I. Organization and management
1. "Four responsibilities": territories, departments, units and individuals.
Image source: Xingtai CDC, WeChat official account
2. "Four risk points": imported epidemic situation in overseas and domestic high school risk areas, imported cold chain goods epidemic situation, centralized isolation of personnel infection, and cross-infection in medical institutions.
Image source: WeChat official account: Xingtai Disease Control
3. "Key places": places where people are dense and mobile during the COVID-19 epidemic, which are prone to cluster outbreaks, such as stations, airports, docks, public transport, fitness and entertainment places, hairdressing and bathing places, farmers' markets, shopping malls, supermarkets, theaters, stadiums, conference centers, libraries and museums.
Image source: Xingtai, WeChat official account.
4. "Key institutions": institutions prone to cluster outbreaks during the COVID-19 epidemic, including medical institutions, children's welfare homes, nursing homes, nursing homes, supervision places, schools, nurseries and training institutions.
Image source WeChat official account: Xingtai CDC
5. "Key people": people with high exposure risk, high transmission risk and low resistance in Covid-19, including medical personnel, frontline personnel of immigration, customs and market supervision system, police, security guards, sanitation workers, cleaning staff, transportation practitioners, express delivery personnel, service personnel in public places, water, electricity and gas, etc.
Image source: Xingtai, WeChat official account.
6. "Specific population": people engaged in the transportation of cases and asymptomatic infected persons, corpse disposal, environmental cleaning and disinfection, specimen collection, laboratory testing, epidemiological investigation, isolation of wards and medical observation places, health quarantine, production, handling and sales of imported cold-chain goods during the COVID-19 epidemic.
Image source WeChat official account: Xingtai Disease Control
7. "Four ascertainments" in the investigation of epidemic risk personnel: number, head, location and control.
8. "623":
Six passes: cold chain, centralized isolation point, hospital infection prevention and control, sea and air ports, regional investigation and sentinel detection.
two lines of defense: community prevention and control and vaccination.
three key points: key places, key links and key people.
9. "Three stops and one game": coach station, railway station, subway station and airport.
11. At present, the "general strategy" for epidemic prevention and control: external prevention and input, internal prevention and rebound.
2. External defense input
1. "Three checks, three rows and one transfer" for entry personnel: the three checks are to comprehensively carry out health declaration card verification, temperature monitoring and screening, and medical inspection; The third row is to strictly implement epidemiological investigation, medical investigation and laboratory inspection; The first transshipment means that all the confirmed cases, suspected cases, symptomatic persons and close contacts are handed over to the local joint prevention and control mechanism for follow-up disposal in accordance with relevant regulations.
2. "Three types of goods": cold-chain goods, high-risk general goods and low-risk general goods.
3. "Four categories of persons": confirmed cases, suspected cases, close contacts and persons with fever.
4. "Five passes" for closed-loop management of the whole process of entry crowd: remote prevention and control, national quarantine, centralized isolated observation, community prevention and control, and sentinel monitoring.
5. The "first line and two key points" of cold chain food prevention and control: to implement the nucleic acid detection of employees in airports, ports, transportation, warehousing, markets and retail; Strengthen personal protection and health management of key personnel; Strengthen the daily sampling inspection of cold chain food entering the customs and circulating in the market at the port.
6. "Six passes" of cold chain food prevention and control: remote prevention and control, port quarantine, centralized supervision, market circulation, retail distribution and consumption terminal.
7. "Three measures" for prevention and control of cold chain food: personal protective measures, emergency treatment measures and information reporting measures.
8. the "three complete" management of imported cold-chain food: full detection, full disinfection and full traceability.
9. "Six-sided disinfection" of goods packaging: top-front-left-right-back-bottom, with six sides.
III. Investigation, disposal and isolation places
1. National Health Commission's five-word formula for dealing with the Delta mutant epidemic is "fast, cruel, strict, expanding and sufficient": quick response, strict control, strict measures, accurate expansion of investigation scope and sufficient isolation places.
2. "Early, fast, strict and practical" epidemic situation handling: implement the "four early" measures, act quickly, strictly control and take practical measures.
3. The "three publics" mechanism of the flow regulation: public security, public health and industrial trust.
4. "2+4+24" on-site flow control: the flow control team arrived at the scene within 2 hours, completed the epidemiological core information survey within 4 hours, and completed the comprehensive information survey of infected people within 24 hours.
5. The "four points and one line" of flow control refers to the discovery point, residence point, work point, activity point and activity trajectory line of infected people.
6. the "three simultaneous mechanisms" for tracing the source of epidemic situation: in the work of tracing the source of epidemic situation, the departments of disease control, public security, industry and information technology rushed to the scene at the same time, conducted investigations at the same time, and handled the epidemic situation at the same time.
7. "Five in place" in the management of medical observers: investigation, control, supervision, education and care.
IV. Community prevention and control, rural epidemic prevention and control
1. The "three-level guarantee" system for community prevention and control of epidemic situation: refers to the county cadres covering townships, township cadres covering administrative villages and administrative village cadres covering households.
2. The three key words for epidemic prevention and control are "sealing, screening and isolation": sealing means staying at home, proper control, service, health monitoring, education and care; Screening is nucleic acid screening, all staff screening, so as to achieve a leak-free and orderly organization; Isolation means centralized isolation, and resolutely and quickly isolate the personnel who are closely connected and sub-closely connected.
3. "Five guarantees and one" for community prevention and control: 1 street or township cadres, 1 community grid workers, 1 service personnel of grass-roots medical and health institutions, 1 community policemen and 1 or more volunteers to carry out community prevention and control work.
Image source WeChat official account: Xingtai Disease Control
4. Emergency response "Five Best": at the earliest time, from the lowest level, with the lowest cost, solve the biggest key problem and strive for the best comprehensive benefit.
5. supervision and inspection of "four noes and two straights": no notice, no greeting, no report, no accompanying reception, going straight to the grassroots and going straight to the scene.
6. "Seven small" industries: small restaurants, small food stores, small beauty salons, small bathrooms, small Internet cafes, small dance halls and small hotels.
5. Medical treatment, prevention and control of nosocomial infection and nucleic acid detection
1. "Four early measures": early detection, early reporting, early isolation and early treatment.
2. "three zones and two channels": the three zones are clean zone, polluted zone and semi-polluted zone, and the two channels refer to the medical staff channel and the patient channel.
3. Basic requirements for epidemic prevention and control in primary medical institutions are "four unifications, four musts and seven inquiries":
All the "one-meter line" for medical treatment must be implemented, and residents must be guided to queue up for medical treatment, keeping a safe distance of more than 1 meters, so that medical treatment will not gather.
the "four musts" for medical treatment should be implemented: the medical treatment and accompanying personnel must be strictly urged to wear masks, check their body temperature, check their health codes and read their travel codes. The information of people who can't provide health code should be registered and reported to their village of residence, and those with suspicious symptoms need further verification.
The "Seven Inquiries" for medical treatment should be implemented: it is necessary to ask in detail whether the patients have symptoms such as fever, cough, sore throat, decreased sense of smell and diarrhea, whether they have taken antipyretics by themselves, whether they have a recent history of staying in or passing through medium-high risk areas, whether they have a history of contact with immigrants in medium-high risk areas, whether they have a history of cold chain or imported goods logistics, whether they have recently participated in gathering activities, and whether they have been exposed to fever or not.
"full registration" should be implemented: the information registration system of medical personnel must be implemented, and the basic information and related symptoms of medical personnel should be accurately recorded, so that no one is missed. The information of accompanying doctors of suspicious patients should also be registered.
4. "Three Prevention Measures" for prevention and control of nosocomial infection: internal and external prevention, doctor-patient prevention, and person prevention.
5. "Three-prevention integration" of hospital infection prevention and control: implement "civil air defense" based on standardizing staff behavior and strengthening behavior control, "technical defense" based on improving infection control skills and optimizing diagnosis and treatment process, and "device defense" based on scientific and technological use of disinfection and sterilization agents and related facilities and equipment.
VI. Disinfection, protection and vaccination
1. Four unifications of disinfection: unified organization, unified time, unified action and unified medication.
2. "Five Essentials" of disinfection: quarantine wards and patients' residences should be disinfected at any time and at the end; The surface of environmental objects in hospitals, airports, stations and other crowded places should be disinfected more frequently; Door handles and elevator buttons with high frequency contact should be cleaned and disinfected; Garbage, feces and sewage should be collected and treated harmlessly; Do a good job of personal hand hygiene.
3. Disinfection "seven noes": no large-scale disinfection of outdoor environment; Do not disinfect the air in the external environment; Do not directly use disinfectants to disinfect personnel; Do not put disinfectant into ponds, reservoirs, artificial lakes and other environments for disinfection; Do not use chemical disinfectants to disinfect the air under manned conditions; Wipe and spray the environment without glutaraldehyde; Do not use high concentration chlorine-containing disinfectant for preventive disinfection.
4. "Eight basic codes of conduct" for epidemic prevention: first, wash hands frequently; second, wear masks scientifically; third, gather less; fourth, keep toilets clean; fifth, eat separately; sixth, do a good job in cleaning, disinfection and ventilation; seventh, observe social etiquette; and eighth, maintain a healthy lifestyle.
5. "Three-piece set" for social prevention and control: temperature measurement, code checking and wearing a mask.
6. COVID-19 vaccination "three checks, seven to one verification": three checks: check the health status of the recipients and check the vaccination contraindications; Check the vaccination card and vaccination certificate records; Check the appearance, batch number and expiration date of vaccines and syringes. Seven pairs: check the names of the recipients; Check the age of the recipient; Check the name of the vaccine; Check the specifications of the vaccine; Check the dose of vaccine; Check the inoculation site; Check the vaccination route. Verification: Verify whether the information of the recipient, vaccination certificate and vaccine is consistent.
7. "Winter and spring" suitable for Covid-19's survival and with high risk of epidemic spread: October to March.