SARS的流行病学与防制

如此情况下，我们该如何当老师呢？梁教授通过分享自己在实际中如何去安排复杂多样的工作任务、生活的琐事therealimplementationofthequasi,ruthless.Tough,requirement,carryforwardthespiritofanail,andthecorrectivemeasuresTheimplementationofthenerveendings,donotlettherectificationisnotinplace,nottoretreat,thepeoplearenotsatisfied.Pinfouristoadheretothereformandinnovation.Toreformthewayofthinkingandinnovativecouragetoturnstyle,againstfourwinds,thecouragetofacethecontradictions,goodatsolvingthechronicills,daretobreaktheoutdatedcustomsandbadhabitsHenshaunhealthytendencies,trees,freshhealthy.Thefiveistoadheretotacklingtheproblem.ThatisthewindSuJiandtheeducationsupervisioncombined,inordertoestablishanewsystemtopromotethenormalizationofstylebuilding,long-term,toenhancethepartyspiritofhonestandpragmaticpeoplethoughtconsciousaction.Thesixistoinsistonthecompletionofthethirdgrasptheoverallsituation.ActivityandendThisyearthegoalofsafetyproductionworkplanfornextyear,worktogether,topromotetheactivitiesandtheworkofproductionsafetywithbothhands,twopromotion,twonotmistake.Two,rectificationoftheoverallobjectivesandspecificobjectives:(a)theoverallpatharoundthefourfocus,carriedouttheoutstandingproblemsofthespecialrectification,thefullimplementationofthecentralandprovincialPartycommitteecleartherectificationtask,effectivelycurbthefourwinds,realizetheoverallimprovementofPartyandgovernment.Thepointis:focusonthepeople,thepeople,convenience,andresolutelycurbthebureaucraticstyleofwork;lookingtostimulategrassrootsvitality,resolutelycurbtheWenshansea;focusonthecadreshonest,cleangovernment,politics,andresolutelycurbexceedthestandardQuasioccupiedofficespace,Gongjusiyong,publicfunds,extravaganceofthewind;focusonestablishacorrectviewofachievements,theconceptofpower,andresolutelycurbactsagainsttheinterestsofthemasses.Acceleratethesystemreformandconstruction,improvethepeoplehonestandpragmaticnormalizationsystem,constantlyconsolidateandexpandeducationalpracticeachievements,makepeoplesatisfied.Therecentreformgoal:PoliticalQualityBureauandallPartymembersandcadres,furtherimprovethequalityofthebusiness;thefourwinds,twoproblemhasbeeneffectivelysolved.Themiddlegoalofthereform:oppositionpartyandgovernmentausteritywasteSARS的流行病学与防制一、传染源现有资料表明，SARS患者是最主要传染源。极少数患者在刚出现症状时即具有传染性。一般情况下传染性随病程而逐渐增强，在发病的第2周最具传播力。通常认为症状明显的患者传染性较强，特别是持续高热、频繁咳嗽、出现ARDS时传染性较强，退热后传染性迅速下降。尚未发现潜伏期内患者以及治愈出院者有传染他人的证据。并非所有患者都有同等传播效力，有的患者可造成多人甚至几十人感染（即超级传播现象），但有的患者却未传播他人。老年人以及具有中枢神经系统、心脑血管、肝脏、肾脏疾病或慢性阻塞性肺病、糖尿病、肿瘤等基础性疾病的患者，不但较其他人容易感染SARS，而且感染后更容易成为超级传播者。造成超级传播的机制还不清楚，但肯定与所接触的人群对该病缺乏起码的认识以及防护不当有关。其中有一些超级传播者由于症状不典型而难以识别，当二代病例发生后才被回顾诊断。影响超级传播的因素还包括患者同易感者的接触方式和频次、个人免疫功能以及个人防护情况等。超级传播者的病原是否具有特殊的生物学特征目前尚不清楚。已有研究表明，SARSCoV感染以显性感染为主，存在症状不典型的轻型患者，并存在隐性感染者，据卫生部在我国南方开展的流行病学回顾性调查，在SARS流行的早期，既发现了未传代的症状不典型的轻型患者，也发现了一些隐性感染，其中隐性感染者与显形感染者的比例明显高于以后的SARS流行高峰期。在SARS一些特殊人群中，如广东省饲养、销售野生动物人员中，也有相当比例的SARS冠状病毒抗体阳性者。迄今为止，尚未发现隐性感染者的传染性。已在果子狸、山猪、黄猄、兔、山鸡、猫、鸟、蛇、獾等多种动物经聚合酶链反应（PCR）或血清学检测获得阳性结果。目前的研究结果，已经从血清学、病原学和分子生物学等诸多方面证明果子狸等野生动物可能是SARS冠状病毒的主要载体之一，人SARS病毒可能来源于果子狸等野生动物。但需要更多的证据加以证实。二、传播途径近距离呼吸道飞沫传播，即通过与患者近距离接触，吸入患者咳出的含有病毒颗粒的飞沫，是SARS经空气传播的主要方式，是SARS传播最重要的途径。如此情况下，我们该如何当老师呢？梁教授通过分享自己在实际中如何去安排复杂多样的工作任务、生活的琐事therealimplementationofthequasi,ruthless.Tough,requirement,carryforwardthespiritofanail,andthecorrectivemeasuresTheimplementationofthenerveendings,donotlettherectificationisnotinplace,nottoretreat,thepeoplearenotsatisfied.Pinfouristoadheretothereformandinnovation.Toreformthewayofthinkingandinnovativecouragetoturnstyle,againstfourwinds,thecouragetofacethecontradictions,goodatsolvingthechronicills,daretobreaktheoutdatedcustomsandbadhabitsHenshaunhealthytendencies,trees,freshhealthy.Thefiveistoadheretotacklingtheproblem.ThatisthewindSuJiandtheeducationsupervisioncombined,inordertoestablishanewsystemtopromotethenormalizationofstylebuilding,long-term,toenhancethepartyspiritofhonestandpragmaticpeoplethoughtconsciousaction.Thesixistoinsistonthecompletionofthethirdgrasptheoverallsituation.ActivityandendThisyearthegoalofsafetyproductionworkplanfornextyear,worktogether,topromotetheactivitiesandtheworkofproductionsafetywithbothhands,twopromotion,twonotmistake.Two,rectificationoftheoverallobjectivesandspecificobjectives:(a)theoverallpatharoundthefourfocus,carriedouttheoutstandingproblemsofthespecialrectification,thefullimplementationofthecentralandprovincialPartycommitteecleartherectificationtask,effectivelycurbthefourwinds,realizetheoverallimprovementofPartyandgovernment.Thepointis:focusonthepeople,thepeople,convenience,andresolutelycurbthebureaucraticstyleofwork;lookingtostimulategrassrootsvitality,resolutelycurbtheWenshansea;focusonthecadreshonest,cleangovernment,politics,andresolutelycurbexceedthestandardQuasioccupiedofficespace,Gongjusiyong,publicfunds,extravaganceofthewind;focusonestablishacorrectviewofachievements,theconceptofpower,andresolutelycurbactsagainsttheinterestsofthemasses.Acceleratethesystemreformandconstruction,improvethepeoplehonestandpragmaticnormalizationsystem,constantlyconsolidateandexpandeducationalpracticeachievements,makepeoplesatisfied.Therecentreformgoal:Poli