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Thursday, May 5, 2011
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China emergency begin influenza epidemic is also popular in other areas. The U.S. government on April 26 with domestic multi-state outbreak of swine flu appeared, citing the United States access to public health May 1 to 5 5 days leave the country temporarily suspending always public businesses and economic activities. World Health Organization announced on April 26, Mexico and the United States has been an outbreak of swine flu epidemic constitutes a ;, and three days after the second increase in the influenza pandemic advising system level (27, 4 from the three said, 29 and from the four mentioned in 5, and this system the highest level 6) .5 level advising level is the health sector to governments and published a marker that all countries should now begin immediately for a great outbreak of influenza answer arrange. our hospital as a health and medical creations in at 15:00 on April 30 the hospital held an crisis appointment to transfer urban levels of health government department documents and published an crisis hospital for people infected with A (H1N1) virus epidemic of swine influenza prevention and control measures and conditions. The following is I have received the city, district, hospital for people infected with three levels of A (H1N1) virus epidemic of swine influenza prevention and control of the document. Thus, we can see: April 30 in China, Six years antecedent, : Ministry of Health adult the A (H1N1) swine influenza virus appears opposition the outside of the country is unrealistic and self-prevention is especially important.
just learned: Hong Kong announced the first confirmed cases of Influenza A H1N1 influenza, Zhongguang Wang Beijing on May 1 AP (at 21:42 on May 1, 2009) Hong Kong Special Administrative Region Government announced a prim nightfall, Hong Kong experienced the first cases of H1N1 confirmed cases of influenza, the patient is Mexican, April 30 by the afternoon of Eastern Airlines flight MU505 arriving from Mexico by path of Shanghai. while the patient is not out of the landing in Shanghai, but the width of stay is unknown. summarizing the SAR government has the World Health Organization, Ministry of Health and Shanghai Municipal Health Bureau. Hong Kong, with effect immediately level to handle with influenza prevention and control amounts.
benevolent medicine written in May 1, 2009
country A (H1N1) influenza virus eruptions in real period announce relevant
my log:
2008-04-21 | Memorial ; SARS Edition) pig deaths (mortality rate of pigs 1-4%). human influenza viruses rarely infect pigs, but also found some human cases of swine flu, most have had direct contact with sick people .2009 3 month, Mexico and the United States has occurred of human infection with swine influenza virus, the influenza A virus, H1N1 subtype swine influenza virus tug, the tug contains the swine flu, avian flu and human influenza virus gene shreds, is a current type of swine influenza virus can infect one person. behind the swine flu influenza early clinical symptoms alike to a fever, cough, fatigue, poor desire, diarrhea or vomiting can be symptoms. the disease can rapidly progress sudden high fever, pneumonia, severe respiratory failure can happen, multiple organ abuse, guiding to necrosis.
1 swine influenza viruses are pathogenic
Orthomyxoviridae virus family (0rthomyxoviridae), influenza virus, (Influenza virusA ). Typical viral motes were spherical diameter of 80 nm ~ 120nm, with envelope. capsular membrane has numerous protrusions arranged radially glycoprotein, respectively, hemagglutinin HA, NA and M2 neuraminidase protein. viral particles among nuclear capsid, spiral symmetry, a diameter of 10nm. swine influenza virus negative-strand single-stranded RNA viruses, genome of almost 13.6kb, ranging from the size makeup of 8 divide segments. Despite the different subtypes can be fashioned between a diversity of influenza virus serotypes, yet can cause human infection with swine influenza virus serotypes are H1N1, H1N2 and H3N2.
Swine influenza viruses have enveloped virus, so the ether, chloroform, acetone and other organic solvents were Sensitive, 200mL / L ethyl ether by 4 ℃ overnight, virus infectivity was destroyed; to oxidant, halogen compounds, ponderous metals, ethanol and formaldehyde were likewise sensitive, 10 g / L potassium permanganate, 1 mL / L mercuric chloride treatment 3min, 750 mL / L ethanol, 5min, 1 mL / L iodine 5min, 1 mL / L hydrochloric sour 3min and 1mL / L formaldehyde 30min, can be inactivated swine influenza virus. swine influenza viruses are sensitive to heat, 56 ℃ condition, 30min to inactivate ; UV-sensitive, but with UV-inactivated virus of swine influenza virus can cause multiple resurrection.
Second, epidemiological
the United States in 1976, the so-called H1N1 subtype of swine influenza virus, the virus was isolated from the virus in pigs the same as the first confirmed under normal conditions, swine influenza virus can be transmitted to humans from pigs in the year 1999 in October, Hong Kong, a 10-month-old babe infected with swine influenza virus H3N2, now entirely retrieved. these years, bring ... to an endthe earth with different swine influenza virus strains reported, but no large-scale epidemic. Recently, parts of Mexico and the United States and other outbreaks of swine flu. World Health Organization, Mexico and the United States infections are subtype swine influenza virus H1N1, a strain of the same.
(a) source of infection.
primarily pigs and pigs carrying the virus, infection swine influenza virus were also shown to spread the virus. animals infected with the virus can be transmitted.
(b) transmission.
mainly for respiratory tract can also be transmitted through contact with infected pigs or their faeces, polluted surroundings or aerosols, etc. Some strains such as H1N1 can be spread from person to person, similar to its mode of transmission of influenza, usually through coughing or sneezing of infected persons.
(c) susceptible population.
generally susceptible. Most patients aged 25 to 45 annuals old, the current report are juvenile, aged and children should disburse consideration.
(d) high-risk groups.
in piglet industry, visited 1 week before the onset of pigs, and other locations of sale and massacre of those swine influenza virus infection and exposure to the substance for a high hazard of studio workers.
human infection with swine influenza constantly occurs in winter and spring pigs infected with swine flu generally occurs in summer and autumn.
III clinical
incubation time is commonly 1-7 days or so, more influenza, avian flu a long incubation time.
(a) clinical omens.
people Early after the swine flu symptoms similar to ordinary flu, including fever, cough, sore throat, body aches, headache, chills and fatigue, and some also suffered from diarrhea or vomiting, muscle pain or fatigue, red eyes and so on.
some patients can progress rapidly, savage, sudden high fever, body temperature over 39 ℃, and even secondary to severe pneumonia, acute respiratory trouble syndrome, pulmonary hemorrhage, pleural effusion, pancytopenia, renal failure, sepsis, shock and Reye syndrome, respiratory failure and multiple organ damage, leading to death.
(b) of the signs.
often not obvious pulmonary signs, some patients could be heard and wet rales or signs of pulmonary consolidation, etc. .
(c) prognosis.
prognosis of human infection with swine influenza virus subtype infection is narrated to most of the good prognosis; needy prognosis infected with H1N1, the mortality is about 6%.
(d ) laboratory.
1. Peripheral blood: WBC count is generally not high alternatively lower. caustic cases extra than a rebate of leukocytes and lymphocytes, and platelets;
2. serological diagnosis: can the use of oblique ELISA , antigen capture ELISA, fluorescence immunoassay, etc.;
3. reverse transcription - polymerase necklace response (RT-PCR): the PCR technique is simple, rapid, sensitive, characteristic specifics, have been used to swine influenza Detection of viral genes and molecular epidemiological inquiry;
4. Virus Isolation: Respiratory specimens from patients (throat swab,shanghai escort, oral wash, nasopharyngeal or tracheal aspirate, sputum or lung tissue) was secluded swine influenza virus. commonly used method has egg inoculation method and cell culture. existing diagnostic methods, virus isolation method is more perceptive, but takes 2-3 weeks.
(e) chest imaging.
Merge apparent lung pneumonia sheet images. severe cases a wide range of sheet images.
IV diagnosis of human infection with swine influenza
diagnosis with epidemiological history, clinical declarations and pathology inspection, clinical ashore the early finding, early diagnosis is the key to dispose.
(a) of the human infection with swine influenza diagnostic criteria.
1. medical detection cases: visited swine flu epidemic, or pigs, and swine flu history of close contact, within 1 week of clinical manifestations were flu. classified as cases of medical observation and those of their medical observation for 7 days (according to the disease can be isolated at family or hospital).
2. suspected cases: visited pestilence district, or with pigs and pig history of close adjoin with influenza patients (epidemiological history can also be unknown), 1 week clinical manifestations of influenza, respiratory secretions, pharyngeal attempt son, sputum, serum H subtypes of HIV-positive or nucleic acid testing affirmative.
3. clinically analyzed cases: the diagnosis of suspected cases, and their common history of exposure were confirmed cases were diagnosed.
4. confirmed cases: from respiratory tract specimens or serum isolation to a specific virus; RT-PCR on the specimens, the subsistence of swine influenza virus RNA, confirmed by sequencing, or two 4-fold increase in serum antibody titers can be confirmed human infection with swine influenza.
(b) of the human infection Differential diagnosis of swine influenza.
should be eminent namely human infection with swine influenza and influenza, avian flu, the flu, pneumonia, SARS, catching mononucleosis syndrome, cytomegalovirus infection, Legionella pneumonia, Chlamydia, Mycoplasma Identification of pneumonia.
five treatment
(a) symptomatic and supportive.
patients with suspected and confirmed place should be treated in isolation, emphasizing early treatment.
of human infection with swine influenza present, is a comprehensive symptomatic and supportive treatment. pay attention to repose, more water, pay attention to nourishment, close observation of patient's condition; the early onset of 48 hours is the best treatment for high fever, clinical symptoms, should take chest xray, blood gas check.
(b) narcotic treatment.
1. antiviral therapy: early application of antiviral drugs should be the trial of oseltamivir (oseltamivir Tamiflu). Tamiflu is a neuraminidase inhibitor, on prohibition of swine influenza virus may have effects, dose 75mg / d, 5 days treatment, kid with remind. from the United States recently infected with swine influenza virus isolated from the virus, oseltamivir and zanamivir (zanamivir) is sensitive to amantadine and rimantadine resistance.
2. Antibiotics: Bacterial infection can occur, such as the use of antibiotics.
(c) TCM treatment.
1. toxin attack lung health.
symptoms: fever, nausea cold, sore larynx, headache, muscle pains, cough.
Governing Law: detoxification, Xuanfei via malign.
reference Recipe: Roasted Ephedra, almond, gypsum, Bupleurum, Scutellaria, Arctium, Notopterygium, raw licorice.
commonly secondhand Chinese medicine: Lotus Qingwen Capsule, silver, yellow class arrangements, Shuanghuanglian spoken preparations.
2. drug traffickers lung and stomach.
symptoms: fever, or chills, nausea, spewing, abdominal ache, diarrhea , pate and body, muscle aches.
Governing Law: detoxification, and the dampness.
reference Recipe: puerarin, baicalin, berberine, the herb, Agastache rugosa, Jiang Ban Xia, wise, Magnolia.
prevalent Chinese medicine: Gegenqinlian pellets Ageratum proxies and other.
3. toxin obstruct gas business.
symptoms: lofty fever, coughing,shanghai escort, breast tightness, suffocation, breathlessness and shortness of expiration, irritability, delirium Shenhun fraudulent claims.
Governing Law: explicit wind chilly camp.
reference Recipe: Roasted Ephedra, almond, Trichosanthes, rhubarb, gypsum, ruddy peony, buffalo trumpet.
Angongniuhuang used when required, and Phlegm Qing Xuebijing, Qingkailing, such XNJI.
six, prevention
(a) 控制传染源.
behave human and swine influenza surveillance. Once or pigs other beasts infected with swine influenza virus, should be in agreement with the pig harvest, had a stall selling meat ailment, the patient unit, kin, disinfection, even now by App and other garbage should be swiftly destroyed or buried; acknowledged to the clinic and defense patients at avian flu,toronto escorts, SARS standards good solitude disinfection; specimen cases of pneumonia of unknown reasons in consensus with the requirements of shipping and handling.
(c) to protect healthy people.
amplify good private hygiene, adequate sleep, hard discipline, reduce stress, adequate nutrition ; shirk contact with flu-like symptoms (fever, cough, runny nostril, etc.) or pneumonia and other respiratory patients; attention to personal hygiene, wash hands frequently with soap and water, especially after coughing or sneezing; avert contact with pigs or pig to have a place; Avoid crowded places; with a tissue when coughing or sneezing, cover jaws and neb, and then tissue periodical trash; such as influenza-like symptoms outside (fever, cough,guangzhou escort, runny nose, etc.), should immediately quest medical treatment (medical treatment should be worn masks), to the local public health agencies and description of inspection and quarantine divisions.
(d) strengthen the hospital infection control measures.
patients with suspected or confirmed patients were isolated and dress a surgical mask; remedial staff to do private conservation strengthen the hand hygiene, use of hand disinfectants for hand disinfection quickly; fever clinics and Infectious Diseases, and other key sectors of the medical staff should wear a surgical mask, if I were you, wear goggles or protective masks; of fever clinics and Infectious Diseases, etc. indoor ventilation prerogative sectors should be strengthened.
swine flu vaccine: At present, merely the swine flu vaccine because pigs, no specifically for humans. to the present position, the mediocre person flu vaccine to discourage swine flu not meaningful effect.
with: World Health Organization between the infection, but there were no reports of human infections.
Level 2: an animal influenza virus known to cause infection in humans,----- HALLOWEEN Halloween night, is watched as a potential pandemic menace.
Level 3: There is an animal influenza virus or animal and human influenza caused by recombinant virus or small-scale sporadic human infection, but this is not enough between folk caused by community-acquired infection.
Level 4: animals and animal influenza virus or recombinant virus caused human influenza spread from person to person, experienced of causing community infections. surging pandemic risk. The level is to control the spread of the virus.
Level 5: person to person spread of infection in the same area to at least two countries. strongly suggests that about a pandemic.
level 6: the pandemic level. from person to person displacement of the virus, at least in the same geographical spread in both countries, and spread to different country in the same area of a geographical spread of at fewest 2 and spread to another country in the same area.
just learned: Hong Kong announced the first confirmed cases of Influenza A H1N1 influenza, Zhongguang Wang Beijing on May 1 AP (at 21:42 on May 1, 2009) Hong Kong Special Administrative Region Government announced a prim nightfall, Hong Kong experienced the first cases of H1N1 confirmed cases of influenza, the patient is Mexican, April 30 by the afternoon of Eastern Airlines flight MU505 arriving from Mexico by path of Shanghai. while the patient is not out of the landing in Shanghai, but the width of stay is unknown. summarizing the SAR government has the World Health Organization, Ministry of Health and Shanghai Municipal Health Bureau. Hong Kong, with effect immediately level to handle with influenza prevention and control amounts.
benevolent medicine written in May 1, 2009
country A (H1N1) influenza virus eruptions in real period announce relevant
my log:
2008-04-21 | Memorial ; SARS Edition) pig deaths (mortality rate of pigs 1-4%). human influenza viruses rarely infect pigs, but also found some human cases of swine flu, most have had direct contact with sick people .2009 3 month, Mexico and the United States has occurred of human infection with swine influenza virus, the influenza A virus, H1N1 subtype swine influenza virus tug, the tug contains the swine flu, avian flu and human influenza virus gene shreds, is a current type of swine influenza virus can infect one person. behind the swine flu influenza early clinical symptoms alike to a fever, cough, fatigue, poor desire, diarrhea or vomiting can be symptoms. the disease can rapidly progress sudden high fever, pneumonia, severe respiratory failure can happen, multiple organ abuse, guiding to necrosis.
1 swine influenza viruses are pathogenic
Orthomyxoviridae virus family (0rthomyxoviridae), influenza virus, (Influenza virusA ). Typical viral motes were spherical diameter of 80 nm ~ 120nm, with envelope. capsular membrane has numerous protrusions arranged radially glycoprotein, respectively, hemagglutinin HA, NA and M2 neuraminidase protein. viral particles among nuclear capsid, spiral symmetry, a diameter of 10nm. swine influenza virus negative-strand single-stranded RNA viruses, genome of almost 13.6kb, ranging from the size makeup of 8 divide segments. Despite the different subtypes can be fashioned between a diversity of influenza virus serotypes, yet can cause human infection with swine influenza virus serotypes are H1N1, H1N2 and H3N2.
Swine influenza viruses have enveloped virus, so the ether, chloroform, acetone and other organic solvents were Sensitive, 200mL / L ethyl ether by 4 ℃ overnight, virus infectivity was destroyed; to oxidant, halogen compounds, ponderous metals, ethanol and formaldehyde were likewise sensitive, 10 g / L potassium permanganate, 1 mL / L mercuric chloride treatment 3min, 750 mL / L ethanol, 5min, 1 mL / L iodine 5min, 1 mL / L hydrochloric sour 3min and 1mL / L formaldehyde 30min, can be inactivated swine influenza virus. swine influenza viruses are sensitive to heat, 56 ℃ condition, 30min to inactivate ; UV-sensitive, but with UV-inactivated virus of swine influenza virus can cause multiple resurrection.
Second, epidemiological
the United States in 1976, the so-called H1N1 subtype of swine influenza virus, the virus was isolated from the virus in pigs the same as the first confirmed under normal conditions, swine influenza virus can be transmitted to humans from pigs in the year 1999 in October, Hong Kong, a 10-month-old babe infected with swine influenza virus H3N2, now entirely retrieved. these years, bring ... to an endthe earth with different swine influenza virus strains reported, but no large-scale epidemic. Recently, parts of Mexico and the United States and other outbreaks of swine flu. World Health Organization, Mexico and the United States infections are subtype swine influenza virus H1N1, a strain of the same.
(a) source of infection.
primarily pigs and pigs carrying the virus, infection swine influenza virus were also shown to spread the virus. animals infected with the virus can be transmitted.
(b) transmission.
mainly for respiratory tract can also be transmitted through contact with infected pigs or their faeces, polluted surroundings or aerosols, etc. Some strains such as H1N1 can be spread from person to person, similar to its mode of transmission of influenza, usually through coughing or sneezing of infected persons.
(c) susceptible population.
generally susceptible. Most patients aged 25 to 45 annuals old, the current report are juvenile, aged and children should disburse consideration.
(d) high-risk groups.
in piglet industry, visited 1 week before the onset of pigs, and other locations of sale and massacre of those swine influenza virus infection and exposure to the substance for a high hazard of studio workers.
human infection with swine influenza constantly occurs in winter and spring pigs infected with swine flu generally occurs in summer and autumn.
III clinical
incubation time is commonly 1-7 days or so, more influenza, avian flu a long incubation time.
(a) clinical omens.
people Early after the swine flu symptoms similar to ordinary flu, including fever, cough, sore throat, body aches, headache, chills and fatigue, and some also suffered from diarrhea or vomiting, muscle pain or fatigue, red eyes and so on.
some patients can progress rapidly, savage, sudden high fever, body temperature over 39 ℃, and even secondary to severe pneumonia, acute respiratory trouble syndrome, pulmonary hemorrhage, pleural effusion, pancytopenia, renal failure, sepsis, shock and Reye syndrome, respiratory failure and multiple organ damage, leading to death.
(b) of the signs.
often not obvious pulmonary signs, some patients could be heard and wet rales or signs of pulmonary consolidation, etc. .
(c) prognosis.
prognosis of human infection with swine influenza virus subtype infection is narrated to most of the good prognosis; needy prognosis infected with H1N1, the mortality is about 6%.
(d ) laboratory.
1. Peripheral blood: WBC count is generally not high alternatively lower. caustic cases extra than a rebate of leukocytes and lymphocytes, and platelets;
2. serological diagnosis: can the use of oblique ELISA , antigen capture ELISA, fluorescence immunoassay, etc.;
3. reverse transcription - polymerase necklace response (RT-PCR): the PCR technique is simple, rapid, sensitive, characteristic specifics, have been used to swine influenza Detection of viral genes and molecular epidemiological inquiry;
4. Virus Isolation: Respiratory specimens from patients (throat swab,shanghai escort, oral wash, nasopharyngeal or tracheal aspirate, sputum or lung tissue) was secluded swine influenza virus. commonly used method has egg inoculation method and cell culture. existing diagnostic methods, virus isolation method is more perceptive, but takes 2-3 weeks.
(e) chest imaging.
Merge apparent lung pneumonia sheet images. severe cases a wide range of sheet images.
IV diagnosis of human infection with swine influenza
diagnosis with epidemiological history, clinical declarations and pathology inspection, clinical ashore the early finding, early diagnosis is the key to dispose.
(a) of the human infection with swine influenza diagnostic criteria.
1. medical detection cases: visited swine flu epidemic, or pigs, and swine flu history of close contact, within 1 week of clinical manifestations were flu. classified as cases of medical observation and those of their medical observation for 7 days (according to the disease can be isolated at family or hospital).
2. suspected cases: visited pestilence district, or with pigs and pig history of close adjoin with influenza patients (epidemiological history can also be unknown), 1 week clinical manifestations of influenza, respiratory secretions, pharyngeal attempt son, sputum, serum H subtypes of HIV-positive or nucleic acid testing affirmative.
3. clinically analyzed cases: the diagnosis of suspected cases, and their common history of exposure were confirmed cases were diagnosed.
4. confirmed cases: from respiratory tract specimens or serum isolation to a specific virus; RT-PCR on the specimens, the subsistence of swine influenza virus RNA, confirmed by sequencing, or two 4-fold increase in serum antibody titers can be confirmed human infection with swine influenza.
(b) of the human infection Differential diagnosis of swine influenza.
should be eminent namely human infection with swine influenza and influenza, avian flu, the flu, pneumonia, SARS, catching mononucleosis syndrome, cytomegalovirus infection, Legionella pneumonia, Chlamydia, Mycoplasma Identification of pneumonia.
five treatment
(a) symptomatic and supportive.
patients with suspected and confirmed place should be treated in isolation, emphasizing early treatment.
of human infection with swine influenza present, is a comprehensive symptomatic and supportive treatment. pay attention to repose, more water, pay attention to nourishment, close observation of patient's condition; the early onset of 48 hours is the best treatment for high fever, clinical symptoms, should take chest xray, blood gas check.
(b) narcotic treatment.
1. antiviral therapy: early application of antiviral drugs should be the trial of oseltamivir (oseltamivir Tamiflu). Tamiflu is a neuraminidase inhibitor, on prohibition of swine influenza virus may have effects, dose 75mg / d, 5 days treatment, kid with remind. from the United States recently infected with swine influenza virus isolated from the virus, oseltamivir and zanamivir (zanamivir) is sensitive to amantadine and rimantadine resistance.
2. Antibiotics: Bacterial infection can occur, such as the use of antibiotics.
(c) TCM treatment.
1. toxin attack lung health.
symptoms: fever, nausea cold, sore larynx, headache, muscle pains, cough.
Governing Law: detoxification, Xuanfei via malign.
reference Recipe: Roasted Ephedra, almond, gypsum, Bupleurum, Scutellaria, Arctium, Notopterygium, raw licorice.
commonly secondhand Chinese medicine: Lotus Qingwen Capsule, silver, yellow class arrangements, Shuanghuanglian spoken preparations.
2. drug traffickers lung and stomach.
symptoms: fever, or chills, nausea, spewing, abdominal ache, diarrhea , pate and body, muscle aches.
Governing Law: detoxification, and the dampness.
reference Recipe: puerarin, baicalin, berberine, the herb, Agastache rugosa, Jiang Ban Xia, wise, Magnolia.
prevalent Chinese medicine: Gegenqinlian pellets Ageratum proxies and other.
3. toxin obstruct gas business.
symptoms: lofty fever, coughing,shanghai escort, breast tightness, suffocation, breathlessness and shortness of expiration, irritability, delirium Shenhun fraudulent claims.
Governing Law: explicit wind chilly camp.
reference Recipe: Roasted Ephedra, almond, Trichosanthes, rhubarb, gypsum, ruddy peony, buffalo trumpet.
Angongniuhuang used when required, and Phlegm Qing Xuebijing, Qingkailing, such XNJI.
six, prevention
(a) 控制传染源.
behave human and swine influenza surveillance. Once or pigs other beasts infected with swine influenza virus, should be in agreement with the pig harvest, had a stall selling meat ailment, the patient unit, kin, disinfection, even now by App and other garbage should be swiftly destroyed or buried; acknowledged to the clinic and defense patients at avian flu,toronto escorts, SARS standards good solitude disinfection; specimen cases of pneumonia of unknown reasons in consensus with the requirements of shipping and handling.
(c) to protect healthy people.
amplify good private hygiene, adequate sleep, hard discipline, reduce stress, adequate nutrition ; shirk contact with flu-like symptoms (fever, cough, runny nostril, etc.) or pneumonia and other respiratory patients; attention to personal hygiene, wash hands frequently with soap and water, especially after coughing or sneezing; avert contact with pigs or pig to have a place; Avoid crowded places; with a tissue when coughing or sneezing, cover jaws and neb, and then tissue periodical trash; such as influenza-like symptoms outside (fever, cough,guangzhou escort, runny nose, etc.), should immediately quest medical treatment (medical treatment should be worn masks), to the local public health agencies and description of inspection and quarantine divisions.
(d) strengthen the hospital infection control measures.
patients with suspected or confirmed patients were isolated and dress a surgical mask; remedial staff to do private conservation strengthen the hand hygiene, use of hand disinfectants for hand disinfection quickly; fever clinics and Infectious Diseases, and other key sectors of the medical staff should wear a surgical mask, if I were you, wear goggles or protective masks; of fever clinics and Infectious Diseases, etc. indoor ventilation prerogative sectors should be strengthened.
swine flu vaccine: At present, merely the swine flu vaccine because pigs, no specifically for humans. to the present position, the mediocre person flu vaccine to discourage swine flu not meaningful effect.
with: World Health Organization between the infection, but there were no reports of human infections.
Level 2: an animal influenza virus known to cause infection in humans,----- HALLOWEEN Halloween night, is watched as a potential pandemic menace.
Level 3: There is an animal influenza virus or animal and human influenza caused by recombinant virus or small-scale sporadic human infection, but this is not enough between folk caused by community-acquired infection.
Level 4: animals and animal influenza virus or recombinant virus caused human influenza spread from person to person, experienced of causing community infections. surging pandemic risk. The level is to control the spread of the virus.
Level 5: person to person spread of infection in the same area to at least two countries. strongly suggests that about a pandemic.
level 6: the pandemic level. from person to person displacement of the virus, at least in the same geographical spread in both countries, and spread to different country in the same area of a geographical spread of at fewest 2 and spread to another country in the same area.
Main interface - > Super Rabbit Address
I use the 360 and skylights clean-up gopher, which felt very agreeable !!!!< br> 【 Introduction】 removal tool malware and adware Tools
suggested 4 software , which can clear maximum mutual malware and Adware. the final an extremely recommended .
1, Super Rabbit Magic Set (Main interface - > Super Rabbit Address :
proposition will seem for a ruddy tick all the remove (uninstall) to .
( Super hare 's additional feature is not recommended , memorize remember !)
2,shanghai escort, malware clean-up assistant (green software Best to operate in secure mode , the software updated regularly , disburse care to upgrading )
download the latest version of the official address :
3,360 security guards
rascal software in removing this software 's performance well.
Usage :
4,beijing escort, WINDOWS cleaning assistant 【 Recommended 】
Official Download :
official website :
Description : A user has full control over the software cleaning tools :
1 , Unique clean-up technology, can thoroughly clean a steer conservation malware ;
2, isolation of the engine and the script remained neutral , clean-up action completely perspicuous to users ;
3, annihilating the custom rules, control Entirely by the user control ;
4,beijing massage, open the consumer interface apt encounter your individual washing absences,shanghai escort, user-defined script files , some special software to accomplish the clean-up ,Switzerland along plants, and can be shared to entire users !
5, the real-time database update script , so you have a extra powerful cleaning aptitude !
pure green software, without having to install , extract to sprint !
teYqiu world is non-toxic 】 【 original treatise , reprinted from -
Baidu know Cui Yan anti-virus specialist learning of drainage authorization .
suggested 4 software , which can clear maximum mutual malware and Adware. the final an extremely recommended .
1, Super Rabbit Magic Set (Main interface - > Super Rabbit Address :
proposition will seem for a ruddy tick all the remove (uninstall) to .
( Super hare 's additional feature is not recommended , memorize remember !)
2,shanghai escort, malware clean-up assistant (green software Best to operate in secure mode , the software updated regularly , disburse care to upgrading )
download the latest version of the official address :
3,360 security guards
rascal software in removing this software 's performance well.
Usage :
4,beijing escort, WINDOWS cleaning assistant 【 Recommended 】
Official Download :
official website :
Description : A user has full control over the software cleaning tools :
1 , Unique clean-up technology, can thoroughly clean a steer conservation malware ;
2, isolation of the engine and the script remained neutral , clean-up action completely perspicuous to users ;
3, annihilating the custom rules, control Entirely by the user control ;
4,beijing massage, open the consumer interface apt encounter your individual washing absences,shanghai escort, user-defined script files , some special software to accomplish the clean-up ,Switzerland along plants, and can be shared to entire users !
5, the real-time database update script , so you have a extra powerful cleaning aptitude !
pure green software, without having to install , extract to sprint !
teYqiu world is non-toxic 】 【 original treatise , reprinted from -
Baidu know Cui Yan anti-virus specialist learning of drainage authorization .
rind increasingly More flat. By the way
Today,Lesson 22 By center remember lines, the final week into the Olympics , the beginning of the week and share my feelings this period to use .
this time I put the new Sea Clear Ocean Refreshing the means of net lipid series made some improvements,shanghai massage, the preceding I escape out of time are perfectly clear sea directly behind the solitude of net fat cool , merely base little efficacy of moisture is not enough ,shanghai escort, especially when faced with a calculator every daytime a mini weary skin . Now I perfectly remove in the ocean net fat Then multiplication a wafer of emulsion, which is truly under the skin to enjoy a absolute state .
is now in the bureau from morning to night environment ,beijing escort, T -site no fuel, no dry cheeks , skin increasingly More smooth. By the way,shanghai massage, I adore the sea Refreshing net fat texture, cozy apt emotional skin I do no burden , absorption super good .
Ocean Refreshing summer skin attention net fat is a agreeable choice because me .
this time I put the new Sea Clear Ocean Refreshing the means of net lipid series made some improvements,shanghai massage, the preceding I escape out of time are perfectly clear sea directly behind the solitude of net fat cool , merely base little efficacy of moisture is not enough ,shanghai escort, especially when faced with a calculator every daytime a mini weary skin . Now I perfectly remove in the ocean net fat Then multiplication a wafer of emulsion, which is truly under the skin to enjoy a absolute state .
is now in the bureau from morning to night environment ,beijing escort, T -site no fuel, no dry cheeks , skin increasingly More smooth. By the way,shanghai massage, I adore the sea Refreshing net fat texture, cozy apt emotional skin I do no burden , absorption super good .
Ocean Refreshing summer skin attention net fat is a agreeable choice because me .
Shanghai
[img] 2008年4 6,shanghai massage, Shanghai,shanghai escort,for the environmental timeless, yesterday ( April 5 ) M2 Carina Lau emerged by his bar at a mark current show gathering activities. Carina Lau wedding presently luminous mood Chaoliang ,beijing escort, drag cilia mammoth show ring Diamond ring . [img] [img]
since we repent
In modern periods, there are many natural ecological environment, it is also where the environment can be shrieked a natural. Huangshan Mountain, Mountain, Emei Mountain ...... is so fascinating. Misty, green trees verdant pines rocks ...... ah! how natural,shanghai massage, these are the predecessors left us, so we should treasure it. But not only do not amount human m, but also to destroy it.
In Germany, there namely a woods service officer, had equitable imagined bureau ashore the first day beneath the one command: the woods chopped down the bush, and the hoe weeds are also neat, even the leaves are also let off the floor ...... eventually cleaning up the jungle. forester quite satisfied behind seeing, from that the authority had a great service. yet he did not calculate his own ancestry apt the disaster m patch of forest was full of life he thinks of the beasts scamper away, departing a lonely tree.
few days afterward, the leaves on the trees off a lot, and many of the insects in the trees dining the trees.
Finally, trees fell, and even insects have been eroded, are also raging sandstorm blew in..
results when Forest Service officials to go look his He really will be a vibrant forest into a desert!
the day after, the Forest Service officer faded, and his subordinates to ascertain him all day, but I could not find him ......< br> Perhaps he yet knew a fault, have the center to repent. But modern people to apology, to mood, always said that it would be to turn over.
since we regret, we should start from small things around: merely one per person per year tree, save every piece of paper,beijing massage, saving every drip of water, saving each unit of electricity ...... perhaps we view these are very simple, but whether we entire do, then the environment nigh us ambition better!
most importantly, person creatures should be to maintain ecological balance, not to impair small animals around, whether he is beneficial or disadvantageous to humans, we should to defend them. like Virgin Eva said: Finally, with the people World War, was migrated to help them defeat the human creatures. It all tells us that to protect the environment, they should first work to inspect the natural laws.
catch on the environment, protect our common home, follow around Nature Rules!
who started educate 11 classes Cao Ying
I live in Wuhu, one in the Yangtze River, with mountains in the beautiful city. for the city I live, I think there are many absence consideration and correction.
love trees: issues such as urban arranging, Wuhu city, many of the age area are carrying out the demolition go to arrange. It was originally a good thing,shanghai massage, but many of the demolition unit in the demolition, but also deduct from in the area where trees a few years of life. I think the development of the city away to destroy the environment, this reach is not desirable. Therefore, I intend a few suggestions: in the demolition, you can clear the trees; after the removal of trees on the ground if there affected, then its removal is not can not talk but reserve it as a new residential green part? This will not only protect the environment, but also for developers to save a sum of the prices for afforestation, do either,shenzhen escort, why not is it?
air pollution: With the rapid evolution of the city, build up folk are choosing voyage at private automobile. However, the number of personal cars also means the exhaust emissions into the wind build up meager air quality will be more. For this phenomenon, I think we can reduce the frequency of use of private cars, shorter distance tin not open private cars and switch to public transportation alternatively hike to instantly.
water Pollution: Water is the blood of the earth, is a human fountain of life. the water tending all things, without water, humans will not survive. but in recent years have scatter along a variety of events on water pollution. Wuhu is located in the Yangtze River River, the problem of water pollution should be concerned about than many cities. but there are some problems that necessitate attention: In the suburbs of Wuhu, there are many small factories, most of these plants are built along to Jiang, a factory direct unload of industrial waste water discharge into the Yangtze River has seriously affected the water quality beside,sea lions arithmetic enumeration - yet, and was tough to Organic Chemicals to purify contaminated water, drinking water safety and human health is threatened. I think for this plant once identified, will be punished severely. and to reduce the Yangtze River near the number of factories, and aspire to prevent such incidents from occurring another, to protect the prevalent human resources mm of water.
protection of the environment is the common duty of all mankind, only each person in action, community will be better!
11 classes Gechen Wen
first day
In Germany, there namely a woods service officer, had equitable imagined bureau ashore the first day beneath the one command: the woods chopped down the bush, and the hoe weeds are also neat, even the leaves are also let off the floor ...... eventually cleaning up the jungle. forester quite satisfied behind seeing, from that the authority had a great service. yet he did not calculate his own ancestry apt the disaster m patch of forest was full of life he thinks of the beasts scamper away, departing a lonely tree.
few days afterward, the leaves on the trees off a lot, and many of the insects in the trees dining the trees.
Finally, trees fell, and even insects have been eroded, are also raging sandstorm blew in..
results when Forest Service officials to go look his He really will be a vibrant forest into a desert!
the day after, the Forest Service officer faded, and his subordinates to ascertain him all day, but I could not find him ......< br> Perhaps he yet knew a fault, have the center to repent. But modern people to apology, to mood, always said that it would be to turn over.
since we regret, we should start from small things around: merely one per person per year tree, save every piece of paper,beijing massage, saving every drip of water, saving each unit of electricity ...... perhaps we view these are very simple, but whether we entire do, then the environment nigh us ambition better!
most importantly, person creatures should be to maintain ecological balance, not to impair small animals around, whether he is beneficial or disadvantageous to humans, we should to defend them. like Virgin Eva said: Finally, with the people World War, was migrated to help them defeat the human creatures. It all tells us that to protect the environment, they should first work to inspect the natural laws.
catch on the environment, protect our common home, follow around Nature Rules!
who started educate 11 classes Cao Ying
I live in Wuhu, one in the Yangtze River, with mountains in the beautiful city. for the city I live, I think there are many absence consideration and correction.
love trees: issues such as urban arranging, Wuhu city, many of the age area are carrying out the demolition go to arrange. It was originally a good thing,shanghai massage, but many of the demolition unit in the demolition, but also deduct from in the area where trees a few years of life. I think the development of the city away to destroy the environment, this reach is not desirable. Therefore, I intend a few suggestions: in the demolition, you can clear the trees; after the removal of trees on the ground if there affected, then its removal is not can not talk but reserve it as a new residential green part? This will not only protect the environment, but also for developers to save a sum of the prices for afforestation, do either,shenzhen escort, why not is it?
air pollution: With the rapid evolution of the city, build up folk are choosing voyage at private automobile. However, the number of personal cars also means the exhaust emissions into the wind build up meager air quality will be more. For this phenomenon, I think we can reduce the frequency of use of private cars, shorter distance tin not open private cars and switch to public transportation alternatively hike to instantly.
water Pollution: Water is the blood of the earth, is a human fountain of life. the water tending all things, without water, humans will not survive. but in recent years have scatter along a variety of events on water pollution. Wuhu is located in the Yangtze River River, the problem of water pollution should be concerned about than many cities. but there are some problems that necessitate attention: In the suburbs of Wuhu, there are many small factories, most of these plants are built along to Jiang, a factory direct unload of industrial waste water discharge into the Yangtze River has seriously affected the water quality beside,sea lions arithmetic enumeration - yet, and was tough to Organic Chemicals to purify contaminated water, drinking water safety and human health is threatened. I think for this plant once identified, will be punished severely. and to reduce the Yangtze River near the number of factories, and aspire to prevent such incidents from occurring another, to protect the prevalent human resources mm of water.
protection of the environment is the common duty of all mankind, only each person in action, community will be better!
11 classes Gechen Wen
first day
2004 年 remedy the Earth
(April 22) Earth Day mm Please treat our earth!
Origin of Earth Day Earth Day originated in the United States. 1969, Democratic Senator Gaylord? Nelson recommended that in the United States every held ashore college workshops ashore environmental issues, and the emulating year ashore April 22 as throughout the United States fired a large-scale community-based activities, characteristic motifs, and get ardent advocate of numerous young students. April 22,beijing escort, 1970, the United States held the premier large participants, then known as the United States since World War II, the largest social activities.
1990 年 4 22, more than 140 countries around the world, 2 billion people around the same period held a kind of promotional activities, subject is how to enhance the overall global environment. The international problem. The activities of the United Nations permission, afterward which the 22 April each year was identified as the freshwater resources,shanghai escort, pollution and so on. According to UN diagrams released show that the 20th century, 90 years of global woods district at one mean yearly 2.4 percentage rate hack the elapse 10 years, the global disappearance of absolute woods place of 9,400 hectares. At present nearly half land surface and 10, one of more than a billion human affected by desertification. in climate pollution, from 1965 to 1998, global carbon dioxide emissions doubled. the world namely facing a water emergency in many countries: 12 million human with water shortages 30 billion people lack water sanitation facilities each year 3000000-400 million people die of water-related diseases. By 2025, the water emergency ambition scatter to 48 countries, 35 million are trapped in the water.
Earth Day will be held to raise human caring for the earth, protect the matherland awareness, subserve the coordinated development of resource development and environmental protection. the age of 90 from the 20th century, the annual April 22 Earth Day celebrations are held.
previous Earth Day theme
1974 Only One Earth
1975 years of human living
1976 Water: Vital Resource as Life
1977 年 concerned almost ozone exhaustion, wastage of water with disabilities, taint degradation and deforestation < br> 1978 years without mar to the development of
1979 Future for Our Children?? Without Destruction
1980 the fashionable 10-year, current challenges?? no undermine the development of
1981 Protection of groundwater and person edible fetter; Toxic Chemicals
1982 memorial the 10th anniversary of the Stockholm Conference on Human Environment?? to raise environmental awareness
1983 years of management and disposal of hazardous consume; Acid Rain and Energy
1984 年Desertification
1985, Young,shanghai massage, population, surroundings
1986 peace
1987 on Environment and the Environmental Protection
1988 and living environment, sustainable development,shanghai massage, public participation
1989 年 Global Warming !
1990 Children and the Environment
1991 Climate Change?? requires global cooperation
1992 Only One Earth??, Care and Share
1993 Poverty and the Environment?? Breaking the Vicious Circle < br> 1994 One Earth One Family
1995 We the People United for a better globe
1996 Our Earth, Our Habitat, Our Home
1997 Life on Earth
For 1998, Life on Earth?? Save Our Seas
1999 Our Earth, Our Habitat, Our
2000 2000 The Environment Millennium?? to Act!
2001 the World Wide Web of Life < br> 2002 年 Give Earth a Chance
2003 年 treat the earth, defend the environment
2004 年 treat the Earth,so we probably know, the scientific development
2005 年 treat the Earth - the technological development and agreeable
2006 年 treat the Earth - - merit of resources, sustainable evolution
2007 年 gentle with the earth - beginning from the conservation of resources
2008 年 treat the earth?? from the side of the tiny entities
2009 on 40 Earth Day theme:
Origin of Earth Day Earth Day originated in the United States. 1969, Democratic Senator Gaylord? Nelson recommended that in the United States every held ashore college workshops ashore environmental issues, and the emulating year ashore April 22 as throughout the United States fired a large-scale community-based activities, characteristic motifs, and get ardent advocate of numerous young students. April 22,beijing escort, 1970, the United States held the premier large participants, then known as the United States since World War II, the largest social activities.
1990 年 4 22, more than 140 countries around the world, 2 billion people around the same period held a kind of promotional activities, subject is how to enhance the overall global environment. The international problem. The activities of the United Nations permission, afterward which the 22 April each year was identified as the freshwater resources,shanghai escort, pollution and so on. According to UN diagrams released show that the 20th century, 90 years of global woods district at one mean yearly 2.4 percentage rate hack the elapse 10 years, the global disappearance of absolute woods place of 9,400 hectares. At present nearly half land surface and 10, one of more than a billion human affected by desertification. in climate pollution, from 1965 to 1998, global carbon dioxide emissions doubled. the world namely facing a water emergency in many countries: 12 million human with water shortages 30 billion people lack water sanitation facilities each year 3000000-400 million people die of water-related diseases. By 2025, the water emergency ambition scatter to 48 countries, 35 million are trapped in the water.
Earth Day will be held to raise human caring for the earth, protect the matherland awareness, subserve the coordinated development of resource development and environmental protection. the age of 90 from the 20th century, the annual April 22 Earth Day celebrations are held.
previous Earth Day theme
1974 Only One Earth
1975 years of human living
1976 Water: Vital Resource as Life
1977 年 concerned almost ozone exhaustion, wastage of water with disabilities, taint degradation and deforestation < br> 1978 years without mar to the development of
1979 Future for Our Children?? Without Destruction
1980 the fashionable 10-year, current challenges?? no undermine the development of
1981 Protection of groundwater and person edible fetter; Toxic Chemicals
1982 memorial the 10th anniversary of the Stockholm Conference on Human Environment?? to raise environmental awareness
1983 years of management and disposal of hazardous consume; Acid Rain and Energy
1984 年Desertification
1985, Young,shanghai massage, population, surroundings
1986 peace
1987 on Environment and the Environmental Protection
1988 and living environment, sustainable development,shanghai massage, public participation
1989 年 Global Warming !
1990 Children and the Environment
1991 Climate Change?? requires global cooperation
1992 Only One Earth??, Care and Share
1993 Poverty and the Environment?? Breaking the Vicious Circle < br> 1994 One Earth One Family
1995 We the People United for a better globe
1996 Our Earth, Our Habitat, Our Home
1997 Life on Earth
For 1998, Life on Earth?? Save Our Seas
1999 Our Earth, Our Habitat, Our
2000 2000 The Environment Millennium?? to Act!
2001 the World Wide Web of Life < br> 2002 年 Give Earth a Chance
2003 年 treat the earth, defend the environment
2004 年 treat the Earth,so we probably know, the scientific development
2005 年 treat the Earth - the technological development and agreeable
2006 年 treat the Earth - - merit of resources, sustainable evolution
2007 年 gentle with the earth - beginning from the conservation of resources
2008 年 treat the earth?? from the side of the tiny entities
2009 on 40 Earth Day theme:
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