Leaders from Henan and Inner Mongolia speak out: We cannot endlessly block and restrict without distinction! Health Commission: COVID-19 is a self limited disease ...

The Governor of Henan Province and the Secretary of the Party Committee of Inner Mongolia Autonomous Region stated

Cannot be indiscriminately and endlessly sealed and restricted

Recently, there have been frequent outbreaks of COVID-19 in multiple areas across the country, with Inner Mongolia Autonomous Region and Henan Province emphasizing the precision and humanization of epidemic prevention and control.

according toInner Mongolia DailyReporting,10 month 30 Secretary of the Party Committee of the Autonomous Region, JapanSun ShaochengHosted a meeting of the Leading Group for the Response to the Epidemic in the Autonomous Region, delivered an important speech, and further studied and deployed the epidemic prevention and control work in Hohhot City and universities stationed in Hohhot.

The meeting deployed nine key tasks in the near future, one of which is to scientifically and accurately control social aspects, and strictly implement epidemic prevention and control policies,The management should be firmly controlled and the release should be carried out in an orderly manner. The delineation of risk areas should be precise to the building, and the entire community should not be sealed off just because one or two cases occur. There should be no indiscriminate and endless control and restrictionLet the city gradually regain its vitality.

After a day, according toHenan DailyReporting,10 month 31 The 20th special meeting of the provincial party committee on the prevention and control of COVID-19 was held on October,, The situation was analyzed, and the prevention and control of the epidemic at present, this winter and next spring were arranged and deployed.

At the meeting, the Governor of Henan ProvinceWang KaiIt is emphasized that the current large-scale epidemic in some regions should be eliminated as soon as possible. Adhere to graded prevention and control in key areas, implement policies for key personnel classification, and strictly control key locations,Ensure that the management is firmly controlled and the release is orderly released. Scientifically and accurately delineate risk zones, and the entire community cannot be permanently and indiscriminately controlled just because there are individual outbreak points, allowing the city to gradually recover its vitality.

After two days, according toLanzhou DailyReporting,11 month 1 Member of the Standing Committee of the Provincial Party Committee and Secretary of the Municipal Party CommitteeZhu TianshuGo deep into residential areas, universities, hospitals, and procurement centers for plateau summer vegetables and non staple foods, supervise and promote epidemic prevention and control work, and coordinate on-site to solve epidemic prevention difficulties and problems.

He emphasized the need to refine and optimize specific prevention and control measures,Resolutely clear one community, guard one community, and continuously expand " Epidemic free community " Create achievements. We should use our hearts and emotions to make the prevention and control of the community more warm, resolutely prevent simplification and one size fits all, and eliminate rigid work and indifferent attitudes.

Henan Provincial Health Commission and multiple experts expressed that

COVID-19 infection is a self limited disease

Almost on the same day,10 month 31 Health Zhengzhou released an article "COVID-19 is not terrible, but can be prevented and treated. The authoritative experts in Zhengzhou came to answer it", which attracted wide attention.

According to the article, COVID-19 infection is a self limiting disease, so we should not be too alarmed. After infection, according to the condition, symptoms and other conditions, under the guidance of the specialist, oral traditional Chinese patent medicines and simple preparations Huoxiang Zhengqi Capsule (oral liquid), Lianhua Qingwen Granule (capsule), Jinhua Qinggan Granule, Shufeng Jiedu Capsule (granule), etc. can be selected for treatment. At the same time, ensuring sufficient sleep, drinking plenty of hot water, maintaining a comfortable mood, and eating regularly can help with rapid recovery from diseases.

This simple and easy to understand popular science article won unanimous praise from everyone, and also gave you a correct understanding of the protection of COVID-19. But some of the medical concepts are not well understood by some individuals, for example, what is a self limiting disease?

For this,11 month 1 Vice President of the First Affiliated Hospital of Zhengzhou UniversityYu ZujiangReceiving Dahe News · During an interview with a reporter from Yu Video, he said:" COVID-19 infection is a self limiting disease, and even if it is infected, there is no need to panic too much. Self limiting diseases refer to infections caused by certain pathogenic microorganisms, which do not require special treatment for the pathogen, but only require targeted treatment measures for the disease. Specifically, in terms of COVID-19 infection, that is, after the patient is infected, the virus will be automatically cleared by the immune system after a period of time when the human immune system is strengthened."

He subsequently stated that," In the process of human evolution, the emergence of this virus is also a natural phenomenon. According to clinical practice, currently, about 2/3 Of the patients infected with COVID-19 were asymptomatic or mild patients who were cured by their own immunity without medication."

So, does this mean that COVID-19 is infected without medication?

Yu ZujiangThis concept is also incorrect. If there is a suitable medication, medication is still needed. Using medication can effectively alleviate symptoms and reduce the chance of transmission to others.

in fact,"COVID-19 infection is a self limited disease" This kind of speech is not new. It is an old word. It is popular in COVID-19First yearI have said it multiple times.

2020 year 2 month 10 dayZhang Dingyu, Dean of Jinyintan Hospital " People's Daily " At the live broadcast conference, it was stated that " COVID-19 is actually a self limited disease "。

2020 year 2 month 21 dayAt the press conference held by the State Council to respond to the joint prevention and control mechanism of the novel coronavirus pneumonia epidemic, the Chinese Academy of SciencesWang FushengThe academician stated that," COVID-19 is a self limited disease, and the proportion of mild and ordinary patients is more than 80%。"

2020 year 11 month 13 day，Zhong NanshanThe academician pointed out that," The mild or common COVID-19 is a self limited disease, but the mortality rate of severe patients is very high "。

2022 year 4 month 1 dayOnWu ZunyouAt the press conference attended by others, the director of the Infectious Disease Department of Peking University HospitalWang GuiqiangWhen it comes to shelter isolation, it is mentioned that:" The infection of COVID-19 itself is a self limited disease, and the virus will be eliminated after collective immunization over time "。

After the patients infected with COVID-19 are cured,

Will it leave any sequelae?

In response, Director of the Department of Infectious Diseases and Infection Management at Zhongshan Hospital Affiliated to Fudan UniversityHu BijieHe said that, as a virus infection, compared with the COVID-19 original virus type that frequently invaded the lower respiratory tract two years ago, Omikron was mainly limited to the upper respiratory tract, and its sequelae were exaggerated, even serious ones would not appear 200 Multiple sequelae.

As long as the patient's immune function is normal, sequelae are rare and can basically fully recover. Unless the immune system is very poor or there is a serious underlying disease in the lungs, there may be sequelae.

From the current situation, only a few patients will develop serious illnesses. Age 80 Patients over the age of, with immunosuppression, or with poor immune response to hematological diseases or tumor chemotherapy may experience severe infections or even life-threatening situations. But the mortality rate is less than one thousandth. Therefore, this group of key populations is the object that needs to be protected.

But some experts also say that it is not yet possible to draw a conclusion that a single infection may not have any sequelae, and repeated infections are difficult to say, and what we are most afraid of is repeated infections.

They pointed out that there is not much domestic research on sequelae, and there is not enough population in China to conduct large-scale population surveys, but clues can be gleaned from abroad. according to2022 year 10 month 10Published onJAMAA study conducted by the World Health Organization in collaboration with global medical scientists ultimately included 22 Total of countries120 ten thousandCOVID-19 The latest follow-up results from the self report of confirmed patients have been released.

This study is useful for long-term sequelae of COVID-19（Long COVID-19, Changxin Crown) is defined as: suffering from COVID-19 3 Symptoms persist for at least six months 2 Months.

Research has found that in symptomatic SARS-CoV-2 Infected 3 After six months,3 At least one self-reported long-term sequelae symptom group   1 The proportion of sequelae is   6.2%。

among   3.7%   Persistent respiratory problems,3.2%   For persistent fatigue accompanied by physical pain or emotional abnormalities,2.2% Abnormal cognitive level.

To become ill 12 In months,0.9% The patient still has long-term sequelae.

Meanwhile, the study also found that,COVID-19 The proportion of long-term sequelae among hospitalized patients is higher,3 Months 27.5%(Inpatient) vs 5.7%(Non hospitalized patients);12 At months 11.1%(Inpatient) vs. 0.7%(Non hospitalized patients);ICU The long-term sequelae of monitoring patients are more severe,3 Months 43.1%；12 At months 20.5%。

Some other scholars have openly opposed itHu BijieThe professor's remarks.

They pointed out that any statement needs to be supported by data, from 2022 year 10 month 12 Published onNatureRegarding " Changxin Crown " Research on Symptoms   Outcomes among confirmed cases and a matched comparison group in the Long-COVID in Scotland study   It seems that the situation is somewhat different.

Researchers are interested in 33281 Cases of COVID-19 infection and 62957 Cases who had never been infected with COVID-19 6-18 After a long follow-up and comparative investigation for months, it was found that among all the COVID-19 infected people 1856 People (approximately 6%）No recovery at all (all symptoms persist), with 13350 People（42%）Only part of the symptoms were recovered, and nearly half of the cured patients with COVID-19 had symptoms of growing new crowns.

The results show that: 26 Symptoms of infection that lead to poor quality of life and impaired daily activities 24 All of these symptoms may become persistent symptoms of growing new crowns.

Persistent symptoms after symptomatic infection 21525 The most common symptoms among people are fatigue, headache, muscle pain, and weakness, which are also common in uninfected populations. Therefore, after adjusting the relevant factors, only the most relevant characteristics of the symptoms of COVID-19, such as dyspnea, palpitation, chest pain and confusion of thinking, were studied.

The research team ultimately concluded that:In symptomatic COVID-19 infection 6 reach 18 After six months, adults are more likely to experience various symptoms, poorer quality of life, and widespread impairment of daily activities, which cannot be explained by confusion.People with severe infection are more likely to develop sequelae of growing COVID-19, which is rarely observed in asymptomatic infections. Vaccination before infection may be protective for growing new crowns.

The debate about the sequelae of COVID-19 is still going on. At present, there is no reliable statement to hammer. I'm afraid only time will tell us the answer!

✳ The content and viewpoints of the article are drawn from various official media and academic papers