htmlOn November 7, the National Health Commission website issued the "Notice on Further Optimizing and Implementing the Prevention and Control Measures for the New Coronavirus Pneumonia Epidemic." Quick View Key Points:
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Notice on Further Optimizing and Implementing Measures for the Prevention and Control of the New Coronavirus Pneumonia Epidemic
Joint Prevention and Control Mechanism Zongfa [2022] No. 113
Joint Prevention and Control Mechanism Zongfa [2022] No. 113
provinces, autonomous regions, municipalities directly under the central government and Xinjiang Production and Construction Corps responding to Novel Coronavirus Pneumonia Epidemic Joint Prevention and Control Mechanism (Leading Group, Command Center), the State Council’s Joint Prevention and Control Mechanism for the Novel Coronavirus Pneumonia Epidemic Member Units:
Recently, all localities and departments have thoroughly implemented the decisions and deployments of the CPC Central Committee and the State Council, adhered to the ninth edition of the prevention and control plan, implemented twenty optimization measures, and continued to rectify the problems of increasing the amount at all levels, achieving positive results. According to the current epidemic situation and virus mutation, in order to more scientifically and accurately prevent and effectively solve the prominent problems in prevention and control work, the following notice is hereby notified on further optimizing and implementing epidemic prevention and control measures:
First, scientifically and accurately divide risk areas. High-risk areas are designated according to buildings, units, floors, and residents, and shall not be expanded to areas such as communities, communities, streets (towns) at will. shall not adopt any form of temporary blocking.
The second is to further optimize nucleic acid detection . does not carry out nucleic acid testing for all employees according to administrative regions, further narrowing the scope and frequency of nucleic acid testing. Antigen testing can be carried out according to the needs of epidemic prevention work. Nucleic acid testing will be conducted in accordance with relevant regulations for high-risk positions and personnel from high-risk areas, and other personnel are willing to be tested. Except for special places such as nursing homes, welfare homes, medical institutions, childcare institutions, primary and secondary schools, does not require a negative nucleic acid test certificate, and does not check the health code . Important agencies, large enterprises and some specific places can determine prevention and control measures by their own jurisdiction. no longer checks cross-regional mobile personnel for negative nucleic acid test certificates and health codes, and no longer conducts on-site inspections.
The third is to optimize and adjust the isolation method. infected people should be admitted scientifically classified and treated. asymptomatic infected people with and mild cases generally undergo home isolation, and they can also voluntarily choose centralized isolation to treat . Strengthen health monitoring during home isolation, and release quench 1Ct value ≥35 for two consecutive nucleic acid tests during the 6th and 7th day of isolation. If the condition worsens, transfer to designated hospitals for treatment in a timely manner. close contacts with who have the conditions for home isolation are subject to 5 days of home isolation, or voluntarily choose to centralized isolation, and they will be released from isolation after the nucleic acid test is negative on the 5th day.
Fourth, implement the "quick seal and quick solution" in high-risk areas. has no new infections for five consecutive days and should be unblocked in a timely manner.
5 is to ensure the basic needs of the public for purchasing medicines. Pharmacies in various places must operate normally and must not be closed at will. The public shall not be restricted from purchasing over-the-counter drugs such as over-the-counter drugs such as , such as fever-relieving, cough-relieving, anti-viral, and cold-treating.
6 is to accelerate the promotion of new coronavirus vaccination for the elderly. All localities should adhere to the principle of receiving all the people who are aged 60-79, and make special arrangements. Vaccination services are optimized through measures such as setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles. Training on the determination of vaccination taboos should be carried out step by step and medical personnel should be guided to scientifically determine vaccination taboos. Refine popular science publicity and mobilize the whole society to participate in mobilizing the elderly to vaccinate. Local governments can take incentive measures to mobilize the enthusiasm of the elderly to get vaccinated.
7 is to strengthen the survey and classification management of health conditions of key groups. plays the role of "net bottom" in primary medical and health institutions and "gatekeepers" in family doctor health, find out the vaccination status of the elderly and the new coronavirus in the jurisdiction who suffer from cardiovascular and cerebrovascular diseases , COPD pulmonary , diabetes , chronic kidney disease , tumors, immune function defects and other diseases, and promote the implementation of grading and classified management.
8 is to ensure the normal operation of society and basic medical services. Non-high-risk areas shall not restrict the flow of personnel, nor shall they suspend work, production or business. Medical personnel, public security, transportation and logistics, supermarkets, supply guarantee, water, electricity, gas and heating, etc., should be included in the "whitelist" management, and relevant personnel should do a good job in personal protection, vaccination and health monitoring, ensure normal medical services and basic daily necessities, water, electricity, gas and heating, and other supply, try their best to maintain normal production work order, promptly solve urgent, difficult and anxious problems raised by the people, and effectively meet the basic living needs of the people during the epidemic response period.
9 is to strengthen the security guarantees related to the epidemic. is strictly prohibited from blocking fire passages, unit doors, and community doors in various ways to ensure that the public can go out with medical treatment, emergency risk avoidance and other channels. Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide medical convenience for elderly people living alone, minors, pregnant women, disabled people, patients with chronic diseases, etc. Strengthen care and psychological counseling for lockdown personnel, patients and front-line staff.
1 is to further optimize the epidemic prevention and control work in schools. All localities and schools must resolutely implement scientific and precise prevention and control requirements. Schools without epidemics must carry out normal offline teaching activities. Supermarkets, canteens, sports venues, libraries, etc. on campus must be open normally. Schools with epidemics should accurately define risk areas, and normal teaching, life and other order should be ensured outside the risk areas.
All localities and relevant departments should further improve their political stance, unify their thoughts and actions with the decisions and deployments of the Party Central Committee, adhere to the ninth edition of the prevention and control plan, implement the twenty optimization measures, implement the requirements of this notice, resolutely correct simplification, "one-size-fits-all" and increase measures at all levels, oppose and overcome formalism and bureaucracy, strictly and effectively carry out various prevention and control measures, protect people's lives and health to the greatest extent, and minimize the impact of the epidemic on economic and social development.
Comprehensive Group of the State Council’s Joint Prevention and Control Mechanism for the Novel Coronavirus Pneumonia Epidemic
December 7, 2022
"On Further Optimization and Implementation of the Prevention and Control Measures for the New Coronavirus Pneumonia Epidemic Notice of Interpretation Q&A
At the same time, the National Health Commission website also launched the "Notice on Further Optimizing and Implementing the Prevention and Control Measures for the New Coronavirus Pneumonia Epidemic" Interpretation Q&A:
1. What is the background of the issuance of the notice? What is the main content?
Since the outbreak of the new crown pneumonia epidemic, the CPC Central Committee and the State Council have always put the safety and health of the people first. According to the characteristics of the virus mutation and the development of the epidemic, we insist on the principle of stability and make progress in stability, take small steps and keep pace, and optimize and improve prevention and control measures according to the times and situations. After the 20 optimization measures were announced and implemented, we closely tracked the implementation results of various places. In light of the useful experience accumulated in the recent epidemic response process in various places, we organized research and proposed ten targeted measures to further optimize the isolation of infected and close contacts, nucleic acid testing and other measures, further strengthened the requirements of "quick sealing and quick release" in high-risk areas, vaccination, school prevention and control, epidemic-related safety guarantee, people's medical treatment, medication and basic living security, and normal social operation and maintenance, continuously improve the scientific and accurate level of prevention and control, protect the lives and health of the people to the greatest extent, and minimize the impact of the epidemic on the production and living order of the people and economic and social development.
2. What regulations does the "Notice" make on the demarcation of risk areas? For what considerations?
The "Notice" requires scientific and accurate division of risk areas, and high-risk areas are designated by buildings, units, floors, and residents. It shall not be expanded to communities, communities, streets (towns), etc., and the risk areas shall be accurately determined through epidemiological investigation, and the number of people blocked can be further reduced. At the same time, it is required that all kinds of temporary blockades shall not be adopted, nor shall it be adopted at will to adopt "silent" management. During the epidemic response process, localities should quickly control close contacts, and high-risk areas may not be designated in the absence of community transmission risk.
3. What further optimizations have been made to nucleic acid testing in the "Notice"? For what considerations?
nucleic acid testing should focus on areas and personnel with high risk of infection, and not conduct nucleic acid testing for all employees according to administrative areas, further narrowing the scope and frequency of nucleic acid testing. Antigen testing can be carried out according to the needs of epidemic prevention work. In accordance with the relevant provisions of Article 20 optimization measures, nucleic acid testing should be carried out for people who are in direct contact with incoming personnel, items, and the environment, staff in centralized isolation facilities, medical personnel in designated medical institutions, and fever clinics in general medical institutions, as well as high-risk positions with dense personnel, frequent contact with people and strong mobility in business environments such as shopping malls, supermarkets, express delivery, and takeaway. Other personnel are willing to be tested.
Considering that nursing homes, welfare homes, childcare institutions, primary and secondary schools are places where special groups such as the elderly and young children are concentrated. Once the source of infection is introduced, clustered epidemics are prone to occur and the risk of severe illness is high. Therefore, entering nursing homes, welfare homes, childcare institutions, and primary and secondary schools must provide a negative nucleic acid test certificate to prevent the introduction of infection sources. The number of people who visit medical institutions is complex, the flow of people is large, and the space is closed. Once the source of infection is introduced, it is easy to cause the spread of the epidemic and in-hospital infections, affecting the normal operation of medical institutions and the normal medical treatment of the people. Therefore, when entering a medical institution for treatment, it is necessary to provide a negative nucleic acid test certificate, but medical institutions shall not shirk responsibility or refuse to treat critically ill patients without a negative nucleic acid test certificate. Important agencies, large enterprises and some specific places can determine prevention and control measures by their own local governments to ensure the normal operation of society and maintain normal production and living order. After the outbreak of the epidemic, all localities should evaluate the epidemic risk in different regions based on the epidemic situation and flow judgment, classify and determine the scope and frequency of nucleic acid testing, and improve the quality and efficiency of nucleic acid screening.
4. The "Notice" has adjusted the isolation method of infected people and close contacts. What are the considerations? The pathogenicity of
Omickron variant strain has been significantly weakened. After clinical observation, most of them are asymptomatic infections and mild cases after infection, and no special treatment is required. Asymptomatic infected people and mild cases with home isolation conditions can be isolated at home, health monitoring can be strengthened, and if the condition worsens, the condition will be transferred to designated hospitals for treatment in a timely manner. Close contacts with home isolation conditions should be isolated for 5 days at home, strengthen home isolation management, do a good job in health monitoring and complete nucleic acid testing in accordance with regulations. The adjustment of isolation methods for infected people and close contacts fully reflects that my country has always adhered to the principle of putting people first and life first in epidemic prevention and control, and dynamically optimized and improved prevention and control measures based on the characteristics of virus mutation and the development of the epidemic situation, time and situation.
5. The "Notice" requires that high-risk areas should implement "quick sealing and quick solution". What are the considerations?
In accordance with the relevant requirements of the ninth edition of the prevention and control plan and the twenty optimization measures, after the infected person is found, high-risk areas should be designated as soon as possible, and risk control personnel should be investigated and controlled, and community transmission should be blocked in a timely manner to achieve "quick blocking and quick resolution". If there are no new infections for five consecutive days, the high-risk areas should be unblocked in time to avoid long-term lockdowns and reduce the inconvenience caused to the people due to the epidemic.For example, the newly infected people found in high-risk areas after the lockdown are co-occupiers, close contacts or their co-occupiers who strictly implement home isolation management. After evaluation, there is no risk of community transmission outside the family, which will not affect the unlocking time of high-risk areas.
6. What measures does the "Notice" take to ensure the basic needs of the people for drug purchase?
All localities must ensure the normal operation of pharmacies and must not close pharmacies at will. Make good reserves for routine drug supply, especially for patients with underlying diseases. Open up multiple channels and distribution links for drug purchase, and do not restrict the public from purchasing over-the-counter drugs such as fever-relieving, cough-relieving, anti-viral, and cold-treating. The pop-up windows and nucleic acid testing requirements when purchasing the above-mentioned over-the-counter drugs are cancelled. A variety of measures have been taken to ensure the basic drug purchase needs of the people, especially the elderly and patients with underlying diseases, etc.
7. Why should the elderly get the vaccine ? How are the arrangements for accelerating vaccination for the elderly?
The current epidemic prevention and control situation is severe and complex. Vaccination still has good results in preventing severe illness, death, etc. The elderly and other vulnerable groups are prone to develop severe illness, critical illness or even death after being infected with the new coronavirus. Vaccination with the new coronavirus vaccine benefits the most, so it is necessary for the elderly to get the new coronavirus vaccine in a timely manner. In order to accelerate the vaccination of the new coronavirus for the elderly, we have made arrangements from the following aspects: to establish green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles and other measures to provide door-to-door vaccination services for disabled and semi-disabled elderly people, optimize various convenient measures, open up the "last 100 meters" of vaccination for the elderly, and provide convenience to the elderly to the greatest extent. Carry out vaccination taboo determination training step by step, guide medical personnel to scientifically determine vaccination taboos, and eliminate vaccination concerns among the elderly. Refine popular science publicity, mobilize the whole society to participate in mobilizing the elderly to vaccinate, and let the concept of vaccination and protecting health of the elderly be deeply rooted in people's hearts.
8. The "Notice" mentions that it is a key population survey and classified management. How can the work be promoted?
Mobilize multiple forces to participate, give full play to the role of residential (village) committees and their public health committees and their professional advantages of urban and rural grassroots medical and health institutions, make full use of existing residents' health information, and conduct a survey of the health status of the elderly through elderly health management services and telephone, text messages, WeChat surveys, etc. If a ledger has been established during the epidemic, there is no need to collect it repeatedly. It is encouraged to integrate and share information and determine the scope of key groups through information technology, so as to effectively reduce the burden on grassroots units. According to the health status, vaccination status, and the risk of infectious diseases, the surveyed population is divided into key, sub-key, and general populations, and the role of grassroots medical and health institutions as "bottom of the network" and family doctor health "gatekeeper" is given, and corresponding health services are provided in a graded and classified manner.
9. What are the considerations of the "Notice" to ensure the normal operation of society and basic medical services, what requirements does it put forward, and what issues should be paid attention to during implementation?
my country is a country with a large population, with a large number of fragile people, unbalanced regional development, and insufficient total medical and health resources. The current epidemic situation in some regions is relatively large, and the prevention and control situation is severe and complex. Although the pathogenicity of the Omickron variant has been significantly weakened, its transmission ability has been significantly enhanced. If people who ensure the normal operation of society and basic medical services are infected in a short period of time, it will cause a shortage of manpower, which may have an impact on social operation and basic medical services.
In order to efficiently coordinate epidemic prevention and control and economic and social development, and to ensure the normal operation of society and basic medical services during the epidemic, the "Notice" requires that non-high-risk areas shall not restrict the flow of people, and shall not suspend work, production or business; medical personnel, public security, transportation and logistics, supermarkets, supply guarantee, water, electricity, gas and heating, and other personnel to ensure basic medical services and normal operation of society shall be included in the "whitelist" management, and relevant personnel shall pay attention to doing a good job in daily life. Personal protection, vaccination and health monitoring, reduce contact with the society, work as much as possible, and work normally with a negative nucleic acid test certificate; if the test is positive, accurately determine close contacts, the workplace will not be temporarily blocked, and personnel in the same workplace will not be isolated on a large scale, so as to ensure normal medical services and basic daily necessities, water, electricity, gas and heating, etc., try to maintain normal production work order, promptly solve urgent, difficult and anxious problems raised by the masses, and effectively meet the basic living needs of the masses during the epidemic response.
110. What regulations does the "Notice" make on strengthening epidemic-related security guarantees?
In order to strengthen risk prevention in epidemic prevention and control and ensure the safety of people's lives and property, the "Notice" requires that fire escapes, unit doors, and community doors are strictly prohibited in various ways to ensure that people can go out with medical treatment, emergency risk avoidance and other channels for going out. While controlling risk personnel, we must strengthen door-to-door services and provide good living and normal medical insurance. Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide medical convenience for elderly people living alone, minors, pregnant women, disabled people, patients with chronic diseases, etc. Strengthen care and psychological counseling for lockdown personnel, patients and front-line staff, provide psychological assistance hotlines, and provide psychological support services.
1. What further optimizations have the "Notice" made in schools' epidemic prevention and control? For what considerations?
School is a key place with dense crowds. Protecting the health of teachers and students to the greatest extent and maintaining normal educational and teaching order to the greatest extent is an important task in the current school epidemic prevention and control. According to the current epidemic situation and school actual situation, in order to guide schools to prevent and control more scientifically and accurately, the "Notice" clearly requires special places such as childcare institutions, primary and secondary schools to check the negative nucleic acid test certificate and health code. At the same time, schools in all regions are required to resolutely implement scientific and precise prevention and control requirements. Schools without epidemics should carry out normal offline teaching activities, and school supermarkets, canteens, sports venues, libraries, etc. should be open normally. Schools with epidemics should scientifically and accurately define risk areas, and normal teaching, life and other orders should be ensured outside the risk areas. All localities and relevant departments should attach great importance to school epidemic prevention and control work, improve school-local coordination mechanisms, and further optimize prevention and control measures based on the characteristics of schools at all levels and types to ensure the health of teachers and students and campus safety.
Edit丨Zhang Lan Comprehensive Xinhua News Agency, National Health Commission websites and other
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