Friday, May 3, 2013

Rabies becomes high to endanger killers

Rabies becomes high to endanger killers
(Gold newspaper of sky above Hubei and Hunan Reporter Tang XiaoAn The reporter scribbles in morning of dawn, Xu Li, Zhang JinXiang) Yesterday, the department of public health of the province announced the epidemic situation of infectious disease revealed last month: Rabies reports the death counts and occupies the second of death toll of all kinds of infectious diseases again. The reporter transferred and read the information of epidemic situation of every month of September of 2006 of department of public health of the province, rabies occupied the forefront of death toll of all kinds of infectious diseases, in month over 1/3 among them, the death report counts and occupies the first place of the case of all kinds of infection. Disease accuses of expert's reminding, it is main reasons of the death not to deal with the wound in time and inoculate vaccine of rabies completely.The expert of emergency department of Peking Union Medical College Hospital introduces, is bitten by the rabies, might not really get rabies, but once have illness coming on, mortality is nearly 100%. So, after people are bitten by the dog or cat, it is very important to deal with the norm. Bitten, should pinch the wound and arrange the corrupt blood with venom or draw out pus by applying a plaster to the affected part with the cupping jar immediately, but can't suck the corrupt blood of the wound with the mouth, should wash with the suds at the same time, and then clean with the fresh water, continue and sterilize with iodine tincture or alcohol part diluted. So long as has not hurt the trunk, should neither sew up, nor wrap up to try hard.The expert reminds, the better it is clear and melodious to inject rabies and immunoglobulin (Ig) or blood early in time, otherwise the virus invades the nervous system, even it is unable to prevent the virus to hit vaccine, meanwhile, inoculating must inoculate 5 stitches in the whole journey.
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Is vaccine of rabies frozen and used? Expert: Hypothermia will fail

Is vaccine of rabies frozen and used? Expert: Hypothermia will fail
Recently, the municipal clinic of Center for Disease Prevention and Control receives to patient Wang Gang (assumed name) Call to consult, vaccine of rabies is put in the refrigerator, has been frozen, does not know whether can continue using.
Accuse of the introduction of staff member in the centre according to city disease, happen at the time of the thing of putting vaccine in the refrigerator freezer like Wang Gang. Ordinary citizens generally all know vaccine need to store in the low-temperature environment, but is not clear vaccine is unsuitable to preserve under very low temperature environment. Hypothermia, vaccine will lose the due prevention result too.
The reporter knows, vaccine of rabies is kept generally at 2-8 , the vaccine result is more steady. The temperature is raised, the effective composition of vaccine - -The antigen of glycoprotein will be decomposed with higher speed, thereupon reducing of just rendering a service. Generally speaking, vaccine begins to fail gradually in about 30 to 40 minutes at room temperature. Hypothermia, after being frozen, vaccine of rabies will fail too.
The statistics show, from the beginning of this year, city disease accuse of the intersection of centre and clinic meet, examine, bite a patient by over 4000 animals together, nearly 20% about patient demand lead vaccine come back home and inject because of the intersection of road and reason such as being inconvenient among them. Though this has provided therapeutic facility for patient, if does not understand the knowledge of transportation of vaccine and storage, will waste the wealth, waste resources and and leave rabies treatment the hidden danger.
For the stability that keeps vaccine rendering a service, the doctor usually proposes the patient who takes vaccine to go home, put ice-cubes and whole box vaccine in proper size together, maintain the suitable temperature on the way of vaccine, should put vaccine in the refrigerator cool room immediately after getting home, but don't put the ice-cubes into together.
In life, there are much vaccine that citizens are exposed to. Different vaccine, it is different to refrigerate the condition too. Get rid of, reduce the intersection of poison and living vaccine ' Gray sugar-pill, Measles Vaccine,etc.) Should freeze and keep it outside, most vaccine refrigerate the temperature at 2- 8 , but should not freeze and keep. The storage way in concrete vaccine, city disease accuses of centre doctor's advising citizens to inquire a doctor in detail, follow the doctor's advice sincerely.

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Vaccine of rabies should not since the tape is injected Keep the harsh security that one cannot say for sure

Vaccine of rabies should not since the tape is injected Keep the harsh security that one cannot say for sure
Mr. Wang returns to homeland and spends the Spring Festival during the Spring Festival, is bitten while making fun of puppy by the dog carelessly, went to the local Ministry of Health to inject vaccine of rabies in a hurry, can just have 2 injection, the Spring Festival vacation finished, Mr. Wang will go back to Nanjing, then he places remaining 3 pieces of vaccine in box to take to Nanjing, go to disease to accuse of department's injecting after planning to go back. But he did not learn until disease in Nanjing accuse of the clinic of preventive medicine of the centre after consulting yesterday, this kind of idea is impractical. As to this, city disease accuse of the intersection of centre and relevant expert explain and remind, say, the intersection of rabies and as a kind of special biologicals vaccine, need to transport at cold chain temperature 2-8, otherwise may know the consequence of causing vaccine to fail etc., so rabies vaccine should not be taken by oneself.
According to clinic director Zhang XiaoJun of preventive medicine of this centre, vaccine of rabies is a kind of biologic product, inoculate after human, impel the organism to produce the rabies virus antibody, thus achieve the goal of preventing rabies. Because need to inject 5 stitches disconnectedly within one month together, has brought the above-mentioned question of injecting continuity. But because the biologicals need cold chain to keep the particularity transported, ordinary citizens should not take away and inject by oneself. Vaccine can cause vaccine render a service, reduce even fail under non- cold the intersection of chain and state on one hand, it is unable to guarantee to inject result and biological security, so generally to taking vaccine to refuse to inject by oneself.
How to solve that to problem which Mr. Wang meets? Director Zhang introduces, generally speaking, the composition, production technology that vaccine produced because of the producer of vaccine of different rabies includes are different to some extent, so seldom propose using vaccine with within a prevention cycle. But in cases some is special, such as vaccine inoculation on business it inoculates a certain vaccine to be behind the one two pharmaceutical irritated, etcing, in order to guarantee the person who exposes rabies exempts from rabies threat, can consider changing for another producer's production, according with national standard, qualified vaccine to continue inoculating. Moreover, according to the situation that this centre mix using at present, have not found yet either that influence the situation of the immune result of vaccine. So, Mr. Wang can well reselect a kind of rabies vaccine and continue finishing 3 remaining stitches and inoculating.
Finally, director Zhang reminds and says, if citizens meet the above-mentioned special circumstances to need to mix while inoculating vaccine of rabies, you had better try hard to remember preceding vaccine brand, producer and lot number injected, in order to try hard, choose the same brand, producer, close the intersection of vaccine and product of lot number until follow-up inoculate, reach the best immune result. (Ding Hao)
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How to prevent rabies

How to prevent rabies
Mentioning rabies, it is believed that everybody can not be strange, this is a kind of disease very apt to cause people and animals death. Then in daily life, how should we prevent?
Rabies is caused by rabies virus, it is the acute, contact which a kind of person's domestic animal, domestic animal, wild animal suffer from together that highly causes fatal character infectious disease.
1.Virus properties
Rabies and virus exist in centre nerve fiber and salivary gland of the animal, transmit through blood. The virus is bad to the environmental resistance of the external world, sunlight, ultraviolet ray, 1%- 2% of the suds, 70% of the alcohol, 3% of the iodine tincture,etc. can kill. This disease is different and different with injury and invading amount of toxin in incubation period. Injure place, nerve and lymphatic vessel that is distribute invading virus quantity loud much, the quicker the onset is, suffer from the disease in short 8- 10 days, long several months are even several years.
2.Onset symptom
Disease dog depressed initial stage, show as spirit wither, afraid light, hope empty to let arbitrarily and saliva increase and voice hoarse and hind leg terrified in shape; The intersection of excitement and issue in middle period, show as manic and uneasy attack people and animals, not purposeless to go arounding, diet difficult, afraid water, flow individually saliva insert tail, consciousness obstacle, response are disorderly; It is the paralysis one on later stage, shown as and opened one's mouth to hang down the tongue to flow body paralysis behind saliva, four limbs, not got up lying, whole body is depleted and died finally.
Behind people infect have illness coming on, show as, have a headache, not weak sick, wound itch, generate heat, platycoria, shed tears, flow saliva, sweat, afraid of ink and manic and unsettled, the paralrzed death of whole body after 3- 4 days.
3.Prevention measure
( 1) Break off and infect the source, catch and kill domesticated dog and other animals that has already infected, catch and kill wild wolf, wild fox, wild dog, after catching and killing, should burn or bury deeply, forbid peeling use.
( 2) Implement domesticated dog's immune system, does the work of preventing epidemic well conscientiously, and set up immune file. Inoculate vaccine of rabies regularly.
( 3) After people are bitten by the disease dog or suspected rabies animal, should wash the wound with 20% of the soft suds immediately, and then disinfect with 3% iodine tincture. Choose the right person, inoculate promptly with the intersection of rabies and vaccine rapidly, can use serum of rabies in conjunction to treat while being conditional, the earlier time is, the better time is.
The editor recommends:How to inject vaccine correctly for the dog
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Love the sweet food and coke furiously and take care of the _'s diet mistaken idea of gastric ulcer

Love the sweet food and coke furiously and take care of the _'s diet mistaken idea of gastric ulcer
The intersection of diet and law, hungry the intersection of stomach and getting easy stomach trouble, eat arbitrarily stomach trouble is looked for and called too. It is great to eat caffeinated coffee, injury to the stomach of coke, chocolate in a large amount in empty stomach.
Case: Coke is chocolate everyday The girl 7 years old suffers from gastric ulcer
The day before yesterday, CCTV news report one rare case, Taiwan because a little girl 7 year old love taking the snacks, suffer from gastric ulcer. Parents introduce, this child especially likes coke and chocolate, nearly every meal should be eaten. She can drink a big bottle of about 1250 ml of coke in one day, eats a bulk chocolate. Waiting until spitting blood, symptom can just find serious gastric ulcer.
The doctor analyzes
Sweet food + caffeine
Stimulate the gastric acid to secrete and guide ulcer
It initiates gastric ulcer to eat the snacks without restraint? The institute of traditional Chinese medicine of Guangdong Province digests head of the department Chen Yan and does not think the question lie in eating the snacks, and which kind of snacks is eaten.
Coke, chocolate have two common points: Sweet, the caffeine content is high. And the sweet food, caffeine will stimulate the gastric acid to excessively secrete, as time passes, it is rotten to initiate gastritis, stomach mucous membrane, gastric ulcer takes shape when the situation is serious. Especially drink and suck caffeine beverages on an empty stomach, it is apter to cause gastric acid to be too much and injuring the mucous membrane of stomach. In fact, have people of stomach trouble know oneself want, give up coffee take sour to wipe out sweet little little, otherwise very easy kindling stomach trouble breaks out. Though tea contains the caffeine, the content is not so high as coffee. So, the stomach is problematic, the weak tea allows drinks, but the strong tea is not suitable.
Chen Yan reminds, end of the year will come, there are many family parties, child's chances to touch various snacks are many too, parents should limit children to the food containing caffeine (such as chocolate, coffee, strong tea, red ox) Uptake quantity. If like eating children and present stomachache, vomit symptom, should take it to seek medical advice and check at once. Chen Yan says, the main symptom of gastric ulcer is stomachache, sour instead, it explains ulcer to infringe to the blood vessel of the stomach to develop to spit blood, the children in the case above spit blood and just see the doctor, need hospital treatment.
Gastric ulcer is actually one kind of common diseases, but the child seldom has serious gastric ulcer, except that the diet is stimulated, generally speaking, children's gastric ulcer is usually taken to the stomach irritation stronger medicine (such as aspirin, Indometacin, phenylbutazone, glucocorticoid) Wait, or it causes due to gastroenteritis to infect spiral shell's bacillus of pylorus. Studies have suggested, spiral shell's bacillus of pylorus passes ldquo; Mouth - a rdquo; The route, ldquo; Hand - a rdquo; The route infects in the human body. So, parents should let the child train to be the good habit, don't drink the unboiled water, don't eat the fruit eaten raw or not washed not boiled, many people divide the food and making or using serving chopsticks and public soup ladle while having a meal.
Eat the snacks and does not control, digestive function is damaged
Then, besides impact on stomach of caffeine, Chen Yan says, do not eat the snacks controlling, will also influence the function of digestion and absorption of the stomach. Because not wiping out the snacks restraining from, digestive tract and digestive gland can not be had a rest all the time, having upset the law that the gastrointestinal tract wriggled and the digestive gland secreted, it is apt to cause the digestive tract function to be disorderly. At this moment, people present the upper abdomen easily symptoms such as uncomfortable, pain, abdominal distension, hiccup, nausea, vomiting,etc., still angry question of increasing etc. that some people will have defecating smoothly, constipation, diarrhoea, arrange. In addition, the fine long hair will also interfere with dinners to eat too much snacks unboundedly, let children make and lose the appetite. If can not absorb enough nutrient from dinner, it is unfavorable to the child's development. Question of letting alone some food with rich candy and bringing the decayed tooth, fat etc., the oil food brings sexual precosity question,etc..

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Prevention and cure general knowledge of rabies

Prevention and cure general knowledge of rabies
Brief content: Rabies is acute infectious disease that the human case fatality rate is supreme up until now, once have illness coming on, the case fatality rate is up to 100%.

Rabies also call disease of fearing water is to infect rabies virus the intersection of people and rabies that people cause, shown as acute, going on, almost irreversible encephalomyelitis, present it as characterized intimidate water, is afraiding wind, excited, swallows myospasm, flows saliva, going on paralysis clinically, but death of finally to breathe, circulatory failure.
Rabies is acute infectious disease that the human case fatality rate is supreme up until now, once have illness coming on, the case fatality rate is up to 100%.
87 countries and regions have rabies that happen in the whole world, but is mainly distributed in developing countries such as Asia, Africa and Latin America,etc., among them 98% are in Asia, the number of the infected of China is second only to India, occupies the second place in the world. Since 1997, some province rabies morbidity in our country showed a tendency to rise year by year, especially in the past 3 years, it is very obvious that some area epidemic situations have risen, onset and death toll are increasing constantly.
The wild animal is a main host of rabies and virus.
The dog which suffers from rabies is infected with the main infection source of rabies by the people, secondly it is the cat, wolf, fox in the wild animal,etc. can transmit a disease too. Appearance carry dog of virus, can also wait for animal play a role in infecting the source, the intersection of infection and mankind healthily. The patient contains a small amount of virus in the saliva, but there are very few persons who infect others directly.
People's rabies is basically infected because bitten by the rabies animal containing virus in the saliva.
The virus can't cross the non- damaged skin, if the skin is scratched abrasion, being licked by the rabies animal is very dangerous. Containing virus dog animal lick mucous membrane, oral cavity, rectum, the intersection of external genitalia and mucous membrane and skin of people, can also lead to the fact, infect with tongue in the saliva. The experimental animal can be dyed by the food containing virus of ingestion, can also be dyed by the rectum. The rabies virus can also spread by the aerosol, so, when the medical personnel, persons who keep in close touch, laboratory staff member are exposed to a rabies patient or carry on rabies virus' relevant experiments, should isolate the respiratory tract.
Different gender, age, professional crowd generally exchange the sense to rabies.
Different because of chances to contact the animal, have illness coming on in man's peasants between twenty and fifty more. By the look of morbidity case of rabies of our country in recent years: Men account for 65%- 70%; Different age group have illness coming on, count different, 0 year old - 7 -year-old children account for 17%, 8 year old - 19 -year-old teenagers account for 23%, account for 50% at 20 years old - 60 years old age groups. Therefore easy to find out rabies to children and greatly danger of teenagers. It is infected with rabies that there are more and dangerous staff member and people lived in tropical area in some jobs such as veterinarian, open-air worker, laboratory.
After people are brought the malicious dog or other animals and bitten, it is but different to look at the depth, size of position and wound bitten to some extent in incubation period.
Bite the position in above the shank and the heavy one of wound, incubation period is very short to several days, bite four limbs and carry the lighter of wound far, incubation period is relatively long, can be to a few years, several decades. Mainly there are two kinds of clinical types of people's rabies: One kind is manic type, often excited symptom appears, especially terrific water, 80% of the rabies belongs to the here type; Another kind is paralysis type or mute rabies, there is no obvious excitement symptom, avoiding and intimidating water generally, the patient fewer than 20% is the this type.
The prevention of rabies mainly includes controlling infecting the source, cutting off and propagating several steps such as route and vaccine inoculation.
Mainly the family raise dog's immunity, eliminate the roam dog and hunting of suspicious disease dog and cat to control and infect the source. Raise dog, go on, register to house, pay immunization campaign. Should be shot the rabies, overbearing cat dead immediately, so as not to hurt one's feeling. Should try to catch and isolate to grip remakable domesticated dog, domestic cat,etc. for 10 days. Die of illness animal should burn or bury deeply, can't peel carnivorously. Bitten or scratched, must wash the wound and employ immune preparation of rabies, prevent having illness coming on correctly as soon as possible by the animal. The wound must be developed in an all-round way with the suds or cleanser, the purpose to wash is to destroy the virus of the wound, prevent its hyperplasia and penetrate the peripheral nerve. Must with the intersection of alcohol and cotton, iodine tincture or 0.1% quarter the intersection of amine salt and solution (wound can be used at the suds without residue develop, because these two kinds of materials are neutralized each other) Sterilize. At the time of the condition ideal, the wound should be exposed 24 hours to 48 hours, prevent the virus from penetrating the nerve fibre. If there is immune serum, can pour into the wound bottom and around. The wound is sewn up or should try hard to avoid to wrap up, if must sew up and had better offer specific antiserum in vaccine inoculation at the same time.
The editor recommends:Suit office clan's health care method bare-handed
The editor recommends:Life of letting you process health of 20 good habits
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Rabies high to expose the intersection of risk and crowd should advance the immunity

Rabies high to expose the intersection of risk and crowd should advance the immunity
It is reported (The intersection of reporter and Cao Policy Yang outstanding to loose) Even not been bitten by the dog, the staff members of the rabies lab, exposed to crowds such as the rabies patient's personnel, veterinarian,etc. and should inoculate vaccine of rabies either. On December 17, Ministry of Public Health issues>,Require the immunity before high persons who expose the risk expose rabies.
What is called rabies is exposed, mean the rabies, suspected rabies or can't confirm the healthy rabies host's animal bites, scratches, licks and licks the mucous membrane or damaged skin, or open wound, mucous membrane contact the saliva of animal or tissue that may be infected with rabies and virus. The expert says, crowds such as the staff members of the rabies lab, contacting the rabies patient's personnel, veterinarian,etc., the probability which is exposed to rabies and virus is relatively great, so, even not exposed, also should prevent the immunity.
" the norm " require foundation immune procedure 0, 7, 21 (or 28) expose, Rabies vaccine of dosage of every inoculation 1 of it. Persons who are exposed to the rabies risk continuously, after finishing the basic immunity before exposing in the whole journey, under having situation that animal causes injury, strengthened a stitch time one year later, strengthened a stitch time to 5 every 3 years later.
" the norm " at the same time clear, pregnant woman, suffer from acute disease, anaphylactic physique of generating heat etc., use steroids and immune inhibitor person can postpone immunity expose, according to the circumstances. The defective patient's immunity before not proposing exposing of the immunity, such as being in high while exposing the risk, the immunity, but needed to neutralize the antibody test after finishing the immunity inoculation procedure before can also expose ing.
Disease of Ministry of Public Health is prevented and cotrolled office infectious disease and prevented and cured He QingHua, division chief of place and introduced, study according to expert, high to expose the intersection of risk and crowd, inoculate rabies, can win the protection result behind the vaccine. But he emphasizes, the immunity is only directed against particular crowd before exposing, and most masses are unnecessary to inoculate vaccine of rabies ahead of time.
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