上海交大赵大海接受央视专访：严格遵守“动态清零”比新冠特效药对上海尽快战胜疫情更重要
上海交通大学国际与公共事务学院教授、博士生导师，上海交通大学-耶鲁大学卫生政策联合研究中心执行主任赵大海，自新冠肺炎疫情暴发以来，对于新冠疫情暴发、防控以及卫生政策第73次接受中央电视台专访，也是第126次接受央视、上视专访。2022年4月6日，赵大海接受中央电视台英语频道专访，在《中国24小时》节目就上海新冠肺炎疫情防控的最新进展、Paxlovid特效药的应用等相关话题进行了解释和评论。现将访谈内容摘录如下。
主持人：上海的新冠无症状病例仍在迅速上升，同时又有几百例有症状的确诊病例。你是如何评估上海现在疫情的？上海市政府是如何来应对的？
赵大海：通过于4月4日在上海全市开展的全民核酸检测，4月4日和4月5日发现的新冠病例均超过了1万例。据我判断，未来几天，每天的新增新冠病例还有可能比当前的数字更高。然而，上海开展的第一次全市全民核酸检测对上海新冠疫情抗击具有重要意义。鉴于上海已对所有市民开展了核酸检测，抗击新冠疫情的动态清零策略已经得到确认。
基于动态清零的策略，所有确诊病例或无症状感染者都会在确诊当日转运到集中隔离点，而不是待在家里。此外，考虑到疫情防控的思路已明确，越来越多的集中隔离点和方舱医院将建立起来，以接收所有的确诊病例和无症状感染者。所有潜在病例将在未来几天均会通过多轮核酸检测或抗原检测被筛查出来。此外，在未来一段时间，上海可能依然还会发现数万新冠病例，但上海疫情防控的策略和路线均已明确。
主持人：第一批新冠病毒的治疗药物奈玛特韦片/利托那韦片组合包装(Paxlovid)已经在上海应用。Paxlovid将有助于高危患者避免重病，这对上海的疫情防控意味着什么？
赵大海：Paxlovid在临床的使用，对上海抗击新冠暴发将起到重要的补充作用，尤其是对于比如老年人或慢性病患者的高危人群而言。
然而，Paxlovid在临床的使用并不会改变上海的疫情防控策略。首先，由于目前上海大多数的新冠感染者是无症状感染者或轻症状病例，他们不需要使用Paxlovid。只有极少数感染者真正需要使用这种药物。第二，上海抗击疫情最重要的策略是旨在防范更多人感染病毒的封控式管理。因此，在上海市民中进行多轮核酸检测或抗原检测，以便尽快发现潜在病例，并在第一时间将所有病例转移到集中隔离点，比考虑使用Paxlovid更为重要。
供稿者：国务学院
日期：2022年4月6日
ZHAO Dahai’s 126th explanations on COVID-19 on TV: Strictly abiding by "dynamic zeroing" is more important than special medicine for the prevention and control of COVID-19 in Shanghai
Dahai Zhao, a doctoral supervisor at the School of International and Public Affairs of Shanghai Jiao Tong University and Executive Director of Shanghai Jiao Tong University-Yale University Joint Research Center for Health Policy, has been interviewed by CGTN for the 73rd time (the 126th time by CGTN / ShanghaiTV) since the COVID-19 pandemic. On April 6th, Zhao commented on COVID-19 prevention and control in Shanghai on CGTN “China 24”.
Question 1： Asymptomatic cases in Shanghai continue to suffer but just a couple of hundred cases where patients are reporting symptoms. How do you assess the situation in Shanghai? how do authorities is manage it?
ZHAO: Through the first nucleic acid test for all citizens in Shanghai on April 4th, more than 10 thousand cases of COVID-19 were found on April 4th and April 5th, respectively. As far as I know, the daily caseload may be higher than the current number as about 10 thousand. However, the first nucleic acid test for all citizens in Shanghai is much meaningful for the combating the pandemic in Shanghai. Because of the mass nucleic acid test for all citizens in Shanghai, the policy of combating the pandemic has been confirmed. The Zero-covid strategy has been finally verified.
According to the confirmed zero-covid strategy, all confirmed cases or asymptomatic cases will be transferred to centralized isolation places on the confirmation day rather than staying at home. Further, considering the combating routine has been clear, more and more centralized isolation places and temporary hospitals will be built to accept the confirmed cases and asymptomatic cases. All potential cases will be found through multi-round nucleic acid test or antigen detections in coming days.
In addition, although tens of thousands of potential cases in Shanghai will be found in the near future, the combating policy has been clear.
Question 2：the 1st batch of Paxlovid has arrived at SH, these can help high risk patients from getting very sick..what does this mean for the city?
ZHAO: The arriving of Paxlovid at Shanghai has played an important complementary role in combating the serious pandemic of COVID-19, particularly for the high-risk patients, such as the patients who are the elders, or with chronic diseases.
However, the presence of Paxlovid has not changed the general policy of combating the pandemic of COVID-19 in Shanghai. First, due to the fact that the most majority of the current infected case of COVID-19 in Shanghai are asymptomatic cases or mild symptomatic cases, it is not necessary for them to use Paxlovid. At the same time, only few of the infected cases need to use the medicine. Second, the most important strategy of combating the pandemic in Shanghai is the closed-off management which aims to prevent more people from infecting the virus. Therefore, the multi-round nucleic acid test or antigen detection among Shanghai citizens which are used to find the potential cases as soon as possible and transferring all cases to the centralized places at the first time are much more important than the consideration of using Paxlovid.
Contributor: SIPA, SJTU
Date: April 6th, 2022