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Beijing Municipal Center for Disease Control and Prevention issued a reminder:

Fever, sore throat, rash

Watch out for scarlet fever!

May 24 th

China CDC also issued a reminder:

Scarlet fever enters the high season!

What is scarlet fever?

The disease control department reminded that it is necessary to focus on the prevention and control of infectious diseases such as scarlet fever in the near future. Scarlet fever is a legal class B infectious disease in China, and there is no vaccine to prevent it at present.

Scarlet fever is an acute respiratory infectious disease caused by group A β hemolytic streptococcus infection, which can cause tonsillitis, angina and other upper respiratory infectious diseases in children. Its complications, rheumatic fever and acute glomerulonephritis, seriously endanger the health of adolescents.

Cough and sneezing can spread it.

Patients and asymptomatic carriers are the main sources of infection.

droplet transmission

The route of transmission is mainly droplet transmission, such as coughing and sneezing.

Spread of contaminated equipment

Accidental contact with utensils contaminated by bacteria can also be infected.

Children aged 2~10 years old are easily infected!

The population is generally susceptible, and kindergarten children and primary school students are the main groups. Strong immunity can be obtained after infection, and it is less likely to be infected with the same serotype pathogen again.

Incubation period: 1~12 days, mostly 2~5 days.

Clinical manifestations of scarlet fever

The early symptoms of scarlet fever are atypical, mainly fever and sore throat. After 2-3 days of fever, the following typical manifestations will appear:

1. Diffuse needle-tip-sized rash all over the body, which fades and itches slightly.

The child starts to break out within 24 hours after fever, starting from behind the ear and neck, and then quickly spreading to trunk and limbs;

A typical rash is evenly distributed on the skin, faded by pressure, accompanied by itching, and the skin will desquamate after fading.

2. strawberry tongue

Let the child open his mouth wide, focusing on whether the child’s tongue is like strawberry or bayberry;

Observe the child’s tonsils, whether there is tonsil inflammation, congestion or purulent exudation.

3. Flushed face and pale mouth.

The child’s face is bloodshot, but the lip is not as obvious as the face, and the lip looks like a white circle.

Most of the symptoms of scarlet fever are mild, but a small part can cause damage to the heart, kidneys and joints!

Image source: Beijing Center for Disease Control and Prevention

How to prevent it?

At present, there is no vaccine to prevent scarlet fever, and the following can also be effectively prevented:

Step 1 manage the source of infection

If the child is diagnosed with scarlet fever, he should avoid going to school, seek medical treatment in time, and return to school after he is ill;

Appliances contaminated by patients can be boiled and disinfected. Furniture desks should be scrubbed and disinfected with soapy water or disinfectant. Items that cannot be scrubbed can be exposed to the sun for 1~2 hours.

2. Cut off the route of transmission

Pay attention to personal hygiene, wash your hands frequently and ventilate indoors frequently.

During the period of high incidence of scarlet fever, try to reduce taking children to places with dense crowds and poor ventilation, such as wearing masks as much as possible.

3. Improve children’s immunity

Proper outdoor exercise, a balanced diet and adequate sleep can all improve immunity!

Scarlet fever enters the high season.

Do a good job of self-prevention

In case of suspicious scarlet fever symptoms.

Seek medical attention as soon as possible.

Forward! Spread! Remind more people!

Henan Communist Youth League comprehensive arrangement, please indicate the source.

Source: China CDC, Beijing Center for Disease Control and Prevention, CCTV News Client, Popular Science China.

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Original title: "Recently high! No vaccine! Pay attention to these symptoms → "

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According to the recommendation of Dietary Guidelines for China Residents, adults should eat 200-400g of fruit every day. The 200-400g here refers to the weight of the pulp eaten, excluding the peel, seeds and stones. Take apples as an example. A Fuji apple weighs about 250 grams, and there are 200 grams left after removing the core, so the amount of 400 grams a day is roughly equivalent to eating two apples.

Eating fruit is also very particular. Most fruits have high dietary fiber and sugar content. Eating too much will cause stomach pain, abdominal distension and increase blood sugar. Experts remind that eating fruits should pay attention to diversity. For example, eat an apple, and then eat some strawberries, oranges, etc. in moderation, which not only ensures enough food, but also enriches nutrition.

In the way of eating fruit, many citizens like to drink freshly squeezed juice, which is delicious and simple. In fact, juicing is not as good as eating directly, because juicing will lose dietary fiber, vitamins, reduce satiety and increase the rising speed of blood sugar. Others consider whether the fruit is cooked and eaten well. Some fruits with low vitamin C content and thick meat, such as apples, pears, peaches and bananas, can be considered cooked if they feel uncomfortable or not delicious when eaten raw. Stewed, steamed and roasted taste good. But some fruits are better eaten raw, such as strawberries, grapes, watermelons and other juicy fruits.

The time to eat fruit is also particular. After a night’s rest in the morning, the function of the gastrointestinal tract is still recovering, so it is best to choose fruits that are not too acidic and astringent. People with poor gastrointestinal function should not eat fruits at this time, especially persimmons, oranges and hawthorn. Bananas are also not suitable for eating on an empty stomach, which will speed up the movement of the stomach and increase the burden on the heart. When eating fruit between meals, fructose and glucose in the fruit can be quickly absorbed by the human body. For example, fresh dates are best eaten before meals, but eating too much may cause hyperacidity and bloating. Pineapples can be eaten after lunch, and watermelons are best eaten two hours after meals. Eating fruit 1 hour after a meal helps digestion, and you can choose fruits with high organic acid content such as pineapple and hawthorn. But don’t eat a lot of fruit after dinner, which is not good for digestion, and it is easy to turn fructose into fat and accumulate in the body because of eating too much.

Some fruits are not suitable for everyone, such as kiwi fruit, mulberry, strawberry and other seeded fruits, which can promote defecation, and are more suitable for people with constipation. If it is easy to have diarrhea, don’t eat more. Pineapple, kiwi, mango, fig and other fruits may cause allergic and intolerant reactions in a few people. If there are uncomfortable reactions such as swelling of throat mucosa, headache and stomachache after eating, you should avoid eating them. The sour taste in bayberry, plum, plum and other fruits will stimulate gastric mucosa together with gastric acid, which is not suitable for patients with ulcer disease.

Out of concern about pesticide residues, many people will worry about eating the peels of apples, pears, peaches and other fruits. In fact, they can eat them safely as long as they are carefully rinsed or soaked in salt water before eating. If you are still worried about the safety of the peel, peel it and eat it.

There are many ways to store fruits. It’s best to put apples, pears and other temperate fruits into plastic bags first, and then put them in the refrigerator for preservation. Tropical fruits can’t be put in the refrigerator, or they will be frozen. Just put them in a cool place at room temperature, and leave a little mouth in the bag, and check them frequently to avoid rot.

Experts especially suggest that fruits should not be piled up in a box to avoid squeezing each other. Eat the soft and ripe fruits first, and take out the diseased or moldy fruits immediately to avoid infecting other fruits. Wash those with dirt or mold on the surface gently. If you really can’t finish eating, you can make some fruits into jam, soak them in fruit wine, or soak them in honey.

For obese people, as long as it is not sour fruit, eating before meals is conducive to a sense of fullness, reducing the amount of food for the next meal, and is beneficial to controlling blood pressure and weight. On the contrary, those thin and malnourished people may affect their appetite for dinner if they eat a lot of fruit before meals. (Zheng Haiyan, Wang Biao)

　　[car home Information] Mr. Zhang’s Audi Q7 had a minor accident, and the insurance company later set a loss of more than 80,000 yuan. This price is really not cheap on an ordinary car, but as an imported car, the victim Mr. Zhang does not have much doubts. It’s just that a car lamp with a price of more than 50 thousand yuan appeared in the insurance loss list. In fact, the car lamp was not damaged in the accident. Although Mr. Zhang was puzzled, he still trusted the 4S shop and did not question it. After half a year, Mr. Zhang saw in the maintenance record that the last total maintenance cost was only more than 10 thousand yuan, and where did the remaining less than 70 thousand yuan go? Did it go into the pocket of a 4S shop?

●　In the case of a minor accident, the staff of the 4S shop fixed the damage on their behalf, and the amount of fixed damage was as high as more than 80,000 yuan, and the undamaged headlights were fixed at 50,000 yuan.

　　The 2019 Audi Q7 55TFSI technology driven by Mr. Zhang was out of danger on February 3 this year. The time when Mr. Zhang was out of danger coincided with the Spring Festival, so he was dragged to work on February 7 after the holiday to go through the relevant loss determination procedures. It was the employees of the 4S shop who gave Mr. Zhang a loss determination.

"2019 Audi Q7 55TFSI technology type"

　　According to the vehicle inspection photos taken by the 4S shop, the right front face, the right front fender and the right front wheel of the vehicle are all bruised to varying degrees. The insurance company’s loss-fixing records show that the car’s loss-fixing replacement amount is 82,534 yuan, of which the most expensive accessory is the right front headlight assembly with a loss-fixing price of 50,254 yuan, followed by the front bumper with a loss-fixing price of 13,086 yuan, followed by the right front fender with a loss-fixing price of 6,220 yuan.

"Mr. Zhang’s Audi Q7 test photo"

　　In the inspection photos, the right fender was the most seriously damaged, basically all the fenders were deformed, and there were many scratches on the paint surface and the wheel eyebrows were damaged, so it was really necessary to replace them. The bumper only has scratches on the right front side, and obvious scratches can also be seen on the right wheel rim. However, the right front headlight of the vehicle is not damaged, and it can still be lit normally, and no visible scratches can be seen.

Mr. Zhang’s inspection photos of Audi Q7 right front headlight showed no obvious damage.

　　All the damage assessment procedures went smoothly. After the damage assessment documents came out, Mr. Zhang only had doubts about the damage assessment of the right front headlight. Mr. Zhang said that the right front headlight was inspected on the day of the accident, and there was no damage, but I don’t know why the damage was given. The after-sales staff of the 4S shop said that there was a hole behind the right front headlight, so it needed to be replaced. Although Mr. Zhang had doubts about this, he didn’t think much about it. He thought that the 4S shop should not be faked, so he didn’t pursue it again.

●　Mr. Zhang accidentally found something fishy. 4S shop: The accessories are genuine, but they are not original parts. I hope to sum up for fear of being fined.

　　Mr. Zhang’s car was later repaired by the 4S shop. After half a year, a dramatic scene happened. Before preparing for a major maintenance, Mr. Zhang wanted to check the last maintenance record, so he downloaded an App from FAW Audi. Later, Mr. Zhang found the maintenance record entered by the 4S shop during the last Spring Festival, which showed that the maintenance amount was 13,863 yuan, which was 68,671 yuan lower than the previous loss amount of 82,534 yuan. So where did the 68,671 yuan go? In the 4S shop maintenance record provided by Mr. Zhang, the most expensive right front headlight assembly in the previous damage assessment document did not appear in the maintenance list.

"Mr. Zhang’s Audi Q7 has a fixed loss of 82,534 yuan. Click on the picture to see a bigger picture."

　　Mr. Zhang felt that the 4S shop was tricky, so he directly called the 400 customer service of FAW Audi manufacturer, and the complaint immediately took effect. The 4S shop then contacted Mr. Zhang to communicate. Mr. Zhang said that during the negotiation, the after-sales staff of the 4S shop said that the most expensive headlight group was genuine and had a customs declaration form, but it was not originally purchased by Audi, which means that the headlights were sub-factory parts. The explanation given by the after-sales staff of the 4S shop is that the original accessories of Audi are very expensive. This statement was subsequently confirmed in the 400 customer service of FAW Audi, saying that the 4S shop has two systems.

"The maintenance fee that Mr. Zhang found on Audi App is 13,863 yuan."

　　Mr. Zhang believes that it is naked fraud for 4S stores to replace the original parts with deputy factory parts. According to Article 55 of the Consumer Protection Law, fraud should be refunded for one and compensated for three. Mr. Zhang filed a claim for compensation with the 4S shop and hoped to get at least 2.5 times the compensation. 4S stores may face hundreds of thousands of penalties for fear of fines from manufacturers, so they seek reconciliation from Mr. Zhang, and hope that Mr. Zhang can cancel the complaints from manufacturers and agree with Mr. Zhang’s demands, saying that it will satisfy Mr. Zhang.

　　Ten days after Mr. Zhang withdrew the lawsuit, the 4S shop changed its tone again, saying that Mr. Zhang’s car was a bus, so it was not suitable for the relevant laws of returning one and losing three. Mr. Zhang said that his car is a personal car, only bought in the name of the company, not a business car.

"Statement given by Mr. Zhang"

　　Later, Mr. Zhang complained to the manufacturer’s 400 customer service again. However, after this complaint, the 4S shop ignored Mr. Zhang’s appeal, and neither the manufacturer’s customer service nor the 4S shop gave any follow-up compensation plan, only saying that the relevant accessories could be replaced. Mr. Zhang said, "In the follow-up, more than a dozen complaint calls were made. The manufacturer was more like a microphone. At first, there was a reply. Later, even the reply was gone, and no substantive problem was solved."

　　Two weeks ago, Mr. Zhang complained about this matter to the Changsha municipal hotline. On November 21, a market supervision administration in Changsha called Mr. Zhang and said that the 4S shop had a requisition, which could prove that the parts replaced for Mr. Zhang were not sub-factory parts. Mr. Zhang said that the regulatory authorities have never called themselves before and have not communicated accordingly. But last Friday, Mr. Zhang received WeChat from the after-sales staff of 4S shop. "The industrial and commercial department has stepped in and will talk to both parties later. Please know!" Mr. Zhang has doubts about the relevant investigation links, because no one has inquired about the victims.

　　At present, the 4S shop only promises to replace the parts that Mr. Zhang has doubts about, but does not give any compensation. Mr. Zhang’s own appeal is that the accessories can be replaced according to the insurance loss. At the same time, the 4S shop should make a refund for fraud.

●　Related practitioners: 4S stores do have hidden rules for purchasing accessories through non-original channels, and consumers will not be informed.

　　Practitioners of relevant 4S stores said that the maintenance of 4S stores must use the original authorized accessories, but at present, some 4S stores do have hidden rules in the industry, that is, one is to order authorized original accessories from formal channels, and the other is to buy accessories from non-original channels. Although the manufacturer explicitly requires that the 4S store must purchase accessories from the manufacturer, the 4S store has accessories purchasing indicators every year, and some indicators are almost the same, or the ordering cycle of the original accessories is too long, the 4S store will consider purchasing from outside, and the 4S store will have a fixed cooperation channel for outsourcing. However, 4S stores usually don’t take the initiative to tell consumers which are original accessories and which are not. In fact, these are all non-compliant. Consumers usually think that 4S stores provide original accessories.

"The picture is only a sign, and has nothing to do with the case."

　　At the same time, when determining the damage, the insurance company will authorize the brand that the accessories and maintenance prices of 4S shops are higher than those of ordinary repair shops, in order to be able to pay the related expenses of original accessories. After all, the price of original accessories is higher, and the use of non-original accessories for 4S shops is nothing more than making more money. It is also non-compliant for a 4S shop to handle the loss-fixing business for an insurance company.

●　Lawyer: In case of suspected consumer fraud, court proceedings will be the best way to obtain strong evidence.

　　Relevant lawyers said that there were many doubts about the operation of Audi 4S shop, and some accessories seen in the fixed loss were not seen in the maintenance list, which was directly suspected of consumer fraud. According to the 4S store, Mr. Zhang’s car is a bus, so the Consumer Protection Law is not applicable, but in fact, the Consumer Protection Law protects all citizens, regardless of public or private, and it does not affect the conclusion of consumer fraud. The company is also a consumer subject. Local legislatures almost unanimously believe that units are also the main body of legislative protection of consumer rights and interests, and the rhetoric of 4S stores obviously does not comply with relevant laws.

"The picture is only a sign, and has nothing to do with the case."

　　Lawyers suggest that if Mr. Zhang goes to relevant departments to obtain evidence, any link in the middle will be wrongly identified by unprofessional people, which will lead to Mr. Zhang’s failure to realize his claim. The shortest way for Mr. Zhang to solve this problem is to defend his rights through court proceedings and let the court intervene, so that the 4S shop as the defendant will have to bear the burden of proof. If the 4S shop continues to commit perjury, it can be directly identified as consumer fraud. According to the relevant provisions of the Consumer Protection Law, the court can directly punish the 4S shop according to law. If the evidence of the 4S shop is true, the court finds that there is no case of replacing the original parts with the deputy parts, and the items on the maintenance list are consistent with the actual risk assessment, then it can be judged that there is no fraud in the 4S shop.

　　According to the relevant provisions of Article 55 of the Law on the Protection of Consumers’ Rights and Interests, if a business operator commits fraud in providing goods or services, it shall increase the compensation for the losses it has suffered according to the requirements of consumers, and the amount of compensation shall be three times the price of the goods purchased by consumers or the cost of receiving services; If the amount of additional compensation is less than 500 yuan, it is 500 yuan. Where there are other provisions in the law, such provisions shall prevail.

"The picture is only a sign, and has nothing to do with the case."

　　Mr. Zhang previously said that there was evidence such as recordings of conversations with employees of 4S stores, but when the court made a judgment, it would combine other evidence to make a judgment in addition to the recorded evidence. Lawyers said that the court, as the main adjudication organ of disputes over civil legal relations, can achieve the most efficient and authoritative one-stop dispute settlement effect, especially when the time is relatively long and the two sides hold their own words, and court litigation is the most effective solution.

　　* Note:The cases selected in this paper are typical cases, which have no direct relationship with the number of complaints. For the sake of privacy protection, the owners in the real cases in this paper are all pseudonyms.

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●　Write at the end:

　　Although insurance maintenance does not require consumers to pay any fees, it does not mean that it can be careless, and there are often hidden rules of profiteering in the middle. Before maintenance, consumers should confirm the relevant maintenance items, accessories and other information and ask for maintenance documents. Minor defects, major repairs, minor damage, direct replacement of new accessories, and use of non-original accessories may all occur. The quality of using non-original accessories cannot be guaranteed. If you are fully responsible, the cost of going out of danger may also affect the premium for the second year. Therefore, to remind consumers, we should still be vigilant and avoid mistakes in easy-to-neglect links. (Text/car home Qin Chao)

　　　　　　 CCTV News:Recently, the flu epidemic has been high in many areas. In this regard, the doctor reminded that three major misunderstandings should be avoided in dealing with the flu.

　　　　　　 You can’t judge the severity of the disease just by the temperature.

　　　　　　 Recently, the flu virus has come to the fore, and many people have been recruited. The doctor said that it is wrong for patients to judge the severity of their illness only by their body temperature, regardless of the common cold or influenza. It is necessary to combine the patient’s own appetite, physical strength, mental state and other comprehensive factors to judge the severity of their illness.

　　　　　　 Zheng Rongxiu, chief physician of the General Hospital of Tianjin Medical University, said: "Actually, judging the severity of the illness, body temperature is not an absolute indicator. Recurrence of fever is a very common symptom in the course of colds and flu. Because fever itself is a normal response of our body to the pathogen, the process of fever is actually a manifestation of our body’s struggle with the pathogen, so when the pathogen is not completely removed from the body, fever must be repeated. The most important thing to judge (flu) is to look at a state of the patient’s whole body. What is his spirit? "

　　　　　　 It is a misunderstanding to take medicine "just for a few days"

　　　　　　 In addition, some flu patients take some cold medicine, and their symptoms are relieved, so they think they are cured. In fact, this is also a misunderstanding. The doctor said that cold medicine is only a "symptomatic medicine" to relieve symptoms, and any cold symptoms need to be eliminated through the resistance of the patient’s own immunity.

　　　　　　 Zheng Rongxiu, chief physician of the General Hospital of Tianjin Medical University, said: "Many of us have misunderstandings in the treatment of colds, and we always hope that some drugs will get better as soon as we eat them. We have a lot of anti-cold drugs now. It just relieves your symptoms and makes you feel better, but it has no effect on the course of the disease itself. After the course of the disease, most patients can recover by our body immunity. "

　　　　　　 Drinking water should be done in a small amount and many times.

　　　　　　 At the same time, the doctor also suggested that no matter what kind of cold the public suffers from, the best treatment is to rest and drink water. Among them, drinking water is also particular.

　　　　　　 Zheng Rongxiu, chief physician of the General Hospital of Tianjin Medical University, said: "I think it is best to drink a small amount of water many times. Drinking more water can promote the discharge of the virus. Some people keep drinking from jar to jar when they say to drink more water. In this case, there are disadvantages. Sometimes it will cause water poisoning, which is not good for the patient’s recovery and increases the burden on our heart and kidneys. "

　　　　　　 Finally, the doctor suggested that the flu is frequent in winter, and when the weather is good, you should open the window frequently, wash your hands frequently, exercise more, and get the flu vaccine on time.

Topic: China is making every effort to prevent and control influenza A (H1N1).

　　China news agency, Beijing, July 2-In response to the collective cases of influenza A (H1N1) diagnosed by primary school students in Guangdong and Beijing, various measures have been taken in China recently to prevent the outbreak of influenza A (H1N1) and its spread in communities, schools and other places.

　　Comprehensive official media today’s news: Hainan Province requires all departments to seriously organize, implement and implement various prevention and control measures. Education departments, especially primary and secondary schools and kindergartens, should minimize large-scale gatherings in the near future and implement morning check-up and ventilation systems. At the same time, the province continues to strengthen the working mechanism of joint defense and control at ports, and keep ports closed.

　　In order to improve the prevention and control conditions, Shandong Province rebuilt the negative pressure ward for the provincial designated hospitals and purchased negative pressure ambulances. Strengthening the laboratory construction of Shandong CDC; Do a good job in the reserve of 30 million yuan of pharmaceutical equipment. Jinan, Qingdao, Yantai and other places have newly purchased a large number of infrared temperature testers, which are used to monitor the temperature of passengers in airports, docks, ports, stations and other places, and have intensified the construction and transformation of grassroots disease control institutions and community health institutions.

　　Shanxi Province requires health departments at all levels to shift the prevention and control work from emergency monitoring to normal monitoring and extend it to communities, give full play to the role of community residents, pay attention to the physical health status of relatives, friends, family members and neighbors who have returned from countries and regions with epidemics, find those who report fever or acute respiratory symptoms in time, and cooperate with health departments to implement prevention and control measures.

　　In order to reduce the second-generation cases and prevent the outbreak and epidemic in the community, Fujian has implemented a daily reporting system for health information management of immigrants. Sub-district offices (township governments), county-level prevention and control offices (centers for disease control and prevention), district and city centers for disease control and prevention, and provincial centers for disease control and prevention report to the provincial prevention and control office after summarizing and analyzing the health management of immigrants on that day.

　　In Shenyang City, Liaoning Province, the primary and secondary schools in the city not only check the students’ body temperature in the morning, but also carry out afternoon check-up measures to check the students with fever. Shenyang Education Bureau also requires schools to strictly implement the "daily reporting system" for students’ absence due to illness.

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