The latest regulations on COVID-19 prevention in Guangxi

On December 13, the Guangxi Zhuang Autonomous Region New Coronavirus Epidemic Prevention and Control Headquarters issued the "Notice on Issuing the Implementation Rules for Further Optimizing and Implementing the New Coronavirus Epidemic Prevention and Control Measures". The relevant details are as follows - Further Optimization and Implementation The implementation details of the new coronavirus epidemic prevention and control measures are to scientifically and accurately carry out epidemic prevention and control work and promote the restoration of normal production and living order. According to the ninth edition of the prevention and control plan of the Joint Prevention and Control Mechanism of the State Council, twenty optimization measures, ten optimization measures, etc., they are now The detailed requirements for further optimizing and implementing epidemic prevention and control are as follows: 1. Optimize personnel travel management and nucleic acid testing (1) Optimize personnel travel management. People returning to Guangxi from outside the region will no longer be managed according to risk levels, and the reporting requirements for people returning to Guangxi will be cancelled. People in the area move normally across regions, without the need to check health codes and nucleic acid test reports, or conduct health management such as home health monitoring. Take public transportation such as subways, buses, and taxis, and enter airports, train stations, high-speed rail stations, road and waterway passenger stations, highway service areas, supermarkets, hotels, restaurants, business buildings, public and cultural venues ( Museums, libraries), tourist attractions, Internet service business venues, entertainment venues, theater performance venues, scripted entertainment business venues, catering service venues, parks, communities, communities and other public places will no longer check health codes and nucleic acids Proof of negative test. Outsiders entering special places such as nursing homes, welfare homes, medical institutions, kindergartens, primary and secondary schools must scan the Guangxi Health Code location code and check a negative nucleic acid test certificate within 48 hours. (2) Further optimize nucleic acid detection. Health codes and negative nucleic acid test certificates will no longer be checked for people traveling across regions, and "land inspections" will no longer be carried out. Nucleic acid testing for all employees will not be carried out according to administrative regions, and the scope and frequency of nucleic acid testing will be further narrowed. All localities should rationally set up convenient nucleic acid sampling points based on the needs of the masses, and provide convenient and paid "will-to-test" services. In order to avoid "mixed tube positives" causing too much trouble to fellow supervisors, people who are "willing to check all tests" are in principle single person and single tube. Antigen testing can be carried out according to the needs of epidemic prevention work. For those who have direct contact with immigrants, imported cold chain goods and their environment, staff in centralized isolation places, medical staff in fever clinics at designated medical institutions and general medical institutions, closed-loop management is required during the operation, and nucleic acid testing is carried out once a day; shopping malls and supermarkets Employees in high-risk positions with dense personnel, frequent contacts, and high mobility, such as postal service, express delivery, and takeout, will undergo nucleic acid testing twice a week; other employees in the airport area will no longer undergo regular nucleic acid screening. Other personnel are "willing to inspect everything." For important institutions, large enterprises, some specific places and major activities, the jurisdiction or unit can determine prevention and control measures according to needs. 2. Optimize the health management of risk personnel (1) Optimize the health management of positive personnel. 1. If the antigen or single-person apheresis nucleic acid test result is positive, there is no need for flow control, and the positive information of the person does not need to be reported to the community. They must consciously quarantine at home for 5 days without going out, and purchase antigen reagents and necessary medicines by themselves on the 6th and 7th days. Self-test the antigen. After the two antigen results are negative, wear an N95 mask and go out to do nucleic acid tests. After the nucleic acid results are negative (or the two Ct values ??are ≥35), you can resume your normal life. Those who live with the positive person will be quarantined at home for five days. On the premise that there are no new positive people in the household, they will put on an N95 mask and go out for a nucleic acid test on the fifth day. After the nucleic acid result is negative (or two Ct values ??≥ 35), Can return to normal life. If you have symptoms such as fever and cough, you should receive symptomatic treatment. If necessary, you can contact primary medical and health institutions or obtain professional guidance from doctors through Internet medical care. If the condition worsens, please promptly transfer to a designated hospital for treatment. 2. If the nucleic acid test result is "mixed positive", there is no need to pursue positive testing. The nucleic acid testing agency will be responsible for sending a text message notification. Personnel involved in the "mixed positive" must go to the nucleic acid testing point to complete a single person and single tube test within 24 hours according to the notification. There is no need to report to the community anymore. If the nucleic acid test is negative, normal life can be resumed. (2) Optimize the health management of close contacts.

For close contacts who are currently under centralized management: 1. If it has been 5 days, the nucleic acid test result on the 5th day is negative and the isolation will be released in time; 2. If it is less than 5 days, if the conditions for home isolation are met, a "point-to-point" approach will be adopted Return to the community for home quarantine, connect with the community, and make up for the 5 days of quarantine; 3. If you do not meet the conditions for home quarantine or voluntarily choose to continue centralized quarantine, you can be released from quarantine after completing 5 days of centralized quarantine and having a negative nucleic acid test result on the 5th day ; 4. For those who were unable to be transferred to a centralized isolation point in the early stage and adopted home isolation management, they can be released from isolation after completing home isolation within 5 days and having a negative nucleic acid test on the 5th day. (3) Optimize risk zone division and risk management. High-risk areas are demarcated according to buildings, units, floors, and households, and shall not be expanded to residential areas, communities, streets (townships) and other areas at will. All forms of temporary closures are not allowed. Implement "quick seal and quick release" in high-risk areas. If there are no new infections in high-risk areas for 5 consecutive days, the blockade must be lifted in time. (4) Optimize the management of employees in high-risk positions in closed-loop operations. Employees in high-risk positions who have completed closed-loop operations will undergo a "5-day home health monitoring", and a nucleic acid test will be conducted on the fifth day. If the nucleic acid test result is negative, they will resume normal life. 3. Strengthen health management of key personnel (1) Accelerate the promotion of new coronavirus vaccination for the elderly. All localities must adhere to the principle of receiving as many people as possible, focusing on increasing the vaccination rate for people aged 60-79, and accelerating the vaccination rate for people aged 80 and above. Optimize vaccination services through the establishment of green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles and other measures. Training on the determination of vaccination contraindications should be carried out step by step, and medical staff should be guided to scientifically determine vaccination contraindications. Refined science popularization and mobilize the whole society to participate in mobilizing the elderly for vaccination. Incentive measures can be adopted in various localities to mobilize the enthusiasm of the elderly for vaccination. (2) Strengthen the understanding and classified management of the health status of key groups. Mobilize multiple parties to participate, give full play to the role of village (neighborhood) committees and public health committees and the professional advantages of urban and rural grassroots medical and health institutions, make full use of existing residents' health information, and provide health management services for the elderly through phone calls, text messages, and WeChat Carry out surveys and other methods to understand the health status of the elderly. During the epidemic, if the "Party Building + Grid" has already established a ledger, there is no need to collect it repeatedly. Information technology is encouraged to integrate and share information and determine the scope of key groups, so as to effectively reduce the burden on the grassroots. According to health status, vaccination status, risk of infectious diseases, etc., the population will be divided into key, sub-key, and general groups, and "party building + grid", grassroots medical and health institutions "network bottom" and family doctors' health "gatekeeping" will be used The role of "people" is to provide corresponding health services in different categories. (3) Strengthen epidemic-related safety guarantees. It is strictly prohibited to block fire escapes, unit doors, and community doors in various ways to ensure that people have smooth access to go out for medical treatment, emergency evacuation, etc. Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide medical convenience for the elderly living alone, minors, pregnant women, disabled people, and patients with chronic diseases. Strengthen care, care and psychological counseling for quarantine personnel, patients and front-line staff. 4. Strengthen medical and health security (1) Strengthen the construction of medical resources. Strengthen the preparation of critical medical resources in tertiary hospitals, increase the number of comprehensive ICU beds in tertiary hospitals, start the expansion and transformation of other specialized intensive care beds, reserve a batch of "convertible ICU beds", and set up buffer wards. Strengthen the reserve of critical medical resources in secondary hospitals as a useful supplement to the critical medical resources in tertiary hospitals. Ensure the preparation of medical resources in designated hospitals, and set up critical illness beds and convertible critical illness beds in accordance with national requirements. Upgrading and renovating Fangcang hospitals, taking prefecture-level cities as units and based on population size, to upgrade Fangcang hospitals into sub- (quasi) designated hospitals, upgrade them, and set up monitoring beds. (2) Optimize the patient medical treatment process. Fever clinics in medical institutions must be "as well established and open as possible", and the telephone number and address must be made public so that the public can go to the nearest fever clinic for treatment. Fever clinics must expand their treatment space, allocate medical staff, and improve their treatment capabilities. They cannot be closed at will to ensure the smooth and orderly development of diagnosis and treatment work and better safeguard the health of the people. The outpatient area of ??a medical institution should be divided into a nucleic acid-positive diagnosis and treatment area and a nucleic acid-negative diagnosis and treatment area to receive corresponding patients respectively. For patients seeking emergency treatment, the lack of 48-hour nucleic acid test results shall not affect their treatment; those with 48-hour nucleic acid test results will go directly to the emergency diagnosis and treatment area; those without 48-hour nucleic acid test results will be treated in the emergency buffer area, and the antigen and nucleic acid will be checked at the same time. .

The principle of hierarchical and classified treatment is adopted for patients who are positive for the new coronavirus. Asymptomatic infected persons and mild cases who are eligible for home isolation are generally treated at home; patients with obvious symptoms such as cough and fever can go to the fever clinic of the hospital for treatment; mild cases combined with serious underlying diseases, Ordinary, severe and critical cases will be hospitalized based on their condition. Designated and sub-designated hospitals mainly treat patients with COVID-19 symptoms; positive patients with basic diseases and specialist needs are treated by various types of hospitals at all levels. For hospitalized patients, it is still strictly enforced that no visits are allowed, and no companionship is required unless necessary. Fixed attendants who really need to be accompanied are strictly protected during the accompanying period and are strictly prohibited from going out. Patients in the emergency observation ward are managed as inpatients. All medical institutions should optimize the medical treatment process, establish a dynamic adjustment mechanism, maximize the number of medical staff and clinics in outpatient, emergency and fever clinics, meet patients' medical needs in a timely manner, and ensure the safety and orderliness of medical treatment to the greatest extent. Diagnosis and treatment expenses for positive infections will be handled in accordance with regulations related to general diseases. (3) Ensure the normal functioning of society and basic medical services. In non-high-risk areas, the movement of people must not be restricted, and work, production, and business must not be suspended. Medical personnel, public security, transportation and logistics, supermarkets, supply guarantees, water, electricity and heating and other personnel who ensure basic medical services and normal social operations will be included in the "white list" management. Relevant personnel should do personal protection, vaccination and health monitoring to ensure normal operation. We will provide medical services, basic living supplies, water, electricity, heating and other supplies, and strive to maintain normal production and work order, promptly solve the "urgent, difficult and anxious" problems reported by the masses, and effectively meet the basic living needs of the masses during the epidemic response. (4) Ensure the basic needs of the public for purchasing medicines. Pharmacies in various places must operate normally and must not be closed at will. People must not be restricted from purchasing over-the-counter antipyretic, cough suppressant, antiviral, cold and other medicines online and offline. Persons who purchase antipyretic, antitussive, antiviral and antibiotic medicines through the Internet platform or pharmacies will no longer be subject to real-name registration, and will no longer be required to check health codes and negative nucleic acid test certificates. 5. Optimize the management of key places (1) Further optimize school epidemic prevention and control work. Schools in various places must resolutely implement scientific and precise prevention and control requirements. Primary and secondary schools and kindergartens decide whether to carry out mixed management sampling inspections based on the local and school epidemic situation. Encourage qualified places to carry out nucleic acid testing in an organized manner for primary and secondary schools and child care institutions in accordance with local policies. Encourage the scientific wearing of masks in schools (except during exercise). Schools without epidemics should carry out normal offline teaching activities. Supermarkets, canteens, sports venues, libraries, etc. on campus should be open normally. Schools affected by the epidemic must accurately delineate risk areas, and normal teaching, life, etc. order must still be ensured outside the risk areas. (2) Implement prevention and control measures for enterprises and industrial parks. All localities must find out the number of enterprises and industrial parks, including private enterprises, in their jurisdiction, and formulate epidemic prevention and control plans based on "one policy for one enterprise" and "one policy for one park". Implement the main responsibilities of enterprises and industrial parks for epidemic prevention and control, establish a full responsibility system for epidemic prevention and control from enterprise and park management to workshop teams and front-line employees, and refine the epidemic prevention and control ledger for the entire link and process. Strictly check the epidemic risk of personnel returning to work, and only return to work after confirming their health. Strengthen the protection of the life, epidemic prevention and job rotation preparation of employees in key positions and key processes, improve the management methods for third-party outsourcing personnel, and strictly manage the entry and exit of social personnel. During the epidemic, we must make every effort to ensure the smooth flow of logistics. We must not arbitrarily require key enterprises that are related to the overall industrial chain and people's livelihood and supply to suspend work and production, and implement the "white list" system. 6. Strengthen border epidemic prevention and control (1) Standardize the closed-loop management of entry personnel. Strictly implement a 5-day centralized isolation medical observation (one nucleic acid test will be conducted on the 1st, 2nd, 3rd, and 5th days of centralized isolation) + a 3-day home quarantine (one nucleic acid test will be conducted on the 1st and 3rd days) for entry personnel. Not allowed to go out. For incoming important business personnel, sports groups, etc., under the guidance of the local headquarters, they will be transferred "point-to-point" to the isolation-free closed-loop management area ("closed-loop bubble") to carry out business, training, competition and other activities, and will be managed with codes during the period. , cannot leave the management area. Chinese personnel must complete enhanced vaccination against the new coronavirus vaccine before entering the management area. After completing their work, appropriate isolation management or health monitoring measures shall be taken based on the level of risk. (2) Optimize the detection and monitoring of key personnel in border areas. Cancel the normalized nucleic acid screening in border (coastal) villages of 8 counties (cities, districts) in Napo County, Jingxi City, Longzhou County, Pingxiang City, Ningming County, Dongxing City, Fangcheng District, and Daxin County , localities will reasonably set up convenient nucleic acid sampling points according to specific circumstances to meet the needs of people with fever, cough and other symptoms who are willing to get tested.

(3) Optimize port management. The border port area is accurately divided into risk areas and clean areas (i.e. red areas and green areas) based on the risk prevention and control conditions of each operation position. Fences, fences, etc. are used to physically separate the areas. The risk areas formulate standardized closed-loop operation processes and personnel. Administrative rules. Optimize the management of entry vehicles and goods at border ports. After inbound vehicles and goods leave the port area, they are managed according to domestic logistics vehicles and goods, and can enter the urban areas of border port cities, and each port city optimizes management measures. Ports (mutual markets) are not allowed to arbitrarily suspend the import of cold chain and other goods. Air ports and airports are subject to strict zoning management. In accordance with the principles of closed-loop management of international inbound passengers and closed management of front-line staff, we will improve the infrastructure settings such as dedicated channels for international inbound passengers, dedicated channels for crews, and emergency isolation areas, and strengthen the closed management of terminal transfer channels to ensure that incoming personnel and domestic personnel , Physical isolation of crew and passenger activity areas to achieve separation of international and domestic workplaces, facilities and equipment, staff, and activity trajectories. Regional management of inland rivers and seaports and foreign trade operating areas, setting up facilities and equipment for the reception, transfer and disposal of ship domestic waste, domestic sewage and port garbage and classifying them for disposal. Strictly implement the boarding and disembarkation reporting system, strengthen the management and control of foreign ship personnel, continue to strengthen the dynamic management of boarding personnel, and strictly implement the non-essential "no boarding, no landing, no docking" measures. 7. Optimize the management measures for various conference activities. Various conference activities do not need to be reported. In accordance with the principle of "whoever hosts, who is responsible, whoever dispatches, who is responsible", strictly consolidate the main responsibilities of the conference organizers, strengthen organizational leadership, and do a good job Epidemic prevention and control work. 8. To implement personal health management responsibilities, we must continue to do a good job in personal protection, insist on wearing masks, washing hands frequently, using one-meter noodles, ventilating frequently, not gathering or getting together, continue to do self-health monitoring, maintain healthy and civilized living habits, and take good care of your own health The first person responsible is to protect yourself and your family. The autonomous region's COVID-19 Epidemic Prevention and Control Headquarters will continue to optimize and adjust relevant epidemic prevention measures based on national policies and changes in the epidemic situation. Reprinted from丨Autonomous Region New Crown Pneumonia Epidemic Prevention and Control Headquarters Office