Is it feasible to get vaccinated on campus? The disease control department has given suggestions, but parents have reported that their children cannot schedule a flu vaccine

Release time:Apr 16, 2024 22:02 PM

Since September, data from medical institutions in Shanghai has shown a significant increase in influenza cases, with some pediatric medical institutions experiencing an increase of over 50% compared to before. The main population affected by this round of influenza is primary school students, and the prevalent strain is A type H3N2, which is different from the A type H1N1 strain that spread from February to April this year. Pediatric experts said that over the past five years, Type A H3N2 has only been sporadic or slightly prevalent in the short term, with little "trouble making". In addition to the COVID-19 and other factors, it has led to the low immune level of the population to Type A H3N2, so it has become the main epidemic strain in the recent stage.

In order to effectively protect themselves, getting vaccinated against influenza has become a choice for many citizens, their elderly, and children. However, recently there have been complaints from citizens that, unlike most community health service centers in Pudong, influenza vaccines have been delivered and started to be sold. They have called the community health service centers in Pudong multiple times, but the vaccines have not yet arrived. The Jiefang Daily Shangguan News reporter inquired about the current situation with the Pudong New Area Center for Disease Prevention and Control.

Pudong New Area: Plan to add weekend vaccination outpatient hours

According to the "Technical Guidelines for Influenza Vaccine Prevention and Vaccination in China 2023-2024" released last week, the end of September to the end of October is the best time period for influenza vaccination, and vaccination during this time period has the best preventive effect. Therefore, according to the standardized process, starting vaccination in Pudong New Area from the end of September is in compliance with regulations.

Based on past experience, the initiation time for influenza vaccination is indeed around late September. How was this time chosen? According to the explanation, antibodies with protective levels can generally be produced 2 to 4 weeks after receiving the influenza vaccine, and antibody titers begin to decline after 6 to 8 months. Therefore, if citizens receive the flu vaccine in the previous flu season, the protective effect may decrease significantly in the next flu season. Meanwhile, due to the different strains of influenza each year, re vaccination is required. "Because influenza vaccines are updated every year, laboratories around the world began collecting the latest influenza virus samples from February of that year, and the work lasted for about half a year. Therefore, the latest version of influenza vaccines cannot be launched until July or August at the earliest."

Yang Laibao provided feedback on the issue of difficulty in booking influenza vaccines in Pudong community, as reported by citizens. "First, make an appointment for vaccination. At present, citizens can carry out online appointment services through the Shanghai Health Cloud, the Disease Control U Health WeChat official account, etc., and vaccinate according to the appointment date. At the same time, community health service centers make on-site appointments and keep numbers on site, and provide offline services for those who cannot operate online appointments. Second, provide convenient services. To meet the peak demand for influenza vaccination and provide convenience for students, office workers and other people, the District Health Committee has uniformly arranged community vaccination clinics from the end of September to the end of October, adding half day weekend outpatient hours. At the same time, some community vaccination clinics with large vaccination volumes have arranged special services for the time period."

It is reported that currently, each community in Pudong New Area has received approximately 60000 doses of influenza vaccines in outpatient clinics, and there has been no phenomenon of vaccine discontinuation; To ensure vaccine supply, a second batch of 55000 influenza vaccines has been scheduled and will be delivered to various community health service centers next week. The vaccine supply cycle can be completed within a week at the earliest, ensuring sufficient supply.

Key populations need to pay attention to contraindications for vaccination

According to the World Health Organization, influenza causes 3 to 5 million critically ill patients and 290000 to 650000 respiratory disease-related deaths worldwide each year. Although the population is generally susceptible to influenza virus, there are significant differences among age groups, with children having a higher incidence than adults; Compared to healthy individuals of the same age, patients with chronic underlying diseases are more likely to develop into severe illness after being infected with influenza. Therefore, for groups with lower resistance such as children and the elderly at home, it is recommended to get vaccinated against influenza in advance to provide protection for the entire family.

The Technical Guidelines for Influenza Vaccination in China suggest that all individuals aged ≥ 6 months and without contraindications for vaccination should receive influenza vaccines. Priority recommendations include timely vaccination for key and high-risk populations such as healthcare workers, elderly people aged 60 and above, individuals with one or more chronic diseases, children aged 6 to 59 months and their family members and caregivers.

For the key group of children, some parents have also proposed suggestions: Is it possible for the community health service center to connect with primary and secondary schools in the area to collectively enter the campus for vaccination in the autumn and winter seasons each year? Yang Laibao said that currently, non immunization vaccines are mainly administered in outpatient clinics, and he has not received any notification of collective vaccination on campus during the autumn and winter seasons.

The reporter also inquired with industry experts about the feasibility, and the experts replied that such vaccination on campus belongs to group vaccination, and there is currently no plan, and approval from the district health committee is required. In addition, if the child belongs to the contraindicated population for influenza vaccination or has allergic rash, vaccination should also be temporarily postponed without worrying too much about timeliness.

Nine medical experts from Shanghai who helped the residents of Karamay in Xinjiang free clinic, spanning more than 4000 kilometers Father | Expert | Shanghai

At the arrival of the sixth "Chinese Doctor's Day", nine medical experts from Shanghai, including Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, Tongji Hospital affiliated to Tongji University, Eye, Ear, Nose and Throat Hospital affiliated to Fudan University, Shanghai Dermatology Hospital, and China Welfare Society International Peace Maternal and Child Health Care Center, including neurology, urology, otorhinolaryngology, ophthalmology, thyroid surgery, breast surgery, hematology, geriatrics, and dermatology, went to Karamay Central Hospital and Karamay Third People's Hospital to carry out free clinic activities. Among them, 6 experts are doctors dispatched by Tongji Hospital to aid Xinjiang, and 3 experts have traveled over 4000 kilometers to Ke to help local patients clarify their doubts. Urumqi residents drove over 400 kilometers with their father to a free clinic, where Patiguli underwent a small physical examination

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"Thank you Director Liu for helping me solve a big problem! I've been struggling with paronychia for two years. I had to pull out my toenails twice before, but they didn't grow well. I kept getting inflamed and my mentality was about to collapse. This time, the problem has finally been completely solved." In the outpatient consultation room of the Tenth People's Hospital of Shanghai, Miss Zhang expressed her sincere gratitude to Liu Guangpeng, the director of plastic surgery. At the beginning of 2021, Xiaozhang accidentally cut his toenails too deep, injuring the nail bed. Although he disinfected it with iodine at the first time, he didn't expect to become inflamed a few days later. His entire first toe was red, swollen, and painful, and he even limped while walking. External use of iodine is ineffective, oral antibiotics are ineffective, and the only option is to choose toenail removal that sounds very painful. I originally thought that pulling out my toenails would remove the old and replace the new, but I never expected that the newly grown toenails would always "burrow into the flesh", causing inflammation to recur,

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Fengxian is located in the remote suburbs, with limited medical resources. Community diagnosis and treatment have become the top priority for residents' health. How to build a good network base to serve the people? The reporter recently learned from the district health commission that based on the actual situation of the region, taking into account the size of the service population and the trend of population introduction, the district health commission is promoting the horizontal integration of community health resources. Residents are willing to "vote with their feet" to choose the community, and the solid foundation and warm service of community family doctors are indispensable. Data shows that there are currently 549 general practitioners in Fengxian District. Last year, the proportion of community diagnosis and treatment accounted for 49% of the total diagnosis and treatment in the district. In the first half of this year, the proportion of community diagnosis and treatment has increased to 60%. Wang Tao is a family doctor at the Xidu Community Health Service Center in Fengxian District who has been committed to the community for ten years and has signed contracts with more than 1900 community residents

In this regional medical center, patients make sachet masks to feel the warmth of home. The Dragon Boat Festival medical center | patients | sachets

Today is the traditional Dragon Boat Festival. As a regional medical center, Shibei Hospital of Jing'an District organized a special "love on the left and accompany on the right" activity to welcome the Dragon Boat Festival. The patients and their families wrapped Zongzi together to make sachets and feel the warmth of home. It is reported that the Elderly Rehabilitation Department of Shibei Hospital is a key discipline in Jing'an District, with 80% of hospitalized patients being over 70 years old, including those aged 90 or 100. During the meticulous treatment of the elderly, the Rehabilitation Department integrates family oriented services throughout, creating a humane "warm service" and building a harmonious doctor-patient relationship. Shu Jin, director of the Elderly Rehabilitation Department, said that with the arrival of the Dragon Boat Festival, medical staff have found that a small number of patients lack family companionship and their psychological and emotional needs cannot be met. The hospital's social work department and department medical staff work together to build a "heart to heart bridge" for doctor-patient interaction and two-way communication,

The annual throat preservation rate is nearly 80%, and Shanghai research was included in the International Annual Conference: Immunotherapy for locally advanced head and neck tumors | Patients | Local

At the recent 2023 Annual Meeting of the American Society of Clinical Oncology, research from Fudan University Affiliated Cancer Hospital was quite impressive: in the field of head and neck tumors, "induction chemotherapy combined with treprizumab can be used for laryngeal preservation treatment in patients with locally advanced laryngeal/hypopharyngeal cancer. The results of the Phase II clinical trial showed a one-year laryngeal preservation rate of 79.4%." The first author of this study, abbreviated as INSIGHT, is Professor Xiaomin Qu from Fudan University Affiliated Cancer Hospital, and the corresponding authors are Professor Yu Wang and Professor Xiayun He. It is reported that laryngeal cancer and hypopharyngeal cancer are one of the most common head and neck squamous cell carcinoma in China, with the incidence rate accounting for about 20% of head and neck squamous cell carcinoma. Due to the insidious symptoms of the disease, the patient was diagnosed later and had a poor prognosis. Previously, surgical resection was used to prolong survival. With the development of multidisciplinary comprehensive treatment, diagnosis and treatment

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