Twenty rules of the National Health Commission
A, "on further optimizing the prevention and control measures of the new crown pneumonia epidemic scientific and accurate to do a good job in the prevention and control of the notice" issued by the background is what? Currently, the new coronavirus is still mutating, the global epidemic is still in epidemic mode, and new outbreaks continue to appear in China. China is a large country with a large population, a large number of vulnerable people, unbalanced regional development, the total amount of medical resources is insufficient, some areas of the epidemic is still a certain scale. Affected by virus mutation and winter and spring climate factors, the scope and scale of the epidemic may further expand, the prevention and control of the situation is still serious and complex, we must maintain strategic determination, scientific and accurate epidemic prevention and control work. In order to adapt to the new situation of epidemic prevention and control and the new characteristics of the new coronavirus mutation, adhere to the established general strategy and policy of epidemic prevention and control, carry out prevention and control work more scientifically and accurately, and efficiently integrate epidemic prevention and control and economic and social development, the State Council's response to the new coronavirus pneumonia outbreak joint prevention and joint control mechanism integrated group organized by experts on the existing quarantine and transfer, nucleic acid testing, movement of people, medical services, vaccination, services, protection of enterprises and campuses, and other outbreaks. The protection of enterprises and campuses and other epidemic prevention and control, stranded people evacuation and other aspects of the measures for research and demonstration, put forward further optimization and adjustment of the proposal. 10 November, the Political Bureau of the Central Committee held a meeting of the Standing Committee to listen to the new coronavirus pneumonia epidemic prevention and control work report, the study and deployment of further optimization of prevention and control of the twenty measures. Second, the "Notice" on the risk of personnel isolation management period and the way what optimization and adjustment? "Notice" clearly on the close contact management measures adjusted to "5 days centralized isolation + 3 days home isolation", no longer determine the close contact of the close contact, the high-risk zone spillover management measures adjusted to "7 days home isolation", the end of the closed-loop operation of the The management measures for employees in high-risk positions are adjusted to "5-day home health monitoring". Those who do not have the conditions for home quarantine can be centrally quarantined. During the period of home isolation, the management should be assigned to the code, and the person himself or herself and the person living with him or her should strictly not go out. Home health monitoring during the strict implementation of non-essential not to go out, timely nucleic acid testing and other requirements. Third, the "Notice" of the risk area of the delineation of what adjustments, for what considerations? The measures to optimize the risk area from "high, medium, low" three categories adjusted to "high, low" two categories, in principle, the infected person living in and frequent activities and the risk of epidemic transmission of workplaces and activities and other areas designated as high-risk areas, generally to In principle, areas where infected people live, workplaces and activities with frequent activities and high risk of epidemic transmission will be designated as high-risk areas, generally in units and buildings, and the scope of control and personnel will be minimized under the premise of scientific and precise control of risk areas. In case the risk of epidemic transmission is not clear or there is widespread community transmission, the scope of the high-risk area should be expanded moderately. High-risk areas for five consecutive days did not find new infected people, down to low-risk areas, meet the conditions of unsealing high-risk areas should be unsealed in a timely manner. Fourth, the "Notice" on the external preventive measures to optimize the import? What are the main considerations? Combined with the development of the global epidemic situation, in order to better integrate the epidemic foreign preventive inputs and international exchanges, to facilitate the exchange of personnel, the cancellation of inbound flights meltdown mechanism, 48 hours before boarding the two times the nucleic acid test negative proof adjusted to 48 hours before boarding the one time the nucleic acid test negative proof. Adjusting the criteria for determining the positivity of inbound personnel, and adjusting the quarantine period for inbound personnel to "5 days of centralized quarantine + 3 days of home quarantine". With reference to the experience of epidemic prevention and control of the Beijing Winter Olympics and the Chengdu World Series, the quarantine-free closed-loop management zone ("closed-loop bubble") has been set up for the entry of important business personnel and sports groups. Closed-loop management of foreign and Chinese personnel in the closed-loop management area free of quarantine strict implementation of closed-loop management, personal protection, nucleic acid testing and other requirements, to prevent "breaking the loop". V. "Notice" focuses on enterprises, schools, nursing homes, psychiatric hospitals, welfare institutions and other places to prevent and control the epidemic, the main consideration is what? The Omicron variant spreads faster, more invisible, enterprises, schools, nursing homes, psychiatric hospitals, welfare homes and other key institutions are densely populated, especially the elderly and other vulnerable groups of people with weak resistance, once the infected person is very easy to cause congregation of the epidemic into the epidemic, the difficulty of dealing with the epidemic. The "Notice" of the key places of epidemic prevention and control put forward clear requirements, requiring "an enterprise a policy" "a park a policy" to develop epidemic prevention and control of disposal plans, the implementation of the main responsibility for prevention and control; enhance the school epidemic emergency response capacity, support schools to fast system to deal with outbreaks; optimize the nursing homes, psychiatric hospitals, hospitals, psychiatric hospitals, psychiatric hospitals, psychiatric hospitals and psychiatric hospitals. Optimize the management of nursing homes, psychiatric hospitals, welfare homes and other places where vulnerable people are concentrated. Six, the "Notice" on medical treatment, vaccination and drug reserves, what are the requirements? The "Notice" requires the development of hierarchical diagnosis and treatment programs, to do a good job of full training of medical personnel, hospital beds and beds for serious illnesses to prepare, and increase the resources for treatment. Accelerate to improve the vaccine immunization coverage, especially for the elderly. Do a good job of drug supply reserves to meet the needs of patients with medication, especially high-risk and elderly patients with serious illnesses and treatment needs, and do a good job of effective Chinese medicine reserves. Seven, the "Notice" on the rectification of the problem of layer after layer of new requirements? In order to protect the normal order of production and life in society, the "Notice" clearly requires that all places strictly prohibit the arbitrary closure of schools and classes, stopping work and production, blocking traffic without authorization, randomly take the "silent" management, randomly sealed control, long time not to unblock, randomly stopping the clinic and other types of layers of code behavior, to increase the notification, public exposure, to cause serious consequences. Serious consequences of the law in accordance with the rules of serious accountability. For areas where no outbreak has occurred, nucleic acid testing should be carried out strictly in accordance with the scope of the ninth edition of the prevention and control program for risk positions and key personnel, and neither the scope of nucleic acid testing can be expanded arbitrarily, nor the scope of personnel control, community blocking and isolation and transportation can be expanded arbitrarily. Correct the "two tests a day", "three tests a day" and other unscientific practices. Epidemics occur in the classification of the orderly evacuation of foreign detainees, the destination shall not refuse to accept the return of detainees, not only to avoid the spillover of the epidemic, but also shall not be added to the code of control.