Warning on Counter-Riot and Mass Chemical Poisonings

March 1, 2014, was supposed to be a quiet weekend, but underneath the calm atmosphere, there was always a small group of people brewing a plot. The occurrence of the “3.01” riot incident and the drenching blood of more than 170 innocent people suddenly shocked the world. In recent years, Xinjiang and Tibetan separatists, as well as hostile forces at home and abroad, have been coveting the fruits of our reform and opening-up, and the “7.5” incident in Urumqi in 2009 and the Tiananmen Jinshuiqiao incident on Oct. 28, 2013, have been testing the new Chinese government’s ability to govern. As we learn from the pain, while cooperating with the government to do our job well, as researchers who are exposed to poisonings, we should also raise our voice to prevent the occurrence of mass chemical poisoning terrorist incidents. Historically, terrorists have used all sorts of tactics. According to statistics, from 1960 to 2002, there were more than 16,000 chemical terrorist incidents worldwide. Typical examples include the Tokyo subway sarin gas incident in Japan on March 20, 1995, which killed 12 people and injured about 5,510 others. As the pace of life accelerates, the density of crowds increases, and the variety of poisonous substances increases, the possibility of mass chemical terrorism incidents increases greatly. The promulgation and implementation of the Law of the People’s Republic of China on Response to Emergencies in 2007 was the first law on emergency management in China; around the same time, the Regulations on Emergency Response to Public Health Emergencies, the Law on Prevention and Control of Infectious Diseases, the Overall Emergency Response Plan for Public Emergencies of the People’s Republic of China, the National Emergency Response Plan for Public Health Emergencies, the National Emergency Response Plan for Public Health Emergencies, and the National Emergency Response Plan for Major Animal Diseases were promulgated. Emergency Response Plan for Major Animal Epidemics”, “National Emergency Response Plan for Major Food Safety Incidents” and other laws and regulations have been introduced one after another, which point out the direction for our actions after a vicious public health emergency. Accordingly, the following recommendations are to be made: 1. Public emergencies are characterized by suddenness, radiation and spread. Any emergencies test the overall resilience of the whole society. Health supervision and medical institutions at all levels should immediately and actively take action to improve the rules and regulations, and while doing a good job in the management of various types of poisons and risk potential investigation, widely educate the staff, people do their best, make the best use of things, always on standby, attach great importance to the ideology to ensure that the information liaison is smooth, and always be ready for large-scale rescue and treatment. Specifically, poison control organizations should also take the lead in the treatment of public health emergencies, the construction of clinical treatment bases, the state of preparedness of special tests, and the reserve of special antidotes. 2. The principles of on-site treatment of public health emergencies include: strict compliance with laws and regulations; unified command and rapid response; clear division of labor and full cooperation; proficiency of emergency personnel in the characteristics of various types of chemicals and their treatment; and complete on-site testing equipment and technical means. The on-site treatment of mass chemical violence and terrorism, the classification of personnel to pick up injuries, and the one-stop treatment of social and psychological problems at a later stage should not be omitted in any way. Suggested by the health administrative departments or units within the organization of the annual 1 ~ 2 related exercises. 3. Chemical poisoning is characterized by the complexity of joint damage to multiple organs, diversity of manifestations, specific effects on target organs, and the existence of special antidotes or specific treatment methods for some chemicals. At present, with the progress of science and technology, the medical sub-specialties are more and more detailed, the majority of clinicians have narrower knowledge and poorer horizontal interdisciplinary ability. And because of the uncertainty of chemical poisoning treatment, and can violate the organs and systems, the general medical staff, the lack of relevant knowledge, health administrative departments should also organize experts to strengthen the knowledge of poisons and poisoning learning and understanding, you can regularly hold special lectures, training and so on. 4, for each medical unit, should be set up to deal with public health emergencies committee. By the dean personally in charge, the relevant departments responsible for their respective duties, the formation of scientific, effective and timely inertia management system. 5, the use of a variety of publicity channels, to the general public publicize the general knowledge of various types of poison prevention and treatment. To the people, especially in primary and secondary schools, hospitals, homes for the elderly and other vulnerable groups concentrated units, repeated use of radio, big screen film and television, graphic panels and other means to carry out patriotic and safe publicity and education.