Moderator: Hello everyone netizens, 2008 April, the day of the fifth anniversary of SARS. In five years ago, a Chinese SARS swept up and down. In dealing with SARS in the two months period of time, took place on Chinese soil are still many, many little-known story. Today we invited one lucky when stepped on SARS, the night returned home from the United States, to combat SARS advice of Professor Huang Jianshi. Currently, the yellow Teacher Assistant to the President of China Academy of Medical Sciences, Epidemiology Distinguished Professor, SARS, the former has three states in the United States and Canada, a province of the Epidemiology Department of Health local government experts and department heads, the federal and state Provincial public health consultant, has extensive experience in public health.
Chair: Huang, Hello! when SARS in 2003, when did you return?
Professor Wong: I was 03 May 4 to Beijing.
Moderator: It was said to have atypical pneumonia in China over the provinces should be a.
Hwang: Yes.
Moderator: How You and SARS, on the edge College was first to interview, asked me to make a report, so I made a , thousands of people in the stadium watching the football match, then some small powder fall from the sky, as a real estate company is pulling the balloon with a banner advertising the helicopter. Since Monday, there were a lot of patients in major hospitals , the symptoms are the same, fever, cough, difficulty breathing, and finally to the severe breathing machine. and very strange, a lot of people are sick family, and the disease almost have seen the game, the disease has become increasingly urgent. result more and more patients to the hospital, the hospital did not place an extra bed, the doctor is sick, and the final diagnosis concluded that the anthrax. but later discovered that anthrax is not enough prime, hh is not enough ventilation in Beijing had finished, I have been waiting for news.
I graduated from the Guangzhou Zhongshan Medical University, Zhongshan Medical University in Guangzhou and has been the epidemiology of the academic teaching and research consultant. They know I'm back, talk up call, since you are in the Beijing and other news, take a trip in Guangzhou now, but also to be reported to us, I flew to Guangzhou, probably around Christmas. Zhongshan Medical University in Guangzhou with the CDC (Center for Disease Control and Prevention) relationship is fine, put CDC staff, please go, I finished then we are still discussing the story, saying that public health where he died not, something bad will happen sooner or later, and the most horrible thing is that something happens, the first line of the doctors are not ready to meet you , is ready to meet you. Guangzhou CDC asked me the next day to the CDC forum, and requested me as a consultant.
then I went back to the United States, and early January 2003 Location Beijing side to me, let me come back to do Professor. Of course, I can sell the house back, sell the house to take some time. to sell the house during that time, I am often on the Internet, occasional outbreaks of SARS in Guangzhou found this thing, because the anthrax and SARS is almost the same symptoms, I phoned to ask how to Guangzhou CDC, the CDC Director, answered the phone the first thing he said Professor Huang, the last time you brought back the N95 masks where? the story is really brilliant. I remember a line in Guangzhou Red Cross What will hospital or institutions, made the announcement a Chinese saying that there have been any symptoms of infectious diseases. when there is a world on the Internet epidemiology and infectious disease expert forum MAILING LIST similar things, I put that message translated into English in there, so that we share, because we do not know what happened in China. The results I later learned that each year in the professional assessment of a range of infectious diseases who is the best of this year's report, that I was commentary on. I am using the most direct information attracted worldwide attention, did not think I played a little bit of that role.
science and technology minister himself called and invited to take a leading role Huang began to return
Professor Wong: I have ten years in the United States are engaged in infectious disease control within WHO, including large multi-state, cross the city, counties, and emerging infectious diseases and large-scale investigation, control, so I had more experience. see the domestic situation of such, I wrote to the leadership of the Ministry of Health, specifically how to do. I put it together quickly to seal in Guangzhou, and later spread to Beijing and Beijing are also specific recommendations on how to seal it. I was just sold the house, suddenly eight or nine in the evening to a telephone call, one is science and technology minister. at the end of April set up a SARS headquarters SARS headquarters located inside a science and technology research group. head of the Ministry of Science徐冠华部长, Chen Zhu, vice head of the one (the current Minister of Health), there is a Deputy Minister Huang Jiefu. then Minister Xu call me, I hope I can come back early to participate in anti-SARS. came back and told me that they want to hired two consultants, clinical consultant is Zhong Nanshan, epidemiology consultant is to me. so I went to the airport at 2, when the Los Angeles airport empty, the aircraft had hundreds of people sitting at that time only three to four people to sit .
because it is the time difference to Beijing is the afternoon of May 4, to the Beijing airport is empty, nobody, Ministry of Science and people to meet me, an expert from the airport to the Ministry of Science building, along the way Few. to pick my Director said the Ministry of Science, Professor Huang, how this can do ah? was really no one on the street. I then casually said the word: two months later. Later than two months to the end of July so, the World Health Organization announced the lifting of the ban against China. then Ministry of Science and made an international SARS symposium, I was a member of this seminar, I met him out, He told me that Professor Hwang You're God, how I said God, he said the last time you told me two months, and sure enough two months have passed. I say reason is very simple, because SARS is an acute infectious disease , acute infectious disease does not take long. such as we sit here now a few seconds to pass you, will soon be passed to other people, unlike the other to be a special touch to infection, respiratory disease transmission very quickly, and soon all pass over, only two results, all died; or else a lot of people are resistant, flexible, very simple. Practice has proved that it is impossible for all the dead, the number of infectious diseases in history are like this, in the end a lot of people to live, acute infectious disease that is coming quick, too fast. chronic infectious disease is not the case, so why do so many years of AIDS, because it is through sex, blood, mother infants can be propagated.
come back after work to participate in the SARS headquarters, and I introduced some of the U.S. public health system, put forward to the U.S. public health system as a whole is how to do, they are all very welcome . For example, I say public health security is national security issue, why do you say so, because if you are ill, then, they do not charge a gun shot came in, so public health issues is a very important issue, we attach great importance to .
I made some remark was tantamount to help ease the fear
mm Hwang: involved in these efforts, and later as deputy head of the SARS research group, he took a group of scientists, we first Guangdong to understand the Guangdong case, conduct academic exchanges, introduction of the overseas situation. and later to Hong Kong, but also with the Hong Kong exchange, participation in a number of specific things. consultancy it is mainly to do consulting work, SARS during which I mainly do some consulting, participate in the discussion, and then introduce information and do work in this area, what is not involved in the specific to the scene to save people and the like, not doing the work. some things to say big big also, to say little too small. Guangdong Provincial CDC asked me to do Introduction of foreign control of infectious diseases consultant is these things. because we fear most is when the disease do not know what will happen, do not know how to do, I said something tantamount to help alleviate the fear mm, because people fear most is fear.
example, when Beijing is said to want to build a large-scale infectious disease hospital, the health bureau was also ready to invite me as a consultant, the contract is drawn up, and later was to be signed, that is, to help make verbal contact. They program gave me, I was still in Shenzhen, I saw, not ah, how can create a hospital for infectious diseases, I said this must not do. Later, I wrote a special group of scientific and technological leadership, and I said this can not be built hospital for infectious diseases. I said why? because, first, that there are two Beijing hospital for infectious diseases, if SARS does not come, can not go on, why? no acute infectious diseases, are chronic diseases, if we would build a large hospital for infectious diseases , SARS after doing? I gave him an account operator, not to do large-scale, two thousand employees, a thousand employees, annual light utilities, wage costs must be tens of millions, I count very specific. was not passed on SARS , and there is no longer built. Inner Mongolia was spent one hundred million or two billion to build, and then no one to destroy the. Shanghai has built a place called Shanghai Public Health Center, built in the suburbs, I visited the very beautiful . Now the government must allocate tens of millions each year on the billions of dollars to support it, not to mention how much was spent during the construction.
country everyone is responsible for SARS in trouble after he moved to the National Training
Moderator: SARS after you What do the main work?
Hwang: SARS is a lot of time after the input of the training cadres at all levels of public health at that time almost a week to fly around the country several times. Beijing, more than at the cadres of health systems listening to my class, the Beijing Xiaotangshan organized health systems in three classes, and only then all the cadre training completed division level and above, every time I go to talk about a half-day or one day. was the main new idea is to promote public health , how should the public health system building, how to deal with infectious diseases, because at that time about the emergency, the emergency is not enough I say, should be the response, the first ready, and now this concept has been accepted by all. Now the official report of the sudden Public Health issued thousands of cases every year, SARS is just one example, is to prepare for it ahead of time. a way,, I am lucky, doing exactly what the government needs. Because of China's reform and opening up has been do not attach importance to public health, most of them are sent to study in college, or inside the company, few people in the government to do public health, and department heads do, has done similar projects in infectious diseases. I'm in the U.S. The Government did, so I understand their whole system in order to put the United States system of modern public health response to the specific practices from concept introduces a lot back, so some work is done. Some things, like a lot of people confuse the beginning, including some academicians are not quite sure what public health is that all matters of government. so I wrote a few what is the public health, public health characteristics, the value of public health article in this regard, introduction of public health government in public health is limited, he is not infinite, public health is that everyone involved. a large number of public health outreach and health education.
Moderator: SARS lot of people are afraid of all time thinking about going abroad, you chose to return.
Professor Wong: I can return to this matter in the SARS period, when the newspapers reported. Might also played a bit role in stabilizing heart, and I personally think that countries in trouble everyone is responsible, I just learn this stuff, can make some contribution to the country very good, and I would have is to come back.
In addition, SARS, infectious disease control because I did ten years on this very familiar . For example, you afraid of AIDS, and I just like people with AIDS 20 years ago, embrace and know nothing. I will be assured that these things tell you to provide certain information, is to do such things.
SARS promoting China the pace of reform in all aspects
Moderator: come back after you what kind of a living state, with ordinary people, with 84, wearing a mask you?
Professor Wong: I was the first day back is the Ministry of Science and apartment living , and later Minister said that no, poor condition, and later moved to Journalists from my (hotel) to go. time to eat breakfast every day I have to wait an hour, why? just give me one person, I ate a few days I eat pretty annoying, is the same thing. then I think the door to eat, then a street, I can not find a place to eat, so I had to go back to eat. then indeed we are very much panic, but I only wear a mask. is now leading to Hong Kong, received the leadership in our hospitals and so wearing a mask, as a courtesy, the first and only time I put on. in a hotel 84 (disinfectant) staff also made, I have not use, not necessary.
fact, China was the panic and the .04 in the whole process from the time of SARS, is 04 years April 22, Xinhua news release, we also know that two days, May Day has been coming out. Ministry of Health a few people call us to discuss the past May have to do a long break? We do a comprehensive analysis, because the responsibility is great, and hold May Day holiday, it means the loss of Beijing that is billion to count, we have to go one by one. The final We analyzed all the normal route of transmission from infectious diseases to other areas, all ruled out after we came to the collective conclusion is that May Day should be a long break, the infectious diseases that we can control.
Moderator : For purposes of my memory, SARS was 84 when the smell everywhere, people everywhere are wearing masks.
Professor Wong: In fact, during SARS, or reflect China's many signals. SARS is not a very serious infectious disease in disease, but China was the kind of approach, spreading everywhere, so do not use disinfectant. useful is one of the most simple way, which is self-isolation. In fact, in the fight against infectious diseases, prevention of chronic diseases, and are not superstitious Technology , we now have considerable part of China, a fault is a superstition technology, we should believe in science, technology should not be superstitious. believe in science is to use the scientific method is very simple. I recently read a book called I feel a deep book, written by Dr. Wu Liande is about a hundred years ago, he controlled the plague in the northeast was like five or six million people died in Harbin, he was taken during the SARS control measures and we have exactly the same, and we SARS period, we did not start to understand Wulian De do these things. So the Chinese tradition, the tradition should be fine heritage. So I think you in five years after the commemoration of SARS, is a good thing, to remind you to pay attention to health, only if everyone is concerned, we can have a healthy environment.
SARS wake-up national health awareness
Moderator: Did you come back before that, the task undertaken by your body too formidable?
Professor Wong: the world the same. the most important I think China in health, disease prevention, public health system in this regard, the most important ideas. For example, how much scientific evidence has been detrimental smoking is something no one's interest, even our Tobacco Board officials are still in the feed manufacturing pits people from the smoke. but in fact it is at the expense of the health of future generations, the Chinese scientists found that one year is 105 billion in tobacco taxes However, the health caused by tobacco each year because of the economic losses caused to pay 150 billion.
five years after China fully able to cope with SARS struck again
Moderator: If five years later, again as infectious diseases like SARS hit, how well you think the response today?
Professor Wong: can not say that a good deal, but I think basically we have the ability to deal with this epidemic.
chair Person: What is the reason you think, so we do have the ability to respond to infectious diseases like SARS?
Professor Wong: I just attended the national infectious disease surveillance areas will come back, because I am also the national public health emergencies National Expert Group members. I found that our infectious disease surveillance, it can be said to be one of the best in the world, no country in the world can do to report the national network of direct county, township, and we did it in China. This means that you a county in Jiangxi Province, infectious diseases, Beijing'll be able to know. This system is the world's largest, best, and collation of our analysis has reached the international level, has already had international standards. respond to infectious diseases Software aspects of the past few years many people have been trained. So in infectious diseases should be said that a big threat to our ability to control entirely, it may be said to have reached world class level. now that is the key to the smooth flow of information and ideas into there some of the problems, then there are the training of junior officers, improve the overall quality, there is still much room for development.
self-management of their health the most important
Moderator: What you see before returning, and you American imagination as you?
Professor Wong: I was in the U.S., not China's news, so the World Health Organization issued the message, is based on the internal Web site.
I think that China may be more epidemiological work backward, the results returned home, I found that China is in fact a first-class experts in epidemiology. I think it might China is relatively backward equipment, some of it, I found the Guangdong CDC some conditions better than the U.S. CDC, the hardware is not bad . is the software problem, the software is indeed very important, so I have done a lot of this training, publicity ideas work.
Moderator: SARS after you work primarily in what?
Professor Wong: Then over SARS , I understand the actual situation in China found that in fact China's chronic diseases in China than the greater threat to human health and the threat of chronic diseases mainly in the three decades since reform and opening up the case. how to do it, just the United States the concept of a health management, there are people in China to push what is health management? is a crowd, for example, there are a hundred people, one person had a serious illness, a dozen people to be afflicted with chronic diseases, there are 80 people like you and me healthy. However, due to modern society, environmental pollution, stress and other reasons, these 80 people who normally can not guarantee shall not be chronic or acute. because every person has a number of risk factors, what is dangerous factors? for example smoking, such as drinking, such as staying up late, such as high blood pressure, such as high cholesterol, which are risk factors, are scientifically proven before. every person, including me, have these risk factors, these risk factors if not removed, then sooner or later those who quest for the disease. Health Management is going to do? is to use scientific means to find your body of these risk factors. Once found, through a variety of behavior from medicine, prevention, try to make you get rid of those risk factors to reduce or set of methods, which is called health management.
Moderator: SARS before you by assuming that successfully predicted with the public health incident, Similar concerns do you have?
Professor Wong: can not prophesy. SARS story before I tell you what? tell you that when the economic and social development of the future, if not keep up with public health, the society is not become developed, and economic development is inseparable from public health control of communicable diseases.
second story I tell now, that we as SARS panic as the kind of disease caused, which may happen again. I have this imaginary Story: June 2013, the global warming of the planet, beginning in June, major cities are very hot, we all air conditioning, air conditioning load is not enough, lack of electricity, air conditioning was not, we could not sleep at night, in the street playing mahjong. Fortunately, the economy is not bad at that time, there have been a bull market the stock, full stock. All stocks of the next result? western financial predators saw an opportunity, and again stir up trouble, suddenly they become a bull market bear market, many people's pensions are all wiped out, this case certainly have a lot of jumping, but more people playing the night playing mahjong sleepwalk stroke, myocardial infarction. Results from the June start, Beijing, Shanghai, Guangzhou, Tianjin city hospital, one after another of these many, many stroke patients, the last place with no extra bed, and finally even the doctors and nurses have a stroke. had not died of a stroke, stroke will be paralyzed, so should be taken care of. Results such a huge crowd, the hospital and could not, the family can not go back to start the day off to take care of patients. Therefore, schools, government, businesses no way to operate, and you said that the more terrible. The two acute infectious diseases months to get past, but like stroke, myocardial infarction, we know that it is no better after several years. If this happens, then it is terrible. Of course I do not want to see this happen, but it kinds of things are entirely possible, and why? because China is now the largest since the human history of stroke and myocardial infarction, high-risk populations, the specific number of one hundred and fifty million high blood pressure, probably more than half did not get control, only 10% of control , no man can control, like high Xiumin, Hou Yaowen that suddenly went away. one hundred and sixty million high cholesterol, obesity hundred million, 40 million overweight, 40 million diabetes, if we do not get rid of these high-risk if they healthy, would be the phenomenon that I mentioned earlier. We must cooperate together, hope that the media and more calls, so that each one knows the dangers, know this is a very dangerous thing, a terrible event, SARS is also terrible than even.
Guest Profile:
Professor Huang Jianshi Union Medical College, Beijing - Tsinghua University, Department of Medicine / Assistant Dean of the Chinese Academy of Medical Sciences, Epidemiology Distinguished Professor, is a renowned health education experts, the majority of our people's health education have devoted great energy and enthusiasm .83 graduated from Zhongshan Medical University, Ministry of Health, serving three years after the United States, by the management of medical education, public health epidemiology Business Administration (MBA) degree and three to complete a full distinctions health management doctoral degree programs. has in the United States and Canada, a province of the three states of the Epidemiology Department of Health local government experts and department heads, federal and state provincial Government public health consultant, and chief teaching at three universities in the U.S. and Canada on May 4 .2003 Ministry of Science and the Ministry of Health should be invited to return and participate in leading the work of SARS prevention and control. are now engaged in a public health emergency response system in China Construction. ( Zhong Wen)
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