Chapter 487 Carrying the Tripod Retrograde
As soon as he left Tongguan, Ma Zhou came to greet him.
"I heard that you have been promoted again!"
Qin Lang saw that Ma Zhou had lost a lot of weight, and couldn't help worrying about his diabetes.
"It's all for His Majesty." Ma Zhou didn't feel much joy after being promoted. He was recommended by Qin Lang and entered the eyes of the emperor. In the past two years, he has won the emperor's appreciation and his official career has been prosperous.
At the beginning, he served on duty in the province of Menxia, who had no rank, and then served as the head of the Zhenfu Department. Later, he served as the supervisory censor, then he was given to Shizhong, and then he was a scholar of the Imperial Academy. Strongly recommended as the deputy envoy of transshipment.
Pay homage to Zhongshusheren again, and also know the admonishment doctor, and now he has taken up the important position of transfer envoy, and he has been added to the rank of Yinqing Guanglu doctor of the third rank.
Three years ago, he was just a down-and-out scholar, but three years later, he was already a minister with a purple robe and jade belt. This encounter has now become the idol of countless students and scholars throughout Chang'an, and everyone is vying to show their respects. As an idol, I hope to become Ma Zhou's second.
"Is it because there are too many part-time jobs and too much work?" Qin Lang asked.
"Well, I really feel a little overwhelmed."
Ma Zhou's three official positions are all very important. The Zhongshusheren are responsible for drafting edicts, and they are called Wuhua judges. The signature of Zhongshu Sheren's judge review. Advising the doctor is even more of an official, and if the admonition is not in place, it is dereliction of duty.
The transshipment envoy is even more responsible for the financial and taxation of the empire. It is the big steward of the empire. The implementation of the new tax law, the collection of taxes, the transfer of grain, salt and iron, the casting of money, and the regular warehouse are all part of their duties.
Now is the year of famine again, and the problem of food transshipment can make people anxious.
"Fortunately, the ice on the canal has melted, and the canal, especially the Bian River section, is fully open to navigation again. We can mobilize more ships to deliver food from the canal."
Ma Zhou felt a little relieved when he said this.
Last winter was very cold, the canal was frozen early, and it melted late, so that the food in the south could not be transported, so it had to be transported by horses and horses. Food loss.
Now the canal has finally been opened again, and the Bian boats in the Bian River can finally set sail again. The transportation volume has greatly increased, the people's livestock have been greatly reduced, and the loss on the road has also been reduced a lot.
"Some people have begun to arrange for some people to return to their hometowns to sow seeds. The main task of officials in various states and counties is also spring plowing."
The hunger situation is easing, but the epidemic is very serious.
Due to the large flow of hungry people brought about by the famine, the epidemic of pox was further accelerated. A large number of children were infected with chickenpox, and then died in large numbers.
Although Qin Lang reported to the imperial court earlier that pox infection, the mortality rate of the most serious emergency is only about 25%, but the problem is that the conditions of the hungry people fleeing from the famine are poor and they don't know how to prevent it, which leads to an increase in infection. Improper treatment has increased the aggravation after mistreatment, resulting in a considerable number of deaths, which has remained high.
If the infection rate cannot be reduced, even if the infection rate does not exceed 25%, the consequences will be extremely serious.
After all, if out of a million children, only 10,000 are infected, then even if the highest mortality rate is 25%, then at most 2,500 people will die.
But if you get 100,000 infections, maybe 25,000. If you are infected with one million people, it will be 250,000.
This is the biggest difference. Even if the death rate remains the same, the infection base has greatly increased.
The isolation method suggested by Qin Lang has not been implemented much outside the customs. The key is that the people are too mobile now. It is impossible for the hungry people to sit on the ground and wait for death. They will run around looking for any food that can fill their stomachs. Take the kids with you.
The imperial court was unable to isolate these children when the hunger was severe.
What can be done is to isolate the children who have already been infected.
"Now that there is more food, the imperial court has ordered all the states to implement isolation and blockade. Not only are the children infected with the disease isolated, but those who are not infected have also begun to be isolated together."
When Qin Lang heard this, his head hurt.
It is correct to isolate people who are not infected, but they cannot be isolated in a centralized manner. If one person gets sick, will the entire isolation area be infected?
He remembered that his suggestion was quite clear, why has it become this isolation law now?
Qin Lang told Ma Zhou with a serious expression.
"Isolation is right, but centralized isolation of uninfected children is wrong, which will increase the risk of cluster infection."
·······
I rushed all the way to Luoyang non-stop, and went to meet the emperor as soon as I entered the city.
Long time no see, the emperor has lost a lot of weight, and his temples have more gray hairs. Seeing Qin Lang, he cheers up a bit. Qin Lang has done a good job in fighting hunger and epidemic prevention in Guanzhong.
Although some officials said that it was because the people in the pass went out to flee famine and there was not much left, but the imperial court insisted on transporting grain to the pass, which was not a lot, so this achievement was made.
But Li Shimin is very sober, Qin Lang has a lot of credit for this.
"Can the epidemic really rely on vaccination against human pox to fight the virus with the virus?"
"Yes, Your Majesty."
"Will there be any sequelae?"
"Not found yet." Qin Lang added, "During the research of Yao Wang, no sequelae were found. This is a safe prevention method, which can prevent problems before they happen."
"There is no other way to fight the epidemic, but to carry the tripod and fight bravely!"
"Well, I'll leave it to you to prevent and treat the pox, let's vaccinate all the children as soon as possible." Li Shimin sighed, and the death figures handed in every day gave him a headache.
"Tens of thousands of children have already died, and the spread cannot continue. They are the future of our Tang Dynasty and the foundation of the country." Li Shimin said painfully.
"The minister will go all out."
It is difficult to supply mature seedlings that have been refined several times, so after urgent discussions in Luoyang, they finally decided to use the seedlings that have been pulverized with acne scabs for vaccination.
Although this kind of young seedlings are highly toxic and will cause certain deaths, under the current circumstances, mature seedlings need to be raised and hardened, and it is impossible to provide them on a large scale and in a timely manner.
In order to control the epidemic, we can only take a two-pronged approach.
After all, Shimiao also uses acne scab grinding powder, and the current mortality rate can be controlled below 1%, no matter how you say it, it is much lower than the 25% acne infection mortality rate.
Recruit doctors from all over the country, and urgently train a group of civilian nurses, and establish isolation camps in various places.
"All should be collected. Once discovered, report immediately, and immediately seal and isolate, and then the quarantined patients will send people to the camp."
Although there is no cure for pox infection, as long as proper and timely care is taken, the mortality rate can still be reduced. More importantly, the infection can be blocked and isolated to prevent reinfection.
"For the villages and villages of infected people, they must be temporarily blocked and isolated, and the children inside must be isolated separately from each other. The isolation period is 17 days to strictly prevent transmission."
The only good news about the current epidemic is that basically adults are immune, and basically only children will be infected, and mainly children over ten years old are the most susceptible to infection.
This allows isolation and blockade of care, which adds a lot of security and will not infect doctors and medical workers.
"All children must wear masks, are prohibited from going out, and are prohibited from gathering with other children!"
"Food, water, etc. should also be kept safe and inspected to avoid carrying pox virus infection..."
As the acne **** from Chang'an, because the epidemic situation in Chang'an is getting better now, although Qin Lang is young, his words are still very effective.
Everyone also believed that Qin Lang had received the true teaching of the King of Medicine to cure acne, and his words were regarded as the truth.
Qin Lang said that an isolation ward should be built, and everyone hurriedly notified the construction of various states and counties, saying that they would recruit doctors and recruit civilians to train medical workers, and all localities also hurriedly implemented it unconditionally.
Regarding the epidemic prevention manual written by Qin Lang, several major bookstores also rushed to print and distribute it immediately, and posted it everywhere for people to read and announce.
Chicken pox vaccine, rash in seven days.
When the seventh day came, countless people were nervously watching the data.
Even Li Shimin couldn't make it to court, so he was waiting for the number to come out.
Fever and acne means success.
Various data were reported one after another. Among the first batch of 1,000 people in Luoyang who were vaccinated, by night time, more than 900 people had developed fever and rashes.
"A total of 937 people have fever and acne." Qin Lang took the latest statistics and reported to the emperor.
"It's only nine hundred and thirty-seven? That means there are still sixty-three people who failed? Didn't you say that one hundred, at most four or five people can't make it?"
"Your Majesty, today is the seventh day. Normally, the rash will appear seven days after picking up the pox, but it is not completely like this. The good news is that so far, there has not been a single death, and the remaining sixty-three people have not died yet. There is still a chance of success. Even if it is not successful, as long as there is no death, we can still make up."
In Qin Lang's view, the most important thing is not the success rate, but the death rate. When a person dies, everything is gone, but if it doesn't work, you can still pick it up again.
This is actually the same as under normal circumstances, not everyone will be infected if they come into contact with those infected people. This has a certain probability.
Plus this is the first batch of inoculation, so the operation is definitely not so perfect.
The night was a bit long, the emperor and Qin Lang didn't sleep, they were waiting for the situation of the remaining thirty-seven children, and at the same time, they were also staring at the more than nine hundred people who had been infected, wondering if there would be death.
Waiting until dawn, Qin Lang's eyes were red, and he handed over the latest statistical data to the emperor.
Of the remaining 37 people, 18 had fever and acne, and 19 were asymptomatic.
Among the more than 900 children with fever and rash, nine died last night.
The success rate of receiving acne is more than 900 per thousand, and the mortality rate is 9 per thousand.
Li Shimin's hand holding the paper became a little excited.
"Huailiang, tell me, will these children who have shown symptoms still die?"
"According to previous observations, three to five days after infection is a critical period, but death after the rash usually occurs on the first day, and there will be a few in the next three to five days. After three to five days, there are generally very few deaths. Yes, after seventeen days, it will be basically all right."
"So it's not a success yet?"
"Your Majesty, the situation with this batch of vaccinations is already very good."
"How many ripe seedlings can you supply now?"
"Mature seedlings need to be cultivated and tempered, which takes a long time. At present, there are not many of them, and very few have been transported to Luoyang. Basically, they are sent from Chang'an."
Li Shimin also knows that although the ripe seedlings have a higher success rate and lower death rate as Qin Lang said, it is impossible for everyone to use the ripe seedlings.
"You count the number of ripe seedlings, and I will give these ripe seedlings to the meritorious relatives!"
This is the privilege of nobles and relatives, giving priority to the use of mature seedlings with a higher success rate of safety, Qin Lang nodded, this is inevitable, it has been expected.
(end of this chapter)