in order to implement the spirit of the the State Council joint prevention and control mechanism "Notice on Further Optimizing and Implementing COVID-19 Epidemic Prevention and Control Measures" and the Provincial Epidemic Prevention and Control Headquarters "Implementation Opinions on Further Improving and Optimizing COVID-19 Epidemic Prevention and Control Measures", combined with the epidemic prevention and control situation in our city, the measures for further improving and optimizing COVID-19 epidemic prevention and control are hereby notified as follows:

First, scientifically and accurately divide the risk areas. According to the requirements of defining high-risk areas by buildings, units, floors and households, it is not allowed to expand to communities, communities and streets at will, and it is not allowed to take various forms of temporary closure. When the risk is small, accurately delimit to households or floors; When the risk is high, accurately delimit the units and buildings. Enterprises and industrial parks shall be zoned as small as possible according to the risk judgment, and the normal production and operation of enterprises and industrial parks shall not be affected.

second, implement quick sealing and quick solution in high-risk areas. After the high-risk area is designated, the community should inform the residents of the isolation control time at the first time. Personnel in high-risk areas shall be sampled on the fifth day of isolation and unsealed in time after the test result is negative; In case of persistent cases, only the persistent positive households shall be controlled, and the control time of other personnel shall not be extended.

Third, optimize nucleic acid detection and inspection measures. In the ninth edition of the prevention and control plan, it is clear that the key population should be fully inspected, while the other population is willing to be fully inspected. Nursing homes, welfare homes, child care institutions, primary and secondary schools and other special places and people's livelihood security institutions such as water, electricity and heating, as well as important organs, large enterprises and some specific places should check the negative certificate of nucleic acid detection within 48 hours. The outpatient and emergency departments of medical institutions shall be inspected according to the requirements of pre-inspection and triage. The existing convenient nucleic acid sampling points should continue to work, maintain stability, rationally distribute points, optimize services, and meet the needs of the masses. No longer carry out "landing inspection, landing inspection and landing management" for cross-regional migrants. "Four stations and one field" reasonably reserve nucleic acid sampling points to meet the passengers' demand of "willing to check everything". Cancel the trip to declare in advance, the health code does not show "less than 5 days", and it does not restrict them from entering the relevant public places.

fourth, optimize and adjust the isolation mode. Positive infected people should be scientifically classified and treated. Asymptomatic infected people and light cases with home isolation conditions generally adopt home isolation, or they can voluntarily choose centralized isolation and treatment. During the isolation period, health monitoring should be strengthened. On the 6th and 7th day of isolation, the nucleic acid was detected twice in a row, and the Ct value was ≥35, so as to release the isolation. If the condition worsened, it should be transferred to a designated hospital for treatment in time. Heal the infected people who leave the hospital and the cabin, and no longer carry out home health monitoring. Close contacts with home isolation conditions can be isolated at home for 5 days, or they can choose centralized isolation voluntarily, and the isolation will be lifted after the nucleic acid test is negative on the fifth day. All districts, streets and communities should establish contact and connection work teams for home isolation personnel and strengthen overall coordination services.

five, to ensure the basic drug purchase needs of the masses. Local pharmacies should operate normally and should not be shut down at will. Cancel the restrictive measures that people used to buy "four kinds of drugs". It is not allowed to restrict people from buying over-the-counter drugs such as antipyretic, cough-relieving, antiviral and cold-treating online and offline, and cancel the requirements of pop-up window and nucleic acid detection when purchasing the over-the-counter drugs. Do a good job in the supply and storage of conventional drugs, especially those related to patients with basic diseases. Departments in charge of market supervision, commerce and other industries should strengthen the supervision of drug market order.

VI. Accelerating Covid-19 vaccination for the elderly. All localities should strengthen organization and mobilization, refine popular science propaganda, and fully mobilize the enthusiasm of the elderly for vaccination. Focusing on improving the first dose vaccination rate of the elderly over 81 years old, we will arrange household investigation teams to carry out a thorough investigation, set up green channels for the elderly, set up temporary vaccination sites, adopt mobile vaccination vehicles and on-site vaccination service teams to improve the convenience of vaccination, scientifically determine contraindications and other measures, comprehensively improve the whole vaccination rate of people over 61 years old and strengthen the needle coverage rate, and continue to carry out vaccination work for people over 3 years old to ensure that the Covid-19 vaccine should be "received".

VII. Strengthen the health status diagnosis and classified management of key populations. The urban government should organize health departments and communities to do a good job in mapping out and documenting the vaccination situation of the elderly people suffering from cardiovascular and cerebrovascular diseases, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, tumor, immunodeficiency and other diseases and Covid-19. 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 the "net bottom" of primary medical and health institutions and the "gatekeeper" of family doctors is played to provide corresponding health services by classification.

VIII. Ensuring the normal operation of society. Minimize the impact of the epidemic on economic and social development. In principle, we will not stop work, stop production, stop business, and stop business. We will include medical personnel, public security, transportation and logistics, supermarkets, power supply, water, electricity, heating, communications and other basic medical services and normal social operation personnel in the "white list" management, and relevant personnel will strengthen personal protection, vaccination and health monitoring. Formulate epidemic prevention and control guidelines for industries, industrial enterprises and parks that ensure the normal operation of society.

IX. Do a good job in basic medical services. Announce to the public the address and telephone number of the fever clinic and the information of the medical institutions that receive special people, so as to facilitate the people to inquire about medical treatment. Optimize the process of medical treatment, set up emergency diagnosis and treatment areas in outpatient and emergency departments to rescue critically ill patients, and do not affect the treatment of emergency patients on the grounds that they do not have 48-hour nucleic acid results to ensure the safety of patients. After the emergence of positive personnel in medical institutions, the consultation rooms involved will be opened immediately to ensure daily diagnosis and treatment services. Medical institutions should do a good job in coping with the possible rapid growth in demand for medical treatment and pay close attention to the preparation of medical resources.

11. Strengthen the safety guarantee related to the epidemic. 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.

XI. Optimize school epidemic prevention and control. Schools in all localities should resolutely implement the requirements of scientific and accurate prevention and control, schools without epidemics should carry out normal offline teaching activities, and supermarkets, canteens, stadiums and libraries on campus should be opened normally. Schools with epidemic situation should delimit risk areas to classes and grades, and shall not affect the overall teaching order of the school.

XII. Strengthen organization and implementation. All relevant departments in all districts should unify their thoughts and actions in the decision-making and deployment of the CPC Central Committee and resolutely implement various prevention and control policies and measures determined by the state, provinces and cities. Emergency command systems at all levels should continue to be activated, strictly implement the "four-party responsibility" of territories, departments, units and individuals, strengthen training and guidance, and promote the implementation of various optimization measures. We should do a good job in the smooth and orderly connection of policies, the preparation and reserve of medical resources, and make the work more solid, detailed and temperature-sensitive. It is necessary to timely release relevant dynamic information on the development of epidemic prevention and control, let the masses actively participate in prevention and control, and unite the whole society's awareness of fighting the epidemic with one heart. It is necessary to strengthen publicity and advocacy for the masses, increase the popularization of health knowledge, listen to their opinions and respond to their concerns. We must resolutely avoid layers of overweight, "across the board", and effectively protect the vital interests of the people. We will protect people's life safety and health to the utmost extent and minimize the impact of the epidemic on economic and social development by grasping the strictness, the reality and the details of all work.