This period of time seems to be a little unpeaceful, not long ago A stream was frequently on the news, the new crown has been on the hot search in the past two days, and some experts are still calling for preparations for the next infection.
What is the reality?
Looking at influenza A, from the latest weekly report of the National Influenza Center last Friday [1], the proportion of emergency influenza-like cases in sentinel hospitals in the southern and northern provinces continued to decline.
And the proportion of samples testing positive for influenza continues to decline.
It can also be seen from the top two charts that the proportion of "influenza-like cases" in sentinel hospitals is still higher than the same level in the past 3 years, so this time the peak of influenza A has indeed passed, but it has not gone far, and there is still a higher epidemic than in previous years, especially in the southern provinces.
Looking at the new crown, the first wave of infection has been 4 months now, and many people are also worried about whether antibodies have dropped and are easy to re-infect. However, from the data released by the National Center for Disease Control yesterday last week [2], there is no obvious abnormality in the number of positives and the positive rate of the new crown.
Therefore, from the current data, the current peak of the previous round of influenza has just passed, and there is no obvious abnormality in the new crown infection, and there is no need to worry about it.
There is no need to worry about not being particularly worried does not mean that there will be no infection, in fact, a simple epidemic of various viruses in the population is the norm, which has also led to many people having fever, some of whom have also gone to the fever clinic of the hospital, and the following figure is also the number of national fever clinics announced in the middle of the disease control in recent months
Some people happen to be in sentinel hospitals in the influenza surveillance network and are monitored as "influenza-like cases" if they also have a cough or sore throat. Judging from the proportion of "influenza-like cases" announced by the National Influenza Center above, although it is down from March, it is still higher than the same period in the past three years.
This is not surprising, compared with this year is the first year after the liberalization of the new crown prevention and control policy, coupled with the fact that some areas are also beginning to enter the hand, foot and mouth disease and herpangina epidemic season near May, April and May in the northern hemisphere is also a period when RSV is prone to outbreaks, and it is normal to have an increase in fever during this period. I read the book I wrote at the beginning of the year
Mutation, immune escape, reinfection? How are we going to get along with the new crown in 2023?
should be more understandable.
There is both the flu and the new crown, plus RSV and hand, foot and mouth disease, so what should I do if the child has a fever and does not know which one?
In fact, children's fever is very common, in addition to the above infections, there may be many infections, such as adenovirus, rhinovirus... and some bacterial infections, and even some immune diseases, tumors, etc.
It is unlikely that every time our child has a fever, we will go for various tests and tests to find out the specific cause. Moreover, if a test does not change the treatment or prevention program, nor can it change the prognostic outcome, it is meaningless to do it.
As far as the above mentioned viral infections, although the viruses are different, except for the flu can take antiviral drugs to reduce the risk of severe disease and complications, the coping principle is basically the same, that is: symptomatic relief of discomfort, and observation, vigilance of severe disease performance, their outcome is similar, mainly by self-healing.
For children, the symptom relief discomfort is mainly for the discomfort caused by fever, and the coping principle of fever, no matter what the cause is, the coping principle or how the child is comfortable, see in detail:
How to cope with your child's fever
。
The severe manifestations that need to be vigilant are actually very consistent, that is, be alert to whether the important organs such as respiration, heart, brain, and kidney are functioning normally, so pay attention to whether there is shortness of breath, strenuousness, whether there are purple lips, whether the skin is pale, whether the mental state is good, whether the urine output is particularly small, if not, continue to observe, if there is any, go to the hospital in time.
Therefore, no matter how many viruses there are, it is naturally better for the fever to know the cause, and you don't have to worry too much if you don't know, because the principle of coping is the same. Knowing how to take symptomatic care, knowing what to observe and be alert to, and knowing when to go to the hospital is more important than struggling with the cause of fever.
Resources:
1.https://ivdc.chinacdc.cn/cnic/zyzx/lgzb/202304/P020230421586938016998.pdf
2.https://www.chinacdc.cn/jkzt/crb/zl/szkb_11803/jszl_13141/202304/t20230422_265534.html
Child or adult health problems