Xinhua News Agency, Beijing, November 11th. The Comprehensive Group of Joint Prevention and Control Mechanism of the State Council announced on November 11th the Notice on Further Optimizing the Prevention and Control Measures of COVID-19 Epidemic, Doing a Good Job in Prevention and Control Scientifically and Accurately. The notice pointed out that the CPC Central Committee has made important arrangements and put forward clear requirements for 2 measures to further optimize prevention and control work, and all localities and departments should put all optimization measures in place to the letter.
(1) For close contacts, the management measures of "7-day centralized isolation +3-day home health monitoring" are adjusted to "5-day centralized isolation +3-day home isolation", during which they are assigned code management and are not allowed to go out. Nucleic acid detection was carried out on the first, second, third and fifth days of centralized isolation medical observation, and on the first and third days of home isolation medical observation.
(2) timely and accurately determine the close contact, and no longer determine the close contact.
(3) Adjust the "7-day centralized isolation" of overflow personnel in high-risk areas to "7-day home isolation", and assign codes to manage them during this period, and they are not allowed to go out. On the 1st, 3rd, 5th and 7th day of home isolation, nucleic acid detection was conducted once each.
(4) adjust the risk area from "high, medium and low" to "high and low" to minimize the number of management personnel. In principle, the areas where infected people live, workplaces and activities with frequent activities and high risk of epidemic spread are designated as high-risk areas, and high-risk areas are generally designated by units and buildings, and may not be expanded at will; Other areas of counties (cities, districts and banners) where high-risk areas are located are designated as low-risk areas. No new infections were found in the high-risk area for 5 consecutive days, and it was reduced to a low-risk area. High-risk areas that meet the conditions for unsealing should be unsealed in time.
(5) The employees in high-risk posts who have finished closed-loop operations will be adjusted from "7-day centralized isolation or 7-day home isolation" to "5-day home health monitoring", during which they will be assigned code management, and nucleic acid testing will be carried out on the first, third and fifth days respectively. If they really need to go out, they will not go to crowded places or take public transportation.
(6) In areas where there is no epidemic, nucleic acid testing shall be carried out for risk posts and key personnel in strict accordance with the scope determined in the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded. Generally, the nucleic acid testing of all staff is not carried out according to the administrative region, and it is only carried out when the source of infection and transmission chain are unclear and the community transmission time is long. Formulate specific implementation measures to standardize nucleic acid detection, reiterate and refine relevant requirements, and correct unscientific practices such as "two tests a day" and "three tests a day".
(7) cancel the fuse mechanism of inbound flights, and adjust the negative certificate of two nucleic acid tests within 48 hours before boarding to the negative certificate of one nucleic acid test within 48 hours before boarding.
(8) Important business personnel and sports groups entering the country will be transported to the closed-loop management area without isolation ("closed-loop bubble"), where business, training, competitions and other activities will be carried out. During this period, they will be managed by codes and cannot leave the management area. Chinese personnel need to complete the intensive immunization of Covid-19 vaccine before entering the management area, and take corresponding isolation management or health monitoring measures according to the risk after completing the work.
(9) it is clear that the criterion of positive judgment for entry personnel is the Ct value of nucleic acid detection <; 35. Conduct risk assessment for those whose Ct value of nucleic acid detection is 35-4 when the centralized isolation is released. If they are infected in the past, they shall be "checked twice every three days" during the period of home isolation, and shall be assigned code management, and shall not go out.
(1) For the entry personnel, the "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", and the period will be coded and managed, and they are not allowed to go out. After the entry personnel are quarantined at the first entry point, the destination shall not be quarantined again. Nucleic acid detection was carried out on the first, second, third and fifth days of centralized isolation medical observation, and on the first and third days of home isolation medical observation.
(11) Strengthen the construction of medical resources. Formulate graded diagnosis and treatment plans, admission standards for infected people with different clinical severity, epidemic situations in various medical institutions and treatment plans for medical staff infection, and do a good job in training all medical staff. Do a good job in preparing hospital beds and critically ill beds, and increase the resources for treatment.
(12) Advance vaccination in Covid-19 in an orderly manner. Formulate a plan to accelerate vaccination, and accelerate the increase of vaccination coverage, especially for the elderly. Accelerate the development of monovalent or multivalent vaccines with broad-spectrum protection, and promote approval according to laws and regulations.
(13) accelerate the storage of treatment-related drugs in COVID-19. Do a good job of supply and reserve to meet the drug demand of patients, especially the treatment needs of severe high-risk and elderly patients. Pay attention to the unique advantages of traditional Chinese medicine and make a good reserve of effective traditional Chinese medicine prescriptions. Strengthen the reserve of first-aid drugs and medical equipment.
(14) Strengthen the protection of key institutions and key populations. Find out the base of the elderly, patients with basic diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection programs. Optimize the management of places where vulnerable people are concentrated, such as nursing homes, psychiatric hospitals and welfare homes.
(15) implement the "four early" requirements and reduce the scale of the epidemic and the disposal time. All localities should further improve the multi-channel monitoring, early warning and multi-point triggering mechanism of the epidemic situation, carry out "landing inspection" for migrant workers across provinces, report infected people in time according to law, do a good job in the management of risk personnel at the first time, and strictly implement early detection, early reporting, early isolation and early treatment to avoid expanding the front line and prolonging the time. We must never wait and see and go our own way.
(16) intensify efforts to rectify the problem of "one size fits all" and layer-by-layer overweight. Local party committees and governments should implement territorial responsibilities and strictly implement the unified national prevention and control policies. It is strictly forbidden to arbitrarily close schools, suspend classes, stop production, block traffic without approval, arbitrarily adopt "silent" management, arbitrarily seal control, unseal for a long time, and arbitrarily stop clinics. Increase notification and public exposure, and seriously blame those who cause serious consequences according to laws and regulations. Give full play to the role of special classes at all levels to rectify the problem of overweight at all levels, efficiently collect and transfer reporting clues, and urge local authorities to rectify in time. The Health and Wellness Commission, the CDC, the Ministry of Education, the Ministry of Transport and other departments in charge of various industries have strengthened supervision and guidance on the industry system, increased the exposure of typical cases, and effectively played a deterrent role.
(XVII) Strengthen the service guarantee for the sealed and isolated personnel. All localities should set up special classes for the guarantee of living materials, formulate and improve the market supply of daily necessities, closed community distribution, regional joint supply and other plans in a timely manner, and do a good job in storing important commodities for people's livelihood. Comprehensively arrange the basic information of the resident population in the community, grasp the situation of key personnel such as empty nest elderly people living alone, children in distress, pregnant women and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize the terminal distribution in closed areas, clarify the special strength of living materials supply, draw a fixed receiving point in the community, and get through the "last meter" of distribution. Guide the community to establish a direct hotline with medical institutions and pharmacies, equip the community with a special car, do a good job in service connection, strictly implement the responsibility system for first diagnosis and the emergency rescue system, and do not refuse to consult for any reason to ensure the needs of residents for treatment and medication. Do a good job in psychological counseling for the people who are under quarantine control, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, and solve the practical difficulties of the people.
(XVIII) Optimize the prevention and control measures of epidemic situation on campus. Improve the coordination mechanism between schools and places, strengthen the emergency response guarantee of campus epidemic situation through joint prevention and control, give priority to the work of campus transshipment isolation, nucleic acid detection, flow tracing, environmental disinfection, and living materials guarantee, improve the emergency response capability of schools, and support schools to deal with the epidemic situation quickly. Schools in all localities should strictly implement the prevention and control measures of the state and education departments, resolutely implement the requirements of scientific and precise prevention and control, and must not increase control. The Ministry of Education and the provincial, prefectural and municipal education departments took the lead in setting up special classes to investigate outstanding problems such as random closure of the campus, too long closure time, long-term non-offline teaching, inadequate living security, and inconsistent control requirements of teachers, students and employees' families, and urge rectification, and rectify the problems of poor prevention and control and excessive epidemic prevention. Education departments at all levels set up complaint platforms and hotlines to receive, transfer and respond in a timely manner, establish a "complaint-handling" mechanism, improve the feedback mechanism for rapid response to problems and solve problems, and promptly promote the solution of teachers and students' urgent problems.
(XIX) Implement prevention and control measures for enterprises and industrial parks. Local joint prevention and control mechanisms should set up special classes, find out the base of enterprises and industrial parks including private enterprises in the jurisdiction, and formulate epidemic prevention and control plans with "one enterprise, one policy" and "one park, one policy". Implement the main responsibility of epidemic prevention and control in enterprises and industrial parks, establish a full-time responsibility system for epidemic prevention and control from enterprises and park management to workshop teams and front-line employees, and refine the ledger of epidemic prevention and control in all links and processes. Strictly check the epidemic-related risks of returning personnel and confirm their health before returning to work. Strengthen the life, epidemic prevention and post preparation guarantee for employees in key positions and key processes, improve the management measures for third-party outsourcing personnel, and strictly manage the access of social personnel. During the outbreak, it is necessary to fully ensure the smooth flow of logistics, and it is not allowed to ask key enterprises that are related to the overall situation of the industrial chain and the protection of people's livelihood to stop production and implement the "white list" system.
(2) Sorting out stranded personnel in an orderly manner. Where the epidemic occurs, it is necessary to define the risk area in time and accurately, and allow foreigners who are not in the high-risk area to leave after assessing the risk, so as to avoid detention and make good protection on the way back. Where there are many people stranded, it is necessary to formulate a special relief plan, strengthen information communication and cooperation between the starting point and the destination, and make safe arrangements on the premise of effectively preventing the spillover of the epidemic. Transportation, civil aviation, national railways and other units should actively give traffic capacity protection. The destination should enhance the awareness of the overall situation, and must not refuse to accept the return of the stranded personnel, and implement the prevention and control measures for the returned personnel as required, so as to avoid the spillover of the epidemic and not to increase the control.