Recently, localities have insisted on focusing on the elderly over 60 years old, further compressed the responsibility of the localities, and increased the organization and social mobilization, in an effort to improve the vaccination rate of the new coronavirus vaccine.
The vaccination rate of the first dose of the vaccine for the people over 60 years old has exceeded 90%, but it is necessary to continue the whole vaccination and strengthen the vaccination work of people between the ages of 60-79 years old, especially those over 80 years old. However, there is still a need to continue to do a good job of full vaccination and booster immunization for people aged 60-79, especially those over 80. In order to implement the requirements of the State Council's deployment of 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.
II. Vaccine selection and time interval for booster immunization
Vaccine combination. All 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 recombinant neo-coronavirus vaccine by inhalation;
2 doses of inactivated vaccine + 1 dose of recombinant protein vaccine. Inactivated Vaccine + 1 dose of Recombinant Protein Vaccine, Zhuhai Rejuvenation Recombinant Neocoronavirus Fusion Protein Vaccine);
1 dose of Concinol Recombinant Neocoronavirus Vaccine for Inhalation + 1 dose of Concinol Recombinant Neocoronavirus Vaccine for Inhalation.
1 dose of Concinol intramuscular recombinant neocoronavirus vaccine + 1 dose of Concinol inhaled recombinant neocoronavirus vaccine.
Time interval. According to real-world research and clinical trial data at home and abroad, combined with the actual vaccination of China's elderly population, the time interval between the first dose of booster immunization and the full vaccination is adjusted to more than 3 months.
Three, organization and implementation
Sound coordination and joint 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 elderly new coronavirus vaccine special arrangements, clear responsibilities of the relevant units, in a timely manner, to grasp the progress of the work within the jurisdiction. To grasp the progress of the work within the jurisdiction, 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. Each region 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 over the age of 60, 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. All localities should continue the previous effective measures for the convenience of the people, continue to set up green channels for the elderly, temporary vaccination points, mobile vaccination trucks and other measures to maximize the convenience for the elderly. Training in determining contraindications to inoculation should be carried out at each level, and medical personnel should be instructed in the scientific determination of contraindications to inoculation. 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. Localities should broaden the idea, take multiple measures, take diversified ways, for the characteristics of the elderly to produce easy-to-understand publicity materials, mobilize the whole society to participate in mobilizing the elderly vaccination. Publicity should be vigorously strengthened through the whole media, including the necessity of vaccination and 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, strengthen the official media release work, respond to social concerns in a timely manner, and organize more experts to preach and interpret, and guide the public to actively vaccinate and take the initiative to vaccinate.
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, "one size fits all".