Prevention and control of epidemic situation by National Health and Wellness Committee

Author | Yan Li

On February 7th, 65438, the Comprehensive Group of Joint Prevention and Control Mechanism of the State Council issued "Further Optimizing and Implementing the Prevention and Control Measures of COVID-19 Epidemic".

The State Council joint defense and control mechanism held a press conference on the same day. Wang Hesheng, deputy director of the National Health and Wellness Commission and director of the National Bureau for Disease Control and Prevention, Li Bin, deputy director of the National Health and Wellness Commission, Guo Yanhong, director of the Medical Emergency Department of the National Health and Wellness Commission, and Liang Wannian, head of the expert group on epidemic response and disposal of the National Health and Wellness Commission, were invited to introduce and interpret relevant information.

press conference

Political circles have noticed Wang Hesheng, Guo Yanhong, Li Bin and Liang Wannian. Previously, I went to the local front line to guide the prevention and control of the epidemic.

At the meeting, several "anti-epidemic veterans" answered questions about nucleic acids, vaccines, diagnosis and treatment.

"Continue to prevent and control while adjusting"

Why didn't it take long for the 20 measures to be introduced, and China's epidemic prevention and control policies were adjusted again?

Li Bin, deputy director of the National Health and Wellness Commission, said that with the large-scale vaccination and COVID-19 mutation, the spread of the virus has increased, but the pathogenicity has weakened, and the overall health risks brought to the population tend to ease. The prevention and control of epidemic situation in China is facing new situation and new task.

He pointed out that the ten measures can be roughly divided into two categories: one is key optimization, which is to further optimize the ninth edition of the prevention and control plan and 20 local measures based on the characteristics of viruses and epidemics and the practical experience of recent epidemic response in various places. The other is to emphasize accuracy, which is more scientific and accurate in view of the outstanding problems facing the current prevention and control, especially the improper and inaccurate implementation of the ninth edition and Article 20, which are strongly reflected by the masses. All localities should make overall plans to promote implementation, and measures for optimization and adjustment should be implemented in accordance with new requirements. Unadjusted measures should be implemented according to the original plan to ensure that all measures are implemented, landed and put in place.

"We will continue to prevent and control, study, summarize and adjust, take small steps, and constantly optimize and improve prevention and control measures." Li Bin said.

Actively optimize, don't let go.

New prevention and control measures were further optimized. Is this a passive "release"?

Liang Wannian, head of the expert group of the leading group for the response and disposal of epidemic situation in National Health Commission, said that the optimization is not completely liberalized, but active rather than passive, especially after combing and summarizing the beneficial experiences and existing problems of the 20 places after implementation.

He mentioned that it is an important experience for China's epidemic prevention and control to adhere to small steps and keep going, and actively optimize and improve prevention and control policies. At present, the pathogenicity and virulence of the mutant strain are obviously weakened, the complete vaccination rate of the whole population has exceeded 90%, and the people's health awareness and health literacy have been obviously improved. The prevention and control of epidemic situation in China is facing new situation and new task.

He also pointed out that from an international perspective, the reason why some countries relaxed prevention and control measures was mainly that in the early waves of the COVID-19 epidemic, a considerable proportion of people had acquired natural immunity, and some countries paid a lot of deaths and other costs; Secondly, the vaccination coverage rate, especially the coverage rate of the elderly population, has reached a high proportion; Thirdly, the pathogenicity of the new mutant is gradually weakened, and it has good medical treatment ability. However, most countries have not completely liberalized, but the focus of prevention and control has changed. For example, the focus is mainly on preventing a run on medical resources, and their strategies and measures are adjusted in an orderly manner, not in one step.

"There are enough medicines, so there is no need to snap up."

At present, what are the treatments for patients with COVID-19's disease? What are the drug reserves and guarantees of medical institutions in treating COVID-19 patients? Do families need to stock up on medicines?

Guo Yanhong, director of the Medical Emergency Department of the National Health and Wellness Commission, said that the first treatment for COVID-19-infected people is symptomatic treatment, such as giving some antipyretic drugs and some drugs for relieving cough and resolving phlegm. Second, for patients with common or serious risk factors, antiviral treatment can be carried out as soon as possible, but antiviral drugs must be taken under the guidance of a doctor. Thirdly, Chinese medicine has unique advantages in treating virus infection, so it should be said that some good Chinese medicine can also be a very good choice for our treatment. Fourthly, in the course of treatment, we pay special attention to treating COVID-19 and basic diseases simultaneously. We can't stop using drugs to treat basic diseases just because we are infected with COVID-19 virus.

She also revealed that we have asked medical institutions at or above the county level to strengthen the preparation of these symptomatic drugs and antiviral drugs, including traditional Chinese medicine and western medicine, including antigen reagents. At the same time, through classified treatment, many infected people will choose family treatment, so we require primary medical institutions and drug retail outlets to make corresponding preparations to ensure the accessibility of drugs.

As for patients going to the fever clinic, Guo Yanhong revealed that when patients go to the fever clinic, doctors should ask some medical history, especially symptoms and course of disease, and do some medical examinations, including blood routine and pathogen detection. Through these tests, doctors can judge whether they are infected with COVID-19 or other diseases. At the same time, because we require the fever clinic to implement the responsibility system of first diagnosis, there are a series of arrangements for his referral, which departments and places to go for further treatment.

For patients with emergency needs, she said that patients with emergency medical needs must and should be satisfied, regardless of the nucleic acid results. "We require all medical institutions to implement the first-visit responsibility system and emergency rescue system, and at the same time formulate and improve corresponding emergency plans and strictly implement them. Treating patients must not be based on whether there is a nucleic acid test result. "

Finally, she suggested that there was no need to hoard and snap up drugs. With the deployment of the whole work, these drugs are abundant in both drug sales outlets and medical institutions.

People aged "18-59" also need booster shots.

With regard to vaccination, Zheng Zhongwei, director of the Science and Technology Development Center of the National Health and Wellness Commission and head of the vaccine research and development working group, revealed at the meeting that at present, there are many vaccine technical routes, many approved types and rich vaccination combinations in COVID-19. In this scheme, the six combinations we introduced are all safe and effective.

"As long as we are vaccinated with a booster vaccine, the protection against serious illness and death is very significant, and it is expected to have a certain protective effect on infection. Specific to the actual vaccination, we may be in different vaccination sites, at different vaccination sites. Due to the supply or purchase of vaccines, some vaccines may not be available, but you must not hesitate. As long as you choose any of these six combinations for vaccination, your health and life safety can be very well protected. " He stressed.

He also pointed out that in addition to the elderly, many people aged 65,438+08-59 have been vaccinated for more than six months, and this group of people also need to strengthen the injection, and the interval between vaccination can be adjusted to three months.

Regarding the promotion of vaccination measures mentioned by the live media, he responded that whether to introduce this measure must be in accordance with national laws and regulations, and the vaccination order cannot be enforced.