Optimize the implementation of the new ten guidelines for epidemic prevention and control. Interpretation questions and answers (further refine epidemic prevention and control measures)

Interpretation Q&A of the "Notice on Further Optimizing and Implementing the Prevention and Control Measures for the New Coronavirus Epidemic"

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

Since the outbreak of the COVID-19 epidemic, the Party Central Committee and the State Council have always given top priority to the safety and health of the people. Based on the mutation characteristics of the virus and the development situation of the epidemic, they have insisted on taking stability as the top priority, making progress while maintaining stability, and taking small steps without interruption. Stop and optimize and improve prevention and control measures according to the situation. After the announcement and implementation of the twenty optimization measures, we closely tracked the implementation effects of various places, combined with the useful experience accumulated in the recent epidemic response process in various places, and organized research to propose ten targeted measures in response to the outstanding problems to further optimize the number of infected people and close contacts. Measures such as isolation of patients and nucleic acid testing will be further strengthened in high-risk areas, such as "quick closure and quick release", vaccination, school prevention and control, epidemic-related safety guarantees, people's medical treatment, medication and basic living security, and maintenance of normal social operations, and continue to improve The scientific and precise level of prevention and control should protect people's life safety and health to the greatest extent, and minimize the impact of the epidemic on people's production and living order and economic and social development.

2. What provisions does the "Notice" make for the delineation of risk areas? What are the considerations?

The "Notice" requires scientific and accurate division of risk areas, according to buildings, High-risk areas are delineated for units, floors, and residents and must not be expanded to residential areas, communities, streets, etc. Risk areas can be accurately determined through flow control to further reduce the number of people under lockdown. At the same time, it is required that various forms of temporary blockade and control shall not be adopted, let alone "silent" management at will. During the epidemic response process, various localities should quickly control close contacts, and there is no need to delineate high-risk areas when there is no risk of community transmission.

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

Nucleic acid testing should focus on areas and personnel with high infection risks, and should not be based on administrative regions. Carry out nucleic acid testing for all employees to further narrow the scope and frequency of nucleic acid testing. Antigen testing can be carried out according to the needs of epidemic prevention work. In accordance with the relevant provisions of the 20 Optimization Measures, personnel who have direct contact with immigrants, items, and the environment, staff in centralized isolation locations, medical staff in fever clinics at designated medical institutions and general medical institutions, and those working in shopping malls, supermarkets, express delivery, and takeaways, etc. Employees in high-risk positions with densely populated environments, frequent contact with people, and high mobility should carry out nucleic acid testing, and other personnel are willing to be tested.

Considering that nursing homes, welfare homes, child care institutions, primary and secondary schools, etc. are places where special groups such as the elderly and young children gather, once the source of infection is introduced, cluster epidemics are prone to occur, and the risk of severe illness is relatively high. high. Therefore, when entering nursing homes, welfare homes, childcare institutions, and primary and secondary schools, a negative nucleic acid test certificate is required to prevent the introduction of infectious sources. Medical institutions have complex crowds, large flow of people, and confined spaces. Once the source of infection is introduced, it is easy to cause the spread of the epidemic and the occurrence of nosocomial infections, affecting the normal operation of medical institutions and the normal medical treatment of the people. Therefore, when entering a medical institution for treatment, you need to provide a negative nucleic acid test certificate, but medical institutions are not allowed to shirk or refuse to treat critically ill patients because they do not have a negative nucleic acid test certificate. Important institutions, large enterprises and some specific places can determine prevention and control measures on their own to ensure the normal operation of society and maintain normal production and living order.

After an epidemic occurs, all localities should assess the risk of the epidemic in different regions based on the epidemic situation and flow surveys, determine the scope and frequency of nucleic acid testing by classification, and improve the quality and efficiency of nucleic acid screening.

4. The "Notice" adjusts the isolation methods of infected people and close contacts. What are the considerations?

The pathogenicity of the Omicron variant has been significantly weakened. , clinical observation shows that most of the infected people are asymptomatic and mild cases, and do not require special treatment. Asymptomatic infected persons and mild cases who are eligible for home isolation can be isolated at home, health monitoring should be strengthened, and if the condition worsens, they can be transferred to designated hospitals for treatment in a timely manner. Close contacts who are eligible for home isolation will be quarantined at home for 5 days. Home isolation management will be strengthened, health monitoring will be done and nucleic acid tests will be completed as required. The adjustment to the isolation methods of infected people and close contacts fully reflects that my country's epidemic prevention and control always adheres to the principle of putting people first and life first, and dynamically optimizes and improves prevention and control measures based on the mutation characteristics of the virus and the development situation of the epidemic situation.

5. The "Notice" requires that high-risk areas should implement "quick seal and quick release". What are the considerations?

In accordance with the ninth edition of the prevention and control plan and the twenty-point optimization The relevant requirements of the measures are that after an infected person is discovered, high-risk areas should be designated as soon as possible, risk personnel should be checked and controlled, and community transmission should be blocked in a timely manner to achieve "quick seal and quick release." If there are no new infections in high-risk areas for five consecutive days, the lockdown should be lifted promptly to avoid prolonged lockdown and reduce the inconvenience caused to the public due to the epidemic. If the newly infected persons discovered in high-risk areas after the lockdown are the residents, close contacts, or residents of positive persons who have strictly implemented home isolation management, there is no risk of community transmission outside the family after assessment, and the high risk will not be affected. The zone’s unblocking time.

6. What measures does the "Notice" take to ensure the basic needs of the public for purchasing medicines?

All localities must ensure the normal operation of pharmacies and must not close pharmacies at will. Make a good supply and reserve of routine drugs, especially those related to patients with basic diseases. Multi-channel drug purchase channels and distribution links should be smoothed, and people should not be restricted from purchasing antipyretic, cough, antiviral, cold and other over-the-counter medicines online and offline, and pop-up windows and nucleic acid testing requirements for the purchase of the above-mentioned over-the-counter medicines should be cancelled. A variety of measures have been taken to ensure the basic drug purchase needs of the public, especially the elderly, patients with underlying diseases and other special groups.

7. Why should the elderly get vaccinated? How are arrangements made to speed up the vaccination of the elderly?

The current epidemic prevention and control situation is severe and complex. Vaccination plays an important role in preventing severe illness, death, etc. It still has a good effect. Vulnerable groups such as the elderly are prone to develop severe, critical illness or even death after being infected with the new coronavirus. Vaccination with the new coronavirus vaccine will benefit the most. Therefore, it is necessary for the elderly to get the new coronavirus vaccine in time. In order to speed up the new coronavirus vaccination for the elderly, we have made arrangements in the following aspects: taking measures such as setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles, etc., providing door-to-door vaccination services for disabled and semi-disabled elderly people, and optimizing Various convenience measures have been taken to open up the "last hundred meters" of vaccination for the elderly and provide convenience to the elderly to the maximum extent. Carry out training on the determination of vaccination contraindications step by step, guide medical staff to scientifically determine vaccination contraindications, and eliminate vaccination doubts among the elderly. We will refine science popularization and mobilize the whole society to participate in mobilizing the elderly for vaccination, so that the concept of vaccination for the elderly to protect their health will be deeply rooted in the hearts of the people.

8. The "Notice" mentions the mapping and classified management of key groups. How to promote the work?

Mobilize multiple parties to participate, and give full play to neighborhood committees and their public health committees. By leveraging the professional advantages of urban and rural grassroots medical and health institutions, we make full use of existing residents’ health information to conduct health status surveys of the elderly through elderly health management services and telephone, text message, and WeChat surveys. Those who have already established a ledger during the epidemic do not need to collect it repeatedly. We are encouraged to use information technology to integrate and share information and determine the scope of key groups to effectively reduce the burden on the grassroots. According to health status, vaccination status, risk of infectious diseases, etc., the surveyed groups will be divided into key, sub-key and general groups, and primary medical and health institutions will play the role of "bottom of the network" and family doctors' health "gatekeepers", and the classification will be carried out. Provide corresponding health services.

9. What considerations does the "Notice" take to ensure the normal operation of society and basic medical services? What requirements does it put forward? What issues need to be paid attention to during implementation?

my country is a country with a large population. There are a large number of vulnerable groups, uneven regional development, and insufficient total medical and health resources. The current epidemic scale in some areas is large, and the prevention and control situation is severe and complex. Although the pathogenicity of the Omicron variant is significantly weakened, its transmissibility is significantly enhanced. If a large number of personnel who ensure the normal operation of society and basic medical services are infected in a short period of time, it will cause a shortage of manpower, which may have an impact on social operations and basic medical services. .

In order to efficiently coordinate epidemic prevention and control and 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 movement of people, and shall not suspend work, production, or business; 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 must pay attention to personal protection, vaccination and health monitoring on a daily basis. , reduce contact with society, work at "two points and one front line" as much as possible, and go to work normally with proof of negative nucleic acid test; when tested positive, accurately identify close contacts, the workplace will not be temporarily closed, and people in the same workplace will not be in contact Large-scale isolation is to ensure the supply of normal medical services and basic daily necessities, water, electricity, heating, etc., try to maintain normal production and work order, promptly solve the urgent, difficult and anxious problems raised by the masses, and effectively meet the basic living needs of the masses during the epidemic response.

10. What provisions does the "Notice" provide for strengthening epidemic-related safety guarantees?

In order to strengthen risk prevention in epidemic prevention and control and protect the safety of people's lives and property, the "Notice" requires 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. While managing and controlling at-risk personnel, it is necessary to strengthen door-to-door services and ensure daily life and normal medical care. 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 quarantined personnel, patients and front-line staff, provide psychological assistance hotlines, and carry out psychological support services.

11. What further optimizations have been made in the "Notice" for epidemic prevention and control in schools? What are the considerations?

Schools are key places with dense populations. Protecting the health of teachers and students to the greatest extent and maintaining normal education and teaching order are important tasks for the current school epidemic prevention and control. Based on the current epidemic situation and the actual situation of schools, in order to guide schools to implement more scientific and precise prevention and control, the "Notice" clearly requires special places such as daycare institutions, primary and secondary schools to check negative nucleic acid test certificates and health codes. At the same time, schools in various places are required to resolutely implement scientific and precise prevention and control requirements. Schools without epidemics must carry out normal offline teaching activities, and on-campus supermarkets, canteens, sports venues, libraries, etc. must be opened normally. Schools affected by the epidemic must scientifically and accurately delineate risk areas, and normal teaching, life, etc. order must still be ensured outside the risk areas. Relevant departments in various places must attach great importance to school epidemic prevention and control, improve school-local coordination mechanisms, and further optimize prevention and control measures based on the characteristics of schools at all levels and types to ensure the health of teachers and students and campus safety.