Beijing Municipal Center for Disease Control and Prevention issued the fifth edition of the home isolation medical observation work guidelines on September 30, 2022, which clearly stated that living alone or co-residents agree to jointly home isolation medical observation as a necessary condition for the evaluation of home isolation medical observation sites, and roommates who return to Beijing to share their homes are said no.
(This guideline is formulated and interpreted by the community prevention and control group, and is under the jurisdiction and published by the Municipal Center for Disease Control and Prevention)
This guideline is applicable to guiding and standardizing medical observation related work in home isolation in communities (villages).
1. Applicable objects
include special groups in close contacts , high-risk groups, close contacts, spillovers in medium-risk areas, and other people who cannot undergo centralized isolation and medical observation after being evaluated by professionals.
2. Basic conditions for home isolation medical observation
The residence of people living in home isolation medical observation must be professional assessment of the environment inside and outside the home by community (village) medical staff, relevant staff, etc. If the conditions for home isolation are not met, centralized isolation or store isolation will be carried out.
(I) Hardware facilities evaluation
1. Residence places are equipped with kitchens and bathrooms that can be used independently.
2. When the room is ventilated with an air conditioner system, split air conditioners should be selected. If centralized air conditioners are used, ensure that the air conditioner is running normally, increase the amount of fresh air, and turn off the return air in the entire air system.
3. The smoke exhaust facilities in the kitchen should be equipped with check valve or directly discharged to the outdoors through pipes.
4. Kitchen wash basin and other appliances drainage pipe should be closely connected to the drainage system. If plug-in connection is used, sealing should be done.
5. The exhaust duct of the bathroom should be equipped with a check valve or have window ventilation conditions.
6. In addition to the toilet with water storage bend , other sanitary utensils must be equipped with water storage bends below the drain; the floor drain should be equipped with water sealing device , and the drainage pipes of washbasins and other utensils should be closely connected to the drainage system. If plug-in connection is used, sealing should be done.
7. Living places should have good ventilation conditions and have external windows that can be opened independently.
8. Places with poor ventilation conditions, such as semi-basements, basements, etc., are not recommended as home isolation places.
9. If the residence is close to public roads and has no physical isolation, it is recommended to add temporary physical isolation facilities.
(II) Support condition assessment
1. If there are no people living together, medical observation personnel in home isolation should have full self-care ability and be able to live independently.
2. If there are people living together, they should be satisfied that they can arrange a well-ventilated room for home isolation medical observation personnel. If conditions permit, special bathrooms can be provided. If the shared bathrooms are used, daily cleaning and disinfection must be done.
3. The room should be equipped with thermometer , tissues, masks, disposable gloves, disinfectants and other personal protective equipment , disinfection products and trash cans with lids.
4. The community (village) you are in meets the conditions for living support.
5. If there is any renovation and construction of the building unit where the medical observation personnel in the home isolation are located, the construction should be suspended, and temporary closure measures should be taken to the exposed pipe openings.
3. Community (village) work requirements
(I) Carry out environmental assessment. Community (village) medical staff, relevant staff, etc. should conduct professional assessments of the internal and external environment of home-isolated medical observation personnel. If the conditions are not met, they shall not be used as home-isolated medical observation places.
(II) Register and record in a timely manner. Street (town) and community (village) staff should contact the medical observation personnel in home isolation in a timely manner, grasp the information of medical observation personnel in home isolation, register and record in accordance with the requirements of "one household, one file" or "one person, one file", and include it in the grid management of community (village). Find out the situation of special people in home isolation medical observation such as pregnant women, dialysis patients, widowed elderly people, etc., establish a ledger, and focus on it.
(III) fulfill the obligation to inform. Through written or electronic notices, the epidemic prevention responsibilities and obligations should be clarified to the medical observation personnel in home isolation, as well as the legal responsibilities that may be borne by failing to comply with epidemic prevention requirements, and inform them of the name of the community (village) health and medical institution that they can contact when there are health problems.
(IV) Strengthen technical prevention measures. Through intelligent magnetic and other information technology methods, the management and service efficiency of medical observation personnel in home isolation can be improved.Timely enter its information into the "Beijing Epidemic Tracking Data Reporting System" and assign the " Beijing Health Code " yellow code.
(V) Carry out health monitoring. Community (village) medical staff should record the daily temperature and health status of medical observation personnel in home isolation and the people living in the morning and evening. It was found that it had symptoms related to new coronary pneumonia such as fever, dry cough, fatigue, sore throat, decreased sense of smell (taste), nasal congestion, runny nose, conjunctivitis, , myalgia and diarrhea, and immediately report it to the local health department.
(VI) Nucleic acid antigen detection. In accordance with epidemic prevention requirements, on the 1st, 4th and 7th day of home isolation, professional institutions will organize home nucleic acid testing for home isolation medical observation personnel. Close contacts in home quarantine shall be implemented in accordance with the corresponding nucleic acid testing requirements. Antigen testing should be performed if there are clinical symptoms during home staying at home, and community (village) medical staff should do relevant guidance.
(7) Meet medical needs. Community (village) medical staff should focus on the situation of special groups such as cardiovascular and cerebrovascular diseases, chemotherapy, dialysis, etc., and provide necessary medical and health services in a timely manner. When people under home isolation medical observation have the need to go out for medical treatment, they should provide medical services in a timely manner in accordance with the relevant provisions of the "Notice on Further Strengthening the Management of Fever Clinics and Medical Services" (Beijing Defense Group Yifa [2021] No. 10).
(8) Provide good life service guarantees. Provide basic living security and other necessary services to medical observation personnel in home isolation, respond to demands in a timely manner, and do a good job in humanistic care.
(9) Psychological assistance services. Inform home isolation medical observers to have psychological assistance hotline numbers, provide psychological support, psychological counseling and other services, alleviate the negative emotions of isolated people, prevent and alleviate psychological difficulties caused by the epidemic, and prevent extreme events caused by psychological pressure. When a home-isolated medical observer has mental health problems, he/she will promptly refer him/her to the counterpart mental health medical institution.
(10) Strengthen random inspections and inspections. Community (village) should conduct random inspections of people under home isolation medical observation in their jurisdiction to find out whether they are undergoing home isolation medical observation as required, whether they have left their place of residence, whether they have participated in gathering activities, and whether they have completed nucleic acid testing and other activities on time.
(11) Strictly dispose of garbage. The garbage generated by medical observation personnel in home isolation should be placed in a special trash can, cleaned every day. Before cleaning, spray and disinfect with chlorine-containing disinfectant or other effective disinfectant containing 500mg/L to 1000mg/L of effective chlorine until completely moist, then tighten the plastic bag and dispose of it as general domestic waste.
(12) Strengthen ventilation and disinfection. Community (village) staff should open windows to ventilation on the floors and corridors where the medical observation personnel in home isolation are located. Disinfect more parts of the corridor, stair handrail, , door handles and elevator buttons every day.
(13) Take good personal protection. When you need to work on your doorstep, you should take personal protection, wear disposable work hats, N95/KN95 particulate protective masks or medical protective masks, work clothes, and disposable gloves, and keep a distance of more than 1 meter.
(14) Timely release the quarantine. If the medical observation period of home isolation expires and the nucleic acid test result is negative and there are no abnormal symptoms, the medical observation of home isolation will be promptly released from home isolation and decoded for their "Beijing Health Code".
4. Prevention and control requirements for medical observation personnel in home isolation
(I) Do not leave home at all. During the medical observation period of home isolation, it is prohibited to go out, and it is not allowed to take out garbage, receive and receive express delivery, etc., and all visits are refused. Those who go out privately will be transferred to centralized quarantine. If serious consequences are caused, legal liability will be pursued in accordance with the law. For those who really need to go out due to medical treatment, with the approval of the street (township) where they are located, a special person and a special car will be arranged, personal protection will be taken throughout the process, and closed-loop management will be implemented.
(II) principle to live alone. In principle, medical observation personnel in home isolation should live alone. If there are people living together, try to minimize contact with people living together during the isolation period and avoid sharing tableware, towels, bath towels, bed sheets and other items. It adopts separate dining system and uses special dining utensils. Use a dedicated bathroom if possible. When taking care of family members such as the elderly, infants and young children who cannot take care of themselves, they should wear masks in a standardized manner and maintain good hand hygiene.
(III) Safely collect items.During home quarantine, try to minimize online shopping, and use contactless methods to collect express delivery and takeaway, and remind couriers and takeaway personnel in advance to leave immediately after delivering the items. In the door opening process such as collecting express delivery and placing garbage, N95/KN95 particulate protective masks or medical protective masks must be worn in a standardized manner, and hand hygiene must be done before and after opening the door.
(IV) Nucleic acid antigen detection. Medical observation personnel in home isolation must cooperate with staff to complete nucleic acid testing, antigen self-test and report of results according to relevant prevention and control requirements.
(V) Do a good job of self-monitoring. Take your temperature once a day in the morning and evening, and actively report it to the community (village). Pay close attention to whether you have symptoms related to COVID-19 such as fever, dry cough, fatigue, sore throat, loss of smell (taste), nasal congestion, runny nose, conjunctivitis, myalgia and diarrhea. If you have abnormalities, contact the community (village) medical staff immediately and seek medical treatment as required.
(VI) Actively report medical history. People with medical observation at home should take the initiative to report personal underlying diseases and past medical history to the community (village). The elderly, pregnant women, young children, those suffering from cardiovascular and cerebrovascular diseases, mental diseases and other underlying diseases, as well as those with special treatment and medication needs, must accurately inform the community (village) staff of the relevant situation. In case of an emergency, contact your family or community (village) health service agency staff as soon as possible, or call 120, 110, etc. for help directly, and clearly inform yourself of your home isolation medical observation personnel and seek medical treatment in a timely manner.
(7) Ventilation and disinfection of the living room. Open the windows at least once a day and in the afternoon, each time for more than 30 minutes. Wet cleaning of the room should be performed at least once a day, with cleaning as the main focus and preventive disinfection as the supplement. When cleaning up garbage, the garbage bag should be tightly sealed, disinfected the outer surface and sealing area before placing it at the door. The specific disinfection method shall be implemented in accordance with the "Guidelines for Preventive Disinfection During the Epidemic of Pneumonia Infected by the New Coronavirus".
(eight) Keep communication open. Medical observation personnel in home isolation must keep mobile phones and other communications open and keep in touch with community (village) staff at any time. For those who really need care for the elderly, young, sick, disabled, etc., you must identify the co-occupied person or emergency contact person.
(9) Strengthen drainage management. During the isolation period, the toilet and shower drain floor drain should be rehydrated in time, and water should be injected more than twice a day, at least 350ml each time, or odorproof devices such as silicone pad , odorproof floor drain cores and other odorproof devices should be used to seal the floor drain. When flushing the toilet, cover the toilet first and then flush it.
(10) Requirements for co-residents. Co-residents or accompanying personnel should also abide by the management requirements of medical observation in home isolation. When accompanying staff come into contact with medical observers at home, or deal with their pollutants and contaminants on the surface, they should take good care of themselves, wear disposable work hats, medical surgical masks, , work clothes, and disposable gloves, and keep a distance of more than 1 meter from them. After any direct contact with a medical observer at home isolation or leaving his living space, prepare food, before and after meals, before wearing gloves, and after taking off gloves, hands must be cleaned and disinfected.
5. Organize and guarantee
(1) Streets (towns) and communities (villages) should organize special personnel to be responsible for the management of medical observation personnel at home isolation, clarify responsibilities, implement the 24-hour duty system, promptly discover problems, and solve problems in a timely manner.
(II) Community (village) should reserve sufficient protective materials (including masks, medical gloves, medical protective clothing, etc. at all levels), nucleic acid testing sampling materials and disinfection materials, etc.
(III) Personnel under medical observation in home isolation in community (village) shall be implemented by the community prevention and control group and the rural prevention and control group according to their division of responsibilities.
(IV) Isolation and observation personnel who live in units (schools, factories, construction sites, hotels, etc.) shall follow these guidelines and shall be organized and implemented by the relevant functional groups of the Municipal Epidemic Prevention and Control Leading Group.
