Optimization of epidemic prevention measures twenty provisions are as follows:
1, close contacts, the "7 days of centralized isolation + 3 days of home health monitoring" management measures will be adjusted to "5 days of centralized isolation + 3 days of home isolation ", during the assignment code management, not to go out. The 1st, 2nd, 3rd and 5th days of centralized isolation for medical observation each carry out a nucleic acid test, home isolation for medical observation each carry out a nucleic acid test on the 1st and 3rd days.
2, timely and accurate determination of close contacts, no longer determine the close contact of the close contact.
3, the high-risk area spillover "7 days centralized isolation" adjusted to "7 days home isolation", during the assignment of code management, not to go out. In the home isolation of the 1st, 3rd, 5th, 7th day to carry out a nucleic acid test.
4. Adjust the risk zone from "high, medium and low" to "high and low" to minimize the number of control personnel. In principle, the infected person's place of residence and frequent activities and higher risk of epidemic transmission of workplaces and activities, such as areas designated as high-risk areas, high-risk areas are generally delineated by units, buildings as a unit, shall not be arbitrarily expanded.
The other areas in the county (city, district, flag) where the high-risk area is located are designated as low-risk areas. High-risk zones are downgraded to low-risk zones if no new infections are found for five consecutive days. High-risk zones that meet the conditions for unsealing should be unsealed in a timely manner.
5, the end of the closed-loop operation of high-risk jobs employees from "7 days of centralized isolation or 7 days of home isolation" adjusted to "5 days of home health monitoring", during the period of the assignment of the code management, the first, third and fifth days of the nucleic acid test once, not to go out unless necessary, the need to go out. If you don't need to go out, don't go to densely populated public **** places and don't take public **** transportation.
6, there is no epidemic in the region in strict accordance with the ninth version of the scope of the prevention and control program to carry out nucleic acid testing of risk positions, key personnel, shall not expand the scope of nucleic acid testing. Generally, nucleic acid testing is not carried out for all personnel according to administrative regions, and is only carried out when the source of infection and the chain of transmission is unclear, and when the community has been spreading for a long time, such as when the bottom of the epidemic is unclear.
Developing specific implementation methods for standardizing nucleic acid testing, reaffirming and refining the relevant requirements, and correcting unscientific practices such as "two tests a day" and "three tests a day".
7, cancel the melting mechanism for inbound flights, and adjust the two negative nucleic acid test certificates within 48 hours before boarding to one negative nucleic acid test certificate within 48 hours before boarding.
8, for the entry of important business personnel, sports groups, etc., "point-to-point" transfer to the isolation-free closed-loop management area ("closed-loop bubble"), to carry out business, training, competitions and other activities, during the end of the code management, can not leave the management area. Before entering the management area, Chinese personnel should complete the booster immunization with the new coronavirus vaccine, and after completing their work, they should take appropriate isolation management or health monitoring measures according to the level of risk.
9, clear criteria for positive determination of entry into the nucleic acid test Ct value <35, the release of centralized isolation of the nucleic acid test Ct value of 35-40 personnel for risk assessment, such as previous infections, home isolation during the "three days, two inspections," the code management, not to go out.
10, for the entry of personnel, "7 days centralized isolation + 3 days home health monitoring" adjusted to "5 days centralized isolation + 3 days home isolation", during the period of code management, not to go out. After the quarantine is completed at the first point of entry, the quarantine shall not be repeated at the destination. Nucleic acid test will be carried out once on each of the 1st, 2nd, 3rd and 5th days of centralized isolation for medical observation, and nucleic acid test will be carried out once on each of the 1st and 3rd days of home isolation for medical observation.
11, strengthen medical resources. The development of graded diagnosis and treatment programs, different clinical severity of infected hospital admission criteria, various types of medical institutions in the event of an epidemic and medical staff infection disposal program, and do a good job of medical staff training. Do a good job of hospitalization beds and critical care beds ready to increase treatment resources.
12, orderly promotion of the new coronavirus vaccination. Develop a program to accelerate vaccination, accelerate to improve the vaccine immunization coverage, especially the elderly group immunization coverage. Accelerate the research and development of monovalent or multivalent vaccines with broad-spectrum protection, and promote approval in accordance with the law.
13. Accelerate the stockpiling of drugs related to the treatment of new crown pneumonia. Do a good job of supplying reserves to meet the needs of patients for medication, especially for the treatment of severe high-risk and elderly patients. Emphasize the unique advantages of Chinese medicine, and do a good job of stockpiling effective Chinese medicine prescriptions. Strengthen the stockpile of emergency medicines and medical equipment.
14. Strengthening the protection of key institutions and key populations. Mapping the elderly, patients with underlying diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection programs. Optimize the management of nursing homes, psychiatric hospitals, welfare homes and other places where vulnerable people are concentrated.
15, the implementation of the "four early" requirements to reduce the scale of the epidemic and disposal time.
Everywhere should further improve the epidemic multi-channel monitoring and early warning and multi-point trigger mechanism, for the cross-provincial mobility to carry out "landing inspection", found that the infected person in accordance with the law and timely report, the first time to do a good job of flow transfer and control of risky people, strictly early detection, early reporting, early isolation, early treatment, to avoid the front expanding, time to prolong, never wait and see, never wait and see, never wait and see, never wait and see, never wait and see, and never wait and see, never wait and see. The government should not wait and see what will happen, and should not act in its own way.
16, increase "one-size-fits-all", layer by layer problem rectification efforts. Local party committees and governments should fulfill their local responsibilities and strictly implement the unified national prevention and control policies.
Strictly prohibit arbitrary closure of schools and classes, suspension of work and production, unauthorized blocking of traffic, arbitrarily take the "silent" management, arbitrarily sealing and control, a long time not to unseal, arbitrarily stopping the clinic, and other types of layers of code behavior, to increase the notification, public exposure, and the serious consequences of serious responsibility in accordance with the rules of the law.
To play the role of all levels of remediation of the problem of layers of special task force, efficiently do a good job of collecting and transferring reports and urging the local timely rectification in place. The Health Commission, the CDC, the Ministry of Education, the Ministry of Transportation and other competent authorities of various industries to strengthen the supervision and guidance of the industry system, increase the exposure of typical cases, and effectively play a deterrent effect.
17, strengthen the sealing and control of isolation personnel service security. Each area should establish a special team to protect the living materials, timely development and improvement of the market supply of essential commodities, closed-cell distribution, regional joint security and supply plans, and do a good job of important livelihood commodities reserves.
Comprehensively mapping the community's resident population base information, mastering the empty nesting and living alone elderly, children in distress, maternity, basic illnesses and other key personnel, the establishment of a list of key personnel, the list of needs during the epidemic. Optimize the terminal distribution in closed areas, specify the special forces for the supply of living materials, and set aside fixed reception points in small areas to open up the "last meter" of distribution.
Guiding communities to establish direct hotlines with medical institutions and pharmacies, the community is equipped with a special car to do a good job of service connection, the strict implementation of the system of responsibility for the first diagnosis and rescue system for acute and critical illnesses, not to refuse to diagnose for any reason, and to protect the residents of the treatment, medication and other needs. Do a good job of sealing the control of isolation personnel psychological counseling, increase the care and help for the elderly, sick and disabled and other special groups, to solve the practical difficulties of the people.
18, optimize the campus epidemic prevention and control measures. Improve the school and local coordination mechanism, joint prevention and control to strengthen the campus epidemic emergency disposal security, priority arrangements for campus transit isolation, nucleic acid testing, flow of traceability, environmental disinfection, living materials to ensure that work, enhance the school epidemic emergency disposal capacity, support schools to fast system to quickly dispose of the epidemic.
Schools around the country should strictly implement the national and education sector prevention and control measures, and resolutely implement the scientific and precise prevention and control requirements, not to increase the code control.
The Ministry of Education and the provincial and municipal education departments led the establishment of a task force to investigate one by one the campus randomly sealed and controlled, sealed and controlled for too long, a long time not to carry out offline teaching, life protection can not keep up with the inconsistency of the control requirements of teachers, students, staff and family members, and supervise the rectification of the problem, remediation of the prevention and control of ineffective and excessive prevention and control of the epidemic problem.
Education departments at all levels have set up complaint platforms and hotlines to receive, refer and respond to complaints in a timely manner, establish a mechanism for "receiving complaints and handling them", improve the rapid response to problems and solve feedback mechanisms, and promote the resolution of urgent problems of teachers and students in a timely manner.
19, the implementation of enterprises and industrial parks prevention and control measures. Local joint prevention and control mechanism to set up a task force to find out the jurisdiction, including private enterprises, including enterprises and industrial parks, the bottom, "one enterprise," "one park," the development of epidemic prevention and control of disposal plans.
Implementation of the main responsibility for epidemic prevention and control in enterprises and industrial parks, the establishment of epidemic prevention and control from the enterprise, park management to the workshop team, front-line workers of the full responsibility system, refine the whole link, the whole process of epidemic prevention and control accounts. Strictly return to work personnel involved in the epidemic risk verification, confirm the health before returning to work.
Strengthen the key positions, key processes of employees' life, epidemic prevention and shift preparation protection, improve the third-party outsourcing personnel management methods, and strict management of the social side of the personnel in and out of the management. During the epidemic, we should make every effort to ensure the smooth flow of logistics, and should not ask the key enterprises concerned about the overall situation of the industrial chain and the livelihood of the people to stop work and production, and implement the "white list" system.
20, categorized in an orderly manner to do a good job of stranded people evacuation. The outbreak of the localities to timely and accurately delineate the risk area, not in the high-risk area of the field personnel, assess the risk of allowing them to leave, to avoid the occurrence of stranded, on the way back to do a good job of protection.
The place where more people are stranded, should be specially formulated to ease the program, the departure and destination to strengthen information communication and collaboration, in order to effectively prevent the epidemic spillover under the premise of a sound arrangement, transportation, civil aviation, the National Railway and other units should be actively given to the transportation capacity to protect.
The destination should enhance the sense of the overall situation, shall not refuse to accept the return of stranded people, and in accordance with the requirements of the implementation of the return of people to prevent and control measures, not only to avoid spillover of the epidemic, but also shall not be added to the code control.