Q&A on 20 measures to optimize prevention and control: Why are there layers of overweight in some places?

Twenty measures to further optimize the prevention and control work are put forward: "Intensify the rectification of' one size fits all' and layer-by-layer overweight problems." At present, all localities are doing their best to prevent and control the epidemic and solve the urgent needs and worries of the masses in a timely and effective manner.

How to ensure that 20 optimization measures are put in place? A few days ago, experts from the State Council Joint Defense and Control Mechanism interpreted this.

Q: Twenty optimization measures put forward scientific and accurate prevention and control of epidemic situation. Why are some places still overweight?

A: At present, the situation of epidemic prevention and control in China is very severe and complicated, and the pressure of local prevention and control is great. In order to control the epidemic as soon as possible, there have been layers of overweight behaviors in some places. At present, the main problems reflected by the masses include three aspects: first, the prevention and control measures taken in some places are inaccurate, which have a great impact on people's production and life and are inconsistent with national policies; Second, individual grass-roots staff have a single working method, blunt attitude, lack of patience and poor communication with the masses; Third, the release of information related to the epidemic situation in a few places is not timely and sufficient.

To rectify layers of overweight, local party committees and governments must implement territorial responsibilities and strictly implement the unified national prevention and control policies. To stop classes without authorization, stop production, block traffic without authorization, take "silent" management without authorization, block control without authorization, unseal for a long time, stop diagnosis without authorization and other layers of overweight behavior, we should increase the intensity of notification and exposure, and seriously investigate the responsibility according to the law and regulations if serious consequences are caused. Timely and effectively solve the urgent and urgent problems reflected by the masses, so that all work can be done more accurately and with more temperature.

Q: What is the basis for determining high-risk areas and low-risk areas? What conditions can high-risk areas meet before they can be unsealed?

A: According to the requirements of Article 20 optimization measures, in principle, the areas where infected people live, workplaces and areas with frequent activities and high risk of epidemic spread are classified as high-risk areas. High-risk areas are generally defined by units and buildings, and the scope cannot be expanded at will. Other areas in the county where the high-risk area is located are designated as low-risk areas. There was no new infection in the high-risk area for five consecutive days. All personnel in the high-risk area completed a nucleic acid test on the fifth day, and the test result was negative and then decreased to the low-risk area. High-risk areas that meet the conditions for unsealing should be unsealed in time.

Q: During the period of home isolation of close contacts, what standards are used to manage their co-residents?

Answer: The cohabitants or accompanying personnel of home isolation personnel should abide by the management requirements of medical observation in home isolation. First, strictly do not go out during the period of isolation at home, and refuse all visits; If you really need to go out for medical treatment, you should apply to the community, arrange a special car after approval, do a good job of personal protection, and implement closed-loop management. Second, try not to enter the rooms of isolated people at home and avoid sharing bathrooms or daily necessities. If there is direct contact with or treatment of pollutants, you should protect yourself and wash your hands and disinfect them in time. Third, people with basic diseases and people with serious risks should not be taken as caregivers of isolated people at home.

Q: Many epidemic areas are facing the problem of evacuation, which puts pressure on their destinations. How to coordinate the rescue of stranded people and effectively prevent the epidemic from spilling over?

A: The 20 optimization measures require all localities to sort out the stranded personnel in an orderly manner. When there are many people stranded in the epidemic area, the epidemic area should formulate a special rescue plan, strengthen information communication and cooperation with the destination, and arrange safe evacuation on the premise of effectively preventing the epidemic from spilling over. The destination should enhance the awareness of the overall situation, 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 not increase the control.

Recently, some provinces continue to find infected people among returnees, which shows that some provinces with epidemic situations still have weak links in preventing the spillover of the epidemic and fail to effectively control the risk of cross-regional spread of the epidemic. In this regard, the comprehensive group of joint prevention and control mechanism is specially deployed, which puts forward clear requirements for strengthening the management and control of risk personnel in various places.

First, in view of the places where the current epidemic situation has not been effectively controlled, it is necessary to earnestly assume the primary responsibility of preventing the epidemic from spilling over, timely and accurately delineate the risk areas, and investigate and control the risk personnel and risk points as soon as possible. For non-isolated and non-controlled personnel, health code and nucleic acid detection information should be strictly checked before leaving the departure place to prevent illegal operation of vehicles to carry passengers across provinces. At the same time, strengthen information communication and cooperation with the destination, and timely push the relevant information of overflow risk personnel.

Second, in areas where there is no epidemic at present but there is a high risk of spillover, it is necessary to move forward and provide "landing inspection" services for influxes. Returnees from the counties where the epidemic is located should take the initiative to report to the local area, and the community should take the initiative to register for dragging and discharging, and strictly implement nucleic acid detection measures twice every three days with an interval of more than 24 hours. All localities can also input the risk judgment results according to the epidemic situation, and take corresponding control measures for the high-risk personnel who flow in according to relevant requirements.

We also call on all localities to pay more attention to returnees in high-risk areas and provide necessary help and support.

Q: Will the epidemic prevention and control policy be adjusted in the near future?

A: Since the outbreak of the epidemic, we have been conducting prevention and control, research, summary and adjustment according to the characteristics of virus variation and the actual understanding of clinical treatment. According to the characteristics of spread and pathogenicity of Omicron mutant, as well as the changes of severe disease rate and mortality rate, including international epidemic situation, we have been studying and constantly adjusting prevention and control measures to protect people's interests to the maximum extent and minimize the impact of epidemic situation on economic and social development.