Emergency Plan for Epidemic Prevention and Control in novel coronavirus in 2020

Emergency Plan for Epidemic Prevention and Control in novel coronavirus in 2020

? █ 1 scope of application

1. 1 This plan is applicable to the response and disposal of the novel coronavirus incident.

1.2 This plan is a supplement to the special emergency plan for public health emergencies. The centralized management department of this plan is the security department.

? Risk analysis and event classification of the new agreement

2. 1 risk analysis

2. 1.65438+ The viral gene sequencing of respiratory tract samples or blood samples is highly homologous to the known novel coronavirus.

2. 1.2 according to the diagnosis and treatment plan for pneumonia in novel coronavirus (trial third edition), the main manifestations of new pneumonia are fever, fatigue and dry cough. Upper respiratory symptoms such as nasal congestion and runny nose are rare. Details are as follows:

(1) Common symptoms: fever, fatigue, dry cough and dyspnea are getting worse, and some patients have the above symptoms.

Symptoms are mild, but there is no fever.

(2) Severe cases: acute respiratory distress syndrome, septic shock, and generation that is difficult to correct.

Xie acidosis, bleeding and coagulation dysfunction.

(3) Most patients have mild illness and good prognosis, and a few patients are in critical condition or even die.

2. 1.3 Difference between common cold and new pneumonia

According to the TV interview data of Li Lanjuan, an expert from the National Epidemic Prevention Station, at present, their early symptoms are very similar, some are fever, some are dry cough, some are respiratory symptoms, fatigue after fever, and some even have digestive tract symptoms. Medical identification needs to take throat swab samples, do virus detection and then distinguish influenza A, influenza B and novel coronavirus.

Novel coronavirus's clinical manifestations include:

Sudden onset, chills and high fever, the body temperature can reach 39℃ ~ 40℃, often accompanied by headache, muscle and joint pain, extreme fatigue, loss of appetite and other systemic symptoms, such as sore throat, dry cough, stuffy nose, runny nose, retrosternal discomfort and so on.

2. 1.4 transmission path:

Mode of transmission: oral droplet transmission, contact transmission (including self-inoculation caused by hand pollution), conjunctival transmission and air transmission.

(1) droplets can enter the surface of susceptible mucosa through a certain distance (generally 1 m). Because the droplets are very large (more than 5um), they will not be suspended in the air for a long time.

Daily face-to-face conversation, coughing and sneezing can all lead to the spread of droplets. If there are suspected novel coronavirus patients around, remember to wear a mask and try to keep a distance of 1 meter. Masks should be properly discarded after use, and hands should be thoroughly washed with soap and running water after contact with patients.

(2) Particles in the air, generally less than 5um in diameter, are still contagious after long-distance diffusion. Airborne pathogens can also be transmitted by contact.

(3) Contact transmission refers to the direct contact transmission of pathogens through mucous membranes or skin. Viruses can enter the human body through mucous membranes or broken skin, blood or bloody body fluids.

2. 1.5 incubation period of novel coronavirus.

The average incubation period in novel coronavirus is about 7 days, ranging from 2 to 3 days to 10 ~ 12 days. The medical observation period of close contacts is 14 days, and close contacts are observed at home.

Through the above analysis, the infectious disease has a long hidden period, and its symptoms are similar to those of the common cold, so it is difficult to distinguish it. The change of symptoms varies from person to person, which requires 14 days of observation and medical examination, and comprehensive judgment is risky.

2.2 Personal protection

2.2. 1 personal protection.

(1) Pay attention to personal protection. In crowded public places, it is recommended that staff wear medical surgical masks (or other higher-level masks). It is recommended to wear work clothes and keep them clean, and clean and disinfect them regularly. It can be disinfected by circulating steam or boiling for 30 minutes, or soaked in 500mg/L chlorine-containing disinfectant for 30 minutes, and then cleaned routinely. In case of suspected or confirmed cases, personal protection shall be carried out under the guidance of professionals.

(2) Pay attention to hand hygiene. Hand hygiene measures should be strengthened, and employees should carry out hand hygiene at any time. Wash your hands or use quick-drying hand disinfectant. When there are visible pollutants, wash your hands with hand sanitizer under running water.

(3) pay attention to physical condition. Pay attention to your physical condition during your employment. When you have symptoms such as fever and cough, you should go to the designated hospital for medical treatment in time according to the regulations, try to avoid taking public transportation such as buses and subways, and wear medical surgical masks (or other higher-level masks) throughout the hospital.

2.2.2 Protection of floating personnel.

(1) Reduce aggregation. During the novel coronavirus epidemic, people should avoid gathering, especially in places with poor air mobility, and reduce unnecessary going out. If you go out, you should do personal protection and hand hygiene. In crowded public places, it is recommended to wear medical masks.

(2) Wash your hands frequently. Try to minimize contact with public goods and parts in public places, wash your hands with hand sanitizer or soap under flowing water after coming back from public places, coughing and covering your hands, and after eating and defecating, or use alcohol-based antibacterial hand sanitizer; Avoid touching your nose, mouth and eyes when you are not sure whether your hands are clean; When sneezing or coughing, cover your mouth and nose with elbow clothes. Reduce contact with others, use nodding instead of shaking hands, and try to keep a certain distance from others when conditions permit.

(3) visitor management. During the epidemic period in novel coronavirus, the health monitoring and registration of visitors should be strengthened in mines.

2.3 Guidelines for Hygienic Operation in Places

2.3. 1 Cleaning and disinfection.

(1) Clean and disinfect the surface of the object. The environment should be kept clean and tidy, disinfected regularly every day, and records of cleaning and disinfection should be kept. High-frequency contact with the surface of objects (such as elevator buttons, handrails, door handles, etc.). ) Available chlorine-containing disinfectant containing 250 mg/L ~ 500 mg/L of available chlorine can be sprayed or wiped, or wiped with disinfectant wipes.

(2) When people vomit, they should immediately cover the sterilized vomit with disposable absorbent materials and sufficient disinfectants (such as chlorine-containing disinfectants) or effective sterilized dry towels, and then disinfect the surface of the object with quaternary ammonium salt disinfectants or chlorine-containing disinfectants after removing the vomit.

(3) Strengthen the disinfection of tableware (drinking utensils). After tableware (drinking utensils) are cleaned, boil or circulate steam for disinfection 15 minutes; Or use thermal disinfection cabinets and other disinfection methods; Or use a solution with available chlorine content of 250mg/L, soak for 30 minutes, and rinse off the residual disinfectant after disinfection.

(4) Keep textiles such as clothes, bedding and seat covers clean, and wash and disinfect them regularly. It can be disinfected by circulating steam or boiling for 30 minutes, or soaked in 500mg/L chlorine-containing disinfectant for 30 minutes, and then cleaned routinely.

(5) Sanitary ware can be disinfected by soaking or wiping with chlorine-containing disinfectant with available chlorine content of 500mg/L, then rinsed with clean water after 30 minutes and dried for later use.

(6) In case of suspected or confirmed cases, disinfection should be carried out under the guidance of professionals.

Ventilation. All offices should strengthen ventilation and keep indoor air circulation. Natural ventilation is preferred, try to open doors and windows for ventilation, and mechanical ventilation can also be used. If air conditioning is used, the air supply safety of the air conditioning system should be ensured, and sufficient fresh air input should be ensured, and all exhaust air should be directly discharged to the outside. When the air conditioner is not used, the return air duct should be closed.

2.3.3 Hand-washing facilities ensure the normal operation of hand-washing facilities in the place, equipped with quick-drying hand disinfectant, and equipped with inductive hand disinfection facilities when conditions permit.

Garbage disposal. Strengthen the management of garbage classification and collect and clean it in time. Strengthen the cleaning and regular disinfection of garbage containers such as trash cans. Chlorine-containing disinfectant containing 250 mg/L ~ 500 mg/L of available chlorine can be sprayed or wiped, and can also be wiped with disinfectant wipes.

2.3.5 Establish an emergency area. It is suggested to set up an emergency area in public places, and when there are suspected or confirmed cases, go to the area for temporary isolation in time, and then deal with them according to other relevant regulations.

Health education. In a prominent position on the scene, carry out prevention and control health education through video scrolling or posting posters.

? Organization and responsibilities of the new agreement

The emergency organization consists of emergency leading group, emergency office and on-site emergency headquarters.

3. 1 Emergency Leading Group

Group length:

Deputy team leader:

Members:

Main job responsibilities:

(1) Approve the emergency plan;

(2) comprehensively guide the emergency rescue work;

(3) To implement the important instructions of the government and superior units on emergency work;

(4) Responsible for establishing emergency headquarters or designating personnel to direct emergency rescue work at the scene.

Make decisions on major emergency rescue matters;

(five) to examine and approve the event information released and reported to the outside world;

(six) responsible for approving the release and cancellation of early warning information and issuing emergency response procedures.

Move and terminate instructions;

(7) After the emergency response, organize relevant departments and personnel to conduct accident investigation and evaluation.

And summary.

3.2 Emergency Office

Group length:

Deputy team leader:

Members:

Main job responsibilities:

(1) is responsible for conveying and implementing the relevant policies and laws of superior emergency management.

Laws and regulations, the spirit of a series of documents and the resolutions of the meeting of the emergency leading group of this unit are as follows

Customs requirements, etc. ;

(2) Responsible for 24-hour emergency duty, receiving all kinds of emergency reports and tracking things.

Dispose of the situation, collect relevant information and make a good report;

(3) Be responsible for emergency plan management, and organize the preparation of overall emergency plans and special emergency plans.

The formulation, revision, review, release and management of the case; Responsible for the formulation, approval and

Organize the implementation of emergency drills and training plans;

(4) Responsible for the formulation of emergency fund plan and the examination and approval of emergency projects;

(5) Responsible for the construction and management system of emergency materials warehouse.

Prepare and implement emergency materials and equipment plan, and be responsible for emergency materials supply on a regular basis.

Check, etc.

(6) Be responsible for the construction of emergency teams, and formulate and implement emergency team training and drill plans;

(7) Organize emergency drills, emergency training, emergency supplies and rescue teams. , and evaluate and manage the construction situation;

(8) Responsible for setting epidemic prevention control checkpoints in the gatehouse of safeguard section, measuring and registering the temperature of the personnel coming to the mine, and reporting the abnormal temperature in time; No outsiders are allowed to enter the mine.

3.3 On-site emergency rescue team

The on-site emergency rescue team is led by the emergency leading group, and all emergency rescue working groups carry out on-site disposal and rescue work in an orderly manner. The working group can be adjusted according to the actual situation, mainly including the on-site rescue group (rescue, evacuation, alert, etc.). ), logistics support group, rehabilitation group, accident investigation team.

(1) On-site rescue team

Group length:

Member: heads of departments

Main responsibilities: to implement various rescue measures determined in the on-site rescue plan and control the situation.

Exhibition, reduce accident losses; Responsible for on-site rescue of infected people and setting up isolation areas; Be responsible for ...

Assist external rescue and medical teams to carry out their work.

(2) after-care team

Group length:

Member: heads of departments

Main responsibilities: responsible for the follow-up medical treatment of patients; Responsible for verifying the patient's condition.

Reception, comfort, accommodation and daily life of their relatives; Responsible for restoring basic functions such as on-site office and life.

(3) Accident investigation team

Group length:

Member: heads of departments

Main responsibilities: responsible for protecting the accident site and collecting accident data; Responsible for accident investigation, determine the loss, nature, cause and main responsible person of the accident, and put forward preventive measures and handling opinions.

? █ Monitoring and early warning of No.4

4. 1 risk monitoring

4. 1. 1 Job responsibilities

The emergency office is responsible for the risk monitoring of novel coronavirus of the unit. Responsible for contacting the local government and the health administrative department to obtain the information of epidemic personnel in novel coronavirus, and report to the emergency office of the higher level unit in time when receiving the early warning information of novel coronavirus. Special circumstances can be reported by leaps and bounds.

When novel coronavirus's case is found, the security department or the department where the suspected case is located immediately reports to the personnel of the emergency rescue daily management office. The emergency office comprehensively analyzes and judges the suspected case, whether there is a fever patient or an epidemic situation, reports to the emergency leading group, issues an early warning notice, and informs all departments to make emergency preparations.

The Security Section regularly reports to the emergency office the temperature examination of the employees on the job every day (whether there are fever patients or epidemic contacts). If there are suspected patients, the emergency office will contact the hospital for screening and disposal.

4. 1.2 monitoring method

4. 1.2. 1 Suspected patients are mainly judged by asking whether they have the following contact history.

1) Suspicious exposure refers to exposure to wild animals, articles and the environment that have been tested positive in novel coronavirus, and no effective protection (such as wearing a mask) was taken during the exposure.

2) Close contacts refer to persons who have one of the following contact situations with suspected infected persons or confirmed infected persons:

3) People who live, study, work or have close contact with the case * * * *;

4) Medical personnel, family members or other personnel who have similar close contact with the case failed to take effective protective measures in the process of diagnosis, treatment, nursing and visiting the case;

5) Other patients and accompanying personnel in the same ward;

6) Take the same vehicle with the case and have close contacts;

7) On-site investigators who meet the requirements after investigation and evaluation.

8) Close contacts need home medical observation. Don't go to work, don't go out casually, observe your physical condition and receive regular follow-up from community doctors.

4. 1.2.2 Pay attention to distinguish novel coronavirus from common diseases through the following items:

1) novel coronavirus showed fever, fatigue, dry cough and pneumonia. But early pneumonia may not have fever, only symptoms of chills and respiratory infection, but CT will show pneumonia.

2) Influenza is characterized by high fever, cough, sore throat and muscle pain, and sometimes it can cause pneumonia, but it is not common.

3) The common cold is characterized by stuffy nose and runny nose. Most patients have mild symptoms and generally do not cause pneumonia symptoms.

4. 1.2.3 Observe the following signs and symptoms:

1) has a fever. Measure the temperature twice a day.

2) cough.

3) Shortness of breath or difficulty breathing.

4) Other early symptoms that need attention include chills, body aches, sore throat, headache, diarrhea, nausea/vomiting and runny nose.

5) If there are any abnormal symptoms such as fever and cough, report to the department in time. After reporting to the emergency office, the head of the department will contact the doctor in a unified way and go to the designated medical department for investigation, diagnosis and treatment.

If the fever exceeds 38℃, there are three conditions at the same time, 1) accompanied by dyspnea, obvious chest tightness and asthma; 2) Patients who have been exposed to new pneumonia or suspected new pneumonia; 3) Patients with basic diseases such as hypertension, heart disease, liver, lung and kidney. When you see a doctor in a hospital, you must call 120, and be isolated in the hospital if necessary.

4.2 Early warning information release

After receiving the early warning information of suspected patients, the emergency office will report it to the emergency leading group, which will judge the possible consequences by combining the hospital diagnosis results, comprehensively judge the urgency of the situation and determine the early warning level. The emergency office releases early warning information by telephone, QQ platform, WeChat platform, SMS, etc., including the time, place, possible impact range and measures to be taken.

4.3 Early warning actions

After receiving the early warning information, each emergency rescue working group enters the standby state and prepares for emergency response.

4.4 Early warning adjustment and end

The emergency office shall report to the emergency leading group according to the changes of the epidemic situation of acute infectious diseases.

After approval, issue a notice to adjust or cancel the early warning information.

5 emergency response

5. 1 information report

5. After the1.1novel coronavirus incident, the person in charge of the incident unit shall immediately report to lishi district Energy Bureau of Lvliang, lishi district Emergency Management Bureau of Lvliang and Lvliang, and report to the nearby disease prevention and control institutions or medical institutions in time.

5. 1.2 Report content: novel coronavirus's name, place and time of occurrence, affected people or potential threats and impacts, reporting unit, contact person and communication method. And provide the following information as far as possible: the nature, scope, severity, possible causes, measures taken, case distribution and possible development trend of novel coronavirus.

5.2 Emergency measures

5.2. 1 novel coronavirus emergency measures mainly include:

5.2. 1. 1 Call on all employees to develop good hygiene habits and keep their offices and living places clean.

5.2. 1.2 Control the entry and exit of personnel, check the health status of entry and exit personnel at the same time, and immediately isolate and observe the personnel suspected of acute infectious diseases. Set up a temperature detection point at the entrance of the camp to detect the temperature of people entering and leaving the camp. In particular, check the temperature of foreign visitors, issue masks and register.

5.2. 1.3 Sterilization. Coronavirus is sensitive to heat. Lipid solvents such as 56℃ for 30 minutes, ether, 75% alcohol, chlorine-containing disinfectant, peracetic acid and chloroform can effectively inactivate pathogens. Disinfect camps, office areas, dormitories, conference rooms, etc. And regularly open doors and windows for natural ventilation to improve indoor air quality. It is forbidden to pile up garbage in the open air, and the garbage dump will clean up the garbage in time to prevent cross-flow of sewage.

5.2. 1.4 If you can live alone, if you can't, try to keep a distance of one meter from your family. Besides, in a single room, the less things, the better. Wear a mask and have good ventilation. During the isolation period, pay attention to drink plenty of water.

5.2. 1.5 Strengthen the sanitary management of the canteen, set up hand washing points at the entrance, use masks for service personnel, use disinfection cabinets for public appliances, and regularly disinfect and clean the cabinets where employees store chopsticks. Disinfect the bowls and chopsticks separately, and keep the sink clean and hygienic. In terms of ingredients, do not eat live poultry and game, and maintain a balanced nutrition;

5.2. 1.6 The toilet should be disinfected and ventilated after use. Improve facilities such as toilet sink and hand sanitizer dryer, strengthen hygiene management, and keep toilets clean and hygienic. Clean the surfaces of all "high-frequency contact" objects every day, such as counters, desktops, door handles, toilet fixtures, toilets, mobile phones, keyboards, tablet computers, bedside tables, etc. In addition, clean any surface that may contain blood, body fluids and/or secretions or excretions.

5.2. 1.7 Inspect all employees and migrant workers entering the mine one by one, and refuse to enter the mine if their body temperature is abnormal. If the body temperature exceeds 37.3 degrees, call the epidemic emergency office, and the prevention and control leading group will isolate and observe those with abnormal body temperature. If the temperature exceeds 38℃, call 120 immediately.

5.2.2 On the premise of self-protection, patients with infectious diseases and suspected infectious diseases should

When sent to the medical emergency center (medical department) for treatment. It is found that people should avoid direct contact or close contact with patients as much as possible and leave the room or office where patients live and work. Be alert near the site to prevent people from entering and leaving, and wait for the arrival of other personnel of the emergency organization.

5.2.3 Disinfect places and articles contaminated by patients with infectious diseases, pathogen carriers and suspected patients with infectious diseases. Effectively disinfect epidemic areas, spaces, vehicles, articles, vomit and excreta that patients have contacted; Take other effective disinfection methods for articles that are not suitable for disinfection with chemical disinfection drugs; For pollutants with little value, they should be completely burned at the designated place and buried deep (below 2m) to prevent secondary transmission.

5.2.4 Close contact with infectious patients or suspected patients should be isolated for clinical observation. Set up a special isolation area for employees who need to observe isolation, and be responsible for arranging and distributing daily necessities for the isolated personnel. Shopping in the canteen should avoid the source of the virus and ensure food safety.

5.2.5 Fully consider the possible shortage of manpower during the epidemic of infectious diseases and unexplained group diseases, and rationally allocate human resources to ensure normal life and work order.

5.2.6 Timely announce the mode of transmission, the law of transmission, effective prevention methods and how to treat them correctly, so that the broad masses of workers can further understand the prevention knowledge of related diseases. In order to eliminate the fear of workers and the masses, stabilize the mood of workers and ensure the normal production and living order.

5.2.7 Non-employees are forbidden to ride in company vehicles, which are disinfected at any time. According to the need to send special vehicles to participate in rescue work.

5.2.8 Concentrate healthy uninfected personnel, make unified accommodation, reduce external contact, and ensure that the above personnel are not infected.

5.3 Extended response

When the current emergency measures are difficult to deal with, which may cause heavy casualties or property losses, emergency headquarters at the scene should promptly ask the emergency leading group of Indonesian Representative Office to adjust the response level, request the support of the superior unit, and fully seek the support of the local government or rescue agencies.

5.4 the end of the state of emergency

Set up an isolation room in the new apartment building. During the isolation period, all the isolation personnel have been diagnosed, and the patients' living and working places have been disinfected; And no new suspected cases and confirmed cases have occurred, the person in charge of the daily emergency rescue management institution shall report to the emergency rescue headquarters. The leader of the emergency leading group announced the end of the emergency response to the novel coronavirus incident according to the unified deployment of the superior.

6 Post-treatment

6. 1 After the emergency response, do a good job in production and life recovery in time according to the principle of minimizing accident losses and impacts.

6.2 The Finance Department is responsible for taking the lead in accounting disaster relief expenses and later insurance claims.

6.3 The incident investigation team must seek truth from facts, respect science and abide by? Four don't let go? Principles, timely and accurately identify the causes of infectious diseases, draw lessons from accidents, formulate preventive measures, implement the responsibility system, and prevent similar incidents.

6.4 The emergency office is responsible for collecting and sorting out emergency rescue records, plans, documents and other materials, organizing various departments to summarize and evaluate the emergency rescue process and emergency rescue support, putting forward improvement opinions and suggestions, and reporting the summary evaluation report to the superior competent department.

? 7 emergency support

7. 1 Emergency Team

The emergency leading group shall set up on-site emergency rescue teams, mainly including on-site emergency rescue teams (rescue, evacuation, alert, etc.). ), logistics support group, rehabilitation group, accident investigation team. Each group of personnel is composed of personnel from relevant professional departments, and relevant personnel should participate in corresponding emergency plan drills or training activities.

7.2 Emergency materials and equipment

Emergency rooms and medical offices should reserve appropriate emergency protection facilities, such as protective gloves, masks, disinfectants, infrared temperature detectors, etc.

?