First, standardize risk area management.
Accurately define high-risk areas. High-risk areas are strictly defined by buildings, units, floors and households, and shall not be arbitrarily extended to administrative areas such as residential areas, communities and streets, and shall not be temporarily closed in various forms.
Implement "quick sealing and quick solution" in high-risk areas. For high-risk areas without new positive infections for 5 consecutive days, it is necessary to dredge them in time, and it is not allowed to extend the time or continue to implement sealing and control measures at will.
Strengthen the safety of infectious diseases. It is strictly forbidden to block fire exits, unit doors and residential doors in various ways to ensure that people go out for medical treatment and emergency avoidance. The municipal level is responsible for coordinating the referral of all kinds of critically ill patients, and the county level promotes the establishment of a docking mechanism between the community and relevant medical institutions to provide convenience for the elderly, minors, pregnant women, disabled people and patients with chronic diseases. It is necessary to strengthen the care and psychological counseling for the sealing control personnel, patients and front-line staff.
The second is to optimize and adjust isolation management measures.
Adjust the management methods of asymptomatic infected persons and mild cases. Asymptomatic infected persons and mild cases with home isolation conditions generally take home isolation measures, or voluntarily choose centralized isolation treatment. On the 6 th and 7 th day of home isolation, nucleic acid detection was carried out twice in a row, and the Ct value was ≥35, and the isolation was lifted. If the condition worsens, transfer to the designated hospital for treatment in time.
Optimize the isolation methods of close contacts. Close contacts with home isolation conditions can be isolated at home for 5 days or voluntarily, and the isolation will be lifted after the fifth day of negative nucleic acid test.
Thirdly, optimize and adjust the requirements of nucleic acid detection.
Provide social "willing to check" service. No longer carry out all-staff nucleic acid testing according to administrative regions, further narrowing the scope of nucleic acid testing and reducing the frequency. According to the needs of epidemic prevention work, antigen testing can be carried out. According to the principle of "convenience nearby", the layout and scale of existing social nucleic acid sampling points should be maintained to meet the needs of the masses.
Standardize the nucleic acid detection of high-risk occupational groups and personnel in high-risk areas. Employees in high-risk positions shall be organized by the unit to carry out nucleic acid testing at the prescribed frequency. Personnel in high-risk areas should carry out nucleic acid detection according to the prescribed frequency.
Four, clear the negative proof of nucleic acid testing inspection policy.
Cancel the inspection of floating personnel. Cross-regional floating population will no longer check the negative certificate of nucleic acid test and health code. Cancel the "landing inspection" of traffic checkpoints such as airports, railway stations, long-distance passenger stations and provincial service areas of expressways.
Standardize the inspection of negative proof of nucleic acid detection. In addition to entering nursing homes, welfare homes, medical institutions, nurseries, primary and secondary schools and other special places, it is also necessary to provide negative proof of nucleic acid testing. When entering public places and taking public transportation, no longer check the negative certificate of nucleic acid test, no longer check the health code, and scan the "place code". All medical institutions must unconditionally accept critically ill patients without negative proof of nucleic acid test for medical treatment.
Five, clear the management requirements of special places
Adhere to the closed management of special places. Special places for the disadvantaged such as nursing homes, welfare homes and mental health institutions will continue to be closed.
Optimize school epidemic prevention and control. Strengthen the construction of medical clinics on campus, provide "willing to do everything" service for teachers and students, and reserve enough drugs. Teachers and students with important exam arrangements should be monitored in advance to ensure that they should take all the exams. Non-epidemic schools should carry out normal offline teaching activities, and supermarkets, canteens, stadiums and libraries on campus are open normally. Schools with epidemic situation should accurately define the risk areas according to the current situation, and ensure the normal teaching and living order outside the risk areas.
Intransitive verbs ensure the normal operation of society
Ensure the normal operation of society and basic medical services. Non-high-risk areas shall not restrict the flow of personnel, and shall not stop work, production or business. Medical personnel, public security, transportation, logistics, supermarkets, power supply, water and electricity heating and other personnel who guarantee basic medical services and the normal operation of society are included in the "white list" management. Relevant personnel should do a good job in personal protection, vaccination and health monitoring, ensure normal medical services and the supply of basic living materials, water, electricity and warmth, try their best to maintain normal production and work order, solve urgent and urgent problems raised by the masses in time, and effectively meet the basic living needs of the masses during the epidemic handling period.
Optimize the daily management of important organs. Party and government organs at all levels can formulate prevention and control measures according to the actual situation, guide cadres and workers to do self-health monitoring and strengthen personal protection.
Ensure the normal operation of large enterprises. Establish epidemic prevention measures of "one enterprise, one policy" for large enterprises, and resolutely put an end to arbitrary shutdown, production suspension and closure. We should care about the health of employees and provide convenient conditions for their personal protection and medical treatment.
Standardize the protection of important activities. According to the nature and scale of major conferences and large-scale activities, formulate epidemic prevention and control plans, strengthen the pre-meeting management of participants, carry out health monitoring in advance, and determine nucleic acid testing measures according to the principle of one thing and one discussion.
Seven, to ensure that the masses seek medical treatment.
Strengthen the health status of key population and file it. Give full play to the "net bottom" of primary medical and health institutions and the "gatekeeper" role of family doctors, find out the vaccination situation of elderly patients with cardiovascular and cerebrovascular diseases, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, tumor, immune dysfunction and COVID-19, and promote the implementation of classified management.
Implement classified medical care. Scientifically do a good job in the classified treatment of asymptomatic infected persons, mild cases, ordinary cases, severe and critical cases, and cases with severe and high-risk factors. Chinese medicine hospitals at all levels should pay close attention to the development of a batch of traditional Chinese medicine preparations or traditional Chinese medicine agreed prescriptions, and prepare a batch of traditional Chinese medicine decoction or traditional Chinese medicine formula granules in advance, so as to facilitate the people to buy and use traditional Chinese medicine in time by setting up simple outpatient clinics, convenient drug sales windows and online drug purchase.
Guarantee the basic drug purchase needs of the masses. Strengthen the production and storage of epidemic prevention drugs, ensure the normal operation of pharmacies, and do not close pharmacies at will to meet the people's demand for drugs. It is not allowed to restrict people from buying non-prescription drugs such as fever, cough, antivirus and cold online and offline, and there is no need to register their real names to buy four kinds of drugs.
Eight, improve people's awareness and ability of self-protection.
Accelerate the progress of vaccination for the elderly. Adhere to the continuous connection, effectively improve the vaccination rate of people aged 60-79, and accelerate the vaccination rate of people aged 80 and over. Through the establishment of green channels for the elderly, temporary inoculation points and other measures, the vaccination service will be continuously optimized. It is necessary to seriously organize and carry out training on judging contraindications to vaccination, and guide medical personnel to scientifically judge contraindications to vaccination. It is necessary to extensively carry out popular science propaganda, actively guide the elderly to take the initiative to vaccinate and vaccinate as soon as possible.
Guide the masses to fulfill their personal responsibility for prevention and control. Strengthen publicity and education, strengthen the awareness that everyone is the "first responsible person" for their own health, guide the masses to consciously abide by epidemic prevention laws and regulations, do a good job of self-protection in different scenarios, such as physical discomfort, especially respiratory symptoms such as fever and cough, and timely standardize medical treatment.
If there are any problems in the implementation process, please give timely feedback. The Provincial Defense Office will dynamically optimize and adjust the prevention and control policies and measures according to the changes in the situation of epidemic prevention and control and the unified deployment of the joint prevention and control mechanism in the State Council.
Hebei province responded to the COVID-19 epidemic.
Work leading group office
65438+February 7, 2022