Yes According to the provisions of Article 3 of the Law on the Prevention and Control of Infectious Diseases, the health administrative department of the State Council can decide to increase, decrease or adjust the diseases of Class B and Class C infectious diseases according to the outbreak, epidemic situation and degree of harm, and make it public. After the outbreak of novel coronavirus, based on the current understanding of the pathogen, epidemiology and clinical characteristics of novel coronavirus, it was reported to the State Council for approval. On October 20th, 2020/kloc-0, the National Health Commission issued AnnouncementNo. 1 in 2020, clearly listing novel coronavirus as a Class B infectious disease under the control of the Law on the Prevention and Control of Infectious Diseases, and taking prevention and control measures against Class A infectious diseases. Pneumonia infected in novel coronavirus is included in the management of quarantinable infectious diseases stipulated in the Frontier Health and Quarantine Law, so pneumonia infected in novel coronavirus is a legal infectious disease.
2. How to judge whether you are a close contact with novel coronavirus's case?
On June 28th, 2020, National Health Commission issued the Management Plan for Close Contacts of Pneumonia Cases in novel coronavirus, which clarified the criteria for judging close contacts of pneumonia cases in novel coronavirus.
Close contacts refer to people who have had contact with suspected cases, confirmed cases and mild cases, but failed to take effective protection after the asymptomatic infected people tested positive:
1.*** People who live, study, work or have close contact, such as working close or * * * living in the same classroom or house;
2. Medical staff, family members or other personnel who have similar close contact in diagnosis, treatment, nursing and visiting cases, such as visiting patients or staying in a closed environment, other patients in the same ward and their accompanying personnel;
3. People who take the same means of transportation and have close contact, including nursing staff and colleagues on the means of transportation, or other passengers and crew members who may have close contact with the case or infected person after investigation and evaluation;
4. After investigation, the on-site investigators believe that they have contact with other close contacts. Therefore, judging whether they are close contacts of novel coronavirus's case can be analyzed according to the above situation.
3. What should I do if I am a close contact of pneumonia cases infected with novel coronavirus?
In order to judge and manage the close contacts of pneumonia cases in novel coronavirus and effectively control the spread of the disease, the Management Plan for Close Contacts of Pneumonia Cases in novel coronavirus has formulated clear management requirements for the close contacts of pneumonia cases in novel coronavirus. Close contacts of pneumonia cases infected with novel coronavirus should take the initiative to accept the management of the health administrative department. Contact management requirements are as follows: local health administrative departments shall, jointly with relevant departments, organize and implement medical observation of close contacts. Refuses to implement, the local public security organ may assist in taking compulsory isolation measures.
1. When carrying out medical observation, it shall inform the reasons, duration, legal basis, precautions and disease-related knowledge of medical observation in writing or orally, as well as the medical and health institutions and contacts and contact information responsible for medical observation;
2. Close contacts generally adopt home isolation medical observation. If medical observers cannot be isolated at home, centralized isolation observation can be arranged. The period of medical observation is 14 days after the last contact with cases and infected persons without effective protection. If the close contacts of confirmed cases and infected persons are negative during medical observation, they still need to continue observation until the observation period expires. After the suspected cases are excluded, their close contacts may terminate medical observation;
3. Home-based or centralized medical observation objects should live independently, try to reduce contact with residents living in * * * *, and do a good job in cleaning and disinfecting medical observation places to avoid cross-infection. For details, please refer to the technical scheme of disinfection in specific places, and do not go out during the observation period. If it is really necessary to go out, it can only be approved by medical observation management personnel, and wear disposable surgical masks to avoid going to crowded places.
4. Inform the general contacts outside the same means of transportation such as plane, train and ship, as well as the close contacts in life, study and work. If they have symptoms of respiratory tract infection such as fever and cough, diarrhea and conjunctival congestion, they should be instructed to seek medical treatment in time and take the initiative to inform their recent activity history. Therefore, if they are close contacts of pneumonia cases infected with novel coronavirus, they should be handled in the way specified in the above management plan.
4, how to strengthen the prevention and control work, units and individuals found pneumonia patients or suspected novel coronavirus patients how to report?
According to the Emergency Plan for Public Health Emergencies in Shandong Province, it is reported to the People's Government of Shandong Province for research and decision, and a Class I response to major public health emergencies is initiated. In strict accordance with the national requirements for "Class B infectious diseases and Class A management" of pneumonia in novel coronavirus, Shandong Province has further strengthened its organization and leadership, implemented the responsibility of prevention and control, implemented the strictest scientific prevention and control measures, eliminated, discovered and strictly controlled the source of infection at the first time, blocked the potential transmission routes, and resolutely curbed the spread of the epidemic. Do "early detection, early reporting, early isolation, early diagnosis and early treatment", reasonably determine the observation time, and resolutely block the spread of the epidemic. Coordinate the epidemic prevention work of organs, enterprises and institutions, schools and migrant workers. , study and deploy a series of follow-up work such as returning to work, returning to school and starting work after the holiday, reduce and stop gathering activities such as home parties, weddings and funerals, and take disinfection and sterilization measures for specific places.
According to the Notice on Postponement of School Spring Term jointly issued by Shandong Provincial Department of Education and Shandong Provincial Department of Human Resources and Social Security, for further prevention and control of novel coronavirus epidemic, reducing the gathering of people and blocking the spread of the epidemic, the school start time is postponed: the start time of ordinary primary and secondary schools and kindergartens should not be earlier than February 17, and the start time of colleges and universities should not be earlier than February 24.
For enterprises in the province, according to the "Emergency Notice on Delaying the Resumption of Work of Enterprises in the Province" issued by the Shandong Provincial Department of Human Resources and Social Security, the time for enterprises in the province to resume work shall not be earlier than 24: 00 on February 9, except for important related enterprises such as ensuring the operation of public utilities, epidemic prevention and control, and people's livelihood.
For individuals, we should reduce unnecessary contact, pay attention to personal hygiene protection, maintain safe eating habits, take the initiative to implement home isolation and obey the command and arrangement of the local government, neighborhood committees, villagers' committees or subordinate units, cooperate with the emergency measures taken by the local government, and assist in the prevention and control of epidemic situation.
The Law on the Prevention and Control of Infectious Diseases stipulates that when any unit or individual discovers an infectious disease patient or a suspected infectious disease patient, it shall promptly report to the nearby disease prevention and control institution or medical institution. Therefore, all units and individuals should strengthen prevention and control work, and timely report pneumonia patients or suspected patients infected with novel coronavirus according to law.
5. What is the reporting time limit for finding pneumonia patients or suspected patients infected with novel coronavirus?
On June 28th, 2020, National Health Commission issued "Monitoring Plan for Pneumonia Cases in novel coronavirus", which stipulated that medical institutions at all levels should report suspected cases, confirmed cases, mild cases and asymptomatic infected persons directly through the Internet within 2 hours. After receiving the report, the CDC should immediately investigate and verify, and complete the three-level confirmation audit of the report information through the network direct reporting system within 2 hours. Medical institutions that do not have the conditions for direct online reporting should immediately report to the local county-level disease control institutions and send the completed infectious disease report card within 2 hours; After receiving the report, the county-level disease control institutions should immediately report directly on the Internet and correct the follow-up information.
Counties confirmed the first case, and in line with the cluster epidemic "novel coronavirus infectious pneumonia case monitoring program", the area of CDC should be within 2 hours through the public health emergency reporting management information system for network direct reporting, the event level can be selected as "ungraded". The administrative department of health may adjust the level of events after classifying them according to the results of risk assessment.
6. What isolation and preventive measures should medical and health institutions and health and epidemic prevention institutions take in time when they find that novel coronavirus is infected with pneumonia?
The Law on the Prevention and Control of Infectious Diseases stipulates that medical institutions shall take the following measures in time when they discover Class A infectious diseases:
1. Isolate patients and pathogen carriers, and the isolation period shall be determined according to the medical examination results;
2. For suspected patients, isolation treatment should be conducted in designated places before diagnosis;
3. Close contacts of patients, pathogen carriers and suspected patients in medical institutions shall be observed in designated places and other necessary preventive measures shall be taken.
The public security organ may assist medical institutions to take compulsory isolation treatment measures if they refuse isolation treatment or leave isolation treatment without authorization before the expiration of isolation period.
Medical institutions should take necessary treatment and control measures according to the condition when they find patients with Class B and Class C infectious diseases.
Medical institutions must, in accordance with the provisions of laws and regulations, disinfect and dispose of places, articles and medical wastes contaminated by infectious disease pathogens in their own units.
On June 28th, 2020, National Health Commission issued "Prevention and Control Plan for Infected Pneumonia in novel coronavirus", requiring medical institutions to attach importance to and strengthen isolation, disinfection and protection, fully implement various measures to prevent hospital infection, do a good job in pre-inspection and triage, and do a good job in hospital infection control and management in all general wards such as fever clinics and emergency departments. Pneumonia cases and mild cases among infected people should be treated in isolation, and suspected cases should be treated in isolation in a single room. If the local epidemic situation is strong and medical resources are tight, mild cases and asymptomatic infected people can be treated and observed at home.
7. When medical institutions treat patients with infectious diseases, how to implement the system of pre-inspection and triage of infectious diseases?
The Law on the Prevention and Control of Infectious Diseases stipulates that people's governments at or above the county level should strengthen and improve the construction of medical service network for infectious diseases, designate medical institutions with the conditions and ability to treat infectious diseases to undertake the task of treating infectious diseases, or set up infectious diseases hospitals according to the needs of treating infectious diseases.
Medical institutions should implement the system of pre-inspection and triage of infectious diseases; Patients with infectious diseases and suspected infectious diseases should be guided to relatively isolated triage points for initial diagnosis. If a medical institution does not have the corresponding treatment ability, it shall transfer the patient and a copy of his medical record to a medical institution with the corresponding treatment ability.
The Administrative Measures for Pre-inspection and Triage of Infectious Diseases in Medical Institutions stipulates that medical institutions should establish a pre-inspection and triage system for infectious diseases. General hospitals at or above the second level shall set up infectious diseases departments to be specifically responsible for the triage of infectious diseases in their medical institutions, and organize and manage the triage of infectious diseases in their medical institutions. Medical institutions without infectious diseases departments should set up triage points for infectious diseases. Infectious diseases departments and triage points should be clearly identified, relatively independent, well ventilated, reasonable in process, with disinfection and isolation conditions and necessary protective equipment. At the same time, Article 3 stipulates that doctors in all departments of medical institutions should pay attention to asking patients about epidemiological history and occupational history, and carry out pre-inspection of infectious diseases in combination with patients' chief complaints, medical history, symptoms and signs. If the patient is diagnosed as an infectious disease patient or suspected infectious disease patient through pre-inspection, the patient shall be diverted to the infectious disease department or triage point for treatment, and necessary disinfection measures shall be taken in the reception room.
8. What are the legal obligations of entry-exit personnel in the prevention and control of infectious diseases?
The Detailed Rules for the Implementation of the Frontier Health and Quarantine Law stipulates that persons entering or leaving the country, means of transport, containers and luggage, goods and postal parcels that may spread quarantinable infectious diseases shall be quarantined in accordance with the provisions of these Detailed Rules and may enter or leave the country only with the permission of the health and quarantine organ.
The Frontier Health and Quarantine Law stipulates that entry and exit persons, means of transport, transportation equipment, luggage, goods, postal parcels and other articles that may spread quarantine infectious diseases shall be quarantined, and entry or exit shall be allowed only with the permission of the frontier health and quarantine organ.
9. How to deal with sewage, dirt and feces contaminated by infectious disease pathogens?
The Law on the Prevention and Control of Infectious Diseases stipulates that sewage, dirt, places and articles contaminated by infectious disease pathogens must be strictly disinfected by relevant units and individuals under the guidance of disease prevention and control institutions or in accordance with their hygiene requirements; Refuse to disinfect, by the local health administrative department or disease prevention and control institutions for compulsory disinfection.
10, trains, planes and other public transport vehicles found patients infected with pneumonia in novel coronavirus?
The Regulations on Emergency Response to Public Health Emergencies stipulates that the person in charge of infectious diseases or suspected infectious diseases that need to take emergency control measures according to the regulations of the administrative department of public health in the State Council shall notify the driver to stop ahead in the fastest way and report to the vehicle operation unit. The stopping point in front of the vehicle and the operating unit shall immediately report to the administrative department of the vehicle operating unit and the health administrative department of the local people's government at or above the county level. After receiving the report, the health administrative department shall immediately organize relevant personnel to take corresponding medical treatment measures.
Those who have close contact with patients with infectious diseases on the means of transport shall be controlled by the health administrative department of the people's government at or above the county level or the administrative departments of railways, transportation and civil aviation in accordance with their respective functions and duties and in accordance with the provisions of laws and administrative regulations on the prevention and control of infectious diseases.
If it is necessary to take emergency control measures for people, vehicles, goods, containers, luggage, postal parcels and other infectious diseases at border ports and entering or leaving the country, it shall be handled in accordance with the provisions of frontier health and quarantine laws and administrative regulations.
Therefore, patients with pneumonia infected in novel coronavirus, frontier ports and entry-exit personnel found on trains, planes and other public transport vehicles should be dealt with in strict accordance with the above provisions.
1 1. What should I pay attention to in preventing and controlling the spread of novel coronavirus?
The General Office of the Shandong Provincial Party Committee and the General Office of the provincial government issued a notice to further strengthen the prevention and control of the epidemic, demanding that the epidemic be strictly prevented and the prevention and control circle around Shandong be fully launched; All intercity passenger buses in the province were shut down, and all public security checkpoints around Shandong started inspection and control services. Strengthen the monitoring of key places, set up monitoring points at all important checkpoints and register them one by one. It's time for observation.
12. What should I do if patients, suspected patients and close contacts in novel coronavirus do not obey the management?
The Law on the Prevention and Control of Infectious Diseases stipulates that public security organs can assist medical institutions to take compulsory isolation treatment measures if they refuse isolation treatment or leave isolation treatment before the expiration of isolation period. Medical institutions should take necessary treatment and control measures according to the condition when they find patients with Class B and Class C infectious diseases.