Joint Prevention and Control Mechanism Integrated Group [2021] No. 11
Joint Prevention and Control Mechanism for Responding to the New Crown Pneumonia Epidemic in Provinces, Autonomous Regions and Municipalities Directly Under the Central Government, and Xinjiang Production and Construction Corps, and Party Committee Agricultural Affairs Offices:
For the purpose of guiding the prevention and control work of the new crown pneumonia epidemic in rural areas in the winter and spring, with science and precision epidemic prevention and control work, the State Council to deal with the new coronavirus pneumonia epidemic joint prevention and control mechanism integrated group and the Central Leading Group Office of Rural Work has formulated the winter and spring rural areas of the new coronavirus pneumonia epidemic prevention and control work program. It is hereby issued to you, please organize and implement it seriously. If there is any relevant suggestion in the process of implementation, please feedback to the comprehensive team of the mechanism in a timely manner.
Attachment: Winter-Spring Work Program for Prevention and Control of New Crown Pneumonia Epidemic in Rural Areas
State Council's Comprehensive Group for Responding to the New Crown Pneumonia
Epidemic Joint Prevention and Control Mechanism
Office of the Central Leading Group for Rural Work
January 19, 2021
Winter-Spring Work Program for Prevention and Control of New Crown Pneumonia Epidemic in Rural Areas
Recently, China's sporadic distribution of cases and localized aggregation of the epidemic has increased significantly, exposing problems such as lax awareness of prevention and control in rural areas, weak prevention and control capacity, and difficulty in prevention and control, especially during the Spring Festival when more people return home in rural areas and frequent aggregation activities will increase the risk of epidemic transmission. In order to further strengthen the leadership of rural grass-roots party organizations on the epidemic prevention and control work, to guide rural areas to do a good job of scientific and accurate prevention and control of the new crown pneumonia epidemic in winter and spring, according to the "Guidance on doing a good job on the normalization of prevention and control of the new crown pneumonia epidemic," "the new crown pneumonia epidemic prevention and control of work programs in rural areas," and other requirements, combined with the shortcomings and weaknesses of the recent rural congregation of the epidemic prevention and control work, hereby formulate this Work program.
I, early prevention
1. Reduce the movement of people. Promote the Spring Festival holiday non-essential non-mobility, encourage universities and colleges and enterprises to stagger the holiday and the start of school and work, engaged in the handling of imported goods, transportation, storage and sales of staff, in principle, in the place of work vacation or work. High-risk areas in the epidemic strictly control the entry and exit of personnel.
2. Reduce the gathering of people. In accordance with the principle of non-essential not held during the Spring Festival in all areas, strict control of temple fairs, cultural performances, exhibitions and sales promotions and other activities to reduce the scale and frequency of rural bazaars to control the flow of people. Implement the requirements for control of religious activities and venues, and strictly enforce epidemic prevention and control regulations. Resident families do not hold gatherings such as dinners, publicize and advocate the changing of customs and traditions, and persuade farmers to refrain from stringing together, gathering together, and going out less, and advocate "slowing down joyous occasions, simplifying funerals, and refraining from holding banquets". Activities that do need to be held, the size of the control of less than 50 people and have prevention and control programs, to the local epidemic prevention and control headquarters for approval, and the village committee is responsible for supervising the registration of participants in the basic information and strict implementation of preventive and control measures.
3. Strengthen the management of the returnees. Returnees are required to return home with a valid new coronavirus nucleic acid test negative results within 7 days, after returning home to implement 14 days of home health monitoring, during the period of no gathering, no mobility, every 7 days to carry out a nucleic acid test. The townships and administrative villages to implement the responsibility system, the implementation of grid management of the returnees, do a good job of registration, health monitoring and disposal of abnormal conditions.
4. Strengthen publicity and education. The use of traditional media and new media and other forms of knowledge and measures to carry out the new crown pneumonia prevention and control measures to guide the returnees to comply with the provisions of the epidemic prevention and control, truthful reporting of personal journeys, and actively cooperate with the health monitoring, to enhance the villagers wash their hands diligently, to maintain indoor ventilation, closed places to wear masks and other hygiene habits, and to enhance the emergence of fever, dry cough, sore throat, loss of smell, diarrhea and other symptoms of the first time after the clinic and the first time to report the awareness of.
Second, early detection
1. Expand the scope of the "should be examined as much as possible". Newly hospitalized patients and their companions in county hospitals and township health centers, as well as staff of medical institutions and people in rural areas who need to be screened and co-screened, are included in the scope of the "should be screened as much as possible", and nucleic acid tests are conducted weekly.
2. Timely sample collection and nucleic acid testing. The implementation of the "township sampling, county testing", township health centers are responsible for nucleic acid testing sample collection and delivery of testing, do not have the conditions by the county health administrative department to arrange for the agency to collect samples and delivery of testing, county hospitals, CDC or a third-party testing organization is responsible for nucleic acid testing. Nucleic acid testing is included in the scope of the local should be tested.
_3. Strengthen environmental and drug monitoring. Weekly nucleic acid testing of village health clinics and individual clinics, farmers' markets, villagers' activity rooms, chess and card rooms, recreation rooms, public **** restrooms, nursing homes, nearby airports, and other public **** places environment, and regularly enter the home to carry out sampling tests. Rural pharmacies to establish a real-name registration ledger for the sale of antipyretics, anti-infectives and other drugs.
Three, early reporting
1. Suspicious patients report. The village health office and individual clinics found suspicious patients should be in the patient at the same time, within two hours to report the township health center, the township health center is responsible for the collection of samples and sent to the test, and to assist in making a good referral and other work. Rural pharmacies found to buy antipyretics, anti-infectives and other drugs patients within 2 hours after the report township health centers.
2. Nucleic acid test results report. Testing organizations receive samples within 12 hours after feedback test results, positive results should be immediately feedback to the sample delivery institutions and county-level health and health administrative departments.
3. Direct reporting of infected persons on the network. Medical institutions found confirmed cases and asymptomatic infected persons within two hours after the network direct reporting, no network direct reporting conditions of medical institutions immediately report by phone to the CDC network direct reporting.
Four, early isolation
1. rapid response. Township government, village committee found the outbreak should be immediately reported to the county epidemic joint prevention and control mechanism, within two hours of the transfer of infected persons. The county epidemic joint prevention and control mechanism should quickly organize and deploy epidemic analysis, epidemiological investigation, nucleic acid testing, medical treatment, environmental extermination, community prevention and control teams to carry out epidemic prevention and control, and do a good job of centralized quarantine, the designated medical institutions to treat the work. Township governments, village committees and village doctors should actively cooperate in epidemiological investigations, tracking the source of infection, and controlling people involved in the epidemic.
2. Implementation of natural village closed control. For the discovery of confirmed cases and asymptomatic infected natural villages and each family immediately implement closed control, all residents of the home medical observation, standardized set up into the village quarantine point, the implementation of access to personnel temperature measurement, questioning, registration, scanning, disinfection and other measures. Occurrence of a sustained spread of the epidemic, the newly discovered cases, asymptomatic infected people as the center, close contacts and close contacts of close contacts of close contacts of the activities of the trajectory of scientific delineation of the infected area.
3. To carry out epidemiological investigations and close contacts determination. County CDC agencies to carry out epidemiological investigations under the guidance of municipal CDC agencies, health, public security, industry and information departments *** with the cooperation of township governments, village committees and village doctors to actively cooperate in completing the epidemiological investigation and close contact determination within 24 hours. Based on the communication big data, timely investigation of the outflow of people from the infected area and issue a concordance notice. At the same time, under the guidance of provincial and municipal experts, primary health care institutions to cooperate with the county-level CDC agencies to carry out traceability investigations of the epidemic.
4. Close contact isolation management. The county government to set up a centralized isolation place, close contacts, close contacts of close contacts in principle, the implementation of centralized isolation medical observation, except in special circumstances. To be completed within 12 hours of close contacts and close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts of close contacts. If the conditions for centralized isolation for medical observation are not met, home medical observation may be implemented, and measures such as single-person, single-room isolation, nucleic acid testing, and temperature monitoring may be strengthened through the issuance of notification letters, the hanging of public boards, and daily visits to the home. Home isolation of natural villages in accordance with the requirements of centralized isolation places standardized management.
5. Implementation of full nucleic acid screening. To carry out full nucleic acid testing of natural villages or infected areas where the epidemic occurs, clear sample collection sites and nucleic acid testing points, effectively configure the team, and carry out in an orderly manner by region and time. If necessary, organize multiple nucleic acid screening to rule out potential risks.
6. Establish an information platform. The county government to establish testing agencies, emergency centers, CDC agencies, public security organs, designated hospitals, centralized isolation places and other components of the information *** enjoy platform, interconnected with the provincial platform, clear departments and agencies of the responsibilities and workflow, real-time *** enjoy nucleic acid test positive information, activity track big data information, close contacts and close contacts of close contacts and the management status of the information. Coordinate the epidemiological investigation and close contact tracing management.
7. Carry out environmental disinfection. Township governments and village committees should set up a special duty officer in charge of disinfection in key public **** places prone to epidemic transmission, such as urban and rural areas, nearby airports and public toilets. Carry out chain-wide and thorough decontamination of the movement tracks of confirmed and asymptomatic infected persons. The living garbage should be disinfected and transported out for centralized treatment, and the garbage generated by the quarantine personnel should be centrally disinfected, sealed and disposed of by the relevant departments.
V. Early treatment
1. Early detection of suspected patients. Develop guidelines for primary health care institutions and individual clinics to receive febrile patients, strengthen the pre-screening and triage and first-responsibility system, focusing on the recent return of people from abroad who have fever, dry cough, sore throat, loss of smell, diarrhea and other clinical symptoms, and strengthen the epidemiological history of the questioning, nucleic acid testing and early identification of suspected cases.
2. Referral of suspected patients. County hospitals to standardize the establishment of fever clinics and observation room, township health centers with conditions to set up fever clinics, do not have the conditions of township health centers, village health offices and clinics should be equipped with special rooms, the suspected patients to isolate. Township health centers, village health rooms and clinics should immediately report to the county-level health administration department when they find suspicious patients. The county-level health administration department will arrange negative pressure ambulance to transfer the patient to the county hospital for medical treatment within 2 hours. If there is no negative pressure ambulance to use ordinary ambulance, attention should be paid to the driver and medical personnel protection. Township governments and village committees should assist in the transfer service.
3. Standardized treatment. County hospitals have the conditions for admission, to the confirmed cases and asymptomatic infected centralized admission, in accordance with the diagnosis and treatment program to implement homogenization, standardized treatment. County hospitals do not have the conditions for admission, as well as can be transported to the serious cases, to be centralized admission to the municipal level designated hospitals.
4. Strict hospital infection prevention and control. County hospitals are the main person in charge of hospital infection prevention and control of the first responsible person, to designate a person in charge of the hospital and medical **** all medical institutions within the hospital infection prevention and control work, to carry out full training, the implementation of standard protective measures. All personnel entering medical institutions should wear masks, measure body temperature, and show health codes or other health certificates. It is necessary to optimize the diagnosis and treatment process, do a good job of controlling the flow of people and logistics, and reduce the gathering of people. When township health centers and other medical institutions do not have the above conditions, they are required to implement environmental and equipment disinfection as soon as possible after receiving suspected patients with new crown pneumonia to prevent cross-infection. Provincial and municipal health administration departments should organize hospital infection prevention and control experts to form a number of inspection groups, subdivided into districts and packages to regularly visit medical institutions in the county to carry out inspections and guidance, which should cover county hospitals, primary health care institutions, village health offices and clinics. County disease control agencies should guide medical institutions to do a good job of isolation of close contacts and environmental disinfection after the outbreak.
Six, strong protection
1. Organizational leadership. County-level epidemic prevention and control command system to maintain emergency status, the implementation of 24-hour duty, strict implementation of the "daily report" and "zero report" system. The implementation of the local responsibility of the party committee and government, the responsibility of the industry department in charge, the main responsibility of the unit, the responsibility of the individual and family self-management. Give full play to the role of the county and village three-tier prevention network, establish a three-tier subcontracting mechanism of "county leaders subcontracting townships, township cadres subcontracting villages, and village cadres subcontracting households", and implement the "five packs of one" responsibility system of township cadres, village cadres, public security police, village and township healthcare workers, and grid clerks. The "five packs of one" responsibility system is being implemented. Give full play to the role of the medical **** body, the role of the medical consortium, the county and township as a whole to implement the county-level health care institutions epidemic prevention and control of regional prevention and control tasks, the township as a whole to implement the township health hospitals of the package village tasks. Improve the village public **** health committee, organizing villagers to do a good job in the winter and spring and spring epidemic prevention and control work. Rural grass-roots party organizations should effectively assume leadership responsibility for epidemic prevention and control, strengthen supervision and inspection, play a good village "two committees", the first secretary, village cadres and the role of the majority of rural party members, organizations and mobilization of *** Youth League, Women's Federation and other organizations, moral councils, red and white councils, leading enterprises in agricultural industrialization, farmers' cooperatives and the general public to carry out mass prevention and control. The general public to carry out mass prevention and control, the implementation of various prevention and control measures.
2. Capacity guarantee. Strengthen the county and village level professionals sample collection, nucleic acid detection, epidemiological investigation, environmental disinfection and other technical training. Strengthen the medical institutions and CDC institutions sampling and nucleic acid testing capacity building, through the deployment of mobile testing force or purchase of third-party testing organization services, to ensure that at least one institution in the county with nucleic acid testing capacity. People's governments at the county level should spare 100 isolation rooms for one infected person, and people's governments at the prefecture level should coordinate centralized isolation rooms in the region to cope with the need for large-scale personnel isolation. The centralized isolation places should meet the requirements of relevant standards and be equipped with staff and vehicles, disinfectants, isolation suits and other epidemic prevention materials.
3. Counterpart assistance. City tertiary hospitals have been formed with the county hospital medical consortium, the provincial and municipal health administrative departments to supervise the city tertiary hospitals to strengthen the integrated support for the county hospital, to send management, medical, nursing, testing, hospital sensory personnel stationed to guide, especially during the Chinese New Year period to strengthen the presence of duty watch. If the county hospital does not establish a medical association with the urban tertiary hospital, the provincial and municipal health administration departments should designate the tertiary hospital to be divided into counties and packages, and strengthen the resident guidance to the county hospital in accordance with the delineated scope of responsibility. Through the city tertiary hospitals to help each other, improve the county medical institutions hospital infection prevention and control, nucleic acid testing, medical treatment and other capabilities and levels.
4. Material security. The people's governments at the provincial and municipal levels should refine their emergency plans, carry out training exercises involving multiple departments at each level, and make preparations to reinforce the prevention and control of epidemics in rural areas. People's governments at the county level and above are responsible for financial support and material security for epidemic prevention and control and emergency response, and implement preparations for production and livelihood security for regional control after an epidemic. Township governments and village committees should prepare protective materials in advance on an administrative village basis. Each region should effectively do a good job in the supply of agricultural products to meet the needs of rural residents, grain, oil, vegetables, meat, eggs, milk, aquatic products and other agricultural products into the epidemic prevention and control during the protection of the necessities of life. Implement the "green channel" policy for the transportation of fresh and live agricultural products, and urge localities to maintain normal market circulation order to ensure smooth production and marketing of agricultural products. In the prevention and control of the epidemic at the same time, scientific and rational arrangements for vegetables, meat, eggs and milk, aquatic products and other important agricultural production, strengthen crop field management, to ensure that the logistics of agricultural means of production, shall not be arbitrarily prevented on the pretext of epidemic prevention to stop the transportation of agricultural vehicles.
5. Supervision and inspection. Each place should be in accordance with the requirements of the work program, deployed in advance, the responsibility of the new crown pneumonia epidemic prevention and control work into the assessment of the government at all levels. Party Committee Agricultural Office should actively play a coordinating role to guide the rural areas to grasp the epidemic prevention and control, agricultural production and agricultural supply security work. To organize and carry out the Spring Festival period of the new crown pneumonia epidemic prevention and control of special supervision work, the epidemic prevention and control of rural areas as the focus of the supervision, supervision and guidance around the risk of vulnerability, make up for the shortcomings and weaknesses, to ensure that timely rectification in place. For the work of the existence of the lack of responsibility, inaction, inaction, dereliction of duty and other violations of law and discipline seriously accountable.
The provincial joint prevention and control mechanism should combine the actual, develop the region's winter and spring epidemic prevention and control work program in rural areas, and reported to the State Council Joint Prevention and Control Mechanism Comprehensive Group for the record.