Chapter 487
As soon as he left Tongguan, Ma Zhou came to greet him.

"I heard you've been promoted again!"

Seeing that Ma Zhou had lost a lot of weight, Qin Lang couldn't help worrying about his diabetes.

"It's all for His Majesty." Ma Zhou didn't feel much joy after being promoted. He was recommended by Qin Lang and entered the eyes of the emperor. In the past two years, he has won the emperor's appreciation, and his official career has been prosperous.

At the beginning, he served on duty in the province of Menxia, ​​who had no rank, and then served as the head of the Zhenfu Department. Strongly recommended as the deputy envoy of transshipment.

I pay homage to Zhongshusheren again, and I am also a doctor who knows how to advise and advise. Now I have taken up the important position of transfer envoy, and I have been added to the rank of doctor Yinqing Guanglu of the third rank.

Three years ago, he was just a down-and-out scholar, but three years later, he was already a minister in purple robes and jade belts. This encounter has now become the idol of countless students and scholars throughout Chang'an, and everyone is vying to show their respects. As an idol, I hope to become Ma Zhou's second.

"Is it because there are too many part-time jobs and too much work?" Qin Lang asked.

"Well, I really feel a little overwhelmed."

Ma Zhou's three official positions are all very important. The Zhongshusheren are responsible for drafting edicts, and they are called Wuhua judges. Although there are six Zhongshusheren, each of them can judge one part of the affairs. The signature of Zhongshu Sheren's judge review.Advising the doctor is even more of an official, and if the admonition is not in place, it is dereliction of duty.

The transshipment envoy is also responsible for the financial and taxation of the empire. It is the big steward of the empire. The implementation of the new tax law, tax collection, grain, salt and iron transshipment, coin casting, and permanent warehouses are all part of their duties.

Now is the year of famine again, and this problem of food transshipment can make people anxious even more.

"Fortunately, the ice on the canal has melted, and the canal, especially the section of the Bian River, is fully open to navigation again. We can mobilize more ships to deliver food from the canal."

Speaking of this, Ma Zhou felt a little relieved.

Last winter was very cold, the canal was frozen early, and it melted late, so that the food in the south could not be transported, so it had to be transported by horses and horses. Food loss.

Now that the canal has finally been opened again, the Bian boats in the Bian River can finally set sail again, the transportation volume has increased greatly, the people's livestock have been greatly reduced, and the loss on the road has also been reduced a lot.

"Some people have already begun to arrange for some people to return to their hometowns to sow seeds. The main task of officials in various states and counties is also spring plowing."

Hunger is easing, but the epidemic is serious.

Due to the large flow of hungry people brought about by the famine, the epidemic of pox was further accelerated. A large number of children were infected with chickenpox, and then died in large numbers.

Although Qin Lang had reported to the imperial court earlier that pox infection, the mortality rate of the most serious emergency was only about 20.00%. The aggravation after wrong treatment has been added again, so that the number of deaths is quite large, and remains high all the time.

If the infection rate cannot be reduced, even if the infection rate does not exceed 20.00%[-], the consequences will be extremely serious.

After all, if out of 100 million children, only 1 are infected, then even if the highest mortality rate is 20.00%, then at most [-] people will die.

But if you get 100 infections, it could be 25.If all [-] million of you are infected, it will be [-].

This is the biggest difference. Even if the death rate remains the same, the infection base has greatly increased.

The isolation method suggested by Qin Lang has not been implemented much outside the customs. The key is that the people are too mobile now. It is impossible for the hungry people to sit on the ground and wait for death. They will run around looking for any food that can fill their stomachs. Take the kids with you.

And when the hunger was severe, the imperial court was unable to isolate these children together.

What can be done is to isolate the children who have already been infected.

"Now that there is more food, the imperial court has ordered all the states to implement isolation and blockade. Not only the children who are infected are isolated, but those who are not infected are also concentrated and isolated."

When Qin Lang heard this, his head hurt.

It is correct to isolate people who are not infected, but they cannot be isolated in a centralized manner. If one person gets sick, will the entire isolation area be infected?
He remembered that his suggestion was quite clear, why did it become this isolation law now?
Qin Lang told Ma Zhou with a serious expression.

"Isolation is right, but centralized isolation of uninfected children is wrong, which will increase the risk of cluster infection."

·······
He rushed all the way to Luoyang non-stop, and went to meet the emperor as soon as he entered the city.

I haven't seen him for a long time, and the emperor has lost a lot of weight, and the white hair on his temples has also increased. Seeing Qin Lang, his spirits are lifted up. Qin Lang has done a good job in the relief of hunger and epidemic prevention in Guanzhong.

Although some officials said that it was because the people in the pass went out to flee famine and there was not much left, but the imperial court insisted on transporting grain to the pass, and the amount was still quite large, so this achievement was made.

But Li Shimin is very sober, and Qin Lang has a lot of credit for it.

"Can the epidemic really rely on vaccination against human pox to fight the virus with the virus?"

"Yes, Your Majesty."

"Will there be any sequelae?"

"I haven't found it yet." Qin Lang added, "During the research of Yao Wang, no sequelae have been found. This is a safe prevention method, which can prevent problems before they happen."

"There is no other way to fight the epidemic, but to carry the tripod and fight bravely!"

"Well, I'll leave it to you to prevent and treat the pox. Let's vaccinate all the children as soon as possible." Li Shimin sighed, and the death figures handed in every day gave him a headache.

On the copper screen next to him, the number of deaths summarized by the report is posted, which is increasing every day.

"Tens of thousands of children have already died, and the spread cannot continue. They are the future of my Tang Dynasty and the foundation of the country." Li Shimin said painfully.

"The minister will go all out."

It is difficult to supply the mature seedlings that have been refined several times, so after urgent discussions, Luoyang finally decided to use the seedlings that have been pulverized with acne scabs for vaccination.

Although this kind of seedlings are highly toxic and will cause certain deaths, under the current circumstances, mature seedlings need to be raised and hardened, and it is impossible to provide large-scale and timely supply.

In order to control the epidemic, we can only take a two-pronged approach.

After all, Shi Miao also used acne scab powder, and the current mortality rate can be controlled below 20.00%, no matter how you say it, it is much lower than the [-]% five acne infection mortality rate.

Doctors from all over the country were recruited, and a group of civilian nurses were urgently trained, and isolation camps were established in various places.

"Receive everything. Once found, report it immediately, and immediately seal and isolate it. Then the quarantined patients will send people to the camp."

Although there is no cure for pox infection, as long as proper and timely care is taken, the mortality rate can still be reduced. More importantly, the infection can be blocked and isolated to prevent reinfection.

"For the villages and villages of infected people, they must be temporarily closed and isolated, and the children inside must be isolated separately from each other. The isolation period is [-] days to strictly prevent transmission."

The only good news about the current epidemic is that basically adults are immune, basically only children will be infected, and mainly children over ten years old are the most susceptible to infection.

This has added a lot of security to the isolation and blockade of care, and will not infect doctors and medical workers.

"All children must wear masks, are forbidden to go out, and are forbidden to gather with other children!"

"Food, water, etc. should also be kept safe and checked to avoid carrying pox virus infection..."

As the acne god from Chang'an, because of the improvement of the epidemic situation in Chang'an, although Qin Lang is young, his words are still very effective.

Everyone also believed that Qin Lang had received the true teaching of the King of Medicine to cure acne, and all his words were regarded as the truth.

When Qin Lang said to build an isolation ward, everyone hurriedly notified the states and counties that they would recruit doctors and recruit civilians to train medical workers, and all localities also hurriedly implemented it unconditionally.

Regarding the epidemic prevention manual compiled by Qin Lang, several major bookstores also rushed to engrave and publish it as soon as possible, and posted it everywhere for people to read and announce.

When chickenpox is vaccinated, a rash will appear in seven days.

When the seventh day came, countless people were nervously watching the data.

Even Li Shimin couldn't make it up, he was waiting for the number to come out.

Fever and acne means success.

Various data were reported one after another. Among the first batch of 900 people in Luoyang who were vaccinated, by night time, more than [-] people had developed fever and rashes.

"A total of 930 seven people have fever and acne." Qin Lang took the latest statistics and reported to the emperor.

"It's only 930 seven? That means there are still 63 people who didn't succeed? Didn't you say that one hundred, at most four or five people can't make it?"

"Your Majesty, today is the seventh day. Normally, the rash will appear seven days after picking up the pox, but it is not completely like this. The good news is that so far, there has not been a single death, and the remaining 63 people still have There is a chance to succeed. Even if it fails, as long as there is no death, we can still make up."

In Qin Lang's view, the most important thing is not the success rate, but the death rate.When a person dies, everything is gone, but if it doesn't work, you can still pick it up again.

This is actually the same as under normal circumstances, not everyone will be infected if they come into contact with those infected people. There is a certain probability.

In addition, this is the first batch of inoculation, so the operation is definitely not so perfect.

The night was a bit long, the emperor and Qin Lang didn't sleep, they were waiting for the situation of the remaining 37 children, and they were also staring at the more than 900 people who had been infected, wondering if there would be death.

When it was dawn, Qin Lang's eyes were red, and he handed over the latest statistical data to the emperor.

Among the remaining 37 people, [-] had fever and acne, and [-] were asymptomatic.

Among the more than 900 children with fever and rash, nine died last night.

The success rate of receiving pox is more than 900 per thousand, and the mortality rate is [-] per thousand.

Li Shimin's hand holding the paper became a little excited.

"Huailiang, tell me, will these children who have shown symptoms still die?"

"According to previous observations, three to five days after infection is a critical period, but death after the rash usually occurs on the first day, and there will be a few in the next three to five days. After three to five days, there are generally very few deaths. Yes, after seventeen days, it will be basically all right."

"Does that mean it's not a success?"

"Your Majesty, the situation with this batch of vaccinations is already very good."

"How many ripe seedlings can you supply now?"

"The mature seedlings need to be cultivated and tempered, which takes a long time. At present, there are not many of them, and very few have been transported to Luoyang. Basically, they are sent from Chang'an."

Li Shimin also knew that although ripe seedlings had a higher success rate and lower death rate as Qin Lang said, it was impossible for everyone to use ripe seedlings.

"You count the number of ripe seedlings, and I will bestow this batch of ripe seedlings to the meritorious relatives!"

This is the privilege of nobles and relatives, giving priority to the use of ripe seedlings with a higher success rate of safety, Qin Lang nodded, this is inevitable, it has been expected.

(End of this chapter)

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