Plague Doctor

“Cough, cough...”

The night was dull and the cough kept coming out of the wards, echoing in the hallway of the inpatient department.

The facilities of the town hospital are poor. Shen Haoxuan's quarantine ward is not a real quarantine ward, but a general ward.

Three beds, both empty, he lay on one of them with a needle on his back and a few drops. There was no TV in the ward, luckily his phone wasn't taken away, and the internet signal was OK, so he could still play with the phone to relieve boredom.

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

“Really bad luck, pneumonia, isolated. ”

“I was going to the general ward, and the doctor suddenly said I needed to be isolated, even my parents were isolated. ”

“It must have been the old man on the bus who infected me. He could be staying in the yard for days. Hopefully, he'll make it to Saturday's comic show."

After a while, Liu Hui never returned.

Shen Haoxuan coughed harder and harder. He has been dripping for more than half an hour. The fever doesn't seem to have returned. He coughed even more...

He looked up the circle of friends that Danotong sent out today: "Next stop, Master Shin, thank you for the past, look to the future, come on! ”

“Oh, cough...” Shen Haoxuan couldn't help but laugh and felt much better. I used to look forward to a few more days of summer vacation, but now I look forward to the university starting soon. At this time, the phone received a shock from WeChat. He looked, it was from Liu Hui:

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

“Probably infected by you, pneumonia? No way."

“My mom made me cold medicine. Want to go to the hospital now?"

Looking at these messages, Shen Haoxuan apologized for his friendship. There was also a disturbing muttering. I contagious? Is there anyone else besides Liu Hui?

He remembers his parents, several other friends, and so many people at the comic show...

Don't even think about it. Shen Haoxuan coughed and told herself that there was no such thing as contagion. Nor could SARS.

It's just pneumonia. The doctor can handle it. You should stay in the hospital for a few days.

Shen Haoxuan pressed his cell phone and replied: “Come to the hospital and see, blame me me. When we're done, I'll buy you a meal."

……

Thirtieth, fortieth, fiftieth.

If Jiangxingzhen Hospital didn't have as many patients as usual and had a large number of vacant wards, it wouldn't have been able to cope with the outbreak tonight. But each patient needs to be isolated, and the ward is not enough. Everyone at the hospital was busy this evening.

Disease control ordered the town to seal off the hospital. Suspected infected patients could come in, but no one could leave.

“Hey, Lin, you should pay attention when the tenth patient shows up. ”

Zhao Yutao changed his tongue and was already wearing a triple mask. From time to time, he tried to escape the emergency room and did not want to contact the patient.

Huang Lin ignored him, although wearing multiple masks, but stayed in the emergency room and took the time to call college classmates and teachers for insights.

The teacher gave her a thought. Could it be Legionnaire pneumonia?

Not to mention township hospitals, even in Sanjia Grand Hospital, regimental diseases are often misdiagnosed as common pneumonia. Because this is not a common disease, it is often not recognized by general practitioners, and the clinical manifestations of Legion disease are complex, the routine examination lacks specificity, and serological examination of Legion antibodies is required for confirmation.

“Legion sickness.” Huang Lin himself went online and read some literature, which is somewhat like, but not entirely like, and the patient's condition developed too quickly.

She was extremely disturbed by some news stories, which had erupted in a number of cities around the world some time ago.

Huang Lin immediately reported this possibility to the people in the Hospital Sensory Department to know that the prevention and control documents had been communicated earlier to watch out for Legion disease. But the control documents always follow, the control has been done, and the air-conditioning refrigeration system of the hospital has been cleaned up.

Legion disease often breeds and erupts in hospitals, but the first time a patient came to the kingdom for medical treatment was years ago, not in a hospital.

At 21: 45 p.m., an hour and a few minutes after the report, a team of experts from the city's disease control department came to investigate the epidemiology.

Hospital sensory department and medical staff greeted in the hospital lobby, only leader He Feng He, Lieutenant Li Wen and the other two wore a full body of white protective clothing and comprehensive respiratory protective equipment, with no skin exposure at all.

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

Huang Lin is already mentally prepared. People with disease control also suspect that the Legion is sick, air spreading...

After meeting him, He Feng et al. and Huang Lin talked about the patient and walked to the quarantine ward. They first went to see the new kingdom, his condition continued to deteriorate, symptoms of insanity had already appeared, a large bloody sputum had just appeared, intense blood smell and rotten smell in the ward.

“None of this medical garbage can be disposed of normally.” He Feng deliberately instructed the sentient department people.

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

“Comic show? ”

Shen Haoxuan attended a comic exhibition with more than 3,000 visitors after the infection, which made He Feng feel stuck for a while.

He Feng hastily made several calls, demanding that the CDC take it seriously, escalate the epidemic control work, and apply for a temporary control blockade on Jiangxing Town.

But he knew that the time was too hasty, that there were too few supported tests, and that it was late at night, and that the efficiency would not be very high. Had it not been for the recent global epidemic of Legion Sickness, which had been documented by the larger superiors, he would have been immediately beaten back.

Now because he reported the suspected Legion disease, and the doctor on duty, Huang Lin, was also of the opinion, the disease control and various departments were still nervous.

Is it Legion disease? Or some other pneumonia?

It's too late to test for antibodies with serum, and it takes a week or two for the patient to produce antibodies in the body; and the bacterial culture that the town hospital is doing is longer.

In recent years, however, nucleic acid amplification technology has advanced to maturity, and the cognition of microorganisms has shifted from external structural characteristics to internal genetic structural characteristics, and detection has also shifted from biochemical and immunological methods to genetic level detection. Preliminary testing can be quickly completed with PCR technology to effectively respond to such public health emergencies.

Town hospitals, however, have limited conditions and do not have PCR laboratories. Either take the samples out or bring the equipment in.

He Feng applied to bring PCR equipment into Jiangxingzhen on his way back.

He was also promptly granted this request because of the importance attached to the Legion's illness.

By early morning, a shipment of equipment had finally arrived at the town hospital, along with a group of test technicians, all wearing protective clothing. When PCR equipment was installed in a miniaturized laboratory in the hospital, rapid screening was performed with 22 respiratory pathogen nucleic acid detection kits.

Whether it's epidemic toxicity, parainfluenza virus, coronavirus, Legionella pneumoniae, Mycoplasma pneumoniae, etc., it can be detected in its DNA.

Also at this time, Li Wen, who was in charge of directing the medical work, rushed into the lab and the face under the respiratory mask was ugly.

“What's the matter?” He Feng asked what was wrong in his heart.

“Dr. Huang Lin developed cough symptoms.” Li Wencheng, “another Dr. Zhao Yutao and several nurses in the emergency department also developed symptoms. ”

He Feng's eyebrows suddenly twisted... Dr. Huang Lin started duty until now, only 6 hours, which is even shorter than the average incubation period of 36 hours for non-pneumonic Legion disease, much shorter...

This whole hospital is an epidemic.

Although PCR technology is fast, it's relative, from early morning to the next morning, laboratories are busy waiting.

Not a virus, not Streptococcus, not Chlamydia...

Legionella pulmonalis! DNA structure suggests that this is a new type of Legionnaire.

As soon as this test came out, Ho Feng, who had not slept all night, was actually somewhat happy. The pathogen is known to be within range, and although it is rapidly developing, it should be able to calm the epidemic by treating and controlling the Legion disease. Legionnaires, although airborne, rely heavily on aerosols as carriers...

At a time when He Feng felt happy, there was no sign, because of a sudden discomfort in his throat, he coughed suddenly and his lungs were stuffy.

For a moment, He Feng stood in this little lab, pale in color, and spinning for some days. All the experimenters around him were stunned.

“Tier 3 protective clothing doesn't work, Tier 3 protective clothing doesn't work...”

He Feng muttered suddenly and suddenly a string of coughs erupted. At the same time, he burst out with panic and let him fall to the ground almost instantly.

Human transmission, air propagation.

Infectious force can penetrate level 3 protective clothing...

I'm afraid most of the visitors to the comic show Shen Haoxuan attended were infected.

The whole town of Jiangxing is an epidemic area.

The whole city of Shanhai is an epidemic area...