About influenza a

From the Ministry of Education and the Ministry of Health

School influenza a H 1N 1 prevention and control work plan; School A H 1N 1 influenza prevention and control work plan).

Notice of the Ministry of Education and the Ministry of Health on printing and distributing the work plan for preventing and controlling influenza A1N1in schools

Jiao Ji Yi [2009]No. 1 1

All provinces, autonomous regions and municipalities directly under the Central Government Education Department (Education Committee), Health Department, Education Bureau and Health Bureau of Xinjiang Production and Construction Corps, universities directly under the Ministry, and China Center for Disease Control and Prevention:

In order to do a good job in the prevention and control of influenza A (H 1N 1) in schools scientifically and orderly, improve the prevention and control ability of influenza A (H 1N 1), ensure the health and life safety of students and faculty, and maintain the normal education and teaching order, according to the prevention and control strategy of influenza A determined by the State Council and the current situation of influenza A prevention and control in China, the Ministry of Education and the Ministry of Education. The revised "School Influenza A H 1N 1 Work Plan" is hereby printed and distributed to you, please follow it. The original "School Influenza A H 1N 1 Prevention and Control Work Plan (Trial)" (No.6 [2009] of Jiao Ti Yi) shall be abolished at the same time.

Attachment: school influenza A H 1N 1 prevention and control work plan

Ministry of Education and Ministry of Health

2009 1 1 3rd of the month

School influenza a H 1N 1 prevention and control work plan

In order to scientifically and orderly prevent and control influenza A (H 1N 1) in schools, improve the ability to prevent and respond to influenza A (H 1N 1), effectively prevent large-scale epidemics in schools, ensure the health and life safety of students and faculty, and maintain normal education and teaching order, this work plan is specially formulated.

This scheme is suitable for schools and kindergartens at all levels. All kinds of education and training institutions, summer camps for students and winter camps organized by other educational institutions and other departments shall be implemented with reference to this plan.

First, the school influenza A H 1N 1 epidemic division

(1) No cases of influenza A H 1N 1 were found in the school.

No confirmed cases of influenza A (H 1N 1 influenza) were found in our school.

(2) The school found sporadic cases of influenza A H 1N 1.

1 confirmed case of influenza A (H1N/kloc-0) was found in the school, but no symptoms of acute respiratory infection (acute onset, fever [body temperature ≥37.5℃), or obvious respiratory symptoms such as cough, sore throat, stuffy nose and runny nose were found.

(3) An outbreak of influenza A (H 1N 1) occurred in the school.

Within 1 week, more than 10 cases with symptoms of acute respiratory infection were found in the same school (or the same campus or college), of which at least 2 cases were confirmed cases of influenza A1n1.

Second, the division of functions

According to the principle of territorial management and joint prevention and control, under the leadership of the local government and its joint prevention and control mechanism or prevention and control headquarters for influenza A1N1,the administrative departments of education and health work closely together to supervise and guide the schools, educational institutions and medical and health institutions under their jurisdiction to do a good job in the prevention and control of influenza A1N1,and form their own duties.

(a) the administrative department of health. Guide the prevention and control of influenza A (H 1N 1) in schools, and assist the education administrative departments and schools to improve the prevention and control plans; Responsible for organizing, coordinating and urging medical and health institutions to guide the prevention and control of influenza A (H 1N 1) in schools; Inform the education administrative departments and schools of the epidemic situation of influenza A (H 1N 1) in the whole country and administrative regions in a timely manner, and guide the education administrative departments and schools to timely adjust and improve the prevention and control measures according to the changes of the epidemic situation.

(2) Medical and disease prevention and control institutions. Guide the prevention and control of influenza A1N1in schools from a technical level, and establish an information linkage mechanism with schools within their jurisdiction; Responsible for the school epidemic analysis report, case diagnosis and treatment, epidemiological investigation; When influenza A (H 1N 1) occurs in schools, it is necessary to do a good job in handling the epidemic situation of influenza A (H 1N 1) in schools in accordance with the relevant prevention and control plans and technical documents of the Ministry of Health. Responsible for guiding the school to adjust and improve various prevention and control measures in a timely manner according to the changes in the epidemic situation.

(3) Education administrative department. Work out countermeasures, measures and emergency plans for schools to deal with influenza A (H 1N 1) in conjunction with the health department; Urge schools to implement the influenza A1N1information reporting system and report relevant information in time; Cooperate with the health department, closely monitor the occurrence of influenza A (H 1N 1) in schools within the administrative area, and give early warning in time; Instruct lower education administrative departments and schools to deal with influenza A in an emergency (H1N1); Check and urge schools in the administrative area to implement various measures to deal with influenza A/H 1N 1; Coordinate and solve the guarantee of materials and funds needed by schools to deal with influenza A (H 1N 1); When influenza A (H 1N 1) occurs in the school, cooperate with the health department to deal with the epidemic situation of influenza A (H 1N 1). (4) school. Under the guidance of the health department and according to the deployment of the education administrative department, the emergency plan for influenza A (H 1N 1) in our school was formulated. Establish the responsibility system for the prevention and control of influenza A (H 1N 1) in schools with the first-in-command and the principal in charge, and divide the responsibility into departments and people; Identify and implement the information reporter of influenza A H 1N 1; Implement measures to prevent and control influenza A (H 1N 1) in schools; Places, facilities and personnel necessary for the prevention and control of influenza A (H 1N 1); When influenza A (H 1N 1) occurs in the school, cooperate with the health department to deal with the epidemic situation of influenza A (H 1N 1).

(5) Other relevant departments. Under the leadership of the local government and its joint prevention and control mechanism or prevention and control headquarters for influenza A1N/KLOC-0, fully support and do a good job in the prevention and control of influenza A1N1in relevant schools according to their respective responsibilities.

Third, prevention and control measures

(1) No cases of influenza A H 1N 1 were found in the school.

When no cases of influenza A (H 1N 1) are found in the school, the following routine preventive measures should be actively taken:

1. Formulate the school's pre-plan and work plan for dealing with influenza A (H 1N 1), and clarify the specific responsibilities of relevant departments.

2. Organize school doctors or personnel in charge of school health work to participate in the knowledge and technical training on influenza A1N1organized by higher education, health administrative departments or local disease prevention and control institutions.

3. Strengthen the preparation of epidemic response materials. Schools should be equipped with adequate hand washing facilities in toilets, canteens, dormitories, classrooms, libraries and other public places.

4. Actively carry out various forms of health education, popularize the knowledge of influenza A (H 1N 1 Influenza), and let every student and faculty know the knowledge of influenza A (H 1N 1 Influenza), including washing hands frequently, especially after coughing or sneezing. Cover your nose and mouth with paper towels and towels when coughing or sneezing, and throw the used paper towels into the trash can; No spitting; Ensure adequate nutrition and sleep; Exercise; Consciously monitor self-health status, seek medical treatment in time if you are sick, and attend classes without illness. Advocate teachers and students to maintain healthy behavior, and improve students' and staff's correct understanding and self-protection ability for influenza prevention and treatment.

5. Strengthen the hygiene and ventilation of classrooms, libraries (reading rooms), teaching and research sections, dormitories and other places where students, staff and workers study, work and live, especially classrooms that should be ventilated during recess to maintain air circulation.

6. Actively carry out patriotic health campaigns in schools. Do a good job in cleaning the school environment, especially in public places such as toilets (toilets), canteens, classrooms, dormitories, bathrooms and conference rooms.

7. Adhere to the morning inspection system. Primary and secondary schools and kindergartens should have morning check-ups every day, especially within one week after the start of the new semester or after returning to school after a long vacation. Colleges and universities should know the health status of students in time through counselors (class teachers), student cadres and dormitory directors. Once the symptoms of acute respiratory infection are found, they are required to drop out of school and seek medical advice in time. The symptoms of acute respiratory infection cases disappear for 24 hours, and after the morning examination is normal, they can go to school normally without relevant certificates issued by medical institutions.

8. Do a good job in students' daily absenteeism registration and keep abreast of the reasons for absenteeism. Once the abnormal increase of absenteeism caused by acute respiratory infection is found, it should be reported to the local disease prevention and control institution immediately.

9. Establish and improve the contact mechanism between relevant departments and personnel, schools and parents, schools and local medical institutions, and education administrative departments, clarify specific contacts and contact information, improve information collection and submission channels, and ensure the smooth flow of information.

10. According to the needs of epidemic prevention and control, according to the deployment of the local government and the joint prevention and control mechanism of influenza A1n1under the unified arrangement of the local health administrative department, actively cooperate with the health department to organize our school to carry out the vaccination of influenza A1n1influenza. Vaccination should adhere to the principle of being informed, voluntary and free, and strictly control the contraindications of vaccination in accordance with the Regulations on the Administration of Vaccine Circulation and Vaccination and the Code for Vaccination Work. For details, please refer to the current Guidelines for Influenza A H 1N 1 Vaccination issued by the Ministry of Health.

(2) The school found sporadic cases of influenza A H 1N 1.

After the school found sporadic cases of influenza A (H 1N 1), it should take prevention and control measures based on case management while strengthening various routine preventive measures to prevent the spread of the epidemic.

Medical and health institutions shall take the following health prevention and control measures:

1. According to the requirements of local health department, instruct patients to take rest treatment at home (school) or hospitalization treatment.

2. Do a good job in medical guidance and disease tracking for patients at home and at school.

3. Guide and assist local schools to strengthen morning check-ups, strengthen the monitoring of acute respiratory infection and symptoms of absence due to illness, and timely discover, report and diagnose suspicious cases.

4. In principle, there is no need to have close contact with sporadic cases of influenza A (close contact refers to the diagnosis, treatment and care of patients with influenza A (H 1N 1) who have no effective protection during the infection period; Living with patients * * *; Contact with the patient's respiratory secretions and body fluids) for judgment, tracking, registration and medical observation.

5. After receiving the epidemic report of 5 or more cases of acute respiratory infection with epidemiological relevance, the school should immediately organize investigation and verification, and collect patient specimens and send them to qualified laboratories for testing.

Schools should take the following prevention and control measures:

1. Schools should register cases.

2. Strengthen contact with patients who rest at home, and know their daily health status in time. Tell the patient to reduce contact with others and wear a mask if necessary.

3. Colleges and universities should divide independent places under the guidance of medical and health institutions, unconditionally arrange patients living at home to rest and treat themselves, and reduce contact with other personnel. If they have to touch it, they should be well protected, such as wearing masks. Schools should designate special personnel to take care of their daily lives and cooperate with the health department to do a good job in the treatment of patients. Once the patient's condition worsens, he should be hospitalized in time.

4. Patients treated at home and at school have symptoms disappeared for 24 hours, and there is no abnormality in the morning examination, so they can attend classes normally without relevant certificates issued by medical institutions. Hospitalized patients should hold the discharge certificate issued by medical and health institutions before class.

5. Students and staff who have had close contact with the case can attend classes and go to work normally, but the school should require them to have a self-observation of health status. The observation period is 5 days after the last contact with the case. Once the symptoms of acute respiratory infection appear, you should seek medical attention in time and report to the school. Schools should promptly report to local disease prevention and control institutions.

6. Classes with confirmed cases should strengthen physical examination in the morning, increase physical examination in the afternoon, and find and report suspicious cases in time.

7. 1 week, if the school finds 5 cases or more of symptoms related to acute respiratory infection, it shall immediately report to the local disease prevention and control institutions.

8. Implement other emergency measures under the specific guidance of the health department in accordance with the relevant provisions of the state and local governments.

(3) An outbreak of influenza A (H 1N 1) occurred in the school.

An epidemic of influenza A (H 1N 1) occurred in our school. While strengthening the above prevention and control measures, it is necessary to strengthen comprehensive prevention and control measures such as epidemic monitoring, case management, infection control, publicity and education of prevention and control knowledge and reducing large-scale gathering activities to reduce the harm of the epidemic.

Medical and health institutions shall take the following health prevention and control measures:

1. The confirmed and clinically diagnosed cases of influenza A (H 1N 1) and the cases of acute respiratory infection found in this epidemic are managed according to the above-mentioned sporadic cases of influenza A (H 1N 1).

2. Students, teachers, staff, etc. Those who have symptoms of mild acute respiratory infection and have close contact with cases can be instructed to take the management measures of the above sporadic cases without collecting samples for testing; Instruct close contacts who have severe symptoms of acute respiratory infection, or high-risk groups who have symptoms of acute respiratory infection in close contacts to seek medical treatment in time.

High-risk population refers to people who may be seriously ill and have high mortality after suffering from influenza A (H 1N 1). Including pregnant women; Accompanied by chronic respiratory diseases, cardiovascular diseases (except hypertension), nephropathy, liver diseases, blood system diseases, nervous system and neuromuscular diseases, metabolic and endocrine system diseases, immunosuppression (including immunosuppressants or HIV infection, etc.). ), and/kloc-taking aspirin for a long time under 0/9 years old; Obesity (body mass index ≥40 is a high risk factor, and body mass index 30-39 may be a high risk factor); Children under 5 years old (children under 2 years old are more likely to have serious complications); Older people over 65 years old.

3. Guide and assist local schools to strengthen morning check-up, and guide schools with epidemic situations to carry out morning check-up, daily epidemic report and zero report.

4 timely release epidemic information and prevention and control measures, strengthen information release and announcement in the region, cooperate with the education department to strengthen publicity and education on prevention and control knowledge, and stabilize the mood of students and faculty. Do a good job in media communication with the education department and give play to the role of media in information dissemination and public opinion guidance.

Schools should take the following prevention and control measures:

1. Under the guidance of the health department, students, faculty and parents who have been in close contact with the case (H 1N 1) should be educated on the prevention of influenza A through various forms (such as health notice, publicity materials, telephone calls, short messages, blackboard newspapers, etc.). ).

2. Primary and secondary schools and kindergartens should increase physical examination in the afternoon while doing daily morning check-ups and absenteeism registration, and report the results of morning check-ups and absenteeism registration to local education departments and health departments every day. Colleges and universities should strengthen morning check-ups, and improve the information collection and submission channels of students' health status in dormitories, classes, hospitals (departments), student offices and school hospitals.

3. Strengthen the cleanliness of the school environment, toys and teaching AIDS. , especially in public places such as toilets, canteens, classrooms, dormitories, bathrooms and conference rooms.

4 during the school epidemic, according to the principle of "not necessary, not held", try to reduce large-scale gathering activities. If it must be held, try to hold it outdoors; If it is held indoors, it is necessary to formulate corresponding work plans and take relevant prevention and control measures, such as maintaining good ventilation, avoiding the use of central air conditioning, and shortening the gathering time of people as much as possible. Societies and student groups should try to avoid participating in extracurricular activities.

5. Strengthen the admission management of school personnel and strictly control the entry of outsiders into the campus. No place shall be provided for any institution to hold various training activities.

6. Suspension measures. When the epidemic reaches the following standards, measures can be taken to suspend classes. In principle, the scope of suspension should be from small to large according to the epidemic scope and development trend, such as from class to whole school, from one school to many schools.

(1) Class closed.

(1) On the same day, students with 5 or more new cases of acute respiratory infection or 30% or more symptoms of acute respiratory infection in the class can suspend classes and immediately report to the local disease prevention and control institutions.

(2) After receiving the school report, the local disease prevention and control institutions should immediately organize investigation and verification, and collect patient specimens for testing. If the epidemic situation of influenza A (H 1N 1) is confirmed, the school will be notified to continue to suspend classes, and the suspension period is generally 7 days. If the epidemic of influenza A (H 1N 1) is excluded, the school can resume classes according to the suggestion of the health department.

(3) The suspension of classes is decided by the school and the local disease prevention and control institutions, and reported to the higher education administrative department for the record.

The suspension of classes in colleges and universities is decided by colleges and universities themselves.

(2) the school is closed.

(1) If the normal teaching activities of the school are affected too much by the students who take rest and treatment for acute respiratory infection, the local health administrative department should organize an expert group to conduct epidemic risk assessment, consult with the local education administrative department according to the risk assessment results, and report to the local government, the joint prevention and control mechanism of influenza A (H 1N 1) or the prevention and control headquarters, and then implement the measures of suspending classes in the whole school.

The suspension period is usually 7 days. After the suspension period expires, if students still have symptoms of acute respiratory infection, they can resume classes 24 hours after the symptoms completely disappear.

(2) If the local epidemic intensity or disease severity of influenza A1N/KLOC-0 shows an obvious upward trend, the local health administrative department can consult with the local education administrative department according to the risk assessment results of the expert group, and report it to the local government, the joint prevention and control mechanism of influenza A1N/KLOC-0 or the prevention and control headquarters for approval.

(3) All localities can make scientific judgments according to the different stages of local epidemic development, and adjust the standards for suspension of classes as appropriate.

(4) Management during suspension.

① Before classes are suspended, students, parents and staff should be informed about influenza A (H 1N 1), and students, parents and staff should keep in touch with the school and report whether they have symptoms of acute respiratory infection. Schools should report the health status of students and teaching staff to local disease prevention and control institutions and education administrative departments every day.

(2) After the holidays in primary and secondary schools, health, education and other relevant departments should, under the leadership of the local government, strengthen the off-campus management of students' holidays, reduce going out and avoid off-campus gatherings and other collective activities. After the suspension of classes in colleges and universities, it is necessary to strengthen the management of students who have suspended classes.

(3) During the suspension of classes, the symptoms of acute respiratory infection are mild, and it is not necessary to collect samples for testing, so the management measures of the above sporadic cases can be taken; People with symptoms of severe acute respiratory infection, or high-risk people with symptoms of acute respiratory infection, should seek medical attention in time. Once the school finds that students have symptoms of acute respiratory infection, it should report to the local disease prevention and control institutions in time.