Dog's only huge immune rate of the quantity is low Rabies observes the law and meets the bottleneck on the tenth

Dog's only huge immune rate of the quantity is low Rabies observes the law and meets the bottleneck on the tenth
Dog's only huge immune rate of the quantity is low Rabies observes the law and meets the bottleneck on the tenth
On June 3, 2008, Mianzhu earthquake-stricken area of Sichuan will abide by a town. Veterinarian of Beijing volunteer Liu bright to play vaccine for vagrant dog under help of villager. Materials picture of this newspaper Flowing molten iron Guo Take a photograph of - the core is briefed on rabies that World Health Organization recommends prevents and cures the method - -" observe the law on the tenth " ,Meet the bottleneck at home. Dog's immunity only huge in quantity rate is low, the factor of managing improperly etc. is " Observe the law on the tenth " Obstacle. After being bitten by the dog, China's current method washes the wound, hits vaccine as soon as possible. The person of China who keeps the world supreme too uses share with vaccine of rabies. On September 26, disease of Ministry of Public Health accuses of department's taking charge of it is calledding, by 2015, Chinese rabies reports the case will drop by 50% when being counted. However, the dog pays attention to by all means, especially the management of the roam dog still shoulders heavy responsibilities. On September 27, on the previous day day of rabies of world, more than ten rabies authoritative experts were disputing a question which seemed to be general knowledge. "Is bitten by the dog, how to do? " Some expert said, should hit vaccine at once. To infectious disease of 100% of this kind of mortality, most people will answer so too. However, researcher of institute of biological products of Wuhan the Yan 's proposes newly, need to " observe the law on the tenth " . He says, can hit vaccine while observing after being bitten. Bite dog of people, return health, break out rabies after the ten day, the person bitten needn't type several stitches left more. The method of this kind of prevention and cure rabies is not initiated newly at the Yan 's. In 2005, WHO released the report to approve of this kind of method. But Ministry of Public Health disease accuse of the intersection of office and relevant director say according to the national conditions, the present effectual measure of prevention and control gives people vaccine inoculation. Without more than 70% immunity of dog, should pursue " observe the law on the tenth " Unrealistic. It is reported China entered rabies to prevent and control the node. Should make the number of people of rabies drop, its key still lies in improving dog's only immune current situation. Rabies occurs frequently in countryside Temple of Earth hospital and connects and examines 8 rabies cases this year, nearly all come from the field of doctor of Temple of Earth hospital of countryside of Hebei and still remember the great sample while coming of forest. One before dawn of last September, raining heavily. "He is wrapped up in a quilt. " The field was said, has entered the room, put down the quilt, he seems nothing serious. The forest was great to try hard to let oneself be calm at that time, but still presented a whiff of excitement and restless that can't help. Wrapped up in the quilt before this, because intimidate water a bit. During ten days that are admitted to hospital, Lin Hao intimidates water, is afraid all rabies clinical manifestation is invented too apparently. The field knows, the 20 -year-old life of sitting in front of him, has already lost any chance that can be saved. "So long as made a definite diagnosis of, mean sentencing to death. " At noon on September 27, Temple of Earth hospital infects two head of the department Chen ZhiHai and says. It is introduced, the early rabies patient does not have obvious symptom, the restless patient can not sleep in a couple of days. They hot and dry excited health have, speak, listen to carefully, consciously they, and logic knows. But slowly, the patient begins to secrete a lot of saliva, can not swallow, begin to vomit everywhere, " have a patient, relatives wiped the saliva for him, used several roll toilet paper in a whole night. " Chen ZhiHai says, they show water subsequently and are afraid all, afraid, are afraid of the wind, even turn on or off the wind in the door, a patient will frighten so much as to tremble all. Until last, the patient died because of breathing paralysis or depleted of centre. "The hospital can not do anything either. " It type sedative,at breathing machine,but more for time, especially patient nonlocal, make a definite diagnosis of, relative come back home the intersection of patient and neck directly, can only wait for death. This is rabies, the people and animals whose mortality is 100% are ill altogether at present. More than 2000 people are seized the life by rabies every year in China. The death figure is in death of all kinds of infectious diseases to report the first three counted all the time. According to information network of the hygiene of Beijing, from this year to July, 4 people die of rabies in Beijing. For 5 years in succession, within Beijing annual rabies report counts and maintains at 10, and distribute. Before 2005, Beijing has kept the record without rabies case for 11 years. These send out in the case, have the intersection of other places and persons who work to reach Beijing, there are locals of Beijing too, the two basically each take half. "The rabies patient that come to here to go to a doctor, the majority is peasants. " The field is said. So far, Temple of Earth hospital connects and examines 8 rabies cases, nearly all comes from the countryside of Hebei this year. " whether the intersection of Chinese and rabies prevent and cure current situation" analyze from watch at crowd distribute, rural area case more, there are more man venereal disease examples, the crowd has illness coming on more over the children under the age of 15 and 50. According to another disclose the data to reveal, the dogs of most areas of our country, cat's immune rate are low, only immune rate of dog of rural area is 10% only, it is too immune that the cat one go on scarcely, can't form the immune protective screen. " observe the law on the tenth " Still healthy in ten days after not acclimatizedding, the animal bites people, it is possible for the person to exclude from infecting; This method is queried in many ways According to what Ministry of Public Health prints and distributes <>The requirement, is bitten or scratched grade and bleed and expose) ,Should " deal with the wound and inject passive immune preparation of rabies immediately, inoculate vaccine of rabies subsequently. " This prevents the most authoritative method of rabies at present. But according to statistics, only 10% bite the bleeding case, will choose to inject passive immune preparation of rabies. "It is a very important reason to be costly. " The emergency call head of the department of surgery Wang ChuanLin of the People's Hospital of Peking University says. With comparatively safe passive immune preparation - -Immunoglobulin (Ig) is the example, every weight of ten kilograms needs inoculating one, and the price of each one exceeds 250 yuan, calculate with the adult of 60 kilograms for one, a injection, costs 1500 yuan at least, and at one's own expense. Domestic rabies vaccine used in Beijing at present, a stitch of prices are close to 50 yuan, inoculates the need 5 stitch in the whole journey, namely 250 yuan. Can be regarded as like this, after a person is bitten, need to cost more than 1700 yuan. According to data, the vaccine consumption of annual rabies in China is about shares of 12 million to 15 million people, the annual direct cost is about 3,500 million to 5 billion yuan. China has used it over 80% of the rabies vaccine share in the world. " whether the intersection of Chinese and rabies prevent and cure current situation" describe except that some people ignore and prevent according to another, there are some people, after being paid special attention to licking by the cat and dog, hit vaccine immediately, but still anxious, worried, develop into the sum of obsession finally " Rabies hysteria " . The intersection of house and new statement Yan, falsehood so far of spreading in incubation period in rabies. "The ones that are in fact verified record 6 years longest. " The sparrow of sparrow of volunteer of volunteer's group of vagrant dog of good cat of good dog says. Connect rabies and examine Chen ZhiHai that treats and cures and say on the first line, most patients are after being bitten by the disease dog, if does not deal with, seldom there are more than six months patients during the illness. Infer, inoculate 12 million of vaccine at present - in the 15 million people, 95% more than person to " accompany, play " probably according to the intersection of biography and forest Wang . But on condition that cannot judge what cases are bitten by the disease dog at present, this kind " accompanies and hits" Also really cannot help but. On September 27, the Yan 's proposes newly, should pursue " observe the law in China on the tenth " as soon as possible ,This lightens the person gripped and breaks vaccine to bear, and dispel the effective way of the mistaken idea. Say in " the first page report of expert's consultation meeting of rabies " which World Health Organization released in 2005, if the animal still keeps fit, or is verified the animal is negative for rabies by technology within observation period of 10 days, can stop treating. The prerequisite of its theory is, the healthy dog does not propagate the virus, the dog suffering from rabies will die in 10 days when presenting clinical symptom. But at the seminar on September 27, the Yan 's' new suggestion, suffer the opposition that on-the-spot some experts and medical diseases accuse of the personage immediately. The sound objected to is concentrated on more, " observe the law and can not go wrong on the tenth, but under China's present national conditions, it is not feasible. " On September 26, the person in charge of above-mentioned Ministry of Public Health says, lasts " observe the law on the tenth " at present It is difficult. Especially the countryside, sometimes can not even all find the dog which grip people. This person in charge says, different from developed country, a group of immune rate of dog of China is very low, only 10% of the dogs accept the immunity. If meet accident during observation, everyone can not shoulder responsibility. Under a great deal of uncertainties, the news that the reporter knows is, in the flow diagram about standardized treatment after biting by the dog that Ministry of Public Health will release soon, " observe the law on the tenth " Or will not be adopted yet. 200,000 people are bitten and scratched helplessness Beijing every year to kill the mad dog, it is finished that it is impossible that disease accuses of each case of department and controls On April 2 this year, Lao Fang of Beijing Fengtai district goes to Tongzhou to place the building site of the room to work, squat and banter a vagrant dog, is bitten to the upper lip. On April 22, Lao Fang is sent to Beijing and helped fitting the hospital, the doctor noticed his thin scar at the corner of the mouth at that time. This position is close to the nerve centre, it is very risky to be infected with rabies. Before giving medicine, Lao Fang had inoculated vaccine of rabies. But he has not injected immunoglobulin (Ig) (a kind of passive immune preparation that can produce the antibody rapidly, the price is a bit high) . "It was very quick that people went. " Help a doctor who fits the hospital to remember in Beijing, sends here before dawn, over 6 o'clock in the morning, did not breathe the heartbeat. It is one of the 4 rabies cases Beijing of this year to be old. His information appears in the newspaper to the straight newspaper system of infectious disease, the hygiene diseases of residence and place of working accuse of the department, investigate epidemiology in incident of hurting one's feeling and causing death to this dog. "April 22, the health bureau of the district receives the telephone of city Center for Disease Prevention and Control, the same day, conduct on disease in the urging area accuses of centre's rushing towards live and verify through investigation. " On September 30, the health bureau of Tong Zhou District claims. According to the investigation of the health bureau of Tong Zhou District, Lao Fang is responsible for safe manager Yang's talking place of working, the the intersection of roam and dog bite, kill the second day in old Fang already, and been pulled the dog to and went in for the Wei 's a big way by company personnel, sterilize, bury deeply. After the disease dog bites and hurts one's feeling, there are very many cases killed. The doctor of Temple of Earth hospital says, she connects most rabies cases examined in wretched situation, the dog which both roam dog and family raised, will be killed after finding rabies. Same phenomenon, in help, fit to connect, examine in the case doctor of hospital, often meet too. "Will often kill the dog hurting one's feeling in the rabies case, does this return how to observe on the tenth? " At the discussion on September 27, an infectious disease expert from medical system says. " observe the law on the tenth " It encounters another realistic problem to be in China, who responsible for, observe, bite dog of people. Accuse of a personage of system and say, in 2008, a dog bites ten people in disease in Beijing, wanted to get hold of and observe rabies the dog at that time. Four or five people chased this dog at that time, cut it into courtyard, " anyone went to the roof finally, someone stops up the courtyard, just catch the dog. " She said, hoped public security men do, but the public security department said, they did not catch the dog team at that time. At the discussion on September 27, someone proposes, " observe and do by accusing of the department in disease on the tenth. " This one words, attract the sound objected to at once. Beijing disease accuse of the intersection of centre and relevant person reveal Beijing have 200,000 people get the intersection of rabies and clinic go on vaccine inoculate nearly every year. Have several dozen examples to inoculate vaccine of rabies to reach the emergency call of the People's Hospital of Peking University every day, "such big clinic amount, does the doctor tell disease to accuse of observing dogs one by one? This can not be finished at all. " The emergency call head of the department of surgery Wang ChuanLin of the People's Hospital of Peking University says. Likewise, this only observing amount of dog of nearly 200,000, even do for the veterinarian, it is an extremely huge figure. Vagrant dog the intersection of control and difficult problem prevent and control rabies, keep a grip on dog only primarily, and bull manage, cause the intersection of roam and dog control into the blind area "How is Chinese dog's only immune level, we are not clear. " Disease in Beijing accuses of a personage in the centre to say, " observes the law on the tenth " Implement, implement at the immune foundation in 70% dog, and Chinese rabies prevent and control source that should first solve - -Dog's only immune question. On October 6, live on lake two uncle Liu near village of town time of TV station of Tong Zhou District waiting for bus at the roadside. It is a block of comfortable housing just completed behind him. Lao Fang, it is on building site of two villages once, are bitten by the vagrant dog. "Many! A lot of! " It is which talk about peripheral for vagrant dog, Liu uncle wave,sprain labour contractor to on one side, "you walk in the village, everywhere all. " For Beijing for fringe area where each is typical in this,around there is be building sites large stretch of, and densely populated. That is that on two village most flourishing streets once, seven or eight dogs run arbitrarily everywhere, half open outside the dustbin of mouth, have two loud to chew, leave meal mole cricket. The attenbant of the village committee is unwilling to talk about preventing the situation of rabies more. He just says, in four Mays of every year, will mobilize villagers to give dogs vaccine inoculation. "The child's dog by the street, there is no people to manage at all. " One elder sister that walk a dog say even if dog that house raise, no one urge fight vaccine too. In Beijing, have not accepted the immune dog of vaccine does not has precise figure. Chief of Beijing bureau of agriculture Zhao GenWu is to the City People's Congress Standing Committee says, at present, Beijing has registered dog's quantity and has already been up to 950,000 while making special report, have not registered about 1 million piecesly. The above-mentioned Beijing disease accuses of centre personage's saying, happen in the rabies case of Beijing in recent years, no dog has accepted the vaccine immunity of the rabies. "We say ten years ago, the numbers of more than 2000 of annual death of rabies? The nephew �� melts four is forgiven! La of pen ���ȥ� play the intersection of �� and rosy clouds rest on mediocre brain ��'s ape boil Jin? He think job of Ministry of Public Health accomplish head already, and want, manage dog only, disease accuse of department to be far from enough even by hygiene only. On September 26, a policeman of one community of Dongcheng District says, the public security department can not accommodate the roam dog in the street everyday either, some domestic cities lift and catch dogs to take action, cause the society to condemn, their pressure is very large too. And should be in charge of dog, it is a complicated course. On September 27, disease of Ministry of Public Health accuses of office's convening the domestic and authoritative rabies expert, mainly listens to their opinion on the planning outline of prevention and control of rabies. This outline that is still discussing proposes, in 2015, rabies reported the case will drop by 50% when being counted. Meanwhile, it is discussed that the draft still proposes establishing the relevant working mechanism of rabies jointly made up by 14 departments. Another according to authority, Ministry of Public Health, Ministry of Agriculture coordinate, dog only immunity expected to include in " twelve 5 " of the Ministry of Agriculture Plan, this one is planned, will report to the State Council recently. "Whether arrived in an instant in 2015, even write into planning, or should regard as the result. " A rabies expert insisting on anonymity says. (the rabies patient uses the assumed name in the article) The measures for preventing rabies contact the I grade of the intensity with the suspected animal which carry the rabies virus after the contact which World Health Organization recommends: Touch or feed the animal, it is intact (not expose) that the animal licks and touches the skin in the place ; The measure after exposed toing: Needn't adopt the II grade of the measure: The animal is light to bite and uncover the skin, or there is not the one that bleed that scratch abrasion slightly; The measure after exposed toing: Inoculate vaccine immediately and carry on the part and handle III grade to the wound: One or more penetrating skin is bitten or scratched, the animal licks and touches the skin in the place there is damage; The animal licks the mucous membrane which touches the place and is polluted by the saliva, or is exposed to the bat. The measure after exposed toing: Inoculate vaccine and injects and resist rabies and immunoglobulin (Ig) immediately; And carry on the local treatment note to the wound: If it proves the suspicious animal has not suffered from rabies to check through the appropriate laboratory, or if the family raises dogs or cats, through 10 days observation period being still healthy, can prevent after stopping exposing. Determine, start, prevent in need of considering factor from include, expose animal suffer from rabies, expose grade - magnitude) expose, , clinical feature and can go on, observe to animal of animal and laboratory check etc.. Should not consider immunizing the state of the suspected animal isolatedly while determining whether to take the precautionary measures or not in developing countries. Report of staff reporter Wu Peng Beijing


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