Provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Production and Construction Corps to deal with the joint prevention and control mechanism of the new coronavirus pneumonia outbreak, the State Council to deal with the joint prevention and control mechanism of the new coronavirus pneumonia outbreak, the State Council to deal with the new coronavirus pneumonia outbreak, the coordinating group for the coordination of the work of the vaccine vaccination unit members:
In order to further accelerate the new coronavirus vaccination work for the elderly, to protect the people's lives and health, the State Council to deal with the new coronavirus pneumonia epidemic joint prevention and control mechanism comprehensive group studied and formulated the "strengthening of the new coronavirus vaccination work program for the elderly," is issued to you, please take into account the actual and conscientious implementation of the program.
The State Council's Comprehensive Group on Joint Prevention and Control Mechanisms for Responding to the New Coronavirus Pneumonia Epidemic
November 29, 2022
Strengthening the New Coronavirus Vaccination Work Program for the Elderly
Recently, localities have insisted on focusing on elderly people over 60 years of age, further compressed the responsibility of the territorial areas, and intensified the efforts of the organizations and the social mobilization in order to enhance the vaccination rate of the new coronavirus. The vaccination rate of the first dose of the vaccine for people over 60 years old has exceeded 90%, but it is still necessary to continue to do a good job in the whole vaccination and strengthening of immunization for people aged 60-79 years old, especially those over 80 years old. In order to implement the requirements of the State Council's deployment of the joint prevention and control mechanism, to play the protective role of the new coronavirus vaccine, reduce the risk of serious illness, critical illness and death of the elderly infected with the new coronavirus, and to further accelerate the work of the new coronavirus vaccine for the elderly, the development of this work program.
One, the overall requirements
Adhere to the principle of "should be connected as much as possible"; adhere to the government-led, departmental linkage, the implementation of local management responsibility; adhere to the accurate mapping, fine management; adhere to optimize services, provide convenience; adhere to the multi-methods, strengthen the mobilization; adhere to the strengthening of supervision and promote the implementation. Accelerate to improve the vaccination rate of people over 80 years old, continue to improve the vaccination rate of people aged 60-79 years old.
Two, booster immunization vaccine selection and time interval
Vaccine combination.
All the vaccines and combinations that have been approved for booster immunization can be used for the first dose of booster immunization, and the combinations are as follows:
2 doses of inactivated vaccine + 1 dose of inactivated vaccine;
2 doses of inactivated vaccine + 1 dose of Concinon intramuscularly injected recombinant neo-coronavirus vaccine;
2 doses of inactivated vaccine + 1 dose of Concinon inhalationally injected recombinant neo-coronavirus vaccine
2 doses of inactivated vaccine + 1 dose of recombinant protein vaccine, Zhuhai Lizhu recombinant neocoronavirus fusion protein vaccine);
1 dose of Concinol intramuscularly injected recombinant neocoronavirus vaccine + 1 dose of Concinol intramuscularly injected recombinant neocoronavirus vaccine.
1 dose of Concinol intramuscular recombinant neocoronavirus vaccine + 1 dose of Concinol inhaled recombinant neocoronavirus vaccine.
Time interval.
Based on real-world research and clinical trial data at home and abroad, combined with the reality of vaccination for the elderly population in China, the time interval between the first dose of booster immunization and the full vaccination is adjusted to more than 3 months.
Three, the organization and implementation
Sound coordination and linkage mechanism.
Local joint prevention and control mechanisms at all levels should be in accordance with the requirements of the "government to find people, industry mobilization, health vaccination", the establishment of the joint prevention and control mechanisms by the main responsible comrade in charge of the overall coordination of the participation of the relevant departments, synergistic cooperation and efficient linkage of the work of the task force, the new coronavirus vaccine for older people to make special arrangements for the work of the vaccine, clear the responsibilities of the relevant units, timely information on the jurisdiction of the new coronavirus vaccine, and the vaccine for the elderly. Units of responsibility, timely grasp of the work within the jurisdiction of the progress of the work, the work of the "blocking point" timely communication, unified scheduling. Further implementation of nursing homes, dry rest homes, nursing homes, senior universities, senior activity centers and fitness and recreational activities for the elderly and other key places, as well as a large number of gatherings, large-scale activities, group tours and other key activities of the elderly vaccination work.
Do a good job of mapping the target population.
Localities should make full use of big data means, through the population, social security, medical insurance, residents' health records and other databases to carry out big data comparison, accurate mapping of the target population aged 60 years old and above, and the establishment of the target population account. Scientific assessment of contraindications, for those who do have contraindications to vaccination, the specific reasons should be listed one by one.
Optimizing vaccination services.
Everywhere to continue the previous effective measures for the convenience of the people, continue to set up a green channel for the elderly, temporary vaccination points, mobile vaccination trucks and other measures to maximize the convenience for the elderly. To carry out training on the determination of contraindications to vaccination at all levels, and to guide medical personnel in the scientific determination of contraindications to vaccination. For the disabled or semi-disabled elderly, experienced medical personnel with rich experience in diagnosis and treatment and vaccination can be selected to form vaccination teams, carrying the commonly used equipment and medicines needed during the post-vaccination observation period, and providing door-to-door vaccination services. Vaccination points should be in accordance with the resident medical personnel on duty, first aid equipment and drug protection, 120 ambulance transfer patients, transfer channels and green channels for treatment of the "four" requirements to do a good job of medical protection, and do a good job of monitoring and disposal of suspected abnormal reactions to vaccination in the elderly after inoculation. In the process of vaccination, in addition to strictly in accordance with the "three check seven to one verification" and the requirements of the norms of preventive vaccination work operation, to be serious, careful to the elderly to do a good job of explaining, patiently answering the elderly's inquiries, pay attention to the physical condition of the elderly, to enhance the temperature of the preventive vaccination service.
Detailed publicity work.
The localities should broaden their thinking, take multiple measures and adopt diversified ways to produce easy-to-understand publicity materials for the characteristics of the elderly, and mobilize the whole society to participate in mobilizing the elderly for vaccination. To vigorously strengthen the publicity through the whole media, including the necessity of vaccination, the safety and effectiveness of vaccines. Popularization of the meaning and benefits of vaccination should be promoted, and the effectiveness of vaccines in preventing serious illnesses and death should be fully publicized. Publicity should be strengthened through programs that older people like to watch or listen to, concentrated in places where older people are active, and public service announcements should be produced in a timely manner using the new media matrix. It is necessary to fully mobilize the enthusiasm of the family members of the elderly, and mobilize the elderly to be vaccinated through their family members. It is necessary to strengthen the technical guidance of popularization and publicity, and improve the ability of professionals to communicate and publicize. To improve the frequency and coverage of publicity, to strengthen the work of official media releases, timely response to social concerns, organizing more experts to preach and interpret, and guide the masses to active vaccination, active vaccination.
Four, supervision and evaluation
Everywhere should strengthen the supervision and evaluation of the vaccination work of the elderly under the jurisdiction, fully grasp the progress and quality of the vaccination work, summarize the experience of the vaccination work, to find the weak links, and continue to improve the work. To in-depth research and guidance at the grassroots level, and resolutely put an end to simplification and "one size fits all".
The new coronavirus is susceptible to the entire population, and among the susceptible, the most vulnerable are the elderly. Because the elderly's own immune function is relatively weaker than that of young people, and most of them have a variety of underlying diseases, once the infection occurs, compared with adults and children, the risk of serious illness and death is very high.
For the elderly, especially for the elderly, should be vaccinated, the whole vaccination, strengthen immunization is very meaningful and valuable.
Q: How safe is the vaccine for the elderly?
A: China's current use of the new crown vaccine, have developed a whole population, including the elderly population, clinical trials, showing that the vaccine has a good safety.
In all types of new crown vaccine, our main vaccine overall side effects are low. For example, the proportion of fever after vaccination is about 17.61/1 million, which generally does not need to be dealt with; severe allergic reactions are less than one in 10 million, and adverse reactions in the elderly are slightly lower than in adults.
Q: Can elderly people with chronic underlying diseases receive the new crown vaccine?
A: Elderly people with chronic underlying conditions who are in stable health and well-controlled medications are eligible for the New Crown vaccine, except for those who have had anaphylactic shock, or laryngeal edema from the vaccine, and those who are suffering from fever or an infectious disease, and acute episodes of psychiatric disorders.
Many national vaccination strategies, as well as the World Health Organization's recommendations, suggest that the elderly, especially those with chronic underlying diseases, should be the highest priority group for vaccination with the new crown vaccine.
Q: If I live in a remote area or don't get out much, is it still necessary to get the new coronary vaccine?
A: Yes!
First of all, with the increasing percentage of young people being vaccinated, many young people, even if they develop an infection, have very mild or even asymptomatic symptoms, and it is entirely possible that when they go home to visit an elderly person, there is a risk that they may bring the virus home to infect the elderly person. This creates a huge risk of infection for the unvaccinated elderly.
Secondly, in rural areas, especially remote ones, medical care and treatment may be less favorable compared to urban areas. Vaccination is the best protection.
Finally, in the event of serious illness and death of the elderly, the burden on the family is enormous. That's why it's important to try to catch all the elderly as much as possible.
Q: Should the elderly be immunized?
A: Yes, and very necessary!
In the past two years, it has been found through research on the new coronavirus that the level of neutralizing antibodies produced by the elderly after vaccination against the new coronavirus is lower than that of young people, and that the level of neutralizing antibodies in all populations declines to some extent over time after customary vaccinations, so the elderly who are eligible to be vaccinated should receive booster vaccinations as soon as possible at the right time.
Q: What should the elderly pay attention to when receiving the new crown vaccine?
A: First, when older people are vaccinated, if they have underlying diseases such as diabetes and hypertension, it is recommended that they be vaccinated during the plateau period. If there is no way to define the plateau period, it is recommended to consult with a vaccinator or clinician to assess whether the vaccine can be administered.
Second, make an appointment for vaccination in advance. It is important to understand the vaccination process and vaccine-related knowledge before vaccination. It is also important to avoid the elderly waiting too much at the site, causing some other such as fatigue and nervousness. During the vaccination process, it is recommended that the elderly be accompanied by family members to prevent accidental falls and other situations.
Thirdly, after the vaccination, the elderly should stay for 30 minutes. If they experience discomfort after vaccination that lasts for a long time, it is recommended that they seek medical attention as soon as possible and report any suspicion of vaccine-related symptoms as soon as possible.
Precautions for elderly people receiving the new coronavirus vaccine
I. Before vaccination
1. Learn about the new coronavirus vaccination and the vaccination process at the vaccination site. Determine in advance whether you need to make an appointment; 2. According to the requirements of the vaccination point, bring the relevant identity documents, carry a cell phone in order to facilitate the presentation of the health code; 3. Before the vaccination to take a good rest, so that the body to maintain in a better physiological state, it is best not to vaccinate on an empty stomach; 4. The day of the vaccination to wear loose, easy to put on and take off, warm clothes, easy to vaccinate at the same time to avoid catching a cold; 5. If it is the strengthening of immunization before the can be done in advance through the Beijing The company's website is a great source of information on the types of vaccines that have been vaccinated against the new crown.
Second, when the vaccination
1. Wear a mask throughout the vaccination period, according to the vaccination point marking orderly queuing, to maintain a social distance of more than one meter; 2. Before the vaccination to the doctor to take the initiative to provide the state of health, recently vaccinated with other vaccines, the recent taking of medication information, carefully read, truthfully fill out the informed consent form and sign it; 3. Hemostatic swabs are thrown into the medical waste bin or yellow medical waste garbage bag; 4. The medical waste can be disposed of in a medical waste bin or yellow medical waste bag; 4. Wear the clothes you took off in time, pay attention to warmth and avoid catching a cold.
Three, after vaccination
1. 30 minutes at the vaccination site, no symptoms before leaving. On the same day, we should keep the local hygiene of the vaccination, avoid the injection site water, to prevent infection; 2. If the local pain, redness, hardness of the vaccination site, general weakness, fever, headache, etc., usually do not need to be dealt with, and can be recovered on their own. If there is persistent fever, high fever or other obvious symptoms of physical discomfort, you should seek medical attention and report to the vaccination site; 3. Avoid strenuous exercise after vaccination and maintain a smooth living condition.
The new coronary vaccination list for the elderly
I. According to expert recommendations, the following situations can be vaccinated
1. Stable health status, good drug control of the chronically ill population is not as a new coronary virus vaccination contraindicated population, it is recommended to vaccinate. 2. Suffering from heart disease, coronary heart disease and other diseases, the stabilization of the period of the condition is not an acute attack, you can be vaccinated; the heart is equipped with stents The heart is equipped with a stent, bypass, pacemaker, stable condition can also be vaccinated. 3. hypertension medication control is stable, blood pressure is lower than 160/100 mm Hg, can be vaccinated. 4. stroke, stable condition can be vaccinated. 5. high uric acid, stable condition can be vaccinated. 6. lumbar disc herniation, hip replacement, fracture and other postoperative recovery, as long as the condition is stable can be vaccinated. 7. gastric ulcer, cirrhosis of the liver, can be vaccinated. 8. Can be inoculated during the period of stable condition. 8. Stable control of diabetes medication, fasting blood glucose ≤ 13.9 mmol per liter, without acute complications, can be inoculated. 9. Glycosylated hemoglobin below 7 mmol/L can be inoculated. All kinds of drugs used for the treatment of diabetes are not contraindicated for vaccination.9. Eating health care products or taking health care herbal medicines can be vaccinated.10. Allergic rhinitis and allergic asthma can be vaccinated.11. Other special diseases should be consulted with the treating doctor before vaccination, and then vaccinated according to the state of the disease and the clinician's recommendation.
2. According to experts' recommendations, the following cases are suspended or cannot be vaccinated
1. Those who are allergic to the active ingredients of the vaccine, any of the inactive ingredients, substances used in the production process, or those who have developed an allergy to the same type of vaccine in the previous vaccination are not recommended for vaccination. 2. Those who have had a severe allergic reaction to the vaccine in the past are not recommended for vaccination. 3. Those who suffer from uncontrolled epilepsy and other serious neurological diseases are not recommended for vaccination. 4. The vaccine is not recommended for people with uncontrolled epilepsy and other serious neurological diseases.4. The vaccine is not recommended for people who are suffering from fever, acute diseases, acute exacerbation of chronic diseases, or uncontrolled serious chronic diseases.5. The vaccine is temporarily suspended during acute exacerbation of gout attacks, severe colds, cardiac infarcts, cerebral infarcts, etc.6. The vaccine is temporarily suspended for patients with malignant tumors before and after surgeries, and during the period of chemotherapy and radiotherapy.