During family monitoring, some low-risk returnees were targeted. This group of people are at risk of contact with infected people in the process of returning to China. So do a good job of health monitoring. But they are different from domestic isolators. It won't be sealed. And there will be no restrictions on going out. Personal protection is the premise of health monitoring. Carry out safety activities in this city. But if you want to go out of the province. You need to apply to the relevant staff. You can't go out of town unless you agree.
Please come back if you are out of town. Its home test time needs to be recalculated. If you go to high-risk areas, you need to take necessary home isolation measures according to the situation.
Legal basis:
COVID-19 epidemic prevention and control program in rural areas in winter and spring.
First, early prevention.
1. Reduce personnel flow. Advocate the unnecessary mobility of the Spring Festival holiday, encourage colleges and enterprises to take off at peak hours and start school, and staff engaged in loading, unloading, transportation, warehousing and sales of imported goods to take leave or work in the workplace in principle. Strictly control the entry and exit of people in areas with high epidemic incidence.
2. Reduce crowd gathering. During the Spring Festival, temple fairs, cultural performances, exhibitions and promotional activities will be strictly controlled, the scale and frequency of rural fairs will be reduced, and the flow of people will be controlled. Implement the management requirements of religious activity sites and strictly implement the epidemic prevention and control regulations. Residents' families do not hold gatherings such as dinners, publicize and advocate changing customs, persuade farmers not to visit, have fewer parties and go out less, and advocate "postponing happy events, keeping funerals simple and not holding banquets". If it is really necessary to hold activities, the scale shall be controlled below 50 people and there shall be a prevention and control plan, which shall be reported to the local epidemic prevention and control headquarters for approval. The village committee shall be responsible for supervising and registering the basic information of the participants and strictly implementing the prevention and control measures.
3. Strengthen the management of returnees. Returnees are required to return home with valid negative results of COVID-19 nucleic acid test within 7 days. After returning to China, we will monitor at home for 14 days, during which there will be no aggregation and no flow, and the nucleic acid will be detected every 7 days. All townships (streets) and administrative villages (neighborhood committees) shall implement the responsibility system, implement grid management for returnees, and do a good job in registration, health monitoring and abnormal situation handling.
4. Strengthen publicity and education. Use traditional media and new media to publicize the knowledge and measures of prevention and control of new coronary pneumonia, guide returnees to abide by epidemic prevention and control regulations, truthfully report their personal trips, actively cooperate with health monitoring, enhance villagers' sanitary habits such as washing their hands frequently, keeping indoor ventilation, wearing masks in closed places, and enhance their awareness of seeing a doctor and reporting immediately after symptoms such as fever, dry cough, sore throat, decreased sense of smell and diarrhea appear.
Second, early detection.
1. Expand the scope of "due inspection". The newly hospitalized patients in county hospitals and township hospitals and their accompanying staff, the staff of medical institutions (including county hospitals, township hospitals, village clinics and individual clinics) and those who need to be examined and investigated in rural areas are included in the scope of "should be examined and tested", and nucleic acid testing is carried out every week.
2. Timely sample collection and nucleic acid detection. The implementation of "township sampling and county detection", township hospitals are responsible for the collection and inspection of nucleic acid detection samples. Do not meet the conditions, by the county health administrative departments to arrange institutions to collect samples for inspection, county hospitals, CDC or third-party testing institutions responsible for nucleic acid testing. Nucleic acid detection should be included in the scope of local inspection.
3. Strengthen environmental and drug monitoring. Every week, nucleic acid tests are carried out in village clinics and private clinics, farmers' markets, villagers' activity rooms, chess and cards rooms, recreation rooms, public toilets, nursing homes, nearby airports and other public places, and regular door-to-door sampling tests are carried out. Rural pharmacies set up real-name registration accounts to sell antipyretics, anti-infective drugs and other drugs.
Third, early reporting.
1. suspicious patient report. Village clinics and individual clinics should report to township hospitals within 2 hours while observing suspicious patients. Township hospitals are responsible for collecting samples for inspection and assisting in referral. Rural pharmacies report to township hospitals within 2 hours after they find patients who buy antipyretic drugs and anti-infective drugs.
2. Report of nucleic acid test results. After receiving the sample, the testing institution shall feed back the test results within 12 hours, and the positive results shall be immediately fed back to the sample delivery institution and the county-level health administrative department.
3. Directly report the infected person on the Internet. Medical institutions shall conduct direct online reporting within 2 hours after the discovery of confirmed cases and asymptomatic infected persons. Medical institutions that do not have the conditions for direct online reporting shall immediately report to the CDC by telephone for direct online reporting.
Fourth, early isolation.
1. Quick response. Township governments and village committees should immediately report the epidemic situation to the county (district) joint prevention and control institutions after discovering the epidemic situation, and transport the infected people within 2 hours. County (District) epidemic prevention and control institutions should quickly organize and send teams of epidemic analysis, epidemiological investigation, nucleic acid detection, medical treatment, environmental disinfection and community prevention and control to carry out epidemic prevention and control, and do a good job in centralized isolation treatment in designated medical institutions. Township governments, village committees and rural doctors should actively cooperate with epidemiological investigation, trace the source of infection and control the personnel related to the epidemic.
2. Implement the closed control of natural villages. The natural villages and households with confirmed cases and asymptomatic infected persons were immediately closed, all residents were observed at home, isolation points in the village were set up in a standardized way, and measures such as temperature measurement, inquiry, registration, code scanning and disinfection were implemented for people entering and leaving the village. When the epidemic continues to spread, the newly discovered cases and asymptomatic infected people should be taken as the center, and close contacts and close contacts of close contacts should be taken as the objects to scientifically delimit the epidemic area.
3 to carry out epidemiological investigation and close contact determination. County-level disease control institutions should carry out epidemiological investigation under the guidance of municipal-level disease control institutions, with the cooperation of health, public security and industry and information technology departments, and township governments, village committees and rural doctors should actively cooperate to complete epidemiological investigation and close contact judgment within 24 hours. According to the communication big data, timely investigate the outflow of people from the epidemic area and issue an investigation notice. At the same time, under the guidance of provincial and municipal experts, grassroots medical and health institutions cooperate with county-level disease control institutions to carry out epidemic traceability investigation.
4. Close contacts are isolated and managed. The county-level government shall set up centralized isolation places in a unified way, and in principle implement centralized isolation medical observation for close contacts and close contacts, except in special circumstances. Close contacts and close contacts should be transported within 12 hours. Those who do not have the conditions for centralized isolation medical observation can take home medical observation, and strengthen the implementation of measures such as single room isolation, nucleic acid detection and body temperature monitoring by issuing notices, hanging public signs and daily home visits. The natural villages isolated at home are managed according to the requirements of centralized isolation places.
5. Implement full-time nucleic acid screening. It is necessary to carry out full-time nucleic acid testing in natural villages or epidemic areas where epidemics have occurred, clarify the sample collection locations and nucleic acid testing points, effectively deploy teams, and carry out them in an orderly manner in different regions and time periods. Organize multiple nucleic acid screening when necessary to eliminate potential risks.
6. Establish an information platform. The county government has established an information sharing platform composed of testing institutions, emergency centers, disease control institutions, public security organs, designated hospitals and centralized isolation places. Interconnect with provincial platforms, clarify the responsibilities and work processes of various departments and institutions, and enjoy real-time information of nucleic acid-positive people, big data information of activity tracks, close contacts and close contacts information and management status, and coordinate epidemiological investigations and close contacts tracking management.
7. Carry out environmental disinfection. Township governments and village committees should set up special personnel on duty to be responsible for the disinfection of key public places such as urban-rural fringe, near airports, public toilets, etc., which are prone to epidemic spread. The trajectory of the diagnosed and asymptomatic infected people has been completely eliminated. Domestic garbage should be disinfected and transported to foreign countries for centralized treatment, and the garbage generated by isolated personnel should be disinfected and sealed by relevant departments.
Verb (abbreviation for verb) early treatment
1. Find suspicious patients as soon as possible. Formulate guidelines for receiving fever patients in primary medical and health institutions and individual clinics, strengthen the responsibility system of pre-examination, triage and first consultation, focus on patients who have recently returned from other places with clinical symptoms such as fever, dry cough, sore throat, decreased sense of smell (taste) and diarrhea, and strengthen epidemiological history consultation, nucleic acid detection and early identification of suspicious cases.
2. Referral of suspicious patients. County hospitals should standardize the setting of fever clinics and observation rooms, township hospitals with conditions should set up fever clinics (or consultation rooms), and township hospitals, village clinics and clinics without conditions should have special rooms to isolate suspicious patients. Township hospitals, village clinics and clinics should immediately report suspicious patients to the county health administrative department. The health administrative department at the county level shall arrange the negative pressure ambulance to transport the patient to the county hospital within 2 hours. If there is no negative pressure ambulance, use ordinary ambulance and pay attention to the protection of drivers and medical staff. Township governments and village committees should assist in transshipment services.
3. Standardize treatment. County-level hospitals have the conditions for admission, centralized treatment of confirmed cases and asymptomatic infected people, and homogeneous and standardized treatment according to the diagnosis and treatment plan. County hospitals do not have the conditions for admission, and severe cases that can be transported should be admitted to designated hospitals at the prefecture level.
4. Strict prevention and control of hospital sense. The main person in charge of a county hospital is the first person responsible for preventing and controlling hospital infection. It is necessary to designate a special person to be responsible for the prevention and control of nosocomial infection in hospitals and all medical institutions in doctors, carry out training for all staff, and implement standard protective measures. Personnel entering medical institutions should wear masks, take their body temperature and show their health codes or other health certificates. It is necessary to optimize the diagnosis and treatment process, control the flow of people and reduce the gathering of people. Township hospitals and other medical institutions do not have the above conditions. After receiving suspicious patients in COVID-19, they should disinfect the environment and equipment as soon as possible to prevent cross-infection. Provincial and municipal health administrative departments should organize experts to carry out hospital infection prevention and control work, set up a number of inspection teams, and regularly carry out inspection and guidance on medical institutions within the county, covering county hospitals, primary medical and health institutions, village clinics and clinics. County CDC should guide medical institutions to isolate close contacts and disinfect the environment after the outbreak.
Sixth, strong protection.
1. Organize leaders. The county-level epidemic prevention and control command system should maintain an emergency state, implement 24-hour duty, and strictly implement the "daily report" and "zero report" systems. Implement the territorial responsibility of the party Committee and government, the responsibility of industry departments, the responsibility of units, and the responsibility of individual and family self-management. Give full play to the role of the three-level prevention network of counties and villages, establish a three-level subcontracting mechanism of "county-level leaders subcontracting townships, township cadres subcontracting villages and village-level cadres subcontracting households", and implement the "five packages and one" responsibility system for township cadres, village cadres, public security officers, village medical personnel and grid workers. Give full play to the role of medical institutions and medical associations, implement the regional prevention and control tasks of epidemic prevention and control of county-level medical and health institutions, and implement the task of guaranteeing villages in township hospitals. Improve rural public health committees and organize villagers to do a good job in prevention and control of epidemic situation in winter, spring and Spring Festival. Rural grass-roots party organizations should earnestly shoulder the leadership responsibility of epidemic prevention and control, strengthen supervision and inspection, give full play to the role of the village "two committees", the first secretary, the resident cadres and the vast rural party member, organize and mobilize the Communist Youth League, women's federations and other organizations, ethics councils, red and white councils, leading enterprises in agricultural industrialization, farmers' cooperatives and the masses to carry out mass prevention and control, and implement various prevention and control measures.
2. Capacity guarantee. Strengthen the technical training of sample collection, nucleic acid detection, epidemiological investigation and environmental disinfection for county and village level 3 professionals. Strengthen the capacity building of sampling and nucleic acid detection in medical institutions and disease control institutions, and ensure that at least 1 institutions in the county have the capacity of nucleic acid detection by deploying mobile detection forces or purchasing the services of third-party detection institutions. The people's governments at the county level should reserve isolation rooms according to 1 infected person 100, and the people's governments at the prefecture (city, state) level should co-ordinate the centralized isolation rooms in the region to meet the needs of large-scale personnel isolation. Centralized isolation places shall meet the requirements of relevant standards, equipped with staff and vehicles, disinfectants, isolation suits and other epidemic prevention materials.
3. Counterpart assistance. Third-class hospitals in cities and county-level hospitals have established medical associations. Provincial and municipal health administrative departments should urge the city's tertiary hospitals to strengthen comprehensive support for county-level hospitals, and send management, medical care, nursing, inspection, hospital awareness and other personnel for guidance, especially during the Spring Festival. If the county hospital has not established a medical association with the municipal tertiary hospital, the provincial and municipal health administrative departments should designate the tertiary hospital to install films in the county, and strengthen the guidance to the county hospital in accordance with the designated scope of responsibility. Through the counterpart assistance of urban tertiary hospitals, the ability and level of hospital infection prevention and control, nucleic acid detection and medical treatment of medical institutions in the county will be improved.
4. Material support. The people's governments at the provincial and municipal levels should refine the emergency plan, carry out multi-sector training exercises step by step, and make preparations for the prevention and control of rural epidemic situation. The people's governments at or above the county level shall be responsible for the financial guarantee and material guarantee for epidemic prevention, control and emergency response, and implement the preparations for the production and living guarantee of regional control after the outbreak. Township governments and village committees should prepare protective materials in advance in administrative villages. All localities should do a good job in the supply of agricultural products to meet the living needs of rural residents, and include agricultural products such as grain, oil, vegetables, meat, eggs and milk, and aquatic products into the scope of protection of daily necessities during the epidemic prevention and control period. Implement the "green channel" policy for the transportation of fresh agricultural products, urge all localities to maintain normal market circulation order, and ensure the smooth production and marketing of agricultural products. While doing a good job in epidemic prevention and control, we should scientifically and reasonably arrange the production of important agricultural products such as vegetables, meat, eggs, milk and aquatic products, strengthen the field management of crops, and ensure the smooth logistics of agricultural means of production. We should not arbitrarily intercept agricultural transport vehicles under the pretext of epidemic prevention.
5. Supervision and inspection. All localities should, in accordance with the requirements of the work plan, deploy in advance, and put the responsibility to people, and incorporate the prevention and control of the new coronary pneumonia epidemic into the assessment content of governments at all levels. The Agricultural Office of the Party Committee should play an active role in overall planning and coordination, and guide rural areas to do a good job in epidemic prevention and control, agricultural production and agricultural product supply security. It is necessary to organize the special inspection of epidemic prevention and control in COVID-19 during the Spring Festival, take epidemic prevention and control in rural areas as the key content of inspection, urge and guide all localities to investigate risk loopholes, fill shortcomings and weak links, and ensure timely rectification in place. Serious accountability for violations of laws and regulations such as inaction, inaction, chaos, dereliction of duty and dereliction of duty.
Provincial joint prevention and control institutions should be combined with the actual situation, formulate the work plan for prevention and control of rural epidemic situation in winter and spring in this region, and report to the comprehensive group of joint prevention and control institutions in the State Council for the record.