How to ensure the normal functioning of society and basic medical services?

On December 7, the State Council Joint Prevention and Control Mechanism Comprehensive Group issued the Notice on Further Optimizing the Implementation of Preventive and Control Measures for the New Crown Pneumonia Epidemic. At the same time, the official website of the National Health Commission issued a Q&A on the interpretation of the Notice.

First, what is the background of the notice? What is the main content?

Since the outbreak of new coronary pneumonia, the CPC Central Committee and the State Council has always put the people's lives and health in the first place, according to the characteristics of the virus mutation and the development of the epidemic situation, adhere to the word "stable", steady progress, take small steps, do not stop, optimize and improve the preventive and control measures in accordance with the situation. After the announcement and implementation of the twenty optimization measures, we have closely tracked the effects of implementation around the world, combined with the beneficial experience accumulated in the process of responding to recent outbreaks around the world, in response to the prominent problems, the organization of research and put forward ten targeted measures to further optimize the isolation of infected persons and close contacts, nucleic acid testing and other measures to further strengthen the high-risk areas of the "fast sealing and quick solution", vaccination, vaccination, and the prevention and control of the epidemic. ", vaccination, school prevention and control, safety and security related to the epidemic, people's access to medical care, medication and basic life protection, social normal operation and maintenance requirements, and continue to improve the level of prevention and control of the scientific and accurate to maximize the protection of the people's lives and health, and minimize the impact of the epidemic on the order of the people's production and life and economic and social development.

Second, the "Notice" for the delineation of risk areas to do what provisions? What are the considerations?

The "Notice" requires scientific and precise division of risk areas, according to the building, unit, floor, households, high-risk areas, shall not be arbitrarily expanded to neighborhoods, communities and streets (townships), etc., through the flow of accurate determination of the risk area, further reducing the number of sealing and control of personnel. At the same time, not to take various forms of temporary closure control, not to take "silent" management. Each place in the epidemic disposal process, should quickly control close contacts, no community transmission risk may not be designated high-risk areas.

Third, the "Notice" of the nucleic acid test what further optimization? What are the considerations?

Nucleic acid testing should focus on areas and people at high risk of infection, not according to the administrative region to carry out full nucleic acid testing, to further reduce the scope of nucleic acid testing, reduce the frequency. According to the needs of epidemic prevention, antigen detection can be carried out. Should be in accordance with the relevant provisions of the twenty optimization measures, and entry personnel, goods, direct contact with the environment, concentrated isolation site staff, designated medical institutions and general medical institutions fever clinic medical staff, and shopping malls and supermarkets, express delivery, takeaway and other business environment is crowded, frequent contact with the people, mobility of high-risk jobs practitioners to carry out nucleic acid testing, and other personnel would like to check the test as much as possible.

Considering that nursing homes, welfare homes, child care institutions, primary and secondary schools and other places where the elderly, young children and other special populations are concentrated, once the introduction of infectious agents, prone to congregate outbreaks, the risk of serious illnesses is high. Therefore, in order to prevent the introduction of infectious agents, it is necessary to provide proof of a negative nucleic acid test when entering nursing homes, welfare homes, childcare facilities, and primary and secondary schools. In medical institutions, the crowd is complex, the flow of people is large, the space is confined, once the infectious agent is introduced, it is easy to cause the spread of the epidemic and nosocomial infections, affecting the normal operation of the medical institutions and the public's normal access to health care. Therefore, it is necessary to provide a negative nucleic acid test certificate when entering a medical institution, but medical institutions shall not use the lack of a negative nucleic acid test certificate to shirk or refuse to diagnose patients with acute and critical illnesses. Important institutions, large enterprises and some specific places can be determined by the territorial control measures to ensure the normal functioning of society, to maintain the normal order of production and life.

After the emergence of the epidemic, localities should be based on the situation of the epidemic and the flow of research and judgment, to assess the risk of the epidemic in different regions, graded and categorized to determine the scope and frequency of nucleic acid testing, to enhance the quality and efficiency of nucleic acid screening.

Fourth, the "Notice" of the infected and close contacts of the isolation of the way to adjust, out of what considerations?

The pathogenicity of the Omicron variant is significantly weakened, and after clinical observation, most of the infected people are asymptomatic and light cases, without special treatment. Asymptomatic infected persons and mild cases with home isolation conditions can be isolated at home, health monitoring should be strengthened, and those with aggravated conditions should be transferred to designated hospitals for treatment in a timely manner. Close contacts with home isolation conditions can be isolated at home for five days, home isolation management should be strengthened, health monitoring should be done and nucleic acid testing should be completed according to regulations. The adjustment of the isolation of infected persons and close contacts fully reflects the prevention and control of the epidemic in China has always adhered to the principle of the people first, life first, according to the characteristics of the virus mutation and the development of the epidemic situation in accordance with the dynamics of the situation to optimize and improve the prevention and control measures.

V. "Notice" requires that high-risk areas should be implemented "fast sealing fast solution", for what consideration?

According to the ninth version of the prevention and control program and the twenty optimization measures related to the requirements, after the discovery of infected people, as soon as possible to designate high-risk areas, investigation and control of risky people, and timely interruption of the community transmission to achieve the "fast sealing and quick solution". If there are no new infected persons for five consecutive days in the high-risk area, the seal should be lifted in a timely manner to avoid prolonged sealing and control and to reduce the inconvenience caused by the epidemic to the public. If the sealing and control of high-risk areas found in the new infected persons for the strict implementation of home isolation management of positive personnel living with the people, close contacts or their fellow residents, after assessment of the risk of community transmission outside the family, does not affect the high risk areas of the time of the unsealing.

Six, the "Notice" to protect the basic needs of the masses to purchase drugs what initiatives?

Each region to protect the normal operation of the pharmacy, not arbitrarily shut down the pharmacy. Do a good job of regular drug supply reserves, especially with basic disease patients related to drug reserves. The company's website has been updated with the latest information about the company's products and services, as well as the latest information about the company's products and services, and the company's website. Take a variety of measures to protect the public, especially the elderly, patients with underlying diseases and other special groups of people's basic needs to buy drugs.

VII. Why do the elderly need to be vaccinated? In accelerating the vaccination of the elderly is how to arrange?

The current epidemic prevention and control situation is grim and complex, vaccination in the prevention of serious illnesses, deaths, etc., still has a good effect, the elderly and other vulnerable people infected with the new coronavirus is prone to develop into a serious illness, critical illnesses, and even death, the new coronavirus vaccine is the most beneficial, so the elderly in time for the new coronavirus vaccine is very necessary. In order to speed up the vaccination of the elderly with the new coronavirus vaccine, we have made arrangements in the following aspects: setting up a green channel for the elderly, temporary vaccination points, mobile vaccination trucks and other measures, providing door-to-door vaccination services for the disabled and semi-disabled elderly, optimizing the convenience of all the measures, and opening up the "last one hundred meters" of vaccination for the elderly to provide convenience for the elderly to the maximum extent possible. Provide convenience for the elderly to the greatest extent possible. We have conducted training on determining contraindications to vaccination at each level, guiding medical personnel to scientifically determine contraindications to vaccination, and eliminating doubts about vaccination among the elderly. Refinement of popular science propaganda, mobilizing the whole society to participate in mobilizing the elderly vaccination, so that the elderly vaccination to protect the health of the concept of the people.

Eight, the "Notice" mentioned for the key population mapping and classification management, how to promote the work?

Mobilizing the participation of multiple forces, play the role of neighborhood (village) committees and their public **** health committees and urban and rural grassroots medical and health institutions professional advantages, make full use of the existing residents' health information, through the health management services for the elderly as well as telephone, SMS, microblogging surveys to carry out the health status of the elderly mapping. Where accounts have already been established during the epidemic, there is no need to repeat the collection process, and information technology is encouraged to integrate*** the information and determine the scope of the key population groups, thereby effectively reducing the burden on the grass-roots level. According to health status, vaccination status, and the degree of risk of infectious diseases, the mapping population will be divided into priority, secondary priority, and general population groups, and the role of primary medical and health care institutions' "network" and family doctors' health "gatekeepers" will be brought into full play to provide appropriate health services in a hierarchical and classified manner. The government is also working on the development of the health care system, and is working on the development of the health care system.

IX. What are the considerations and requirements of the Notice to ensure the normal functioning of the society and basic medical services, and what issues should be noted in the implementation?

China is a large country with a large population, a large number of vulnerable people, unbalanced regional development, the total amount of medical and health resources is insufficient, the current epidemic in some areas of the larger scale, the prevention and control of the situation is grim and complex. Although the pathogenicity of the Omicron variant has significantly weakened, the transmission capacity has significantly increased, and if a large number of people who are responsible for the normal functioning of the society and basic medical services are infected in a short period of time, it will result in a shortage of manpower, which may have an impact on the functioning of the society and the basic medical services.

In order to efficiently integrate the epidemic prevention and control and economic and social development, during the epidemic to protect the normal functioning of society and basic medical services, the "Notice" requires that non-high-risk areas shall not restrict the movement of people, shall not stop work, stop production, shut down business; medical personnel, public security, transportation and logistics, supermarkets, security, water, electricity, gas and heating to protect the normal functioning of the basic medical services and society into the " white list" management, the "White List" management, the "White List" of the "White List" management, the "White List" of the "White List" management, the "White List" management, the "White List" management. White list" management, the relevant personnel need to pay attention to daily personal protection, vaccination and health monitoring, reduce contact with the community, as far as possible, "two points, one line" work, with a negative nucleic acid test can be normal work; detection of positive, accurate determination of close contacts, the workplace is not to take temporary Seal control, with the workplace personnel not to carry out a wide range of isolation, in order to protect the normal medical services and basic living materials, water, electricity, gas and heating supply, and try to maintain normal production and work order, and timely solution to the urgent problems raised by the masses, and effectively meet the basic needs of the masses during the disposal of the outbreak.

10, "Notice" to strengthen the security of the epidemic-related provisions?

In order to strengthen the prevention and control of the epidemic in the risk prevention, protection of public life and property safety, the "Notice" requires strictly prohibit all kinds of ways to block the fire escape, unit door, cell door, to ensure that the masses of people to see a doctor, emergency evacuation, and other out of the channel unimpeded. At the same time, the control of risk personnel, to strengthen the door-to-door service, do a good job of life and normal medical protection. Promote the establishment of community and specialized medical institutions docking mechanism, for the elderly living alone, minors, maternity, disabled people, chronic disease patients to provide medical convenience. Strengthen the seal control personnel, patients and front-line staff care and psychological guidance, provide psychological assistance hotlines, psychological support services.

XI, the "Notice" of the school epidemic prevention and control to do what further optimization? What are the considerations?

Schools are densely populated key places. Maximum protection of the health of teachers and students, maximum maintenance of normal education and teaching order, is the current school epidemic prevention and control of important tasks. According to the current epidemic situation and the actual school, in order to guide the school more scientific and accurate prevention and control, the "Notice" clearly requires child care institutions, primary and secondary schools and other special places to check the nucleic acid test negative certificate and health code. At the same time, the local schools are required to firmly implement the scientific and precise prevention and control requirements, no outbreak of schools to carry out normal offline teaching activities, school supermarkets, canteens, stadiums, libraries, etc. to open normally. Schools with epidemics should be scientifically and accurately delineated risk areas, and normal teaching and living order should still be ensured outside the risk areas. All relevant departments should attach great importance to the prevention and control of school outbreaks, improve the school-local coordination mechanism, for all levels and types of school characteristics, to further optimize the prevention and control measures to ensure the health of teachers and students and campus safety.

From the official website of the National Health Commission

.