65438+February 1 day, the Office of novel coronavirus Epidemic Prevention and Control Command issued the No.71,stating that close contacts should be observed in centralized isolation in principle, and those who meet the conditions of home isolation should be isolated at home.
The circular pointed out that in principle, areas such as the residence, workplace and areas with frequent activities and high risk of epidemic spread are designated as high-risk areas. High-risk areas are generally defined by units and buildings, and cannot be expanded at will. In the case that the risk of epidemic spread is not clear or there is widespread community spread, the scope of high-risk areas can be appropriately expanded. Those who meet the conditions for unsealing should be unsealed in time, and the sealing control management should be sealed quickly.
In the epidemiological investigation, the Office of novel coronavirus Epidemic Prevention and Control Headquarters requires that the epidemiological investigation should be carried out in accordance with the principles of science and accuracy, and close contacts should be judged promptly and accurately, and the screening scope of close contacts should not be expanded at will, and time and space accompaniment should not be used as the standard for judging close contacts.
The notice also made it clear that the scope of nucleic acid testing should not be expanded for risk positions and key personnel. Generally, all employees will not be tested for nucleic acid according to the administrative area.
165438+1On October 30th, the WeChat WeChat official account of Dongguan Health Bureau published an article, "Home isolation, how to do it? Remind that during the period of home isolation, code management should be strictly carried out and all visits should be refused. If you really need to go out for medical treatment, you can go out only after the approval of the community medical observation and management personnel, and arrange a special car for personal protection and closed-loop management throughout the whole process. Non-single households, their daily life and meals should be confined to isolated rooms as far as possible, and other personnel are not allowed to enter. You don't need to wear a mask when you are in the isolation room, but you should wear a mask when you leave the isolation room. Minimize contact with family members, keep a distance of 1 m during contact, and wear medical surgical masks regularly. If the family segregator is a lactating mother, she can continue breastfeeding on the basis of personal protection.
In the last three days, 59 cases of asymptomatic infection were found by home isolators in Dongguan, and asymptomatic infection cases were found by centralized isolators in the same period 156 cases, accounting for 14.9% and 39.4% of the total respectively.
At the press conference of the State Council Joint Prevention and Control Mechanism on1October 29th, 165438, according to the judgment of risk personnel,
Cheng Youquan, director of the Supervision Department I of the National Bureau for Disease Control and Prevention, stressed that it is necessary to take the on-site flow adjustment as the basis, and it is not allowed to expand the scope through time and space, causing a large area of "accidental injury" and minimizing the inconvenience caused by the epidemic.
Researcher of China Center for Disease Control and Prevention often said that according to the provisions of 20 optimization measures, overflow personnel in high-risk areas will be isolated at home for 7 days, during which they will be managed by designated codes and not allowed to go out. On day 1, day 3, day 5 and day 7 of home isolation, 1 nucleic acid should be tested respectively. Relevant personnel should strictly implement the relevant requirements of home isolation management during home isolation. Once it is found positive, it should be reported in time and transferred to the designated medical institution or receiving hospital for isolation observation and treatment within 2 hours. People living together are required to carry out nucleic acid testing, make risk judgment and track and manage related risk personnel.
It is often said that through the above measures, high-risk personnel should be well managed, and positive infected people found during home isolation should be disposed of in time to ensure that the risks are controllable. She also reminded that * * * of home isolation personnel, together with residents or caregivers, should abide by the management requirements of home isolation medical observation.
At the press conference on epidemic prevention and control in Guangzhou on June 5438+065438+1October 30, Zhang Yi, deputy director and spokesperson of the Guangzhou Municipal Health and Wellness Commission, informed that in order to comprehensively, accurately and completely implement the ninth edition of the prevention and control plan of the the State Council Joint Prevention and Control Mechanism and further optimize the requirements of the "Twenty Articles" measures for epidemic prevention and control, all districts are further optimizing the prevention and control measures. These include "doing a good job in the isolation management of close contacts. In principle, close contacts implement centralized isolation observation, and close contacts who meet the conditions of home isolation implement home isolation. "
Guangzhou also made it clear that epidemiological investigation should be carried out in accordance with scientific and accurate principles, and close contacts should be judged promptly and accurately, and the screening scope of close contacts should not be expanded at will, and time and space accompaniment should not be used as the standard for judging close contacts.
On the same day, at the press conference on epidemic prevention and control held by the Information Office of Chongqing Municipal Government, Lynn Yang, deputy secretary-general of Chongqing Municipal Government and spokesman of the municipal government, said that epidemiological investigation should be carried out in accordance with scientific and accurate principles, and close contacts should be judged timely and accurately in strict accordance with the Ninth Edition of novel coronavirus Prevention and Control Plan and 20 Measures to Further Optimize Epidemic Prevention and Control. Do not arbitrarily expand the screening scope of close contacts, and do not use time and space as the criteria for judging close contacts. For close contacts, those who meet the conditions of home isolation can be isolated at home.
Shenzhen also announced the optimized control measures on June 30th, 165438. Shenzhen has made it clear that epidemiological investigation should be carried out in accordance with scientific and accurate principles, and close contacts should make timely and accurate judgments. It is not allowed to expand the screening scope of close contacts at will, and it is not allowed to judge close contacts with time and space. In principle, close contacts shall be observed in centralized isolation, and close contacts who meet the conditions of home isolation shall be isolated at home.
WeChat WeChat official account "Shenzhen Satellite TV Shenshi News" subsequently published a commentary article "Optimizing prevention and control is by no means" lying flat "! We need everyone to be themselves. According to the circular, in view of the problem of home isolation, the comprehensive group of joint prevention and control mechanism in the State Council recently published four documents, namely, Medical Observation Guide for Home Isolation of COVID-19 Epidemic and Home Health Monitoring Guide for COVID-19 Epidemic, which have been explained very clearly. If you are in the state of home isolation medical observation, doing these self-management requirements well is the best embodiment of optimizing prevention and control, but you will never relax and do your best.
The novel coronavirus Prevention and Control Plan (Ninth Edition) stipulates that among close contacts, the special groups who can take 7 days of home isolation medical observation include:
/kloc-children aged 0/4 and below. If their parents or family members are close contacts, centralized medical observation is the first choice, and children can live in the same room with their parents or family members under the condition of personal protection and keeping interpersonal distance. If only children are close contacts, personal protection and interpersonal distance can be maintained under the guidance of community medical personnel, and children can be accompanied by family members for home isolation medical observation; People with basic diseases and the elderly can't accompany their children.
Semi-self-care, no self-care ability, and close contacts have serious basic diseases. In principle, centralized isolation medical observation measures shall be implemented, and nursing shall be carried out by designated personnel. If it is really impossible to carry out centralized isolation medical observation, we can take home isolation medical observation under the guidance of community medical personnel. People with basic diseases and the elderly can't be chaperones.