Starting from today (December 20), Beijing Sihui Long-distance Passenger Transport Station and Liuliqiao Passenger Transport Main Hub will resume operations, and passengers entering and leaving Beijing will no longer be required to check nucleic acid and health codes.
On December 20, the State Administration for Market Regulation stated at a regular press conference that the State Food and Drug Administration has approved 42 antigen detection reagents, with a daily output of approximately 60 million doses. The State Food and Drug Administration also mentioned that there are "false negatives" and "false positives" in antigen testing, and it is recommended to test within 5 days of symptoms.
On December 20, the Joint Prevention and Control Mechanism of the State Council held a press conference to introduce the situation of medical services for key groups.
Mi Feng, spokesperson of the National Health Commission and deputy director of the Publicity Department, said that at present, the top priority for epidemic prevention and control is still to ensure the public’s access to medical medications. It is necessary to expand the supply of medical services through multiple platforms, increase the supply of relevant drugs, quickly divert mild patients, expand severe treatment resources, and maintain the line of defense to protect health and prevent severe illness.
We must focus on strengthening epidemic prevention and control and health services in rural areas, understand the health conditions of key groups, clarify and smooth the "green channel" for referrals, fever clinics in township health centers must be "open as much as possible", and village clinics must provide good prescribing and follow-up services.
There is still a risk of severe illness and death when infected with the Omicron variant.
Wang Huaqing, chief expert of the immunization program at the Chinese Center for Disease Control and Prevention, said that although the currently circulating Omicron strain is less pathogenic than other mutant strains that have been popular in the past. However, after infection with the Omicron variant , there is actually a risk of severe illness and death. Moreover, this risk of severe illness and death will be reflected in all age groups, but the risk of severe illness and death in the elderly that we have emphasized in the past will be higher among the entire population. In addition, the proportion of people with underlying diseases will be higher.
Wang Huaqing said that many studies have shown that compared with people who have completed the full course or boosted immunity new coronavirus vaccine , people who have not been vaccinated actually have a greater risk of hospitalization, or risk of severe illness and death, including young people and adults. Where this risk exists to some extent, it can be reduced through vaccination. Therefore, it is recommended that those who have not been vaccinated should still be vaccinated, and those who have not completed the booster vaccination should complete the booster vaccination as soon as possible. Whether they are the elderly, adults or young people, this risk can be reduced to a relatively low level.
BQ.1 and XBB have not yet been found to cause an increase in severe illness and death at home and abroad
Director of the Institute of Viral Diseases of the Chinese Center for Disease Control and Prevention Xu Wenbo said that BQ.1 and XBB are new mutant branches of Omicron. Internationally, some European and American countries have gradually shown that they are dominant strains, mainly manifested by increased transmissibility and immune evasion capabilities. However, its pathogenicity is not significantly different from other series of mutant strains of , Omicron, , and the severe disease rate and mortality rate have not increased significantly in these countries where BQ.1 and XBB are prevalent.
Xu Wenbo said that in fact, BQ.1 and XBB have been introduced into our country. In the past three months, our country has monitored the introduction of BF.7, BQ.1, and XBB into our country. A total of more than 130 sub-branches of Omicron have been imported In my country, at the same time, these 50 subclades caused associated local cases or outbreaks, including BQ.1 and XBB. Among them, BQ.1 and its subclades were detected in 49 cases in 9 provinces, and the XBB subclade was detected in 11 cases in 3 provinces. The entire BQ.1 and XBB have not yet formed a dominant spread in my country (currently BA.5.2 and BF.7 are still the main ones), but their spread advantage will gradually increase, and BA.5.2 and BF.7, as well as more than 50 other input sub-branches, may form a common cycle.
Xu Wenbo said that the prevention of BQ.1 and XBB is actually the same as other Omicron mutant strains. The measures taken by our country are to monitor whether there are changes in its pathogenicity and whether there are further mutations in its genome. If there are any changes in its clinical characteristics, we will link them with the genomic characteristics for study and judgment. However, there have been no reports of BQ.1 and XBB causing severe illness and increased deaths at home and abroad. Prevention still has to be done, and we are the first ones responsible for our own health.
The three antiviral drugs emphasize their use under the guidance of a doctor. Wang Guiqiang, director of the Department of Infectious Diseases at Peking University First Hospital, said that most of the current new coronavirus infections show mild or asymptomatic symptoms, but there are also a small number of patients who show pneumonia, especially the elderly with underlying diseases and those who have not been vaccinated. Antiviral drugs are recommended in the ninth edition of the diagnosis and treatment plan of
. Early use may reduce the occurrence of severe disease, shorten the course of the disease, and shorten the time for virus detoxification. Wang Guiqiang said that currently these three antiviral drugs should be used in medical institutions and under the guidance of doctors.
He explained that monoclonal antibodies require intravenous administration and need to be used during hospitalization, and are not suitable for use in outpatient clinics or at home. Nematvir is a small molecule antiviral drug that can effectively reduce the risk of severe disease. It is suitable for mild and common types. When using it, special attention should be paid to the interaction between drugs. For example, elderly people with underlying diseases who are taking simvastatin, amiodarone, and other drugs cannot use nematvir. Azivudine is also a small molecule antiviral drug. It is a drug for treating AIDS . This drug also has some precautions.
Wang Guiqiang said that these drugs will gradually be provided at various medical institutions and community levels. All infected people, especially those at high risk of severe illness, should use antiviral drugs rationally under the guidance of doctors.
Children under two months old should be sent to the hospital as soon as they have a fever.
Wang Quan, director of the emergency department of Beijing Children's Hospital, said that the only antipyretic drug available for children over two months and under six months old is acetaminophen.
Wang Quan said that it is not recommended to reduce fever in infants by covering their sweat. The reason is that the temperature regulation center of infants is not fully developed, and skin dissipation is a very important way to reduce fever. If these children are covered with too many clothes or quilts, they will not be able to dissipate heat through the skin. When covered with heat, their body temperature may get higher and higher, even reaching more than 40 degrees. This is not uncommon in clinical practice, and some children may develop severe heat-covering syndrome, which may lead to serious complications such as respiratory failure, dehydration, and nervous system damage, and may even be life-threatening. Therefore, when these children have a fever, in addition to the help of medical personnel, they should try to create a relatively cool and ventilated environment for the children, and appropriately reduce the amount of clothing to improve the child's comfort.
We do not advocate or recommend intentional infection of the new coronavirus
Wang Guiqiang said that the pathogenicity of Omicron has been significantly reduced at present, but some patients still develop clinical symptoms after infection, including fever, muscle and joint pain, sore throat, etc., which will seriously affect the quality of life and normal work. Although Omicron is currently very contagious and the pressure for prevention and control is great, we still hope that the epidemic will not cause a large outbreak in a short period of time, because once a large number of patients appear in a short period of time, it will seriously affect the entire social order and people's livelihood. At the same time, it will also cause huge pressure or even crowding of medical institutions, affecting their daily treatment of acute and critical patients. Although Omicron is highly contagious and most infections are self-limiting, with relatively low pathogenicity or severity, intentional infection is not advocated or recommended.
Wang Guiqiang said that the elderly and those with underlying diseases, especially those who have not been vaccinated, must take good protection and not be infected during the peak of the first round of the epidemic. Infections at this peak of the epidemic may cause uneven distribution or overcrowding of medical resources, resulting in severe patients not receiving timely and effective treatment. We hope that these elderly people, including elderly people in nursing homes and those who are bedridden at home with underlying diseases, must pay special attention to avoid infection. At the same time, those who have not been vaccinated must continue to be vaccinated.
In the current stage of rapid growth of the first round of the epidemic, as time goes by, the number of infected people increases, and the rapid rise will slow down. This is a general rule. However, after a period of time, with large-scale social activities, including Spring Festival travel or various social activities, there may be a new round of epidemics. The wave of epidemics may eventually form a certain herd immunity barrier, and the incidence rate will decrease significantly. We hope that the epidemic will not cause a large-scale outbreak. This is our main suggestion at the moment.
Cancer patients are among the priority groups for vaccination.
Wang Huaqing said that because cancer patients are ill and undergo radiotherapy and chemotherapy, the immunity of some people will be low, which will increase the risk of severe illness and death. Therefore, from this situation, these patients need to be vaccinated against the new coronavirus to be protected, and they are also among the priority groups for vaccination.
The clinical manifestations of cancer are actually diverse, and the treatment process is also very complicated. Whether cancer patients who are in the onset or treatment period can be vaccinated must be judged by relevant professionals. Due to low immune function, cancer patients may not have as strong an immune protective response as healthy people after receiving the new crown vaccine . In this "Work Plan for Strengthening New Coronavirus Vaccination for the Elderly", it is also specifically mentioned that "all localities must scientifically evaluate contraindications, and those who do have vaccination contraindications must clarify the specific reasons one by one." This article also applies to the current assessment of vaccination contraindications for cancer patients.
There is currently no evidence that taking antipyretic drugs in advance
has a preventive effect on children with a history of febrile convulsions
Wang Quan said that febrile convulsions are a very common emergency in pediatric emergencies. Respiratory tract infection caused by viruses is the most common cause of febrile convulsions in children. The main affected children are between 6 months and 5 years old. It usually occurs in the first 24 hours of fever, especially during the period when body temperature rises rapidly, and febrile convulsions are most likely to occur. Under normal circumstances, a child's body temperature may reach above 38.5 degrees. Children with febrile convulsions usually show stiffness or shaking of limbs, trismus, eyes tilted or turned up, and may be accompanied by bluish lips. At this time, children may not have any reaction to external stimulation. Once a febrile seizure occurs, parents are advised to do the following.
First, lay the child flat on a flat bed, table, or floor, with no sharp objects around. This is mainly to prevent the child from falling during a convulsive attack and causing secondary injuries. Second, you can untie the child's collar to keep his or her airway open. Third, you can tilt the child's head to one side, and if possible, keep the child in the right-side lying position to prevent suffocation from aspiration when the child vomits.
There are several misunderstandings in the whole process. First of all, when a child has a convulsive attack, do not put anything into his mouth, including spoon handles, chopsticks, adult fingers, etc., because this may cause injury to the child or the adult himself. Second, during a convulsive attack, do not feed your child anything, including medicine and water. Third, during a convulsive attack, do not try to restrain the child's limbs to prevent them from twitching, as this may cause secondary damage to the child's limbs. Fourth, so far, there is no evidence that pinching the child's philtrum can shorten the duration of a child's convulsive attack. Instead, parents may be particularly nervous and use too much force during a convulsive attack, causing soft tissue damage to the child's philtrum. Therefore, it is not recommended for parents to pinch their child's philtrum.
It can be concluded from the above that when a child has a convulsion, unnecessary stimulation should be reduced. Under normal circumstances, a child's febrile seizure lasts three to five minutes and stops on its own. When the child's convulsions stop, we can send him to the hospital as soon as possible.However, if the child has had status convulsant in the past, or the current attack has lasted for more than 5 minutes, then the possibility of the child's convulsions stopping on their own during this process will be relatively small, and parents are advised to send the child to the hospital as soon as possible.
For the vast majority of children, febrile seizures will not affect the development of the nervous system and will not leave neurological sequelae, so parents do not need to worry too much. There is currently no evidence that taking antipyretics in advance can prevent children with a history of febrile seizures. At the same time, because the child's body temperature rises very quickly, there is basically no way to prevent the occurrence of febrile seizures.
The infectivity of "recovery positive" is extremely low. There is no need to panic.
Wang Guiqiang said that many studies have been done on the harmfulness and infectivity of "recovery positive" in the past. All "recovery positive" patients have been isolated from the virus, and no virus has been isolated, and no "recovery positive" patients have been seen to lead to further spread. Therefore, we say that the infectivity after "recovery" is extremely low. However, we also emphasize that those who have elderly people at home or around them and those who have returned to positive must also take personal protection to avoid infection by the elderly and other people with underlying diseases.
From the perspective of harmfulness, people who "recover positive" basically have no symptoms and are only nucleic acid positive. Of course, there are also some individuals who will have cough, discomfort, and residual symptoms. Generally speaking, "recovery" is a relatively common situation of new coronavirus infection, and the infectivity is extremely low, so there is no need to panic.
There should be a gap of more than 6 months between the time of infection and the time of vaccination against the new coronavirus
Wang Huaqing said that if you have recently been confirmed to be infected with the new coronavirus, it is not recommended to receive the new coronavirus vaccine in the near future. At present, the immune protection produced by a simple infection is not as strong as the mixed immunity produced by infection and vaccination. Therefore, if vaccination is needed in the future, it is recommended to be vaccinated. How long does this take? According to the current technical guidelines for COVID-19 vaccination, if you are diagnosed with COVID-19, there should be a gap of more than 6 months between the time of infection and the time of vaccination. my country's immunization strategy will continue to be improved and adjusted in the future based on the understanding of the disease, the understanding of vaccines, and the need for disease control.
Beijing: Two long-distance passenger stations have resumed operations
Nucleic acid results and health codes are no longer required for entry and exit from Beijing
Currently, Sihui long-distance passenger station has resumed operations on 9 lines and 22 flights in 6 provinces, mainly to Jizhou in Tianjin, Zunhua and Fengshan in Hebei, Guangzong in Hebei, Chifeng in Inner Mongolia, Bozhou in Anhui, Taikang in Henan, Haicheng in Liaoning, Fushun and other lines. Sihui Passenger Terminal will actively communicate closely with passenger transport companies in other provinces and cities, gradually restore routes and shuttle buses in Hebei, Henan, Shandong and other regions, and strive to meet the travel needs of passengers.
Currently, Sihui Passenger Terminal has temporarily opened ticket pre-sale within 3 days. Passengers who need to travel can follow the Gonglian Sihui Passenger Terminal WeChat official account to check the schedule and remaining tickets.
Anhui Post: Call for rational consumption and ensure delivery channels
Focus on ensuring the delivery and distribution of medicines, epidemic prevention materials
and people's livelihood supplies
According to the "Hefei Release" news, recently, due to the impact of the epidemic, people in the postal express delivery industry in Anhui Province have been infected with the new coronavirus. There have been labor gaps in various links of the delivery channel. The processing efficiency of the company's distribution center has decreased, some terminal outlets have been out of service, and there has been a backlog of express mail. The industry is under great operating pressure. In this regard, the Anhui Provincial Postal Administration stated that the majority of couriers are rushing around in the cold wind and the epidemic, and the terminal delivery workload is heavy, and the delivery service time limit may be delayed. Users are requested to care about the courier guys and provide more tolerance, understanding and support. It is hoped that consumers can consume rationally and ensure that delivery channels focus on ensuring the delivery and distribution of medicines, anti-epidemic materials and livelihood necessities.
Anhui Provincial Postal Administration and Hefei Municipal Postal Administration pointed out that all express delivery companies have strengthened the health testing of express delivery employees, and urged employees to adhere to basic protective measures such as wearing masks and washing hands frequently to minimize infections, late infections, and avoid concentrated infections; companies have increased the use of medicines, N95 masks, antigen detection kits and other medical services Reserves of protective equipment will provide assistance to employees for home treatment and strive for early recovery and return to work; express delivery companies must prioritize and classify user service needs, prioritize the delivery of medicines, epidemic prevention supplies, daily necessities, etc., insist on classifying and handling user complaints, ensure that urgent matters are dealt with urgently, and must be handled in advance, and effectively play the role of ensuring smooth supply in the industry. In response to possible staff shortages caused by concentrated infections among employees, we will promptly strengthen dispatching support for epidemic-related outlets.
Tianjin: Health and epidemic prevention packages are distributed in advance to key groups among the elderly over 65 years old
According to the "Tianjin Release", in order to ensure a stable transition for the whole society and protect the lives of the people to the greatest extent, Tianjin City distributes "health and epidemic prevention packages" containing the above medicines and materials to the disadvantaged groups registered with the civil affairs department and key groups among the elderly over 65 years old for free. The materials in the "health and epidemic prevention package" include Qingyan Dropping Pills , Huoxiang Zhengqi, Cold Soft Capsules , Niuhuang Shangqing Pills , Zhengtong tablets, disinfectant tablets, N95 masks, antigen test reagents, etc., as well as a letter written by the Tianjin Municipal Party Committee and Municipal Government to the citizens.
Tianjin City stated that starting from December 18, it will be distributed in advance to key groups of elderly people over 65 years old.
Inner Mongolia: Reply on the exemption of property tax for Ulanqab City
enterprises affected by the new coronavirus epidemic
According to the "Inner Mongolia Autonomous Region People's Government Release" announcement, the General Office of the People's Government of the Inner Mongolia Autonomous Region issued the "Reply of the Inner Mongolia Autonomous Region People's Government on the exemption of property tax on enterprises affected by the new coronavirus epidemic in Ulanqab City".
The "Approval" pointed out that it was agreed to exempt six enterprises including Ulanqab City Kangtai Huiminyuan Agricultural Trade Co., Ltd. from January to December 2022, with a total property tax of 8,760,936.88 yuan. In specific implementation, if there is a difference between the amount of property tax exemption and the amount listed in the attachment, the amount verified by the competent tax authority shall prevail. If the property tax exempted in accordance with the "Approval" has been collected and stored in the treasury before it is issued, the property tax payable in subsequent tax periods can be deducted or refunded to the treasury.
Editor: Yu Hongbo
