What is closed-loop management?

Xinhua News Agency, Beijing16 October-The Comprehensive Group of Joint Prevention and Control Mechanism of the State Council released the Notice on Further Optimizing the Prevention and Control Measures of COVID-19 Epidemic. The notice pointed out that the CPC Central Committee has made important arrangements and put forward clear requirements for 20 measures to further optimize the prevention and control work, and all localities and departments should put all optimization measures in place to the letter.

(1) For close contacts, the management measures of "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", and code management will be carried out during this period, and they are not allowed to go out. The nucleic acid of 65438+ on the 0, 2, 3 and 5 days of centralized isolation medical observation was detected, and the nucleic acid of 65438+ on the 0 and 3 days of home isolation medical observation was detected.

(two) timely and accurately determine the close contacts, no longer determine the close contacts.

(3) Adjust the "7-day centralized isolation" of overflow personnel in medium and high-risk areas to "7-day home isolation", and implement code management during this period, and do not go out. On day 1, day 3, day 5 and day 7 of home isolation, 1 nucleic acid was detected respectively.

(4) Adjust the risk area from "high, medium and low" to "high and low" to minimize the number of management personnel. In principle, the areas where infected people live, workplaces and activities with frequent activities and high risk of epidemic spread are designated as high-risk areas, which are generally designated by units and buildings and may not be expanded at will; Other areas in counties (cities, districts and banners) where high-risk areas are located are designated as low-risk areas. No new cases of infection were found in high-risk areas for 5 consecutive days, and they were reduced to low-risk areas. High-risk areas that meet the conditions for unsealing should be unsealed in time.

(5) Employees in high-risk posts who have completed closed-loop operations are adjusted from "7-day centralized isolation or 7-day home isolation" to "5-day home health monitoring". During the period, they were assigned code management, and 1 nucleic acid detection was carried out on the 65438th, 3rd and 5th days respectively. If they really need to go out, they won't go to crowded public places or take buses.

(six) in areas where no epidemic has occurred, nucleic acid testing shall be carried out for risk posts and key personnel in strict accordance with the scope determined in the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded. Generally, the whole staff is not tested according to the administrative region, but only when the source of infection and transmission chain are unclear and the community transmission time is long. Formulate specific implementation measures to standardize nucleic acid detection, reiterate and refine relevant requirements, and correct unscientific practices such as "two inspections a day" and "three inspections a day".

(7) Cancel the fuse mechanism of inbound flights, and adjust the negative certificate of two nucleic acid tests within 48 hours before boarding to the negative certificate of 1 time within 48 hours before boarding.

(8) Important business personnel and sports organizations will be transported to the closed-loop management area ("closed-loop bubble") for business, training, competitions and other activities without isolation. In the meantime, they will be assigned code management and cannot leave the management area. Chinese personnel are required to complete the supplementary immunization of COVID-19 vaccine before entering the management area, and take corresponding isolation management or health monitoring measures according to the risks after completing the work.

(9) It is clear that the criterion of positive judgment for entry personnel is the Ct value of nucleic acid detection.

(10) The entry personnel shall be adjusted from "7-day centralized isolation +3-day home health monitoring" to "5-day centralized isolation +3-day home isolation", and shall be assigned code management during the period, and shall not go out. After the entry personnel are quarantined at the first entry point, the destination shall not be quarantined again. The nucleic acid of 65438+ on the 0, 2, 3 and 5 days of centralized isolation medical observation was detected, and the nucleic acid of 65438+ on the 0 and 3 days of home isolation medical observation was detected.

(eleven) to strengthen the construction of medical resources. Formulate graded diagnosis and treatment plans, admission standards for infected people with different clinical severity, epidemic situation of medical institutions and infection treatment plans for medical staff, and do a good job in training all medical staff. Prepare hospital beds and critically ill beds, and increase resources for treatment.

(twelve) to promote the vaccination work in COVID-19 in an orderly manner. Formulate a plan to accelerate vaccination and accelerate the improvement of vaccination coverage, especially for the elderly. Accelerate the research and development of monovalent or multivalent vaccines with broad-spectrum protection, and promote approval according to laws and regulations.

(thirteen) to speed up the treatment-related drug reserves in COVID-19. Do a good job in supply and storage to meet the needs of patients, especially the treatment needs of critically ill and high-risk and elderly patients. Pay attention to the unique advantages of traditional Chinese medicine, and do a good job in the effective reserve of traditional Chinese medicine prescriptions. Strengthen the reserve of first-aid drugs and medical devices.

(fourteen) to strengthen the protection of key institutions and key groups. Find out the base of the elderly, patients with basic diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection programs. Optimize the management of places where vulnerable people are concentrated, such as nursing homes, mental hospitals and welfare homes.

(fifteen) the implementation of the "four early" requirements, reduce the scale of the epidemic and disposal time. All localities should further improve the multi-channel monitoring and early warning and multi-point trigger mechanism of the epidemic, carry out "landing inspection" for migrant workers across provinces, report infected people in time according to law, do a good job in the management of risk personnel at the first time, and strictly implement early detection, early reporting, early isolation and early treatment to avoid expanding the front and prolonging the time. We must never wait and see and go our own way.

(sixteen) to increase the "one size fits all", layers of overweight problem rectification efforts. Local party committees and governments should implement territorial responsibilities and strictly implement the unified national prevention and control policies. It is strictly forbidden to stop school, suspend classes, stop production, block traffic without approval, take "silent" management without authorization, block control without authorization, unseal for a long time, and stop clinic without authorization. Increase the intensity of notification and public exposure, and seriously blame those who cause serious consequences according to the law. Give full play to the role of special classes for rectification at all levels, efficiently collect and transfer reporting clues, and urge local authorities to rectify in time. Health and Wellness Commission, CDC, Ministry of Education, Ministry of Transport and other competent departments of various industries have strengthened supervision and guidance on the industry system, increased the exposure of typical cases, and effectively played a deterrent role.

(seventeen) to strengthen the service guarantee for closed and isolated personnel. All localities should set up special classes for the protection of living materials, formulate and improve the market supply of daily necessities, closed community distribution, regional joint supply and other plans in a timely manner, and make good reserves of important livelihood commodities. Comprehensively sort out the basic information of the resident population in the community, master the situation of key personnel such as empty nesters living alone, children in distress, pregnant women and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize the terminal distribution in closed areas, clarify the special strength of living materials supply, draw a fixed receiving point in the community, and get through the "last meter" of distribution. Guide the community to establish a direct hotline with medical institutions and pharmacies, equip the community with a special car, do a good job in service connection, strictly implement the first diagnosis responsibility system and emergency rescue system, and do not refuse to consult for any reason to ensure the demand of residents for treatment drugs. Do a good job in psychological counseling of isolation and control personnel, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, and solve the practical difficulties of the people.

(eighteen) optimize the campus epidemic prevention and control measures. Improve the coordination mechanism between schools and places, strengthen the emergency response guarantee of campus epidemic through joint prevention and control, give priority to the work of campus transshipment isolation, nucleic acid detection, flow tracing, environmental disinfection, and living materials support, improve the emergency response capacity of schools, and support schools to respond to the epidemic quickly. Schools in all localities should strictly implement various prevention and control measures of the state and education departments, resolutely implement the requirements of scientific and precise prevention and control, and never increase control. The Ministry of Education and the provincial, prefectural and municipal education departments took the lead in setting up special classes to investigate and urge the rectification of outstanding problems such as arbitrary closure of the campus, too long closure time, long-term offline teaching, inadequate living security, and inconsistent management and control requirements of teachers, students and employees' families, and to rectify problems such as poor prevention and control and excessive epidemic prevention. Education departments at all levels set up complaint platforms and hotlines to receive, transfer and reply in a timely manner, establish a "complaint-to-handle" mechanism, improve the feedback mechanism for quickly responding to problems and solving problems, and promptly promote the urgent needs of teachers and students.

(nineteen) the implementation of enterprise and industrial park prevention and control measures. Local joint prevention and control mechanisms should set up special work classes, find out the base of enterprises and industrial parks including private enterprises in the jurisdiction, and formulate the epidemic prevention and control plan of "one enterprise, one policy" and "one park, one policy". Implement the main responsibility of epidemic prevention and control in enterprises and industrial parks, establish a full-time responsibility system for epidemic prevention and control from enterprises and park management to workshop teams and front-line employees, and refine the ledger of epidemic prevention and control in each link and process. Strictly check the epidemic-related risks of returnees and confirm their health status before returning to work. Strengthen the life, epidemic prevention and job preparation of employees in key positions and key processes, improve the management measures of third-party outsourcing personnel, and strictly manage the access of social personnel. During the epidemic, we should make every effort to ensure the smooth flow of logistics, and must not require key enterprises that are related to the overall situation of the industrial chain and the protection of people's livelihood to stop production and implement a "white list" system.

(twenty) do a good job in resolving the stranded personnel in an orderly manner. The epidemic area should be defined in time and accurately, and foreigners who are not in high-risk areas should be allowed to leave after risk assessment, so as to avoid detention and make good protection for their return trip. Where there are many stranded people, it is necessary to formulate a special rescue plan, strengthen information communication and cooperation between the departure place and the destination, and make safety arrangements on the premise of effectively preventing the epidemic from spilling over. Transportation, civil aviation, national railways and other units should actively give transport capacity protection. The destination should enhance the overall awareness, and must not refuse to accept the return of the stranded personnel, and implement the prevention and control measures for the returned personnel as required to avoid the spillover of the epidemic, and must not increase the control.