Joint Prevention and Control Mechanism (2022)No. 10 1)
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 joint prevention and control mechanism of novel coronavirus epidemic:
165438+ 10/0, The Politburo Standing Committee (PSC) held a meeting to listen to the report on epidemic prevention and control in COVID-19, and to study and deploy 20 measures to further optimize the prevention and control work. In order to implement the spirit of the The Politburo Standing Committee (PSC) Conference and do a good job in the prevention and control of epidemic situation and the implementation of optimization and adjustment measures, the relevant work is hereby notified as follows:
First, improve the political position and do a good job in epidemic prevention and control scientifically and accurately.
At present, COVID-19 continues to mutate, the global epidemic situation is still in an epidemic situation, and new domestic epidemics are constantly emerging. China has a large population, a large number of susceptible people, unbalanced regional development and insufficient medical resources, and the epidemic situation in some areas still has a certain scale. Affected by virus variation and climatic factors in winter and spring, the scope and scale of epidemic spread may be further expanded, and the situation of prevention and control is still severe and complicated. It is necessary to maintain strategic strength and scientifically and accurately prevent and control the epidemic. It is necessary to adapt to the rapid spread of the virus, take more resolute measures, curb the spread of the epidemic as soon as possible, and concentrate on fighting the epidemic annihilation war in key areas. All localities and departments should resolutely unify their thoughts and actions with the decision-making and deployment of the CPC Central Committee, comprehensively, accurately and comprehensively implement the decision-making and deployment of the CPC Central Committee, unswervingly adhere to the people-oriented principle and the supremacy of life, unswervingly implement the general strategy of "preventing from outside and introducing from inside", unswervingly implement the general policy of "dynamically clearing", and effectively coordinate epidemic prevention and control and economic and social development in accordance with the requirements of preventing epidemics, stabilizing the economy and ensuring safe development. We should further improve our political stance, fully understand that optimizing and adjusting prevention and control measures is not relaxing prevention and control, let alone "lying flat", but adapting to the new situation of epidemic prevention and control and the new characteristics of COVID-19's mutation, adhering to the established prevention and control strategies and policies, further enhancing the scientificity and accuracy of prevention and control, protecting people's life safety and health to the utmost extent, minimizing the impact of the epidemic on economic and social development, and implementing the spirit of the 20th Party Congress with practical actions.
The second is to implement the deployment of the CPC Central Committee and actively and steadily optimize and adjust prevention and control measures.
The CPC Central Committee has made important arrangements for 20 measures to further optimize the prevention and control work, and put forward clear requirements. All localities and departments should put all optimization measures in place to the letter.
For close contacts, the management measures of "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", during which code management will be implemented and they are not allowed to go out. On 1, 2, 3 and 5 days, medical observation was concentrated and 1 nucleic acid was detected respectively. On 1 and 3 days, medical observation was isolated at home and 1 nucleic acid was detected respectively.
Timely and accurately judge close contacts, and no longer judge close contacts.
Adjust the "7-day centralized isolation" of overflow personnel in high-risk areas to "7-day home isolation", and implement code management during this period, and do not go out. On day 1, day 3, day 5 and day 7 of home isolation, 1 nucleic acid was detected respectively.
Adjust the risk area from "high, medium and low" to "high and low" to minimize the number of control personnel. In principle, the areas where infected people live, workplaces and activities with frequent activities and high risk of epidemic spread are designated as high-risk areas, which are generally designated by units and buildings and may not be expanded at will; Other areas in the county where the high-risk area is located are designated as low-risk areas. No new infection cases were found in the high-risk area for 5 consecutive days, and it was reduced to the low-risk area. High-risk areas that meet the conditions for unsealing should be unsealed in time.
Employees in high-risk positions who have completed closed-loop operations are adjusted from "7-day centralized isolation or 7-day home isolation" to "5-day home health monitoring". During this period, coding management was carried out, and 1 nucleic acid detection was carried out on days 1, 3 and 5 respectively. Don't go out, go to crowded public places or take public transportation unless necessary.
In epidemic-free areas, nucleic acid testing shall be conducted for risk posts and key personnel in strict accordance with the scope determined in the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded. Generally, the whole staff is not tested according to the administrative area, but only when the source of infection and transmission chain are not clear and the community transmission time is long. Formulate specific implementation measures to standardize nucleic acid detection, reiterate and refine relevant requirements, and correct unscientific practices such as "two inspections a day" and "three inspections a day".
Cancel the fuse mechanism of inbound flights, and adjust the negative certificate of two nucleic acid tests within 48 hours before boarding to the negative certificate of 1 nucleic acid tests within 48 hours before boarding.
Important business personnel and sports organizations entering the country are not isolated, but transported to closed-loop management areas to carry out business, training, competitions and other activities. In the meantime, they will be managed by code and cannot leave the administrative area. Chinese personnel need to complete the COVID-19 vaccine booster immunization before entering the management area, and take corresponding isolation management or health monitoring measures according to the risks after completing the work.
It is clear that the positive standard of entry personnel is the Ct value of nucleic acid detection of 35, and those with the Ct value of nucleic acid detection of 35-40 when the centralized isolation is lifted shall be assessed for risk. If it is infected in the past, it will be "checked twice every three days" during the period of home isolation, and code management will be assigned, and it is not allowed to go out.
For entry personnel, the "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", during which code management will be implemented and they are not allowed to go out. After the entry personnel are quarantined at the first entry point, the destination shall not be quarantined again. On 1, 2, 3 and 5 days, medical observation was concentrated and 1 nucleic acid was detected respectively. On 1 and 3 days, medical observation was isolated at home and 1 nucleic acid was detected respectively.
Strengthen the construction of medical resources. Formulate graded diagnosis and treatment plans, admission standards for infected people with different clinical severity, epidemic situation in various medical institutions and infection treatment plans for medical staff, and do a good job in training all medical staff. Make preparations for sickbeds and critically ill sickbeds, and increase resources for treatment.
Advance vaccination work in COVID-19 in an orderly manner. Formulate plans to accelerate vaccination and accelerate the increase of vaccination coverage, especially for the elderly. Accelerate the research and development of monovalent or multivalent vaccines with broad-spectrum protection, and promote approval according to laws and regulations.
Accelerate the storage of treatment-related drugs in COVID-19. Do a good job of supply and reserve to meet the needs of patients, especially the treatment needs of critically ill and high-risk and elderly patients. Pay attention to the unique advantages of traditional Chinese medicine and make a good reserve of effective traditional Chinese medicine prescriptions. Strengthen the reserve of first-aid drugs and medical devices.
Strengthen the protection of key institutions and key populations. Find out the base of the elderly, patients with basic diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection programs. Optimize the management of places where vulnerable people are concentrated, such as nursing homes, mental hospitals and welfare homes.
Implement the "four early" requirements and reduce the scale of the epidemic and the disposal time. All localities should further improve the multi-channel monitoring and early warning and multi-point triggering mechanism of the epidemic situation, carry out "landing inspection" for migrant workers across provinces, report infected people in time according to law, do a good job in the management of risk personnel at the first time, and strictly implement early detection, early reporting, early isolation and early treatment to avoid expanding the front line and extending the time. We must never wait and see and go our own way.
Intensify the rectification of "one size fits all" and layer-by-layer overweight problems. Local party committees and governments should implement territorial responsibilities and strictly implement the unified national prevention and control policies. It is strictly forbidden to suspend classes, suspend classes, stop production, block traffic without approval, take "silent" management without authorization, block control without authorization, unseal for a long time, and stop clinic without authorization. Increase the intensity of notification and public exposure, and those who cause serious consequences will be seriously held accountable according to the law and regulations. Give full play to the role of special classes at all levels to rectify overweight problems, collect and transfer reporting clues efficiently, and urge local authorities to rectify in time. Health and Wellness Commission, CDC, Ministry of Education, Ministry of Transport and other competent departments of various industries have strengthened supervision and guidance on the industry system, increased the exposure of typical cases, and effectively played a deterrent role.
Strengthen the service guarantee for people who are closed and isolated. All localities should set up special classes for the protection of living materials, formulate and improve the market supply of daily necessities, closed community distribution, regional joint supply and other plans in a timely manner, and do a good job in the reserve of important livelihood commodities. Comprehensively sort out the basic information of the resident population in the community, master the situation of key personnel such as empty nesters living alone, children in distress, pregnant women and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize the terminal distribution in closed areas, clarify the special strength of living materials supply, draw a fixed receiving point in the community, and get through the "last meter" of distribution. Guide the community to establish a direct hotline with medical institutions and pharmacies, equip the community with a special car, do a good job in service connection, strictly implement the responsibility system for the first diagnosis and the emergency rescue system, and do not refuse to consult for any reason to ensure the demand of residents for treatment drugs. Do a good job in psychological counseling of isolated and controlled people, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, and solve the practical difficulties of the masses.
Optimize the prevention and control measures of campus epidemic situation. Improve the coordination mechanism between schools and places, strengthen the emergency support of campus epidemic situation through joint prevention and control, give priority to the work of campus transshipment isolation, nucleic acid detection, flow tracking, environmental disinfection, and living materials support, improve the emergency response capacity of schools, and support schools to quickly respond to the epidemic situation. Schools around the country should strictly implement the prevention and control measures of the state and education departments, resolutely implement the requirements of scientific and accurate prevention and control, and must not increase control. The Ministry of Education and the education departments of provinces, prefectures and cities took the lead in setting up special classes to investigate outstanding problems such as arbitrary closure of the campus, too long closure time, long-term off-line teaching, inadequate living security, and inconsistent family control requirements for teachers, students and employees, and urge rectification, and rectify problems such as poor prevention and control and excessive epidemic prevention. Education departments at all levels set up complaint platforms and hotlines to receive, forward and reply in time, establish a "complaint handling" mechanism, improve the feedback mechanism for rapid response and problem solving, and promptly promote the solution of urgent problems for teachers and students.
Implement prevention and control measures for enterprises and industrial parks. Local joint prevention and control mechanisms should set up special classes, find out the base of enterprises and industrial parks including private enterprises within their jurisdiction, and formulate epidemic prevention and control plans of "one enterprise, one policy" and "one park, one policy". Implement the main responsibility of epidemic prevention and control in enterprises and industrial parks, establish a full-time responsibility system for epidemic prevention and control from enterprises and park management to workshop teams and front-line employees, and refine the ledger of epidemic prevention and control in each link and process. Strictly check the epidemic-related risks of returnees and confirm their health before returning to work. Strengthen the life, epidemic prevention and job preparation of employees in key positions and key processes, improve the management measures of third-party outsourcing personnel, and strictly manage the access of social personnel. During the epidemic, we should make every effort to ensure the smooth flow of logistics, and must not require key enterprises that are related to the overall situation of the industrial chain and the protection of people's livelihood to stop production and implement a "white list" system.
Classify in an orderly manner and do a good job in resolving the stranded personnel. Where an epidemic occurs, it is necessary to define the risk area in a timely and accurate manner. Foreigners who are not in high-risk areas are allowed to leave after assessing the risks, avoiding detention and doing a good job in return protection. Where there are many stranded people, it is necessary to formulate special rescue plans, strengthen information communication and cooperation between the starting point and the end point, and make good safety arrangements on the premise of effectively preventing the epidemic from spilling over. Transportation, civil aviation, national railways and other units should actively give transport capacity protection. The destination should enhance the awareness of the overall situation, not refuse to accept the return of the stranded personnel, and implement the prevention and control measures for the returned personnel as required to avoid the spillover of the epidemic and not increase the control.
Third, strengthen risk prevention and implement various measures to deal with potential risks.
All localities and departments should adhere to the bottom line thinking, highlight the problem orientation, do a good job in the orderly connection of the implementation of optimization and adjustment measures, seize key links, and do a good job in preventing and responding to related risks to ensure that the epidemic risk is generally controllable.
On the control of risk personnel. All localities should strictly manage centralized isolation points to avoid cross-infection of isolation points. Instruct people with home isolation conditions to strictly implement relevant requirements during home isolation. Once it is positive, make communication risk judgment, track and manage relevant risk personnel to prevent the epidemic from spilling over; Do not have the conditions of home isolation, still centralized isolation. It is necessary to strengthen the closed-loop management and personal protection of employees in high-risk positions during operation to avoid infection during work. Instruct employees in high-risk positions to strictly implement relevant requirements in family health monitoring. Once it is positive, immediately carry out communication risk judgment, and track and manage relevant risk personnel to prevent the epidemic from spilling over.
Division of risk areas. After the outbreak, all localities should designate high-risk areas in time and release them to the outside world. Generally, high-risk areas are designated by units and buildings, and the scope of high-risk areas can be appropriately expanded if the risk of epidemic spread is unclear or there is widespread community spread.
Adjustment of foreign defense investment measures. All localities should reserve centralized isolation resources, standardize the setting of centralized isolation points, and strictly implement management. Strengthen the standardized management of foreign personnel during the period of home isolation. Strict implementation of closed-loop management, personal protection, nucleic acid detection and other requirements. Internal and external personnel and Chinese personnel in the closed-loop management area are not isolated to prevent "destruction". Entry personnel with Ct value of 35-40 will be further screened, and nucleic acid detection will be completed after 24 hours. If the Ct value of nucleic acid detection is 35, it will be immediately transferred to a designated hospital or a receiving hospital for isolation treatment; If the Ct value of nucleic acid detection is ≥35, it is generally a previous infection. During the period of home isolation, "two inspections in three days", code management, no going out.
The fourth is to strengthen the organizational guarantee for the optimization and adjustment work.
To implement the optimization and adjustment of prevention and control measures, we should pay special attention to policy interpretation, training guidance and responsibility implementation, further condense the consciousness of the whole society, avoid and eliminate misunderstandings about the optimization and adjustment of measures, strengthen leadership and responsibility, and resolutely hold the bottom line that no large-scale epidemic will occur.
Strengthen publicity and guidance and policy interpretation. Strengthen the interpretation of the policy of optimization and adjustment, emphasize continuing to adhere to the general policy of China's epidemic prevention and control strategy, and guide the whole society to fully understand the significance of adhering to the people first, life first, external defense investment, internal defense rebound, and dynamic zero clearing, and fully understand that further optimization of prevention and control measures is to prevent and control more scientifically and accurately, and must not lead to relaxation of epidemic prevention and control, or even the misunderstanding of letting itself drift and lying still. Guiding the optimization and adjustment of China's prevention and control policies and measures is based on the objective understanding of the characteristics of virus variation. It is not only scientific but also necessary to win the understanding and support of the broad masses and grassroots front-line workers and build a solid foundation for group prevention and control. Strengthen public opinion monitoring and respond to the concerns of the masses in a timely manner.
Strengthen work guidance and training at all levels. Departments in charge of various industries should earnestly shoulder their responsibilities, strengthen guidance on the optimization and adjustment work in this field, improve supporting policies, and urge the implementation of various measures. All localities should accurately grasp the essence of policies, make overall arrangements, refine specific work requirements, carry out in-depth training for prevention and control staff at all levels, and organize training to improve the working ability and level of local party committees and governments at all levels, joint prevention and control mechanisms at all levels, and grassroots prevention and control frontline.
Strengthen organizational leadership and responsibility implementation. Local party committees and governments at all levels should be duty-bound and conscientious, and the main responsible comrades should personally grasp it, clarify the division of responsibilities, seriously organize and implement it in light of the actual situation, strengthen policy training, overall planning of strength and material security, vigorously and orderly promote the optimization and adjustment of prevention and control measures, and implement all tasks to the letter. It is necessary to fully understand the complexity, arduousness and repetitiveness of the anti-epidemic struggle, strengthen responsibility, enhance combat skills, go deep into the grassroots and frontline, pay close attention to all aspects of epidemic prevention and control, fully safeguard the people's production and living services, effectively meet the basic needs of the people during the epidemic disposal period, ensure basic livelihood services such as medical treatment, fully safeguard the normal production and living order, do a good job in ideological guidance and psychological counseling, and resolutely win the tough battle of normalized epidemic prevention and control. We must adhere to the bottom line thinking and highlight the problem orientation. We should not only oppose irresponsible attitude, but also oppose and overcome formalism and bureaucracy, resolutely correct simplification, "one size fits all" and layer-by-layer overweight, firmly grasp the measures of optimization and adjustment, effectively coordinate epidemic prevention and control with economic and social development, and reflect the good results of studying and implementing the spirit of the 20 th Party Congress with practical actions.
The State Council Response to novel coronavirus Epidemic Comprehensive Joint Prevention and Control Mechanism Group
2022165438+1October 1 1