Guo Wei Ming Dian [2022] No.484
All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps should respond to the joint prevention and control mechanism of novel coronavirus epidemic, and the State Council should respond to the vaccination coordination group of the joint prevention and control mechanism of novel coronavirus epidemic:
In order to further accelerate the vaccination of the elderly in COVID-19 and ensure people's life safety and health, the comprehensive group of joint prevention and control mechanism of epidemic situation in novel coronavirus, the State Council studied and formulated the Work Plan for Strengthening COVID-19 Vaccination of the Elderly, which is hereby printed and distributed to you. Please conscientiously implement it according to the actual situation.
The State Council deals with novel coronavirus.
Comprehensive group of epidemic prevention and control mechanism
165438+20221October 29th
Strengthen the vaccination program for the elderly in COVID-19.
Recently, all localities have insisted on focusing on the elderly over 60 years old, further compacted their territorial responsibilities, intensified organizational and social mobilization, and strived to improve the vaccination rate in COVID-19. The first dose vaccination rate of people over 60 years old has exceeded 90%, but it is still necessary to continue to do a good job in the whole process of vaccination and immunization for people over 60-79 years old, especially those over 80 years old. In order to implement the deployment requirements of joint prevention and control mechanism in the State Council, give full play to the protective role of COVID-19 vaccine, reduce the serious, dangerous and death risk of COVID-19 infection in the elderly, and further accelerate the vaccination of COVID-19 vaccine in the elderly, this work plan is formulated.
I. General requirements
Adhere to the principle of "take all"; Adhere to the government's lead and departmental linkage, and implement the responsibility of territorial management; Adhere to accurate surveying and mapping and fine management; Insist on optimizing services and providing convenience; Adhere to multiple measures and strengthen mobilization; Insist on strengthening supervision and promoting implementation. Accelerate the vaccination rate of people over 80 years old and continue to improve the vaccination rate of people aged 60-79.
Second, strengthen the selection and time interval of immunization vaccine.
Vaccine combination. All vaccines and combinations approved for booster immunization can be used for the first dose of booster immunization, and the combinations are as follows:
2 doses of inactivated vaccine+1 dose of inactivated vaccine;
2 doses of inactivated vaccine+1 dose of Kangxinuo intramuscular injection of recombinant COVID-19 vaccine;
2 doses of inactivated vaccine+1 dose of recombinant COVID-19 vaccine is Kangxinuo inhalation.
2 doses of inactivated vaccine+1 dose of recombinant protein vaccine, Zhuhai Livzon recombinant COVID-19 fusion protein vaccine);
1 dose of recombinant COVID-19 vaccine of Kangxinuo+1 dose of recombinant COVID-19 vaccine of Kangxinuo.
1 dose recombinant COVID-19 vaccine intramuscular injection of Kangxinuo+1 dose recombinant COVID-19 vaccine inhaled Kangxinuo.
Time interval. According to the data of real-world research and clinical trials at home and abroad, combined with the actual vaccination situation of the elderly population in China, the time interval between the first booster immunization and the whole vaccination was adjusted to more than 3 months.
Third, organize the implementation.
Improve the coordination and linkage mechanism. Local joint prevention and control institutions at all levels should, in accordance with the requirements of "government looking for someone, industry mobilization and health vaccination", establish a special work class in which joint prevention and control institutions are mainly responsible for the general coordination of comrades, the participation of relevant departments and efficient coordination, make special arrangements for the vaccination work of the elderly in COVID-19, clarify the responsibilities of relevant units, keep abreast of the work progress within their respective jurisdictions, and timely communicate the "blocking points" in the dispatching work. Further implement the vaccination work for the elderly in key places such as nursing homes, retired cadres' homes, sanatoriums, universities for the elderly, activity centers for the elderly, fitness and entertainment places for the elderly, and key activities such as gatherings, large-scale activities and group tours with a large number of people.
Do a good job in finding out the target population. All localities should make full use of big data means to carry out big data comparison through databases such as population, social security, medical insurance and residents' health records, accurately find out the target population base over 60 years old, and establish target population accounts. Scientifically evaluate contraindications, and list the specific reasons one by one for those who do have contraindications to vaccination.
Optimize vaccination services. All localities should continue the effective convenience measures in the early stage and continue to provide maximum convenience for the elderly by setting up green channels for the elderly, temporary inoculation points, mobile inoculation vehicles and other measures. It is necessary to carry out training in judging contraindications to vaccination step by step, and guide medical personnel to scientifically judge contraindications to vaccination. For the disabled and semi-disabled elderly, medical personnel with rich experience in diagnosis, treatment and vaccination can be selected to form a vaccination team, with common instruments and medicines needed for the observation period after vaccination, and provide on-site vaccination services. Vaccination sites should do a good job in medical security according to the requirements of "four haves", such as having on-site medical staff on duty, first-aid equipment and drug support, 120 ambulance to transport patients, transport channels and green channels for treatment, and do a good job in monitoring and handling suspected abnormal reactions of vaccination for the elderly after vaccination. In the process of vaccination, in addition to strictly following the requirements of "three checks, seven pairs and one core" and vaccination work norms, we should carefully explain to the elderly, patiently answer their inquiries, pay attention to their physical condition and improve the temperature of vaccination service.
Refine the propaganda work of popular science. All localities should broaden their thinking, take various measures simultaneously, adopt diversified methods, make easy-to-understand publicity materials according to the characteristics of the elderly, and mobilize all social forces to participate in mobilizing the elderly to vaccinate. It is necessary to vigorously strengthen publicity through the whole media, including the necessity of vaccination, the safety and effectiveness of vaccines. It is necessary to carry out popular science education on the significance and benefits of vaccination and fully publicize the role of vaccination in preventing severe illness and death. It is necessary to strengthen publicity through programs loved by the elderly, focus on publicity in places where the elderly are active, and use the new media matrix to make public service advertisements in time. It is necessary to fully mobilize the enthusiasm of the families of the elderly and mobilize the elderly to vaccinate through their families. It is necessary to strengthen the technical guidance of popular science propaganda and improve the communication and propaganda ability of professionals. It is necessary to increase the frequency and coverage of publicity, strengthen the release of official media, respond to social concerns in a timely manner, organize experts to preach and interpret more, and guide the masses to actively vaccinate.
Four. Monitoring and evaluation
All localities should strengthen the supervision and evaluation of vaccination work for the elderly within their jurisdiction, fully grasp the progress and quality of vaccination work, sum up the experience of vaccination work, find out the weak links, and continuously improve the work. It is necessary to go deep into grassroots research and guidance, and resolutely put an end to simplification and "one size fits all".