected highly pathogenic avian influenza epidemic, timely collect disease materials and send them to the Municipal Veterinary Laboratory for serological detection (waterfowl cannot use agar diffusion test). If the diagnosis is positive, it can be confirmed as a suspected case of highly pathogenic avian influenza.

  1.5.3 Suspected cases must be sent to the laboratory designated by the animal husbandry and veterinary administrative department of the State Council for virus isolation and identification for final diagnosis.

  1.6 epidemic classification

  According to the nature, harm degree and scope of highly pathogenic avian influenza epidemic, the epidemic situation of highly pathogenic avian influenza is divided into four levels: particularly serious (Grade I), major (Grade II), large (Grade III) and general (Grade IV).

  1.6.1 particularly serious and highly pathogenic avian influenza epidemic situation (Grade I)

  Within 21 days, there were more than 4 districts and counties with epidemic situation; Or the number of epidemic spots is more than 10; Or there are more than 4 townships or more than 3 contiguous townships in one district and county; Or in several districts and counties, there are multiple trends, and some people are infected, which continues to spread in a large area.

  1.6.2 Major highly pathogenic avian influenza epidemic (Grade II)

  Within 21 days, there were 2 to 3 districts and counties with epidemic situation; Or there are 4 to 9 epidemic spots in one district and county; Or an epidemic occurred in two townships.

  1.6.3 Large and highly pathogenic avian influenza epidemic (Grade III)

  Within 21 days, there are two or three epidemic spots in one district and county.

  1.6.4 General epidemic situation of highly pathogenic avian influenza (Grade IV)

  Occurred in a township and an epidemic spot.

  2 Organization and responsibilities

  2.1 emergency command organization

  2.1.1 Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) shall lead, organize and coordinate the emergency treatment of highly pathogenic avian influenza in the city.

  Responsibilities of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters):

  (1) Implement the Law of People’s Republic of China (PRC) on Animal Epidemic Prevention and the Measures of Beijing for Implementing the Law of People’s Republic of China (PRC) on Animal Epidemic Prevention and other laws and regulations;

  (2) Organizing the formulation and revision of the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing;

  (3) To lead, organize and implement the prevention and control of highly pathogenic avian influenza in this Municipality, and formulate working procedures for the prevention and control of highly pathogenic avian influenza;

  (4) to guide the prevention and treatment of highly pathogenic avian influenza in districts and counties.

  2.1.2 The commander-in-chief of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) is the deputy mayor in charge, and the deputy commander-in-chief is the deputy secretary-general in charge of the municipal government and the director and deputy director in charge of the Municipal Agriculture Bureau. He is responsible for the unified leadership and unified command of the emergency treatment of highly pathogenic avian influenza epidemic and makes major decisions to deal with the highly pathogenic avian influenza epidemic.

  2.1.3 member units and responsibilities of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters).

  Municipal Bureau of Agriculture: (1) Responsible for organizing and coordinating relevant departments to do a good job in the prevention and control of highly pathogenic avian influenza; (2) To undertake the work functions of the Office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and organize and carry out the work of epidemic monitoring, immunization, culling, disinfection, disease diagnosis and reporting, epidemiological investigation and focus tracking in a unified way; (3) Put forward the technical scheme for epidemic control and extermination; (4) Delineate epidemic spots, epidemic areas and threatened areas, put forward blockade suggestions to the municipal government and participate in the organization and implementation; (5) Supervise and guide the culling of poultry in epidemic areas, carry out harmless treatment of poultry carcasses and poultry products according to the prescribed standards, disinfect and treat pollutants in epidemic areas, and disinfect breeding sites and surrounding environment; (6) Organize emergency immunization of related animals in the threatened area; (7) Monitoring related animals and animal products in the threatened area; (8) Organize the establishment of emergency epidemic prevention materials storage, and reserve enough vaccines, diagnostic reagents, disinfection drugs, machines and tools, equipment, protective articles, blockade facilities and harmless treatment facilities; (9) To be responsible for the training of the emergency response reserve team; (10) to participate in the propaganda work of epidemic spots, epidemic areas and surrounding people.

  Municipal Agriculture Committee: responsible for studying and putting forward policy suggestions for the development of agricultural industry.

  Propaganda Department of the Municipal Party Committee: responsible for coordinating and organizing the news propaganda work of highly pathogenic avian influenza and popularizing relevant scientific prevention and control knowledge.

  Municipal government supervision room: responsible for supervising the prevention and control of highly pathogenic avian influenza in all districts and counties and relevant departments.

  Legislative Affairs Office of the municipal government: responsible for organizing the formulation of policies, regulations and compulsory measures for the prevention and control of highly pathogenic avian influenza.

  Municipal Information Office: responsible for the construction of information network for the prevention and control of highly pathogenic avian influenza, do a good job in network maintenance and ensure the safety and smoothness of the network.

  Municipal organization: responsible for the implementation of the staffing of major animal disease prevention and control institutions.

  Foreign Affairs Office of the Municipal Government: responsible for the review and coordination of foreign-related matters concerning the prevention and control of highly pathogenic avian influenza in this Municipality, and handling matters related to foreign embassies in China, overseas news agencies in Beijing, overseas personnel in Beijing, Hong Kong and Macao Beijing offices and personnel.

  Municipal Health Bureau: responsible for prevention, medical observation and human epidemic monitoring of high-risk groups, and strengthening contact and information communication with animal epidemic prevention departments.

  Municipal Development and Reform Commission: responsible for making plans and arrangements for infrastructure construction related to epidemic prevention and control.

  Municipal Finance Bureau: responsible for ensuring the funds needed for emergency treatment of epidemic diseases such as immunization, monitoring, disinfection, culling and harmless treatment, and strengthening supervision over the use of funds.

  Beijing Entry-Exit Inspection and Quarantine Bureau: Strengthen the quarantine of inbound and outbound animals, animal products and other quarantine objects to prevent the spread of epidemic diseases.

  Municipal Public Security Bureau: responsible for assisting relevant departments to do a good job in blockade and forced culling of epidemic areas, and to do a good job in security and social security management of epidemic areas.

  Municipal Administration for Industry and Commerce: It is responsible for closing the poultry and poultry products trading market in epidemic areas and cracking down on the illegal operation of poultry and poultry products in the market.

  City Urban Management and Law Enforcement Bureau: responsible for cracking down on the illegal operation of poultry and poultry products outside the bazaar according to law.

  Municipal Transportation Commission: Cooperate with epidemic prevention and control, and be responsible for giving priority to the dispatch of emergency epidemic prevention materials.

  Municipal Science and Technology Commission: responsible for strengthening the research on early warning and forecasting of epidemic situation and prevention and control technology.

  Municipal Bureau of Commerce: responsible for strengthening market monitoring and management of reserved poultry products, organizing market regulation and maintaining market stability.

  Municipal Management Committee: responsible for coordinating the relevant units to do a good job in the collection and harmless treatment of kitchen waste.

  Municipal Forestry Bureau: It is responsible for cracking down on illegal hunting and management of wild birds, closely monitoring the health status of wild birds, and immediately notifying the local supervising agencies for animal epidemic prevention when any abnormality is found, and assisting the animal husbandry and veterinary departments in monitoring relevant diseases.

  Municipal Water Affairs Bureau: responsible for the observation of aquatic wild birds in water source protection areas and surrounding areas, and immediately notify the local supervising agencies for animal epidemic prevention when any abnormality is found, and assist the animal husbandry and veterinary departments to do a good job in disease monitoring.

  Municipal Bureau of Landscape Architecture: responsible for coordinating the immunization of birds in parks under the guidance of animal quarantine departments and health and epidemic prevention departments at the county level, closely monitoring their health conditions, immediately notifying the local supervising agencies for animal epidemic prevention when finding any abnormality, and cooperating with the animal husbandry and veterinary departments to do a good job in monitoring the epidemic situation.

  Municipal Bureau of Quality and Technical Supervision: responsible for strengthening the supervision of poultry products production and processing enterprises.

  Logistics Department of Beijing Garrison: responsible for the prevention and control of epidemic diseases in its subordinate units, actively cooperating with the prevention and control of epidemic diseases in the station, and timely reporting epidemic information.

  Municipal Local Taxation Bureau: It is responsible for regulating and controlling the taxation of poultry farms (households) affected by the disaster, and promoting them to resume production as soon as possible.

  Civil Affairs Bureau: responsible for providing life assistance to poultry farm personnel and poultry farmers who have difficulties in living due to disasters, and properly arranging the basic life of the affected people.

  Municipal Tourism Bureau: responsible for cooperating with the Municipal Agriculture Bureau to carry out epidemic prevention supervision and management of hotels and restaurants.

  Beijing Railway Bureau: Ensure the transportation of emergency personnel dealing with highly pathogenic avian influenza, emergency materials and relevant samples such as prevention and control drugs and instruments, and ensure safety and speed; Cooperate with the supervising agencies for animal epidemic prevention to do a good job in quarantine supervision of poultry and their products transported by rail.

  Civil Aviation North China Regional Administration: organize and coordinate relevant units to do a good job in air transportation support for emergency personnel dealing with highly pathogenic avian influenza epidemic situation, emergency materials such as prevention and control drugs and equipment, and related samples; Supervise the relevant units to cooperate with the supervising agencies for animal epidemic prevention to do a good job in quarantine supervision of poultry and their products transported by air, and cooperate with the inspection and quarantine departments to do a good job in inspection and quarantine of inbound and outbound poultry and their products.

  Beijing Ershang Group Co., Ltd.: Responsible for the reserve of national and municipal commodities and ensuring the quality of the reserved commodities.

  Beijing Dafa Animal Products Company: responsible for the animal epidemic prevention work of this enterprise.

  Beijing Huadu Group Co., Ltd.: Responsible for the animal epidemic prevention work of this enterprise.

  Beijing Sanyuan Group Co., Ltd.: Responsible for the animal epidemic prevention work of this enterprise.

  2.2 Daily management organization

  The municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) has an office as a daily office. The office is located in the Municipal Agriculture Bureau. The office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) is equipped with a command site and corresponding facilities and equipment as a command platform when a major animal epidemic occurs, and it is interconnected with the command platform of the Municipal Emergency Committee.

  The functions of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) Office for the prevention and control of highly pathogenic avian influenza are as follows:

  (1) Responsible for organizing the implementation of the decision of the Municipal Emergency Committee and the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), mobilizing the reserve team for emergency treatment of highly pathogenic avian influenza epidemic, coordinating the member units of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and contacting the municipal expert advisory group.

  (2) Responsible for organizing the drafting and revision of the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing, organizing emergency drills for highly pathogenic avian influenza incidents, and organizing publicity, education and training for the prevention and treatment of highly pathogenic avian influenza.

  (3) Responsible for the collection, analysis and reporting of highly pathogenic avian influenza information at home and abroad.

  (4) responsible for organizing the investigation of hidden dangers of highly pathogenic avian influenza in the city.

  (5) Responsible for issuing blue and yellow warning information, and put forward suggestions on issuing orange and red warning information to the office of the Municipal Emergency Committee.

  (6) responsible for the construction of the city’s highly pathogenic avian influenza emergency command system and the management of emergency resources.

  (7) coordinate and deal with the problems encountered in the prevention and treatment of highly pathogenic avian influenza.

  2.3 Expert Advisory Group

  City headquarters for the prevention and control of major animal diseases (emergency headquarters, a major animal disease) hired experts to form a highly pathogenic avian influenza expert advisory group.

  Main responsibilities:

  (1) to put forward suggestions on technical measures to deal with the corresponding level of highly pathogenic avian influenza epidemic;

  (2) Make suggestions on emergency preparedness for highly pathogenic avian influenza epidemic;

  (3) to participate in the formulation or revision of emergency plans and disposal technical schemes for highly pathogenic avian influenza;

  (4) to provide technical guidance and training for emergency treatment of highly pathogenic avian influenza epidemic;

  (5) Put forward suggestions on termination and post-evaluation of emergency response to highly pathogenic avian influenza epidemic;

  (6) To undertake other tasks assigned by the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and the Office.

  2.4 Emergency handling institutions

  2.4.1 Field headquarters

  The on-site headquarters is responsible for organizing the implementation of the decision of the Municipal Emergency Committee and the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and coordinating and mobilizing the member units of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) to jointly carry out the emergency treatment of highly pathogenic avian influenza epidemic.

  2.4.2 Reserve Team for Emergency Treatment of Highly Pathogenic Avian Influenza

  Key personnel in animal husbandry and veterinary administration, animal epidemic prevention supervision, health and epidemic prevention, public security and other aspects are drawn from relevant departments and units of the city and county to form an emergency response reserve team, and epidemic situation handling, public security blockade, emergency immunization and health and epidemic prevention teams are set up separately, and each team is composed of corresponding professionals. Its main duties are to blockade the epidemic areas, cull susceptible poultry in the epidemic areas, strictly disinfect the epidemic areas and do a good job in personnel protection according to the requirements of emergency command agencies for major animal epidemics at all levels and the specific scope of designated epidemic areas and threatened areas.

  2.5 Responsibilities of District and County Governments

  The district and county governments shall take overall responsibility for the prevention and control of highly pathogenic avian influenza within their respective jurisdictions. According to the contents of this plan, formulate the planning, monitoring plan and emergency plan for the prevention and control of highly pathogenic avian influenza in this area; Establish an emergency command system and daily offices for major animal epidemics in districts and counties, uniformly lead and direct the emergency handling of highly pathogenic avian influenza epidemic within their respective administrative areas, make decisions on handling highly pathogenic avian influenza epidemic within their respective administrative areas, and decide on measures to be taken.

  3 Early warning and reporting

  3.1 Early warning level

  According to the possible harm degree, development and urgency of highly pathogenic avian influenza epidemic, it is divided into four warning levels from low to high: general (level IV), severe (level III), severe (level II) and particularly severe (level I), which are indicated by blue, yellow, orange and red in turn.

  Blue Warning: Outbreaks of highly pathogenic avian influenza with neighboring countries or other provinces, autonomous regions and municipalities (except Inner Mongolia Autonomous Region, Liaoning Province, Shandong Province, Henan Province, Shanxi Province, Hebei Province and Tianjin City).

  Yellow warning: The outbreak of highly pathogenic avian influenza in Inner Mongolia Autonomous Region, Liaoning Province, Shandong Province, Henan Province and Shanxi Province has a tendency to spread to this city.

  Orange warning: Highly pathogenic avian influenza has broken out in Hebei Province and Tianjin, and it has a tendency to spread to this city.

  Red warning: A suspected case of highly pathogenic avian influenza occurred in this city, or a suspected case of human infection with highly pathogenic avian influenza appeared.

  3.2 Early warning release

  3.2.1 According to the monitoring information provided by the supervising agency for animal epidemic prevention and the epidemic dynamics of highly pathogenic avian influenza at home and abroad, the office of the municipal headquarters for the prevention and control of major animal epidemics (emergency headquarters) analyzes the harm degree and development trend according to the occurrence, development law and characteristics of highly pathogenic avian influenza epidemic, puts forward corresponding early warning suggestions, and releases them after being approved by the municipal headquarters for the prevention and control of major animal epidemics (emergency headquarters) and the municipal emergency committee.

  3.2.2 After confirming the early warning information that may cause highly pathogenic avian influenza epidemic, the Municipal Command for Prevention and Control of Major Animal Diseases (emergency headquarters) shall deploy in time according to the formulated plan, and promptly notify all relevant departments and units to take action to prevent the occurrence and spread of highly pathogenic avian influenza epidemic.

  3.2.3 In accordance with the relevant provisions on the release and confidentiality of the epidemic situation, early warning of highly pathogenic avian influenza with different levels shall be released and cancelled. General and heavier level of early warning, by the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) organization issued and announced the cancellation. Serious and especially serious warning information needs to be reported to the main leaders of the city for approval, and the office of the Municipal Emergency Committee is responsible for organizing the release and announcement of cancellation.

  3.3 Early warning response

  3.3.1 Blue Early Warning Response

  Pay close attention to the development trend of epidemic situation in neighboring countries or relevant provinces, autonomous regions and municipalities. Strengthen the reserve of epidemic prevention materials such as vaccines and disinfectants. Strengthen the monitoring of immune effect. Strengthen the observation and monitoring of transit migratory birds. It is forbidden to import birds and their products from countries and regions in epidemic areas announced by the Ministry of Agriculture and the General Administration of Quality Supervision, Inspection and Quarantine, and strengthen the quarantine of imported birds and their products in non-epidemic areas. After the epidemic situation in neighboring countries or relevant provinces, autonomous regions and municipalities is controlled, the blue warning will be cancelled.

  3.3.2 Yellow Early Warning Response

  On the basis of implementing the blue warning response measures, all poultry farms (households) should adopt closed feeding methods to strictly control the flow of people and logistics. Expand the monitoring scope of poultry immune effect, and timely supplement the poultry farms (households) with low immune titer. Thoroughly disinfect the internal and external environment of poultry farms (households). In addition to the live birds from the breeding bases outside Beijing designated by this Municipality entering Beijing according to the relevant procedures, other live birds from other places will be stopped from entering Beijing. Suspend the city’s live poultry trading activities, suspend the release of pigeons and temporarily close the bird trading market. Strictly inspect and quarantine poultry and products entering Beijing through roads, railways, civil aviation and other channels according to law. Combine neighboring provinces and cities to carry out compulsory immunization of poultry within 5 kilometers from both sides of the administrative boundary of this Municipality, and establish a "firewall" for the prevention and control of highly pathogenic avian influenza in this Municipality; Carry out dragnet inspection, strengthen the monitoring of the immune effect of poultry within 5 kilometers from both sides of the administrative boundary of this Municipality, and make up for the exemption in time when problems are found. All members of the emergency command organization for major animal diseases strengthen information communication and jointly strengthen various prevention and control measures. After the epidemic situation in relevant provinces, autonomous regions and municipalities is effectively controlled, the yellow warning will be cancelled.

  3.3.3 Orange Early Warning Response

  On the basis of implementing the yellow early warning response measures, stop foreign poultry and their products from entering Beijing. When necessary, purchase poultry within 3 kilometers of the border between this city and the epidemic area. Strengthen joint prevention and control with Hebei Province and Tianjin City, and establish an information notification mechanism to ensure timely and effective communication of information. After the epidemic situation in Hebei Province and Tianjin City was effectively controlled, the orange warning was cancelled.

  3.3.4 Red Warning Response

  On the basis of implementing the orange early warning and response measures, the relevant departments closed the area where suspected cases occurred, and implemented measures such as culling and compulsory immunization for poultry in this area and surrounding areas. Isolate people suspected of being infected with highly pathogenic avian influenza and their close contacts. The Municipal Agriculture Bureau and the Municipal Health Bureau strengthen information communication and jointly strengthen various prevention and control measures. If suspected cases are excluded, cancel the red warning; If the epidemic situation is confirmed, enter the emergency response procedure.

  3.4 epidemic situation report

  Any unit or individual has the right to report the epidemic situation of highly pathogenic avian influenza and its hidden dangers to governments at all levels and relevant departments, and to report the departments, units and individuals that fail to perform or fail to perform the duties of emergency handling of highly pathogenic avian influenza epidemic in accordance with regulations to higher government departments.

  3.4.1 Responsibility Reporting Unit and Responsibility Reporting Person

  (1) Responsibility reporting unit

  a。 Units related to poultry breeding and management, production and management of poultry products, various animal clinics and other related units;

  b。 Relevant scientific research units and institutions;

  c。 Supervising agencies for animal epidemic prevention under local governments at or above the county level;

  d。 Other relevant departments and units.

  (2) Responsible reporter

  Personnel who raise and manage poultry and produce and manage poultry products; Staff of various animal clinics; Relevant staff of scientific research units and colleges; Personnel of supervising agencies for animal epidemic prevention at all levels performing their duties; Other relevant personnel.

  3.4.2 Report Form

  The supervising agencies for animal epidemic prevention at all levels shall report the epidemic situation of highly pathogenic avian influenza according to the relevant provisions of the state; Other responsible reporting units and individuals report by telephone or in writing.

  3.4.3 Time limit and procedures for reporting

  When a suspected highly pathogenic avian influenza epidemic situation is found, it must be reported to the district and county supervising agencies for animal epidemic prevention immediately. After receiving the report, the county supervising agencies for animal epidemic prevention shall immediately rush to the scene for clinical diagnosis. If necessary, please ask the municipal supervising agencies for animal epidemic prevention to send people to assist in the diagnosis. After it is identified as a suspicious epidemic situation, it shall report the epidemic situation to the municipal supervising agencies for animal epidemic prevention step by step within 2 hours, and also report it to the county emergency headquarters for major animal epidemics. The municipal supervising agency for animal epidemic prevention shall, within 1 hour after receiving the report, report to the office of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the municipal veterinary administrative department. The office of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the municipal veterinary administrative department shall report to the municipal government (Municipal Emergency Committee) and the Ministry of Agriculture respectively within 1 hour after receiving the report.

  If it is identified as a suspicious epidemic situation, it shall immediately collect sick materials and send them to the laboratory of the Municipal Veterinary Laboratory for preliminary diagnosis; Confirmed as a suspected case of highly pathogenic avian influenza, sent to the National Avian Influenza Reference Laboratory for diagnosis.

  3.4.4 Report content

  (1) the time and place of the epidemic;

  (2) species and quantity of infected or suspected infected animals, number of animals in the same group, immunity, number of deaths, clinical symptoms, pathological changes and diagnosis;

  (3) Epidemiology and focus tracking;

  (4) Control measures taken;

  (5) the unit, person in charge, reporter and contact information of the epidemic situation report.

  4 emergency response

  4.1 the principle of emergency response

  When a highly pathogenic avian influenza epidemic occurs, the municipal, district, county and township governments and their relevant departments make emergency response according to the principle of graded response. At the same time, it is necessary to follow the objective law of the occurrence and development of highly pathogenic avian influenza epidemic, and adjust the response level in time in combination with the actual situation and the needs of prevention and control work. Pay attention to the analysis of the development trend of highly pathogenic avian influenza epidemic situation, and upgrade the response level in time for the epidemic situation with expanding situation and influence; For the epidemic with limited scope and no further spread, the response level should be reduced accordingly. The emergency treatment of highly pathogenic avian influenza epidemic should adopt the methods of investigation, treatment and verification to effectively control the development of the epidemic.

  Districts and counties where highly pathogenic avian influenza epidemic has not occurred should organize personnel, materials and other emergency preparations, take necessary preventive and control measures to prevent highly pathogenic avian influenza epidemic from occurring within their respective administrative areas, obey the unified command of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), and support the emergency treatment at the place where highly pathogenic avian influenza epidemic has occurred.

  4.2 Graded response

  4.2.1 Emergency response to particularly serious and highly pathogenic avian influenza epidemic (Grade I)

  By the office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), suggestions are made to the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and the Office of the Municipal Emergency Committee, and the emergency plan is launched after being approved by the main leaders of the municipal party committee and the municipal government. The mayor is responsible for emergency command; The deputy mayor in charge should rush to the scene, and set up an on-site headquarters composed of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the local district and county governments. The mayor is the commander in chief, responsible for participating in the formulation of plans, guiding, coordinating and urging relevant departments to carry out their work; The commander-in-chief of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and the relevant leaders of the local districts and counties shall be the executive commander-in-chief, responsible for the specific command and disposal of the epidemic.

  When a particularly serious and highly pathogenic avian influenza epidemic occurs, the municipal government or district/county government shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The city stopped all poultry and its products from entering and leaving Beijing and closed all live poultry trading markets. If someone is infected with highly pathogenic avian influenza, the health department should treat the infected person in isolation and observe the people in contact with him in isolation. By the epidemic emergency response reserve team, poultry within a radius of 3 kilometers with the epidemic as the center will be culled, and poultry products will be treated harmlessly; The supervising agencies for animal epidemic prevention shall organize the implementation of compulsory immunization for poultry within 5 kilometers outside the epidemic area; Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

  4.2.2 Emergency Response to Major Highly Pathogenic Avian Influenza Epidemic (Level II)

  The municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) is responsible for starting the emergency plan. The deputy mayor in charge is responsible for emergency command, and the deputy secretary-general in charge assists the deputy mayor in his work. The director and deputy director of the Municipal Bureau of Agriculture should rush to the scene and set up an on-site headquarters composed of the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the district and county governments. The deputy mayor in charge is the chief commander, responsible for participating in the formulation of the plan and coordinating the work of relevant departments; The director of the Municipal Bureau of Agriculture, the deputy director in charge and the relevant responsible comrades of the districts and counties shall be the executive chief commander, responsible for the specific command and disposal of the incident.

  When a major highly pathogenic avian influenza epidemic occurs, the municipal government or district/county government shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The poultry within a radius of 3 kilometers centered on the epidemic spot shall be culled by the emergency response reserve team; Birds within 5 kilometers outside the epidemic area shall be given compulsory immunization by the supervising agencies for animal epidemic prevention; Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

  4.2.3 Emergency response to a large and highly pathogenic avian influenza epidemic (Grade III)

  The office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) is responsible for starting the emergency plan and taking full command. When necessary, the person in charge of the office of the Municipal Agriculture Bureau or the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) was present to participate in the formulation of the plan and coordinate the work of relevant departments.

  When a large highly pathogenic avian influenza epidemic occurs, the local district and county governments shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The poultry within a radius of 3 kilometers centered on the epidemic spot shall be culled by the emergency response reserve team; Poultry within 5 km outside the epidemic area shall be given compulsory immunization by the supervising agency for animal epidemic prevention. Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

  4.2.4 Emergency Response of General Highly Pathogenic Avian Influenza Epidemic (Grade IV)

  The emergency headquarters of major animal diseases in the epidemic areas and counties shall be responsible for starting the emergency plan and handling it with full authority. When necessary, the office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) sent technicians to the site to give guidance and support.

  When a general highly pathogenic avian influenza epidemic occurs, the local district and county governments shall issue a blockade decision according to law. The public security department and the armed police force blocked the epidemic areas and set up temporary checkpoints. The poultry within a radius of 3 kilometers centered on the epidemic spot shall be culled by the emergency response reserve team; Birds within 5 kilometers outside the epidemic area shall be given compulsory immunization by the supervising agencies for animal epidemic prevention; Strictly disinfect the internal and external environment of all poultry farms (households) and strictly control the flow of people and logistics.

  4.3 Basic emergency

  Under the unified leadership and command of governments at all levels and close cooperation with relevant departments, emergency treatment of highly pathogenic avian influenza epidemic situation will be carried out.

  (1) according to the needs of highly pathogenic avian influenza epidemic, mobilize all kinds of personnel, materials, transportation and related facilities and equipment to carry out emergency treatment.

  (2) Issue a blockade order to blockade the epidemic areas. If the blockade of epidemic areas exceeds the area under its jurisdiction, and the blockade of epidemic areas leads to the interruption of trunk traffic, it shall be reported to the government at the next higher level for approval and release the blockade decision according to regulations.

  (3) Organize supervising agencies for animal epidemic prevention to investigate and deal with the epidemic situation of highly pathogenic avian influenza; Delineate epidemic spots, epidemic areas and threatened areas, and propose and implement targeted prevention and control measures; According to the provisions of the collection of disease materials, sent to the city veterinary laboratory for testing, such as confirmed as suspected cases, sent to the National Avian Influenza Reference Laboratory for diagnosis.

  (4) Organize emergency preparedness teams to temporarily requisition houses, places and vehicles, take emergency measures such as culling infected animals and related animals, sealing public drinking water sources contaminated by highly pathogenic avian influenza pathogens, and organize emergency immunization as needed.

  (5) Take measures to restrict or stop the trade of poultry and poultry products according to the epidemic level.

  (6) Organize public security, transportation and other departments to set up temporary animal epidemic prevention supervision and inspection stations at traffic stations according to law to inspect and disinfect vehicles.

  (7) Organize township governments, sub-district offices, neighborhood committees and village committees to carry out mass prevention and control.

  (8) Organize relevant departments to ensure the supply of commodities, stabilize prices, severely crack down on illegal and criminal activities such as spreading rumors and spreading rumors, making and selling fake goods and disturbing social order, and maintain social stability.

  (9) Responsible for the supervision and inspection of emergency handling.

  (10) In accordance with the provisions of the state, timely carry out training on relevant technical standards and norms.

  (11) to carry out targeted publicity and education on epidemic prevention knowledge of highly pathogenic avian influenza, and improve people’s awareness of prevention and control and self-protection ability.

  (12) Organize experts to comprehensively evaluate the handling of highly pathogenic avian influenza epidemic situation, including the epidemic situation, on-site investigation, tracking of epidemic sources, and measures such as poultry culling, harmless treatment, disinfection and emergency immunization.

  (13) do a good job in information collection, reporting and analysis of highly pathogenic avian influenza epidemic.

  4.4 Expand emergency response

  (1) When an epidemic situation of highly pathogenic avian influenza involving foreign countries occurs, the Foreign Affairs Office of the municipal government, the Municipal Publicity Office and other relevant departments should send people to participate in the work of the on-site headquarters according to the needs of emergency handling and the division of responsibilities, and be responsible for undertaking related matters.

  (2) With the existing emergency resources and manpower in this city, it is difficult to implement effective disposal, and it is necessary for the state or other provinces and cities to provide assistance and support. The Municipal Emergency Committee should immediately report the situation to the CPC Central Committee and the State Council, request the CPC Central Committee and the State Council to directly direct or authorize Beijing to direct, coordinate and mobilize the emergency resources of the central state units in Beijing, the Beijing Military Region, the Beijing Armed Police Corps and other aspects to participate in the handling of the epidemic.

  4.5 Emergency response in areas without epidemic situation

  According to the epidemic nature, characteristics, occurrence area and development trend of highly pathogenic avian influenza epidemic area, analyze the possibility and degree of being affected in this area, and focus on the following work:

  (1) Keep close contact with the epidemic area and obtain relevant information in time.

  (2) Organize the preparation of personnel and materials needed for emergency treatment in this administrative area.

  (3) to carry out monitoring and prevention and control of highly pathogenic avian influenza in breeding, transportation, slaughter and circulation to prevent the introduction, occurrence and spread of highly pathogenic avian influenza.

  (4) to carry out epidemic prevention knowledge propaganda of highly pathogenic avian influenza, and improve public protection ability and awareness.

  (5) do a good job in quarantine supervision of highway, railway, aviation and water transportation according to regulations.

  4.6 Safety Protection of Emergency Handling Personnel

  It is necessary to ensure the safety of personnel involved in the emergency response to the epidemic. Emergency personnel should take special protective measures, such as wearing protective clothing, inoculating corresponding vaccines, and conducting serological tests regularly.

  4.7 Termination of emergency response

  The termination of the emergency response of highly pathogenic avian influenza epidemic situation must meet the following conditions: after all poultry and their products in the epidemic area are treated according to regulations, there are no new cases of the epidemic in at least one longest incubation period.

  Especially serious and highly pathogenic avian influenza epidemic situation shall be evaluated by relevant experts organized by the municipal animal husbandry and veterinary administrative department, and suggestions for terminating emergency response shall be put forward, submitted to the municipal government for approval, and reported to the Ministry of Agriculture.

  The larger and generally highly pathogenic avian influenza epidemic situation shall be evaluated by the county animal husbandry and veterinary administrative department to organize relevant experts to control the epidemic situation, put forward suggestions to terminate the emergency response, report to the county government for approval, and report to the municipal headquarters for the prevention and control of major animal epidemics (emergency headquarters) and the municipal emergency committee office.

  5 after-treatment

  5.1 Late evaluation

  After the highly pathogenic avian influenza epidemic is extinguished, the emergency command institutions of major animal diseases at all levels shall organize relevant personnel to evaluate the handling of the epidemic. The contents of the assessment should include: the basic situation of the epidemic, the process of the epidemic, the results of field investigation and laboratory testing; Analysis and conclusion of the main causes of the epidemic; The process of handling the epidemic situation, the preventive measures taken and their effects; The problems and difficulties in the emergency process, as well as the reasons for the outbreak of this epidemic, the problems and difficulties in prevention and control work, etc., put forward improvement suggestions and countermeasures.

  The assessment report shall be submitted to the government at the corresponding level (emergency committee) within 20 days, and a copy shall be sent to the emergency command organization of major animal diseases at the next higher level.

  5.2 Reward

  The municipal or district/county government shall commend the advanced collectives and individuals who have contributed to the emergency treatment of highly pathogenic avian influenza epidemic; Those who died heroically in the emergency treatment of highly pathogenic avian influenza epidemic situation shall be regarded as martyrs according to relevant regulations.

  5.3 Responsibility

  In the process of prevention, reporting, investigation, control and treatment of highly pathogenic avian influenza epidemic, there are dereliction of duty, dereliction of duty and other violations of law and discipline, and the responsibility of the parties concerned shall be investigated according to relevant laws and regulations.

  5.4 Disaster compensation

  In accordance with the relevant provisions of this Municipality on the management of special funds for compulsory animal culling compensation, the amount and grade standards shall be determined, and compensation shall be made according to the procedures. The object of compensation is the units and individuals whose poultry or property have suffered losses in order to put out the epidemic or prevent its spread.

  5.5 Pensions and subsidies

  Governments at all levels should organize relevant departments to give corresponding subsidies and pensions to those who are sick, disabled or killed due to their participation in emergency response work in accordance with relevant state regulations.

  5.6 Resume production

  After the highly pathogenic avian influenza epidemic is extinguished, restrictive measures such as blockade restrictions and circulation control will be cancelled. According to the characteristics of highly pathogenic avian influenza epidemic situation, the epidemic spots and epidemic areas should be continuously monitored, and animals can be reintroduced to resume poultry production if they meet the requirements.

  5.7 Social assistance

  After the outbreak of highly pathogenic avian influenza, the competent civil affairs departments at all levels should do a good job in the reception, distribution and use of relief materials and funds provided by all sectors of society to the epidemic areas in accordance with the People’s Republic of China (PRC) Public Welfare Donation Law, the Interim Measures for the Administration of Disaster Relief Donation and relevant state policies.

  6. Guarantee of emergency response to epidemic situation

  After the outbreak of highly pathogenic avian influenza, governments at all levels should actively coordinate with veterinary, health, finance, transportation, public security, industry and commerce, urban management, quality and technical supervision, forestry and other departments to do a good job in emergency support for epidemic handling.

  6.1 Technical Support of Command System

  6.1.1 The Office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) shall improve the technical support system for emergency command to meet the command requirements for handling the highly pathogenic avian influenza epidemic. It mainly includes: wired communication system, wireless command and dispatch system, information reporting system, basic geographic information system, analysis and decision support system, video conference system, mobile command system, etc.

  6.1.2 The Office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) and all districts and counties shall gradually establish and improve the basic information database of emergency command. The basic information database of emergency command includes epidemic monitoring and early warning database, emergency plan database based on spatial location, emergency decision-making consulting expert database, and auxiliary decision-making knowledge database, etc. It should be maintained and updated in time to ensure the quality of data and provide support for emergency command, analysis and decision-making of highly pathogenic avian influenza.

  6.2 Communication Guarantee

  Under the leadership of the Municipal Emergency Committee Office and the cooperation of the Municipal Information Office and the Municipal Communications Administration, a four-level network transmission system covering cities, districts, counties, streets (towns) and communities (villages) will be formed through various telecom operators in this city, Beijing wired government private network and wireless government private network, and a stable and reliable emergency communication system with multi-routing, wire and wireless will be established. When the communication trunk line is interrupted or the existing network is blind, the communication means such as satellite and microwave are used to ensure the contact between the office of the Municipal Emergency Committee and the municipal headquarters for the prevention and control of major animal diseases (emergency headquarters) and the on-site headquarters.

  6.3 Emergency resources and equipment support

  6.3.1 The emergency team ensures that the municipal, district and county governments should establish a reserve team for emergency treatment of highly pathogenic avian influenza epidemic, and specifically implement culling, disinfection and harmless treatment. The reserve team consists of personnel from veterinary, health, public security, industry and commerce, armed police, military and other departments, and is relatively fixed.

  6.3.2 Transportation Guarantee The transportation department should give priority to the dispatch of emergency epidemic prevention materials.

  6.3.3 The health department of medical and health security is responsible for carrying out human monitoring of highly pathogenic avian influenza and doing a good job in prevention and security. Veterinary administrative departments and health departments at all levels should inform each other of the epidemic situation in a timely manner and work together.

  6.3.4 Public security departments and armed police forces should assist in the blockade and forced culling of epidemic areas, and do a good job in the security and social security management of epidemic areas.

  6.3.5 Material Guarantee Governments at all levels shall, according to the principle of graded storage, establish emergency epidemic prevention material storage, and store enough medicines, vaccines, diagnostic reagents, instruments, protective equipment, transportation and communication tools.

  Reserve materials should be planned reasonably according to the poultry breeding quantity and disease control. Mainly includes: (1) highly pathogenic avian influenza inactivated vaccine; (2) diagnostic reagents; (3) Disinfecting drugs, including stable chlorine dioxide, peracetic acid, chlorine disinfectant, caustic soda, potassium permanganate, etc. (4) disinfection equipment, including high-pressure sterilizers, portable disinfection machines and tools, disinfection containers, etc.; (5) Protective articles, including breathable jumpsuits, latex gloves, ordinary white coats, hats, masks, waterproof shoes, safety goggles, etc. (6) Means of transport, including closed transport vehicles, trucks and special vehicles for on-site diagnosis and disinfection; (7) Sealing appliances, including high-strength environmentally-friendly sealed plastic bags and plastic sheets; (8) Communication tools, including car phones and walkie-talkies; (9) Other articles, including towels, flashlights and disposable 2ml syringes.

  6.3.6 Funding guarantee

  The financial departments of the municipal, district and county governments should arrange emergency funds for sudden major animal diseases in the general expenditure budget, use government reserve funds when necessary, and gradually increase the proportion of funds extraction according to the needs of urban public safety management.

  After the outbreak of highly pathogenic avian influenza, first, adjust the internal structure of departmental budget according to the actual situation, cut departmental expenditure budget, and concentrate financial resources to deal with the epidemic; Second, with the approval of the government, the emergency special reserve fund was launched. In accordance with the principle of "emergency handling", simplify the work link, and complete the relevant procedures within 1 working day for the funding approved by the municipal government to ensure the smooth progress of the emergency handling of highly pathogenic avian influenza epidemic.

  The funds required for immunization, emergency epidemic prevention materials reserve and epidemic monitoring every year shall be guaranteed by the governments at all levels, and the specific subsidy standards and management measures shall be jointly formulated by the agricultural department and the financial department. In the event of a highly pathogenic avian influenza epidemic, there is a gap between the actual capital demand and the budget arrangement, and the financial departments at all levels should add it to ensure the expenditure needs.

  The financial departments at all levels should strengthen the management and supervision of the use of epidemic prevention funds while ensuring that the epidemic prevention funds are in place in time and in full.

  6.4 Technical Reserve and Guarantee

  Establish an expert Committee on highly pathogenic avian influenza. The expert committee is composed of technical officials, animal disease prevention experts, epidemiologists, health and epidemic prevention experts, wildlife experts, animal welfare experts, economic experts, risk assessment experts, legal experts, etc. It is responsible for consulting the strategies and methods of disease prevention and control, and participating in the planning, formulation and implementation of prevention and control technical schemes.

  7 Training, exercises and publicity and education

  7.1 Training Governments at all levels should organize systematic training for members of the reserve team for handling highly pathogenic avian influenza epidemic. The contents include: (1) knowledge of prevention, control and eradication of highly pathogenic avian influenza, including knowledge and skills of immunization, epidemiological investigation, diagnosis, collection and inspection of sick materials, disinfection, isolation, blockade, quarantine, culling and harmless treatment; (2) animal epidemic prevention laws and regulations; (3) Personal protection knowledge; (4) Common sense of public security and environmental protection; (5) Work coordination and cooperation with relevant requirements.

  7.2 Exercise When there is no highly pathogenic avian influenza epidemic, the emergency headquarters of major animal diseases at the city, district and county levels should organize drills in a planned way every year to ensure the emergency response capability of the emergency response reserve team.

  7.3 Publicity and Education Governments at all levels should organize relevant departments to widely spread the emergency knowledge of highly pathogenic avian influenza epidemic to the public through radio, film and television, newspapers, manuals and other forms, publicize the popular science knowledge of highly pathogenic avian influenza epidemic prevention, and guide the masses to treat the highly pathogenic avian influenza epidemic in a scientific way. It is necessary to give full play to the role of relevant social groups in popularizing animal epidemic prevention knowledge and popular science knowledge.

  8 supplementary provisions

  8.1 Definitions and descriptions of noun terms and abbreviations

  Epidemic spot: the place where sick poultry are located. Generally refers to the poultry farm (household) where sick poultry are located or other relevant slaughter and business units.

  Epidemic area: refers to the area with the epidemic spot as the center and within a radius of 3 kilometers. When dividing epidemic areas, we should pay attention to the local breeding environment, natural barriers (such as rivers and mountains) and traffic and other factors.

  Threatened area: refers to the area within 5 kilometers outside the epidemic area.

  In the expression of relevant quantities in this plan, "above" includes the number, and "below" does not include the number.

  8.2 Plan Management and Update

  This plan is formulated by the office of the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters), organized by the office of the Municipal Emergency Committee, reported to the Municipal Emergency Committee for the record, and approved, issued and implemented by the municipal government. The plan should be reviewed regularly, and revised in time according to the situation changes of highly pathogenic avian influenza epidemic and the problems found in the implementation. The emergency plan for highly pathogenic avian influenza formulated by all districts and counties and their relevant departments shall be reported to the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters) for the record.

  8.3 Plan Interpretation Department

  This plan shall be interpreted by the Municipal Command for the Prevention and Control of Major Animal Diseases (emergency headquarters).

  8.4 implementation time of the plan

  This plan shall be implemented as of the date of issuance, and the Notice of Beijing Municipal Bureau of Agriculture on Printing and Distributing the Emergency Plan for Highly Pathogenic Avian Influenza in Beijing (Jing Nong Zi [2004] No.2) shall be abolished at the same time.

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The key word in the 1980s was "reform". Since it is reform, it means change. The most popular and sought-after iron rice bowl no longer exists, and all the adults are clearly married, but they have to face the distress of being laid off. Faced with such a situation,Zhou Bingkun’s personality characteristics can be particularly highlighted.It is worth talking about, because no matter from all aspects of performance, family, friendship and love, he can be called a model of a good man.

Can call him a good man,The first aspect is filial piety to parents.

My father, as an eighth-class mechanic, has been out all the year round building railways in China, leaving only their mother and son to guard the home. This little son of Zhou, who was not watched by his father, had to wait until his father came home and nodded in person to get married when his father didn’t know his relationship with "widow" Zheng Juan. For a father who has not seen each other for a long time,He gave great respect.

Filial piety is certainly not enough for a father who is away from home all the year round. His filial piety,Especially in his attitude towards his mother.. Zhou Jiaming has three children. He doesn’t behave like a spoiled little son, unlike the settings in other traditional novels. He is a "little son" who always talks sweet words. Instead, he’s like a big brother,All I care about is to let my mother live a good life.Hearing the teacher’s discussion on raising the mouth and mind, he told his mother firmly and calmly that he must do both things for her.

When the audience saw that her mother was so excited that she collapsed after a cerebral hemorrhage that she obviously became a vegetable, he didn’t give up, just tried to find someone to take care of her all over the world first. By the way,Even in today’s extremely developed modern medical conditions.And which children can wait for a full two years in a vegetative mother who is paralyzed in bed and motionless?

The second aspect is love, that is, devotion to his wife Zheng Juan.

How frustrating Zheng Juan’s past is.That is, how unacceptable it is to people around you, especially in an era like that at that time. To tell the truth, what happened to her was not at that time,Even today, it is difficult for most people to accept it.. First, I met a fraudulent marriage. In the process, I was raped by his good friend and broke a rib. Immediately after the rape, I lost my fruit. After having that person’s child, in the end, she has not yet obtained the certificate. Unmarried girls run with the ball. To put it bluntly, the appearance of Zhou Bingkun will be ridiculed by many people as "the catcher".

However, once Zhou Bingkun is identified, it will not be easily changed. He knows that Zheng Juan is a good girl, and what she has suffered is nothing but a disaster brought by fate.Regardless of Zheng Juan’s past.Treat her children as their own;Look at their present with a normal heartEven if Zheng Juan doesn’t know a few big words, he accepted them all in the past and now.Zheng Juan’s future has the greatest reliance.

What is particularly rare for female audiences is that Zhou Bingkun does what he says.Said to buy a car for Zheng Juan.Although it was a bicycle, it was also the most fashionable permanent brand 28 bicycle at that time.

Coupled with the good acting skills of Lei Jiayin and Yin Tao, they abruptly turned the drama of the Age into a film of pure desire.

The third aspect shows friendship. No matter when, where and where he is, he never forgets his friends’ old feelings.

At that time, the six gentlemen of the "Northeast Guangzi Film",For various reasons, the two people are separated from this group of former friends.. The remaining three people, who were frustrated in middle age, heard that Zhou Bingkun was about to become a full member, and they felt that Zhou Bingkun’s life would be farther and farther away from them. My heart is weak and weary through illness, and what I say is not pleasant to hear. When a person is at the lowest point, it is very likely that his inner dark side will be exposed.

At this time, a Chinese New Year dinner was arranged, and the three brothers just talked about it. Of course, they can’t be in front of Zhou Bingkun, so Zhou Bingkun doesn’t know how his friends view his increasingly smooth life. Just, coincidentally, when Zhou Bingkun walked in the door,But I heard them arguing over some trivial matters at home.. Zhou Bingkun didn’t pretend to brag and draw a pie at that time, but afterwards, he was sure that things could be done.Without saying anything, I helped two friends solve their family difficulties directly.. There is no so-called insincerity,Prove yourself directly with actions.Helping a friend solve the worst problem in front of him is a true friend.

At present, the development of the plot makes Zhou Bingkun’s personnel design perfect, and the audience who follow the drama only hope that he will not suddenly fall off the chain at the back.

Is Netease Cloud Music worth buying when it goes public? Over $5 billion in valuation is at a low level?

Wen | Hong Kong Stock Research Society

On November 23rd, Netease Cloud Music announced the launch of the initial public offering in Hong Kong. The co-sponsors of the listing are Bank of America Securities, CICC and Credit Suisse.

According to the announcement, Netease Cloud Music will publicly issue 16 million common shares worldwide, with the offering price range of HK$ 19-220 per share, and plans to raise HK$ 3.04-3.52 billion (about RMB 2.49-2.89 billion), with an over-allotment right of no more than 15%. It is estimated that the valuation of Netease Cloud Music will be between 39.47 billion and 45.71 billion Hong Kong dollars (about 32.37 billion to 37.48 billion yuan) after listing.

According to the prospectus, Netease Cloud Music introduced Netease, Sony Music Entertainment and Orbis Investment Management Co., Ltd. as cornerstone investors, with a total subscription of 350 million US dollars (about 2.73 billion Hong Kong dollars). According to the plan, Netease Cloud Music will be officially listed on December 2nd with the code "9899.HK".

What is the valuation level of Netease Cloud Music with a stock price of HK$ 190-220?

According to the calculation of the prospectus, assuming that the over-allotment option has not been exercised, the shares raised by Netease Cloud Music in public account for 7.7% of the total issued shares. Based on the calculation of HK$ 19-220 per share, its valuation is between US$ 5.065 billion and US$ 5.87 billion when converted by exchange rate.

Netease Cloud Music reached 184 million monthly users in the first three quarters; The number of online music paying users was 27.52 million, an increase of over 93% year-on-year; The online music payment rate reached 14.9%.

In December 2018, Tencent Music landed on the New York Stock Exchange with a valuation of US$ 21.3 billion. The current market value is about US$ 12.9 billion, and the valuation of Netease Cloud Music is about 40% of Tencent Music. Judging from the number of users and financial situation; The cumulative MAU of Netease cloud music online music service and social entertainment is a quarter to a fifth of TME; And compared with TME, the revenue is about one fifth. However, compared with the market value of TME, the current valuation of Netease Cloud Music is obviously higher than its equivalent value. It shows that the capital market recognizes and values its content community.

This optimism should mainly come from Netease Cloud Music’s unique community route, original music advantages and highly sticky young users; It is optimistic about its long-term development. Recently, Xiaohongshu completed a new round of $500 million financing, with a market value of $20 billion after the investment. Community concept stocks are still promising investment targets in the capital market.

As far as community products are concerned, compared with the market value of bilibili and other content communities, the valuation of Netease Cloud Music is still in the low range. Bilibili’s monthly income in the third quarter of this year was 267 million, and its market value exceeded HK$ 200 billion. In contrast, Netease Cloud Music had a monthly income of 184 million in the first three quarters, and the highest valuation was only HK$ 45.7 billion, which was obviously underestimated.

Recently, Zhihu released its third quarter financial report, with an average monthly active users of 101.2 million and an average monthly paid members of 5.5 million. At present, the market value of Zhihu is about $4.6 billion. Netease Cloud Music’s monthly activity is about 1.8 times that of Zhihu in the same period, but its valuation is similar, which shows that its community valuation has not been fully reflected.

Due to the recent correction of China Stock Exchange, Internet community enterprises are at a low market value. When bilibili was first listed in the US in 2018, its market value was only $3.2 billion, and its share price really broke through more than two years after listing. In the long run, the valuation of Netease Cloud Music is seriously underestimated, and there is still much room for growth in the future.

Is the "first share of the music community" valuable after the copyright is not independent?

According to the prospectus, Netease Cloud Music’s revenue from 2018 to 2020 was 1.1 billion yuan, 2.3 billion yuan and 4.9 billion yuan respectively. In the first three quarters of 2021, the total revenue was 5.1 billion yuan, a year-on-year increase of 52%; Among them, online music revenue increased from 1.85 billion yuan in the same period of 2020 to 2.44 billion yuan, social entertainment and other sectors revenue increased from 1.52 billion yuan in the same period of last year to 2.67 billion yuan, online music service revenue accounted for 47.7%, social entertainment services and other income accounted for 52.3%.

From the cost side, the proportion of Netease Cloud Music content service cost to revenue has gradually decreased, and the gross loss has continued to narrow. At present, the gross profit margin has turned positive. In terms of revenue growth rate, Netease Cloud Music also far exceeds the overall level of the industry, reaching over 100% in 2019 and 2020, and still reaching 60.0% in the first half of 2021, about twice the growth rate of the industry. In the first half of 2021, the adjusted net loss of Netease Cloud Music narrowed to 500 million yuan year-on-year, and the gross profit margin increased significantly and turned positive to 0.4%.

It is worth noting that at present, most of Netease Cloud Music’s losses are caused by changes in the fair value of convertible redeemable preferred shares. After listing, this part of the loss will disappear with the completion of the share conversion (the latest one will expire on October 23, 2023) and will not lead to the outflow of cash flow.

In July this year, the exclusive copyright of music was banned. For the online music market, this means that the industry has returned to a level playing field. Affected by this, Netease Cloud Music has recently reached copyright cooperation with Modern Sky, Hong Kong Emperor Entertainment and China Record Group. Many famous artists, bands and musicians, such as Nicholas Tse, Joey Yung, Twins, New Pants, Tong Yang and Wu Tiao, have returned. According to the analysis of Western Securities, under the premise of gradually eliminating copyright monopoly in the music industry, the core competition of online music platform will focus more on ecological construction and user operation experience, and Netease Cloud Music has advantages in these aspects.

Hong Kong stock policy is favorable and frequent attention is paid to high-growth technology Internet enterprises.

This year, the global capital market continued to fluctuate, and many Internet companies decided to suspend the IPO process. Recently, however, with the stabilization of the market, the HKEx has also released a number of positive signals, including optimizing and broadening the secondary listing mechanism, and including technology Internet stocks such as Netease, JD.COM and Xinao Energy in the Hang Seng Index, so as to attract more enterprises to come to Hong Kong and return to Hong Kong for listing. Netease Cloud Music, as the first Internet company to officially launch IPO, also shows the strong endogenous motivation and development potential of the music community.

Compared with bilibili’s market value of more than 20 billion US dollars, and Xiaohongshu’s valuation of 20 billion US dollars; If Netease Cloud Music operates properly and the fundamentals continue to improve, there should be more room for growth.

After the reform of the listing system of the Stock Exchange in April 2018, attracting more relevant funds and enterprises to IPO in Hong Kong became the focus of work, and more and more Chinese stocks "returned" to Hong Kong for secondary listing. The relevant planning of the Stock Exchange shows that it will continue to develop Hong Kong into a large global and regional enterprise for major listing or secondary listing; andraise fundsTo attract global investors interested in investing in companies in the Asia-Pacific region and mainland investors seeking international investment opportunities.

Recently, Weibo also passed the hearing of Hong Kong stocks. Netease Cloud Music officially launched the IPO, and the recovery of Internet stocks in the Hong Kong stock market may have gradually occurred.

Hubei strictly abides by the last link of epidemic prevention "combination boxing" to improve the disposal capacity of medical waste

  Safe disposal of medical waste is an important measure to cut off the route of virus transmission and prevent secondary pollution. Since the outbreak of the COVID-19 epidemic, the wastes produced by designated medical institutions in Hubei Province have been classified, collected and treated harmlessly in strict accordance with the standards, and the whole process of disposal has been regularly supervised and enforced, keeping the last pass of epidemic prevention.

  "Combination boxing" improves disposal ability

  In order to ensure the timely, orderly, efficient and harmless disposal of medical wastes, according to the requirements of the Ministry of Ecology and Environment, Hubei has achieved "one special class, one capacity, one scheme and one temporary storage" to strengthen the emergency reception and disposal capacity of medical wastes.

  While the existing disposal companies are operating at full capacity, Hubei Province has upgraded and upgraded a number of factories and facilities, which can be used as emergency disposal units at any time. Huanggang Hongyuan Pharmaceutical Co., Ltd. and Huaxin Environmental Protection Company have completed the trial operation of emergency disposal, and the incineration facilities of Shiyan Dongfeng Environmental Protection Company have been maintained and overhauled, with emergency capability.

  In the process of medical waste transportation, it is managed by special personnel, collected in time, recorded, classified and stored, and transported by special vehicle, and special transportation tools for preventing leakage and spillage are used. Provide personal protective materials and conduct daily temperature monitoring for relevant front-line operators to ensure safety.

  In addition, the eco-environmental system of Hubei Province regularly supervises and enforces the whole disposal process to ensure the full coverage and treatment of medical wastes. Shiyan City has carried out several rounds of special law enforcement inspections on medical wastes; Huanggang City checks the sewage treatment facilities and medical waste storage rooms of township hospitals and other medical institutions every day to block the secondary transmission.

  According to the emergency disposal requirements of the Ministry of Ecology and Environment, all cities and states in Hubei Province have built emergency storage warehouses for medical wastes, with an emergency storage capacity of 1,552.6 tons. Seventeen temporary storage warehouses for medical wastes have been built in Wuhan, with a total storage capacity of 1,118.6 tons. The province has put into operation 35 medical waste (emergency) disposal units, with a total of 1391 front-line staff. At the same time, we actively strive to bring the support policy for medical waste disposal enterprises into the scope of the provincial government’s support for small and medium-sized enterprises to tide over the difficulties, and coordinate Xiangyang Zhongyou Youyi Company to invest 35 medical waste transport vehicles and huaxin cement Company to invest 4 vehicles to support Wuhan’s medical waste transfer work free of charge.

The staff transferred the medical waste from the tongji hospital Sino-French New Town affiliated to Huazhong University of Science and Technology. Chu Huan photo (Zhongjing vision)

  Strictly observe the last link of epidemic prevention

  Collection, handling and loading … … Unlike the hospital linens collected in the past, Luo Jun collected linens infected by COVID-19 virus in dozens of hospitals in Wuhan these days. Luo Jun is the head of the logistics department of Hubei Renfu Medical Service Co., Ltd., a subsidiary of Renfu Pharmaceutical Group, which mainly provides services such as washing, disinfection and distribution of medical fabrics.

  After the linen was transported back to the company, according to the standard operation flow, Luo Jun drove the truck to the designated isolation area, unloaded it with his colleagues and sorted it, and then the colleagues pulled the sorted linen into the isolation area for sorting, washing and disinfection, and finally disinfected the vehicle.

  In Wuhan Jiangxia First People’s Hospital, medical waste was put into the yellow trash can marked with "Medical Waste", and then transported out of the hospital’s garbage outlet and sent to the medical waste emergency treatment system. "All medical waste barrels are disinfected before leaving the hospital, and then disinfected after being shipped out." According to Zhao Yanni, the person in charge of the medical waste emergency treatment point, the medical waste collected from the ward at ordinary times will be sent to the hospital’s temporary storage, which has a disposal center and will be transported to the disposal point by a professional team. However, Wuhan’s current transportation capacity and terminal disposal capacity are tight. In this case, the medical waste collected in the ward is treated harmlessly on the spot through the medical waste emergency treatment system.

  Disinfected medical waste barrels are placed in the temporary storage area of medical waste, and emergency treatment is carried out in batches. The medical waste emergency treatment system includes six links: feeding, sterilization, discharging, transportation and unloading. It takes about 80 minutes to load and unload. The staff pushes one barrel of medical waste to the feeding station at a time. After automatic control, lifting and tipping, the waste is poured into the sterilization trolley and enters the high-temperature sterilization chamber.

  Sterilization is the core link of the whole system. The reporter saw in the First People’s Hospital of Jiangxia, Wuhan that the medical waste emergency treatment system entered the hospital in a whole vehicle and was disposed of at a fixed point. Wei Bin, general manager of Qidi Environmental Solid Waste and Renewable Resources Center, the provider of the system, introduced that the temperature in the sterilization chamber is above 135℃, the working pressure is 0.23 MPa, and the high-temperature steam sterilization is required to last for more than 45 minutes. After the waste is treated up to standard, it is discharged, transferred to the transportation station, placed in a sealed plastic bag, and translated to the unloading station. The treated medical waste, like domestic waste, is removed by the sanitation system and sent to the nearest waste incineration site.

  During the epidemic period, the amount of medical waste produced in Wuhan is several times higher than before, and a number of new technologies and products for disinfection have become the main force of medical waste treatment. The "medical waste virus killing device" jointly developed by Hubei Guanghui Energy Saving Technology Co., Ltd. and Institute of Electronics, China Academy of Engineering Physics uses microwaves to irradiate the medical waste in the container, so that the medical waste can automatically heat up, which can effectively kill bacteria and viruses. The "Environmental Protection Medical Waste Incinerator" developed by Hubei Weitian Environmental Protection Technology Co., Ltd. covers an area of less than 10 square meters. It can complete desulfurization and denitrification of flue gas while burning medical waste, and can handle 2 tons to 4 tons of medical waste every day.

The staff of Huanggang Environmental Protection Bureau inspected the medical waste disposal records. Chu Huan photo (Zhongjing vision)

  Basically realize Nissan Nissin.

  In other cities and prefectures in Hubei, the capacity of medical waste disposal has been continuously enhanced, and the daily production has basically been achieved.

  "At present, the daily disposal of medical waste is about 20 tons." Xu Yang, director of Xiangyang Hazardous Solid Waste Management Center, introduced that Hubei Zhongyou Youyi Environmental Protection Technology Co., Ltd. was urgently approved by the city to start the emergency disposal of medical waste. This company is a hazardous waste disposal enterprise adopting rotary kiln incineration disposal technology, with a daily disposal capacity of 30 tons to 40 tons. Together with two other disposal enterprises, it can fully meet the needs of harmless disposal of wastes generated by designated diagnosis and treatment hospitals and centralized medical observation points in the city at present, and all medical wastes can be collected, transported and disposed daily.

  On February 14th, huaxin cement (Yichang) Co., Ltd. successfully put the second cement kiln collaborative medical waste disposal system into trial operation. So far, the emergency collaborative disposal capacity of medical waste in huaxin cement has reached 10 tons/day. Together with the original medical waste disposal capacity of Sander Company and Qiduoyun Company of 21 tons/day, Yichang has formed a disposal capacity of 31 tons/day, and all medical wastes can be collected separately, transported safely and disposed harmlessly.

  On February 26th, Yichang started the action of cleaning and rectifying rural domestic garbage. At present, the competent departments of counties and cities in Yichang have set up special working groups, focusing on four key points: cleaning and cleaning, garbage removal, disinfection of facilities and equipment, and collection and disposal of discarded masks. According to the working mechanism of "household classification, group cleaning, village collection, town transfer and county treatment", the village environmental sanitation and cleaning operations are carried out, and the rural "combat unit" for epidemic prevention and control is strictly adhered to.

  Wang Sihai, deputy general manager of Huanggang Longzhong Environmental Protection Co., Ltd. said that the average daily medical waste collected, transported and disposed in the city is about 15 tons, which is twice the normal disposal amount (7 tons/day) and more than three times the usual volume. "The company strictly operates the process and tries its best to maximize the disposal capacity."

  "Although the medical waste received every day is more than usual, the company is running well, ensuring the daily production of medical waste." As the only qualified hazardous waste disposal enterprise in Xianning City, Chen Zhou, manager of the production department of Hubei Huichu Hazardous Waste Disposal Co., Ltd., told the reporter that they will definitely hold the "last link" of the epidemic prevention work of medical waste disposal. (Economic Daily-China Economic Net reporter Liu Jie correspondent Xiong Xi’ an)

How big is the daily workload of the kidneys? Do four things well to prevent renal failure

  Editor’s note:"Good health is the capital of revolution", but in busy life, people are often busy with work and eager to socialize, but they ignore good health. In fact, with a little attention and early prevention, health is around us. People’s Health Network launched the column "Know early and know early" to collect and sort out the health knowledge that you usually ignore, be your health think tank, and carry out health with you to the end!

  How much does the kidney work every day?

  Chen Min, chief physician of Department of Nephrology, Peking University First Hospital, and deputy director of Peking University Institute of Nephrology: The human body has two kidneys, which are located on both sides of the spine and are about the size of a fist. The "blood filtration project" needs 1.7 million to 2.4 million nephrons. Nephron consists of renal corpuscle and renal tubule, and renal corpuscle includes glomerulus and renal capsule. During the day and night, human blood has to be sieved by the kidney for 40~50 times to ensure that the waste produced by metabolism is excreted in time, and the workload is very heavy.

  The kidney filters about 1.2 liters of blood per minute, accounting for about 24% of the cardiac output. When the blood enters the kidney, the glomerulus filters out substances such as water in the plasma; The filtered substances enter the renal capsule to form protourine, but useful components such as protein, amino acids and sugar remain. After the renal tubule "receives" the original urine, it reabsorbs the useful components, and at the same time discharges the hydrogen ions and ammonia ions that are not needed by the human body to form urine. In this process, nephron maintains the balance of water and electrolyte.

  In addition to these, the kidney also participates in endocrine regulation, which can release a variety of hormones, such as renin, prostaglandin and erythropoietin, which can help regulate blood pressure, promote the metabolism of active vitamin D, maintain normal bone metabolism and regulate the production of red blood cells.

  Do four things well to prevent renal failure

  Chen Min, chief physician of Department of Nephrology, Peking University First Hospital, and deputy director of Peking University Institute of Nephrology: The onset of renal diseases is hidden and difficult to detect. If early detection and early intervention can significantly reduce the complications of patients and significantly improve the survival rate. Patients with diabetes and hypertension are the most high-risk groups of renal diseases. In addition to actively controlling blood sugar and blood pressure, such people need to pay attention to renal function regularly and regularly detect urinary protein levels and serum creatinine levels. Even healthy people should do the following to care for delicate kidneys.

  Don’t overeat. Eating too much food at one time will not only increase the burden on the digestive system in a short time, but also produce too much metabolic waste and increase the burden on the kidneys. Long-term overeating can also induce hypertension, diabetes, etc., which will lead to secondary nephropathy. It is suggested to eat some fresh fruits and vegetables such as apples properly, which is beneficial to kidney health.

  Avoid repeated dehydration. Repeated dehydration caused by high temperature environment is related to the increased risk of chronic renal damage. During dehydration, the secretion of angiotensin and antidiuretic hormone increases, renal blood vessels contract and urine is concentrated. If you don’t replenish water in time, dehydration will be serious and blood volume will be insufficient, which will lead to kidney hypoxia and blood flow reduction, and eventually lead to kidney damage.

  Pay attention to the urine situation. The most intuitive manifestation of kidney problems is urine changes, such as obvious deepening of color, obvious foam and sudden increase of nocturia. In these cases, you should seek medical attention in time, especially those who are accompanied by obvious weight gain and edema, and are likely to have kidney disease.

  Pay attention to regular physical examination. People aged 45 and above have to undergo physical examination every year. Those who have a family history of kidney disease, or have a history of diabetes, hypertension, proteinuria and gout, and often take antibiotics and nephrotoxic Chinese medicines, it is best to check once every six months to be alert to renal failure.

  Soaking feet at nine o’clock in the evening is the best way to protect the kidney.

  Jiang Haitao, Deputy Chief Physician, Department of Cardiology, Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine: It is most appropriate to soak your feet in warm water from 9: 00 pm to 11: 00 pm, which can attract our spirit to the lower limbs. Spirit plays a leading role in qi and blood, and qi and blood will descend if you concentrate on it. For some mental workers, it is very useful for the spirit of qi and blood to descend, because after thinking about the problem for a day, the spirit is concentrated on it, and the brain is more excited, so it is more difficult to fall asleep at night. After soaking feet in warm water, the spirit and qi and blood are easier to return, that is, to return to their base camp, and the kidney dominates the storage of essence, so it is the kidney that is replenished after collection.

  The kidney meridian of human body starts from the first step. After soaking feet in warm water, it plays a warming role and is a benign stimulus to the kidney meridian, which will naturally play a good role in the kidney. Therefore, although no measures have been taken for the kidney, the meridian can also play a role in tonifying the kidney.

  It should be noted that the water temperature of soaking feet must be moderate, not too hot or too cold. If the water temperature is too hot, it will not help the kidney to collect, but will make people more excited, thus increasing the consumption of kidney essence; If the water is too cold and cold, the meridians will be blocked, and the cold will enter the abdomen along the meridians, and its harm is self-evident.

  These two conditions can cause acute renal failure.

  1. excessive exercise. Men Wenjin, Deputy Chief Physician, Department of Nephrology, beijing jishuitan hospital: Excessive exercise may lead to acute renal failure. This is because sudden strenuous exercise is likely to cause muscle injury, which will lead to rhabdomyolysis, and then lead to the increase of myoglobin. Myosin itself will also be decomposed into nephrotoxic components in the body, which will cause further damage to renal tubules and lead to acute renal failure.

  The common causes of soy sauce color are rhabdomyolysis and urinary system infection. It is normal to cause muscle damage during exercise, but excessive exercise causes rhabdomyolysis, myoglobin in cells enters the blood, and urine will show an abnormal dark brown color. Myoglobin is dissolved too much, which can not be discharged quickly, causing blockage in the kidney, which will lead to acute renal failure.

  2. High voltage electric shock. Dr. Wang Bo, Emergency Department of Changping District Hospital, Beijing: High-voltage electric injuries often burn large areas of muscles, even involving bones, with large fluid loss, which is more prone to shock than general thermal burns. In addition, a large amount of hemoglobin and myoglobin are released, resulting in severe hemoglobinuria and myoglobinuria, which will lead to acute renal failure. Severe acute renal failure often requires hemodialysis according to the condition.

  Eight signals indicate that the kidney is ill.

  Lun Lide, Director of Nephrology Department of Air Force General Hospital: 1. Eyelid or lower limb edema: The kidney will lead to the impairment of water and electrolyte regulation function, causing the increase of water and sodium in the body, and water often accumulates in the loosest tissue or the lowest part of the body, such as eyelids or lower limbs.

  2. Headache, fatigue, memory loss, poor sleep: Nephropathy is characterized by headache, fatigue, memory loss, poor sleep, etc., mostly caused by hypertension, especially young people who have unexplained blood pressure rise should be alert to kidney diseases.

  3. Foamed urine: When the protein and urine sugar in urine increase, foamed urine can appear, and there is a fine foam floating on the surface of urine, which is not easy to disappear. You should be alert to proteinuria; If the bubble is large and disappears very quickly, we should be alert to whether the urine sugar rises.

  4. Changes in urine volume: Normal people’s metabolism is slow after falling asleep, and nocturia is significantly less than that during the day. They should not urinate at night or only pass once, and the nocturia is about 1/4 ~ 1/3 of the total amount in 24 hours. If it is often more than 2 times, nocturia is more than that during the day, which may indicate renal insufficiency.

  5. Abnormal urine test: If protein or occult blood is positive in routine urine test, it may be asymptomatic proteinuria or asymptomatic hematuria, and urine protein quantification or urine phase microscopy should be done in time.

  6. Complications with other diseases: Many diseases are prone to kidney damage, such as hypertension, diabetes, gout and polycystic kidney disease. Patients with these diseases should have regular urine tests.

  7. Anemia: Patients with chronic renal insufficiency above moderate degree often have anemia, fatigue, dizziness, pallor and other symptoms, which is often caused by renal insufficiency leading to decreased secretion of erythropoietin by the kidney. Therefore, in the case of unexplained anemia, besides considering blood system diseases, we should check whether there is kidney disease.

  8. Loss of appetite: Patients with early uremia often have symptoms such as loss of appetite, nausea and itchy skin. Therefore, patients with these symptoms, especially those with hypertension and anemia, must check their renal function.

  What needs to be emphasized here is that low back pain is not necessarily kidney disease. Low back pain, which people often say, refers to the pain of the whole back and even the lumbosacral part. There is no sensory nerve distribution in the renal parenchyma, so it is painless, and the pain in the renal area that patients feel is mostly caused by the involvement of renal capsule, ureter and renal pelvis. Some patients with nephritis and nephrotic syndrome only have slight discomfort in the waist and feel sore, and rarely have obvious low back pain. (People’s Health Network is integrated from Life Times and Health Times)

From 478,000/368,000 onwards, the pre-sale of M9/M8 in 2025 was asked.

On March 6th, HarmonyOS Zhixing’s two high-profile models, the 2025 model and the official opening of the pre-sale, set off a boom in the automobile market. Among them, in 2025, the pre-sale price of the M9 for the border is 478,000 yuan, and that of the M8 for the border is 368,000 yuan. It is reported that the 2025 M9 will be listed in shock this month, and the M8 is scheduled to officially meet with consumers in April.

Wenjie M8 is positioned as "flagship SUV of family wisdom", with a wheelbase of 3105mm, which is only 5mm shorter than Wenjie M9, the same as the wheelbase, and the body size is close to it. It is available in two versions, 5-seat version and 6-seat version, to meet the travel needs of different families. Judging from the pre-sale price, the M-8 card in Wenjie fills the gap between the M-9 card and the M-9 card in Wenjie, further improves the product matrix of HarmonyOS Zhixing, and enters the high-end SUV market of new energy together with the M-9 card in 2025. In terms of power, M8 will simultaneously introduce two power forms: extended range and pure electricity. The extended range version is equipped with a range extender with a power of 1.5T and 118kW, and uses a driving motor with the front 165kW and the rear 227kW. The maximum speed is 200km/h, and its strength cannot be underestimated.

The 2025 model M9 was declared in February this year, including plug-in extended range and pure electric power, and equipped with Contemporary Amperex Technology Co., Limited ternary lithium-ion battery. This change has been upgraded in terms of intelligent driving hardware, which further enhances the intelligent driving ability and brings users a more advanced travel experience. It is worth mentioning that HarmonyOS Zhixing also provides optional original hardware upgrade scheme for the owners of the current M9 model, and at the same time, the current model will continue to upgrade the software features of OTA, so that the old car owners can also enjoy the constantly upgraded service. Externally, the 2025 model M9 adds the color of Jinrui red, which is more unique and distinguished. In terms of seats, 5-seat version and 6-seat version are available for consumers to choose freely. In addition, the new car is also equipped with ten black technologies, such as Huawei’s advanced intelligent driving, Xuanwu hard-core body, Huawei Turing platform and intelligent privacy windows, etc., to improve the performance and quality of vehicles in all directions.

After the pre-sale was opened, the market response of the two models was extremely enthusiastic. Wen Jie M9 2025 pre-sale 6 hours small order over 11000 units; The pre-sale price of the M8 started from 368,000 yuan, and the small order exceeded 21,000 units in 6 hours, and the small order exceeded 7,500 units in 1 hour after the opening of the reservation, showing consumers’ high recognition and expectation for these two new cars.

Yu Chengdong, managing director of Huawei, chairman of BG, and chairman of BU, a smart car solution, said that the launch of the M8 and the M9 in 2025 is another important layout of HarmonyOS Zhixing in the field of new energy vehicles. With the advantages of Huawei’s full-stack technology, ever-changing luxury space, all-dimensional safety and more personalized selection, these two models are expected to stand out in the highly competitive new energy vehicle market and bring consumers better and smarter travel choices.

Judging from the market competition pattern, there are relatively few participants in the 400,000-class hybrid SUV market, and the external competing products of M8 are mainly L9. According to the analysis of Ping An Securities Research Report, the expansion trend of the extended-range market is clear, and the customer M8 is expected to replicate the successful experience of the customer M9, accept the sinking market bonus of the customer M9, and become an explosion-proof vehicle of 400,000 yuan. It is estimated that the steady-state monthly sales of the customer M8 will reach about 15,000 vehicles. In the 500,000-class SUV market in 2025, with its continuous product upgrade and technical advantages, it is expected to continue the brilliant achievement of the 500,000-class sales champion for 11 consecutive months.

With the opening of the pre-sale of the 2025 model, the layout of HarmonyOS Zhixing in the new energy vehicle market is more perfect and the product matrix is more abundant. The listing of these two new cars will bring more quality choices to consumers, and their performance in the market in the future is worth looking forward to.

Early detection and treatment may be the key to life and death.

  When she was discharged from the hospital, she took a picture at the gate of the hospital.

  Her husband records the changes of her illness on the desk calendar every day, and the photos are provided by Piao Piao Sao.

  Oral speaker: 53-year-old female, Piaopiaosa (net name), emergency doctor of Wuhan Eighth Hospital.

  On February 16th, the doctor named Piao Piao Sao was discharged from the hospital and went home for 6 days. Half a month ago, she thought she would never come back.

  Recalling the 20 days from illness to critical illness to recovery, Piao Piao sighed that "the disease developed rapidly beyond imagination". As a medical worker, she wants to remind all the patients who are being treated with her own experience that COVID-19’s clinical manifestations are diverse, with different degrees of severity, and her condition changes quite quickly, sometimes within a few hours. Early detection, early diagnosis and early treatment are the key. Especially when there is any discomfort in your body, don’t bear it. You must inform the doctor at the first time, which is probably the key point to decide life and death.

  For hours, I was so asymptomatic that I couldn’t walk

  I have been sitting there since the emergency department was changed into a fever clinic.

  On the morning of January 23rd, I took my temperature as usual: normal. I ate a bowl of egg noodles and rushed to the hospital. On that day, there were still many patients.

  At 9 o’clock in the morning, I received a notice from the hospital, asking us to take time to do a CT scan. I usually have the habit of fitness, and my health has always been very good. My colleagues call me Iron Man. But I took the CT as required. "There is something wrong with the film, 4 places!" When I got the CT results, my heart thumped and I began to think about when I was recruited.

  I have taken my temperature every morning since I went to the fever clinic. On the 22nd, there were a lot of patients. Although they called each other, there were several patients and their families standing in front of me as soon as they entered the clinic. The head nurse was worried that the air in the clinic would not circulate, so she opened the window. I sat by the window and felt a little cold, so I closed the window. She was worried that the air in the clinic was not circulating, and I felt cold. We kept opening and closing the windows, perhaps because of the cold, or because we were too tired to work overtime for several days in a row. In short, our immunity declined. This is the only reason I can think of.

  I don’t have a fever, and I don’t have any symptoms. I should be in the early stage. I should be able to get well soon when I go home to take medicine. I quickly diagnosed myself. I went to the pharmacy to get moxifloxacin, oseltamivir, Abidor tablets and Lianhua Qingwen capsules, and went back to the office to pack my things and go home. Feeling a little hot in my head, I took out a thermometer and measured it: 38.7 degrees. I have a fever. I decided to go home at once.

  It only takes five or six minutes to walk from home to the hospital. When I get home, I’m going to take a bath and then sleep. Before I entered the bathroom, I began to have a severe headache and vomiting, and I had no energy at all. "I heard that you were recruited?" My brother called. "There is something wrong with taking CT, and people are a little uncomfortable. I won’t tell you first." At this time, I have no strength to hold my mobile phone, and I just want to hang up quickly.

  My husband went back to his hometown, and I was the only one at home. At this point, my whole body is extremely weak. The disease is developing so fast that I didn’t expect it. I must go to the hospital at once. The director’s phone call came in. He was infected a week earlier than me, saying that he knew my situation and immediately sent someone to pick me up at the gate of the community. From home to the door of the community, it usually takes only two or three minutes, and I walked for more than 20 minutes that day. For the first time, I feel that the road is so difficult and long. If only someone could carry me. A doctor and two nurses in the emergency department were already waiting at the door, and they pushed me to the hospital by flat car.

  The fever has gone down, and I thought I was getting better.

  I was admitted to the hospital. Woke up again, it was the next afternoon, and I had a high fever for a day and a night.

  After treatment, the body temperature dropped quickly. During my stay in the Eighth Hospital, my temperature was high and low, and I kept sweating repeatedly, and I had to change several sets of underwear a day. The most uncomfortable thing is headache and severe fatigue. The nurse came to give me an injection, and I didn’t even have the strength to raise my hand. I have no appetite at all. I only ate two or two porridge for five days in hospital.

  On the fifth day, the results of nucleic acid test came out: positive, and I was diagnosed as COVID-19. My husband was very worried about me, so he asked someone to buy albumin and globulin for me, but my temperature never dropped to normal. On the eighth day, I was informed that I was transferred to Jinyintan Hospital in Wuhan for further treatment.

  There were four people on a transfer car, and there was no oxygen on the car. I opened my mouth as wide as possible and kept panting. "How long will it take to get there?" We kept asking along the way, and it seemed that there was no end in sight for more than 10 minutes.

  At 1: 00 noon on the 30th, I was admitted to an ordinary isolation ward on the second floor of Jinyintan Hospital, where the attending team was the Shanghai medical team. After hormone shock therapy, my fever dropped the next morning, my chest suddenly became clear, I felt much more comfortable and my spirit improved.

  I breathed a sigh of relief and thought that my condition was developing in a good direction.

  On the third day of transfer, his condition turned sharply and he was dying.

  February 1st, 10th day of hospitalization, 3rd day of transfer.

  No one expected that my condition would suddenly take a turn for the worse at night: I had difficulty breathing and a severe cough, as if my heart would pop out at any time after running 10 thousand meters. The heart rate is very slow, and there is an indescribable chest pain sweeping through the body. If you move a little, you will be in pain. I think this should be the second counterattack of the virus.

  I am a doctor. According to the symptoms, I judged that I had endocarditis and pericardial effusion, so I quickly told the doctor about my situation. I vaguely heard the nurse say that "the situation is not very good, and people are dying." I don’t think I can make it tonight myself. Thinking that I might never see my husband and daughter again, I struggled to get through to my husband. "I can’t … …” Hearing this sentence, my husband cried with a "wow". Every time I say a word, my chest pains are suffocating. I can only pick the most worrying things and make a simple explanation to him.

  Soon, the nurse came to draw blood and the doctor added medicine to me. The next day, my test results came out, pericarditis. The doctor said, fortunately, I spoke early and won valuable time for them to deal with it. My life was saved by myself.

  After that, my situation improved day by day. On the eighth day, I felt that I had recovered almost, and applied for CT and nucleic acid examination. I heard that I wanted to leave the hospital, but my husband worried that I was not well and advised me to stay a few more days. I can’t occupy such precious medical resources. I have to make room for patients who need urgent treatment. In order to reassure him, I sent him photos of three meals a day, and also asked my patients to help me take a video of my exercise in the ward and send it to him.

  On February 11th, I was discharged from the hospital. After life and death, it seems like a lifetime ago. When my husband came to pick me up, he specially brought the changes of my illness that he recorded for me every day for 20 days. Seeing the familiar fonts on the desk calendar, I burst into tears. Only after experiencing life and death can we know that living is really happy.

  I’ll be isolated at home for another eight days, and then I can go to work. I am very grateful to my colleagues in the hospital for their care and support, and to all the medical staff of the Shanghai Medical Team of Jinyintan Hospital for their meticulous treatment. I want to go to the battlefield again and fight with my brothers and sisters to the end. I want to see Wuhan filled with fireworks as soon as possible. When the quarantine expires, I will donate plasma and treat more patients with my own blood. (Reporter Liu Xuan)

Drinking tea is bad for the heart? Actually, it’s the wrong way

  China is the hometown of tea. Chinese has discovered and used tea for thousands of years, and many people like drinking tea very much. However, there is news on the Internet recently that drinking tea is bad for the heart and may even lead to heart disease. Is it true?/You don’t say.

  In fact, drinking tea is not bad for the heart, and it may even be beneficial — — This should start with the special ingredients in tea. Tea is usually rich in flavonoid antioxidants, such as tea polyphenols and catechins, which give tea an attractive fragrance. In addition, tea also contains a lot of caffeine. In the process of making tea, some of these substances will dissolve into the tea. Therefore, tea is actually a drink containing a variety of plant antioxidants and caffeine.

  Tea is rich in antioxidant substances such as tea polyphenols, which can scavenge human free radicals and have certain benefits to health. Judging from a large number of current studies, drinking tea is good for the heart and cardiovascular system — — It may significantly reduce the risk of heart disease and stroke by reducing low-density lipoprotein cholesterol ("bad cholesterol").

  A study in Journal of American Heart Association took six years to analyze the relationship between the change of high density lipoprotein cholesterol (HDL-C) level in the blood of more than 80,000 Chinese and drinking tea. The results show that the HDL-C level of people who insist on drinking tea for a long time decreases more slowly, and the risk of cardiovascular diseases decreases by 8%, which is beneficial to cardiovascular health.

  China’s "Food and Health-Scientific Evidence and Consensus" summarizes and analyzes the research on tea and health, and thinks that drinking tea can reduce the risk of diabetes, stroke and cardiovascular diseases. Therefore, it can be considered that drinking tea is not only harmless to the heart, but also beneficial.

  However, because tea contains caffeine, some people drink too much tea, which will lead to discomfort such as palpitations, so some people worry that drinking tea is not good for the heart. In fact, this is a normal phenomenon, which is called "tea drunk" by the people. As long as you drink it in moderation, there will be no problem.

  At present, the international research on caffeine is relatively sufficient, and authoritative health institutions believe that moderate drinking of coffee and caffeine will not cause damage to the heart. For example, the American Heart Association, the European Heart Association, the Australian National Institute of Health and Medical Research and other institutions believe that healthy adults drinking coffee in moderation (1 to 2 cups a day, about 200 milligrams of caffeine) will not increase the risk of heart disease and cardiovascular disease.

  Compared with coffee, there is much less caffeine in tea. The caffeine content in a cup of tea is usually only 40 to 80 mg, which is less than half that of an equivalent cup of coffee. Therefore, it is no problem to drink 3 to 4 cups of light tea, such as white tea and green tea every day; For some strong tea, such as black tea, the caffeine content will be more, but drinking 2 cups will not be a problem. Of course, if your heart and head are really uncomfortable after drinking tea, try not to drink or drink less.

  According to the data of China Cardiovascular Disease Report 2017, the number of cardiovascular patients in China has reached 290 million, and cardiovascular deaths account for 40% of the deaths of residents, which is higher than tumors and other diseases, ranking first; Moreover, the morbidity and mortality are still on the rise. From the current research, maybe drinking some tea every day can also reduce the risk of cardiovascular disease, which is beneficial to the body.

  It is worth noting that many people may drink tea in the wrong way. How can drinking tea be beneficial to health?

  First, don’t drink too much tea or drink too much tea. Drinking a lot of tea, in addition to too much and too strong caffeine intake, tannic acid in tea may also affect the absorption of iron, which is not good for health — — It is recommended not to drink more than 4 cups of tea every day. Second, drinking tea every day is best arranged in the afternoon, not too late, so as not to affect sleep. What needs special reminder is that you should try to stay away from sugary tea drinks. At present, there is no evidence that sugary tea drinks also have cardiovascular protection. Therefore, tea drinks should not be used instead of drinking tea, let alone deliberately drinking tea drinks to protect cardiovascular health.

  (The author is Ruan Guangfeng, Director of Science and Technology Department of Food Nutrition and Information Exchange Center)