Friends of the residents in the county:
Recently, the guidelines for home isolation observation during the epidemic period in novel coronavirus were issued. These guidelines are applicable to guiding and standardizing the work related to home isolation observation in communities. The specific matters are hereby notified as follows:
1. Basic conditions for home isolation observation
The residence of home isolation observers must be professionally evaluated by community medical personnel. Do not meet the conditions of home isolation, all centralized isolation.
evaluation of hardware facilities
1. The living place is equipped with a kitchen and bathroom that can be used independently.
2. The smoke exhaust facilities in the kitchen should be equipped with check valves or directly discharged to the outside through pipes.
3. The drainage pipes of kitchen sinks and other appliances should be closely connected with the drainage system. If plug-in connection is adopted, it should be sealed.
4. The exhaust pipe of the toilet should be provided with a check valve or with ventilation conditions.
5. In addition to the toilet with its own trap, other sanitary appliances must have a trap below the drain; The floor drain should be equipped with a water seal device, and the drainage pipes of washbasins and other appliances should be closely connected with the drainage system. If plug-in connection is adopted, it should be sealed.
6. The living place should have good ventilation conditions and external windows that can be opened independently.
7. Places with poor ventilation, such as semi-basements and basements, are not recommended as home isolation places in principle.
8. If the residential area is adjacent to public roads and there is no physical isolation such as green belts, it is suggested to add temporary physical isolation facilities.
evaluation of supporting conditions
1. If there are no people living together, the home-isolated observers should have complete self-care ability and be able to live independently.
2. If there are people who live together, it should be enough to arrange a well-ventilated room for the home-isolated observers, and a special toilet can be provided if conditions permit. For example, the toilet should be cleaned and disinfected daily.
3. The community has the living support conditions.
4. If the building unit where the home isolation observer is located is undergoing renovation, the construction shall be suspended, and the exposed pipe mouth shall be temporarily closed.
2. Prevention and control requirements for home-isolated observers
Stay indoors
During home-isolated observation, stay indoors, take out garbage, send and receive express delivery, etc., and refuse all visits. Anyone who goes out without permission will be turned into centralized isolation. If serious consequences are caused, legal responsibilities will be investigated according to law. It is necessary to wear a medical protective mask in the process of opening the door, such as collecting items, putting garbage, and sampling nucleic acids, and do hand hygiene before and after opening the door.
In principle, live alone
In principle, home isolation observers should live alone. If there are people living together, contact with them should be minimized during the isolation period, and tableware, towels, bath towels, sheets and other items should be avoided. Adopt a separate meal system and use special tableware. Use a dedicated bathroom when possible. When taking care of the elderly, infants and other family members who can't take care of themselves, they should wear masks and do a good job of hand hygiene.
nucleic acid detection and antigen detection
1. High-risk population. On the 1 th, 4 th, 7 th and 11 th day of home isolation, the nucleic acid test was carried out respectively, and all the test results were negative before the home isolation was lifted; If it is more than 11 days after landing, it is necessary to complete the nucleic acid detection twice within 3 days, and the interval between the two nucleic acid detection is 24 hours.
2. People from high-risk areas in China and others who need to be isolated at home. The standards for nucleic acid detection and antigen detection shall be implemented with reference to the current regulations on the isolation and management of people returning from high places in epidemic-related risk areas.
3. Entry personnel. Nasopharyngeal swabs were collected for nucleic acid detection on the 2nd, 4th and 7th days after home isolation. After 7th day, three samples were negative, and antigen self-test was performed on the 3rd and 5th days. All the test results are negative, or the isolation can only be lifted if the antigen test is positive, but the nucleic acid recheck of nasopharyngeal swab is negative.
Do a good job of self-monitoring
Measure your body temperature at least 1 times a day in the morning and evening, and report to the community voluntarily. Pay close attention to whether you have COVID-19-related symptoms such as fever, dry cough, fatigue, expectoration, sore throat, diarrhea, abnormal taste, abnormal sense of smell, stuffy nose, conjunctivitis, myalgia, etc., and contact the community medical staff immediately if it is abnormal, and see a doctor as required.
report medical history voluntarily
home isolation observers should report personal basic diseases and past medical history to the community on their own initiative, and the elderly, pregnant women, young children, people suffering from basic diseases such as cardiovascular and cerebrovascular diseases and mental diseases, as well as people with special treatment needs and medication needs, must accurately inform community workers about the situation. In case of emergency, contact family members or staff of community health service institutions at the first time, or directly call 121, 111 for help, clearly inform yourself that you are a home isolation observer, and seek medical treatment in time.
ventilation and disinfection of the living room
Open the window for ventilation at least 1 times in the morning and 1 times in the afternoon every day, with each time lasting more than 31 minutes. Wet cleaning should be carried out at least 1 times a day, with cleaning as the main task and preventive disinfection as the supplement. The garbage bag should be tightly sealed every time the garbage is cleaned, and its outer surface and sealing place should be disinfected before being placed at the door of the house. The specific disinfection method shall be implemented in accordance with the Guidelines for Preventive Disinfection during the Epidemic Period of Pneumonia Infected in novel coronavirus.
keep communication open
home isolation observers must keep mobile phones and other communications open and keep in touch with the community at any time. Old, young, sick, disabled and other people who really need to be taken care of, must determine the person who lives with them or the emergency contact person.
The residents living together require that
the residents living together should implement control measures together with the home isolation observers.
strengthen drainage management
during the period of isolation, the floor drain of toilet and shower should be replenished in time, and the water should be injected more than twice a day, with each time not less than 351ml, or the floor drain should be blocked by deodorizing devices such as silica gel pad and deodorizing floor drain core. When the toilet is flushed, cover the toilet seat first, and then flush.
III. Requirements for community work
Environmental assessment
Community medical personnel should make professional assessment of the internal and external environment where home isolation observers live. Those who do not have the conditions may not be used as home isolation observation places.
Fulfill the obligation of informing
Make clear the duty and obligation of epidemic prevention and the possible legal liability for failing to comply with the epidemic prevention requirements to the isolated observers at home through written or electronic notification, and inform them of the names of community health care institutions, contacts and contact information they can contact in case of health problems.
Strengthen technical defense measures
Install door magnetic alarm devices, install cameras where possible, and provide portable intelligent temperature measuring stickers.
Carry out health monitoring
Community medical staff should record the body temperature and health status of the home-isolated observers and residents living together every morning and evening. COVID-19-related symptoms such as fever, dry cough, fatigue, expectoration, sore throat, diarrhea, abnormal taste, abnormal sense of smell, stuffy nose, conjunctivitis, myalgia, etc. were found, and they were immediately reported to the local health department.
organizing nucleic acid detection and antigen detection
according to the epidemic prevention requirements, the health department organized professional institutions to carry out nucleic acid detection for home isolation observers, organized community medical staff to guide home isolation personnel to carry out antigen detection, and strengthened training related to antigen detection. If the nucleic acid test result is negative after the observation period expires, the isolation shall be lifted in time and the health code shall be decoded.
meeting the needs of medical treatment
community medical staff should focus on the situation of special people with cardiovascular and cerebrovascular diseases, chemotherapy, dialysis and so on, and provide necessary medical and health services in time. When home isolated observers need to go out for medical treatment, they should provide them with medical treatment services in time in accordance with the relevant provisions of the Notice on Further Strengthening the Management of Fever Outpatients and Medical Services.
provide security services
provide basic living security and other necessary services for home isolated observers, respond to their demands in time, pay attention to their physical and mental health, and do a good job in psychological counseling and humanistic care.
Strict garbage disposal
The garbage generated by home-isolated observers should be placed in a special trash can and cleaned every day. Before cleaning, it should be sprayed with chlorine-containing disinfectant containing 511 mg/L ~ 1111 mg/L of available chlorine or other effective disinfectants until it is completely wet, and then the plastic bags should be tied tightly and treated as ordinary domestic garbage.
strengthen ventilation and disinfection
community workers should open windows and ventilate the floors and corridors where home isolation observers are located. Disinfect corridors, stair handrails, door handles, elevator buttons and other parts that people touch more every day.
Personal protection
Personal protection should be done when going to work at home. Wear disposable working cap, N95 mask, work clothes and disposable gloves, and keep a distance of more than 1 meters.
iv. other
people who observe in isolation at home in the community shall be implemented by the community prevention and control group and the rural prevention and control group according to their responsibilities.
the isolated observers living in the workplace shall be implemented according to these guidelines, and the relevant functional groups of the municipal leading group for epidemic prevention and control shall be responsible for organizing the implementation.
Office of the Leading Group for the Response to COVID-19 Epidemic in Gaoyang County
May 29, 2122.