International Department of the CPC Central Committee       BEIJING REVIEW
MARCH 2020       MONTHLY
Shared Anti-Epidemic Experience
 

Upholding the vision of building a community with a shared future for humanity, China has been timely releasing information on COVID-19 since the onset in an open, transparent and responsible manner, unreservedly sharing with WHO and the international community its experience in epidemic response and medical treatment, and strengthening cooperation on scientific research.

Issued on March 3, by the National Health Commission (NHC), the Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia (Trial Version Seven) has been formulated based on increased clinical manifestations and pathology of the disease, as well as accumulated experience in diagnosis and treatment.

The protocol recognizes the up-to-date pandemic situation worldwide, which is seeing the outbreak contained domestically, to a certain extent, but on the rise overseas.

Compared with the previous version, updates have been made concerning transmission routes, case definitions, discharge criteria, and therapeutic measures.

The sixth edition of Protocol on Prevention and Control of Novel Coronavirus Pneumonia is based on the latest clinical discoveries and research results. It was released by NHC on March 7.

Compared with the previous version, the sixth edition revises transmission routes - adding the possibility of aerosol transmission in closed environments with exposure to high-concentration aerosol - includes more clinical manifestations, updates diagnosis criteria, and re-groups patients according to severity. Notably, it adds the treatment of plasma from recovered COVID-19 patients to treat severe and critical cases, and elaborates on TCM treatment and doses.

When Wuhan, Hubei was being hit the hardest by COVID-19, Department of Housing and Urban-Rural Development of Hubei Province collaborated with experts from Central South Architectural Design Institute Co., Ltd. and CITIC General Institute of Architectural Design and Research Co., Ltd, jointly to produce “Technical requirements for the Design and Conversion of Makeshift Hospitals” (MHs). Hopefully, this could be beneficial to the practice of “Leave No One Unattended”.

Currently, with the COVID-19 Epidemic spreading quickly around the world, the professional team summarized practice of MH design, construction and operation, which was translated into English for peers both at home and around the world to refer to.

 

In the intensive care unit at Huoshenshan Hospita, doctors fight to save a critically ill patient by inserting a tube into his windpipe to help him breathe, a process that exposes them to a high risk of infection (XINHUA)

Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia (Trial Version 7)

As an acute respiratory infectious disease, novel coronavirus pneumonia has been included in Class B infectious diseases prescribed in the Law of the People's Republic of China on Prevention and Treatment of Infectious Diseases, and managed as an infectious disease of Class A. By taking a series of preventive control and medical treatment measures, the rise of the epidemic situation in China has been contained to a certain extent, and the epidemic situation has eased in most provinces, but the incidence abroad is on the rise.

With increased understanding of the clinical manifestations and pathology of the disease, and the accumulation of experience in diagnosis and treatment, the Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia (Trial Version 6) was revised. It is expected that the Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia (Trial Version 7) can further strengthen the early diagnosis and early treatment of the disease, improve the cure rate, reduce the mortality rate, avoid nosocomial infection as much as possible and pay attention to the spread caused by the imported cases from overseas.

Staffers deliver express packages to quarantined people at a quarantine point in Songjiang District in Shanghai, on March 30 (XINHUA)

Protocol on Prevention and Control of Novel Coronavirus Pneumonia (Edition 6)

In order to prevent and control novel coronavirus pneumonia (COVID-19), ensure “early detection, early reporting, early isolation and early treatment”, prevent the spread of the outbreak, reduce infection rate, improve treatment rate and cure rate, reduce case fatality rate, protect people’s safety and health and maintain social stability, the 5th Edition of the Novel Coronavirus Pneumonia Prevention and Control Protocol is now revised to this 6th Edition according to the policy that novel coronavirus pneumonia is classified as a category B infectious disease but regulated as a category-A infectious disease and based on the epidemic evolution across the country and research advances.

 

Patients do exercises at the Wuhan Sports Center converted temporary treatment center on February 18 (XINHUA)

Technical requirements for the Design and Conversion of Makeshift Hospitals

Currently, Makeshift Hospitals (MHs) aim to receive large numbers of COVID-19 patients with mild symptom for joint treatment. With the shortest schedule and minimalist costs, MH takes full advantage of existent building, being reconstructed into temporary place for treatment to isolate source of infection and treat patients to the greatest extent. MH is of big space and large capacity. The design and reconstruction should follow the principle of safety to ensure the safety of medical staff and patients, building structure, facilities and equipment operation, firefighting as so as the environment.

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