ABSTRACT
BackgroundAfter the outbreak of Coronavirus disease in 2019 (COVID-19), stringent lockdown measures were imposed in Wuhan between January 23, 2020 and April 8, 2020. To provide evidence on the post-lockdown risk of COVID-19 epidemic in Wuhan, the city government conducted a citywide nucleic acid screening of SARS-CoV-2 infection between May 14 and June 1, 2020. MethodsAll city residents aged [≥]6 years were potentially eligible to participate the screening programme. The rate of detection of asymptomatic infected cases was calculated, and their demographic and geographic distributions were investigated. ArcGIS 10.0 was used to draw a geographic distribution of asymptomatic infected persons. ResultsThe screening programme recruited a total of 9,899,828 persons (response rate, 92.9%). The screening found no newly confirmed patients with COVID-19, and identified 300 asymptomatic infected cases (detection rate 0.303/10,000). In addition, 107 of 34,424 previously recovered patients with a history of COVID-19 diagnosis were tested positive (relapse rate, 0.31%). Virus culture of SARS-CoV-2 was negative for all 300 asymptomatic cases and all 107 recovered COVID-19 patients. A total of 1,174 close contacts of asymptomatic cases were traced and all of them had a negative nucleic acid testing result. ConclusionsPrevalence of COVID-19 nucleic acid test positivity was very low in the Wuhan general population, in recovered cases and in contacts of asymptomatic cases, five to eight weeks after the end of lockdown. These findings help resolve concerns about the post-lockdown risk of COVID-19 epidemic, and promote the recovery of economy and normal social life in Wuhan.
ABSTRACT
Objective Different methods were used for the analysis of different medical and health institutions in Henan Province in 2012 of hospital bed utilization,to find bed utilization problems,and provide reference for the rational allocation of resources.Methods Static beds utilization model method (SBMA)and the method of rank sum ratio(RSR)were used for planning of data in“2012 health statistics yearbook of Henan province”,for comprehensive analysis of bed utilization efficiency.Results Among the medical and health institutions in Henan province in 2012,general hospitals,maternal and children hospitals(centers)are found with higher utilization of hospital beds,while other institutions (nursing homes),community health service centers(stations)are found lower.Conclusion Henan Province in 2012 was found on the whole with efficient utilization of hospital beds,yet with rooms of improvement for different medical institutions,especially those at the primary level.
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Objective To study the health state and service of the elderly in the Tongbai community. Methods The educational degree, disease histories, daily living capability, health care demand and the controlled state of hypertension and diabetes were recorded by questionnaires and physical examination. Results Overweight or obesity (66.1%) was the common disease, hypertension (42.2%) next, then coronary disease (10.0%) and diabetes (9.1%). Nearly 43.3% hypertension patients never or seldom measured their blood pressure. The rate of ideal blood pressure was lower than 25%. 30.4% diabetes patients never or seldom measured their fasting glucose and 69.3% patients never or seldom measured their post-meal glucose. 46.1% of the elderly required one or more kinds of community health services, in which annual health examination was 32.6%, and the next was health guide (23.0%), 53.9% of the elderly had no requirement of community services except medical care. Conclusion The elderly in community had high prevalence and poor control of chronic diseases. They did not fully understand the community health services, which brought the challenges to the medical care, health prevention, health education and reasonable utility of hygiene resources in community health services.
ABSTRACT
Objective To find out the possession and utilization of urban medical resources in Henan as well as other factors like medical quality, service level and human resources. Methods A general investigation was made of the possession and structure of health resources and the level of medical services in second tier urban hospitals and above in 18 cities of Henan Province. Results There are altogether 182 second tier urban hospitals in the province, with a total of 51 107 beds and a total of 22 859 doctors. The ratio of doctors to nurses is 1∶1 04, the bed utilization rate is 65 55%, the bed workdays are 234 63 days, the average bed turnover frequency is 15 51 times, and the average length of stay is 13 87 days. The average income surplus per hospital is 1 502 700 yuan, with the income from the sale of pharmaceuticals accounting for 44 67% of the total income. Conclusion The operating efficiency of second tier urban hospitals and above in Henan Province is close to the average national level, the structure of hospital allocations needs readjustment, and the percentage of income from the sale of pharmaceuticals is on the high side.
