Indian pays close attention to Covid-19 Delta mutant strain AY.4

  Indian Health Minister Mandavia said at a press conference on October 26th local time that the Indian Medical Research Council and the National Center for Disease Control and Prevention (CDC) are paying close attention to and studying the Covid-19 Delta mutant AY.4, which appeared in India, in order to prevent it from spreading further in India.

  According to Indian media reports, recently, 7 cases and 6 cases of AY.4 infection of Delta mutant were found in Karnataka and Madhya Pradesh in southern India, respectively. At present, this variant still appears in Kerala and Maharashtra in India.

  According to an official from the National Center for Disease Control and Prevention of India, preliminary investigation shows that the emergence of AY.4, a sub-variant of Delta mutant strain, has not increased the COVID-19 infection rate in India. At present, there is no evidence that the secondary variant AY.4 is more deadly than the earlier version of the Delta mutant strain first discovered in India. However, medical experts warned that India, with a population of 1.3 billion, could not withstand the spread of the virus, and the secondary variant AY.4 might lead to further mutation in Covid-19, which would have disastrous effects.

  At present, AY.4, the second variant of Delta mutant strain, is the most common in the world, and it is at the highest level in Britain. In the United States, the distribution of the secondary variety AY.4 is the same as that of other secondary varieties. (Reporter Wang Jianbing, General Desk)

Anhui langxi informed junior high school girls that their dormitory building fell down: they fell back on their own.

  Huiyuan School, Langxi County, Xuancheng, Anhui Province.

  At 3 o’clock in the morning of April 26th, the Education and Sports Bureau of Langxi County, Anhui Province reported the death of the girl dormitory building of Huiyuan School in this county. According to the report, Liu Moumou, a girl who died, moved a bench to the parapet opposite the dormitory 406 next door, climbed up the parapet and sat on the parapet facing inward and back outward. Two roommates witnessed her falling backwards. The report also said that through in-depth investigation, it was found that Liu had expressed pessimism in conversations with his classmates, and felt depressed in his diary. On April 13, he made a "countdown" for his life according to the start date.

  According to the report, the online rumor that the on-site surveillance video was "technically covered" was introduced by the technical staff of the school’s surveillance video installation company. When the video was retrieved, it was found that there was a fault in the video storage device, which led to the automatic coverage of the storage content every 20 minutes or so. Because the monitoring screen is normal at ordinary times, it is difficult to find the fault. Because the police came out in time, the video of Liu’s falling moment was extracted and saved, which can objectively reflect the situation at the time of the incident.

  The following is the full text of the notification:

  Recently, a seventh-grade girl fell from a building and died at Huiyuan School in Langxi County, which aroused great concern in society. After the incident, the county party committee and government of langxi attached great importance to it and immediately set up a joint investigation team composed of relevant departments to carry out the investigation. After investigation:

  On April 23, 2020, the seventh grade of Huiyuan School in Langxi County started. At about 8: 23 am, Liu Moumou, a girl from this school, entered the school accompanied by her mother, and then went to the dormitory 404 on the fourth floor of the accommodation. During this period, she went in and out of the dormitory several times with her roommates to help carry luggage, and finally returned to the dormitory with her roommates. When the roommate was making the bed, Liu moved a bench to the parapet opposite to the dormitory 406 next door, climbed up the parapet and sat on the parapet with his back facing inward. The roommate found out that the roommate persuaded the danger twice to let him down, and Liu asked: Will you die if you jump from here? At about 9: 30, two roommates witnessed Liu’s falling from the building on his own, and immediately called for help. When the boarding teacher found the situation, he immediately called "120" and "110" and actively organized rescue. After Liu died after being rescued by the hospital.

  Through in-depth investigation, it was found that Liu had expressed pessimism in conversation with his classmates, and felt depressed in his diary. He inquired about relevant information on the Internet many times, exposing his thoughts of suicide and world-weariness, and made a "countdown" for his life on April 13th according to the date of school.

  On the Internet, it was rumored that the on-site surveillance video was "technically covered". According to the technical staff of the surveillance video installation company of the school, it was found that there was a fault in the video storage device when the video was retrieved, which led to the automatic coverage of the storage content every 20 minutes or so. Because the monitoring screen was normal at ordinary times, it was difficult to find the fault. Because the police came out in time, the video of Liu’s falling moment was extracted and saved, which can objectively reflect the situation at the time of the incident.

  At present, Liu’s aftermath-related matters and psychological counseling for teachers and students in the school are being carried out in an orderly manner.

  Langxi county education & sports bureau

  April 26, 2020

Original Miriam Yeung and Eason Chan miss, lovers will inevitably become friends in the end.

Know when you are young.

Many people know that Eason Chan made his debut as the champion of the singing competition, but many people don’t know that the third place that year was Miriam Yeung. In 1995, they met in the 14th Global Chinese Rookie Singing Competition in Hong Kong. At that time, they were both fledgling newcomers, encouraging each other in the competition and working together for their dreams.

Subsequently, they all signed a contract with Huaxing Records Company to become brothers and sisters. In 1996, a gossip magazine claimed to have photographed two people dating, but soon, Miriam Yeung was arranged by the company to study music abroad, and this rumor also went away.

Many people speculate that at that time, they were actually in a friendly position. In the case of lover not full, before the enough paper was punctured, their ignorant and ambiguous feelings had to be suspended because of the distance.

Meet you at the final

Later, He Chaoyi introduced Xu Haoying to Eason Chan, and they quickly developed into lovers. When Miriam Yeung came back, she found that everything could not go back. When she was interviewed abroad, she said: When I was out, a friend introduced a boy who had a good impression to another girl, and then I knew that this friend was different from before.

In 1998, Miriam Yeung won the gold medal of all-powerful female singer, and countless applause poured in, but one person quietly blushed for her-Eason Chan, who once said, "Men don’t cry in front of everyone, they don’t cry until they close the door at home."

In 2007, Eason Chan won the All-powerful Best Male Singer Award for "Under Mount Fuji" and stepped down after giving his acceptance speech. He should have returned to his seat, but after hearing Miriam Yeung’s name, he turned back and hugged her.

In this way, their careers are booming, and they each occupy a place in the music world. The status of the queen of songs makes many people feel that they are the most suitable people for each other.

We were in love.

In fact, neither Miriam Yeung nor Eason Chan officially admitted their love affair in public, but in many interviews that mentioned love affair, their performance always seemed to show us the same regret of not having the same love.

When Eason Chan was asked, "Is it better to be a bosom friend than a girlfriend, and whether Xu Haoying would rather be Miriam Yeung?", she was shy but answered yes directly.

In the recording of "Zhiyun Dinner", the host asked Miriam Yeung if she had been in contact with Eason Chan, but she didn’t admit or deny it, just silently said "I don’t remember".

In addition, Eason Chan once publicly stated in the program: I am a Leo, and she is an Aquarius, which seems to be incompatible. Miriam Yeung’s song "It’s a pity that I am Aquarius" seems to be a distant response to this statement. However, dramatically, Miriam Yeung’s last husband, Ding Zigao, is also a Leo.

In 2009, after Miriam Yeung and Ding Zigao officially announced their marriage, a reporter interviewed Eason Chan in the following activities, and he was even more ashamed of the name "Ding Tai".

Friendship lasts longer than love.

In 2017, Miriam Yeung called Eason Chan in the process of recording the program, which happened to be the wedding anniversary of Eason Chan and Xu Haoying, but he overcame all difficulties and appeared in front of her.

In 2022, Eason Chan settled in Tik Tok, and Miriam Yeung cheered for him, even more telling such touching words about our twenty-five years.

The intersection of the two people has increased, but it also means that they have completely let go of the past that they once loved each other. It is hard to say whether this is good or not.

Perhaps, as sung in Ten Years, lovers will inevitably become friends in the end.

Pay attention to me

@ Saturn Entertainment Bureau

Lebagua

Is it possible for people to spit out shit when they vomit? The doctor said: Yes.

Original: medical rivers and lakes of DrX, medical rivers and lakes of DrX

The full text is 1879 words, and it takes 5 minutes to read.

◆ ◆ ◆ ◆ ◆

If you are eating or preparing to eat, the following content may not be very friendly to you.

Shit, as an important part of maintaining human physiological operation and life activities, is self-evident. Whether you like it or not, we must face this fact from the moment we are born.

Shit can be said to be one of the most important life activities in a person’s life. It will make you feel comfortable all over, forget all your troubles, and let you sit on the toilet and pour a thousand miles, and live a rainy life with the red dust of the toilet from now on.

Just today, Dr.X saw such a question on the Zhihu:

"When people vomit, is it possible to spit out shit? 」

In an instant, "a life of shit" began to emerge in my mind. With the sensitivity of a medical worker, Dr.X must popularize "Will shit be vomited?" 」

Yes!

Why? There are many reasons, the most important of which is intestinal obstruction.

The following content comes from the personal experience of an oncology intern:

An old man with low intestinal obstruction came to the department. He didn’t defecate for about ten days and had severe abdominal distension.

After coming to the department, the first thing to do is to insert a gastric tube for drainage. When the patient opened his mouth, a pungent and strong smell of feces came to his face.

The patient vomited just after the drainage tube was fixed and it didn’t work.

In an instant, the patient’s clothes and sheets were covered with thick liquid fecal vomit. Followed by the second and third waves of shocks … the families of patients standing on the side are stupid.

Imagine that all kinds of digestive juices and foods have been fermented in the human body for more than ten days. What kind of "wonderful" taste is this?

Is it possible to spit out shit?

I’m afraid this smell is worse than shit and more disgusting than shit.

Of course, no one wants this to happen to himself, but since the disease of intestinal obstruction has been developed, no matter how disgusting it is, it has to suffer.

In addition to nausea and pain, we can’t ignore the danger of long-term inability to defecate.

There is a disease called congenital colon, because the congenital colon development is abnormal, which leads to some large intestine or the whole large intestine in a state of spasm, and it is difficult to pass stool.

The young man in the picture below suffers from Hirschsprung’s disease. When he was 16 years old, he could only defecate once a month, so that his stomach became bigger and bigger.

Finally, at the age of 29, the man was found dead in the toilet while he was trying to defecate. After dissecting his body, it was found that his colon was many times larger than that of ordinary people, and the thickest part had reached a diameter of 76cm, while the stool inside was a full 18 kg.

The picture below is a specimen made of his colon, which is now on display in a museum in the United States.

Hirschsprung’s disease (HD) is a deformity characterized by the lack of nerve cells in the intestinal wall. Generally, the ganglion-free segment of the colon is located at the distal end of the colon, and the intestine of the ganglion-free segment lacks propulsive peristalsis. At this time, the intestine is in a spastic state, which will cause colon obstruction.

Generally, children with HD will have related symptoms within 24-48 hours after birth. If the baby has abdominal distension, delayed meconium discharge or even vomiting after birth, it is necessary to check whether it is Hirschsprung’s disease in time. In addition, 50%-90% of children will have abdominal distension, bile vomiting, intractable constipation, etc., and 10% of children will have fever, abdominal distension, diarrhea, and recurrent attacks, and even fatal risks.

Therefore, Hirschsprung’s disease cannot be ignored.

Congenital colon of the man above is relatively rare, and intestinal obstruction is more common. In medical terms, intestinal obstruction means that part or all of the intestinal contents cannot flow normally or pass through the intestine smoothly.

Generally, nearly 90% of intestinal obstruction will occur in the small intestine, especially in the narrowest ileum, and colon obstruction is more likely to occur in the sigmoid colon.

The condition of intestinal obstruction is very changeable. Don’t think it’s just simple constipation or indigestion. In many cases, carelessness may be life-threatening. According to the data of the World Health Organization, the mortality rate of small intestinal obstruction in the United States is 10%, and the mortality rate of colon obstruction is even higher than 30%.

If diagnosis and treatment are not carried out within 24 hours, the mortality rate will continue to increase.

Why do you still suffer from intestinal obstruction when you clearly pay attention to healthy diet and often exercise?

Before that, you need to recognize the cause of intestinal obstruction.

In fact, there are many reasons that can cause intestinal obstruction. Generally, the causes of intestinal obstruction may be inflammation, tumor, adhesion, volvulus, intussusception, food mass blockage and even intestinal stenosis caused by external pressure. Of course, serious infection can also cause intestinal obstruction. It is worth noting that more than 80% of mechanical intestinal obstruction in large intestine is caused by tumor, which is most likely to occur in sigmoid colon.

Because the tumor grows slowly and the intestinal cavity of the large intestine is relatively wide, it is usually blocked by fecal blocks in the obstructed area and induces or aggravates the condition of intestinal obstruction. In general, the manifestations of small intestinal obstruction are often the first symptoms of small intestinal tumors, and the lumen of the small intestine may be a little narrow, but there are many substances in the small intestine and they are generally fluids, so the obstruction will not appear in the early stage of tumor occurrence. This means that when the obstruction occurs in the small intestine, the small intestine tumor may have been there for some time.

It should be noted that malignant intestinal obstruction (MBO) is generally the most common complication of patients with advanced tumors, usually intestinal obstruction caused by primary or metastatic malignant tumors, which accounts for 5%-43%. The primary tumors of general intestinal obstruction are ovarian cancer (5.5%-51%), colorectal cancer (10%-28%) and gastric cancer (30%-40%)

Seeing this, do you dare to ignore your defecation problem? In particular, the problem of intestinal obstruction in middle-aged and elderly people needs special attention. Dr.X has contacted many patients with intestinal obstruction, and most of them think that they just have poor defecation, but in the end they have detected various tumors, most of which are intestinal cancer.

We won’t elaborate so much on the causes of intestinal obstruction, after all, it is hard for ordinary people to understand. Let’s focus on the manifestations of intestinal obstruction, and readers in front of the screen can also judge whether they have signs of intestinal obstruction according to their own situation.

abdominalgia

Abdominal pain here is generally paroxysmal severe colic, which generally has the following characteristics:

Wave-like pain from light to heavy and then relieved;

When you have an attack, you can feel a sharp drop in gas, and it will suddenly stop when you reach a certain part of the body. At this time, abdominal pain is generally the most intense;

When abdominal pain occurs, you can feel that the intestinal type is moving.

Stop defecation

This is the most typical feature of intestinal obstruction. However, when suffering from high intestinal obstruction, there will be a small amount of defecation and gas discharge in the early stage, which will cause many patients to be paralyzed. Strangulated intestinal obstruction can discharge bloody mucus-like stool.

vomit

Vomiting usually comes with intestinal obstruction at the same time, which is generally reflective in the early stage. At this time, the vomit is food and gastric juice, and the vomit in the above case is still relatively rare. When intestinal obstruction enters the quiescent stage, vomiting will be more frequent at this time, and the vomit at this time is gastric juice, duodenal juice and bile.

After the rest period, vomit is an object with the smell of feces, which is commonly known as "shit".

abdominal distention

This situation usually occurs after the obstruction has occurred for a period of time. The degree of abdominal distension here is largely related to the obstruction site, and abdominal distension is not obvious when suffering from high intestinal obstruction. But when suffering from low obstruction, the whole abdomen will swell.

It is worth noting that strangulated intestinal obstruction is likely to bring serious consequences, so once you have the following symptoms, don’t hesitate to seek medical attention!

Sudden abdominal pain with persistent severe pain

Vomiting occurs early, violently and frequently.

As the body temperature rises, the pulse rate increases.

Abdominal distension is asymmetrical, and there is obvious local bulge in the abdomen.

Vomit or excrement contains bloody liquid.

Dr.X said

Intestinal health is not only related to the digestive system, but also affects the intestinal flora and the cognitive development of the brain. If you feel stupid, it may be the intestinal cause ~

Finally, if you find yourself with chronic constipation, diarrhea, or even intestinal obstruction, please seek medical advice as soon as possible to avoid irreparable consequences.

Original title: "Is it possible to spit out shit when people vomit? Yes! 》

Read the original text

Personal protection health education information in heavily polluted weather

1. Heavy polluted weather with PM2.5 as the primary pollutant is harmful to health.

Interpretation: Polluted weather refers to the phenomenon of air pollution caused by the accumulation of pollutants in the air under unfavorable meteorological conditions such as no wind, inversion and high humidity. Heavily polluted weather generally refers to the air pollution phenomenon that the air quality index is greater than 200, that is, the ambient air quality reaches the level of heavy pollution and above. Heavy polluted weather with PM2.5 as the primary pollutant is commonly known as "smog". When heavy pollution weather may occur, the local government will issue early warning information.

PM2.5 in the atmosphere is the general name of all particles with a diameter less than or equal to 2.5 microns, and its diameter is about one twentieth of that of hair. PM2.5 can stay in the atmosphere for a long time, is not easy to remove, and can adsorb a variety of harmful substances, easily inhaled into the deep respiratory tract, and some components can also enter the blood, which is harmful to human health.

At present, the sources and composition of PM2.5 are different in different regions of China. The main sources of PM2.5 include industrial emissions, coal-fired emissions, motor vehicle exhaust, garbage incineration, rural straw burning, construction and road dust. In addition, open-air barbecues, food cooking, forest fires and volcanic eruptions will also cause PM2.5 to accumulate in the air. Indoor PM2.5 is not only from outdoor air pollution, but also from indoor smoking and food cooking.

Second, the health hazards of heavily polluted weather include acute and chronic.

Interpretation: The acute harm of heavily polluted weather with PM2.5 as the primary pollutant is mainly manifested in symptoms such as cough, sore throat and eye irritation caused by inhaling pollutants in a short time. Heavy polluted weather can also induce acute attack or aggravation of chronic diseases such as bronchial asthma, chronic obstructive pulmonary disease, cardiovascular and cerebrovascular diseases. Seek medical attention if necessary.

Chronic hazards mainly include the effects on respiratory system and cardiovascular system. According to the World Health Organization, long-term and persistent heavy polluted weather can increase the risk of respiratory diseases such as asthma, bronchitis, chronic obstructive pulmonary disease, lung cancer and cardiovascular diseases such as hypertension, coronary heart disease and stroke. Heavy polluted weather can also affect people’s mood.

Third, when there is heavy pollution weather, personal protection should be done.

Interpretation: The public should pay attention to the local heavy pollution weather forecast and early warning information.

In case of heavily polluted weather, the exposure should be reduced as much as possible, and the main measures include:

1. The public should reduce outdoor activities.

2. Children, pregnant women, the elderly, patients with cardiovascular diseases and respiratory diseases should try to avoid outdoor activities.

3. Close the doors and windows in time, don’t smoke indoors, in addition, avoid cooking and other behaviors that may aggravate indoor air pollution. If no new fan is installed indoors, try to avoid the peak period of pollution according to the local air pollution situation, and open the window for ventilation once or twice a day for 10-20 minutes each time. If there are many people in the room and the space is small, the number of windows should be increased appropriately.

4. If conditions permit, air purification equipment can be used.

5. If you have to go out, you should minimize the time and intensity of outdoor activities and wear qualified masks; Wash your face and bare skin when you come back from going out.

Fourth, the correct choice and wearing of masks can reduce the impact of PM2.5 on human health.

Interpretation: The standard mask has good protective performance, which can effectively filter or block PM2.5 and greatly reduce the inhalation of harmful substances. When going out, it is recommended to give priority to masks marked with GB/T 32610-2016 standard.

Pay attention to wearing a mask correctly:

1. Ensure that the mask has a good fit with the face and does not leak.

2. It is suggested that the elderly, children and other special groups should choose masks with better comfort under the guidance of professionals or family members.

3. If the worn mask needs to be used again, it should be dried and put into a clean bag for collection.

4. Wear and replace the mask in strict accordance with the instructions for use.

Fifth, the correct use of air purification equipment is conducive to reducing the concentration of indoor PM2.5.

Interpretation: In heavily polluted weather, you should stay indoors as much as possible. When closing doors and windows, using air purification equipment is conducive to reducing the indoor PM2.5 concentration. Air purifier is a common air purification equipment. If conditions permit, especially in crowded places, we can consider installing new fans with high-efficiency filters.

When purchasing air purifiers, we should pay attention to selecting air purifiers that meet the national standards (GB/T 18801-2015 "Air Purifiers"), mainly referring to two types of indicators, namely, clean air volume (CADR) and cumulative purification volume (CCM). The applicable area of the purifier can be estimated by multiplying the particle CADR value by 0.1 (for example, the applicable area of an air purifier with a particle CADR of 300m3/h is about 30m2). The CCM value reflects the service life of the purification parts (the greater the CCM value, the longer the replacement or cleaning cycle of the purification parts).

Use the air purifier in strict accordance with the instruction manual, and pay special attention to:

1. The room should be closed as far as possible, and the periphery of the purifier should not be blocked, so as not to affect the air inlet and outlet.

2. First turn on the highest gear to purify the air quickly, and then use the silent gear to maintain the purification effect.

3. Open the window in time for indoor and outdoor air exchange.

4. The purification parts should be replaced or cleaned regularly according to the instruction manual.

6. Everyone should start from himself, save energy, care for the environment and reduce PM2.5 emissions.

Interpretation: Environment and health are closely related. Many diseases suffered by human beings are caused by environmental pollution, including air pollution. Protecting the environment means protecting human health. Reducing the harm of air pollution requires the joint efforts of the whole society. Everyone has the responsibility of caring for environmental sanitation and protecting the environment from pollution, and should actively cooperate with the state’s ecological environmental protection work and make contributions to preventing the harm of air pollution. Abide by the laws and regulations on environmental protection, abide by the social morality of paying attention to hygiene, consciously develop good habits of saving resources and not polluting the environment, and strive to create a clean, comfortable, quiet and beautiful environment. Advocate the use of public transportation, bicycles and other green modes of travel, prohibit indoor smoking, prohibit burning straw and garbage, reduce open-air barbecues and fireworks, adhere to a simple and moderate, green and low-carbon lifestyle, and oppose extravagance and waste and unreasonable consumption.

Treating heavily polluted weather scientifically and rationally and adhering to a healthy and civilized lifestyle are beneficial to physical and mental health. For more information about personal protection in heavily polluted weather, please consult the official websites of National Health and Wellness Commission, China Center for Disease Control and Prevention and China Health Education Center.

Jinzhou, Hebei: invest 4 million yuan in environmental protection equipment, intermittently shut down sewage and directly discharge it into the Hutuo River.

A huge water storage pit was formed near the sewage outlet of Hutuo River in Jinzhou City, Hebei Province, and the water in the pit was black. (Photo by Xu Hui)

A huge water storage pit was formed near the sewage outlet of Hutuo River in Jinzhou City, Hebei Province, and the water in the pit was black. (Photo by Xu Hui)

  Cctv news(Reporter Xu Hui) The Hutuo River, which originated at the foot of Taixi Mountain in fan shi, Shanxi Province, runs out of Taihang Mountain in the west and runs to the sea in the east, is the largest river flowing through Shijiazhuang City and is known as the mother river of Shijiazhuang.

  In recent years, Shijiazhuang has vigorously promoted the ecological restoration project of Hutuo River. Among the living environment examples of Hebei Province in 2016-2017, the Hutuo River Ecological Corridor Project in Shijiazhuang is on the list. The content of "treating the ecological environment like life, coordinating the management of landscape, forest, field, lake and grass system" put forward in the report of the 19th National Congress is reflected here.

  However, a few days ago, a video of "sewage facilities are put into display and sewage is discharged into the Hutuo River" was circulated on the Internet and attracted the attention of many netizens.

  At about 13 o’clock on May 4, CCTV reporters came to the video shooting place — — Longquan Gu Village, Huaishu Town, Jinzhou City, near the bank of Hutuo River, was investigated.

  4 million pretreatment equipment intermittently "strikes"

The picture on the left shows the picture in the network video, showing that there is sewage flowing out of the main gate. The picture on the right shows the picture taken by the reporter on May 4, showing that water flows out from one side of the main gate. According to the relevant personnel of Jinzhou Branch of Shijiazhuang Environmental Protection Bureau, the water treated by the pretreatment pool should flow into the Hutuo River from the side of the main gate.

The picture on the left shows the picture in the network video, showing that there is sewage flowing out of the main gate. The picture on the right shows the picture taken by the reporter on May 4, showing that water flows out from one side of the main gate. According to the relevant personnel of Jinzhou Branch of Shijiazhuang Environmental Protection Bureau, the water treated by the pretreatment pool should flow into the Hutuo River from the side of the main gate.

  It is understood that the netizen who filmed and uploaded the video of "sewage equipment is decorated and sewage is discharged into the Hutuo River" is Zhou, a villager in Longquan. The video was filmed a few days ago.

  The reporter arrived at the scene of the video shooting and found that the treated water flowed from the underground pipe network to the front of the main gate, with a small gate on the front side and a water outlet on the east side behind the main gate. There are a row of pretreatment tanks on both sides of the gate, and the two pretreatment tanks are connected by pipes. Before the water reaches the gate, it flows into the pretreatment pool from the small gate, and flows into the Hutuo River from the water outlet on the other side of the gate after the pretreatment pool turns around.

  Compared with the video released by Zhou, it can be found that the water flowing out of the underground pipe network in the video flows directly into the Hutuo River from the main gate without passing through the pretreatment pool.

  Liang Ma, a staff member of Jinzhou Branch Office of Shijiazhuang Environmental Protection Bureau, said that according to the design of the sewage outlet, what the reporter saw was normal operation, indicating that the water had been treated by the pretreatment tank.

  It can be seen that the pretreatment pool does not run intermittently.

  The standard water is polluted in the 12km underground pipe network.

The above picture shows the outlet of the second sewage treatment plant in Jinzhou. The water is slightly green. According to the real-time monitoring by the environmental protection department, it reaches the first-class A standard. The following picture shows the water flowing into the Hutuo River from the sewage outlet of the Hutuo River after being purified by the pretreatment tank, which is reddish brown. (Photo by Xu Hui)

The above picture shows the outlet of the second sewage treatment plant in Jinzhou. The water is slightly green. According to the real-time monitoring by the environmental protection department, it reaches the first-class A standard. The following picture shows the water flowing into the Hutuo River from the sewage outlet of the Hutuo River after being purified by the pretreatment tank, which is reddish brown. (Photo by Xu Hui)

  The reporter found in the square on the south side of the sewage outlet of the Hutuo River in Jinzhou City that two black cars were parked here, one with the words "official car" printed on it, and four men were waiting here. Seeing the reporter taking pictures, three men came forward to ask the reporter about his origin. After identifying the identity of the reporter, the reporter was taken to Jinzhou No.2 Sewage Treatment Plant.

  According to Ji Chao, deputy director of the plant, on December 28th last year, Jinzhou signed an agreement with Beijing Sander Environmental Engineering Co., Ltd., and Sander Company won the right to operate Jinzhou Sewage Treatment Plant for 30 years.

  Ji Chao led the reporter to the outlet of the factory, and the reporter found that the purified water was clear and translucent. The treated water is discharged into the underground pipe network and flows to the sewage outlet of Hutuo River. "We have online monitoring equipment installed here, which operates 24 hours a day and automatically transmits monitoring data to Shijiazhuang Environmental Protection Bureau every two hours. The water flowing out from here can meet the first-class A standard and meet the specified requirements. "

  The data provided by the online monitoring website of Shijiazhuang Environmental Protection Bureau also shows that the monitoring data of the first and second sewage treatment plants in Jinzhou City are qualified.

  Then, why on earth is the water that has reached the standard turbid again and reddish brown when it is discharged into the Hutuo River?

  Environmental protection department: investigate the pollution sources of underground pipe network

  It is understood that the water treated by the first and second sewage treatment plants in Jinzhou City will be discharged to the sewage outlet of Hutuo River through a 12-kilometer underground pipe network.

  Wang Limin, director of Jinzhou Branch of Shijiazhuang Environmental Protection Bureau, said that the branch had found that there was a difference in water quality between the sewage treatment plant outlet and the Hutuo River outlet, and it was suspected that the qualified water was polluted in the underground pipe network. Professionals have been hired, and the 12-kilometer underground pipe network will be investigated in the near future.

  According to Wang Limin, on April 20th, some people reported that the manhole covers of underground pipe networks in the south of Qidi Village and the north of Baishui Village in Jinzhou City were lost, and unknown vehicles dumped waste liquid at night. Law enforcement officers of the Environmental Protection Bureau found a large number of rut marks on the scene, and there were traces of waste water on the ground, with obvious odor. The dumped waste liquid was discharged to the main discharge port of Hutuo River.

  At present, the public security organs have filed an investigation.

  Pretreatment tank is "unable to directly degrade industrial enterprise wastewater"

Pretreatment tank can reduce the content of suspended solids in the discharged water, but if it is directly used to purify the sewage of industrial enterprises, it seems to be "inadequate" (Photo by Xu Hui)

Pretreatment tank can reduce the content of suspended solids in the discharged water, but if it is directly used to purify the sewage of industrial enterprises, it seems to be "inadequate" (Photo by Xu Hui)

  When the water source is polluted again, can the pretreatment tank play a purification role?

  According to Liang Ma, the average daily sewage treatment capacity of the first and second sewage treatment plants in Jinzhou is 2200-2300 cubic meters and 40000 cubic meters respectively.

  The pretreatment tank of Hutuo River sewage outlet, which was built in September 2015 with an investment of 4 million yuan, is used to further improve the water quality index of effluent from sewage treatment plant. Special high-efficiency physical and chemical flocculant is added in the pretreatment tank, which can further degrade the pollutants in the water body after contacting with water, reduce the suspended solids content in the water, and ensure that the water quality flowing into the Hutuo River reaches the standard.

  The reason why the pretreatment tank is built under the sewage treatment plant and before the water flows into the Hutuo River is because this technology is based on the sewage treatment plant’s standard discharge. "If this technology is used in this kind of water produced by industrial enterprises, it should not work." Liang Ma said.

  As for the intermittent shutdown of pretreatment tank, Wang Limin, director of Jinzhou Branch of Shijiazhuang Environmental Protection Bureau, said that further investigation would be made.

The CIRC answered a reporter’s question on the Guidelines for the Articles of Association of Insurance Companies.

  Cctv newsAccording to the website of the China Insurance Regulatory Commission, recently, the China Insurance Regulatory Commission issued the Guidelines for the Articles of Association of Insurance Companies (hereinafter referred to as the Guidelines). The person in charge of the relevant departments of the CIRC answered questions from reporters.

  1. What is the background of the promulgation of the Articles of Association Guidelines?

  The articles of association of an insurance company is an important legally binding document that regulates the organization and behavior of the company and stipulates the rights and obligations of the company and its shareholders, directors, supervisors and management, and is the institutional basis for regulating the corporate governance structure. The CIRC attaches great importance to the fundamental role of the articles of association in regulating corporate governance. In 2008, it issued the Opinions on Regulating the Articles of Association of Insurance Companies, which played an important guiding role in regulating the contents of the articles of association of insurance companies and clarifying the procedures for formulating and amending the articles of association. However, judging from the governance risk problems of some insurance companies in recent years, some basic systems of corporate governance still have weak links, especially the articles of association, which is the "basic law" of the company, are still incomplete and imperfect, leaving hidden risks for the operation of corporate governance. It is urgent to further standardize the formulation of articles of association, grasp the original institutional arrangements of corporate governance, and enhance the effectiveness of corporate governance.

  The purpose of formulating the Articles of Association Guidelines this time is to strengthen the supervision and guidance of insurance companies by standardizing the necessary provisions of the articles of association, provide a normative template for insurance companies to formulate articles of association on the basis of adhering to corporate autonomy, strengthen the structural foundation of insurance company governance, and further consolidate the long-term mechanism of risk prevention.

  2. What is the significance of the Articles of Association Guidelines for strengthening corporate governance supervision?

  The publication of the Guidelines for Articles of Association is another important measure taken by our association to prevent the source of corporate governance risks and consolidate the foundation of corporate governance structure, which is of great significance to further improve the corporate governance mechanism and enhance the effectiveness of corporate governance.

  First, it is conducive to resolving the hidden risks of corporate governance. From the practice of insurance company governance and typical risk cases, some companies’ articles of association are missing basic items, the authorization mechanism is unclear or excessive, general and long-term authorization, the replacement and replacement mechanism of the company’s key personnel is unclear, the nomination mechanism of directors is missing, and the "living will" is missing, which leaves hidden risks in the company’s governance operation and becomes an important source of corporate governance deadlock, insider control and imbalance of governance mechanism. The Articles of Association Guidelines standardize the necessary clauses of the articles of association of insurance companies, which is helpful to strengthen the structural foundation of corporate governance and prevent and resolve the hidden risks of corporate governance from the source.

  Second, it is conducive to strengthening the regulatory constraints of corporate governance. The Articles of Association Guidelines focus on the main risks of corporate governance operation and the outstanding problems in the formulation of articles of association. Based on laws and normative documents, taking public companies as standards, taking full account of the characteristics of the industry on the basis of adhering to corporate autonomy, it clarifies the necessary provisions of the articles of association of insurance companies. The Articles of Association Guidelines put forward clear requirements for the formulation of the articles of association of insurance companies, and also provided an institutional basis for the regulatory agencies to review the articles of association, which was helpful to promote the transformation of corporate governance supervision from "flexible guidance" to "rigid restraint" and further enhance the binding force of corporate governance supervision.

  Third, it is conducive to enriching corporate governance supervision tools. In recent years, the China Insurance Regulatory Commission has issued more than 20 measures for corporate governance supervision system. The Guidelines for Articles of Association are conducive to effectively combining the regulatory requirements with the articles of association of the company, prompting the company to clarify the main links of the governance mechanism in the form of articles of association, internalizing the regulatory requirements into the internal requirements of the company, giving full play to the role of the Basic Law and promoting more rigorous and standardized corporate governance. At the same time, the Guidelines for Articles of Association further enriched the exploration of corporate governance supervision and became an important starting point and an effective means to strengthen corporate governance supervision and prevent corporate governance risks.

  3. What are the main contents of the Guidelines for Articles of Association?

  The Guidelines for Articles of Association consists of 14 chapters and 82 articles, which improve the necessary clauses that insurance companies should include in formulating articles of association. In addition to the contents required by the Company Law and Opinions on Standardizing the Articles of Association of Insurance Companies, the main risk points in corporate governance operation are clearly defined.

  The first is about the rights and obligations of shareholders. In addition to the basic rights enjoyed by shareholders, the Guidelines for the Articles of Association require the company to clarify that shareholders have the right to nominate directors and supervisors in accordance with laws, regulations and regulatory provisions, and set out specific nomination rules; It is clear that shareholders have the right to directly report to the CIRC when directors, supervisors and senior managers violate laws and regulations and cause losses to the company or damage the interests of shareholders. In addition to the basic obligations that shareholders should bear, it is clear that shareholders should take and cooperate with the regulatory authorities to take measures when the company’s solvency is insufficient, risk events or major violations occur; Clearly require that the pledge of shareholders shall not harm the interests of other shareholders and the company, and shall not stipulate that the pledgee or its related parties shall exercise the voting rights; It puts forward clear requirements for timely reporting of major changes in shareholders themselves and related relationships with other shareholders. At the same time, the fiduciary duty of the controlling shareholder is also required to be regulated in the articles of association.

  The second is about the authorization mechanism. The Guidelines for Articles of Association respectively refine the specific functions and powers of the shareholders’ meeting and the board of directors, and authorize the company to formulate the functions and powers of the general manager according to the situation. For major foreign investment, major asset purchase, disposal and write-off of major assets that need to be reviewed and approved by the shareholders’ meeting, and related matters that need to be reviewed and approved by the board of directors within the scope authorized by the shareholders’ meeting, it is required to specify the specific quota ratio or specific content scope in the articles of association. At the same time, it is clear that the statutory authority of the shareholders’ meeting shall not be exercised by the board of directors or other institutions or individuals through authorization, and the statutory authority of the board of directors shall not be granted to the chairman or other individuals in principle. If necessary, it shall be authorized on a case-by-case basis.

  The third is about the voting resolution mechanism. The Articles of Association Guidelines specify the specific matters that need to be passed by ordinary resolutions or special resolutions at the shareholders’ meeting, the avoidance principle and voting rules of related shareholders when the shareholders’ meeting and the board of directors consider related transactions, and the voting rules for the election of directors and supervisors at the shareholders’ meeting. It is stipulated that when considering related party transactions, related directors shall not exercise voting rights, nor shall they exercise voting rights on behalf of other directors. Related shareholders shall not participate in voting, and the number of shares with voting rights they represent shall not be counted in the total number of valid votes. It is clear that if the company has a single shareholder (related shareholders or concerted parties) holding more than 50%, the cumulative voting system shall be implemented when electing directors and supervisors. Regarding the voting rules of the board of directors and the board of supervisors, the company is also required to stipulate them in the articles of association in accordance with relevant regulatory provisions.

  The fourth is about independent directors and the board of supervisors. The Guidelines for Articles of Association require the company to specify the nomination method, duties and rights, dereliction of duty and corresponding punishment measures of independent directors in the articles of association. The company is required to specify in its articles of association that independent directors should review the fairness of major related party transactions, the implementation of internal review procedures and the impact on the rights and interests of the insured, and submit to the board of directors special powers such as convening an extraordinary general meeting of shareholders, proposing to convene the board of directors, and independently hiring external audit institutions and consulting institutions. It is stipulated that independent directors should express their opinions on special matters, and if they abstain or vote against related matters, or think that there are obstacles to expressing their opinions, they should submit written opinions to the company and report to the CIRC. The "Guidelines for Articles of Association" put forward requirements for the relevant duties, rights and obligations of supervisors and board of supervisors, and required the company to regulate them in the articles of association.

  The fifth is about special matters of corporate governance. The Guidelines for Articles of Association require the company to specify the replacement and replacement mechanism of the main responsible persons such as the chairman and general manager in the articles of association to ensure that key positions and key personnel perform their duties in place. The company is required to conclude a "living will", and in the articles of association, the situation of corporate governance mechanism failure, the corrective measures that the company can take and the procedures for applying for supervision and guidance from the CIRC when the internal corrective procedures cannot solve the problem are listed in advance. It stipulates that the company, shareholders who individually or collectively hold more than one third of the company’s shares, and more than half of the directors have the right to apply to the CIRC for supervision and guidance of the company. At the same time, from the perspective of solvency supervision, the company is required to stipulate the terms promised by shareholders in the articles of association under certain circumstances. In the case of insufficient solvency of the company or the order of the China Insurance Regulatory Commission to increase capital, shareholders who cannot or do not increase capital should agree with other shareholders or investors to adopt reasonable plans to increase capital.

  4. What is the scope of application of the Articles of Association Guidelines?

  Considering the different organizational forms of insurance companies, there are great differences in corporate governance structure and operation. Therefore, the Articles of Association Guidelines are standardized with the articles of association of joint-stock insurance companies as the version, and the scope of application is joint-stock insurance group (holding) companies, insurance companies and insurance asset management companies, and other organizational forms of companies refer to it. Listed insurance companies should also comply with the relevant provisions of the China Securities Regulatory Commission on the articles of association of listed companies.

  V. What are the next steps after the promulgation of the Guidelines for Articles of Association?

  The publication of the Articles of Association Guidelines is of great significance to guide insurance companies to establish a healthy corporate governance structure and form a good corporate governance operation mechanism, and is an important measure to further strengthen the supervision of insurance companies’ governance. In the next step, around the promulgation of the Articles of Association Guidelines, we will focus on the following tasks: First, we will require the company to formulate or modify its articles of association in accordance with the requirements of the Articles of Association Guidelines. For those who apply for the preparation and opening acceptance of an insurance company, the draft articles of association shall be drafted or revised according to the requirements of the Articles of Association Guidelines, and other insurance companies shall make corresponding amendments to the articles of association before the end of 2017. Second, the company is required to explain the contents of the Articles of Association Guidelines. Under the premise of not violating the laws and regulations and the requirements of the Guidelines for Articles of Association, insurance companies are allowed to add contents to the Articles of Association or make changes in words or order to the contents stipulated in the Guidelines for Articles of Association, but the added or modified contents should be explained. Third, based on the Guidelines for Articles of Association, the examination and approval of articles of association of insurance companies will be carried out, and the compliance with articles of association will be taken as the starting point to effectively improve the compliance and effectiveness of insurance company governance.

The Advanced Deeds of Comrade Chu Liyun, the 10th "Top Ten Soldiers’ Mothers" in Shandong Province

Life photo

Life photo

Commendation photo

Commendation photo

Free clinic consultation

Free clinic consultation

Chu Liyun, female, born in July 1966, enlisted in the army in July 1981, with a level 5 professional skill. She is currently the chief nurse and head nurse of the Third Division of the Cadre Ward of the 401st Hospital of the People’s Liberation Army, and is the mother of Comrade Zhang Xuejiao at Qingdao Frontier Inspection Station. Since graduating from the military academy in 1984, this comrade has been rooted in the clinical front line for 33 years, showing the value of life by caring for patients, improving the quality of work by continuous exploration and enterprising, interpreting angel’s love with scientific human management, and silently doing nursing work in ordinary posts to the extreme, practicing the Nightingale spirit with practical actions of respecting every patient and being kind to every life. Because of outstanding work achievements, He has been rated as "Top Ten Nurses", "Excellent Nurses", "Excellent Head Nurse" and "Excellent Communist party member" in the hospital for many times, and has been awarded many honorary medals such as "Advanced Woman" and "Ideal Shines in the Post" by the Navy North Sea Fleet. For three years in a row, it has been rated as "excellent service star" in Qingdao health system, "civilized worker" in Qingdao health system, "good nurse satisfied by the people" in Qingdao, the fourth "Li Guimei’s good nurse" nursing outstanding contribution award in Qingdao, and Qingdao "Adhere to the clinical good nurse for 30 years and the "most beautiful head nurse" in Qingdao; He was awarded the title of "Excellent Nurse" and "Excellent Nursing Worker" in the Ninth Branch of jinan military area command for many times, and won the third-class merit three times.

Filial piety to parents-in-law, caring for husband and teaching daughter are the "wife’s help" in the neighborhood.

Shortly after Chu Liyun got married, his father-in-law was diagnosed with advanced esophageal cancer, and he could not eat through his mouth, so he could only maintain his life by intravenous infusion. Because her family agreed to hide her illness from her father-in-law and refused to send her father-in-law to the hospital, Chu Liyun took the initiative to assume the responsibility of home care. No matter whether she worked at night shift in the unit or worked at night shift, no matter whether it was windy or snowy, she took a trip every day and rode her bike to and from more than 20 kilometers. More than half a year after her father-in-law died, she never stopped. When my father-in-law died, he left a last wish that "her lover must apply for graduate school." To this end, she has undertaken almost all the housework and tried her best to support her lover to concentrate on studying for master’s and doctoral students. In six years, she spent a lot of time together. While working, she took care of her ailing mother-in-law, while taking care of her daughter’s preschool education, and cultivated her daughter’s interests in dance, calligraphy and painting. Her paintings and calligraphy won the first and second prizes in the National Children’s Painting and Calligraphy Competition. After enlisting in the army, Zhang Xuejiao gave full play to his literary and artistic expertise, and directed more than 10 special cultural programs such as dance and allegro, which were performed in the cultural performances of provincial offices, corps and Qingdao Cooperation Zone successively, and won unanimous praise from officers and men.

Benevolence and kindness nursing are recognized as "service stars" by doctors and patients.

As the head nurse in the cadre ward above the military level, I can’t remember how many different roles she played — Granddaughter, daughter, sister, comrade-in-arms … … In 2015, a 97-year-old veteran cadre was unconscious due to a sudden cerebral hemorrhage. She took meticulous care of her like a baby. She lived in the department for several days and guarded her bed. After the veteran cadre woke up, she heard about this and pointed to her wife. Emotionally said: "This is our own daughter!" . When she was discharged from the hospital, she was specially presented with a banner, which read "To Head Nurse Chu Liyun: She is extremely enthusiastic about her comrades and is active and responsible for her work". In addition, she insisted on visiting newly admitted patients within 12 hours, patrolling the ward at least twice a day on weekdays and at least once a day on holidays, keeping abreast of patients’ needs and doing her best to solve problems for patients; She insisted on taking the initiative to leave her mobile phone number for every hospitalized patient, and turned it on 24 hours a day, so as to be responsive, answer questions and be on call.

In 2002, as one of the first nurses sent abroad to study in the hospital, she went to Japan to study clinical nursing and nursing education. After returning home, she eagerly updated her knowledge, assiduously studied related rehabilitation skills, and applied the early rehabilitation concept of cerebrovascular disease to clinical work, which was highly recognized by her peers. In 2006, she was selected by the hospital and sent to the special training center of Run Run Run Shaw Hospital affiliated to Zhejiang University for venous catheterization technology. After strict examination, she successfully obtained PICC technical qualification certification, and now she has successfully placed catheters for more than 1,000 patients, improving the level of venous treatment in the hospital. A patient from Taiwan Province was in hemorrhagic shock due to sudden upper gastrointestinal bleeding, and her blood pressure could not be measured. She quickly and skillfully performed central venous catheterization for him through femoral vein, established a safe venous passage, and transfused 3000ML for 2 hours, saving the patient’s life. A patient with esophageal cancer survived for nine months after PICC intubation, and his family regarded PICC intubation as a life channel. The diligent pursuit of her career has yielded fruitful results. She once participated in the "First Naval Nursing Technology Competition" on behalf of the hospital and won many awards such as individual event, pentathlon and group. Also won the first prize in Qingdao vein indwelling needle competition. In addition, she has served as the coach and evaluation of nursing technology competitions organized by hospitals, logistics department of Qingdao base, Qingdao base, North Sea Fleet Air Force, North Sea Fleet and Qingdao for many times, and trained many nursing technical backbones for grass-roots health units of the army.He has published 20 professional papers and 5 monographs by the first author, and successively won one third prize for military medical achievements, four third prizes for military scientific and technological progress, one second prize for Qingdao scientific and technological progress, one third prize for Shandong scientific and technological progress, two national utility model patents and one national invention patent.

Chu Liyun’s selfless, selfless and conscientious professionalism has brought her a personal influence. Zhang Xuejiao worked hard in her post and worked hard for many years. In 2015, she was commended as an "advanced individual in law enforcement" by the Border Defense Bureau of the Ministry of Public Security.

Perseverance, courage and responsibility are the "loving elder sister" respected by officers and men.

During his 36-year military career, Chu Liyun has participated in military medical support tasks many times. In December 2015, she was nearly 50 years old. With the strong support of her family, she actively requested to participate in the 22nd escort mission of the Navy and served as the party branch secretary of the medical team. During the seven-month mission, he not only withstood the severe physical and mental tests of various complex sea conditions, but also took the lead, actively participated in various exercises, and always served every officer and soldier patiently and meticulously with full work enthusiasm. Take the initiative, carry out health knowledge teaching, and organize self-help and mutual rescue training and competitions for officers and men in war injuries. Actively participate in the rescue and care of the fishermen of the "Zhangyuan" in the Gulf of Aden. In every medical emergency, she always takes the lead and rushes to the front, showing the good image of female soldiers in China. Many media, such as People’s Navy Daily and Zhongxin. com, have given special reports, and the escorted officers and men are affectionately known as "loving big sisters". Mother and daughter always encourage each other tacitly, whether they are concerned about their daughters during the voyage across the equator or worried about their mothers in the Gulf of Aden mission area. They are both close friends and like-minded comrades-in-arms. Zhang Xuejiao proudly said: "Mom is escorted by one person, and our whole family is glorious. My mother has set a good example for me as a revolutionary soldier, and I will work harder like my mother. " Engaged in information legal work, often have to work overtime,Sometimes she works continuously until late at night. Zhang Xuejiao never complains that she is tired and full of energy.

Enthusiastic public welfare and selfless dedication are the "most beautiful head nurses" praised by the masses.

Years of work practice have made Chu Liyun feel that as a head nurse, it is far from enough to rely on one’s love, patience and compassion. Only by bringing out an excellent nursing team, cultivating a group of excellent nursing talents and creating a series of advanced nursing cultures with a responsible attitude, scientific management and innovative spirit can we be truly responsible for the nursing cause. And she is willing to devote her life to this great and beloved cause. The nursing group led by her has been rated as "advanced clinical teaching department", "excellent training department" and "advanced nursing unit" for many times. "Standardized nursing unit with high quality service", the "excellent nursing unit" of the ninth branch of the Joint Logistics Department, was jointly commended by the Ministry of Health of the People’s Liberation Army General Logistics Department and the Ministry of Health in 2010 as "demonstration ward with high quality nursing service". In 2014, it was named "Top Ten Outstanding Nursing Teams" in Qingdao. The "Rose in the Army" initiated by her — The Nightingale Nursing Volunteer Service Team of 401 Hospital often uses holidays to go deep into street communities to carry out free clinic activities for the people, carry out health education and rehabilitation guidance, and is welcomed by the masses. She has lived for decades,Leading nurses to regularly and voluntarily replace catheters, fistulas, nasal feeding tubes, PICC catheter maintenance, skin and wound care for patients with mobility difficulties after discharge. Many patients said in thank-you letters: "The head nurse thought of the front of the patient and did it in the patient’s heart!" Other patients’ families embroidered "meticulous care and consideration" on the banner. She also often uses her rest time to go to nursing homes for nursing business guidance, persistent dedication, and convey the warmth of angels with true love. In May this year, Comrade Chu Liyun won the title of "the most beautiful head nurse" in the activity of "Looking for the most beautiful head nurse" carried out by Qingdao News Network.

Go to China! Four Indian pharmaceutical giants assembled to enter the 500 billion generic drug market.

Author Mao San

"Welcome China’s decision. It is only the beginning, and the road is still very long. " This is an excerpt from a reader’s comment in The Times of India, when China announced the cancellation of import tariffs on 28 kinds of medicines.

Let’s look at the British media writing in the article "China strives to lower drug prices, Indian pharmaceutical companies take advantage of the situation to come to China". "China has ambitiously launched drug procurement plans involving many cities to help reduce drug prices, which also opens up competitive opportunities for Indian drug manufacturers."

It is not difficult to find that with the gradual relaxation of national restrictions on imported drugs, especially after the introduction of the "4+7" procurement policy, India, known as the "world pharmaceutical factory", is eager to try the China market.

The bugle sounded and the army assembled. According to the data, since the "China-India Drug Regulatory Exchange Meeting" was held on June 21st, in less than two months, four Indian pharmaceutical giants have rushed to the China generic drug market.

One,Each has his own position and his own abacus.1. Sun Pharmaceutical: Expand its business in China in the next 6-9 months.

Sun Pharmaceutical Industries Ltd, the largest pharmaceutical factory in India and the fourth largest generic drug company in the world, took the lead in taking action.

On June 28th, Kang Zhe Pharmaceutical (CMS), through its wholly-owned subsidiary, signed a license agreement with Sun Pharmaceutical for Tildrakizumab and 0.09% cyclosporine A eye drops respectively. These two products are prescription drugs for psoriasis biotherapy and dry eye treatment respectively.It is also the first time that Sun Pharmaceutical has been allowed to enter the China market.

According to the agreement, Kang Zhe Pharmaceutical has obtained the exclusive license right to develop and commercialize the above two products in Greater China. The initial period of the agreement is 20 years from the first listing and sale of the products in the region, and can be renewed in an interval of three years after mutual consent.

According to the latest cooperation announcement, the cooperation between the two sides on generic products has covered 8 products.Covering a potential market of about $1 billion in Chinese mainland.Next, the two sides will further expand and deepen cooperation in the pharmaceutical market in China.

Founded in 1983 by Dilip Shanghvi, Sun Pharmaceutical is headquartered in Mumbai, Maharashtra, and has 30,000 employees worldwide. It is the largest chronic prescription drug company in India. Dilip Shanghvi once topped India’s rich list with a net worth of $22.5 billion and became the famous "king of generic drugs".

Today, Sun Pharmaceutical has produced more than 2,000 varieties and sold them in 150 markets around the world, covering the treatment of diseases in cardiovascular, psychiatric, digestive, respiratory and other fields.

This cooperation is regarded as an important breakthrough for Sun Pharmaceutical to enter the China market. "China has more than 65% of the generic drug market, and we will expand our business in China within 6-9 months," Dilip Shanghvi publicly stressed.This business will contribute "a certain proportion" to Sun Pharmaceutical’s total sales of $4 billion within three years., currently almost zero.

2. Sipura: once again put the China market into the planning map.

Followed by Cipla, India’s second-ranked generic drug manufacturer, its respiratory drugs ranked first in India.

On July 16th, Cipla, the European branch of Sipura, announced that it would set up a joint venture with Jiangsu Chuangnuo Pharmaceutical Co., Ltd. as a branch of Sipura in China to build a production base of inhalant products. According to the agreement,The two sides will jointly invest 30 million US dollars,Among them, Sipura European Branch holds 80% of the shares, and Jiangsu Chuangnuo Pharmaceutical holds 20%.

The two sides of this cooperation have deep roots. As early as 2004, Sipura and Shanghai Chuangnuo Pharmaceutical Group jointly established Jiangsu Xidi Pharmaceutical. It was not until 2014 that Sipura sold its shares and withdrew from the joint venture company. Jiangsu Xidi was later renamed Jiangsu Chuangnuo.

Sipura was founded in 1935 by Abdullah Hamid. Its truly world-famous event was in 2001. In that year, when anti-AIDS drugs were still monopolized by a few patent giants around the world, Sipura reduced its anti-AIDS drugs to $350 per person per year in Africa, less than $1 per day on average.

At present, Sipura’s business lines span respiratory, antiretroviral, urinary, heart and central nervous system fields, includingA number of well-known anticancer drugs including Iressa, Gleevec and Trocquer.The company has 44 production bases and more than 1,500 products all over the world, covering more than 80 countries.

With the second cooperation with Chuangnuode, Sipura once again put the China market into its own planning map. "This cooperation in building a factory in China means that we have taken another important step," said Umang Vohra, global CEO of Sipura. China is an important direction for its development and will continue to explore various ways to establish a product portfolio including cancer drugs and other products in the future.

3. Strides Limited: A sales team of over 4,000 people will be promoted in China.

On July 29th, Sihuan Pharmaceutical Holding Group announced the establishment of a joint venture company with Indian pharmaceutical company Strides Limited to enter the China market to engage in drug registration and sales.

In this cooperation, both parties hold 51% and 49% shares respectively. Strides Limited will exclusively authorize Sihuan Medicine to register, declare, commercialize and distribute four major products in China, and it will supply them to the joint venture company through its manufacturing plants in India and Singapore.

According to public information, Strides Limited was established in 1990 and headquartered in Bangalore, India. The company has been listed on the Bombay Stock Exchange and the National Stock Exchange of India, and its sales and research and development product lines cover five major areas: cerebrovascular system, central nervous system, metabolism, tumor and diabetes. At present,It has seven production bases around the world, five of which have been certified by the US FDA.The other two are for emerging markets.

"The recent development of drug supervision in China has enabled differentiated high-quality generic drugs to be quickly approved, and itsThe portfolio with more than 140 products conforms to China application.Strides Limited said that after the four products of this cooperation, it can choose to further expand its product portfolio.

Next, Sihuan Medicine will use its sales team of more than 4,000 people and more than 3,000 distributors all over China to promote these four products.

4. Natco Pharma: The U.S. market is going down, seizing the opportunity to enter the China market.

On August 11th, Indian media reported that Natco Pharma hoped to expand its business scale in China in the face of the adversity of American generic drug market.

That is to say,Natco Pharma, the prototype manufacturer of the film Dying to Survive China-India Granin, will also officially enter the China market.As early as March this year, it was reported that Natco Pharma would cooperate with China institutions to start the BE clinical trial of Gefitinib.

Natco Pharma, founded in 1981.A well-known anticancer drug brand generic drug with many multinational pharmaceutical companies., including Novartis’s anticancer drug Gleevec, Novartis’s original research drug Zetai, AstraZeneca Iressa, Roche’s anticancer drug Trocquer, Bayer’s anticancer drug nexavar, and Gilead’s new scientific hepatitis C drug Propthone, etc.

Headquartered in Hyderabad, India, the top ten pharmaceutical company in Indian pharmaceutical industry started with a capital of only 3.3 million rupees (about 330,000 RMB). Today, it has 5,000 employees, 7 manufacturing plants and modern R&D laboratories around the world.

However, Natco Pharma’s main source of income depends largely on the United States.Take 2018 as an example. In this year, the US market contributed US$ 127 million to Natco, accounting for about 40% of the total revenue.

"It is hoped that the company will not only rely on the US market to get higher returns, but also the world, especially large developing countries, is a good strategy for the company to increase profits and share risks," said Rajeev Nannapaneni, vice chairman and CEO of Natco. It is time for Natco to enter the China market with the liberalization of policies and the reduction of tax rates.

Second,Desire for the China market

In fact, India has never stopped trying to enter the pharmaceutical market in China.

It is worth mentioning that in 1993, the Indian star company and the largest imitation pharmaceutical company, Rambosi, invested millions of rupees to set up a joint venture in China. Just,Due to strong barriers to entry, long-time commercial infrastructure and cost competition with local enterprises, Lamborghini finally withdrew.

Recently, since 2018, with the introduction of China’s "4+7" procurement policy, Indian pharmaceutical companies have once again tried to open the China market and accelerated their March:

In July 2018, India’s Anjovita Company invested 100 million US dollars to establish Anjovita Pharmaceutical Taizhou Co., Ltd.;

In December 2018, Alabin Pharmaceutical and Luoxin Pharmaceutical reached a cooperation to establish a joint venture in China to introduce high-quality and low-price drugs;

In February, 2019, China Reddy Laboratory Co., Ltd. applied for the bioequivalence test of clopidogrel bisulfate tablets to prepare for entering the market.

In this way, seven Indian pharmaceutical companies have definitely entered the China market in the past year. However, behind this swarming layout, it is reflected thatIn the past few decades, this huge Indian generic drug army sweeping the world has never been able to open up the China market.

According to statistics, during the period from April 2017 to March 2018, Indian pharmaceutical exports amounted to US$ 17.3 billion, of which 60% were exported to high-end markets such as Europe and America, and China only accounted for 1%.

Therefore, transnational illegal purchasing has always been the main way for Indian generic drugs to flow into China because they have not obtained the sales license in China. Behind this,The approval process is the biggest stumbling block for multinational pharmaceutical companies such as India to enter China.Because imported generic drugs are subject to clinical approval system, it takes several years to evaluate the consistency of a generic drug.

Take Sandoz, a generic drug subsidiary of Novartis, as an example. Its rosuvastatin tablet is the first imported generic drug approved for conformity evaluation in China. This drug was applied for clinical application in 2010, produced in 2014, and finally approved for conformity evaluation in 2019.The whole process lasted for ten years.

2018 should be an extraordinary year for Indian generic pharmaceutical companies. This year, thanks to the increasingly favorable conditions for importing generic drugs provided by a series of new drug administration reforms, India finally had the opportunity to set foot in China’s 100 billion generic drug market.

It is reported that at present, about 50 large Indian pharmaceutical companies have plans to enter the China market, looking for China partners, bringing their proud generic drugs to China and occupying the China market.

At present, the ambition of Indian generic pharmaceutical companies seems out of reach, but for domestic generic pharmaceutical companies, the days when they lie down and make money are completely over.

Interpretation of the spirit of the Third Plenary Session by Party School Experts’ Authority: Focus on Building a Socialist Cultural Power

  The "Decision" of the Third Plenary Session of the 20th CPC Central Committee is a programmatic document guiding China to further comprehensively deepen reform in the new journey. In order to better understand and grasp the "seven focuses" reform goals put forward in the Decision, Xinhuanet Sike launched a series of "Interpretation of the Spirit of the Third Plenary Session by Party School Experts" to deeply explore the spiritual essence and reform requirements of further comprehensive deepening reform. The "Decision" proposes to focus on building a socialist cultural power. Wang Xuebin, a professor of literature and history teaching and research department of the Central Party School (National School of Administration), made an in-depth analysis of this issue.

On June 5, 2019, people took part in the dragon boat parade on Jinjiang River in Bijiang District, tongren city, Guizhou Province, to welcome the arrival of the Dragon Boat Festival (photo of drone). Xinhua News Agency (photo by Wu Weidong)

  Xinhuanet Thinker: What is the significance of building a socialist cultural power for national development and national rejuvenation?

  Wang Xuebin:The Decision of the Central Committee of the Communist Party of China on Further Comprehensively Deepening Reform and Promoting Chinese Modernization adopted by the Third Plenary Session of the 20th CPC Central Committee (hereinafter referred to as the Decision) focuses on building a strong socialist cultural country, and puts forward the goal of deepening reform in the cultural field at present and in the future. This deployment embodies the characteristics of highlighting the goal and giving consideration to all parties, combining the total score and advancing as one.

  Building a socialist cultural power is an important foundation and prerequisite for building a socialist modern country in an all-round way and realizing the great rejuvenation of the Chinese nation. Since the 18th National Congress of the Communist Party of China, the CPC Central Committee with the Supreme Leader as the core has raised cultural construction to a new historical height, courageously explored and steadily advanced, greatly enhancing the cultural creativity of the whole nation and enhancing its cultural self-confidence. The 20th National Congress of the Communist Party of China put forward the goal and task of building a strong cultural country and significantly enhancing the country’s cultural soft power by 2035, and made major arrangements to promote cultural self-confidence and self-improvement and create new glories of socialist culture. The specific arrangements made in the Decision of the Third Plenary Session around the construction of a cultural power can be described as timely.

  Culture plays an increasingly important role in the process of Chinese modernization. In the new stage of development, culture is an important content to promote the overall layout of "five in one" and the strategic layout of "four comprehensive" in a coordinated way. We must put cultural construction in a prominent position in the overall work and more consciously use culture to lead the fashion, educate the people, serve the society and promote development.

On January 2, 2021, readers read books in a library in Shaoyang City, Hunan Province. Xinhua News Agency (photo by Ceng Yong)

  To implement the new development concept, build a new development pattern and promote high-quality development, culture is an important fulcrum. We must further develop and expand the cultural industry, strengthen cultural empowerment, and give full play to the role of culture in activating development momentum, improving development quality and promoting the optimization and upgrading of economic structure; Culture is an important factor to adapt to the historical changes of the main social contradictions in our country, meet the people’s growing needs for a better life and promote their all-round development. We must deepen the reform of the cultural system, expand the supply of high-quality culture, and let the people enjoy a richer, richer and higher-quality spiritual and cultural life. To meet the new wave of scientific and technological revolution and promote the development of quality change, efficiency change and power change, culture is an important field. We must accelerate the deep integration of culture and science and technology, better build advanced socialist culture with advanced and applicable technologies, reshape the mode of cultural production and communication, and seize the commanding heights of cultural innovation and development; Culture is an important soft power to cope with the unprecedented changes in the world, resolve new contradictions, meet new challenges and form new advantages in the complicated international environment. We must strengthen our strategic strength and tell the story of China well, so as to provide lasting and profound spiritual motivation for building a community of human destiny. Undoubtedly, all these tasks need to be gradually enhanced and finally realized by building a cultural power.

  Xinhuanet Thinker: Why should we emphasize the fundamental system of adhering to the guiding position of Marxism in the ideological field in building a socialist cultural power?  

  Wang Xuebin:Ideological work is an extremely important work of the party, and it is a work for the country and the nation. At present, there are many challenges in the ideological field. Without a strong cohesive and leading socialist ideology, other reforms and constructions in the cultural field are out of the question, which will even affect the overall strategic situation of Chinese modernization. Therefore, we must adhere to the guiding position of Marxism in the ideological field, improve the ideological work responsibility system, continue to innovate the Marxist theoretical research and construction project, implement the innovation project of philosophy and social sciences, accelerate the construction of the discipline system, academic system and discourse system of philosophy and social sciences with China characteristics, and cultivate and expand the talent team of philosophy and social sciences. Vigorously promote the systematic reform of mainstream media, improve the public opinion guidance mechanism and public opinion response coordination mechanism; Continue to promote the normalization and institutionalization of ideal and belief education, and improve the institutional mechanism for cultivating and practicing socialist core values.

  Xinhuanet Thinker: The "Decision" of the Third Plenary Session put forward that "the system and mechanism for the development of cultural undertakings and cultural industries should be improved". What aspects do you need to exert?

  Wang Xuebin:The high-quality completion of a strong socialist cultural country is inseparable from the prosperity and development of cultural undertakings and cultural industries. After more than ten years of hard exploration, the reform of China’s cultural system has achieved fruitful results, and at the same time, new problems arising in the development process need to be dealt with and solved in time. The "Decision" takes deepening mechanism reform as the focus of reform in this field, and puts forward "optimizing the supply mechanism of cultural services and cultural products" and "establishing a mechanism for direct access to high-quality cultural resources", which is not only conducive to solving the outstanding problem of insufficient imbalance in cultural development in various regions, but also complementary to the deployment of urban-rural integration development; It puts forward "deepening the reform of state-owned assets and state-owned enterprises in the cultural field, and promoting the internal reform of cultural institutions by classification", focusing on the blocking points, difficulties and pain points of relevant units and institutions at present, and pointing out the direction of future breakthroughs.

On November 22, 2022, tourists visited the farmers’ painting exhibition hall in Linglong Bay, Shengfeng Village, Youchegang Town, Jiaxing, Zhejiang Province. Xinhua News Agency reporter Xu Yushe

  Specifically, it is necessary to improve the level of public cultural services. We will fully prosper the press and publication, radio, film and television, literature and art, philosophy and social sciences. We will implement projects to improve the quality of literary and artistic works, promote the deep integration of media, promote the integration of urban and rural public cultural service systems, strengthen the construction of major national cultural facilities and cultural projects, and inherit and carry forward China’s excellent traditional culture.

  At the same time, we should improve the modern cultural industry system. Adhere to the social benefits in the first place, social benefits and economic benefits are unified, deepen the reform of cultural system, improve cultural industry planning and policies, strengthen the construction of cultural market system, and expand the supply of high-quality cultural products. Implement the digital strategy of cultural industry, standardize the development of cultural industrial parks, and promote the integrated development of culture and tourism.

  Xinhuanet Thinker: How to grasp the specific deployment of "promoting cultural prosperity and enriching people’s spiritual and cultural life" in the Decision?

  Wang Xuebin:To build a strong socialist cultural country, we must always adhere to the direction of advanced socialist culture. To measure the quality and level of cultural prosperity, the most important thing is not to look at economic benefits, but to see whether we can provide more cultural products that can meet people’s cultural needs and enhance people’s spiritual strength.

  The "Decision" clearly stated that "the people-centered creative orientation should be adhered to, the combination of achievements and talents, the integration of grasping works and grasping the environment should be adhered to, and the working mechanism of service, guidance and organization of literary and artistic creation should be improved", which is in line with the fundamental purpose of socialist literary and artistic work and the needs of current literary and artistic talent training and creative mechanism reform. It is put forward that "the coordination organization of cultural heritage protection and inheritance should be established, the supervision system of cultural heritage protection should be established, and the systematic protection and unified supervision of cultural heritage should be promoted", which conforms to the general trend of promoting the in-depth development of cultural heritage protection and inheritance; Emphasis is placed on "improving the system and mechanism for the deep integration of culture and tourism", which shows that with the vigorous development of "building tourism with literature and displaying literature with tourism", it is urgent to standardize and guarantee the system and mechanism.

This is a cultural relic excavated from Liangzhu Site exhibited in Liangzhu Museum (photo taken on April 18th, 2024). Xinhua News Agency reporter Xu Yushe

  To sum up, many measures are aimed at improving the civilization level of the whole society, which is a very comprehensive goal. In the future, it should run through the three levels of the country, society and the public, and make efforts to improve the civilized quality of citizens, cultivate good social customs and enhance the quality of public civilization.

  Xinhuanet Thinker: "Building a more effective international communication system", what aspects can we focus on?

  Wang Xuebin:Based on a new historical starting point, and constantly improving the national cultural soft power, it is necessary to make Chinese culture and the values it contains go to the world, and run through all aspects of international communication and dissemination, so as to enhance the international community’s knowledge and understanding of Socialism with Chinese characteristics. The "Decision" pointed out that "building a more effective international communication system" focuses on promoting the reconstruction of the international communication pattern, deepening the reform and innovation of the international communication mechanism of mainstream media, and accelerating the construction of a multi-channel and three-dimensional external communication pattern; At the same time, accelerate the construction of China discourse and China narrative system, and comprehensively improve the efficiency of international communication. In addition, we need to build a practice mechanism of global civilization initiative, expand international humanities exchanges and cooperation, build a global civilization dialogue and cooperation network, enrich cultural exchange content and expand cooperation channels.