Here we go! Free!

In order to actively implement

"Healthy city construction promotes healthy China action innovation model"

Technical guidance program for comprehensive prevention and treatment of cervical cancer "

Lianyungang accelerates the elimination of cervical cancer

Action Plan Implementation Plan (2024-2030) "

Lianyungang started 2024.

Free vaccination of HPV vaccine for school-age girls

In 2021

Lianyungang is the first batch in China.

Candidate cities for innovative model of cervical cancer prevention and control

Completed the first needle in Jiangsu Province.

Free HPV vaccination for first-year girls.

Lianyungang was selected in August 2023.

Healthy city construction promotes healthy China.

Action innovation model pilot cities for cervical cancer and breast cancer

(There are 28 in China)

According to the global cancer statistics in 2018, the incidence of cervical cancer has ranked third among women aged 15-44 in China. Fortunately, however, cervical cancer is the first malignant tumor in the world, and it is also the only one with a preventive vaccine, which makes it the first cancer that can be eliminated by human beings.

The occurrence of cervical cancer is directly related to high-risk HPV persistent infection, and about 99.7% of cervical cancer is caused by HPV persistent infection. The World Health Organization suggests that countries should incorporate HPV vaccine into national immunization programs and vaccinate school-age girls with HPV vaccine, which will help them stay away from the risk of cervical cancer, effectively reduce the incidence and mortality of cervical cancer and its medical burden on families, and promote family happiness.

one

Inoculation target

With Lianyungang student status, born after September 1, 2010, grade 2023 junior one girl. Girls who have contraindications for HPV vaccination or girls who have completed the whole vaccination are not included in the vaccination scope.

2

Inoculation principle

■ The domestic bivalent HPV vaccine is provided by "0, 6" two-dose immunization program, and the vaccine and vaccination costs are borne by the finance (the subjects do not bear any expenses). In principle, eligible girls in school are willing to plant all kinds.

■ In order to meet the individual needs of the recipients, the inoculation institutions also provide tetravalent and nonavalent HPV vaccines for the recipients to choose voluntarily and vaccinate at their own expense. After choosing to vaccinate the tetravalent and nonavalent HPV vaccine at their own expense, they will no longer enjoy the domestic bivalent HPV vaccine provided by the government free of charge. Girls under the age of 15 can adopt the "0, 6" two-dose immunization program.

Frequently asked questions about HPV vaccination

What is the connection between HPV vaccination and prevention of cervical cancer?

The full name of HPV is "human papillomavirus", which is spherical and is a double-stranded circular DNA virus with epithelial tissue. Up to now, more than 200 genotypes of HPV have been found and identified, of which more than 40 are related to reproductive tract infections. At present, there are 13 kinds of high-risk HPV, namely HPV16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68, and the carcinogenicity of different high-risk HPV types is different. Almost 100% of cervical cancer is caused by high-risk HPV infection. HPV16 and HPV18 are the most common pathogenic types of cervical cancer, which can cause about 71% of cervical cancer cases. Compared with other high-risk HPV, HPV16 and HPV18 have higher infection rates and risks.

After inoculation with HPV vaccine, it can stimulate the body to produce specific antibodies. When HPV invades, the antibodies produced by the body can eliminate the corresponding HPV and resist the damage of the virus to cervical epithelial cells, thus effectively reducing the occurrence of most cervical precancerous lesions and cervical cancer.

When is the best time to vaccinate HPV vaccine?

Sexual contact transmission is one of the main ways of HPV transmission. Complete the whole vaccination of HPV vaccine before sexual intercourse (that is, before exposure to HPV infection) has the best effect on preventing HPV infection and cervical cancer. The younger the vaccination age, the higher the antibody, and the more significant the preventive effect. According to the position paper of the World Health Organization in 2017, only two doses of HPV vaccine are needed for 9-14 years old, and the immune protection can be even better than that of adults with three doses. The immunization strategy should give priority to ensuring the high vaccination rate of this population.

I have been vaccinated with free domestic bivalent vaccine. Can I also be vaccinated with other HPV vaccines?

Due to the lack of relevant research data, it is not recommended to vaccinate other HPV vaccines after the whole process of free domestic bivalent HPV vaccine, and it is not recommended to replace vaccination with different types of HPV vaccines when the vaccination procedure is halfway through.

What are the HPV vaccines currently on the market?

Click on the picture to enlarge it.

Is HPV vaccine safe?

HPV vaccine is a genetically engineered vaccine, which does not contain viral DNA and is not infectious and carcinogenic, so it will not cause HPV infection due to inoculation.

Like other preventive vaccines, the evaluation of the safety of HPV vaccine is mainly reflected in the related adverse reactions that may occur after vaccination. According to the global post-marketing safety monitoring data of HPV vaccine, the adverse reaction symptoms are generally mild and self-limited, and serious adverse events is rare. HPV vaccine has been used in many countries around the world for many years, and authoritative organizations such as the Global Advisory Committee on Vaccine Safety of the World Health Organization believe that HPV vaccine is very safe through the analysis and evaluation of global monitoring data. Be sure to stay at the inoculation site for 30 minutes after inoculation, and leave only after there is no abnormality.

Why choose domestic bivalent HPV vaccine for free vaccination?

About 70% of cervical cancer cases are related to the infection of high-risk HPV16 and HPV18 subtypes, so HPV vaccine mainly prevents HPV 16 and 18 regardless of bivalent, tetravalent and nonavalent. The domestic bivalent HPV vaccine vaccinated by school-age girls free of charge can effectively prevent the infection of the above two subtypes. It can be vaccinated among girls aged 9-14 with two shots. From the perspective of public health, it is the most cost-effective vaccine.

What are the precautions during HPV vaccination?

It is recommended to avoid eating known allergic foods during HPV vaccination; Patients with thrombocytopenia and any patients with coagulation dysfunction should be cautious when inoculated with this product; Some women have different degrees of menstrual discomfort, so it is best to vaccinate during the non-physiological period; Like other vaccines, vaccination should be postponed when the recipient suffers from acute severe fever. If you have fever symptoms at present or in the near future, whether to postpone vaccination depends mainly on the severity of symptoms and their causes. Only low fever and mild upper respiratory tract infection are not absolute taboos for vaccination. It is best to be two weeks apart from the vaccination time such as influenza.

What are the contraindications for HPV vaccination?

Those who have hypersensitivity to the active ingredients or any auxiliary ingredients of the vaccine, those who have had serious adverse reactions to vaccination, serious immunodeficiency diseases, acute attack of uncontrolled infectious diseases or chronic diseases, and patients with coagulation dysfunction.

For eligible school-age girls

The vaccination work shall be organized by the health department and the education department in a unified way.

You can consult the vaccination clinic where the school is located.

Original title: "Here we go! Free! 》

Read the original text

Global news: US stocks keep rising. The Dow has risen seven times in a row. The price of Microsoft AI products has reached a new high.

  On Tuesday, local time, driven by the unexpected earnings report of American bank stocks and the strong performance of AI concept stocks, and the market still expects to raise interest rates in July for the last time, US stocks continued their upward trend. The Dow rose for seven consecutive days, the longest consecutive rise since March 2021, and the S&P and Nasdaq once again set a new high in 15 months.

  And Microsoft announced overnight that Office AI tool pricing is an important catalyst for market performance. At the global partner conference held on Tuesday, Microsoft disclosed that for subscribers of Office 365 E3, E5, Business Standard Edition and Business Advanced Edition, Microsoft 365 Copilot will be uniformly priced at $30 per user per month. According to official website’s pricing, these subscription services for enterprise users range from $12.5 to $38 per month per user.

  This also means that through the Office AI assistant tool, Microsoft has doubled or tripled the "actual pricing" of office services for business users.

  The B-side pricing of AI auxiliary tools reflects the strong market demand and low operating costs. As a result, Microsoft’s share price closed up 3.98% on Tuesday, easily hitting a record high, while AI-related concept stocks were driven.

  At the beginning of the earnings season, the performance of banking stocks exceeded expectations, which also boosted market sentiment to some extent. Morgan Stanley’s revenue and profit exceeded expectations. Among them, the revenue was $13.457 billion, which was significantly higher than the market expectation of $13.08 billion. Bank of America achieved revenue of $25.33 billion and EPS of $0.88 in the second quarter, both better than market expectations.

  In addition to the financial report and AI news, the US retail data in June released on Tuesday was less than expected, which also showed that the tight labor market is still supporting the economic growth, and the overheating problem that the Fed is most worried about is also steadily easing. The market still expects the Fed to raise interest rates for the last time in July. CME Fed observation tools show that the probability of raising interest rates in July is close to 100%, and the probability of raising interest rates in the next few months is not great.

  In other news, recently, Tesla officially launched a new "Charge on Solar" function to the United States and Canada, allowing Tesla owners to charge their electric vehicles using only solar energy.

  Official website wrote that using surplus solar energy to charge electric vehicles can maximize the value of home solar energy system. In order to realize this function, Tesla owners need to update Tesla APP to version 4.22.5 or higher, and also have different requirements for the software versions of cars and Powerwall.

  It is worth noting that on Tuesday, local time, the World Meteorological Organization warned that the heat wave sweeping across the northern hemisphere will intensify this week, leading to a soaring night temperature, which in turn increases the risk of heart attack and death.

  According to the World Meteorological Organization, the heat wave is still in its early stage. It is expected that the temperature in North America, Asia, North Africa and the Mediterranean will exceed 40 degrees Celsius for several days this week, which means that the midnight temperature in some areas will hover around 30 degrees Celsius this week.

  [overnight U.S. stocks]

  Among the large Chinese stocks, Alibaba fell by 2.36%, Baidu by 3.63%, Netease by 2.80%, Tencent Music by 4.95% and Pinduoduo by 4.34%.

  Among the large American technology stocks, Apple fell 0.13%, Amazon fell 0.55%, Google A fell 0.71%, and Nye soared 5.50%.

  [global index]

  In European stock markets, the FTSE 100 index rose slightly by 0.64% to 7454 points. The French CAC40 index rose slightly by 0.38% to 7319 points. Germany DAX index rose slightly by 0.35% to 16,125 points.

  [global goods]

  The main contract of WTI crude oil closed at $75.73 per barrel, up 2.23%; The main contract of Brent crude oil closed at $79.82 per barrel, up 1.68%; The main contract of crude oil in the previous period closed at 582.20 yuan per barrel overnight, up 1.31%.

  Overnight, the Shanghai gold main contract closed up 1.16% to 460.76 yuan per gram; The main contract of Shanghai Bank closed up 1.63% to 5915.00 yuan per kilogram.

  [overnight news]

  US retail sales in June increased by 0.2% month-on-month, which was significantly less than expected, but key indicators suggested strong consumer demand.

  After a 0.3% month-on-month increase in May, US retail sales in June increased by 0.2% month-on-month, far below the expected 0.5%. However, the retail sales of the control group (excluding automobiles, gasoline, building materials and food services) used to calculate the GDP of the United States increased by 0.2% month-on-month in May and accelerated to 0.6% month-on-month in June. This data shows that consumer demand is still strong in June.

  When the US debt default crisis intensified, the two "creditors" of China and Japan threw US debts together.

  In May, Japan’s US debt holdings fell to an eight-month high, with a decrease of US$ 30.4 billion, the biggest drop in seven months, and the largest reduction among major holding countries; China reduced its holdings by $22.2 billion, and its position fell for two months. In May, the capital flow of overseas investment in US securities reversed, with a net outflow of US$ 167.6 billion.

  US Treasury Secretary Yellen said that multiple factors pushed inflation down, but warned against being too optimistic because of the CPI in June.

  Yellen said that the cooling of the labor market plays a key role in slowing down inflation in the United States, and the pressure on housing costs and automobile prices is also declining, which is expected to continue to push down the price pressure. She also hinted that corporate profit margins may decline. However, Yellen poured cold water on the inflation data that cooled more than expected in June.

  [company news]

  Office 365 AI assistant is expensive, Microsoft shares hit a new high.

  Microsoft announced the price list of enterprise AI software tools on Tuesday, announcing that the price of Office 365 Copilot is $30/month per user. For some users, using Copilot means that the cost will double or even triple. Microsoft also launched Bing Chat Enterprise, a more secure AI chat robot. Microsoft and Meta jointly stated that the Meta AI model named Llama 2 will be provided free of charge to developers who build software on Microsoft Azure cloud computing platform. Microsoft shares closed up 4%, a record high.

  Tesla APP launches "solar charging" function

  According to media reports on Tuesday, Tesla recently officially launched a new "Charge on Solar" function to the United States and Canada, allowing Tesla owners to charge their electric vehicles with only solar energy. According to the screenshot of official website’s APP, the owner can set the charging scheme for the vehicle in the "Charge on Solar" function. For example, the first 50% of the vehicle’s electricity is set to "can come from any way", and the other 50%-100% of the electricity is "only through solar energy".

  The overall performance of Bank of America Morgan Stanley Q2 exceeded expectations.

  The performance of American big banks is "mixed". Bank of America Q2′ s profit increased by 19% year-on-year to US$ 7.4 billion, and the growth of net interest income slowed down, but it is currently facing the pressure of commercial real estate loan business. Morgan Stanley’s net profit fell by 13% year-on-year, wealth management business reached a new high, and trading income fell by 22%. The performance of Bank of America and Morgan Stanley both exceeded expectations, and the net interest income increased greatly under the high interest rate environment. The published financial reports of the five major banks all indicate that the prospect of a soft landing of the US economy can be expected, and the market is waiting for Goldman Sachs’ financial report on Wednesday.

  The "bad news" of American technology stocks: large fund positions hit the upper limit.

  BlackRock’s Science and Technology Opportunity Fund is prohibited from further increasing its holdings of shares in Apple, Microsoft and NVIDIA, while JPMorgan Chase’s large-cap stock growth fund holds more shares in Microsoft, Apple, NVIDIA, Alphabet and Amazon.

  Goldman Sachs sings more Baidu: It is the future that the share price of AI traffic portal will rise by 31%.

  Goldman Sachs believes that Baidu will become the most profitable company in China and the main traffic portal for AI applications in the future. It will continue to be optimistic about its future profitability and raise its target price for US stocks from US$ 183 to US$ 197.

  [AI dynamic]

  Meta released Llama 2 model and cooperated with Microsoft and Qualcomm.

  After half a year, Meta AI released the latest generation of open source model Llama 2 on Tuesday. Compared with Llama 1 released in February this year, the token used in training has doubled to 2 trillion, and Llama 2 has also doubled the most important context length limit for using large models. Llama 2 contains models with 7 billion, 13 billion and 70 billion parameters.

  Meta also announced on Tuesday that it will cooperate with Microsoft cloud service Azure to launch a cloud service based on Llama2 model to global developers. In addition, Meta and Qualcomm also announced that Llama 2 will be able to run on Qualcomm chips, breaking the monopoly of NVIDIA and AMD processors on the AI industry in the market.

  [financial calendar]

From 00: 00 to 07: 00 on February 28th, Suzhou found that two people were positive for nucleic acid detection.

According to the news released by Suzhou, from 0: 00 to 24: 00 on February 27th, there were no new confirmed cases in COVID-19 and no new asymptomatic infections in Suzhou.

As of 24: 00 on February 27th, Suzhou has reported a total of 114 locally confirmed cases and 29 locally asymptomatic infected people.

From 0: 00 to 24: 00 on February 27, Suzhou added a confirmed case from overseas.

From 0: 00 to 7: 00 on February 28th, two people were positive in the nucleic acid detection of key population in our city. After receiving the report, measures such as epidemiological investigation and isolation control were immediately carried out.

Recently, Covid-19-positive infected people mostly appear in the centralized isolation personnel in Yonglin District No.2, Pingjiang Street, gusu district. In order to eliminate risks, quickly identify and block the transmission chain of Covid-19 as soon as possible, and effectively protect the health and life safety of the general public, gusu district carried out nucleic acid testing and sampling in the areas west of Donghuan Road, east of Mo Xie Road, north of Ganjiang Road and south of Loumen Road on the morning of February 28th.

The general public are requested to continue to enhance their awareness of prevention, do a good job in personal protection, insist on wearing masks, keep social distance and pay attention to personal hygiene. In case of fever, cough and other symptoms, on the premise of personal protection, go to the nearest medical institution in time.

Suzhou COVID-19 epidemic situation joint defense joint control headquarters

February 28, 2022

Did you get caught in the common rumors about the epidemic? These popular science guides must be seen!

  Recently, with the further implementation of the new ten epidemic prevention regulations, how to prevent and control Covid-19 has attracted much attention, and some rumors are also waiting for opportunities. Rumors such as "canned yellow peach can relieve COVID-19’s symptoms", "multiple drugs can be eaten together quickly" and "negative antigen test means no infection" spread rapidly on social networks.

  To this end, the Hangzhou rumor platform focuses on the topics that have attracted much attention during the epidemic, such as masks, vaccines, drugs, symptoms, antigen detection, oxygen/hydrogen generators, health codes, disinfection, diet (folk prescription for COVID-19), and key groups (elderly people, pregnant women, children, patients with cardiovascular diseases, and patients with liver diseases), etc., and sorts out various rumors in a classified manner, and attaches relevant expert suggestions and scientific answers to improve the quality of life. At the same time, we sorted out the recent public inquiries about the fever clinic in Hangzhou, the nucleic acid results were not available, the mixed tube was positive, and the yellow code was changed. We tried our best to help the public in Hangzhou effectively solve the problem of medical treatment.

First, masks

  1. Wearing a mask for a long time can lead to pulmonary nodules?

  Lung nodules are mostly benign, and the causes are varied, including air pollution, bacterial infection, vascular diseases, inflammatory diseases, etc., which have nothing to do with masks! Under the normal use of qualified medical surgical masks, the ethylene oxide gas in the masks will not be sold until it is analyzed and qualified, which will not cause lung harm.

  2. Can the mask be reused?

  The cumulative wearing time of each mask shall not exceed 8 hours, and the continuous use shall not exceed 4 hours. If it is dirty, deformed or damaged, it shall be replaced in time. Masks used in public places are not recommended to be reused. Keep your hands clean when wearing a mask. Wash your hands or disinfect your hands before removing the mask, and don’t touch the outer layer of the mask. Wash your hands or disinfect your hands after removing the mask.

  3. The thicker the mask, the better?

  Although the medical mask is thin to the touch, it has a high filtering effect. The three layers of water barrier, filter layer and moisture absorption layer effectively prevent the virus from invading and ensure the comfort of wearing. Although the cotton masks on the market are thick, they do not have the function of preventing infectious diseases.

  4. Can I wear multiple masks to prevent the virus?

  Just use one mask. When the protective materials are insufficient, the medical staff will use KN95+ surgical mask and wear it in a special way to ensure the protection of the nose and mouth.

  Mask identification guide:

  Disposable medical masks and surgical masks belong to Class II medical devices and are subject to product registration management. The product registration number and production standard will be marked on the outer packaging of masks produced by regular production enterprises. Only five codes can meet the epidemic prevention requirements: medical protective mask (GB19083-2010), medical surgical mask (YY0469-2011), disposable medical mask (YY/T 0969-2013), daily protective mask (GB/T 32610-2016) and children’s mask (GB/T 336).

  Log on to the website "china food and drug administration-Data Inquiry", click "Medical Devices", select "Domestic Devices", and enter the registration number marked on the mask package to inquire.

Second, the vaccine

  1. Is it useless to get a vaccine?

  Xia Gang, Director of the Department of Health and Immunity of the National CDC: Vaccination still has a good effect in preventing serious illness and death. For the elderly over 80 years old, if one dose of vaccine is not vaccinated, the risk of death will be 14.7%, and if three doses of vaccine are vaccinated, the risk of death will be reduced to 1.5%. Compared with no vaccination, the risk of death will be reduced by 9.3 times after three doses of vaccine.

  2, vaccination is not as good as infection once?

  Vaccination can prevent infection, disease, serious illness and death. At present, the effect of Covid-19 vaccine in preventing severe illness and death is still very remarkable. A large number of monitoring and research have shown that the risk of severe illness and death is very high compared with the vaccinated people, especially among the elderly and people with chronic basic diseases.

  3. Is it too late for vaccination at present?

  Wang Huaqing, chief expert of immunization program of China CDC, said that it really takes some time to produce protective effect after vaccination. Generally, it takes one to two weeks to produce antibodies after vaccination, but if a relatively high level of antibodies is to be produced, it will take about four weeks after full immunization. He said that the time to produce antibodies after strengthening immunization is faster and shorter, and the level of antibodies produced is also higher.

  4. Can I claim compensation for COVID-19 vaccine?

  Recently, a net post said that "COVID-19 vaccine can be compensated on the national civil administration website", with a link to the website and a notice of payment, so as to induce people to pay attention to forwarding. In fact, the so-called "national civil affairs website" in the net post does not exist at all. Through the official website of the Ministry of Civil Affairs, the relevant information of "receiving vaccine compensation" does not exist. The news on the Internet is purely a rumor.

Third, diet

  1. Can drinking high alcohol cure COVID-19?

  Li Lanjuan, an academician of China Academy of Engineering, said that alcohol with a medical concentration of 75% can be used to disinfect medical devices, but drinking alcohol cannot prevent and treat COVID-19. Long-term drinking will lead to the decline of immune function, but increase the risk of infection.

  2, eating oranges as antigens will turn yang?

  Antigen detection is not a sample collection of the oral cavity and throat, so it has nothing to do with the substances in the oral cavity. Generally, daily diet will not affect the antigen detection results.

  3. Can canned yellow peaches relieve COVID-19’s symptoms?

  Canned yellow peaches are rich in nutrition. For many people who have poor appetite due to colds and fever, a proper amount of yellow peaches can also help to replenish energy and boost appetite. But it cannot relieve the symptoms of the disease. Especially when coughing, do not eat it, which may aggravate the symptoms.

  4. Garlic, ginger and pepper can prevent Covid-19 infection? 

  The World Health Organization made it clear in official website that there is no evidence that ginger, garlic and pepper can prevent COVID-19 virus; Although these foods have certain antibacterial and anti-inflammatory properties.

  5, salt water gargle can prevent Covid-19 infection?

  As early as January 22nd, 2020, Zhong Nanshan team publicly denied that "gargling with salt water can prevent COVID-19". At that time, Zhong Nanshan’s team made it clear that gargling with salt water is good for cleaning the mouth and throat, and helpful for pharyngitis. However, the part invaded by novel coronavirus is in the respiratory tract, and gargling can’t clean the respiratory tract. Moreover, there is no research result suggesting that salt water can kill novel coronavirus.

  6. Electrolyte water is also out of stock? Does it really work?

  The product introduction of electrolyte water shows that this product is an ordinary electrolyte beverage, which has no medicinal value or health care function. It is recommended to drink no more than 3 bottles per day. Kai Zhong, director of Kexin Food and Health Information Exchange Center, said that in some cases, electrolyte water is really needed, but it is not necessary and irreplaceable. He pointed out that when there are symptoms such as fever, if you can eat normally, you don’t need to supplement electrolytes. If you don’t eat all day and sweat or have severe diarrhea and vomiting, you need to pay attention to supplementing electrolytes. He suggested that eating fruit, drinking porridge, medical rehydration salts or electrolyte drinks are all ways to supplement the electrolyte lost by the human body.

  7. Do you need to hoard vitamin C effervescent tablets?

  Vitamin C, also known as ascorbic acid, can cause adverse reactions in urinary system, digestive system or blood system if taken in excess. Experts suggest that healthy people recommend food supplements, and it is not recommended or necessary to drink effervescent tablets every day.

Fourth, drugs

  1. Take a variety of medicines together, increase the dosage, and recover quickly?

  Cui Hongsheng, Director of Respiratory Department of the Third Affiliated Hospital of Beijing University of Chinese Medicine: Just choose one kind of western medicine antipyretic, such as ibuprofen or acetaminophen. We should grasp the principle of "stop the disease in the middle" and try not to use it together. Pay attention not to exceed the daily dose, otherwise it will damage the liver.

  2. Is the online transmission of "COVID-19’s medication sequence chart" reliable?

  When taking drugs, we should consider the symptoms of patients and the climate at that time. There are taboos when taking drugs, and we should not blindly take drugs. Pay attention to the adverse reactions and shelf life of drugs when using drugs. Patients with chronic diseases can consult a doctor in advance to avoid blindly "hoarding medicine".

  Who reminds COVID-19 to avoid using ibuprofen?

  The news first came from a study published in the sub-issue of The Lancet in March 2020. At that time, the World Health Organization quickly clarified that the proposal was not against the use of ibuprofen. With the passage of time, more and more evidences show that ibuprofen can be used for COVID-19 infection.

  4. Can taking medicine prevent colds/flu or COVID-19?

  Antipyrets, cold medicines, cough medicines and phlegm-resolving medicines are all common family medicines, but these medicines can only relieve symptoms instead of preventing diseases. You should not take medicine when there are no symptoms. Although many drugs are over-the-counter drugs (OTC), improper use will cause side effects and damage to liver and kidney functions. Be sure to read the instructions carefully before taking the medicine.

  5. Take antibiotics after infection?

  Antibiotics such as cephalosporin and Archie have corresponding indications of infectious diseases caused by various pathogenic bacteria. Antibiotics have no antiviral effect on virus infection, whether in Covid-19 or other viruses. In fact, the role of antibiotics is to relieve the related symptoms in the process of anti-bacterial and anti-inflammatory when treating all kinds of sensitive bacterial infections, rather than directly relieving these uncomfortable symptoms by antibiotics.

  Therefore, whether positive infection is found, or symptoms such as sore throat and cough appear after infection, antibiotics are generally not needed, and antibiotics are only necessary when viral infection leads to complications of bacterial infection.

  6. Can Chinese medicine and western medicine be eaten together?

  Academician Zhang Boli: If you are infected, western medicine antipyretics and traditional Chinese medicine cold medicines should not be taken together as far as possible. For example, Chinese patent medicines with antipyretic effects such as Lianhua Qingwen, Jinhua Qinggan and Xuanfei Baidu Granules will not be taken together. Other traditional Chinese medicine and western medicine should be taken at intervals of 1 hour to avoid mutual influence. Of course, if you take cold Chinese medicine, but the sore throat is obvious, you can take Liushen Pill, Qingyan Dropping Pill and other symptomatic drugs. At the same time, we should grasp the principle of "stopping the disease in the middle" and stop taking the medicine in time after the symptoms disappear.

  Try to take only one kind of Chinese medicine for cold, and it is not necessary to take two or three kinds together. Most of these medicines contain bitter and cold medicines for clearing away heat and toxic materials, which are easy to hurt the spleen and stomach and are not conducive to recovery. The same is true for western medicine antipyretics, so you can choose one, avoid combined medication, and pay attention to not exceeding the daily dosage, otherwise it may cause damage to the liver.

  7. How do families prepare medicines scientifically? Do I have to buy all the medicines in the First Edition of the Catalogue of Drugs for Infected Persons in Covid-19?

  Zhao Qingwei, director of the Clinical Pharmacy Department of the First Affiliated Hospital of Zhejiang University School of Medicine, said that the publication of this catalogue does not mean that so many drugs need to be prepared. Most families only need to prepare one or two drugs for the symptoms that may occur after COVID-19’s infection. In view of the possible symptoms such as fever and cough after infection, it is suggested that the family can prepare an antipyretic analgesic and a cough medicine, and the amount should be 3 to 7 days. For children, children over 6 months can choose ibuprofen or acetaminophen, one of which is enough; Children from 2 months to 6 months are advised to choose acetaminophen; It is not recommended to take two antipyretics alternately or at the same time, so as not to increase the burden on children’s liver and kidney and cause adverse reactions. The dosage should be adjusted according to the child’s age and weight. It is not recommended for infants to take drugs blindly within 2 months. It is recommended to cool down physically and seek medical advice in time when the symptoms are serious.

  8. Is it necessary to buy "COVID-19 Oral Medicine" with a price of 2980 yuan?

  Paxlovid is an oral small molecule COVID-19 therapeutic drug, which is used to treat adult patients with mild to moderate novel coronavirus (Covid-19) with high risk factors for progression to severe diseases, such as the elderly, chronic kidney diseases, diabetes, cardiovascular diseases, chronic lung diseases and other severe high risk factors, and is taken under the guidance of a doctor. In response to the hot sale of therapeutic drugs in COVID-19, Yu Chengbo, chief physician of the Department of Infectious Diseases of the First Affiliated Hospital of Zhejiang University School of Medicine, said: "It is not excluded that the market is blindly obedient." Yu Chengbo said that according to research, more than 95% of COVID-19 infected people are asymptomatic, and such people do not need medication; A small number of them are mild symptoms, so it is enough to take drugs for symptomatic treatment.

  At the same time, the drug also has contraindications, drug interactions and adverse reactions. It is recommended to take it under the guidance of a doctor and not to use it at will.

Five, antigen detection

  1, antigen self-test box "a box is hard to find"? Do you want to hoard it?

  Feng Zhanchun, a professor at the School of Medicine and Health Management of Huazhong University of Science and Technology, said that antigen testing is generally used in acute infection, that is, sample testing within 7 days of symptoms of suspected people. If you find flu-like symptoms, such as fever, dry cough, muscle aches, etc., you can conduct self-testing and screening. Antigen positive, that is, "two bars", is mostly detected after two days of fever. Therefore, the antigen should be tested two days after flu-like symptoms such as fever and cough, and then again after the symptoms basically disappear.

  2. What is the accuracy of antigen detection? Is it different from nucleic acid testing? Does negative antigen test mean no infection?

  As an effective means of rapid screening, antigen detection may produce some false positive or false negative results. Because the principle of antigen detection is to indicate the existence of virus through the combination of virus protein antigen and specific antibody, scientifically speaking, there will be a certain probability of cross-reaction, which will lead to false positive.

  In addition, the sensitivity of antigen detection is slightly lower than that of nucleic acid detection. When the virus concentration is still very low in the early stage of infection, the existence of virus may not be accurately detected by antigen detection kit, which will lead to false negative. The probability of this false negative depends on the sensitivity of the antigen reagent used, which may be around 1%-5% under normal circumstances.

  3. The darker the color of antigen detection lines, the more virus content in the body?

  Antigen detection is a qualitative judgment of virus protein antigen, that is, to judge whether there is a virus or not, but not directly to judge whether the virus load is more or less. Therefore, the color depth of the lines on the antigen detection board can not accurately explain the concentration of the virus.

Six, oxygen generator/hydrogen generator

  Can a family prepare an oxygen/hydrogen generator to cope with infection?

  Only severe and critical patients need oxygen. But in this scene, the oxygen generator at home can’t play a therapeutic role. Moreover, too high concentration or too long time of oxygen inhalation will lead to oxygen poisoning, so oxygen inhalation treatment should be carried out under the guidance of medical staff or professionals.

  The hydrogen generator is also unnecessary. In the latest ninth edition of the diagnosis and treatment plan, this treatment method no longer exists. Because the role of hydrogen in the treatment of lung diseases is mainly to improve the utilization rate of oxygen and drugs, it does not mean that hydrogen itself can treat lung diseases.

  At the same time, compressed hydrogen, compressed oxygen, etc. are commonly used dangerous chemicals, which may cause danger if the storage conditions are not suitable (such as high temperature or damaged containers).

Seven, symptoms

  1. Can you tell COVID-19 by coughing?

  Recently, a small program called "Intelligent Voice Recognition" can automatically recognize "normal" or "suspected COVID-19" results after recording. Experts said that the effectiveness of this method needs further verification, and at the same time, we should be alert to the abuse of related technologies. Nucleic acid detection is the "gold standard" of diagnosis, and faster and more convenient antigen detection can be used as a supplementary means.

  2, COVID-19 infection will have serious sequelae?

  Academician Zhong Nanshan said that there is a strict definition of sequela in medicine, which means that the damage caused by the disease exists for life. Some COVID-19’s symptoms will gradually disappear, so we don’t call them sequelae. I haven’t seen any particularly obvious cases of long-term dysfunction of organs. COVID-19 patients are generally not contagious after rehabilitation.

  3, a fever is infected with Covid-19?

  Zhong Nanshan, an academician of China Academy of Engineering, said that the recent fever was caused not only by COVID-19 infection, but also by the flu, and a few people may have double infection. At this time, it is also in the high incidence of influenza in winter. Therefore, patients with fever should be isolated at home according to their own situation, or go to the hospital for further examination.

  Zhong Nanshan also suggested that patients with fever should generally pay attention to the first day and the second day. If the fever has not gone down in a day or two, they can do COVID-19 antigen test at home. If it is negative, they can wait. If COVID-19’s antigen is positive and you don’t feel anything else, you don’t need to go to the hospital first, just stay at home.

  4. Are Covid-19-positive people asymptomatic if they just cough and have a fever?

  If the positive infected person only has a cough and fever, and there is no lung infection, it can be classified as a mild case, but it is not asymptomatic. From the current national case data, asymptomatic and mild cases after Omicron infection account for more than 90%.

  According to the current definition, an asymptomatic infected person refers to a person who is positive for Covid-19’s pathogen test and has no related clinical manifestations, such as fever, dry cough, fatigue, sore throat, decreased sense of smell, diarrhea and other symptoms and signs that can be self-perceived or clinically recognized, and whose CT imaging has no COVID-19 imaging characteristics.

  Mild patients may show symptoms of upper respiratory tract infection such as moderate and low fever, dry throat, sore throat, stuffy nose and runny nose, as well as symptoms such as fatigue and olfactory dysfunction, but there is no pneumonia.

  5. "Good morning to Erwin Engst"? Will "Yang" be "Yang" again after once? How long is it possible to have a secondary infection?

  After being infected with Covid-19 once, the immunity formed by human body will play a certain protective role. However, Omicron may rapidly mutate into new sub-branches and have strong immune escape ability, and the recovered people cannot completely avoid secondary infection. Once infected, you can’t be immune for life!

  However, foreign statistics show that the probability of secondary infection within three to six months is quite low after being infected with Omicron, regardless of symptoms, and most people will not be infected with Omicron again for a long time.

  For individuals, the best way during the epidemic period is to implement protective measures, including wearing masks, paying attention to hand hygiene, keeping social distance, and actively vaccinating Covid-19 vaccine to reduce the risk of infection.

  6. Will repeated infection make the symptoms worse?

  At present, there is no conclusion that repeated infection will lead to more serious clinical results. Judging from the current cases, even if individual patients have a tendency to aggravate their symptoms when they are repeatedly infected, this ratio is very low. The pathogenicity of Omicron virus is weakening. No matter whether it is the first infection or reinfection, the probability of serious illness is very low.

Eight, health code/nucleic acid proof

  The health code is going to be invalid? Can’t find the personal vaccination certificate?

  As of 12: 00 on December 13th, no province or city in China has issued a notice on the invalidation of health codes. Vaccination records will not be deleted.

Nine, disinfection

  1, ultraviolet light 0.3 seconds to eliminate Covid-19?

  Ultraviolet ray has a good sterilization effect, but its penetration is poor. The effective area of air disinfection is 1.5 -2 meters around the lamp tube, and the surface of the object should not be more than 1 meter away from the polluted surface when disinfecting, so it needs to be used within the applicable range to ensure the disinfection effect. The surface of the ultraviolet lamp tube must be kept clean, and the irradiation time depends on the intensity of the lamp tube and the pathogenic microorganisms killed. Generally, the irradiation time of the traditional ultraviolet lamp on the market is not less than 30 minutes. High-intensity, low-ozone ultraviolet germicidal lamp can be irradiated for 30 s to 60 s, but it is expensive, and the general medical high-intensity ultraviolet lamp needs several hundred thousand yuan.

  2. The higher the concentration of disinfectant, the better?

  Excessive concentration of disinfectants, especially chlorine-containing disinfectants, will cause discomfort to people’s mouth, respiratory tract and lungs, and may even cause damage to organs and tissues. At the same time, it will also cause corrosion, rust and discoloration of disinfected objects. When using disinfectant, it should be used according to the product instructions, including the scope of use (such as air, table, tableware or food, etc.), concentration and dosage. Do not adjust these parameters yourself.

X. Key population

  1. Pregnant women are more likely to be infected with Covid-19? 

  Qiao Jie, Dean of Peking University Third Hospital, pointed out that the Omicron infection rate of pregnant women is close to that of the general population. The types of symptoms are similar to those of the general population, such as dry throat, cough, runny nose, aches all over, fever and so on. Generally speaking, compared with the general population, infection has not brought more impact on the health of pregnant women.

  Pregnant women with basic diseases such as hypertension and diabetes should strengthen self-protection. Women with pregnancy plans had better get Covid-19 vaccine before pregnancy to enhance their immunity. Try to adjust your physical condition before you get pregnant.

  2. What should the elderly do if they are infected with COVID-19?

  Wang Meihua, chief physician of respiratory medicine of Xixi Hospital in Hangzhou, said that those who are asymptomatic or have mild symptoms without serious underlying diseases, and those whose underlying diseases are in a stable stage, and those who need hospitalization, such as serious organ dysfunction such as heartless lungs, kidneys and brains, can be treated at home. During the period, patients should take temperature measurement and self-health monitoring once every morning and evening. Asymptomatic people do not need oral medication. Zhao Qingwei, director of the Clinical Pharmacy Department of the First Affiliated Hospital of Zhejiang University School of Medicine, said that after taking the medicine, the body temperature remained higher than 38.5℃ for more than 3 days, and the old people whose original basic diseases were obviously aggravated and uncontrollable should be referred for medical treatment in time. It should be noted that elderly people who usually take aspirin should avoid using antipyretics containing ibuprofen; Patients with hypertension should pay attention to monitoring their blood pressure when taking cold medicine containing ephedrine.

  3. How can children judge whether they are infected with COVID-19? How to use medicine?

  The simplest judgment principle is to look at the child’s mental state. If children have a good mental reaction, they should eat, drink and play, and generally do not need to worry.

  If the following conditions occur, you should seek medical attention in time: the child has a fever for more than 3 days, and his mental state is poor after fever. He always wants to sleep, even if his body temperature drops, his spirit is not good; Children are always fidgety and crying, unable to appease; Frequent coughing affects daily life and sleep; Frequent vomiting, loss of appetite, and even rejection of milk by small babies; Breathing increases rapidly, even breathing is difficult, and infants groan and gasp; Decreased urine volume, increased stool frequency or purulent bloody stool; Fever accompanied by a new rash; Describe the pain in the fixed part or the mass in the abdomen; There is disturbance of consciousness and convulsion. Special reminder: children under 3 months should seek medical attention as long as they have fever. In terms of medication, children over 6 months old can prepare ibuprofen or acetaminophen at home, and choose one of them. Children under 6 months and over 2 months can prepare acetaminophen without ibuprofen. Children under 2 months generally do not take antipyretics, and they should seek medical advice in time after they have fever.

  4. How to diagnose and treat patients with cardiovascular disease?

  The clinical treatment of cardiovascular patients infected with Covid-19 is not much different from conventional treatment.

  Patients with cardiovascular diseases don’t have to worry too much after infection. The key point is to continue to control basic diseases such as coronary heart disease and hypertension so that their original diseases will not be induced and aggravated.

  Long-term use of cardiovascular disease prevention and control drugs should not be stopped, which may induce or aggravate the disease. If cardiovascular disease attacks, don’t be afraid and anxious, and be sure to take medicine in time. If you have persistent chest pain, you need to go to the hospital for further diagnosis and treatment.

  5. Can patients with liver disease take medicine after being positive?

  Fu Xiaoqing, director of the Department of Severe Hepatology, Xixi Hospital, Hangzhou, said that if you have high fever, headache, sore throat and muscle pain after being infected with Covid-19, you can take nonsteroidal antipyretic and analgesic drugs, such as acetaminophen and ibuprofen. Acetaminophen, also known as paracetamol, may cause liver damage if taken improperly, and even lead to liver failure and death in severe cases, so it cannot be abused. Antipyretic drugs should not be combined with other compound cold preparations, and similar drugs should not be used in combination or alternately. The dosage should be small rather than large, and those who have a history of acetaminophen liver damage should be banned. Patients with liver disease are a special group because their liver detoxification function is limited. Hepatitis B patients who take antiviral drugs orally daily must not stop taking drugs. Those with body temperature over 38.5℃ or obvious body aches can take acetaminophen or ibuprofen appropriately, with fewer doses and times. Those with severe liver disease should seek medical advice in time if they are infected.

XI. Hang Cheng hits directly.

  1. Where can I find a fever clinic in Hangzhou?

  "fever clinic inquiry" provides citizens with retrieval and navigation services for medical institutions that carry out fever clinics in Hangzhou. Click on the specific medical institution, and you can also view the busy and idle situation of the fever clinic of the institution, such as the total registration volume of the day, the current waiting number, the current call number and other information.

  Query path:

  Zheli Office App: Healthy Hangzhou-fever clinic inquiry

  Alipay App: health code-fever clinic inquiry

  Gaode map App: Home search fever clinic

  2. How to classify the fever clinic in Hangzhou?

  The first category is positive patients (nucleic acids or antigens). Among them, mild patients are mainly treated according to symptoms, given corresponding drug treatment, generally isolated at home, or voluntarily selected for centralized treatment. Ordinary, severe, critical and patients with severe risk factors are hospitalized in corresponding medical institutions according to their illness.

  The second category is patients with fever (whether or not they have negative nucleic acid reports within 48 hours). It is up to the doctor to decide whether to do antigen. If the antigen is positive, it needs to be treated in a centralized way before doing nucleic acid. Patients with mild nucleic acid positive condition can go to the centralized isolation point by themselves, and patients with ordinary, severe, critical and serious risk factors can be hospitalized in the corresponding medical institutions according to their illness.

  3. Can Internet hospitals in major hospitals in Hang Cheng pay and settle accounts with medical insurance?

  At present, Internet Hospital of Zhejiang People’s Hospital, Internet Hospital of Tongde Hospital of Zhejiang Province, Internet Hospital of Zhejiang Provincial Hospital of Traditional Chinese Medicine, Internet Hospital of Hangzhou Hospital of Traditional Chinese Medicine, and Internet Hospital of Run Run Run Shaw Hospital of Zhejiang University have all opened medical insurance payment and settlement.

  Internet Hospital of Zhejiang Provincial People’s Hospital: Zhejiang/municipal medical insurance patients can make mobile payment in the Internet Hospital of Zhejiang Provincial People’s Hospital. Medical insurance patients outside the province who can make medical insurance settlement online can also make mobile payment online. Need to be reminded that it is necessary to bind the electronic medical insurance certificate in Alipay/Zheli in advance.

  Internet Hospital of Provincial Tongde Hospital: At present, the registration fee for online outpatient service of Internet Hospital of Provincial Tongde Hospital is temporarily at its own expense; Online outpatient dispensing can be done at one’s own expense or by medical insurance. If you swipe your medical insurance card, you need to go to the hospital to complete the payment on the self-service checkout machine and get the medicine. Chinese herbal medicine can be delivered by courier and western medicine can be taken to the pharmacy. It is expected that one week later, the Internet Hospital of Tongde Hospital will be able to open mobile payment for medical insurance, becoming the first mobile payment unit for medical insurance in the hospital of integrated traditional Chinese and western medicine in Zhejiang Province, which is universal for medical insurance in provinces and cities.

  Internet Hospital of Zhejiang Provincial Hospital of Traditional Chinese Medicine: At present, convenient drug purchase, follow-up visit and other related functions have been connected with medical insurance.

  Internet Hospital of Hangzhou Traditional Chinese Medicine Hospital: The Internet Hospital of Hangzhou Traditional Chinese Medicine Hospital covers all clinical departments of the hospital, such as internal medicine, surgery, gynecology, pediatrics, etc., and many provincial and municipal famous doctors and big coffees that are hard to find even on the first day of peacetime also "join" them. More famous doctors will join in the future. On the basis of the original prescription of western medicine and finished medicine, the upgraded Internet hospital diagnosis and treatment system has added the functions of prescription of Chinese medicine for follow-up visit and distribution of decoction, and also launched a special prescription service. At present, the prescription for quenching thirst, the prescription for eliminating fat, the prescription for gout, the prescription for invigorating spleen and moistening lung, the prescription for nourishing yin and calming liver, the prescription for dispelling cold and removing blood stasis, the prescription for warming yang and the prescription for external use have been launched, all of which are the experienced prescriptions of famous Chinese medicine experts in the hospital. Mobile payment for medical insurance will be opened soon.

  Internet Hospital of Run Run Shaw Hospital of Zhejiang University: Support medical insurance settlement. 1. Online dispensing is only applicable to patients who return to visit; 2. Online follow-up fees and corresponding drug fees support medical insurance payment (medical insurance payment is only settled in Alipay applet "Run Run Run Shaw Hospital of Zhejiang University"; If you need a refund after medical insurance settlement, only offline refund is supported; If you need a refund, you can contact 4006138688 customer service hotline for a refund); 3. The specific delivery time of drug distribution shall be subject to the distributor; 4. Chinese herbal medicines cannot be prescribed for the time being.

  4. Hangzhou has started the "fourth needle"! Do you want to make an appointment?

  At present, the second dose of "booster needle" is mainly aimed at four key groups: 1. People at high risk of infection; 2. Older people over 60 years old; 3. People with low immunity; 4. People with serious basic diseases. If you meet the above categories, you can log in to Zheli Office APP, search for "vaccination" and click "COVID-19 Vaccine" to make relevant appointments. It should be noted that the time interval between the second dose of booster immunization and the first dose of booster immunization is more than 6 months.

  5, nucleic acid results out, mixed tube positive, yellow code … What should I do?

  Situation 1: No nucleic acid results.

  Solution: self-antigen test, upload the results to Hangzhou antigen APP, which will be displayed in the health code interface; Or check the nucleic acid at the sampling point, and the negative result, the health code will be displayed.

  Situation 2: mixed tube positive

  Solution: It is suggested that the antigen should be self-checked, and the antigen results should be uploaded to the Hangzhou Antigen APP, or the sampling points should be checked separately. If the results are negative, the health code will be displayed.

  (Synthesized from People’s Daily, Xinhua News Agency, National Health and Wellness Committee official website, Popular Science China, China Net, Shanghai Rumor Platform, Hangzhou Daily, Beijing Daily, Guangzhou Health and Health Commission, Health Times, China Internet Joint Rumor Platform, China Disease Control Dynamics, etc.)

Cross-border communication-Cross-border e-commerce brother, after golden decade, turned to dust.

Author/Avocado under the starry sky

Editor/spinach starry sky

Typesetting/ice cream under the stars

Last week, a Notice issued by the State Administration of Foreign Exchange seemed to give foreign trade players hope.

The circular said: both regions and policies will expand and improve the level of cross-border trade and investment openness. In a word, open the door and embrace the world.

Affected by this news, related stocks ushered in an increase. Cross-border e-commerce brother (the first cross-border e-commerce company listed in A shares), cross-border communication (002640) directly pulled up the daily limit.

Source: Oriental Fortune official website-Cross-border Communication (as of December 20, 2023)

Policy support is naturally good, but is cross-border communication the lucky one who is favored again?

First, from grassroots to giants

Recalling the past, cross-border communication has also interpreted the story of "grassroots counterattack".

The predecessor of Cross-border Communication was Baiyuan Trousers Industry (all lines are 100), which was founded by Yang Jianxin (now the largest shareholder of Cross-border Communication). In 2011, it was listed on Shenzhen Stock Exchange. At this time, the 100-yuan trousers industry has nothing to do with cross-border e-commerce. The income has also been hovering below 500 million, and it has never been broken.

Source: flush iFinD—-operating income

The one who changed his fate was a returned scholar named Xu Jiadong. In 2007, under the background that domestic e-commerce such as Taobao and JD.COM just started and many people didn’t even know what cross-border e-commerce was, Xu Jiadong founded the first cross-border e-commerce platform in Shenzhen (business model: relying on Amazon for cross-border export).

One wants to develop and the other wants to go public. In 2014, the two brothers hit it off, and Baiyuan Trousers successfully acquired Global Tesco. In 2015, it was renamed cross-border communication. At this point, a pants seller has turned into a "cross-border e-commerce" listed company.

In the following year, the revenue of cross-border communication soared from 842 million to 3.961 billion yuan. Cross-border communication that tasted the sweetness, on the one hand, crazy mergers and acquisitions, on the other hand, massive distribution of goods. In 2016, it successively acquired Patuosun, which focuses on exporting 3C business, and Youyi e-commerce company, which mainly imports maternal and child products. Since then, it has formed a troika of Global Tesco (revenue accounted for 58% in 2018), Patoson (revenue accounted for 16% in 2018) and Youyi E-commerce (revenue accounted for 26% in 2018).

During 2015-2018, with the east wind of Amazon, the scale of cross-border communication soared. The highest revenue is 20 billion (21.5 billion in 2018), and the highest market value is nearly 40 billion. What is the concept? In the same period, another multinational e-commerce company, Lanting Jishi (LITB), which was listed on the US stock market, had a market value of only $2 billion.

Source: Yiniu. com-Cross-border communication

However, the mass distribution mode of blindly pursuing scale makes it form a large amount of inventory. The data shows that as of 2018, the company’s inventory reached 5.1 billion, accounting for 59% of the total current assets. Once the downstream changes, the huge inventory cannot be realized, which will directly drag it down.

Source: flush iFinD—-inventory

Second, from giants to grassroots.

Sure enough, with the constant change of platform rules, Amazon pays more and more attention to specialization and branding, and more traffic is tilted towards branded and boutique sellers, while the traffic allocated by traditional models is less and less.

In 2019, Global Tesco’s revenue was only 8.5 billion, down 31.44% from 12.1 billion in 2018.

Source: Cross-border Communication 2019 Annual Report

In addition, the brutal distribution of goods by Global Tesco has also come to an end. The huge inventory of this mine still exploded. In 2019, nearly 2.8 billion inventories were impaired, resulting in losses. Directly led to a net profit loss of 2.7 billion in that year.

Although, cross-border communication once said: the impairment in 2019 is to clear the historical burden at one time and go into battle lightly. However, in the end, it failed to meet the turning point of performance. After 2020, cross-border communication will continue to lose money. Global Tesco, the main revenue force, is also mired in arrears of payment due to unsalable inventory.

Source: flush iFinD—-net profit returned to mother

Under the predicament, cross-border communication can not survive without stopping. In 2021, Patoson was betrayed first, and then Global Tesco filed for bankruptcy. The company announcement shows that in August 2023, Global Tesco officially went bankrupt.

Source: Company Announcement (September 2, 2023)

At this point, the former cross-border giants, one of the two main forces changed hands and the other went bankrupt, and they have already fallen to the bottom.

After learning from a painful experience, cross-border communication also decided to transform itself to save itself, on the one hand, optimizing the inventory management process; On the other hand, around the branding strategy, from coarse to fine, strengthen the construction of self-operated brands. However, since 2021 (Global Tesco), income has still declined; Although the loss of net profit returned to the mother has narrowed, it is still difficult to change the trend of loss.

It is still difficult to survive after the broken arm.

Third, debt repayment is difficult, and restructuring is pending.

Business is not good, and cash flow is naturally not much better. How bad is it?

According to the company’s announcement, in 2021, due to the company’s failure to repay the debts due, the creditors resorted to the court, involving about 8.18 million yuan. The former tens of billions of giants can’t even afford 8 million at the moment.

Source: Company Announcement (May 16, 2023)

After three years, it has not been returned, and the creditors have to settle for the second best and apply for restructuring the cross-border communication. If not, I am afraid that the 8 million arrears will eventually be ruined.

The so-called reorganization is to give you a chance to save yourself. But whether it can become a turning point, the key is to have a self-help plan.

At present, the revenue of cross-border communication mainly comes from the import of maternal and child products (such as milk powder). However, the data shows that in 2022, the number of newborns in China will be 9.56 million, and experts predict that it will be 7-8 million in 2023. Under the trend of a sharp decline in the newborn population, the import of mothers and babies may not last long. According to the semi-annual report in 2023, the gross profit margin of maternity products is only 8.35%, and the period expenses are shared equally (the period expense rate is 10.53%), so the whole one can’t make ends meet.

In addition, the self-operated brand ZAFUL (European and American young women’s swimwear, etc.) is another straw. However, ZAFUL, who has high hopes, tends to go downhill.

The data shows that the average monthly active number of ZAFUL online operations (offline publicity and harvesting users, online sales) is 4,819,900, which is nearly half of the same period in 2022. And the operating entity Sateng is still in the stage of burning money and losing money. It is a long way to go to expect ZAFUL to save his life.

Source: Cross-border Communication 2023 Semi-annual Report

Source: Cross-border Communication 2022 Semi-annual Report

To sum up, under the current situation, the author can’t think of any good ways to save himself. I wonder if cross-border communication can have any clever tricks. If not, it will be doomed to bankruptcy and liquidation.

In ten years, cross-border communication has reached a high-rise building, and now it is in the dust. The road ahead is long and unknown.

Note: This article does not constitute any investment advice. The stock market is risky, so you need to be cautious when entering the market. No business, no harm.

 

Comprehensive innovation from form to system! Huawei’s first HarmonyOS folding computer: redefining the future office form

On may 19th, at the nova 14 series and new computer product launch conference, Huawei launched a brand-new HarmonyOS computer Huawei MateBook Pro and a brand-new member of the extraordinary master family-Huawei matebook fold extraordinary master. ?

Drawing 1

Among them, Huawei Mate Book Fold is not only Huawei’s first HarmonyOS folding computer, but also the world’s largest 18-inch folding screen computer. It is a brand-new smart PC defined by the new system and new form, and this HarmonyOS folding computer will also bring new changes and development directions to the computer industry. ?

?HUAWEI ??MateBook Fold is an extraordinary master and an extraordinary work of smart PC in the future.?

In fact, since the birth of notebook computers, thinness and large screen have become the core trends in its development process. However, how to find a perfect balance between thinness, portability and big screen experience is always a difficult problem in front of the industry. With a keen insight into the market demand, relying on innovative accumulation in the fields of thin and light design and full-screen technology, and years of experience in the research and development of materials and processes for folding screen terminals, Huawei has successfully overcome world-class problems such as hinge, oversized screen, heat dissipation efficiency and endurance balance. ?

Just like this, Huawei, with the masterpiece of ??HUAWEI ??MateBook Fold, has brought users a brand-new form experience with both thinness and big screen. ?

Drawing 2

For example, in terms of form design, the extraordinary master of ??HUAWEI ??MateBook Fold is only 13 inches in size when it is closed, which is light and portable, but when it is unfolded, it can present the world’s largest folding screen of 18 inches, creating an immersive visual feast for users. Its weight is only 1.16kg, and it is as thin as 7.3 mm. Compared with the MacBook Air 13-inch (M4), it shows obvious advantages in weight and size, and truly realizes the portability and efficiency of mobile office and entertainment. ?

In the actual use scenario, the advantages of folding are fully displayed. In the folding fixed desktop scene, users can turn on the large screen mode and enjoy the immersive view brought by the 18-inch screen; When the horizontal screen is unfolded, the product is folded, and the magnetic keyboard can provide real input feel, while the virtual keyboard breaks through the physical limitations of the traditional keyboard; When portable, the magnetic keyboard can be attached to the back of the host, which is convenient for users to carry at any time. ?

Drawing 3

The extraordinary master of ?HUAWEI ??MateBook Fold adopts the world’s largest double-layer OLED screen, which combines OLED+LTPO technology, and has the advantages of 1600nits high brightness, SuperMotion intelligent frame rate, 30% energy efficiency optimization and 3 times screen life improvement. Huawei’s proximity display technology, as well as excellent features such as 3.3K high resolution, 200,000: 1 ultra-high contrast, 1440Hz high-frequency PWM dimming, adaptive P3 wide color gamut color management, LTPO adaptive refresh rate and HDR Vivid, ensure that the screen is closed seamlessly and unfolded like a mirror. ?

In addition, the extraordinary master of ??HUAWEI ??MateBook Fold is also equipped with the industry’s largest folding screen drop hinge. The hinge adopts zirconium-based liquid metal material spindle, three-stage tenon-mortise damping frame spindle and water drop shape design to achieve seamless closure. Its sectional hinge design has the characteristics of reverse torsion-assisted bounce-off, 30-150 stable hovering, and slow self-expansion greater than 170, which brings users a convenient and reliable folding experience. The application of innovative non-Newtonian fluid surface layer and innovative carbon fiber support layer further ensures the smoothness and reliability of the screen. ?

Drawing 4

In other configurations, such as Huawei Yuezhang sound effect, Lingxi antenna, star flash technology, quiet cooling system and 75W large battery, it helps users to immerse themselves in the excellent experience. ?

In the creation of high-luxury aesthetics, the extraordinary master of ??HUAWEI ??MateBook Fold takes high-end forged carbon technology materials as the base, and has undergone 63 precise processes such as "exhibition cutting, forging, carving and rubbing", presenting an extremely simple and pure design philosophy. Unbounded immersion vision, ultra-thin body lines, forging shadow moire texture, black gold waist line outline, elegant plain leather material and other elements interweave, branding the pursuit of "extreme aesthetics and craftsmanship" in the extraordinary master series in every detail. The deep forging shadow, the pure white sky and the smart cloud and water blue are available, providing users with different styles with high-definition aesthetic choices. ?

?New height of productivity, reconstructing smart PC interaction on one screen and two sides?

In fact, the birth of the extraordinary master of ??HUAWEI ??MateBook Fold goes far beyond the breakthrough of morphological innovation-

As the first HarmonyOS folding computer, its HarmonyOS system reconstructs interactive logic from the bottom: it intelligently recognizes multiple input modes such as touch screen, keyboard and mouse, touchpad, and automatically matches intuitive response modes. Touch is no longer a simple substitute for the mouse, but an independent optimization for each interaction dimension: the smooth dynamic effect of opening the application, the accurate feedback of dragging elements, and the natural transition of zooming content are all deeply integrated with the folding form, breaking the use boundary of traditional computers and making the operation as smooth as fingertips. For example, its unique gesture interaction function, "three fingers flick" can realize window circulation, "five fingers open" can easily switch window modes, and "eight fingers tap" can adjust the virtual keyboard. In addition, the full-size virtual keyboard, full-size virtual touchpad, 8-finger natural gesture tuning, ultra-thin linear motor pseudo-real keystroke feedback, advanced anti-misoperation algorithm and support for personalized customization have further improved the user’s input experience. ?

Picture 1

The folding dual-screen design of the extraordinary master ?HUAWEI ??MateBook Fold reconstructs the office logic with "one screen and two sides": in the folded state, the upper and lower screens are independent as separate desktops, which supports the flexible division of dual workspaces. Whether it is document comparison, data verification or multi-task parallel processing, the efficiency can jump through the cooperation of dual screens. The adaptive rotation function of the window is particularly intelligent-when the horizontal screen is unfolded to the folded state, the window automatically avoids the central axis and adapts to the lower screen position; When the equipment is unfolded, the original window layout can be accurately restored, ensuring that the operation is coherent without breakpoints. ?

With the deep integration of AI in HarmonyOS, the equipment becomes an intelligent assistant: the secretary of Xiaoyi conference can transcribe the meeting contents and generate minutes in real time; the knowledge space of Xiaoyi supports one-click AI search for document pictures; the assistant of Xiaoyi document can generate PPT and mind map by voice; and the expert and translation function of Xiaoyi equipment make the system operation and language conversion more convenient. ?

There is also fluency at the system level: the Ark graphics engine based on the square-sky window architecture realizes silky manipulation when multiple windows are parallel; The rotation effect of horizontal and vertical screens is naturally connected, and the layout of desktop icons and windows is automatically optimized with the change of shape; By predicting the user’s habit of loading application resources in advance, the document and program will start in 1 second. ?

The deeper change lies in the reconstruction of productivity experience by HarmonyOS office;

Through the unified account system, the seamless cooperation of multiple devices is realized, and documents and data flow between mobile phones, tablets and computers with users, truly eliminating equipment barriers; The interaction between AI and wisdom in HarmonyOS is deeply integrated into the bottom of the system, and the functions such as secretary of small arts conference and document assistant become "resident intelligent assistants", which makes office efficiency and intelligent experience coexist; The fusion of mobile ecology and computer scenes has broken through, and more than a thousand adaptive applications cover the whole scenes of office, creation and entertainment, making the computer not only a productivity tool, but also a super terminal connecting multiple scenes in series. ?

519.093

At present, the computer application ecology in HarmonyOS is showing great vitality. ?

Since the HarmonyOS computer technology communication meeting on May 8th, the computer application adaptation in HarmonyOS has been accelerating. At present, the application ecology has covered user core scenes such as general office, design and creation, practical tools, financial management, audio-visual entertainment, education and learning, and games. The adaptation of 150+exclusive computer ecological applications has been accelerated. In just a few days, the number of integrated applications on the shelves has rapidly climbed from more than 300 to more than 1,000, and the number has more than tripled. In the future, more abundant applications will be put on the shelves one after another. It is expected that more than 2,000 converged ecological applications will be supported by the end of the year, and the ecosystem will continue to expand. ?

The release of the extraordinary master of ??HUAWEI ??MateBook Fold will undoubtedly inject more powerful impetus into this growth, and will also be a key force to further promote the ecological prosperity of HarmonyOS. When the "new system+new form" of the extraordinary master of ??HUAWEI ??MateBook Fold meets, the boundary of the folding screen track is redefined, and more possibilities of computers in the future are slowly unfolding with a smarter and more immersive attitude. ?

Drawing 5

As the Yu Chengdong conference said: "The domestic software ecology started late and has a weak foundation, but we do the difficult and correct things. HarmonyOS computer is to give the world one more choice ". Huawei Computer continues to innovate, and is constantly putting forward innovative ideas in the industry with a forward-looking vision. It also uses "extraordinary works" to provide users with more imaginative productivity tools. ?

Write to the end?

Looking back at the innovation track of Huawei computers, every step is a solid footprint. Every product will almost leave Huawei’s innovation mark in the entire PC industry: in 2017, the MateBook brand was born, and high-end thin and light books were explored; In 2018, the world’s first full-screen computer came out, redefining the visual boundary; By 2020, it will rank among the TOP3 of China’s light and thin shipments, showing its market dominance; In 2024, the AI ? ? computer strategy was released to reach the top of China’s thin and light market; In 2025, the smart office will be fully upgraded to HarmonyOS office, and a brand-new HarmonyOS computer matrix will be launched. ?

The research and development of computers in HarmonyOS is a long and arduous journey. From the start of the research and development of computer prototypes in HarmonyOS in 2021, to the polishing of engineering machines, and then to the appearance of commercial machines, the five-year research and development cycle spans several years. Huawei invested tens of thousands of R&D elites, integrated the scientific research strength of more than 20 research institutes around the world, carefully laid out more than 2,700 patents, overcame many technical difficulties, and finally presented HarmonyOS computers to consumers perfectly. ?

At present, computer applications in HarmonyOS have covered many vertical areas such as general office, financial management, audio-visual entertainment, design and creation, education and learning, practical tools and so on, which can meet the needs of basic office and core scenes. ?

The birth of HarmonyOS Computer marks a new starting point for Huawei’s office in HarmonyOS. It will work hand in hand with the whole industry to promote the development of computer technology and bring new opportunities for the domestic computer ecology. ?

It is worth mentioning that at this conference, Huawei also released Huawei Qingyun HM940, the first commercial notebook computer in HarmonyOS. Adhering to the smooth and easy-to-use characteristics of computers in HarmonyOS, Huawei Qingyun HM940 pays more attention to the customized needs of industries such as security. ?

Drawing 6

In addition, for the commercial field, Yu Chengdong, managing director of Huawei and chairman of BG, announced the official launch of the "Qingyun Xinghe Plan", aiming at encouraging government and enterprise users to jointly build industrial and ecological development in HarmonyOS, and carrying out joint innovation and application of HarmonyOS with industry pioneer customers around the three major directions of enterprise management, enterprise safety and organizational productivity, so as to jointly explore the digital transformation and innovative development of the industry and create more possibilities for innovation in thousands of industries. ?

12,000,000 Hangzhou’s total resident population is refreshed again.

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A few days ago, the latest population data released by Zhejiang Provincial Bureau of Statistics showed that by the end of 2021, the total resident population of Hangzhou had reached 12.204 million, and the urbanization rate was 83.6%, ranking among the megacities, with an average annual increase of more than 200,000 for several consecutive years.

Since 2019, Hangzhou has been among the best in the country for three consecutive years, and its strength is eye-catching. It is predicted that the resident population in Hangzhou will exceed 15 million in 2035.

Population size is an important embodiment of a city’s comprehensive strength. The resident population of Hangzhou has exceeded 10 million, which fully shows that the urban energy level of Hangzhou is rapidly rising.

Hangzhou ranks first in the country in talent attraction.

According to big data, the supply and demand of talents in Hangzhou, Chengdu and Suzhou rank in the top three, and the supply and demand are booming.

Judging from the distribution of new jobs in 15 new first-tier cities in the past year, Hangzhou has the highest proportion, accounting for 17.21%. From the ranking of the proportion of new first-tier cities where high-end talents are delivered, Hangzhou once again takes the lead. The top five cities are Hangzhou, Chengdu, Suzhou, Nanjing and Wuhan, accounting for 13.02%, 10.83%, 9.41%, 8.31% and 8.02% respectively.

Judging from the average annual salary of middle and high-end talents in the new line, the highest is Hangzhou, which is 188,800 yuan. The second and third places are Nanjing and Suzhou, with 173,400 yuan and 171,000 yuan.

Why do middle and high-end talents prefer Hangzhou?

In recent years, the policy of recruiting talents and attracting talents issued by Hangzhou is very intensive, and the scope of seeking talents has expanded to the whole world, and the threshold for settlement has been lowered again and again, and the support for young talents’ entrepreneurship and employment has been continuously strengthened. Among these policies, people in the workplace said that they were most attracted by the policy of settling down, and the proportion of talents who chose this item ranked first, accounting for 49.26%; Entrepreneurship and employment support policies accounted for the second place, accounting for 28.52%; Subsidy policies such as buying a house and buying a car accounted for the third place, accounting for 22.22%.

Undeniably, the current registered permanent residence is linked to many real life needs and welfare items, such as house purchase, children’s education and medical care. The registered permanent residence is also an important identity symbol for people in the workplace, giving them more sense of belonging and security. Compared with the strict settlement system in first-tier cities, Hangzhou’s settlement policy is relatively loose. Since the "urban grabbing war", the registered population of Hangzhou has surged, and it has been promoted to the blue-chip stocks in the new first-tier cities.

It is foreseeable that with the 19th Asian Games held in Hangzhou in 2022, Hangzhou’s city brand and talent attraction will be further enhanced.

Hangzhou’s urban agglomeration effect continues to increase.

In the Outline of the Yangtze River Delta Regional Integration Development Plan released in 2019, it is clear that Hangzhou is a megacity, and population is the key factor to determine the size of the city. It can be predicted that with the convening of the Asian Games in Hangzhou, the urban agglomeration effect in Hangzhou will be further enhanced.

The resident population is 10 million, which is regarded as a key symbol in urban development. After the breakthrough of the resident population of 10 million, the agglomeration effect of Hangzhou has increased instead of falling. According to Shen Minyue, general manager of Hangzhou Mingju Headhunting Co., Ltd., the first-class business environment is very important.

"The inflow of high-end talents in Hangzhou is not only large in quantity, but also high in quality. There are many other industrial and technical talents recognized by the state, and they are concentrated in the fields of new manufacturing and digital economy, which optimizes the talent structure in Hangzhou and promotes the economic development of Hangzhou. It has formed a good ecology with the business environment." Shen Minyue said. (Excerpted by Jia Xiaoyun, editor of this site)

# 中丯丯丯丯丯丯丯丯丯 # 5499 yuan is really fragrant? Yesterday we

# 中丯丯丯丯丯丯丯丯丯 # 5499 yuan is really fragrant?

Yesterday, we discussed whether to buy iPhone16 or wait for iPhone17#. In the comment area, many readers said they would wait for the iPhone 17 series released this fall. Only a small number of readers said they would buy the iPhone 16 Pro at a more favorable price.

It can be seen that the iPhone 16 Pro after the recent sharp price adjustment has also come to a very competitive price segment, and it can even participate in the national subsidy. The national subsidy price of the 128GB version of the iPhone 16 Pro is 5,499 yuan, which has hit a new low and promoted hot sales.

At present, the iPhone 16 Pro 128GB models that participated in the state compensation on an e-commerce platform have been snapped up, showing the status of "out of stock". The other 256GB, 512GB and 1TB versions are still sold in stock. However, except for the model version of 128GB, the price is more than 6000 yuan, so we can’t participate in the national subsidy.

The budget is more than 100,000 yuan to buy a parent-child car. Is the polar fox koala worth considering?

Although there are not a few home-based models in the current market, more attention is paid to comprehensiveness. If the household is further subdivided, taking a baby is one of the most frequent scenes, and it is the model launched for this scene.

The appearance of polar fox koala is more round and full, more like a hatchback, but the actual positioning of this car is MPV, with the length, width and height of 4500/1870/1655mm respectively, which belongs to the standard compact size, but the wheelbase reaches 2820mm, and the interior space of the car is maximized through the design of four wheels and four corners. After all, it is more important for users who drive with their baby to be flexible and stop on urban roads.

The biggest highlight of the appearance of the polar fox koala is the electric sliding door on the right side, and it is standard in all departments. Compared with the side door, the side sliding door will have more advantages when facing some narrow parking spaces, and the cost will be higher, so this configuration will generally be equipped on medium-sized MPVs and medium-sized MPVs.

The interior design of the polar fox koala is relatively simple, equipped with a 10.25-inch full LCD instrument and a 14.6-inch central control panel. Except for the physical buttons on the steering wheel, the functions in the car are basically operated through the central control panel or voice.

There is a through design between the main driver and the co-pilot, which can also get in and out from the co-pilot when the main driver is inconvenient to get on and off, with higher flexibility.

Here is a clever design idea, that is, the middle bar, starting from the parent-child version (sub-top matching), can move back and forth, what is the role? For example, Bao Ma and her children are sitting in the second row, so they can move the bar to the back and set up a small table board, and they can feed the children or change diapers. In addition, the car refrigerator can also put some drinks at ordinary times, which is convenient for drinking in summer or winter.

The polar fox koala adopts a four-seat layout, and the second row is two independent seats. If you want a five-seat version, you can choose the koala S, which is an SUV. Personally, I think this layout is more practical than five seats. After all, it is a car with a baby, and the independent seat is more convenient and comfortable.

After moving the second row of seats to the rearmost position, the leg space can no longer be described as abundant, and it is no problem to straighten the legs directly. It is worth mentioning that this car was returned to the original children’s seat. Although there are many kinds of children’s seats on the market, it is not easy to choose one that is easy to use. The advantage of the original factory is that it is more suitable for the seat.

You can see many touch buttons on the right electric sliding door, including sliding door switch, seat back adjustment, air conditioning switch, volume adjustment and so on. The position of the roof is returned to the ultraviolet germicidal lamp. After children play outdoors, it is easy to bring bacteria into the car. Through this germicidal lamp, the car can be simply disinfected.

In terms of interior materials, the polar fox koala uses a large number of environmentally-friendly materials, which will not produce harmful substances such as odor, formaldehyde and benzene. Although it may not be as good as leather materials in terms of creating a sense of luxury, it will never feel cheap to the touch. It can be said that this car is really careful for health.

The polar fox koala is equipped with a 120 kW and 240 Nm drive motor. If it is viewed from the parameters alone, it is not excellent as an electric car, but the power performance is not the selling point of this car. As a parent-child car, it pays more attention to ride comfort. In this respect, the polar fox koala will not make people feel carsick when actually experiencing it, but also for the children in the car.

The whole system is equipped with 58.8 kWh Contemporary Amperex Technology Co., Limited Group, and the cruising range under CLTC condition is 500 kilometers. This car is mainly used in urban car scenes, so the cruising range is completely sufficient.

It can be said that the polar fox koala is a car with very distinctive characteristics. It is further subdivided on the basis of home use, with parent-child behavior as the main selling point, and it has excellent performance in the aspects of space practicality, healthy cockpit and ride comfort that everyone values. In terms of sales volume, two or three thousand units can be sold every month, which is quite good for this segment. If you want to buy an artifact with a baby for your home, polar fox koala can consider it.

Small clinics reflect the era of society running medical universities.

The recent coordinates of "Emergency Superwoman" Yu Ying often appear in Chengdu.

Since November 2018, when the Beijing Waterfront Neighborhood Clinic, which she founded for two years, was acquired by Penguin Almond Clinic, Yu Ying also joined the senior management team of Penguin Almond Group and was busy with the upgrade of Chengdu Penguin Doctor Clinic.

Located in Shuian South Street, Chaoyang District, Beijing, the clinic is the first chain community clinic that Yu Ying originally planned to build, which is positioned as minor emergency and general medical home care. What the industry didn’t expect was that it merged into the penguin almond territory so quickly.

Earlier in August 2018, the Penguin Doctor and the Almond Doctor merged, and the merged Penguin Almond included 33 clinics covering 8 cities.

The clinic industry, which was originally at the end of China’s medical system, has ushered in the best development stage in recent years. The top-level design unties the policy for the development of clinic industry. However, many forces continue to increase the investment and construction of clinics, and the commercial tide of clinics has never really declined.

"In the field of non-public medical investment, if a hospital is established, the investment of the hospital is heavy. A hospital needs hundreds of millions of funds, and the cultivation period is long, while the investment in clinics is much smaller and the market demand is great." Xie Rushi, chairman of Shenzhen Shangyihui Health Management Co., Ltd. told the health sector.

At present, in addition to a number of companies, the main way to lay out offline medical care is clinics, such as penguin almonds, micro-medicine, lilac gardens, etc. Doctor V, foreign-funded medical institutions, listed companies and even central enterprises have all invested in the clinic field in the past two years.

For a time, the wind and cloud will meet. The clinic world is more lively than ever. The number of clinics in China is increasing by 6,000 ~ 7,000/year, and there are no fewer than 60 new chain clinic brands that have obtained financing from 2010 to 2018. The vigorous development of clinics also reflects the new opportunities for Chinese society to run medicine in the new period.

Incoming person asked

Is running a clinic a good business? Should our doctors leave the system to open a clinic? How to realize the commercial landing of the clinic and how to solve its payment problem? Be a high-end clinic or a low-end clinic?

According to the business objects, there are six main types of clinics: community clinics within the government system, individual clinics, chain-operated clinics, clinics with Internet medical enterprises, doctors’ brand clinics with personal IP, and clinics with large medical groups.

In May this year, the National Health and Wellness Commission, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security and the National Medical Insurance Bureau formulated the Opinions on Promoting the Development of Clinics, proposing to pilot in ten major cities and change the examination and approval of clinics into filing management.

In accordance with the requirements of the document, doctors who have been practicing in medical institutions for five years and obtained intermediate or above titles are encouraged to set up specialized clinics full-time or part-time. Coupled with the gradual spread of doctors and nurses’ multi-point practice, theoretically, the source of talents in clinics has channels, and more doctors will have the conditions to enter the clinic industry.

Xie Rushi told the health sector that when doctors go to the market to start their own businesses, the clinic is indeed a good way to cut in, with low cost and controllable risks.

However, Xie Rushi, who has served the public medical system for many years and participated in the formation of a doctor group and joined the society to run a doctor, also said that doctors and operators in the clinic should be separated. "Doctors are doctors, operators are operators, and doctors can be transformed into operation managers, but it is difficult to hold two positions, except for individual clinics. The new clinics that are truly commercialized must achieve the separation of the above identities."

Although it is not mature enough, the clinic industry has shown a diversified pattern. No matter whether it is a low-cost route or a high-end play, there are typical cases, and it shows distinct regionality.

The ten pilot cities of this filing system are: Beijing, Shenyang, Shanghai, Nanjing, Hangzhou, Wuhan, Guangzhou, Shenzhen, Chengdu and Xi ‘an. "Obviously, the north, Guangzhou and Shenzhen, plus six provincial capital cities, are all cities with good social medical environment and relatively rich doctor resources." Xie Rushi analyzed.

However, it is also one of the top ten pilot cities, and the different regional characteristics of its clinic development are very distinct.

Chengdu model: cheap chain small clinic

The focus of Yu Ying’s work in 2019 is to transform and upgrade the Penguin Doctor Clinic in Chengdu. Chengdu is a strategic place in clinic. As early as 2015, there were nearly 4,000 clinics in Chengdu, ranking second in the country.

Gao Zhe, the founder of the clinic lock industry, thinks that in terms of clinic development, many places are still "from 0 to 1" and are talking about how to build a clinic, but in Chengdu, there has been some competition among clinics. At present, brands are concentrated in the core area of Chengdu, and there is an oversupply, so the competition of Chengdu clinic brands is also very fierce.

"So if you don’t visit Chengdu as a chain clinic, I think it is a pity."

Gao Zhe suggested developing clinic practitioners in other cities and looking at the local market in comparison with Chengdu. The first is the policy, whether doctors are really open to practice more, whether companies can register clinics, and whether there are good policies on the department setting of clinics.

The second is to look at the concentration of local medical resources. Chengdu’s medical resources are relatively concentrated, and residents in most areas are far away from seeing a doctor; At the same time, as the center of the southwest, a large number of people gather in Chengdu, and residents in the urban-rural fringe or on the edge of Chengdu have no place to go to see a doctor, so the demand for clinics has become just needed.

How long is the break-even period of the clinic? The health sector has collected the opinions of dozens of clinic operators all over the country, and the answers are mostly concentrated in three to five years. The shortest answer comes from Dr. Lu in Chengdu.

Lv Fengping, founder of Dr. Lu’s chain clinic in Chengdu, said that the breakeven of the clinic is at most one year. "Therefore, we must strictly control costs and ensure that medical services that can meet the needs of grassroots units are provided at low cost."

Dr. Lu and other well-run clinics in Chengdu market have similar characteristics, such as small single store area, strict cost control and chain operation.

Huang Xianjin, the founder of Xiezhuo Medical, also in Chengdu, has more than 20 years of experience in primary clinics. In 2012, in order to explore the future direction, Huang Xianjin also studied MBA. Huang Xianjin said that this period of time has become a turning point for himself, and it is clear that the chain-like brand clinic is the future development direction, and he officially began to explore the chain-like model of the clinic that suits him.

Huang Xianjin turned all the big clinics out, leaving only the small clinics. This kind of operation mode has the advantages of low cost of opening a store, quick recovery, quick replication, low cost of trial and error, and easy investment and financing. For patients, the operating cost is low, the customer unit price is low, and the cost performance is very high under the premise of ensuring the quality of medical services.

Like chain hotpot restaurants, clinics in Chengdu take a cost-effective route. Gao Zhe put forward the theory of "Chengdu model" and gave the operating parameters of Chengdu model clinics.

 

Source: Gao Zhe, the clinic.

According to the survey of the health sector, among the top ten pilot cities, there is nothing more "affordable" than opening a clinic in Chengdu. In Nanjing, the capital city, the founder of a general practice clinic said that although it is not convenient to disclose specific data, its single store investment and break-even period greatly exceed the "Chengdu model". Kong Xiangjun, executive director of Taibao Pediatrics, the first professional pediatric clinic in Nanjing, told the health sector that his pediatric clinic invested about 4 million yuan in a single store, and the break-even time was expected to be two to three years.

Internet model: online and offline linkage

Hangzhou is one of the cities with a good social environment for medical treatment. In fact, as early as 2014, the Hangzhou government issued implementation opinions on promoting the development of health service industry and encouraged individuals to open clinics. At the same time, Hangzhou’s rich internet entrepreneurial atmosphere has led to a number of offline clinics hatched by Internet medical enterprises, such as Lilac Clinic, Micro-medicine General Practice Center, and good doctors next door.

But looking at the whole country, Internet medical care is not the only one in Hangzhou. Almond doctors from Shanghai and penguin doctors rooted in Chengdu must have names. The merger of the above two companies in August last year made today’s Penguin Almond Group more eye-catching.

In April this year, Penguin Almond completed a new round of financing of US$ 250 million. According to CEO Wang Shirui, nearly 50 clinics that Penguin Almond has landed in the country currently cover general clinics, centers, specialist clinics and other formats. In 2021, Penguin Almond plans to deploy more than 500 offline medical institutions.

That is, in the next 2-3 years, from 50 to 500, Penguin Almond will give the rapid expansion schedule of offline medical institutions. "Based on our rich experience in site selection, construction, license acquisition, physician training and marketing of offline medical institutions, a relatively mature management and operation system has been initially formed," Penguin Almond said.

The leading investors in this round of financing include Tencent and Country Garden Venture Capital, and they still get a large amount of financing in the cold winter of capital, which itself shows that the capital side has a firm endorsement attitude towards the industry prospects.

Penguin Almond Group aims to build a complete network of online and offline medical institutions, from online internet medical care to offline primary medical care, specialist centers and surgery centers, and build a complete business model of medical associations. "We will restructure an orderly and accessible medical system through self-construction or mergers and acquisitions."

Beijing-Shanghai Model: Leveraging Mature Commercial Insurance

Unlike Chengdu, Beijing and Shanghai are rich in medical resources and have a complete medical supporting system. In such a first-tier city, high-end clinics can survive better, Xie Rushi believes.

Lanhai Clinic is located in Lujiazui World Trade Center, Shanghai, which used to be the tallest building in China and now the fifth building in China, and is one of the most expensive commercial buildings in Shanghai. The comprehensive outpatient department of Lanhai Clinic, which is located in the high-end foreign affairs, has a single area of more than 10,000 square meters.

According to the information, Lanhai Clinic has three floors, covering an area of over 10,000 square meters. At present, there are 16 specialized departments such as general practice, internal medicine, surgery, stomatology and dermatology, and there will be special outpatient clinics such as orthopedics, rehabilitation medicine and 24-hour pediatrics in the future; There are also two daytime operation centers, as well as several characteristic centers such as endoscopy center and optometry center.

The health sector calls the outpatient department to get a pricing, and the same department first visits 800 yuan and then visits 500 yuan. If it is necessary to make an appointment with a senior expert, the registration fee is 3,000 to 5,000 yuan.

Lanhai Medical behind Lanhai Clinic is a medical industry investment service enterprise listed on the main board of Shanghai Stock Exchange. At present, the second high-end comprehensive outpatient department, Yihe Lanhaimen Clinic, built by Lanhai Medical Center, has also landed, and it is located in Huaihai Road business district, where the rent is equally expensive.

Wang Haijun, the dean of these two clinics, said that diversified medical models to meet the needs of different groups will increasingly become a choice for people, but supporting commercial insurance is indispensable.

He revealed that in terms of the support of commercial insurance, Lanhai Medical has an advantage, that is, relying on the resources of the entire Lanhai Group and joining hands with Shanghai Life Insurance, it strives to build and penetrate the industrial chain of its own related medical business, forming a business insurance introduction to promote medical promotion, and medical promotion feeds back market transformation, thus promoting the virtuous circle of commercial insurance promotion, which is also called "medical insurance linkage" by him.

At present, the two outpatient clinics of Lanhai Medical have been docked with more than 20 commercial insurance companies.

Lanhai Medical is a microcosm of high-end clinics rooted in first-tier cities with relatively rich and perfect medical resources. Xie Rushi expressed greater affirmation to the development of clinic industry in Beijing and Shanghai. He believes that the development of clinics in Guangzhou and Shenzhen has not matched its status as a city at the forefront of reform. "Compared with the development of clinics in Beijing and Shanghai, there is still a gap." The biggest reason is that commercial insurance in Beijing and Shanghai is more developed.

Caesar mode: closed-loop emergence

In fact, commercial insurance not only provides payment for high-end clinics, but also commercial insurance companies themselves have set foot in clinics.

On May 18, 2018, Taikang Life Insurance invested more than 2 billion yuan to acquire 51.56% equity of Baibo Dental, and Baibo Dental’s net profit continued to lose money in the past two years; In 2017, its operating income was 1.434 billion yuan and its net profit loss was 793 million yuan.

The acquisition of high-end chain medical institutions has become an important way for Taikang to land "medical insurance+medical services". "Building a closed loop between medical insurance and medical services is conducive to reducing medical costs." Chen Dongsheng, Chairman and CEO of Taikang Insurance Group, compared the American Caesars medical model and described the development prospect of Taikang.

Caesars Medical Group is the creator of HMO model in the United States, the largest HMO in the United States at present, and the originator of managed medical care. Its "medical+insurance" operation mode, that is, after selling insurance products to customers, the enterprise is not only the provider of medical services, but also the payer of medical expenses, and the benefit of doctors and patients is called integrated medical care.

"Caesar model should be the most well-known and respected American’ medical+insurance’ industrial model in China industry, and its experience and lessons have a strong reference significance for the development direction of health insurance industry in China." Wang Guangying, executive partner of Fuxin Investment, believes.

Taikang relies on the background of insurance capital, integrates the resources of big health industry, and pushes forward the downstream industry in depth. In order to further advance in pediatrics, rehabilitation, hospice care and other specialized fields, the acquisition of chain medical entities such as Baibo Dental has become an important way for Taikang to land "medical insurance+medical services". In this way, Taikang can form a closed loop of "health insurance and medical services".

In an interview with the health sector, Wang Shirui said many times that the benchmark of Penguin Almond Group is also Caesar model. At present, Penguin Almond Group plans to cooperate with commercial insurance companies, integrate insurance product resources, and launch HMO-type medical insurance financial solutions for Penguin doctor customers, so as to reduce customers’ medical expenses through scientific and perfect health management services and fee control mechanisms.

Also to the health sector, there is the establishment of soldiers by the president of China Resources Medical. As a medical group with the background of central enterprises and a listed company, China Resources Medical has played a big game on medical services, and the relying point is its quietly laid-out fast clinic.

As early as a few years ago, China Resources Medical has quietly opened an Urgent Care Clinic in Shunyi, Beijing. Since December 2015, China Resources Phoenix, the predecessor of China Resources Medical, has introduced a brand-new UCC express clinic model, aiming at creating a number of community clinics with good medical service quality and affordable prices.

In 2017, China Resources Phoenix opened 10 UCC express clinics in Yanshan District, Beijing, imitating the model of American express clinics, and uniformly upgraded the service environment and service process of its community health service centers (stations).

Under Caesar’s medical system, the convenience clinics in the United States are mainly based on commercial insurance and self-funded payment. At first, UCC of China Resources Phoenix relied on the reconstruction of existing community health service centers, guided by the service price of public community medical institutions, and paid mainly by urban residents’ medical insurance.

However, commercial insurance is still the direction of UCC’s cooperation. At that time, Wu Potao, executive director and chief executive officer of China Resources Phoenix, publicly stated that China’s medical group and health insurance have great strategic synergy space, and China Resources Phoenix is willing to cooperate with health insurance companies in multiple dimensions. He specifically pointed out that it was the UCC business of China Resources Phoenix that sent a warm invitation to insurance companies.

Play prediction: rural areas surround cities

Obviously, whether it is insurance companies, medical groups with the background of central enterprises or internet medical care, many domestic institutions regard "Caesar Medical" as the standard.

The author once lived in the United States from 2012 to 2014, and the active activity area is Silicon Valley in Northern California, which is in the core coverage area of Caesars Medical.

There are 38 hospitals under Caesar Group, and the area of each hospital is covered with medical centers for outpatient service. There are more than 600 medical centers in the United States, that is, clinics.

When I lived in Silicon Valley, I learned that some big companies, such as Google and Facebook, even invited Caesar to open a clinic in their company and sent doctors to provide services for their employees.

In the process of giving birth in 2013, all the prenatal examinations and postpartum reexaminations were completed in the clinic of the doctor of my choice, and I didn’t go to the hospital where the doctor cooperated until I gave birth, and I experienced the indispensability of the clinic around me in Caesar’s model.

As Wang Guangying said, under the guidance of the "Healthy China" program, Caesars Medical, as the originator and successful model of managed medical care and HMO, deserves in-depth study and reference from the medical industry and health insurance industry in China.

China Resources Medical tries to establish a regional cooperative medical system, focusing on a graded diagnosis and treatment system and a new type of community service diagnosis and treatment chain system (UCC Express Clinic), so as to increase the accessibility and affordability of patients in the areas covered by the RIDS medical cooperation system.

Taikang is far from the only insurance company that exerts the synergistic effect of insurance and medical care. Taking Ping An Group as an example, it focuses on the "big medical health" industry, including medical services, medical insurance, commercial insurance and health cloud, and realizes online and offline integration through carriers such as Ping An Good Doctor and Wanjia Clinic, integrates multi-party medical resources, and builds a whole-process health management and medical service platform.

Even the chain clinics that started with doctors’ personal entrepreneurship and eventually became a climate all hold the goal of integrating into RIDS. The founder of Dr. Lu in Chengdu said that in the future, Dr. Lu should be "ubiquitous and accessible" and truly solve the problem of "difficulty in seeing a doctor" at the doorstep of ordinary people.

It is estimated that in the next 10 years, the domestic primary health care market will reach more than 3 trillion yuan, and the growth rate will exceed 20%. At this growth rate, there will be a cheap clinic next to every two hot pot restaurants in Chengdu in the future.

Gao Zhe believes that compared with first-tier cities, more opportunities are given to large institutions, and the real opportunities for clinics in the future are in third-and fourth-tier cities, because the health needs of residents in third-and fourth-tier cities are the same. Under the circumstances of lower cost, easier site selection and easier increase in outpatient service, the "rural encircling the city" may be really good.

The diversified medical model to meet the needs of different groups needs multi-participation, and only by realizing accessibility and affordability can the clinic, as the end of the medical system, undertake its due mission in building a healthy China era.