December 13, Guangxi Zhuang Autonomous Region, the new crown pneumonia epidemic prevention and control command issued "on the issuance of further optimization of the implementation of the new crown pneumonia epidemic prevention and control measures to implement the details of the notice", the relevant details of the rules are as follows - further optimization of the implementation of the new crown pneumonia epidemic prevention and control measures to implement the details of the rules to Scientific and precise work to do a good job in the prevention and control of the epidemic, and promote the restoration of normal production and living order, according to the State Council joint prevention and control mechanism of the ninth version of the prevention and control program, twenty optimization measures, ten optimization measures, etc., is now on the further optimization of the implementation of the implementation of the rules for the prevention and control of the epidemic requirements are as follows: A optimization of the management of the personnel travel and nucleic acid testing (a) Optimization of the management of the travel of the personnel. Outside the region to return to Gui Gui personnel no longer in accordance with the risk level management, cancel the return to Gui Gui personnel reporting requirements. The normal flow of people across the region, no need to query the health code and nucleic acid test report, no 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, commercial buildings, public **** cultural venues (museums, libraries), tourist attractions, Internet Internet service establishments, entertainment venues, theaters, theater performances, scripts and entertainment venues, food and beverage service establishments, Parks, neighborhoods, communities and other public **** places, no longer check the health code and negative nucleic acid test certificate. Foreigners into nursing homes, welfare homes, medical institutions, child care institutions, primary and secondary schools and other special places to sweep the Guangxi health code place code and check within 48 hours of the nucleic acid test negative proof. (ii) further optimize the nucleic acid test. No longer on the trans-regional mobility check health code and nucleic acid test negative proof, 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. All localities should rationally set up convenient nucleic acid sampling points in accordance with the needs of the public, and provide convenient and paid services to the public. In order to avoid "mixing positive tubes" and causing too much trouble to the staff in the same tube, the people who are willing to undergo the test should, in principle, have a single person in a single tube. According to the needs of epidemic prevention, antigen detection can be carried out. The entry of personnel, imported cold chain goods and their direct contact with the environment, centralized isolation site staff, sentinel 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, courier, takeaway and other business environments are crowded, frequent contact with the staff, mobility of high-risk jobs weekly practitioners. Carry out 2 times nucleic acid test; other employees in the airport area is no longer the implementation of normalized 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 the local or the unit, according to the need to determine their own prevention and control measures. Second, optimize the risk of personnel health management (a) optimize the health management of positive personnel. 1. antigen or single person single pick nucleic acid test results for positive, do not need to flow transfer, personnel positive information without reporting to the community, consciously home isolation 5 days do not go out, buy their own antigenic reagents and essential medicines, the 6th and 7th day of self-test antigen, to be negative results of the two antigens, wear a good N95 mask, go out to do nucleic acid, nucleic acid results are negative (or two Ct value ≥ 35), you can After the result of nucleic acid is negative (or two times Ct value ≥35), they can resume normal life. Positive co-inhabitants should isolate themselves at home for 5 days. On the premise that there is no new positive person in the household, they should wear N95 masks and go out for nucleic acid test on the 5th day, and they can resume normal life after the result of nucleic acid is negative (or the Ct value is ≥35 for two times). If you have fever, cough and other symptoms, do the symptomatic treatment, if necessary, you can contact the primary health care institutions or through the form of Internet health care, by the doctor for professional guidance. If your condition worsens, you can transfer to a designated hospital for treatment. 2. If the nucleic acid test results for "mixed tube positive", do not need to chase the positive, the nucleic acid testing organization is responsible for sending SMS notification, "mixed tube positive" involved in the notification of 24 hours to the nucleic acid testing point to complete a single person, single-tube test. There is no need to report to the community again, nucleic acid negative that resumed normal life. (ii) Optimize the health management of close contacts. The close contacts are currently being centrally managed: 1. If it has been 5 days, the 5th day of nucleic acid test results are negative after the timely lifting of the isolation; 2. If it has not been 5 days, such as the conditions of home isolation, to take a "point-to-point" approach to return to the community home isolation, and community docking to make up for the 5-day isolation time; 3. 3. If you do not have the conditions for home isolation or voluntarily choose to continue the centralized isolation, complete the 5 days of centralized isolation and the fifth day of negative nucleic acid test results can be lifted isolation; 4. Previously failed to be transferred to the centralized isolation point, to take the management of home isolation, complete the 5 days of home isolation and the fifth day of negative nucleic acid test results can be lifted isolation. (C) Optimize the division of risk areas and risk management. According to the building, unit, floor, household demarcation of high-risk areas, shall not be arbitrarily expanded to neighborhoods, communities and streets (townships) and other areas. Not to take various forms of temporary closure control. The implementation of high-risk areas "fast sealing and quick release". Such as five consecutive days without new infected high-risk areas, to be timely 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-day home health monitoring", the fifth day to carry out a nucleic acid test, nucleic acid test results are negative that return to normal life. Third, strengthen the health management of key personnel (a) accelerate the promotion of new coronavirus vaccination of the elderly. Localities should adhere to the principle of receiving as much as possible, focusing on increasing the vaccination rate of people aged 60-79 years, and accelerating the vaccination rate of people aged 80 years and above. Through the establishment of green channels for the elderly, temporary vaccination points, mobile vaccination vehicles and other measures to optimize vaccination services. 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. Refinement of science propaganda, mobilize the whole society to participate in mobilizing the elderly to vaccinate, around the incentives can be taken to mobilize the elderly to vaccinate enthusiasm. (2) Strengthen the key population health situation mapping and classification management. Mobilizing the participation of multiple forces, play the role of village (neighborhood) committees and their public **** health committees and urban and rural grass-roots medical and health institutions professional advantages, make full use of the existing residents' health information, through the health management services for the elderly, as well as telephone, text message, micro-letter surveys to carry out the elderly health status mapping. During the epidemic, the "Party Building + Grid" already established accounts, do not have to repeat the collection, encourage the integration of information through information technology *** enjoy the information and determine the scope of the key population, and effectively reduce the burden for the grassroots. According to the health status, vaccination status, the degree of risk of infectious diseases, etc., the mapping of the population will be divided into key, sub-priority and general population groups, and the "Party Building + Grid", the "bottom of the net" of primary medical and health care institutions, and the "gatekeepers" of the health of family doctors will be brought into full play. The role of the "gatekeeper", graded and categorized to provide appropriate health services. (C) Strengthen the security of the epidemic. It is strictly prohibited to block fire escapes, cell doors, and community doors in any way, to ensure that people have access to medical care, emergency evacuation, and other outgoing channels are unobstructed. 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. Strengthen the seal control personnel, patients and front-line staff and other care and psychological guidance. Fourth, 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 of critical care beds in other specialties, 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 in accordance with national requirements. Upgrade and transform square cabin hospitals, with prefecture-level cities as units, according to the size of the population, the square cabin hospitals upgrading and transforming into sub (quasi) designated hospitals, and upgrading, set up guardianship beds. (B) optimize the process of patient care. Medical institutions fever clinic must be "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 consultation. Fever outpatient clinic to expand the receiving space, complete medical power, enhance the receiving capacity, can not be arbitrarily shut down to ensure that the diagnosis and treatment of work carried out in a smooth and orderly manner, to better safeguard the people's health. The outpatient area of the medical institutions should be divided into nucleic acid-positive 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 the 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 are treated according to the principle of graded and classified treatment: asymptomatic infected persons and light cases with home isolation conditions are generally treated at home; patients with obvious symptoms such as cough and fever can go to hospitals for treatment in fever outpatient clinics; and light cases combined with serious underlying diseases, ordinary, heavy and critical cases are hospitalized in combination with their conditions. Fixed-point and sub-fixed-point hospitals mainly admit and treat patients with predominantly new coronary symptoms; positive patients with predominantly basic illnesses and specialized needs are admitted to hospitals at all levels and in all types of hospitals. For hospitalized patients, it is still strictly enforced that they should not be visited or accompanied, and if they do need to be accompanied, they should be accompanied by a fixed number of accompanying persons, who should be strictly protected and prohibited from going out during the period of accompaniment. Emergency observation ward patients in accordance with the management of hospitalized patients. Medical institutions should optimize the medical process, establish a dynamic adjustment mechanism, maximize the number of outpatient emergency, fever outpatient medical staff and clinics, to meet the needs of patients in a timely manner, to maximize the protection of the order of safe and orderly medical treatment. Positive infected persons diagnosis and treatment costs in accordance with the relevant provisions of ordinary diseases. (C) to ensure the normal functioning of society and basic medical services. Non-high-risk areas shall not restrict the movement of people, shall not stop work, production and business. Medical personnel, public security, transportation and logistics, supermarkets, security supply, water, electricity and gas heating to protect 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 basic supplies, water, electricity, gas and heating supply, and strive to maintain normal production Work order, timely solution to the masses reflected the "urgent, difficult, worry and hope" problem, and effectively meet the basic needs of the masses during the disposal of the epidemic. (D) to protect the basic needs of the masses to buy drugs. Pharmacies around the world should operate normally and not be shut down arbitrarily. The public shall not be restricted from purchasing non-prescription medicines online and offline to relieve fever, cough, antivirus, and colds. Through the Internet platform or pharmacy to buy antipyretic, cough, antiviral and antibiotics and other four types of drugs, no longer the implementation of real-name registration, no longer check the health code and nucleic acid test negative proof. V. Optimize the management of key places (a) further optimize the school epidemic prevention and control work. 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 conditional places according to the local policy, organized for primary and secondary schools and child care institutions to carry out nucleic acid testing. Encourage the scientific wearing of masks in schools (except for sports), schools without an epidemic should carry out normal offline teaching activities, and supermarkets, cafeterias, stadiums, libraries, etc. on campus should be opened normally. There is an epidemic of schools to accurately delineate the risk area, the risk area outside the normal teaching, life and other order. (B) the implementation of enterprises and industrial parks to prevent and control measures. All areas should be clear jurisdiction, including private enterprises, including enterprises and industrial parks, the bottom of the "one enterprise," "one park," the development of epidemic prevention and control of disposal plans. 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 full responsibility system, refine the whole link, 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 job rotation and job security, improve the third-party outsourcing personnel management methods, strict management of the social aspects of the personnel in and out of the management. During the epidemic, we must make every effort to protect the smooth flow of logistics, and shall not be required without authorization to shut down the entire industrial chain and the key enterprises involved in the livelihood of the supply, the implementation of the "white list" system. Six, strengthen the border epidemic prevention and control (a) standardize the closed-loop management of entry personnel. The strict implementation of 5 days of centralized isolation of entry personnel for medical observation (in the centralized isolation of the first, second, third and fifth days to carry out a nucleic acid test) + 3 days of home isolation (the first and third days to carry out a nucleic acid test), shall 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 isolation ("closed-loop bubble"), to carry out business, training, competition and other activities, during the period of the assignment of the code management, can not leave the management area. During the period, they will be assigned a code and will not be allowed to leave the management area. Chinese personnel to enter the management area before the need to complete the new coronavirus vaccine booster immunization, after the completion of the work according to the size of the risk to take appropriate isolation management or health monitoring measures. (ii) Optimize the detection and monitoring of key personnel in border areas. 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 in accordance with the specific circumstances of the reasonable set up convenient nucleic acid sampling points to meet the fever, coughing, and other symptoms of the people "willing to test as much as possible" demand. (C) Optimize port management. The border crossing area according to the risk prevention and control of each operation position is precisely divided into risk areas and clean areas (i.e., red zone, green zone), the use of fences, nets and other physical isolation between the region, the risk area to develop a standardized 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 the 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 closed-loop management of international arrivals, the principle of closed management of front-line staff, improve the international arrivals of passengers dedicated channel, dedicated crew channel, emergency isolation places and other infrastructure settings, strengthen the terminal building transit channel closed management, to do the entry of personnel and domestic personnel, crews and passenger activities in the physical isolation of the place to achieve the separation of international and domestic workplaces, facilities and equipment separate, separate staff, The activities of the track separate. Inland river and seaport ports and foreign trade operation area management, set up ships living garbage, sewage and garbage in the port receiving and transfer disposal facilities and equipment and categorized disposal. Strictly enforce the boarding and leaving the ship reporting 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. VII, 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 "who hosts, who is responsible for, who sends, who is responsible for" principle, strict compaction of meetings and activities of the organizers of the main body responsible for strengthening the organization and leadership, to do a good job of prevention and control of the epidemic. Eight, the implementation of personal health management responsibility To continue to do a good job of personal protection, adhere to wearing masks, hand washing, a meter line, ventilation, do not gather, do not pile up, continue to do a good job of self-health monitoring, maintain healthy and civilized habits, do a good job of their own health the first person responsible for the protection of their own, protect their families.
The Autonomous Region's New Crown Pneumonia Epidemic Prevention and Control Command will continue to optimize and adjust the relevant preventive measures in accordance with the national policy and changes in the epidemiological situation.
Transferred from 丨autonomous region of the new crown pneumonia epidemic prevention and control headquarters office