I. Normalization monitoring
In areas where no epidemic has occurred, nucleic acid testing shall be conducted for risk posts and key personnel in strict accordance with the scope determined by the prevention and control plan of novel coronavirus, and the scope of nucleic acid testing shall not be expanded. Generally, nucleic acid testing for all employees is not carried out according to administrative regions.
Examination of medical personnel in medical institutions.
Medical staff of various medical institutions at all levels, especially primary medical and health institutions, should raise their awareness of finding and reporting COVID-19 cases, paying special attention to the following situations.
1. Strengthen the monitoring of fever, dry cough, fatigue, sore throat, hypoesthesia, diarrhea and other symptoms, and conduct COVID-19 nucleic acid detection on all patients with fever. For those who have no fever but have symptoms such as dry cough, fatigue, sore throat, hypoesthesia and diarrhea. Those who have a history of epidemiology in COVID-19, or who are engaged in dangerous occupations, should be tested for nucleic acid in time.
2. Detect the nucleic acid of the hospitalized patients with unexplained pneumonia and severe acute respiratory infection.
3. All newly admitted patients and their accompanying staff were tested for nucleic acid. After suspicious patients are found in community health service stations, village clinics and individual clinics, they should report to community health service centers or township hospitals within 2 hours, and implement the nucleic acid detection strategy of "village report, township sampling and county detection", which can simultaneously detect antigens and find the epidemic situation as soon as possible.
Found dangerous occupational groups.
The 1 nucleic acid test is carried out every day for those who have direct contact with entry personnel, articles and the environment, staff in centralized isolation places, medical staff in fever clinics of designated medical institutions and medical staff in general medical institutions.
For employees with intensive working environment, frequent contact and strong mobility, port management service personnel and staff in other departments of comprehensive medical institutions except fever clinics, nucleic acid testing is carried out twice a week. After the occurrence of 1 local epidemic in the jurisdiction, the frequency of nucleic acid detection shall be encrypted according to the epidemic spread risk or local epidemic prevention and control requirements.
Personnel testing in key institutions and places.
Schools, kindergartens, old-age care institutions, child welfare service institutions, psychiatric hospitals, training institutions and other key institutions, supervision places, production workshops, construction sites and other crowded places should do a good job in monitoring the symptoms of relevant personnel under normalization, and organize nucleic acid sampling according to local prevention and control needs. After the occurrence of 1 local epidemic cases and above in the jurisdiction, 1 full-time nucleic acid detection should be organized in time, and then nucleic acid detection can be carried out according to the detection results and the risk of epidemic spread, according to the sampling ratio of at least 20% per day or the detection requirements of the jurisdiction.
Community management crowd detection.
1. 1 nucleic acid test was conducted on the 3rd and 7th day after discharge for the discharged infected persons and their residents in COVID-19.
2. Carry out "5-day home health monitoring" for employees in high-risk positions who have completed closed-loop operations, and conduct code management during this period. Perform 1 nucleic acid test on 65438, 3 and 5 respectively, and don't go out unless necessary.
3. Carry out "7-day home isolation medical observation" on the overflow personnel in the high-risk area, during which they are assigned to code management and are not allowed to go out, and carry out 1 nucleic acid detection on the 1, 3, 5 and 7 days respectively. The management period is from leaving the high-risk area to 7 days. Once the inflow is found; the overflow personnel shall be tested for nucleic acid 1 time immediately; and then at the required frequency. When the leakage is found in the investigation, if the leaking personnel have left the high-risk area for more than 7 days, it is not necessary to immediately complete the 1 nucleic acid test and then conduct home isolation.
4. For those who leak in low-risk areas, complete nucleic acid detection twice within 3 days, with an interval of 24 hours.
5. On the 3rd day after 1 and the judgment, the 1 nucleic acid test was conducted on the exposed persons in the epidemic-related places.
6. Close contacts and entry personnel who have been released from centralized isolation shall be tested for 1 nucleic acid on 1 day and 3/day respectively.
7. Other personnel who need to be investigated shall conduct nucleic acid detection and health monitoring according to the requirements of territorial prevention and control. 1 Nucleic acid detection shall be conducted immediately after the risk personnel are found through investigation or investigation.
A test of drug buyers.
After the local epidemic occurs, pharmacies in the jurisdiction should register the people who buy antipyretic, antiviral, antibiotic, cough and cold medicine with their real names and push them to the street management in the jurisdiction, and urge users to carry out nucleic acid testing in time, and if necessary, carry out 1 antigen testing first.
Cross-regional mobile personnel detection.
In accordance with the principle of "voluntary, free, take away, unlimited flow", set up nucleic acid sampling points in airports, railway stations, long-distance passenger stations, provincial service areas of expressways, ports and other places to provide "landing inspection" services for migrant workers across provinces, and guide those who go out on the road to take the initiative to carry out nucleic acid testing in various places.
Passengers are required to take planes, high-speed trains, trains, inter-provincial long-distance buses, inter-provincial passenger ships and other means of transportation with negative nucleic acid tests within 48 hours. Persons leaving the land border port cities must hold negative nucleic acid test certificates within 48 hours.
For those who stay in hotels and enter tourist attractions, check the health code and negative nucleic acid test certificate within 72 hours.
Special people such as infants under 3 years old can be exempted from checking negative proof of nucleic acid test.
Second, regional nucleic acid detection.
In the process of dealing with the epidemic situation, on the basis of epidemiological investigation, the range, frequency and order of the detection population are determined according to factors such as the population size in the epidemic area, whether the source of infection is clear, whether there is a risk of community transmission, and whether the transmission chain is clear. Individual cases and asymptomatic infected people have low risk of spreading to their residence, workplace and activity area, and close contacts have been controlled in time. After judging that there is no risk of community transmission, regional nucleic acid testing may not be carried out.
Provincial capital cities and cities with a population of more than10 million.
After the outbreak of the epidemic, it was found that the transmission chain was unclear, there were many risk sites and risk personnel, and the risk personnel were highly mobile, so there was a risk of epidemic spread. 1 nucleic acid detection is carried out every day in epidemic areas. After three consecutive nucleic acid tests without social infection, perform 1 nucleic acid tests every three days. If there is no social infection, all nucleic acid tests can be stopped.
In areas where other infected people have frequent activities and stay for a long time, on the basis of mobile investigation, a certain area can be designated to carry out full-time nucleic acid testing. In principle, 1 full-day nucleic acid detection is conducted every day. If there is no social infection after three consecutive nucleic acid tests, the whole nucleic acid test can be stopped.
When an epidemic spreads widely in the community across regions, the command will be upgraded, and the provincial epidemic prevention and control agency will decide whether to carry out full-scale nucleic acid testing within the city.
Ordinary city.
After the outbreak of the epidemic, it was found that the transmission chain was unclear, there were many risk sites and risk personnel, and the risk personnel were highly mobile, so there was a risk of epidemic spread. In the urban area of the city where the epidemic is located, 1 time full-time nucleic acid detection is carried out every day. After three consecutive nucleic acid tests without social infection, 1 full-time nucleic acid tests were conducted every three days. If there is no social infection, you can stop full-time nucleic acid testing.
In areas outside the city, on the basis of mobile investigation, a certain area is designated to carry out all-staff nucleic acid testing. In principle, 1 full-day nucleic acid detection is conducted every day. If there is no social infection after three consecutive nucleic acid tests, the whole nucleic acid test can be stopped.
Rural areas.
After the outbreak of the epidemic, it was found that the transmission chain was unclear, there were many risk sites and risk personnel, and the risk personnel were highly mobile, so there was a risk of epidemic spread. In the natural villages, township governments and county towns involved in the epidemic, 1 time full-time nucleic acid detection was conducted every day. After three consecutive nucleic acid tests without social infection, 1 time full-time nucleic acid test shall be conducted every three days. If there is no social infection, the full-time nucleic acid test may be stopped.
When the epidemic spread to several towns and villages, on the basis of investigation and judgment, expand the scope to carry out all-staff nucleic acid testing. In principle, 1 full-day nucleic acid detection is conducted every day. If there is no social infection after three consecutive nucleic acid tests, the whole nucleic acid test can be stopped.
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