Joint Prevention and Control Mechanism General Fa_2020_181
Provinces, autonomous regions, municipalities directly under the central government and the Xinjiang Production and Construction Corps to cope with the new coronavirus infection pneumonia epidemic joint prevention and control mechanism, the State Council to cope with the new coronavirus infection pneumonia epidemic joint prevention and control mechanism member units:
The CPC Central Committee and the State Council attaches great importance to the The new coronavirus nucleic acid detection work, the central response to the new coronavirus infection pneumonia epidemic leading group meeting to make deployment, requiring efforts to enhance detection capacity, try to expand the scope of detection. Strengthening nucleic acid testing is not only conducive to consolidating the results of prevention and control and safeguarding the health of the public, but also helps to rationalize the movement of people and promote the resumption of work, production and schooling, and is an important measure for "preventing importation from the outside, and preventing rebound from the inside". In order to guide the normalization of prevention and control work in all areas of nucleic acid testing, the following comments:
One, the general requirements
Adhere to prevention as the main focus, will accelerate the enhancement of nucleic acid testing capacity, try to expand the scope of nucleic acid testing as a normalization of prevention and control of the implementation of the "four early" measures as the first initiative. In accordance with the law and regulations, classification guidance, the principle of local conditions, do a good job of key groups of key industries should be examined as much as possible, and make every effort to detect risks and hidden dangers. The implementation of personnel, equipment and funds required to accelerate the upgrading of detection capacity, the compaction of territorial, departmental, unit and individual responsibility, improve the working mechanism, strengthen the organization and management, so as to achieve early detection, accurate prevention and control, in order to accelerate the full restoration of the order of production and life to create the conditions.
Second, actively expand the scope of detection, and make every effort to investigate the hidden risks
Localities can determine and dynamically adjust the detection strategy and the scope of the population according to the needs of epidemic prevention and control work and detection capacity.
The key population groups should be tested.
1. close contacts;
2. people entering the country from abroad;
3. fever clinic patients;
4. newly hospitalized patients and their companions;
5. staff of health care institutions;
6. quarantine and border inspection personnel at the ports;
7. staff of the institutions;
8. staff of social welfare institutions. ... staff of social welfare and pension organizations.
Other groups of people "willing to check as much as possible". Each region can determine and dynamically adjust the priority testing population according to the local reality.
Strengthening public monitoring and early warning. Disease control agencies regularly monitor samples of the general population and epidemiological surveys, and do a good job of information collection, analysis and research, and monitoring and early warning work. Each place according to the development of the epidemic changes in dynamic adjustment of normalized prevention and control measures and dynamic promotion should be examined as much as possible.
Three, accelerate the enhancement of testing capacity, to meet the demand for testing
Strengthen the laboratory construction. All localities should strengthen the tertiary hospitals, infectious disease hospitals, county-level and above CDC agencies, customs and county hospitals with the conditions of laboratory construction, so that they have the ability to carry out the new coronavirus testing. For the relative lack of medical resources, relatively weak testing capacity, epidemic prevention and control pressure on the land border port cities, the CDC agencies, customs and a strong comprehensive strength of the medical institutions to be key support, if necessary, mobile square cabin laboratory. Synchronized to strengthen other hospitals above the second level, specialized hospitals, maternal and child health hospitals laboratory construction, so that they gradually meet the new coronavirus nucleic acid testing conditions.
Strengthening quality control and biosafety. Strengthen the laboratory capacity building standard system certification and laboratory indoor quality control, regular acceptance of national or provincial clinical testing quality control. Provincial health administrative departments to organize the jurisdiction of the testing institutions in batches to participate in inter-laboratory quality assessment, to ensure that each institution to participate in at least one inter-laboratory quality assessment per year. Testing organizations to strengthen biosafety management, strict operating procedures, proper disposal of the remaining biological samples, sample use, preservation, uploading and destruction.
Strengthen the standardized training of personnel. Develop training programs, provincial and municipal CDC agencies, clinical testing centers, customs comprehensively strengthen the technical training and guidance for testing and inspection personnel to ensure that the number of laboratory personnel quality needs. Do sampling personnel skilled in nasopharyngeal swabs, pharyngeal swabs and other standardized collection methods, laboratory testing personnel skilled in specimen handling, the use of relevant reagents and detection methods, to reduce the technical operational issues on the accuracy of the test results, the reliability of the impact of the realization of the specimen collection, preservation, transportation, laboratory testing, and other aspects of the whole process of standardization of the operation.
Speed up equipment capacity enhancement. Strengthen testing equipment, testing methods and testing reagents, as well as mobile cabin laboratories and other aspects of the research, approval and market transformation, and urgently increase the production of simpler, more efficient and accurate testing equipment, especially nucleic acid rapid testing equipment production capacity expansion, expanding the commercial application, and actively organize the enhancement of mobile cabin laboratories, such as the application of new testing equipment capacity scale. Local governments organize relevant departments to scientifically assess local testing needs and production capacity of equipment, reagents and consumables, and formulate supply and demand plans. Industry and information technology departments to coordinate production enterprises, according to the demand to expand production capacity of equipment, reagents and consumables as soon as possible. Development and reform departments to do a good job of testing the materials required for the unified deployment.
Ensure information security. Strengthen information security management, through information technology means, to ensure the accuracy of the information subject to testing, test results of standardized management and privacy protection. Testing organizations to provide test subjects with test certificates and do a good job of information registration, found that the test results positive to strictly fulfill the reporting responsibility. Each region should timely test results information *** enjoy to the "health code" database, and relying on the national integrated government service platform to promote the mutual recognition of information related to the nucleic acid test *** enjoy the national integrated platform "epidemic prevention health information code" and the entry of personnel The version of the unified labeling. Counterfeiting, tampering with the new coronavirus test results and other behaviors in accordance with the law to crack down.
Four, improve the working mechanism, make every effort to improve the efficiency of the test
Implement the responsibility of the relevant departments. The health department published a list of organizations with testing qualifications, designated medical institutions, CDC agencies, customs, social testing organizations to provide testing services for the "should be tested" people, designated medical institutions, social testing organizations for the "willing to be tested" people provide Designated medical institutions and social testing organizations to provide testing services for the "willing to be tested" population. When conducting large-scale population testing, the method of mixing 5 to 10 specimens for initial screening can be used to improve testing efficiency and reduce testing costs. Laboratory quality control and biosafety supervision should be strengthened, and testing should be included in the operational assessment of healthcare institutions, with information on testing collected and reported to higher-level healthcare authorities. Health and health departments are responsible for organizing the testing of close contacts, outpatients with fever, newly hospitalized patients and accompanying staff, and staff of medical institutions; civil affairs departments coordinate and organize the testing of staff of nursing institutions, child welfare institutions, rescue and protection institutions for under-aged people, and urban and rural community workers; public security and judicial administration departments are responsible for organizing the testing of staff of prisons and newly recruited supervisees; and Customs Customs is responsible for organizing the testing of personnel entering the country from abroad and quarantine personnel at ports, and the immigration administration is responsible for organizing the testing of border control personnel. Education, transportation, human resources and social security, business and other departments according to the actual situation in each place, priority organization, orderly guidance to do a good job of school staff, students from the key areas of the epidemic resumption of school, public **** transport and passenger transport station service personnel, resume work and resume production units of the newly arrived personnel detection work.
To play the role of community units. Communities should strengthen the management of key populations, take the initiative to strengthen information communication, increase health education, and guide the community to assist and cooperate with government departments to organize and carry out testing, and accept sample collection, testing, isolation, treatment and other prevention and control measures in accordance with the law. In the process of resumption of work and production and resumption of schooling, all organs, enterprises and public institutions, schools, social groups and other organizations should establish and improve the management system of nucleic acid testing, effectively fulfill the main responsibility, take the initiative to contact the health department, and organize and carry out the testing work in an orderly manner.
Improve the testing follow-up work. The testing organization notifies the test results to the test subjects in a timely manner. Positive test results in accordance with the provisions of the network direct reporting, epidemiological investigations, epidemic disposal, etc., social testing organizations should promptly report the information of positive nucleic acid test results to the county disease control agencies. Confirmed patients immediately transferred to the designated medical institutions in accordance with the provisions of the asymptomatic infected persons in accordance with the provisions of the implementation of centralized isolation for medical observation, observation period, such as the emergence of clinical manifestations should be promptly transferred to the designated medical institutions, the confirmation of the diagnosis of the timely revision. Local counties as a unit, a reasonable set of isolation points, so that should be segregated as far as possible, should be collected as far as possible.
Fifth, strengthen the organization and management, increase the protection
Strengthen the organizational leadership. Local party committees and governments at all levels should strengthen the detection work as an important element of the current regular epidemic prevention and control work, strengthen the leadership, carefully organized. Joint prevention and control mechanisms at all levels should formulate work programs, implement departmental responsibilities, hold regular coordination meetings, study and solve key and difficult problems in expanding nucleic acid testing, do a good job in assessing public opinion and responding to risks, and make timely and dynamic adjustments according to the situation of epidemic prevention and control.
Strengthening policy support. Local party committees and governments should study and formulate relevant policies and measures to rapidly enhance the capacity of nucleic acid testing, and mobilize social testing service agencies to carry out nucleic acid testing work actively. Provincial medical insurance departments in a timely manner and in accordance with the procedures of nucleic acid testing projects and related consumables into the province's medical insurance diagnosis and treatment program directory. Provincial price departments to develop the province's regional unified implementation of the fee standard.
Increase financial security. Governments at all levels to strengthen funding arrangements for disease control agencies, medical institutions, customs laboratory construction and testing equipment to be equipped with financial support, in particular, to increase the relatively dense population, mobility areas and border crossings and other key areas of support. Where conditions exist, testing reagents and consumables will be included in the procurement scope of the provincial centralized procurement platform and the bidding and procurement procedures will be simplified. The cost of "should be tested" by the local government, "willing to test" by enterprises and institutions or individuals to bear the cost.
Increasing publicity and advocacy. Local publicity departments and health departments **** with the strengthening of the new crown pneumonia prevention and control knowledge of science and publicity work, the use of a variety of media to widely disseminate knowledge of prevention and control, to improve the masses to participate in the nucleic acid test awareness, and to promote the willingness to test the test.