On February 3rd, the COVID-19 Epidemic Prevention and Control Command of Guangxi Zhuang Autonomous Region issued the Notice on Printing and Distributing the Detailed Rules for Further Optimizing and Implementing the Epidemic Prevention and Control Measures in COVID-19. The details of the relevant rules are as follows-Further optimizing and implementing the detailed rules for the epidemic prevention and control measures in COVID-19, in order to scientifically and accurately do the epidemic prevention and control work and promote the restoration of normal production and living order, According to the ninth edition prevention and control plan, 21 optimization measures and 11 optimization measures of the State Council joint prevention and control mechanism, the detailed requirements for further optimizing the implementation of epidemic prevention and control are as follows: 1. Optimizing personnel travel management and nucleic acid detection; 1. Optimizing personnel travel management. Personnel returning to Guangxi from outside the region will no longer be managed according to the risk level, and the reporting requirements for personnel returning to Guangxi will be cancelled. People in the area flow normally across regions, and there is no need to inquire about health codes and nucleic acid test reports, and there is no need to carry out health management such as home health monitoring. Take the subway, bus, taxi and other public transportation tools to enter the airport, railway station, high-speed railway station, road and waterway passenger station, highway service area, supermarket, hotel, restaurant, business building, public cultural places (museums, libraries), tourist attractions, Internet service places, entertainment places, theater performance places, script entertainment business places and catering service places. Foreigners entering special places such as nursing homes, welfare homes, medical institutions, nurseries, primary and secondary schools must scan the Guangxi health code and check the negative certificate of nucleic acid detection within 48 hours. (2) Further optimize nucleic acid detection. No longer check the health code and negative proof of nucleic acid test for cross-regional migrants, and no longer carry out "landing inspection". Not according to the administrative region to carry out all the nucleic acid testing, further narrowing the scope of nucleic acid testing, reduce the frequency. All localities should reasonably arrange convenient nucleic acid sampling points according to the needs of the masses, and provide paid "willing to do all the inspection" services for the convenience. In order to avoid the "mixed tube positive" causing too much trouble to the same tube staff, the "willing to check and check" group is in principle single tube. According to the needs of epidemic prevention work, antigen testing can be carried out. For those who are in direct contact with entry personnel, imported cold chain goods and their environment, staff in centralized isolation places, medical staff in fever clinics of designated medical institutions and general medical institutions, closed-loop management should be carried out during the operation, and nucleic acid detection should be carried out 1 times a day; Employees in high-risk positions such as supermarkets, postal services, express delivery, take-away, etc., who have dense employees, frequent contacts and strong mobility, carry out nucleic acid testing twice a week; Other employees in the airport area will no longer implement normalized nucleic acid screening. Other personnel are "willing to complete the inspection". Important organs, large enterprises, some specific places and major activities can be determined by the territory or the unit itself according to needs. Second, optimize the health management of risk personnel (1) optimize the health management of positive personnel. 1. The test result of antigen or single-person nucleic acid collection is positive, and there is no need to report the positive information to the community. People should consciously stay at home for 5 days, buy antigen reagents and necessary drugs by themselves, and test their antigens on the 6th and 7th days. After the antigen results are negative twice, wear N95 mask and go out to do nucleic acid. After the nucleic acid results are negative twice (or the Ct value is not less than 35), they can return to normal life. Positive people who live together will be isolated at home for 5 days. On the premise that there are no new positive people in this household, they will wear N95 masks and go out for nucleic acid detection on the fifth day. After the nucleic acid results are negative (or the Ct value of two times is ≥35), they can return to normal life. If you have fever, cough and other symptoms, do a good job of symptomatic treatment. If necessary, you can contact primary health care institutions or through the Internet for medical treatment, and the doctor will provide professional guidance. If the condition worsens, it will be transferred to a designated hospital for treatment in time. 2. If the result of nucleic acid test is "mixed tube positive", there is no need to catch up with Yang, and the nucleic acid testing institution is responsible for sending a short message to inform. The personnel involved in "mixed tube positive" will go to the nucleic acid testing point to complete the single-person single-tube test within 24 hours as notified. You don't have to report to the community again, and if the nucleic acid is negative, you will return to normal life. (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 isolation will be lifted in time after the nucleic acid test result is negative on the fifth day; 2. If it is less than 5 days, if you have the conditions for home isolation, return to the community for home isolation in a "point-to-point" way, and dock with the community to make up for the 5-day isolation time; 3. If you don't have the conditions for home isolation or choose to continue centralized isolation voluntarily, you can remove the isolation after 5 days of centralized isolation and negative nucleic acid test results on the fifth day; 4. If it fails to be transported to the centralized isolation point in the early stage and adopts home isolation management, the home isolation can be lifted within 5 days and the nucleic acid test is negative on the fifth day. (3) Optimize risk area division and risk management. According to buildings, units, floors and households, high-risk areas shall be designated, and shall not be arbitrarily extended to areas such as residential areas, communities and streets (townships). Any form of temporary blockade shall not be adopted. Implement "quick sealing and quick solution" in high-risk areas. If there is no high-risk area for newly infected people for 5 consecutive days, it should be unsealed in time. (4) Optimize the management of employees in high-risk positions with closed-loop operations. Carry out "5-day home health monitoring" for employees in high-risk posts who have finished closed-loop operations, and carry out 1 nucleic acid tests on the fifth day. If the results of nucleic acid tests are negative, they will return to normal life. III. Strengthening Health Management of Key Personnel (I) Accelerating Covid-19 Vaccination for the Elderly. All localities should adhere to the principle of "taking every connection", focus on improving the vaccination rate of people aged 61-79, and accelerate the vaccination rate of people aged 81 and over. Optimize vaccination services by setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles and other measures. It is necessary to carry out the training of judging vaccination contraindications step by step and guide medical staff to scientifically judge vaccination contraindications. Refine popular science propaganda, mobilize all social forces to participate in mobilizing the elderly to vaccinate, and all localities can take incentive measures to mobilize the enthusiasm of the elderly to vaccinate. (two) to strengthen the health status of key groups and classification management. Mobilize various forces to participate, give full play to the role of village (neighborhood) committees and their public health committees and the professional advantages of urban and rural primary medical and health institutions, make full use of existing residents' health information, and conduct a thorough survey of the health status of the elderly through health management services for the elderly and telephone, SMS and WeChat surveys. During the epidemic period, the "Party Building+Grid" has established a ledger, so it is not necessary to collect it repeatedly. It is encouraged to integrate the information of * * * and determine the scope of key people through information technology, so as to effectively reduce the burden on the grassroots. According to the health status, vaccination, the risk of infectious diseases, etc., the people who have been diagnosed are divided into key, sub-key and general groups, and the role of "party building+grid", "net bottom" of primary medical and health institutions and "gatekeeper" of family doctors is played, and corresponding health services are provided by classification. (3) Strengthening the safety guarantee for epidemic-related diseases. It is strictly forbidden to block fire exits, unit doors and residential doors in various ways to ensure that people go out for medical treatment and emergency avoidance. Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide medical convenience for elderly people living alone, minors, pregnant women, disabled people and patients with chronic diseases. Strengthen the care and psychological counseling for the sealing control personnel, patients and front-line staff. Fourth, strengthen medical and health security (1) strengthen the construction of medical resources. Strengthen the preparation of intensive care 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 number of "convertible ICU beds" and set up buffer wards. Strengthen the reserve of critical care medical resources in secondary hospitals as a useful supplement to the critical care medical resources in tertiary hospitals. Ensure the preparation of medical resources in designated hospitals, and set up severe beds and convertible severe beds respectively according to national requirements. Upgrade and transform the shelter hospital, take prefecture-level cities as the unit, and according to the population size, upgrade and transform the shelter hospital into an Asian (quasi) designated hospital, and set up monitoring beds. (2) Optimize the patient's medical treatment process. The fever clinic of medical institutions must be "fully set up and fully opened", and the telephone number and address should be made public so that people can visit the fever clinic nearby. The fever clinic should expand the reception space, equip the medical staff and improve the reception capacity, and should not be shut down at will to ensure the smooth and orderly development of the diagnosis and treatment work and better safeguard the health of the people. The outpatient area of medical institutions should be divided into nucleic acid positive diagnosis and treatment area and nucleic acid negative diagnosis and treatment area, and the corresponding patients should be treated separately. For emergency patients, the treatment should not be affected by the lack of 48-hour nucleic acid results; If there are 48-hour nucleic acid test results, they will directly enter the emergency diagnosis and treatment area. If there are no 48-hour nucleic acid test results, they will be admitted to the emergency buffer area, and antigen and nucleic acid will be checked at the same time. Covid-19 positive patients are treated according to the principle of grading and classification, and asymptomatic infected people and light cases with home isolation conditions are generally treated at home; Patients with obvious symptoms such as cough and fever can go to the hospital for fever clinic treatment; Mild cases with serious basic diseases, common cases, severe cases and critical cases were hospitalized in combination with their illness. Designated and sub-designated hospitals mainly treat patients with COVID-19's symptoms; Positive patients with basic diseases and specialized medical needs are admitted to hospitals at all levels. For hospitalized patients, it is still strictly enforced not to visit, not to accompany them unless necessary, and the fixed accompanying personnel who really need to accompany them are strictly protected and prohibited from going out during the accompanying period. Patients in emergency observation ward are managed according to inpatients. All medical institutions should optimize the medical treatment process, establish a dynamic adjustment mechanism, maximize the number of medical staff and consultation rooms in outpatient and emergency departments and fever clinics, meet patients' medical needs in time, and ensure the safe and orderly medical treatment order to the greatest extent. The cost of diagnosis and treatment of positive infected persons shall be handled in accordance with the relevant provisions of common diseases. (three) to ensure the normal operation of society and basic medical services. Non-high-risk areas shall not restrict the flow of personnel, and shall not stop work, production or business. Medical personnel, public security, transportation and logistics, supermarkets, power supply, water, electricity and heating, etc. who ensure basic medical services and normal social operation are included in the "white list" management. Relevant personnel should do personal protection, vaccination and health monitoring, ensure normal medical services and supplies of basic living materials, water, electricity and heating, try their best to maintain normal production and work order, solve the "urgent difficulties and worries" problems reflected by the masses in time, and effectively meet the basic living needs of the masses during the epidemic handling period. (four) to ensure the basic drug purchase needs of the masses. Local pharmacies should operate normally and should not be shut down at will. It is not allowed to restrict people from buying over-the-counter drugs such as antipyretic, antitussive, antiviral and cold treatment online and offline. People who buy antipyretic, cough-relieving, antiviral and antibiotic drugs through Internet platforms or pharmacies will no longer be registered with their real names, and will no longer check their health codes and negative certificates of nucleic acid testing. V. Optimizing the management of key places (1) Further optimizing the prevention and control of epidemic situation in schools. Schools in all localities should resolutely implement the requirements of scientific and accurate prevention and control, and primary and secondary schools and kindergartens should decide whether to carry out mixed sampling inspection according to the local and school epidemic situation. Encourage qualified places to organize nucleic acid testing for primary and secondary schools and kindergartens according to territorial policies. Encourage scientific wearing of masks in schools (except during sports). Schools without epidemics should carry out normal offline teaching activities, and supermarkets, canteens, stadiums and libraries on campus should be opened normally. Schools with epidemics should accurately define risk areas, and normal teaching and living order should be ensured outside the risk areas. (two) the implementation of enterprise and industrial park prevention and control measures. All localities should find out the base number of enterprises and industrial parks, including private enterprises, and formulate plans for epidemic prevention and control. Implement the main responsibility of epidemic prevention and control in enterprises and industrial parks, establish a full-time responsibility system for epidemic prevention and control from enterprises and park management to workshop teams and front-line employees, and refine the ledger of epidemic prevention and control in all links and processes. Strictly check the epidemic-related risks of returning personnel and confirm their health before returning to work. Strengthen the life, epidemic prevention and post preparation guarantee for employees in key positions and key processes, improve the management measures for third-party outsourcing personnel, and strictly manage the access of social personnel. During the outbreak, it is necessary to fully ensure the smooth flow of logistics, and it is not allowed to ask key enterprises that are related to the overall situation of the industrial chain and the protection of people's livelihood to stop production and implement the "white list" system. 6. Strengthening the prevention and control of border epidemic situation (1) Standardizing the closed-loop management of entry personnel. The entry personnel shall be strictly observed in centralized isolation for 5 days (1 nucleic acid detection on the 1 th, 2 nd, 3 rd and 5 th days of centralized isolation) +3 days of home isolation (1 nucleic acid detection on the 1 th and 3 rd days), and shall not go out. Under the guidance of the local headquarters, important business personnel and sports groups will be transported to the closed-loop management area without isolation ("closed-loop bubble") to carry out business, training, competitions and other activities. During this period, they will be assigned code management and cannot leave the management area. Chinese personnel need to complete the intensive immunization of Covid-19 vaccine before entering the management area, and take corresponding isolation management or health monitoring measures according to the risk after completing the work. (2) Optimize the detection and monitoring of key personnel in border areas. Cancel the normal nucleic acid screening in villages and towns in Napo County, Jingxi City, Longzhou County, Pingxiang City, Ningming County, dongxing city City, Fangcheng District and daxin county Border, and set up convenient nucleic acid sampling points reasonably according to the specific situation in all localities to meet the needs of people with fever, cough and other symptoms. (3) Optimizing port management. Border port areas are accurately divided into risk areas and clean areas (namely, red areas and green areas) according to the risk prevention and control situation of each operation post. Fences and purse seines are used for physical isolation between areas, and standardized closed-loop operation processes and personnel management rules are formulated for risk areas. Optimize the management of inbound vehicles and goods at border ports. After the entry vehicles and goods leave the port area, they can enter the urban areas of border port cities according to the domestic logistics vehicles and goods management, and each port city will optimize the management measures. All ports (mutual markets) shall not suspend the import of goods such as cold chain at will. Strict zoning management of air ports and airports. In accordance with the principle of closed-loop management of international inbound passengers and closed-loop management of frontline staff, we will improve the infrastructure settings such as dedicated passages for international inbound passengers, dedicated passages for crew members and emergency isolation places, strengthen the closed management of transshipment passages in terminal buildings, so as to physically isolate inbound personnel from domestic personnel, crew members from passenger activity places, and realize the separation of international and domestic workplaces, facilities and equipment, staff members and activity tracks. Inland rivers, seaports, ports, and foreign trade operation zones are managed by zones, and facilities and equipment for receiving, transferring and disposing ship domestic garbage, domestic sewage and garbage in ports are set up and classified. Strictly implement the boarding and disembarkation reporting system, strengthen the management and control of foreign ship personnel, continuously strengthen the dynamic management of boarding operators, and strictly implement the unnecessary measures of "no boarding, no landing, no boarding". VII. Optimize the management measures for various conference activities. Various conference activities do not need to be reported. According to the principle of "who sponsors, who is responsible, who sends, who is responsible", the main responsibility of the organizers of conference activities is strictly compacted, organization and leadership are strengthened, and epidemic prevention and control work is done well. Eight, the implementation of personal health management responsibility to continue to do a good job of personal protection, adhere to wear a mask, wash your hands frequently, a rice noodle, frequent ventilation, do not gather, do not get together, continue to do a good job of self-health monitoring, maintain healthy and civilized living habits, be the first responsible person of your own health, protect yourself and protect your family. The COVID-19 epidemic prevention and control headquarters of the autonomous region will continue to optimize and adjust according to national policies and changes in the epidemic situation.