Emergency plan for novel coronavirus epidemic situation

Emergency plan for novel coronavirus epidemic situation I. Overall goal

In order to do a good job in prevention and control in novel coronavirus, improve the level of prevention and control and coping ability in novel coronavirus, take various prevention and control measures in a timely and effective manner, realize early detection, early reporting, early diagnosis, early isolation and early treatment of novel coronavirus cases, control the spread and spread of the epidemic, protect the public's physical and mental health and life safety, and maintain social stability, this plan is specially formulated.

Second, the working principle

Cooperation between government leaders and departments; Prevention and control according to law, scientific response; Prevention first, combining prevention with treatment; Group prevention and control, graded responsibility.

Third, the basis of preparation

People's Republic of China (PRC) Law on the Prevention and Control of Infectious Diseases, Emergency Regulations on Public Health Emergencies, National Emergency Plan for Public Health Emergencies, Emergency Plan for Influenza Outbreaks of the Ministry of Health (for Trial Implementation), Emergency Plan for Public Health Emergencies in Hunan Province, and Emergency Plan for Public Health Emergencies in Nanxian County, etc.

Fourth, the scope of application

This plan is applicable to the prevention, treatment, preparation and emergency response of novel coronavirus carried out by the health administrative department of our county and various medical and health institutions at all levels.

Verb (the abbreviation of verb) organizes, coordinates and manages.

(1) organizational structure

Under the unified leadership of the county government, the county health bureau set up a leading group for prevention and control in novel coronavirus:

Team leader: Shang Guanghui

Deputy leaders: Wu Naiwen and Zhou Zhiming.

Members:, Liang Xiaoqing, Yu, Wenhua, Chen Di,, Bu Hui, Wen Hui,,.

Job Requirements: Unified command, organization and coordination of novel coronavirus prevention and control work within the system; A technical expert group for prevention and control in novel coronavirus, composed of clinical, epidemiological, laboratory testing, disinfection and risk communication professionals, was established to provide technical support for the prevention and control of novel coronavirus epidemic in this county. Under the unified leadership of the county government, the county health and family planning bureau has strengthened information communication with forestry, commerce, municipal supervision, finance, publicity, network information, public security, Sanchuang and other departments, and cooperated closely to carry out various prevention and control work according to law.

Set up an emergency response team for novel coronavirus epidemic situation composed of professional and technical personnel;

Team leader: Wu Naiwen

Deputy Team Leaders: Bu Hui, Wen Hui and Li Zhiyong.

Members: Zhu Lidong, Xiao, Cheng, Duan Pingbo, Guo, Gao Lixin and other medical and health institutions.

Job Requirements: Responsible for the emergency response of novel coronavirus epidemic in the unit or the area under its jurisdiction. All members must obey the leadership of the team leader, do a good job in handling and reporting the epidemic situation according to the arrangement of the team leader, keep 24-hour communication open, and accept the task arrangement of the team leader at any time.

Set up logistics support team:

Team leader: Zhou Zhiming

Deputy Head: Chen Di

Members: Huang Hai Bo, Chen Jian, Tang Haifeng and Chen Xiaobing.

Job requirements: all members must obey the arrangement of the team leader, do a good job in logistics support of epidemic prevention vehicles and emergency materials, keep personal communication open 24 hours a day, and accept the task arrangement of the team leader at any time.

All kinds of medical and health institutions at all levels shall implement the main leadership responsibility system, post responsibility system and accountability system for the prevention and control work in novel coronavirus, and define the tasks, objectives and responsibilities.

Township hospitals and community health service centers are composed of corresponding professionals under the guidance of county-level CDC and county-level medical institutions to carry out prevention and control work in novel coronavirus. Township hospitals, community health service centers, village clinics and individual clinics should pay close attention to the health status of returnees in Wuhan within their jurisdiction and report suspicious epidemic situations to the county CDC in time.

(2) Division of responsibilities

1, responsibilities of health administrative department

County Health Bureau is responsible for guiding, organizing, coordinating and managing the prevention and control of novel coronavirus within its jurisdiction; Formulate emergency plans for novel coronavirus according to local conditions; Organize the emergency treatment of novel coronavirus epidemic and medical treatment of critically ill patients within their jurisdiction; Organize an expert group to investigate and observe cases and cases of unexplained pneumonia; Novel coronavirus has carried out technical training, emergency drills, supervision and inspection and educational activities to assist the government in social mobilization.

2. Responsibilities of medical and health institutions

(1) Responsibilities of disease prevention and control institutions

County CDC undertakes the prevention and control of novel coronavirus within its jurisdiction; Responsible for the collection and reporting of local epidemic monitoring data; Conduct on-site epidemiological investigation and handling (including epidemiological investigation of novel coronavirus cases, close contact tracking and medical observation, collection and transportation of relevant specimens); Guide the sanitary treatment of living environment and articles, guide the personal protection of personnel dealing with the bird flu epidemic on the spot, and carry out professional training and health education; Guide and assist township hospitals, village clinics and individual clinics to manage suspicious exposed persons and close contacts.

(2) the responsibility of medical institutions

County-level medical institutions are responsible for the screening and reporting of unexplained pneumonia cases and suspected cases in novel coronavirus; Do a good job in personal protection of medical staff; Reserve medicines, instruments and protective articles needed for treatment; Cooperate with county CDC to carry out epidemiological investigation; Be responsible for the training of relevant personnel of this institution. After the outbreak, if novel coronavirus patients are admitted, they should report the patient's condition and treatment to the county health bureau every day.

(three) the responsibility of designated medical institutions for treatment

Clear the county people's hospital as the designated hospital for treatment. According to the requirements, the county people's hospital has set up a relatively independent infectious disease ward, which is responsible for in-hospital medical observation of cases, isolation and treatment of confirmed cases, transport and hospital infection control; Timely detection and active treatment of severe cases;

Township hospitals, village clinics, community health service institutions and other medical institutions are responsible for reporting cases of unexplained pneumonia among returnees in Wuhan; Responsible for the management and health monitoring report of close contacts; Under the guidance of higher authorities, carry out relevant prevention and control work in novel coronavirus.

(3) Responsibilities of the County Health and Health Comprehensive Law Enforcement Bureau

The county health comprehensive law enforcement bureau is responsible for the supervision and inspection of the pre-inspection and triage, disinfection, epidemic report and hospital infection control of the county medical and health institutions. Participate in emergency response in case of novel coronavirus epidemic.

(3) Epidemic monitoring

1, routine monitoring

(1) Medical institutions at all levels should set up fever clinics, carry out pre-examination and triage, and equip doctors with certain clinical experience and professional training in infectious diseases to screen and identify fever patients. If suspected cases are found, they should be reported in a timely manner in accordance with relevant regulations. For unexplained fever (underarm temperature? 37.3℃), cough and other symptoms of acute respiratory infection, the attending doctor must inquire about the travel history or suspicious exposure history within 14 days before onset in detail to ensure that no suspicious cases are missed. At the same time, all kinds of medical institutions at all levels should immediately report the observed cases with epidemiological history and clinical manifestations to the county CDC, and immediately transfer them to the county people's hospital for diagnosis and treatment, and must not detain patients. For observation and confirmed cases, it is necessary to do a good job of online direct reporting in accordance with relevant regulations.

(2) Observe case monitoring. The county people's hospital should collect and observe clinical specimens related to the case in time, and notify the county CDC to send the specimens to the provincial CDC as soon as possible for relevant etiological investigation and testing.

(3) Monitoring of suspicious exposed persons and close contacts. If there are cases of human infection with avian influenza in the county, the township health centers within the jurisdiction shall take centralized isolation or home medical observation on the suspected exposed persons and close contacts of the cases according to the principle of territorial management, and fever (underarm temperature) occurs during the medical observation. 37.3℃), cough, shortness of breath and other symptoms of acute respiratory infection, immediately report to the county CDC, and send it to the county people's hospital for diagnosis and treatment according to regulations, and collect samples for laboratory testing and elimination.

(4) All kinds of medical and health institutions at all levels should carry out the monitoring, investigation and management of novel coronavirus cases in strict accordance with the "novel coronavirus Pneumonia Case Monitoring Program" issued by National Health Commission.

(5) During the monitoring process, the collection, transportation, preservation and detection of relevant specimens shall comply with the relevant national biosafety management regulations.

2. Emergency monitoring

If the relevant departments at the provincial level confirm the occurrence of novel coronavirus epidemic in the local area, or novel coronavirus cases in neighboring areas, the county-level health bureau will immediately start the emergency monitoring work in novel coronavirus, and carry out emergency monitoring in accordance with relevant technical plans or guidelines.

(4) Prevention and control

1, disease prevention and control institutions after receiving the report of novel coronavirus epidemic situation, should immediately according to the national health commission issued the "novel coronavirus case epidemiological investigation scheme" for epidemiological investigation and on-site treatment, at the same time, according to the requirements to do a good job of personal protection and disinfection of sampling personnel.

2. Township health centers should judge the suspected exposed persons and close contacts of cases according to the management plan of suspected exposed persons and close contacts of pneumonia in novel coronavirus, and conduct medical observation for 14 days, including measuring body temperature at least twice a day and asking whether there are respiratory symptoms. At the same time, close contacts are tracked, registered and measured. Once fever, cough and other symptoms appear, they should be sent to the hospital for medical observation in time and reported to the county CDC.

3. At the same time of epidemiological investigation, the county-level CDC should collect patients' sputum or throat swab, lower respiratory tract samples or serum samples in time according to the Technical Guide for Laboratory Detection of Infected Pneumonia in novel coronavirus, and send them to the provincial CDC for laboratory detection within 24 hours. Medical institutions shall assist in the epidemiological investigation and specimen collection of cases.

4, actively carry out health education, improve the national awareness and ability of disease prevention. Medical institutions should take various forms to widely carry out publicity and health education on avian influenza prevention and control knowledge, improve people's awareness and ability of self-prevention, and guide people to develop good health habits.

(5) Emergency treatment

Take corresponding measures according to the following different situations.

1, no novel coronavirus epidemic was found in this area.

No novel coronavirus epidemic was found in this area, but novel coronavirus epidemic occurred in the neighboring areas. The following measures should be taken:

(1) Pay close attention to the epidemic situation in novel coronavirus at home and abroad, do a good job in epidemic monitoring, and carry out epidemic risk assessment, prediction and early warning.

(2) Prepare various technologies and materials, quickly carry out professional skills training for medical personnel, improve prevention and control capabilities, and reserve medicines, facilities, equipment, protective equipment and other materials.

(3) to carry out monitoring and screening of unexplained pneumonia cases and unexplained deaths.

(4) Routine monitoring and observation of cases in novel coronavirus? Zero report? System, county-level medical institutions and township hospitals report information to the county CDC before 4 pm every day, and the county CDC reports information to the Health Emergency Unit and the Primary Health Unit of the Health Bureau before 4: 30 pm every day.

(5) Carry out knowledge health education in novel coronavirus to improve the public's knowledge level and ability to prevent and control novel coronavirus.

2. There was an outbreak of novel coronavirus in the local area.

New cases of coronavirus have appeared in this area. The following measures should be taken:

(1) Work closely with relevant departments to immediately carry out health monitoring and biological specimen collection for close contacts of sick birds.

(2) Start emergency monitoring in novel coronavirus, implement daily reporting system of patients' condition and treatment in treatment hospitals, and implement novel coronavirus epidemic in other medical institutions? Zero report? System.

(3) Medical institutions should do a good job in pre-screening, triage, treatment and hospital infection control of patients with fever. County CDC should do a good job in pathogen detection of contacts with sick birds. Personal protection of professionals in medical and health institutions.

(4) according to the principle of division of responsibilities and territorial management, do a good job in disinfection of people's living and gathering places in epidemic areas.

3. There are sporadic or clustered cases of novel coronavirus in the local area.

If sporadic or aggregated cases of novel coronavirus are found in this area, but they are limited to a certain range and have not spread, the following measures should be taken:

(1) Start emergency monitoring in novel coronavirus and implement the zero case reporting system in novel coronavirus.

(2) According to the case epidemiological investigation plan of novel coronavirus, quickly carry out epidemiological investigation, find out the correlation between cases, and judge whether there is human-to-human transmission.

(3) According to the judgment criteria and treatment principles of close contacts, determine close contacts and make medical observation.

(4) County People's Hospital should do a good job in case isolation, treatment and nosocomial infection control in novel coronavirus, and assist disease prevention and control institutions to carry out epidemiological investigation, active case search and specimen collection.

(5) Do a good job in personal protection of medical personnel such as epidemic investigation and treatment, medical treatment and laboratory testing.

(6) according to the division of responsibilities, do a good job in disinfection of people living and gathering places in epidemic areas.

(7) Inform relevant departments of the region of relevant information in a timely manner.

(8) Further strengthen health education, improve public health awareness and personal protection awareness, reduce the risk of novel coronavirus, do a good job in risk communication, and carry out psychological intervention in time to avoid social panic.

(9) If a case of human-to-human transmission is found through investigation, according to the needs of epidemic control, the epidemic spot and epidemic area shall be designated, reported to the local people's government for approval, and prevention and control measures such as suspension of classes and closure of some industries shall be taken.

4. Confirmed cases of human-to-human transmission and epidemic spread.

Confirm the existence of human-to-human cases in novel coronavirus, and take corresponding measures according to the Emergency Plan for Public Health Emergencies in Hunan Province and the Emergency Plan for Public Health Emergencies in Nanxian County.

(6) Safeguard measures

1. Strengthen technical training and improve coping ability.

County CDC and medical unit should strengthen the technical training of professional technicians in county CDC, improve the ability of epidemiological investigation, monitoring, disinfection and laboratory testing, strengthen the training of medical staff on avian influenza prevention and control knowledge, and require each medical staff to master the knowledge of diagnosis and treatment, prevention and control and epidemiological investigation in novel coronavirus, so as to improve the ability of early detection of patients and the diagnosis and treatment level of primary medical staff.

2. Strengthen biosafety management to ensure laboratory biosafety.

County CDC should improve the relevant biosafety rules and regulations, equip necessary personnel, and improve the laboratory safety management system to make biosafety management scientific, standardized and institutionalized. All medical and health institutions should train professionals in biosafety knowledge to improve their awareness and ability of biosafety protection.

3. Strengthen supervision and inspection to ensure the implementation of measures.

The county health and family planning bureau organizes supervision and guidance on the implementation of prevention and control measures, strengthens supervision over key areas, and supervises the implementation of emergency plan formulation, professional training, technical drills, disease monitoring, epidemic report, pre-inspection and triage of infectious diseases, and on-site epidemic control. When problems are found, they should be solved in time, and those who neglect their duties should be dealt with seriously.

4, do a good job in material reserves, to ensure financial support.

Actively strive for and reasonably arrange funds for disease prevention and control and health emergency work, and reserve various emergency materials such as protective articles, emergency preventive drugs, antiviral and symptomatic treatment drugs, disinfection drugs and test reagents. It is necessary to strengthen close cooperation with departments such as finance and medical insurance. While actively treating novel coronavirus patients, we should properly arrange treatment funds and support medical institutions to do a good job in clinical treatment of critically ill patients.

Sixth, planning.

This plan is formulated and issued by the county health bureau. Medical and health institutions at all levels should formulate their own emergency plans for novel coronavirus according to the actual situation, and report them to the Health Emergency Unit of the County Health and Education Bureau for the record.

Seven. responsible

According to the provisions of laws, regulations and documents such as the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and the Emergency Regulations of the State Council on Public Health Emergencies, a system of accountability for prevention and control work is established.

1. During the implementation of this plan, leaders of relevant departments and relevant personnel will be held accountable according to law for dereliction of duty, dereliction of duty, disobedience to unified command and dispatch, failure to perform their duties seriously, poor organization and coordination, failure to implement measures, and serious mistakes in their work, resulting in serious consequences.

2. Those who conceal, delay reporting, falsely report or instruct others to conceal, delay reporting or falsely report the novel coronavirus epidemic will be investigated for their responsibilities according to law.

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