Novel coronavirus infection monitoring and early warning work plan released.

Clear work objectives. Grasp the infection level and its changing trend in COVID-19 dynamically, know the variation and biological characteristics of COVID-19 virus strain in time, scientifically judge and predict the development trend of epidemic situation, and implement social prevention and control measures in a classified way, so as to curb the development of epidemic situation and the peak of epidemic situation with minimum cost and fastest speed.

Second, the epidemic monitoring

Detection and monitoring of citizen's nucleic acid and antigen. Through the COVID-19 nucleic acid detection information system and antigen detection information platform, the data and results of voluntary nucleic acid and antigen detection of community residents, nucleic acid screening and detection of key industries and institutions, and nucleic acid detection of medical institutions are collected and summarized daily, so as to dynamically analyze and monitor the infection levels and changing trends of various populations and scientifically judge and predict the scale, intensity and epidemic time of the epidemic.

Surveillance of COVID-19 infection cases in medical institutions. In accordance with the relevant provisions of the state, all kinds of medical institutions at all levels in the city carry out the diagnosis and network report of COVID-19 infection cases, and the municipal and district centers for disease control and prevention review and modify the report information; The existing sentinel surveillance medical institutions in COVID-19 monitored and dynamically analyzed the outpatient visits, the number of patients with acute fever and respiratory symptoms, the total number of inpatients, the number of cases of severe acute respiratory infection, the number of COVID-19 nucleic acid or antigen tests and the number of positive people. Through the above network dynamic analysis, we can judge the changing trend of pathogenicity in COVID-19.

Surveillance of community infection level. Randomly select community residents in this city, investigate the infection level of all family members in the community, understand the changes of COVID-19 infection rate and COVID-19 infection rate in different areas and populations in Beijing, and evaluate the COVID-19 infection situation in this city. Dynamically carry out online questionnaire survey on residents' infection, monitor the infection level, symptoms, population characteristics, regional distribution and medical treatment, and dynamically understand the progress of the epidemic situation in the city.

Nucleic acid detection and monitoring of entry personnel. The Municipal Center for Disease Control and Prevention and Beijing Customs jointly established a nucleic acid detection mechanism for entry personnel to monitor the infection rate and mutant strains of entry personnel. According to the scientific sampling method, Beijing Customs collects a certain number of throat swab samples for nucleic acid detection every day from the entry personnel with COVID-19-like symptoms such as fever and positive antigen detection, and sends the samples that meet the sequencing standards to the Municipal Center for Disease Control and Prevention for genome-wide sequencing analysis every week, so as to dynamically grasp the COVID-19 infection level and virus variation of the entry personnel and timely discover new and potentially important strains imported and prevalent locally.

Pathogen monitoring in COVID-19. Relying on the sentinel hospital network, the city's clustering and outbreak monitoring, we monitored the positive rate and mutant composition in COVID-19, dynamically analyzed the infection level of the population in our city, found the new local popular mutant in time, and tracked the potential important mutant to grasp its changing trend.

Other related monitoring. Carry out big data monitoring on key institutions, students' symptoms, sewage, population mobility and Internet search, and systematically collect the whole chain data of COVID-19 infection, so as to provide a comprehensive data base for early warning and response.

Third, early warning classification.

Early warning classification of epidemic situation. Qualitative analysis based on multidimensional monitoring data, real-time monitoring of epidemic situation, epidemic peak and spread range, and timely detection of abnormal signals. On the basis of qualitative analysis, considering factors such as epidemic intensity, severity and occupation of medical resources, the expert risk analysis and judgment mechanism was established and improved, and suggestions on epidemic classification and grading measures were put forward.

Fourth, hierarchical and classified response.

According to the epidemic risk assessment and early warning classification, combined with the actual needs of epidemic prevention and control in the capital, the whole region is divided into three levels: no epidemic, epidemic and severe epidemic, and social epidemic prevention and control measures are implemented in different categories.

Non-epidemic measures. In principle, no current limiting measures are taken. Actively promote vaccination, strictly implement personal protection, keep interpersonal distance, strengthen personnel health monitoring, report to the unit in time if there is fever or respiratory symptoms, and carry out antigen or nucleic acid testing. Positive infected people should do a good job in self-health management, make timely diagnosis and treatment according to their illness, and do not advocate working and studying with illness; When irreplaceable personnel in key positions must take up their posts, they should do personal protection and reduce contact with others. Do a good job of daily ventilation, cleaning and disinfection in public areas such as work, study and life.

Measures in case of epidemic. On the basis of non-epidemic measures, take the following measures:

The elderly, pregnant women and children with basic diseases should minimize crowd gathering, avoid going to crowded places with poor ventilation, closely monitor their health status, detect antigen or nucleic acid in time when symptoms appear, and go to medical institutions in time when symptoms get worse. When people living together are infected, others should do personal protection and strengthen symptom monitoring and antigen or nucleic acid detection.

Pension institutions, social welfare institutions, medical institutions and other key institutions should strengthen health monitoring, strengthen daily disinfection and ventilation, prepare adequate protective equipment, screen novel coronavirus infected people in time, limit all kinds of gathering activities, and reduce and control the occurrence of clustering epidemic. Nucleic acid detection is mainly based on single collection and single detection. The staff regularly carry out nucleic acid tests on all employees, and the nurses regularly carry out nucleic acid or antigen tests. Two groups of people can be tested alternately. In principle, the gathering places of vulnerable groups such as old-age care institutions and social welfare institutions are closed. With the approval of the territorial prevention and control leading group, on the basis of strengthening the health monitoring of entry-exit personnel, they can be managed in an orderly and open manner.

Schools or pre-school education institutions should strengthen morning and afternoon check-ups and monitoring of absence due to illness. After the outbreak, we should reduce or stop organizing campus gatherings, reduce interpersonal contact, and strengthen the personal protection of teachers and students. According to the scale and spread of the epidemic, primary and secondary schools involved in the epidemic can take online teaching in a short period of time, and pre-school education institutions can be temporarily shut down.

Stations, supermarkets, exhibition venues, conference centers, stadiums, cultural venues, entertainment and leisure venues, bathing places, religious venues, restaurants, transportation and other places with large capacity and closed space are prone to cluster epidemics. Personal protection, disinfection and ventilation should be strengthened, and measures such as peak-shifting appointment and flow restriction should be implemented to reduce crowd gathering. Strengthen the health monitoring of workers in the workplace. If you have fever and respiratory symptoms, detect antigen or nucleic acid in time, and those who are positive may not take up their posts with illness.

Rural areas can appropriately control the scale and frequency of rural fairs, temple fairs, cultural performances and other gathering activities according to the regional epidemic situation and residents' wishes.

Check the participants' negative proof of nucleic acid or antigen test in important activities.

Measures when the epidemic situation is serious. On the basis of the above measures, the following social measures have been taken:

Key institutions such as pension institutions and social welfare institutions strictly implement closed management, cancel non-emergency and necessary hospital visits, and all materials are transported without contact. All collective units should strengthen personal protection, wear masks scientifically, and strengthen environmental ventilation and cleaning and disinfection. Adopt flexible working system, go to work at wrong time, control the arrival rate, and work from home when necessary; Reduce the gathering of people during work, reduce the frequency of offline meeting training or cancel meeting training. If it is really necessary to hold it, under the premise of strictly implementing personal protection, disinfection and ventilation measures, reduce the number of offline meetings; The unit does not provide meals in the class, but takes meals at the wrong peak. Strict campus management in colleges and universities. Key industries that maintain the basic operation of society and enterprises and institutions of party and government organs should establish a system of rotation and post preparation for staff in key positions and key processes, and staff should implement two points and one line to reduce the impact on normal work.

Conference centers, stadiums, cultural venues, supermarkets and exhibition venues cancel or postpone unnecessary large-scale activities. Shopping malls, supermarkets, banks, farmers' markets and other business places stop promotional and other crowd gathering activities, and shopping malls and banks shorten their business hours. Entertainment and leisure places, bathing places, places for religious activities, etc. Shorten business hours, strictly make appointments and limit the flow, strictly control the number of people in the venue, and suspend business or open when necessary. Business premises shall be closed when necessary, except for markets and large supermarket chains that guarantee the supply of daily necessities. Stations, parks and scenic spots and other large spaces and open public places should strengthen passenger flow guidance and try not to get together. Catering establishments take measures to limit the flow of people. Restrict group travel, various promotions, lectures and training for the elderly in the city. * * * Public transport vehicles should increase the capacity guarantee according to the needs and reduce the concentration of passengers.

Verb (abbreviation of verb) organizational guarantee

Strengthen organization and coordination. The Municipal Health and Wellness Committee shall co-ordinate the monitoring and early warning work, and the Municipal Center for Disease Control and Prevention and relevant departments shall be responsible for the specific organization and implementation. Strengthen the overall role of municipal lead departments in non-epidemic and epidemic situations, and guide relevant departments and territories to implement epidemic response measures. When the epidemic situation is serious, the municipal party committee and municipal government shall conduct unified command and dispatch, and lead relevant departments and territories to implement epidemic response measures.

Strengthen the implementation of responsibilities. Relevant municipal departments give full play to the responsibilities of industry system management, conscientiously implement monitoring, early warning and response measures according to service management fields and people, and closely cooperate with health disease control departments to carry out monitoring and early warning analysis. Each district should compact the main responsibility, set up a special class for monitoring and early warning, refine the local plan, clarify the division of responsibilities, carefully organize the implementation, organize relevant departments in the jurisdiction, and organize the implementation of epidemic monitoring, information reporting and response measures within the jurisdiction according to the work requirements of the municipal lead department. Relevant departments at the two levels in urban areas should do a good job in supporting funds, personnel and equipment, information systems and scientific research.

Strengthen training supervision. Various departments and districts have carried out extensive training and in-depth interpretation among staff at all levels in the city for monitoring, early warning, measures and other work requirements and technical points to ensure the implementation of all work. Urban two-level responsible departments should strengthen work guidance, strengthen supervision and inspection, carry out assessment, and ensure that relevant requirements are in place. To seriously implement the requirements of the work plan, work perfunctory, informed, and urge the rectification.

The capital strictly enters Beijing to manage the office of joint defense and joint control coordination mechanism

Beijing novel coronavirus Infection Epidemic Prevention and Control Work Leading Team Office

65438+20231October 6th

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