The Latest! Prevention and control policy "ten state"

December 7, the State Council Joint Prevention and Control Mechanism Comprehensive Group issued "on further optimizing the implementation of the prevention and control measures of the new crown pneumonia epidemic notice". 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 new coronary pneumonia outbreak, the Party 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 "steady", 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 useful experience accumulated during the recent response to the epidemic around the world, and, in response to the prominent problems that exist, organized research and put forward ten targeted measures to further optimize the isolation of infected persons and close contacts, nucleic acid testing and other measures, and to further strengthen the "fast sealing and quick release", vaccination, vaccination, and the "quick release" of high-risk zones. ", vaccination, school prevention and control, safety and security related to the epidemic, the masses of medical treatment, medication and basic life protection, the normal operation of the community to maintain the requirements, and continue to improve the level of prevention and control of science and precision, to maximize the protection of the people's lives and health, and minimize the impact of the epidemic on the order of the masses of 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 a scientific and precise division of risk areas, according to the building, unit, floor, household demarcation of 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, to further reduce the number of sealing and control of the personnel. At the same time, it is required not to take various forms of temporary closure and control, not to mention the arbitrary adoption of "silent" management. Each place in the epidemic disposal process, should be rapid control of close contacts, no community transmission risk situation can not be delineated high-risk areas.

Third, the "Notice" of the nucleic acid test for 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 work, antigen testing can be carried out. Should be in accordance with the provisions of the relevant provisions of the twenty optimization measures, and entry personnel, goods, direct contact with the environment, centralized isolation site staff, designated medical institutions and general medical institutions fever clinic medical staff, and shopping malls and supermarkets, express delivery, takeaway and other practice environment is crowded, frequent contact with the staff, mobility of high-risk jobs practitioners to carry out nucleic acid testing, and other personnel would like to check the exhaustive testing.

Considering that nursing homes, welfare homes, child care institutions, primary and secondary schools are 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, a negative nucleic acid test certificate is required to enter nursing homes, welfare homes, childcare institutions, primary and secondary schools. In medical institutions, the crowd is complex, the flow of people is large, and the space is confined, so once an infectious agent is introduced, it is easy to cause the spread of the epidemic and nosocomial infection, which affects the normal operation of the medical institutions and the public's normal access to medical care. Therefore, it is necessary to provide proof of a negative nucleic acid test when entering a medical institution, but medical institutions may not use the lack of a negative nucleic acid test as a reason for shirking responsibility or refusing to treat patients with acute and critical illnesses. Important institutions, large enterprises and some specific places can be determined by the local community to determine their own prevention and control measures to ensure the normal functioning of society and maintain normal production and living order.

After the emergence of the epidemic, the localities should be based on the situation of the epidemic and the flow of research and judgment, to assess the size of 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, for 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. The first thing you need to do is to get a good deal of money to pay for the services you need, and you'll be able to get the money back in time. Close contacts with home isolation conditions can be isolated at home for 5 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 the infected 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 due to the dynamic optimization of prevention and control measures.

Fifth, the "Notice" requires high-risk areas should be implemented "fast sealing fast solution", for what considerations?

According to the ninth version of the prevention and control program and the requirements of the twenty optimization measures, after the discovery of the infected, as soon as possible to delineate the high-risk areas, investigation and control of risky people, and timely blocking of the community transmission, so that the "fast sealing and fast solution". If there are no new infected persons in the high-risk zone for five consecutive days, the zone should be unsealed 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 transmission of the community without the family outside the home, without prejudice to the unsealing of high-risk areas of time.

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

Each region to protect the normal operation of the pharmacy, shall 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. A variety of initiatives to protect the masses, especially the elderly, patients with underlying diseases and other special groups of people's basic needs to buy drugs.

VII. Why should the elderly be vaccinated? In accelerating the elderly vaccination is how to arrange?

The current epidemic prevention and control situation is grim and complex, vaccination in the prevention of serious illnesses, deaths and other aspects of the vaccine still has a good effect, the elderly and other vulnerable populations infected with the new Coronavirus is prone to develop into serious illnesses, critical illnesses, and even death, the new Coronavirus vaccine to maximize the benefits, so the elderly in a timely manner to vaccinate against 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 vehicles and other measures, providing door-to-door vaccination services for the elderly who are incapacitated or partially incapacitated, optimizing the convenience measures, and opening up the "last one hundred meters" for the elderly to be vaccinated to provide convenience for the elderly to the maximum extent possible. Providing convenience for the elderly to the greatest extent possible. Training in determining contraindications to inoculation was carried out at each level, and medical personnel were instructed to determine contraindications to inoculation scientifically, so as to eliminate doubts about inoculation 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 elderly health management services as well as telephone, SMS, micro-letter surveys to carry out mapping of the health status of the elderly. Those who had already established accounts during the epidemic did not have to repeat the collection, and were encouraged to integrate ****health information and determine the scope of key populations through information technology, so as to effectively reduce the burden on the grass-roots level. According to the health status, vaccination status, and the degree of risk of infectious diseases, the mapping population is divided into key, secondary, and general populations, and the roles of the "bottom of the net" of primary healthcare institutions and the health "gatekeepers" of family doctors are brought into play, with corresponding health services provided on a graded and classified basis. The first step is to provide the right health services.

Nine, the "Notice" of the normal functioning of society and basic medical services to protect the consideration of what, what requirements are put forward, the implementation of the need to pay attention to what issues?

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, prevention and control of the situation is grim and complex. Despite the significant reduction in the pathogenicity of the Omicron variant, the ability to spread has increased significantly, if the normal operation of the community and basic medical services to ensure that a large number of people infected in a short period of time will result in a shortage of manpower, which may have an impact on the operation of the community and the impact of basic medical services.

In order to efficiently coordinate the prevention and control of the epidemic and economic and social development, to protect the normal operation of society and basic medical services during the epidemic, the "Notice" requires that non-high-risk areas shall not restrict the movement of people, shall not be suspended, stop production, shut down; medical personnel, public security, transportation and logistics, supermarkets, security, water, electricity, gas and heating to ensure the normal operation of basic medical services and the community into the " white list" management, the relevant personnel to ensure that normal operation of society. White list" management, the personnel concerned daily need to pay attention to do a good job of 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 certificate can be normal to go to work; detection of positive, accurate determination of close contacts, the workplace is not to take a temporary Seal control, with the workplace personnel do not carry out a wide range of isolation, in order to protect the normal medical services and basic living supplies, 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 epidemic.

10, "Notice" on the strengthening of security related to the epidemic what 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" requirements are strictly prohibited in various 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 as the control of risky people, it is necessary to strengthen door-to-door service, and do a good job of life and normal medical protection. Promote the establishment of a docking mechanism between the community and specialized medical institutions to facilitate access to medical care for the elderly living alone, minors, pregnant women, people with disabilities, and people with chronic illnesses. Strengthen the care and concern for sealing and control personnel, patients and front-line staff and psychological guidance, provide psychological assistance hotlines, psychological support services and so on.

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, "Notice" in the clear requirements of child care institutions, primary and secondary schools and other special places to check the nucleic acid test negative proof 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 school to carry out normal offline teaching activities, school supermarkets, canteens, stadiums, libraries, etc. to open normally. Schools with epidemics should scientifically and precisely delineate risk areas, and normal teaching, living and other orders should still be ensured outside the risk areas. All relevant departments around the world should attach great importance to the prevention and control of school epidemics, 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.