65438+Interpretation and Questions and Answers on Further Optimizing the Implementation of COVID-19 Epidemic Prevention and Control Measures on February 7th, 2008.

1. What is the background of the announcement? What is the main content?

Since the outbreak of the COVID-19 epidemic, the CPC Central Committee and the State Council have always put people's life safety and health in the first place. According to the characteristics of virus variation and the development situation of epidemic situation, we should stick to the principle of "keeping the word steady, striving for progress while maintaining stability", taking small steps and going fast without stopping, and optimize and improve prevention and control measures according to the situation. Article 20 After the promulgation and implementation of the optimization measures, we closely followed the implementation effect in various places, combined with the beneficial experience accumulated in the recent epidemic response process in various places, organized research and put forward ten targeted measures to further optimize the isolation of infected persons and close contacts, nucleic acid detection and other measures. Further strengthen the requirements of "quick sealing and quick solution", vaccination, school prevention and control, epidemic-related security, people's medical treatment, medication and basic living security, and maintaining normal social operation in high-risk areas, continuously improve the scientific and accurate level of prevention and control, maximize the safety and health of people's lives, and minimize the impact of the epidemic on people's production and living order and economic and social development.

2. What are the provisions of the Notice on the delineation of risk areas? What is the reason?

The "Notice" requires that risk areas be scientifically and accurately divided, and high-risk areas should be defined according to buildings, units, floors and households. It is not allowed to expand to communities, communities and streets at will, and the risk areas should be accurately determined through flow adjustment to further reduce the number of people under control. At the same time, it is required not to adopt various forms of temporary closure and control, and not to adopt "silent" management at will. In the process of handling the epidemic situation, all localities should quickly control close contacts. If there is no risk of community transmission, high-risk areas shall not be designated.

3. What further optimizations have been made to nucleic acid detection in the Notice? What are the considerations?

Nucleic acid testing should focus on areas and people with high risk of infection, and all the people should not be tested according to administrative regions, so as to further narrow the scope of nucleic acid testing and reduce the frequency. According to the needs of epidemic prevention work, antigen testing can be carried out. In accordance with the relevant provisions of Article 20 of the "Optimization Measures", nucleic acid testing should be carried out for personnel 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 comprehensive medical institutions, and employees in high-risk positions such as supermarkets, express delivery and take-away, which are crowded, frequently contacted and highly mobile. Others are willing to do their best.

Considering that nursing homes, welfare homes, child care institutions, primary and secondary schools are places where special people such as the elderly and children are concentrated, once the source of infection is introduced, it is easy to have a cluster epidemic and the risk of serious diseases is high. Therefore, to enter nursing homes, welfare homes, kindergartens, primary and secondary schools, it is necessary to provide negative proof of nucleic acid testing to prevent the introduction of infectious sources. Medical institutions have complex crowds, large flow of people and closed space. Once the source of infection is introduced, it is easy to cause the spread of epidemic situation and nosocomial infection, which will affect the normal operation of medical institutions and the normal medical treatment of the people. Therefore, it is necessary to provide negative proof of nucleic acid test when entering medical institutions, but medical institutions should not shirk and refuse to treat critically ill patients on the grounds that there is no negative proof of nucleic acid test. Important organs, large enterprises and some specific places can determine their own prevention and control measures by the territory to ensure the normal operation of society and maintain the normal production and living order.

After the outbreak, all localities should investigate the epidemic situation and flow direction, assess the epidemic risk in different regions, classify and determine the scope and frequency of nucleic acid detection, and improve the quality and efficiency of nucleic acid screening.

Four, the "notice" on the isolation of infected people and close contacts have been adjusted, for what reason?

The pathogenicity of Omicron mutant was obviously weakened. According to clinical observation, most infected patients are asymptomatic and mild cases, and no special treatment is needed. Asymptomatic infected persons and mild cases with home isolation conditions can be isolated at home and health monitoring should be strengthened. If the condition worsens, it should be transferred to a designated hospital for treatment in time. Close contacts with home isolation conditions should be isolated at home for 5 days, strengthen the management of home isolation, do a good job in health monitoring, and complete nucleic acid testing according to regulations. The adjustment of isolation methods for infected persons and close contacts fully embodies the principle of people-oriented and life first in epidemic prevention and control in China, and dynamically optimizes and improves prevention and control measures according to the characteristics of virus variation and the development situation of epidemic situation.

5. The notice requires that "quick sealing and quick solution" should be implemented in high-risk areas. What is the consideration?

According to the ninth edition of the prevention and control plan and the related requirements of 20 optimization measures, after finding infected people, it is necessary to delimit high-risk areas as soon as possible, investigate and control risk personnel, and block community communication in time to achieve "quick sealing and quick solution". If there are no high-risk areas with new infections for five consecutive days, they should be dredged in time to avoid long-term closure and reduce the inconvenience caused by the epidemic. If the newly discovered infected persons in the closed high-risk area are roommates, close contacts or their roommates of the strict household isolation management personnel, there is no risk of community transmission outside the home after assessment, which will not affect the unsealing time of the high-risk area.

6. What measures does the Notice take to ensure people's basic demand for medicines?

All localities should ensure the normal operation of pharmacies and may not close pharmacies at will. Do a good job in the supply and storage of conventional drugs, especially those related to patients with basic diseases. Smooth multi-channel drug purchase channels and distribution links, do not restrict people from buying non-prescription drugs such as fever, cough, virus and cold online and offline, and cancel the pop-up window and nucleic acid detection requirements when purchasing non-prescription drugs. Take various measures to ensure the people, especially the elderly and patients with basic diseases, to purchase basic drugs.

7. Why should the elderly be vaccinated? How is it arranged to speed up vaccination for the elderly?

At present, the situation of epidemic prevention and control is severe and complicated. Vaccination is still effective in preventing severe illness and death. Vulnerable groups such as the elderly who are infected with COVID-19 are likely to develop into severe illness, critical illness or even death, and vaccination with COVID-19 vaccine will benefit the most. Therefore, it is necessary for the elderly to get COVID-19 vaccine in time. In order to speed up the vaccination work of the elderly in COVID-19, we have made arrangements from the following aspects: setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles and other measures, providing home vaccination services for the disabled and semi-disabled elderly, optimizing various convenience measures, and getting through the "last100m" vaccination for the elderly to provide maximum convenience for the elderly. Step by step to carry out training to judge the contraindications of vaccination, guide medical staff to scientifically judge the contraindications of vaccination, and eliminate the vaccination doubts of the elderly. Refine popular science propaganda, mobilize all social forces to participate in mobilizing the elderly to vaccinate, so that the elderly can be vaccinated to protect their health.

Eight, the "notice" mentioned in the classified management of key groups, how to promote this work?

Mobilize all forces to participate, give full play to the role of neighborhood committees and their public health committees and the professional advantages of urban and rural primary medical and health institutions, make full use of existing residents' health information, and conduct a thorough investigation on the health status of the elderly through health management services for the elderly and telephone, SMS and WeChat surveys. If the ledger has been established during the epidemic period, there is no need to collect it repeatedly, and it is encouraged to integrate the information through information technology to determine the scope of key populations and effectively reduce the burden on the grassroots. According to health status, vaccination, risk of infectious diseases, etc. Divide the diagnosed population into key, sub-key and general population, give play to the role of "net bottom" of primary medical and health institutions and "gatekeeper" of family doctors, and provide corresponding health services by classification.

9. What are the considerations, requirements and problems that should be paid attention to in the implementation of the Notice to ensure the normal operation of society and basic medical services?

China has a large population, many vulnerable groups, unbalanced regional development and insufficient medical and health resources. At present, the epidemic situation in some areas is large, and the prevention and control situation is severe and complicated. Although the pathogenicity of Omicron mutant was obviously weakened, its transmission ability was obviously enhanced. If a large number of people who ensure the normal operation of society and basic medical services are infected in a short time, it will cause a shortage of manpower, which may have an impact on social operation and basic medical services.

In order to effectively coordinate the epidemic prevention and control with economic and social development, and ensure the normal operation of society and basic medical services during the epidemic, the Notice requires that non-high-risk areas shall not restrict the flow of people, and shall not stop work, production or business; Medical personnel, public security, transportation and logistics, supermarkets, power supply, water and electricity heating and other personnel who guarantee basic medical services and the normal operation of society are included in the "white list" management. Relevant personnel should pay attention to personal protection, do a good job in vaccination and health monitoring every day, reduce contact with society, work as "two points and one line" as much as possible, and can go to work normally with a negative certificate of nucleic acid testing; When a positive result is detected, it is necessary to accurately identify the close contacts, not to temporarily seal up and control the workplace, not to isolate the workplace personnel in a large scale, to ensure normal medical services and the supply of basic living materials, water, electricity and heating, to try their best to maintain normal production and work order, to solve the urgent and urgent problems raised by the masses in time, and to effectively meet the basic living needs of the masses during the epidemic handling period.

X. What are the provisions of the Notice on Strengthening the Safety and Security of Infectious Diseases?

In order to strengthen risk prevention in epidemic prevention and control and ensure the safety of people's lives and property, the notice requires that it is strictly forbidden to block fire exits, unit doors and residential doors in various ways to ensure that people go out for medical treatment and emergency avoidance. While controlling risk personnel, it is necessary to strengthen door-to-door service and do a good job in life and normal medical care. Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide convenience for elderly people living alone, minors, pregnant women, disabled people and patients with chronic diseases. Strengthen the care and psychological counseling for control personnel, patients and front-line staff, provide psychological assistance hotline and carry out psychological support services.

XI。 What further optimizations have been made in the Notice on the prevention and control of epidemic situation in schools? What are the considerations?

Schools are key places with dense personnel. It is an important task to protect the health of teachers and students to the maximum and maintain the normal education and teaching order to the maximum. According to the current epidemic situation and the actual situation of the school, in order to guide the school to prevent and control more scientifically and accurately, the notice clearly requires kindergartens, primary and secondary schools and other special places to check the negative certificate of nucleic acid testing and health code. At the same time, local schools are required to resolutely implement the requirements of scientific and precise prevention and control. Non-epidemic schools should carry out normal offline teaching activities, and the supermarkets, canteens, stadiums and libraries of schools should be opened normally. Schools with epidemics should scientifically and accurately define risk areas, and ensure normal teaching and living order outside the risk areas. All localities and relevant departments should attach great importance to the prevention and control of epidemic situation in schools, improve the coordination mechanism between schools and localities, and further optimize prevention and control measures according to the characteristics of schools at all levels to ensure the health of teachers and students and campus safety.

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