Beijing as an international metropolis, frequent international exchanges, economic and social activities are concentrated, the possibility of the epidemic into the city continues to increase, there is a risk of infection of the local population caused by imported cases, or even cause a large-scale population outbreak or epidemic. In order to protect the people's health and safety, do a good job of prevention and control of influenza A (H1N1) in our city, improve the level of prevention and treatment of influenza A (H1N1) and the ability to respond to the timely and effective implementation of various prevention and control measures, to achieve early detection, early reporting, early diagnosis, early isolation, early treatment, and control of the epidemic's spread, spread. According to the Ministry of Health "to cope with influenza pandemic preparedness plan and emergency plan", "Beijing to cope with influenza pandemic preparedness plan and emergency plan", combined with the city's actual situation of influenza A (H1N1) prevention and control, specially formulated this work program.
I. General principles
(1) Guiding ideology and working principles
Build the prevention-oriented, prevention and treatment of influenza A (H1N1) prevention and control and response mechanism, to safeguard the general public's health and safety, to ensure that the capital city of the safety of the public **** for the construction of humanistic Beijing, science and technology Beijing, green Beijing to provide a strong guarantee. Prevention and control work should adhere to the principle of "attaching great importance to, actively respond to, joint prevention and control, according to the law and scientific disposal".
(2) Objectives
Through active monitoring and implementation of effective prevention and control measures, to prevent the introduction of influenza A (H1N1) epidemic into the city; to maximize the control of the spread of the epidemic, spreading, and reduce the risk of large-scale population outbreaks or epidemics; and to minimize the loss of the influenza A (H1N1) epidemic on the city's social and economic aspects.
Two, the scope of application
This program applies to the prevention and control of influenza A (H1N1) epidemic in health care institutions within the administrative region of the city.
Three, the organization and responsibilities
(a) the leading group composition and responsibilities
Municipal Health Bureau set up a leading group of prevention and control work, unified command and coordination of the city's prevention and control work. Influenza A (H1N1) monitoring, outbreak disposal, patient transfer and treatment issues such as decision-making; timely, accurate and objective to do a good job in the release of information on the epidemic. Leading group set up a comprehensive coordination group, epidemic prevention and control group, medical treatment group, news and publicity group, health supervision group, material security group.
Leader: Fang Laiying, Party Secretary and Director of Municipal Health Bureau
Deputy Leader: Liang Wannian, Executive Deputy Director of Municipal Health Bureau
Zhao Chunhui, Deputy Director of Municipal Health Bureau
Deng Xiaohong, Deputy Director of Municipal Health Bureau
Yu Luming, Deputy Director of Municipal Health Bureau
Guo Jiyong, Deputy Director of Municipal Health Bureau
Zhao Jing, Director of Municipal Chinese Medicine Administration. Director
Members: Huang Chun, Director of the Emergency Response Office of the Municipal Health Bureau
Zhao Tao, Director of the Disease Control Division of the Municipal Health Bureau
Qiu Dalong, Director of the Medical Administration Division of the Municipal Health Bureau
Wang Yi, Director of the Supervision Division of the Municipal Health Bureau
Zhang Jianshu, Director of the Propaganda Division of the Municipal Health Bureau
Lv Yiping, Director of the Scientific Education Division of the Municipal Health Bureau
Li Xinping, Director of the Office of the Municipal Health Bureau Office Director
Xiao Xun, Director of Women and Social Affairs Department, Municipal Health Bureau
Liu Jianmin, Director of Finance Department, Municipal Health Bureau
Wu Man, Director of Pharmaceuticals and Devices Department, Municipal Health Bureau
Tu Zhitao, Director of Science and Education Department, Municipal Administration of Traditional Chinese Medicine
Deng Ying, Director of Municipal Center for Disease Control and Prevention
Ju Wensheng, Director of Municipal Health Propaganda Center
Integrated coordination Group leader Huang Chun, deputy leader Cao Yu. Responsible for the daily management and comprehensive coordination of the leading group of influenza A (H1N1) prevention and control work; responsible for the emergency duty of the Emergency Public **** Health Emergency Response Command and the preparation of the daily epidemic consultation; organizing and formulating the prevention and control work plan of influenza A (H1N1); responsible for convening the expert group to carry out the analysis of epidemic situation; responsible for the collection of prevention and control information of the members of the Municipal Public **** Health Emergency Response Command and summarize the information of prevention and control work to form a special report. Prevention and control work information special report; responsible for other matters assigned by the leading group.
Epidemic prevention and control group leader Zhao Tao, deputy leader Deng Ying. Responsible for organizing the development of influenza A (H1N1) disease prevention and control and disease surveillance programs and organization and implementation; timely collection, collation, analysis and reporting of information on the epidemic; organizations to carry out epidemiological investigations and outbreaks of disposal, tracking of close contacts; organization, inspection and supervision of the implementation of various preventive and control measures; to carry out targeted publicity of knowledge on prevention and control; responsible for the leading group of other matters referred to.
Medical treatment team leader Qiu Dalong, deputy leader Lv Yiping. Responsible for organizing the development of influenza A (H1N1) medical treatment work plan; responsible for the city's medical and health personnel to carry out influenza A (H1N1) diagnosis and treatment of knowledge and prevention and control guidelines for training. Organize medical institutions to carry out pre-test screening and nosocomial infection control management, timely detection of influenza A (H1N1) cases, and organize experts to carry out consultation and medical treatment of severe cases; responsible for collecting and counting information on the treatment of hospitalized patients, and responsible for other matters assigned by the leading group.
Health supervision team leader Wang Yi, deputy leader Li Yang. Responsible for organizing the development of influenza A (H1N1) health supervision work program and organize the implementation; responsible for the health care institutions of influenza A (H1N1) epidemic disposal of the implementation of various measures of supervision and inspection; responsible for all types of medical and health institutions in the city, child care institutions, elementary school, and other units of influenza A (H1N1) preventive and control measures and the implementation of the environment, utensils disinfection measures to implement the inspection; in the duty Within the scope of investigation and disposal of influenza A (H1N1) epidemic according to law in the disposal of illegal acts; to assist the health administrative department according to law to implement health administrative control measures.
News and publicity team leader Zhang Jianshu, deputy leader Ju Wensheng: responsible for the timely release of information on the influenza A (H1N1) epidemic to the community; coordination of news and publicity departments to organize newspapers, radio and television and other news outlets to timely publicize and report on the information on the epidemic, to carry out the publicity of knowledge of the health prevention of influenza A (H1N1); responsible for the search for information on public opinion and the timely collation of the report to the Leading Group; Responsible for other matters assigned by the Leading Group.
Material security team leader Wu Man, deputy leader Liu Jianmin: responsible for organizing the development of material security work program; development of medicines, reagents, medical equipment, ambulance equipment and protective supplies, such as health emergency material reserve directory and reserve plan; guidance for medical and health care institutions to carry out the material reserve; coordination with the Municipal Finance Bureau to ensure that the material reserve funds and funds for the emergency disposal of the epidemic and timely arrangements for the appropriation and additional.
(2) Influenza A (H1N1) epidemic expert advisory committee composition and responsibilities
Influenza A (H1N1) epidemic expert advisory group consists of experts in epidemiology, clinical medicine, pathogen testing, health emergency response, hospital infection control, health management, etc., and is responsible for putting forward the emergency preparedness of the influenza A (H1N1) epidemic, trend analysis and recommendations on control measures; participate in the development of the influenza A (H1N1) epidemic. H1N1 influenza epidemic prevention and control program and medical treatment program, the epidemic disposal and medical treatment to provide technical guidance, when necessary, to participate in on-site disposal and medical treatment work; on the prevention and control of influenza A H1N1 epidemic put forward other advice.
(C) Influenza A (H1N1) emergency response and treatment of professional institutions and their tasks
1. City, district (county) Center for Disease Control and Prevention of Influenza A (H1N1) outbreak disposal of professional institutions. Specific responsibilities are:
(1) responsible for influenza A (H1N1) outbreak monitoring, epidemic information collection, reporting and analysis, to provide the basis for prevention and control of the epidemic. District (county) CDC received medical institutions with epidemiological history of influenza-like case report, immediately carry out epidemiological investigations and collection of pharyngeal swab specimens, in the verification of the city within two hours after the phone report CDC and send the specimens to the city of the CDC, within six hours should complete the preliminary epidemiological investigation report.
(2) District (county) CDC is responsible for epidemic monitoring of schools, child care institutions, nursing homes and other institutions and key populations under its jurisdiction, and found that influenza outbreaks should be reported and disposed of in accordance with the "Guidelines for Reporting and Investigating and Handling of Influenza-like Outbreaks"; it is also responsible for guiding the implementation of preventive and control measures by all units under its jurisdiction.
(3) District (county) CDC is responsible for timely epidemiological investigations of suspected cases, possible sources of infection, incubation period, infectious period and clinical manifestations of serious investigations, tracking and investigating all close contacts of the case, and timely isolation and medical observation of those who show symptoms. The flow of personnel should do a good job of personal protection.
(4) the city CDC is responsible for the districts (counties) CDC professional and technical staff of the influenza A (H1N1) epidemic treatment of technical training and guidance; is responsible for having an epidemiological history of influenza samples specimen testing, and timely reporting of test results to the Municipal Health Bureau.
2. Medical institutions at all levels for the pre-test screening and treatment of influenza A H1N1 cases. Specific responsibilities are:
(1) medical institutions should be strictly in accordance with the requirements of the "pre-screening and triage management measures" to infectious disease clinics, infectious diseases or fever clinics as the basis, in accordance with the law to fulfill the outpatient (emergency) pre-screening and screening, registration, reporting and patient observation duties. Focus on unexplained pneumonia and influenza-like cases of symptom monitoring, carefully ask the patient's epidemiological history, a history of contact with cases of influenza A (H1N1) and recently traveled to Mexico, the U.S. and other outbreaks of influenza-like cases should be registered and reported to assist disease prevention and control agencies to complete the collection of specimens, epidemiological investigations. The epidemic effectively early detection, early reporting, early isolation, early treatment.
(2) influenza monitoring sentinel hospitals in accordance with the "National Influenza Surveillance Program" requirements, seriously screen influenza-like cases, do a good job of case registration, reporting and case sampling. Disease prevention and control agencies to strengthen the jurisdiction of schools, child care institutions, nursing homes and other institutions and key populations of the epidemic monitoring, found that the influenza outbreak epidemic, should be in accordance with the "influenza-like outbreak epidemic reporting and investigation and treatment guidelines," the requirements of the report and disposal.
(3) medical personnel found with epidemiological history of influenza-like cases, should immediately fill out the "with epidemiological history of influenza-like case registration card", fully rely on the power of experts to do a good job in the investigation of suspected cases. The need for hospitalization of suspected influenza A (H1N1) cases, by the hospital medical department is responsible for contacting the 120 Command Center, by the special negative pressure ambulance vehicles sent to the Ditan Hospital or You'an Hospital, and at the same time in accordance with the requirements of the regulations to do a good job of the medical record information and related information of the handover procedures.
(4) Ditan Hospital, You'an Hospital as a centralized treatment of possible cases of influenza A (H1N1) designated hospitals, into the wartime emergency state, ready to receive patients at any time. To do a good job of medical treatment force configuration, the opening of emergency green channel service, develop and improve the scientific emergency treatment technology program. In particular, we should strengthen the consultation, rescue and reporting of seriously ill patients, improve the success rate of rescue, and minimize the death rate of influenza A (H1N1) cases. Do a good job of stockpiling equipment, facilities, medicines, disinfectant medicines and protective gears. Negative pressure wards to ensure that in a state of reserve.
(5) Medical institutions should strictly carry out nosocomial infection control in accordance with the requirements of the "Hospital Infection Management Measures", set up contaminated, semi-contaminated and clean areas, standardize the treatment of medical waste, and at the same time, should be disinfected in areas contaminated by patients or likely to be contaminated. Suspected, clinical and confirmed cases are managed in separate wards. Medical staff and personnel involved in the on-site disposal of the epidemic should take personal protection.
Medical institutions to strengthen the comprehensive basic protection of medical personnel, fever clinic or infection clinic to do a good job of strengthening protection. The implementation of disinfection and isolation system protection, standardized treatment of medical waste, to prevent hospital cross-infection. Hospital infection management department to play a supervisory inspection function.
(6) Beijing Emergency Medical Service Center is responsible for the transfer of suspected and confirmed cases of Influenza A (H1N1), do a good job of equipment, facilities and protective gear reserves, equipped with negative pressure ambulance vehicles to ensure that at any time in a standby state.
3. Municipal and district (county) health supervision agencies are health supervision and law enforcement agencies of the influenza A (H1N1) epidemic. Specific responsibilities are:
(1) supervision and inspection of the implementation of measures to deal with the influenza A (H1N1) epidemic in health care institutions.
(2) the city's various types of medical and health institutions, child care institutions, elementary school and other units of influenza A H1N1 prevention and control measures and the environment, utensils disinfection and cleaning measures to implement the supervision and inspection.
(3) to assist the health administrative departments in accordance with relevant laws, rules and regulations, investigation and disposal of influenza A (H1N1) epidemic disposal of illegal acts; to assist the health administrative departments in accordance with the law to implement health administrative control measures.
Four, work requirements
(a) attach great importance to strengthening leadership
In the United States, Mexico and other countries have occurred in the influenza A (H1N1) epidemic, and gradually spread around the world after the spread of the April 29th, the World Health Organization has raised the global influenza pandemic warning level to the next highest level 5 only. The CPC Central Committee, the State Council and the municipal party committee and municipal government are very concerned about the people's health and safety of life, and attach great importance to the prevention of influenza A (H1N1) epidemic in China and the city. Experts study that the epidemic has the following characteristics: First, the epidemic is caused by a mutated strain of influenza A (H1N1) virus, the virus has a human influenza, avian influenza, swine influenza three parts of the gene fragments, the virus has the ability to cause large-scale population outbreaks, has been in the population of the continuous transmission, and has been transnational cross-continental spread of the possibility of influenza pandemic has been significantly increased; Second, the emergence of a greater number of Mexico Secondly, there are more serious and fatal cases in Mexico, and although the United States has the vast majority of cases with milder symptoms, there has been one case of child death; thirdly, influenza patients can be detoxified one day before the onset of the disease, which is already contagious, and some patients do not have the disease but are still contagious, and the proportion of latent infections is quite high, and it is difficult to rely on the current measures to contain the spread of the disease. At present, the influenza A (H1N1) virus for what changes and the development trend of the epidemic is not clear, so we must attach great importance to the worst possible considerations, make the most adequate preparations.
Beijing, as an international metropolis with frequent international exchanges and concentrated economic and social activities, has a higher possibility of imported cases. All kinds of medical and health institutions at all levels must firmly establish a sense of the overall situation, political awareness and sense of responsibility, a deep understanding of the importance of doing a good job of influenza A (H1N1) prevention and control of emergency work and special significance, to maintain a high degree of vigilance, to take the most effective measures, close monitoring and prevention, and effectively protect the people's health and safety, to ensure that the community's normal production and life.
(2) a clear division of labor, the implementation of responsibility
District and county health bureaus, all levels and types of medical and health institutions, the main leaders to personally grasp the influenza A (H1N1) prevention and control of emergency response work to strengthen the work of leadership and deployment. District and county health bureaus should be effectively responsible for the territory of the various management responsibilities, the establishment of the work of the leading group, a clear division of responsibilities, tasks to people, responsibilities in place, management in place, the strict implementation of the accountability system. Ensure that the discovery of influenza A (H1N1) cases in a timely manner, strong measures.
(C) joint prevention and control, close collaboration
Districts (counties) Health Bureau in the district (county) under the unified leadership of the people's government, give full play to the department's professional expertise, and agriculture, tourism, education, inspection and quarantine and other relevant departments to work closely with the establishment of the district and county to deal with the epidemic of the joint prevention and control of the work of the mechanism to undertake the main tasks and play an important role. Adhere to the "close tracking, active response, joint prevention and control, according to the principle of scientific disposal", the organization of prevention and control of influenza A (H1N1) epidemic work.
(D) strengthen the duty, effective response
For the current global influenza A (H1N1) prevention and control of the severe situation facing the work of the Health Bureau of the districts and counties, the CDC and health care institutions to maintain a high degree of sensitivity, strengthen the emergency response, timely response, the arrangement of 24-hour duty, the health emergency response team should be on call 24 hours a day to enter the state of emergency preparedness. To do personnel in place, smooth contact, rapid response, to ensure that the measures are put into practice, effective response to possible epidemics, to prevent the proliferation and spread of epidemics.
(E) strengthen the training, do a good job in reserve
All types of medical and health institutions at all levels should be proactive in the prevention and control of influenza A (H1N1) emergency response, improve the awareness of the medical staff to prevent and control, and strive to enhance the comprehensive ability to prevent and control influenza. Focus on strengthening the medical staff and CDC personnel diagnosis and treatment, disinfection and isolation and personal protection and other related knowledge training. City, district CDC should do a good job related to testing reagents, consumables, disinfection drugs and protective gear reserves, for the existence of shortcomings as soon as possible to fill in the gap; the designated medical institutions should do a good job of beds, equipment, facilities, medicines, protective gear, etc. reserves, emergency medical centers (stations) should do a good job of vehicles, equipment, facilities, medicines, protective gear reserves, the existing negative-pressure wards and negative-pressure ambulances should ensure that In a state of reserve.
(F) extensive publicity, maintain stability
Medical and health institutions at all levels should vigorously carry out the prevention of influenza A H1N1 health education, through television public service announcements, radio broadcasts, the issuance of publicity materials and other ways to publicize the prevention of influenza A H1N1 to the public. Through 12320 and other hotlines, the Internet, hotlines and other media, to achieve interaction with the public, to eliminate the public's panic mentality and anxiety, and take the initiative to strengthen communication with the news media, to do a good job explaining the relevant explanatory work, to maintain social harmony and stability.
May 3, 2009