Plague Doctor

"Cough, cough ..."

The night was dim, and coughing sounds continued from each ward, echoing in the corridor of the inpatient department.

The facilities of the town hospital are poor. The isolation ward where Shen Haoxuan is located is not a real isolation ward, but is set up in a common ward.

Three beds, two are vacant, he lay on one of them, with a needle stuck in the back of his hand and a few bottles of drip. There is no TV in the ward. Fortunately, his mobile phone has not been taken away, and the network signal is also OK, so he can still play with the mobile phone to relieve boredom.

Shen Haoxuan pressed the phone with both hands and sent a message to the loss friend Liu Hui on WeChat:

"Really bad luck, pneumonia, was isolated."

"Originally going to the general ward, the doctor suddenly said that quarantine was needed, and even my parents were quarantined."

"It must be that the uncle on the bus infects me. I may have to live in the hospital for several days. I hope to catch up with the Saturday exhibition in the city.

After a while, Liu Hui did not return.

Shen Haoxuan coughed more and more uncomfortably, and it took half an hour for the drip. It seemed that the fever had not retreated, and he coughed more ...

He looked again at the circle of friends that Deng Nuotong sent today: "The next stop is to apply for the Normal University, thank you for the past, look to the future, come on!"

"Oh, cough ..." Shen Haoxuan couldn't help laughing when he looked at it, feeling that his body was much better. I used to look forward to a few more days of summer vacation, but now I am looking forward to the university opening soon. At this time, the phone received a shock from WeChat. He looked at it and it was sent by Liu Hui:

"Oops, I started coughing in the evening and now have a fever of 39 degrees."

"May be infected by you, pneumonia? No?"

"My mother gave me cold medicine, should I go to the hospital now?"

Looking at these pieces of information, Shen Haoxuan apologizes to his friends, and has an uneasy whisper. Am I infected? Apart from Liu Hui, will there be others?

He remembered his parents, several other friends, and so many people on the show ...

Don't think about it. Shen Haoxuan coughed and told himself, if there is such a severe infection, SARS will not.

It ’s just pneumonia. If the doctor can do it, it ’s better to stay in the hospital for a few days.

Shen Haoxuan pressed the mobile phone to reply to the past: "Come and see the hospital, blame me, wait for us, I will ask you to have a meal"

...

The 30th case, the 40th case, and the 50th case.

If it were not for Jiangxing Town Hospital's usual lack of patients and a large number of vacant wards, it would simply not be able to cope with the outbreak tonight. But each patient must be isolated individually, and the ward is not enough. Everyone who was still in the hospital this evening was busy.

The CDC issued an order to the town and closed the hospital. Suspected infected patients can come in, but no one can leave here.

"Hey, Xiaolin, you should pay attention when the tenth patient appears."

Zhao Yutao changed his tone and was wearing a triple mask. He occasionally slipped away from the emergency room and did not want to touch the patient.

Huang Lin ignored him. Although she also put on multiple masks, she stayed in the emergency room and took the time to call her classmates and teachers to ask for insights.

The teacher gave her an idea, will it be "Legionella pneumonia"?

Not to mention town hospitals, even in the top three hospitals, legionnaires' disease is often misdiagnosed as common pneumonia. Because this is not a common disease, ordinary doctors usually lack understanding of it, and the clinical manifestations of Legionnaires ’disease are complicated, and the routine examination lacks specificity. Serological tests to check Legionella antibodies can be confirmed.

"Legionosis." Huang Lin read some documents on the Internet himself. It was somewhat like, but not like, the patient's condition developed too fast.

Some news made her extremely uneasy. A while ago, there have been outbreaks of Legionnaires' disease in many cities around the world.

Huang Lin immediately reported this possibility to the people in the hospital's Department of Senses, only to realize that the disease prevention and control documents had been communicated earlier to be careful of Legionnaires' disease. But the prevention and control documents are always coming one after another, the prevention and control work has been done, and the air-conditioning and refrigeration system of the hospital has been cleaned up.

Legionnaires' disease often breeds and outbreaks in hospitals, but the first patient, Wang Guoxin, came to the hospital for the last time several years ago, and was not infected in the hospital.

At 21:45 in the evening, one hour and ten minutes after the report, the expert team sent by the city's CDC to do the epidemiological investigation arrived.

Everyone in the hospital sensation department and medical service greeted the hospital lobby, and I was surprised to see that the head of the team, He Fenghe, Li Wen, deputy team leader, and the other two were wearing a full body white protective suit and a full-scale Respirator, no skin exposed at all.

Then everyone in the emergency room also saw that Zhao Yutao quickly put on two more masks.

Huang Lin is already mentally prepared, and people with disease control suspect that the Legion is sick, airborne ...

After knowing each other, He Feng and others and Huang Lin went to the isolation ward while talking about the patient. They went to see Wang Guoxin first. His condition continued to deteriorate, and he was already showing signs of unconsciousness. He just spit out a large amount of blood sputum, and the strong **** and rancid smell filled the ward.

"These medical wastes can't be treated normally." He Feng specially instructed people in the hospital.

After seeing several patients, especially Shen Haoxuan, he determined that this was an epidemic outbreak.

"Expansion?"

After being infected, Shen Haoxuan participated in a show with more than 3,000 visitors. This situation made He Feng feel very disturbed for a while.

He Feng made a number of calls in a hurry, demanding that the CDC take it seriously, upgrade the epidemic control work, and apply for a temporary control block on Jiangxing Town.

But he knew that the time was too rushed, the test results supported were too few, and it was a big night, and the efficiency would not be too high. If it had not been the case that Legionnaires' disease occurred frequently all over the world, and there were documents on the larger ones, he would immediately be beaten back.

Now that he reported the suspected Legionnaires' disease, the doctor Huang Lin on duty also shared this opinion, and the disease control and various departments were still nervous.

Is it Legionnaires' disease? Is it pneumonia?

It's too late to take serum for antibody detection. It takes a week or two for patients to produce antibodies; the bacterial culture that the town hospital is doing is even longer.

However, in recent years, nucleic acid amplification technology has become mature, and the recognition of microorganisms has changed from external structural features to internal gene structural features, and detection has also changed from biochemical and immune methods to genetic level detection. PCR technology can be used to quickly complete preliminary tests and effectively respond to such public health emergencies.

But the town hospital has limited conditions and there is no PCR laboratory. Either ship the sample out or ship the equipment in.

As early as when he came, He Feng applied to bring the PCR equipment into Jiangxing Town.

It was also because of the importance he paid to Legionnaires' disease that he quickly approved his request.

In the early morning hours, a batch of instruments and equipment finally arrived at the town hospital. A group of testing technicians also arrived, all wearing protective clothing. After setting up the PCR equipment in a small laboratory in the hospital, everyone immediately used the 22-item respiratory pathogen nucleic acid detection kit for rapid screening.

Whether it is a pandemic virus, parainfluenza virus, coronavirus, Legionella pneumophila, Mycoplasma pneumoniae, etc., can be detected by its DNA.

It was also at this time that Li Wen, who was in charge of guiding the doctor's work, hurried into the laboratory, and his face under the breathing mask was ugly.

"What's wrong?" He Feng asked, knowing something was wrong.

"Dr. Huang Lin has a cough symptom ~ www.NovelMTL.com ~ Li Wenhan said," Another doctor in the emergency department, Zhao Yutao and several nurses, also have symptoms. "

He Feng's eyebrows suddenly twisted up ... Dr. Huang Lin has been on duty till now, only 6 hours, the onset time is even shorter than the average 36-hour incubation period of non-pneumonia legionnaires disease ...

This entire hospital is an epidemic area.

Although PCR technology is fast, it is relatively speaking. From early morning to the next morning, everyone in the laboratory is busy and waiting.

Not a virus, not streptococcus, not chlamydia ...

Legionella pneumophila! The DNA structure shows that this is a new type of Legionella.

As soon as this test result came out, He Feng, who had never slept overnight, was somewhat happy. The pathogens are within the known range. Although the onset is rapid and the condition is developing rapidly, the treatment of legionnaires disease should be able to calm the epidemic. Although Legionella can be airborne, it relies heavily on aerosol as a carrier ...

When He Feng felt thankful, there was no sign. Because of the sudden sensation in his throat, he suddenly coughed and his lungs were stuffy.

For a moment, He Feng stood in this small laboratory, his face pale, and he turned a little bit. All the experimenters around were stunned.

"Three-level protective clothing does not work, three-level protective clothing does not work ..."

He Feng murmured blankly, suddenly burst out a series of coughs, and at the same time, the panic and panic flowed out, causing him to fall to the ground almost at once.

From person to person, the air spreads.

Infectious power can penetrate the third-level protective clothing ...

Most of the visitors that Shen Haoxuan participated in the exhibition are probably infected.

The entire Jiangxing town is an epidemic area.

The entire Shanhai City is an epidemic area ...

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