Further Optimize the implementation of the new crown pneumonia epidemic
Preventive and control measures to implement the rules
In order to scientifically and accurately do a good job in the prevention and control of the epidemic, and to promote the restoration of the normal order of production and life, according to the State Council's Joint Prevention and Control Mechanism ninth version of the prevention and control program, the optimization of the twenty optimization measures, the optimization of the ten measures, etc., is now on the further optimization of the implementation of the epidemic prevention and control The implementation of the rules require the following:One, optimize the management of personnel travel and nucleic acid testing
(a) Optimize the management of personnel travel.
The personnel from outside the region are no longer managed in accordance with the risk level, canceling the requirement to report the personnel from outside the region. The normal flow of intra-regional personnel across the region, without the need to query the health code and nucleic acid test report, without the need for home health monitoring and other health management. By subway, bus, cab and other public **** transportation, access to airports, railway stations, high-speed rail stations, road and waterway passenger terminals, highway service areas, superstores, hotels, restaurants, business buildings, public **** cultural venues (museums, libraries), tourist attractions, Internet Internet service business establishments, entertainment venues, theaters and performance venues, scripted entertainment business venues, and food and beverage service venues, Parks, neighborhoods, communities and other public **** places, no longer check the health code and nucleic acid test negative certificate. Foreigners entering nursing homes, welfare homes, medical institutions, child care institutions, primary and secondary schools and other special places shall sweep the Guangxi health code place code and check within 48 hours of the nucleic acid test negative proof.(2) further optimize the nucleic acid test.
No longer check the health code and negative nucleic acid test certificate for trans-regional migrants, and no longer carry out the "landing inspection". Not according to the administrative region to carry out full nucleic acid test, further reduce the scope of nucleic acid test, reduce the frequency. Each area should be combined with the needs of the public to rationally set up convenient nucleic acid sampling points, to provide convenient paid "willing to test all test" service. In order to avoid "mixing positive tubes" and causing too much trouble to the staff in the same tube, the "willingness to test all the test" people are, in principle, a single person in a single tube. According to the needs of epidemic prevention, antigen detection can be carried out.
The entry personnel, imported cold chain goods and their direct contact with the environment, centralized isolation site staff, designated medical institutions and general medical institutions fever clinic medical staff, closed-loop management during the operation, a daily nucleic acid test; shopping malls and supermarkets, postal services, courier, takeaways, and other practitioners of environmentally dense, frequent contact with the personnel, mobility, high-risk jobs practitioners weekly Carry out 2 times nucleic acid test; airport area other employees no longer implement regular nucleic acid screening. Other personnel "willing to test as much as possible". Important institutions, large enterprises and some specific places and major events can be by the region or the unit, according to the need to determine their own prevention and control measures.Two, optimize the health management of risky personnel
(a) optimize the health management of positive personnel. 1. Antigen or single person single pick nucleic acid test results are positive, do not need to flow transfer, personnel positive information do not need to report to the community, consciously home isolation 5 days do not go out, buy their own antigen reagents and essential medicines, the 6th and 7th day of self-testing of antigens, to be two antigens results for the negative, wear a good N95 mask, go out to do the nucleic acid, nucleic acid results for the negative (or two times Ct value ≥35), can resume normal life. Positive co-inhabitants will be isolated at home for 5 days. On the premise that there are no new positive persons in the household, they will wear N95 masks and go out to do nucleic acid testing on the 5th day, and can resume normal life after the nucleic acid result is negative (or the Ct value is ≥35 for two times). If you have fever, cough and other symptoms, do a good job of symptomatic treatment, if necessary, contact the primary health care institutions or through the form of Internet health care, the doctor for professional guidance. The condition worsened in time to transfer to a designated hospital for treatment. 2. If the nucleic acid test result is "mixed tube positive", there is no need to chase the positive, the nucleic acid testing organization is responsible for sending a text message to notify the "mixed tube positive" involved in the notification of 24 hours to the nucleic acid testing point to complete the single person, single tube The test will be completed within 24 hours according to the notification. The community is no longer required to report the negative results to the community, and the person will return to normal life.(2) Optimize the health management of close contacts.
For close contacts currently being centrally managed: 1. If it has been five days, the fifth day of the nucleic acid test results are negative in a timely manner to lift the quarantine; 2. If it has not been five days, such as the conditions of home isolation, the adoption of a "point-to-point" approach to return to the community for home isolation, and community Docking, to make up for the 5 days of isolation time; 3. If not have the conditions of home isolation or voluntarily choose to continue to centralized isolation, complete the 5 days of centralized isolation and the results of the 5th day of negative nucleic acid test can be lifted isolation; 4. The previous failed to be transferred to the centralized isolation point to take the management of home isolation, complete the 5 days of isolation and the 5th day of home isolation and the results of the 5th day of negative nucleic acid test can be lifted isolation.(3) Optimize risk zone delineation and risk management.
High-risk zones are delineated by building, unit, floor, household, and may not be arbitrarily expanded to neighborhoods, communities and streets (townships) and other areas. Shall not take various forms of temporary closure control. The implementation of high-risk areas "fast sealing and quick release". If there are no new infected persons for five consecutive days of high-risk areas, to be promptly unsealed.(d) Optimize the end of closed-loop operation of high-risk jobs practitioners management.
The end of the closed-loop operation of high-risk jobs practitioners to carry out "5 days of home health monitoring", the fifth day to carry out a nucleic acid test, the nucleic acid test results are negative that resumed normal life.Three, to strengthen the health management of key personnel
(a) accelerate the promotion of the elderly new coronavirus vaccination.
Each region should adhere to the principle of should receive as much as possible, focusing on improving the vaccination rate of people aged 60-79 years, and accelerating the improvement of the vaccination rate of people aged 80 years and above. The company's goal is to optimize vaccination services by setting up green channels for the elderly, temporary vaccination points, mobile vaccination vehicles and other measures. Training in determining contraindications to vaccination should be carried out at each level, and medical personnel should be instructed in the scientific determination of contraindications to vaccination. Fine-tuning science propaganda, mobilizing the whole society to participate in mobilizing the elderly vaccination, localities can take incentives to mobilize the elderly vaccination enthusiasm.(2) Strengthen the key population health situation mapping and classification management.
Mobilize the participation of multiple forces, play the role of village (neighborhood) committees and their public **** health committees and the professional advantages of urban and rural grassroots medical and health institutions, make full use of the existing health information of the population, and carry out the mapping of the health situation of the elderly through the elderly health management services as well as by telephone, SMS, and micro-letter surveys. During the epidemic, where accounts have already been established by the "Party + Grid", there is no need to repeat the collection, and the integration of ****health information and the determination of the scope of key populations through information technology are encouraged, so as to effectively reduce the burden on the grassroots. According to the health status, vaccination status, the risk of infectious diseases, etc., the mapping of the population will be divided into key, sub-priority and general population groups, and will give full play to the "Party Building + Grid", the "bottom of the net" of the primary health care institutions and the "gatekeepers" of the family doctor's health. The role of the "party building + grid", primary health care institutions "net bottom" and family doctor health "gatekeeper", hierarchical classification to provide appropriate health services.(c) Strengthen the security of epidemic-related security.
It is strictly prohibited to block fire escapes, unit doors, and cell doors in any way to ensure that the channels for people to go out to see a doctor and take shelter in case of an emergency are open. Promote the establishment of community and specialized medical institutions docking mechanism, for the elderly living alone, minors, pregnant women, people with disabilities, chronic disease patients to provide access to health care. Strengthening care and psychological guidance for sealing and control personnel, patients and front-line staff.Four, strengthen the medical health protection
(a) Strengthen the construction of medical resources.
Strengthen the preparation of critical care medical resources in tertiary hospitals, increase the number of ICU beds in tertiary hospitals, start the expansion and transformation of critical care beds in other specialties, and reserve a number of "convertible ICU beds" and set up buffer wards. Strengthening the reserve of critical care medical resources in secondary hospitals as a useful supplement to the critical care medical resources of tertiary hospitals. Ensure that medical resources in designated hospitals are prepared, and that critical care beds and convertible critical care beds are set up separately in accordance with national requirements. Upgrading and transforming square-cabin hospitals, and upgrading square-cabin hospitals to sub (quasi) sentinel hospitals and upgrading them to set up custodial beds in accordance with the size of the population, on the basis of prefectural-level cities.(ii) Optimize the process of patient care.
Medical institutions fever clinic must "should be set up as much as possible, should be opened as much as possible", to disclose the phone number, address, to facilitate the public can be close to the fever clinic for treatment. Fever clinic to expand the space to receive, with all the medical power, enhance the ability to receive, not be able to arbitrarily shut down, to ensure that the work of diagnosis and treatment is carried out in a smooth and orderly manner, to better safeguard the people's health.
The outpatient area of the medical institution should be divided into nucleic acid positive diagnosis and treatment area and nucleic acid negative diagnosis and treatment area, respectively, to receive the corresponding patients. For emergency patients shall not be no 48-hour nucleic acid results as a reason to affect treatment; 48-hour nucleic acid test results, directly into the emergency treatment area, no 48-hour nucleic acid test results, in the emergency buffer area, while checking the antigen and nucleic acid. New coronavirus-positive patients to adopt the principle of graded classification treatment, with home isolation conditions of asymptomatic infected and light cases generally take home treatment; cough, fever and other obvious symptoms of patients can go to the hospital fever outpatient treatment; light combined with serious underlying diseases, general, heavy, critical cases combined with the condition of hospitalization. Fixed-point and sub-fixed-point hospitals mainly admit and treat patients with predominantly new crown symptoms; positive patients with predominantly basic diseases and specialized consultation needs are admitted to hospitals at all levels and in all types of hospitals. Hospitalized patients are still strictly enforced not to visit, non-essential non-accompanying, do need to accompany the fixed accompanying personnel, accompanied by strict protection during the period, strictly prohibited from going out. Emergency detention ward patients in accordance with the management of hospitalized patients. Each medical institution should optimize the medical process, establish a dynamic adjustment mechanism, maximize the number of outpatient emergency, fever clinic medical staff and clinics, to meet the needs of patients in a timely manner, and maximize the protection of the order of medical care in a safe and orderly manner. Positive infected persons diagnosis and treatment costs in accordance with the relevant provisions of ordinary diseases.(3) to ensure the normal functioning of society and basic medical services.
Non-high-risk areas shall not restrict the movement of people or stop work, production or business. The medical staff, public security, transportation logistics, supermarkets, security supply, water, electricity and gas heating to protect the basic medical services and normal operation of society into the "white list" management, the relevant personnel to do a good job of personal protection, vaccination and health monitoring, to protect the normal medical services and the supply of basic living materials, water, electricity and gas heating, and strive to maintain normal production Work order, timely resolution of the masses reflected the "urgent, difficult, sad and hopeful" problems, and effectively meet the basic needs of the masses during the disposal of the epidemic.(d) Guarantee the basic needs of the masses to buy drugs.
Pharmacies around the world should operate normally and not be shut down arbitrarily. There shall be no restriction on the purchase of over-the-counter medicines such as antipyretic, cough suppressant, antiviral and cold treatment by the masses online and offline. People who buy the four types of medicines such as antipyretic, cough suppressant, antiviral and antibiotic through internet platforms or pharmacies will no longer be subject to real-name registration, and will no longer be able to check the health code and the proof of negative nucleic acid test.V. Optimize the management of key places
(a) Further optimize the prevention and control of epidemics in schools.
Each school should firmly implement the scientific and precise prevention and control requirements, primary and secondary schools, kindergartens according to the local and school epidemic situation to decide whether to carry out mixed tube sampling. Encourage places with conditions to carry out nucleic acid testing for primary and secondary schools and childcare institutions in an organized manner according to local policies. Encourage the scientific wearing of masks at school (except when exercising), schools without outbreaks should carry out normal offline teaching activities, and supermarkets, cafeterias, stadiums, libraries, etc. on campus should be open normally. Schools with epidemics should accurately delineate risk areas, and normal teaching, living and other orders should still be ensured outside the risk areas.(2) Implement preventive and control measures for enterprises and industrial parks.
All areas should be clear jurisdiction, including private enterprises, including enterprises and industrial parks bottom, "one enterprise one policy" "one park one policy" to develop the epidemic prevention and control of disposal plan. The implementation of enterprises and industrial parks epidemic prevention and control of the main responsibility, the establishment of the management from the enterprise, the park to the workshop team, front-line workers of the epidemic prevention and control of the whole responsibility system, detailed all links, the whole process of epidemic prevention and control accounts. Strictly return to work personnel involved in epidemic risk verification, confirm the health before returning to work. Strengthen the key positions, key processes of staff life, epidemic prevention and shift preparation protection, improve the third-party outsourcing personnel management methods, strict management of the social side of the personnel in and out of the management. During the epidemic, we must make every effort to ensure smooth logistics, and shall not require unauthorized shutdowns of key enterprises related to the overall industrial chain and the livelihood of the people to ensure the supply, and implement the "white list" system.Six, strengthen the border epidemic prevention and control
(a) standardize the closed-loop management of entry personnel.
Strict implementation of 5 days of centralized isolation medical observation (in centralized isolation on the 1st, 2nd, 3rd and 5th day each to carry out a nucleic acid test) + 3 days of home isolation (the 1st and 3rd day each to carry out a nucleic acid test), may not go out.
For the entry of important business personnel, sports groups, etc., under the guidance of the local command, "point-to-point" transfer to the closed-loop management area free of quarantine ("closed-loop bubble"), to carry out business, training, competitions and other activities, during the period of During the period, they will be assigned a code and will not be allowed to leave the management area. Before entering the management area, Chinese personnel need to complete the booster immunization with the new coronavirus vaccine, and after completing their work, they should take appropriate isolation management or health monitoring measures according to the level of risk.(ii) optimize the detection and monitoring of key personnel in the border area.
Cancel Napo County, Jingxi City, Longzhou County, Pingxiang City, Ningming County, Dongxing City, Fangcheng District, Daxin County, border 8 counties (cities and districts) to the border (coastal) villages in Tuen Mun regular nucleic acid screening, by the localities according to the specific circumstances of the reasonable set up convenient nucleic acid sampling points, to meet the fever, cough and other symptoms of the person "The company's website has been updated with the latest information about the company's website, including a list of its products and services, as well as a list of its products and services.
(3) Optimize port management.
The border crossing area is precisely divided into risk areas and clean areas (i.e., red zone and green zone) according to the risk prevention and control of each operation position, and the areas are physically separated by fences and nets, and the risk areas are developed to standardize the closed-loop operation process and personnel management rules. Optimize the management of vehicles and goods entering the border crossing. Entry vehicles, goods leave the port area according to the domestic logistics vehicles and goods management, can enter the border port city urban areas, by the port cities to optimize management measures. The ports (mutual markets) shall not arbitrarily suspend the import of cold chain and other goods. Air ports and airports are strictly zoned management. In accordance with the principle of closed-loop management of international inbound travelers, closed management of front-line staff, improve the international inbound travelers dedicated channel, dedicated crew channel, emergency isolation places and other infrastructure settings, strengthen the terminal building transit channel closed management, so that inbound personnel and domestic personnel, crews and travelers activities in the physical separation of the place to achieve the separation of international and domestic operating sites, facilities and equipment separate, the staff separate, The activity tracks are separated. The inland river and seaport ports and foreign trade operation areas are managed separately, and facilities and equipment are set up to receive and transfer and dispose of ships' domestic garbage, domestic sewage, and garbage in the ports and dispose of them in a categorized manner. Strict implementation of the boarding and disembarkation report system, strengthen the control of foreign ship personnel, continue to strengthen the dynamic management of boarding personnel, the strict implementation of non-essential "no boarding, no landing, no docking" measures.Seven, optimize the various types of meetings and activities management measures
Various types of meetings and activities do not need to report, in accordance with the principle of "who hosts, who is responsible for, who sends, who is responsible for," the main responsibility of strict compaction of the organizers of the meetings and activities, to strengthen the organization and leadership, and to do a good job in the prevention and control of epidemics. The work.Eight, the implementation of personal health management responsibility
To continue to do a good job of personal protection, adhere to wearing masks, washing hands, a meter line, ventilation, do not gather, do not pile up, continue to do a good job of self-health monitoring, to maintain healthy and civilized habits, to do a good job of their own health of the first person responsible for the protection of their own, to protect their own, to protect their families. The Autonomous Region New Crown Pneumonia Epidemic Prevention and Control Command will continue to optimize and adjust the relevant anti-epidemic measures in accordance with national policies and changes in the epidemic situation.