Although there are many treatment methods for plague, a highly infectious disease, in the 21st century, the most effective method is still strict quarantine and isolation. ??The Northeastern plague pandemic in the early 20th century relied on isolation measures. The spread of plague was eradicated without any specific drugs.
Their current medical conditions are actually not much different from those of the Manchu Qing government in the early 20th century. So this is what Lin Motian can do.
Fortunately, there has not yet been a large-scale explosion. As long as the source is isolated in time, it is possible to block it before it explodes.
One thing that was done at the right time was the comprehensive accommodation of beggars and homeless people. The infection rate of fleas and other parasites in this group is nearly 100%. The living environment is filled with dirt and evil and is a natural gathering place for pathogens. Beggars also have the characteristic of being mobile and having wide contact, so it is easy for the disease to spread.
Comprehensive containment is equivalent to cutting off this huge source of infection. From this point of view, Mayor Liu’s determination is just right. Of course, thanks to the early construction of the police system over the past six months - many basic administrative affairs are now completely run by the police system.
However, people who come into contact with sick people must have a place to isolate themselves. Not only those who were exposed to the plague, but also the lepers they would house in the future.
Lin Motian opened the large-scale Guangzhou-Hong Kong map hanging on the wall and browsed it carefully.
Islands are dotted around the Pearl River Estuary. The islands can effectively isolate pedestrian traffic, and the environment on the islands is relatively healthy. Because he decided to set up an isolation area for severe infectious diseases on the island. At first glance, there are many choices, including inland river islands in the Pearl River and islands in the inner and outer Lingding Ocean. But to meet the isolation needs, first of all, it cannot be too far from Guangzhou, otherwise it will take too much time to transport patients each time; and it cannot be too close to Guangzhou, otherwise it will not be able to isolate patients. There must be fresh water on the island.
Although the various islands in the inner and outer Lingding Ocean are suitable from all aspects, they are all too remote from Guangzhou. Even if you choose the nearest Longxue Island in the inner Lingding Ocean, it is still 86 kilometers away from Guangzhou. Even using a motorized boat such as a large boat, it takes more than ten hours to get to Longxue Island from Guangzhou. Not only does the flight time to transport patients take too long, it is also difficult to arrange for alerts.
If you choose an inland island in the Pearl River, it will be closer to Guangzhou, but it will be a problem for isolating patients. Although the Pearl River is wide, there are many fishing boats on the river, which greatly increases the possibility of escape. Moreover, many islands in the river have been developed into farmland and villages. The establishment of a quarantine area will inevitably affect the normal production and life of the people on the island.
In the dilemma, Lin Motian circled several alternative islands - anyway, the final decision lies with the Guangzhou Municipal Government.
That night, Lin Motian was called to the city government to hold an "epidemic prevention work meeting" with Liu Xiang and others. Faced with the terrifying prospect of a possible plague outbreak, Liu Xiang simply said: "Everything will be done according to your request."
As for this island isolation zone, Lin Motian proposed several alternatives, including Jiangxin Island and sea islands. Finally, Liu Xiang approved the establishment of an isolation zone on Changzhou Island in the Pearl River.
"Although there are several villages on Changzhou Island, the population is very small, and we cannot drive the villagers away from the villages." Liu Xiang signed the letter of appointment and authorization with a worried look on his face, "These more than 10,000 people are going to It’s too late to build a camp right away… I’m afraid we’ll have to sleep in the open.”
"The camp is not a big problem. It's summer now, so just build a thatched shed. It won't freeze to death." Lin Motian said, "Who is responsible for building the camp? I still have some things to communicate with him in detail."
"Just ask Lin Baiguang about this." Liu Xiang nodded towards Lin Baiguang, "If you have any requests, you can directly contact the specific person in charge - I will make a meeting minute, and the cadres at all levels of the city government will follow your instructions."
Lin Baiguang nodded: "Tell me what specific requirements you have. I will arrange it right away."
As he was talking, he had already taken out a notepad from his official bag and a Montblanc pen and started writing. Before Lin Motian could speak, he had already written a piece and took out his seal from his pocket. Go up, fold it and give it to the confidential secretary.
"Send to the National Army headquarters immediately, quickly!"
"I have ordered a company of the White Horse Team to move to Cheung Chau Island immediately. Now the Coast Guard has a guard post on it. It should not be in the way, right?"
"It's not in the way, it's not in the way." Lin Motian said quickly. He was really "thoughtful". Not only did he make preparations immediately, he also specially mobilized a North Korean company that could not understand the language to go to the island to guard the island.
"Now tell me your request."
Lin Motian said that in fact, this quarantine area does not require complete infrastructure, nor does it need to accommodate tens of thousands of people for long-term residence. Because the incubation period of plague is very short, the medical community generally believes that it is six days.
"... As long as they are sent to the island and are not sick after nine days of isolation, they can be considered free of infection. Then they can be transferred to Hong Kong's refugee camps for resettlement. So there is no need to pay attention to the living facilities."
The isolation camp set up by Lin Motian is divided into three parts. The first part is the purification facility. According to the "purification" standards, the quarantine personnel who go to the island take a bath and disinfect, shave their whole body hair, and burn all their clothes.
"... A special garbage incinerator must be built to burn the clothes of quarantine personnel, and a crematorium must be built to cremate people who died during the quarantine period. Sewage and feces need to have special disinfection pools and cannot be discharged directly. Entering the river..." Lin Motian came one by one. According to his idea, the camp should be divided into three areas. The first area is the observation area. The purified personnel will be kept in the arrival area for 24 hours before being transferred in. The detention area is subject to a nine-day quarantine. The last one is just a treatment area, housing people who got sick during quarantine, and every area must be completely isolated.
It is said to be a treatment, but in fact they do not have gentamicin, streptomycin, tetracycline or chloramphenicol. The only effective antibiotic is sulfa, but the purity of the product is not good and the efficacy is compromised. Drug allergies alone can cause There were many deaths. Equipment and materials for intravenous drip, an important means of support for treatment, are also in short supply. Treatment is actually "waiting for death." The purpose is actually to prevent the patient from transmitting the germs to others before death.
"...The isolation camp does not need to occupy the entire island. In fact, it only needs a small area. The place is too big to be guarded, but there must be enough separation between the various divisions. The positions of each other cannot be up or down."
He spoke a little, and Lin Baiguang wrote a little in his notebook. After he finished speaking, Lin Baiguang also finished writing:
"Is there any more?"
"That's all for now." Lin Motian said, "The big library must have more complete drawings and information, but it's a pity that I have to go back to Lingao to find them."
"Send someone back immediately to check," Lin Baiguang said. "You write an application and I will arrange for someone to check the information."
"Okay." Lin Motian secretly admired the leader's resolute and uncompromising pace.
"Two stoves will take some time, but we can make do with simple things." Lin Baiguang flipped through his notebook, "I will arrange the construction materials and workers, mainly wood, reed mats and wire; for food supply, we will apply for emergency rations from the joint logistics headquarters in Hong Kong . Cutlery and pots are from the Planning Institute’s Guangzhou warehouse – there should be a lot of looted goods there. Clothes are from the Planning Institute’s warehouse in Hong Kong – there are refugee camps there, so there should be reserves in the warehouse.”
As he spoke, he wrote on the note pad. After he finished writing, he immediately asked Liu Xiang and Lin Motian to review and sign. After a while, several "applications" were completed.
"Let's split up and take action quickly." Liu Xiang's face turned pale. This was really a wave of ups and downs. It’s really hard to be the mayor of Guangzhou.
Lin Motian was naturally not free, so he immediately discussed the work of the police system with Mu Min.
The Senate does not yet have formal grassroots institutions such as street offices in Guangzhou. Many grassroots administrative tasks are carried out through three levels: police station, police station, and Baojia. Therefore, epidemic prevention also requires strong support from the police system.
Previously, the Guangzhou Municipal Government had printed a "Public Health Manual". This manual is intended for all grassroots cadres and police officers, and each Baojia security chief also has a copy. In addition to some basic "keeping clean and hygienic", "eliminating the four pests" and "good living habits", the content also contains descriptions of symptoms of many common or uncommon infectious diseases, with the purpose of allowing these grassroots personnel to identify them in a timely manner And report it.
In order to prevent the grassroots staff and security chiefs with low levels of education from misunderstanding various proper nouns when reporting, the health department simply used terms such as No. 1 disease and No. 2 disease when compiling this part. to replace.
Now he requires the police system and the Baojia system to pay close attention to the health of the personnel in the film according to the symptoms mentioned in this manual. The patrol police must conduct daily inspections in the district and listen to the chief of Baojia's instructions to all residents and temporary residents of the film. Personnel health reporting. Report to the health department of the city police station on a daily basis. The health police will also arrange random inspections and inspections.
In addition to these, each insurance policy is also equipped with a full-time quarantine officer. The quarantine officers also patrol on a regular basis like police officers to understand the exact health status of all residents in the insurance policy and collect information on their contact with plague patients. If there are suspected or confirmed cases of plague, they must Isolate and report immediately.
In order to ensure that cases can be reported in a timely manner, he did not dare to leave matters such as a clear diagnosis to local Chinese medicine doctors in Guangzhou; the number of doctors, not to mention professional issues, was far from enough. , Lin Motian originally wanted to use all naturalized civilian cadres or Fubo Army soldiers, but it turned out that it was impossible to allocate so many manpower to him for full-time use.
