The National Health Commission issued a plan to strengthen vaccination for the elderly in COVID-19.

Notice on Printing and Distributing the Work Plan of Strengthening Vaccination for the Elderly in COVID-19 No.484 [2022] of Guo Weimingdian

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 Response to novel coronavirus Epidemic Comprehensive Joint Prevention and Control Mechanism Group

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".

The whole population of COVID-19 is susceptible, among which the most vulnerable are the elderly. Because the immune function of the elderly is weaker than that of the young, and most of them have various basic diseases, once infected, the risk of severe illness and death is very high compared with adults and children.

For the elderly, especially the very old, it is very meaningful and valuable to do all kinds of vaccination and strengthen immunity.

Q: How safe is COVID-19 vaccine for the elderly?

A: All COVID-19 vaccines currently used in China have been tested in clinical trials for the whole population, including the elderly, showing that the vaccines have good safety.

Among all kinds of COVID-19 vaccines, the main vaccine in China has low overall side effects. For example, the proportion of fever after vaccination is about17.61110,000, which generally does not require treatment; Severe allergic reactions are less than one in ten million, and the adverse reactions of the elderly are slightly lower than those of adults.

Q: Can the elderly with chronic basic diseases be vaccinated with COVID-19 vaccine?

A: Except for the elderly who suffer from anaphylactic shock or laryngeal edema after vaccination and are suffering from fever or acute attack of infectious diseases or mental diseases, other elderly people with chronic diseases with stable health and good drug control can be vaccinated with COVID-19 vaccine.

Vaccination strategies in many countries and the recommendations of the World Health Organization believe that the elderly, especially those with chronic basic diseases, should be the top priority of vaccination, and they can all be vaccinated with COVID-19 vaccine.

Q: If you live in a remote area or don't go out often, is it necessary to get COVID-19 vaccine?

A: It is necessary!

First of all, with the increasing proportion of young people vaccinated, many young people have mild or no symptoms even if they are infected. When they go home to visit the elderly, there may be a risk of bringing the virus home to infect the elderly. This will bring great risk of infection to the elderly who are not vaccinated.

Secondly, in rural areas, especially remote rural areas, medical conditions may be worse than those in cities. Vaccination is the best protection measure.

Finally, once the old man is seriously ill and dies, the burden on the family is enormous. Therefore, we should do our best to ensure that all the old people should pick them up.

Q: Should the elderly be vaccinated?

A: Yes, and it is very necessary!

In recent two years, through the research in COVID-19, it was found that the neutralizing antibody level produced by the old people after vaccination with COVID-19 vaccine was lower than that of the young people. After vaccination with conventional vaccine, the neutralizing antibody level of all the people decreased to some extent with the passage of time. Therefore, the elderly who meet the vaccination conditions should be vaccinated with booster shots as soon as possible.

Q: What should the elderly pay attention to when they are vaccinated with COVID-19 vaccine?

A: First, when the elderly are vaccinated, if they have basic diseases such as diabetes and hypertension, it is recommended to vaccinate in a stable period. If there is no way to define the quiescent period, it is recommended to consult the vaccinator or clinician to evaluate whether the vaccine can be vaccinated.

Second, make an appointment for vaccination in advance. Before vaccination, it is necessary to understand the vaccination process and vaccine-related knowledge. It is also necessary to avoid the elderly waiting too much at the scene, causing fatigue, tension and other situations. During the vaccination process, it is recommended that the elderly be accompanied by their families to prevent accidental falls.

Third, after vaccination, the elderly should stay on observation for 30 minutes. If you feel unwell after vaccination and it lasts for a long time, it is recommended to seek medical advice as soon as possible. If you suspect that you have symptoms related to the vaccine, you should report it as soon as possible.

Matters needing attention in vaccination of COVID-19 vaccine for the elderly

First of all, before vaccination

1. Understand the knowledge about vaccination in COVID-19, and understand the vaccination process at the inoculation point. Determine in advance whether an appointment is required; 2. According to the requirements of the inoculation point, carry relevant identity documents and bring your mobile phone to show your health code; 3. Take a good rest before inoculation and keep a good physiological state. It is best not to vaccinate on an empty stomach; 4. Wear loose, easy-to-put and warm clothes on the day of inoculation to facilitate inoculation and avoid catching cold; 5. If it is before strengthening immunization, you can check the types of vaccines in COVID-19 through Jingjianbao in advance.

Second, when vaccinated.

1. Wear a mask during the whole vaccination period, and queue up in an orderly manner according to the inoculation point logo, keeping a social distance of more than one meter; 2. Before vaccination, you should take the initiative to provide doctors with information such as health status, recent vaccination of other vaccines and recent medication, read it carefully, fill in the informed consent form truthfully and sign it; 3. Put the hemostatic cotton swab into a medical trash can or a yellow medical waste garbage bag; Put on clothes in time and keep warm to avoid catching a cold.

Third, after vaccination

1. Observe the inoculation site for 30 minutes and leave after no symptoms. Keep the local hygiene of inoculation on the same day, avoid water accumulation at the injection site and prevent infection; 2. Such as local pain, redness, induration, general fatigue, fever and headache. At the inoculation site, it generally does not need to be treated and can be recovered by itself. If you have persistent fever, high fever or other obvious discomfort symptoms, you should seek medical advice in time and report to the inoculation point; 3. Avoid strenuous exercise and maintain a stable life after vaccination.

Vaccination list of the elderly in COVID-19

First, according to the expert's advice, the following conditions can be vaccinated.

1. In COVID-19, patients with chronic diseases with stable health and good drug control are not considered as taboo population for vaccination, so vaccination is recommended. 2. Suffering from heart disease, coronary heart disease and other diseases, the stable period of the disease is not acute attack, and you can be vaccinated; The heart is equipped with stents, bypasses and pacemakers, and can also be vaccinated in stable period. 3. Hypertension drugs are controlled stably, and the blood pressure is lower than 160/ 100 mm Hg, so it can be inoculated. 4. Stroke can be vaccinated in stable period. 5. High uric acid can be inoculated in stable period. 6. Lumbar disc herniation, hip replacement, fracture and other postoperative recovery periods can be vaccinated as long as the condition is stable. 7. Gastric ulcer and liver cirrhosis can be vaccinated in the stable period. 8. The drug control of diabetes is stable, the fasting blood glucose is ≤ 13.9 mmol/L, and there is no acute complication, so it can be inoculated. Glycosylated hemoglobin can be inoculated below 7 mmol. All kinds of drugs for treating diabetes are not taboo to vaccinate. 9. You can get a vaccine if you eat health care products or traditional Chinese medicine. 10. Both allergic rhinitis and allergic asthma can be inoculated. 1 1. For other special diseases, the attending doctor should be consulted before vaccination, and then vaccination should be carried out according to the condition and the advice of the clinician.

Two, according to expert advice, the following circumstances to suspend or not to vaccinate.

1. It is not recommended to vaccinate people who are allergic to active ingredients, any inactive ingredients and substances used in vaccine production, or people who were allergic to similar vaccines in the past. 2. It is not recommended to vaccinate people who have severe allergic reactions to vaccines in the past. 3. Vaccination is not recommended for patients with uncontrolled epilepsy and other serious nervous system diseases. 4. Vaccination is not recommended for patients with fever, acute disease, acute attack of chronic disease or uncontrollable serious chronic disease. 5. Vaccination is suspended during acute attack of gout, bad cold, myocardial infarction and cerebral infarction. 6. Before and after the operation, patients with malignant tumor were suspended during chemotherapy and radiotherapy.