Clear work objectives. Focusing on "health protection and prevention of serious illnesses", the establishment of a working mechanism of "medicines available for purchase, medical treatment, clear accounts, timely transit, and guidance in place", focusing on the operation of the epidemic prevention system in rural areas, strengthening daily health and hygiene services and the management of key populations, and fully implementing the responsibilities of the four parties to maximize the protection of life safety and physical health of the new coronavirus infection and minimize the number of people infected. Fully implement the four-party responsibility to maximize the protection of rural residents' lives and health, and minimize the impact of the epidemic on the economic and social development of rural areas.
Two, sound rural epidemic prevention and control system
Giving full play to the role of rural grass-roots organizations. Strengthen the countryside grass-roots party organizations on the epidemic prevention and control of specific organizational leadership, play a good role in the village party organizations and other types of organizations and resource advantages, to promote the village "two committees" cadres, the first secretary of the village, the rural party members and other forces in the front line, take the initiative to act, scientific and accurate prevention and control of the epidemic all the work.
Strengthening the preparation of medical materials and basic conditions. Accelerate the improvement of rural areas disinfection, inspection and examination, emergency rescue and other appropriate equipment and medicine configuration. Strengthen the supply of antipyretic, cough suppressant and analgesic medicines in reserve to meet the treatment needs of rural residents' patients, especially those at high risk of serious illnesses and elderly patients. Strengthening the stockpile of emergency medicines and medical equipment. Rural primary healthcare organizations dynamically prepare traditional Chinese medicines, symptomatic therapeutic drugs and antigen detection reagents related to new coronavirus infections according to 15-20% of the number of people they serve, with an increase as appropriate in densely populated areas. Geographically remote villages with inconvenient transportation should be prepared with sufficient therapeutic drugs and epidemic prevention materials in advance. Step up to solve the village health center drugs and medical equipment included in the scope of medicine protection, medical insurance settlement system coverage, shortage of facilities and equipment, insufficient personnel strength and other specific problems.
Smooth drug purchase channels. All rural areas to strengthen the coordination, timely scheduling, strengthen the drug supply enterprises logistics and distribution capacity, to ensure that the rural areas of medical and health institutions list drug supply. Smooth online and offline purchase of fever-reducing, cough, antiviral, cold and other non-prescription drug channels. Under the premise of safeguarding drug safety, the sale of drugs in short supply is allowed to be split into smaller quantities to meet the basic drug purchasing needs of rural residents. To facilitate the delivery of courier enterprises to ensure that rural residents normal purchase.
Enhancing the ability to receive and refer patients. Village by village to establish medical treatment service group, to ensure that the planning set up within the village health clinic "should be opened as much as possible", medical insurance designated "should be determined as much as possible", basic operational security "should be guaranteed as much as possible". Community health center fever clinic area "should be set up as much as possible", for fever patients to provide consultation and prescription services. Fever clinic area to clearly delineate the consultation process, try to avoid cross with other patients, medical staff to do standardized protection. All village health centers and community health service stations should provide prescription services for patients with fever and other symptoms. Strengthen villagers' health publicity and education, and respond to health inquiries and problems in a timely manner through a variety of forms. Improve the grid-based three-tier medical treatment system, strengthen the coordination and dispatch of medical resources under the jurisdiction, and timely triage and admission.
According to the distribution of community health centers in rural areas, scientifically delineate the diagnosis and treatment network, organize the core hospitals of each medical consortium to provide technical support to the regional community health centers through online and offline and other ways to improve the level of diagnosis and treatment, assist the community health centers to keep a good quality of medical care, help grass-roots medical personnel to identify serious patients at an early stage, and do a good job of connecting the hierarchical diagnosis and treatment and improve the grass-roots first diagnosis and treatment, It also helps primary medical personnel to recognize serious patients at an early stage, does a good job in the articulation of graded diagnosis and treatment, and improves the primary diagnosis, reception and referral processes at the primary level. Strengthening township coordination and scheduling, and improving the rural emergency transport system; on the basis of medical and health institutions accelerating the provision and deployment of ambulances, each rural district immediately organizes and reserves a number of vehicles that can be used at any time for patient transfer, so as to guarantee the timely transfer and treatment of rural patients infected with the new coronavirus. Determine a special post dedicated person, responsible for community health centers, regional medical **** body lead district hospitals, designated hospitals, urban counterparts to help hospitals to do a good job of referral articulation, the establishment of a clear reception process and green channel, improve the efficiency of referrals. Various types of medical institutions at all levels to strictly implement the system of responsibility for the first diagnosis and emergency rescue system, shall not use any reason to shirk or refuse the new coronavirus infected patients to seek medical treatment.
Timely disposal of serious risks. Strengthen the training of medical personnel, improve the identification of people at high risk of serious illness, disposal and classification and grading of health service capacity, to ensure that people at high risk of serious illness infected with the condition of aggravation can receive timely treatment. Risk assessment and early warning of epidemics in rural areas are being carried out, and health monitoring and classification and management of high-risk groups are being done for people in rural areas, especially the elderly with underlying diseases and pregnant women and children. Timely detection of people in need of hospitalization, in accordance with the principle of "should be admitted as far as possible" "should be transferred as far as possible", timely referral to hospitals with diagnostic and treatment capacity for treatment.
Three, do a good job of publicizing and guiding rural residents
Advocating adherence to personal protective measures. For the characteristics of the city's rural areas, to carry out a variety of forms, rural residents enjoy the popular science publicity activities, fully publicize the personal protection, vaccination and other measures to deal with the epidemic's key role in building a solid foundation of group prevention and control. Through rural radio, loudspeakers, new media and other means, the publicity can be widely publicized in a language that villagers can understand and comprehend, and the concept of "everyone is the first person responsible for his or her own health" can be established. Asymptomatic infected persons and light cases should implement home self-care, reduce contact with people living with them, use symptomatic medication reasonably, and go to the nearest medical institution if their condition worsens. Advocates in visiting friends and relatives to adhere to the norms of wearing masks, washing hands diligently, as little as possible to gather, less gatherings, in the public * * * place to maintain interpersonal distance. Fever, fatigue, dry cough and other symptoms, do not go out to visit friends and relatives, do not participate in the party, especially to avoid visiting the elderly with basic diseases. Advocate a healthy lifestyle, regular work and rest, healthy diet, drink plenty of water, and maintain a good state of mind. Advocating mutual assistance among neighbors, *** enjoying the exchange of surplus epidemic-prevention materials and therapeutic medicines. Combined with the construction of healthy villages, carry out rural environmental cleaning and remediation and other patriotic health campaigns to improve the human environment.
Strengthening health tips for people returning home in rural areas. Advocating staggered travel, minimize travel during the epidemic period, and guide the returnees to strengthen health monitoring. The township governments and village committees, especially the population of inverted villages, folkloric tourism villages and other villages and towns where outsiders gather, should grasp the information of the people who return to their hometowns in a timely manner, prompted to do a good job of health monitoring, standardize the wearing of masks, reduce the contact with the elderly in the family, especially those who are combined with the underlying disease, and inform the contact details of the medical institutions of the place of residence.
Appropriately control the scale of gathering activities. People visiting rural fairs, temple fairs and lodgings should do a good job of personal protection and reduce the number of people gathered. Operators with symptoms should rest at home and not work with the disease. During the epidemic period, according to the regional epidemic situation and the wishes of residents, the scale and frequency of gathering activities such as rural fairs, temple fairs and cultural performances will be appropriately controlled. Strengthen the management of public **** confined places, the implementation of ventilation and disinfection and other preventive and control measures, if necessary, can be temporarily closed. Shift customs, healthy life, advocate wedding banquets, birthday banquets, group banquets and other gatherings of activities simple to do less, oppose waste, reduce the scale of gatherings and gatherings, reduce the risk of gathering outbreaks.
Four, strengthen the protection of rural key populations
Establishment of key populations information base. Give full play to the role of district and township governments, villagers' committees and their public **** health committees, community health service centers, community health service stations, village health offices, to map out the health of people in the village who have combined basic illnesses such as the elderly, pregnant women, widows and widowers, and left-behind children. Implementing the requirements of the New Crown Key Population Health Service Work Program, and implementing graded health management based on health risk levels.
Accelerating the upgrading of the vaccination rate of the rural elderly population. Further strengthen the organization and mobilization efforts, adhere to the principle of "should receive as much as possible", adhere to the government-led, departmental linkage, village-level mobilization, the implementation of local management responsibility, accelerate to improve the vaccination rate of people aged 80 and above in rural areas, continue to improve the vaccination rate of people aged 60-79 years and other age groups. On the basis of the first dose of booster vaccination, the second dose of booster vaccination was promoted among people at high risk of infection, the elderly aged 60 and over, people with more serious underlying diseases, and people with low immunity. Medical and health institutions undertaking vaccination tasks should maximize the convenience of vaccination for rural residents, especially the elderly, by setting up green channels for the elderly or arranging for mobile vaccination trucks to travel to the countryside and enter villages and other measures.
Strengthening medical and health services for key populations. The role of primary medical and health care institutions as "net base" and family doctors as "gatekeepers" of health is being brought into full play, accelerating the expansion of the coverage of contracted family doctor services for the elderly aged 65 and above in rural areas. Health guidance, medication, antigen testing and other services for home-based self-caregivers are being strengthened by means of telephone, video, WeChat or offline follow-up visits. Encouraging the distribution of free health kits for key populations. Implementing the responsibility of villagers' committees to provide services to home-based self-caregivers, especially for elderly people living alone who are unable to take care of themselves and people with disabilities, assisting them with health monitoring and providing timely feedback to village medical institutions. Volunteer services are organized to help with shopping, home delivery and garbage removal. Establish green channels for key populations to ensure timely detection and treatment of new coronavirus-infected people at higher risk of serious illness, and improve the timeliness of referrals. During the epidemic period, nursing institutions and social welfare institutions in rural areas and other institutions with a concentration of vulnerable populations combined with the conditions of the facilities zoning management, the establishment of closed-loop management areas, mobile management areas, health observation areas, to prevent cross-infection. Strengthening the hand-in-hand relationship between medical institutions and nursing homes, and doing a good job of monitoring the health of the elderly and providing them with daily medical care. Strengthen the elderly, children and other patients with serious illness early warning and monitoring indicators publicity, informing patients or their families to the first time to the hospital after the emergence of early warning situations.
V. Coordinating the prevention and control of epidemics in rural areas and stabilizing agricultural production and supply
Granting a solid grasp of agricultural production and agricultural products to stabilize production and supply. Strengthen the policy, technology, agricultural capital, information, personnel and other factors to ensure that grain and vegetable production tasks are broken down into districts, townships and parcels of land, and do a good job of field management; stabilize the basic capacity of hogs to ensure that they are in the green control area; supervise the good management of poultry, dairy cows, aquaculture and other breeding. Strengthen the prevention and control of animal diseases and safe production management, firmly hold the bottom line of no regional major animal epidemic.
Enriching the rural tourism market. Coordination of epidemic prevention and control and resumption of production requirements, guidance to the districts and rural tourism production and operation of the main implementation of epidemic prevention and control, safe production of all optimization measures, and actively develop new products of rural characteristics, efforts to create new scenes, and constantly enrich the rural tourism market.
Sixth, strengthen organizational security
Strengthen coordination. Improve the organizational structure of the rural prevention and control group at all levels, according to the departmental work responsibilities, refine the work program of the rural prevention and control group, integrated comprehensive coordination and supervision and inspection, health services, rural pension, rural market and health, religious places in rural areas, organization and mobilization, public opinion monitoring and other related groups work arrangements. Strengthening the cooperation of all member units, effectively playing the role of policy synergy, material deployment, grassroots mobilization, etc., in terms of drugs, equipment, manpower, funds, etc., to increase the support and guarantee for the prevention and control of epidemics in rural areas, and to protect the bottom line of epidemic prevention and control in rural areas.
Compacting work responsibilities at all levels. Implementation of the "five secretaries grasp epidemic prevention and control" requirements, the establishment of district and township party secretaries co-ordination grasp, the village cadres to grasp the front line, the village party secretary direct grasp of the work mechanism, and effectively implement the epidemic prevention and control measures to the village to the household. Districts should guide the townships and villages to implement the epidemic prevention and control organization, mobilization, coordination, publicity, guidance and other responsibility requirements to ensure that the work into the village into the household. District rural prevention and control group to establish a corresponding working mechanism, timely grasp of the epidemic prevention and control of rural areas dynamic.
Timely response to the demands of rural residents. All districts should collect the problems reflected by the grassroots and rural residents through the 12345 Citizen's Service Hotline, publicize the emergency contact numbers, etc., solve and rectify the problems in a timely manner, provide timely feedback and dispose of the public opinion information, and ensure that the order of the production and life in the rural areas is smooth and orderly.
Office of the Joint Prevention and Control Coordination Mechanism for the Strict Management of the Capital into Beijing
Office of the Leading Group for Prevention and Control of the Epidemic of Novel Coronavirus Infections in Beijing
January 6, 2023
》