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" 1 Scope
1.1 This plan applies to the response to and disposal of the new coronavirus pneumonia incident.
1.2 This plan is complementary to the Special Emergency Response Plan for Public **** Health Emergencies. This plan is categorized and managed by the Security Section.
? " 2 Risk analysis and event classification
2.1 Risk analysis
2.1.1 The new coronavirus pneumonia referred to in this plan refers to: according to the National Health and Health Commission website in the early hours of the 28th morning of the release of the diagnosis and treatment program of pneumonia of the new coronavirus infections (Trial Version 4), with one of the following pathogenetic evidence: respiratory specimens or blood specimens in real time The new coronavirus nucleic acid positive fluorescence RT-PCR test; respiratory specimens or blood specimens viral gene sequencing, and the known new coronavirus is highly homologous.
2.1.2 According to the Diagnostic and Treatment Program for Pneumonia with Novel Coronavirus Infection (Trial Third Edition), novel pneumonia is characterized by fever, malaise, and dry cough. Upper respiratory tract symptoms such as nasal congestion and runny nose are rare. Specifically as follows:
(1) general symptoms: fever, malaise, dry cough, and gradual onset of dyspnea, and some patients
may not have fever because of the mild onset of symptoms.
(2) Severe: acute respiratory distress syndrome, septic shock, difficult to correct metabolic
metabolic acidosis, coagulopathy.
(3) The majority of patients with moderate to mild disease, the prognosis is good, a small number of patients in critical condition, or even death.
2.1.3 Difference between common cold and new type of pneumonia
According to the TV interview of Li Lanjuan, an expert from the National Epidemic Prevention Station, the early symptoms of the two are very similar, some have fever, some have dry cough, some have respiratory symptoms, and some even have a little bit of gastrointestinal symptoms after the fever. The medical identification needs a throat swab to take a sample, do a virus test and then distinguish between influenza A, influenza B or the new coronavirus.
The clinical manifestations of the new coronavirus pneumonia include:
Sudden onset of illness, chills and high fever, body temperature up to 39 ℃ ~ 40 ℃, accompanied by headache, generalized muscle and joint aches and pains, extreme fatigue, loss of appetite and other systemic symptoms, there is often a sore throat, dry cough, nasal congestion, snotty, post-sternal discomfort.
2.1.4 Transmission:
Mode of transmission: oral droplet transmission, contact transmission (including self-inoculation due to hand contamination), conjunctival transmission, and airborne transmission.
(1) Droplets can enter susceptible mucosal surfaces over a certain distance (usually 1 meter). Because droplets are large (>5um), they do not remain suspended in the air for long periods of time.
Daily face-to-face talking, coughing, and sneezing can cause droplet transmission. If you are surrounded by suspected novel coronavirus patients, remember to wear a mask and try to keep a distance of 1 meter. Masks should be discarded properly after use, and hands should be washed thoroughly with soap and running water after contact with the patient.
(2) airborne particles, generally less than 5um in diameter, can be dispersed over long distances and still infectious particles. Airborne pathogens can also be transmitted through contact.
(3) Contact transmission refers to the pathogen through direct contact with mucous membranes or skin. Viruses can enter the body through blood or blood-carrying body fluids through mucous membranes or broken skin.
2.1.5 Incubation period for novel coronavirus pneumonia
The incubation period for novel coronavirus pneumonia averages about 7 days, with shorter periods of 2 to 3 days and longer periods of 10 to 12 days. The period of medical observation for close contacts was set at 14 days, and close contacts were placed under medical observation at home.
Through the above analysis, the hidden period of the infectious disease is long, the onset of symptoms and the common cold have *** the same place, it is not easy to identify, the change of symptoms varies from person to person, the need for 14 days of observation and medical testing, a comprehensive determination of the risk of large.
2.2 Personal protection
2.2.1 Staff protection.
(1) Pay attention to personal protection. In more crowded public **** places, it is recommended that staff wear medical surgical masks (or other higher level masks). It is recommended to wear work clothes and keep them clean, wash and disinfect them regularly. They can be sterilized by circulating steam or boiling for 30 minutes, or soaked in 500 mg/L chlorine disinfectant for 30 minutes followed by routine washing. When there is a suspected or confirmed case, personal protection under the guidance of professionals.
(2) Pay attention to hand hygiene. Hand hygiene measures should be strengthened, and staff should carry out hand hygiene at all times. Hand washing or the use of quick-drying hand sanitizer, there are naked eye visible contaminants, the application of hand sanitizer under running water to wash hands.
(3) pay attention to the physical condition. Pay attention to the physical condition during the post, when there is fever, cough and other symptoms, in a timely manner, according to the provisions of the designated hospital to seek medical treatment, try to avoid taking the bus, subway and other public **** transportation, to the hospital on the way to the hospital and the hospital should be worn throughout the whole medical surgical masks (or other higher level masks).
2.2.2 Mobile personnel protection.
(1) Reduce congregation. During the epidemic of new coronavirus infection pneumonia, avoid the gathering of people, especially in places with poor air mobility, reduce unnecessary outings, and if you go out, you should do a good job of personal protection and hand hygiene. In the more densely populated public **** place, it is recommended to wear a medical mask.
(2) Hand washing. Minimize contact with public **** place of public **** items and parts, return from the public **** place, after coughing hand cover, after meals, with hand sanitizer or soap under running water to wash hands, or the use of alcohol-containing components of the no-wash liquid hand sanitizer; not sure if the hands are clean, to avoid contacting the mouth, nose and eyes with the hands; sneezing or coughing with the elbows of the clothes to cover the mouth and nose. Reduce contact with others, nodding salute instead of shaking hands, conditions allow, try to maintain a certain distance from others.
(3) Management of visitors. During the epidemic of new coronavirus-infected pneumonia, the mine should strengthen the health monitoring and registration of visitors.
2.3 Operational Guidelines for Site Hygiene
2.3.1 Cleaning and Disinfection.
(1) Do a good job of cleaning and disinfecting the surface of objects. The environment should be kept clean and hygienic, and regularly disinfected every day, and make a good record of cleaning and disinfection. For high-frequency contact with the object surface (such as elevator room buttons, handrails, door handles, etc.), available chlorine disinfectant containing effective chlorine 250mg / L ~ 500mg / L spray or wipe, you can also use disinfectant wipes for wiping.
(2) When there is a person vomiting, should immediately use disposable absorbent material with sufficient amount of disinfectant (such as chlorine disinfectant) or effective disinfectant dry towels to cover the vomit to disinfect, remove the vomit, and then use quaternary ammonium ammonium disinfectant or chlorine disinfectant for the disinfection of the surface of the object.
(3) to strengthen the disinfection of meals (drinking) utensils, meals (drinking) utensils to residue, cleaning, boiling or circulation steam disinfection for 15 minutes; or the use of heat disinfection cabinet and other disinfection methods; or the use of effective chlorine content of 250mg / L solution, immersion disinfection for 30 minutes, disinfection should be after the disinfection of the residual disinfectant rinse.
(4) Keep clothes, bedding, seat covers and other textiles clean, can be regularly washed, disinfection treatment. Available circulation steam or boiling disinfection for 30 minutes, or first 500mg / L of chlorine disinfectant solution soaked for 30 minutes, and then routinely wash.
(5) sanitary ware can be used for effective chlorine content of 500mg / L of chlorine disinfectant soak or wipe disinfection, the role of 30 minutes, water rinse clean, dry to use.
(6) When there is a suspected or confirmed case now, under the guidance of professionals to carry out disinfection.
2.3.2 Ventilation. The office should be strengthened ventilation, to maintain indoor air circulation, preferred natural ventilation, as far as possible to open the doors and windows ventilation, can also be used mechanical exhaust. If air conditioning is used, the air conditioning system should ensure the safety of air supply, to ensure adequate fresh air input, all exhaust air directly to the outdoors. When air conditioning is not used, the return air channel should be closed.
2.3.3 Hand washing facilities. Ensure the normal operation of hand washing facilities in the premises, equipped with quick-drying hand sanitizer, and when available, can be equipped with sensor-type hand sanitizing facilities.
2.3.4 Garbage disposal. Strengthen the classification of garbage management, timely collection and transportation. Strengthen the garbage cans and other garbage containers clean, can be regularly disinfected. Chlorine disinfectant containing 250mg/L to 500mg/L of effective chlorine can be used for spraying or wiping, and disinfectant wipes can also be used for wiping.
2.3.5 Establishment of emergency areas. It is recommended to set up an emergency area in the public **** place, when there is a suspected or confirmed case, timely to the area for temporary isolation, and then in accordance with other relevant norms and requirements for treatment.
2.3.6 Health promotion. In the prominent areas of the premises, the use of video scrolling or posters and other ways to carry out prevention and control of health education
? " 3 Organizational structure and responsibilities
The emergency organizational structure consists of the emergency leadership group, the emergency office, and the on-site emergency command.
3.1 Emergency Response Leadership Group
Leader:
Deputy Leader:
Members:
Main duties:
(1) Finalize the emergency plan;
(2) Provide comprehensive guidance on the emergency rescue work;
(3) Implement the important directives of the government and the higher units on emergency response;
(3) Implement the important directives of the government and the higher units on emergency response;
(4) Provide the emergency response team with the necessary information to ensure the safety of the emergency response team; and
(5) Provide the emergency response team with the necessary information to ensure the safety of the emergency response team.
(4) responsible for the formation of the emergency command or designated personnel to the scene to direct the emergency rescue work,
decision-making on major issues of emergency rescue;
(5) validation of external release and reporting of information on the incident;
(6) responsible for the finalization of the issuance and lifting of early warning information, is responsible for the issuance of the start of the emergency response procedures and termination of
instructions;
the start and termination of the emergency response procedures;
the first time in a year,
the first time in the first year of the emergency response procedures,
the second time in the first year of the emergency response procedures. Instructions;
(7) After the end of the emergency response, arrange for relevant departments and personnel to carry out accident investigation, assessment
and summarization.
3.2 Emergency Response Office
Leader:
Deputy Leader:
Members:
Main Duties:
(1) Responsible for conveying and implementing the relevant guidelines and policies of the higher level of emergency management work, laws and regulations, and the spirit of a series of documents and instructions and the meetings of the unit's leading group of emergency response. Resolutions,
relevant requirements, etc.;
(2) responsible for 24-hour emergency duty, receive all kinds of emergencies report, tracking
the disposal of the incident, collect relevant information and do a good job of reporting;
(3) is responsible for the management of the emergency plan, the organization of the overall emergency plan and the development of special emergency plans
plan, revision, review, release and management of the record. (4)Responsible for the development of emergency funding plan and approval of emergency projects;
(5)Responsible for the construction of emergency supplies reserve, responsible for the emergency supplies reserve management system
preparation, implementation, development of emergency supplies and equipment supply plan, responsible for emergency supplies and equipment supply plan, responsible for emergency supplies and equipment supply plan. and equipment equipment plan, is responsible for emergency supplies of regular
inspection, etc.;
(6) is responsible for the construction of emergency response team, the development and implementation of emergency response team training and exercise plan, etc.;
(7) the organization of emergency response drills, emergency training, emergency supplies and emergency rescue teams, etc., and the construction of assessment and evaluation of management;
(8) is responsible for the construction of an emergency response team in the security section of the gatehouse set up an epidemic situation, the security section of the gatehouse set up an epidemic situation in the security section of the gatehouse. Security Section concierge set up epidemic prevention and control detection points, temperature measurement and registration of people coming to the mine, found that the temperature is abnormal to report in a timely manner; strictly prohibit outsiders to enter the mine.
3.3 On-site Emergency Rescue Team
On-site Emergency Rescue Team is led by the Emergency Response Leadership Team to carry out on-site disposal and rescue work in an orderly manner. The working group can be adjusted according to the actual increase or decrease, mainly including on-site rescue team (rescue, evacuation, alert, etc.), logistics support team, aftercare team, accident investigation team.
(1) on-site rescue group
Group Leader:
Members: Heads of Departments
Main Duties: Implementation of on-site rescue program to determine the rescue measures to control the situation
development, reduce the loss of the accident; responsible for the site of the infected people rescue, set up isolation areas; responsible for
assisting external rescue and medical teams to carry out their work. The company is also responsible for assisting external rescue and medical teams to carry out their work.
(2) the aftermath of the group
Group leader:
Members: the heads of departments
Main responsibilities: responsible for the follow-up of the patient's medical treatment; responsible for verifying the situation of the sick people and
the reception of their relatives, appeasement, accommodation, and daily life; is responsible for the restoration of the site of the office, the life and other basic functions.
(3) Accident Investigation Group
Group Leader:
Members: Heads of Departments
Main Duties: Responsible for protecting the accident scene, collecting accident information; responsible for accident investigation, to determine the loss of the accident, the nature of the cause, the main responsible person, to put forward preventive measures and treatment of opinions.
? " 4 Monitoring and Early Warning
4.1 Risk Monitoring
4.1.1 Work Responsibilities
The Emergency Response Office is responsible for the risk monitoring of new coronavirus pneumonia in this unit. Responsible for contact with the local government, health administrative departments, to obtain information on the new coronavirus pneumonia outbreak personnel, when the receipt of new coronavirus pneumonia early warning information should be promptly reported to the emergency office of the upper level unit. Special circumstances can be reported to the next level.
After the discovery of the new coronavirus pneumonia cases, the Security Section or suspected cases of the department immediately reported to the emergency relief daily management office personnel, emergency office according to the suspected cases, whether there is a fever patient or the epidemic contact comprehensive analysis and judgment, reported to the emergency response team, issued a warning notice, notify the departments to prepare for the emergency.
The Security Section regularly reports to the Emergency Response Office on a daily basis to check the temperature of employees on duty (whether there is a fever patient or epidemic contact), such as the emergence of suspected patients by the Emergency Response Office to contact the hospital for screening and disposal.
4.1.2 Monitoring methods
4.1.2.1 Determination of suspected patients mainly by asking whether they have the following contact history.
1) A suspected exposed person is one who has been exposed to wildlife, objects, and environments that test positive for novel coronaviruses, and who did not take effective protection (e.g., wearing a mask) at the time of exposure.
2) Close contacts are people who have had one of the following contacts with a suspected or confirmed infected person:
3) people who live, study, work, or have other close contact with the case***;
4) healthcare workers, family members, or other people who have similar close contact with the case without effective protection during diagnosis, treatment, care, or visits;
5) people who have been exposed to wildlife, objects, and environments that have tested positive for novel coronavirus, and who were exposed without effective protection (e.g., wearing a mask); and
6) people who have been exposed to the virus without effective protection (e.g., wearing a mask).
5) cases of other patients in the same ward and accompanying personnel;
6) and the case of the same transportation and close contact with the personnel;
7) site investigators investigated and assessed as eligible.
8) For close contacts, need to be at home for medical observation. Do not go to work do not go out casually, do a good job of self-monitoring of physical conditions, and receive regular follow-up visits from community doctors.
4.1.2.2 Pay attention to the following items to distinguish the new coronavirus pneumonia from common diseases:
1) The new coronavirus pneumonia is characterized by fever, malaise, dry cough, and so on, and will develop pneumonia. However, early pneumonia may not be febrile, with only chills and respiratory tract infection symptoms, but CT will show pneumonia.
2) Influenza is characterized by high fever, cough, sore throat, and muscle aches and pains, and can sometimes cause pneumonia, but it is uncommon.
3) The common cold is characterized by nasal congestion and a runny nose, and most patients have mild symptoms, which usually do not cause pneumonia.
4.1.2.3 Observe these signs and symptoms:
1) Fever. Temperature measured twice daily.
2) Cough.
3)Shortness of breath or difficulty breathing.
4)Other early symptoms to look for include chills, body aches, sore throat, headache, diarrhea, nausea/vomiting, and runny nose.
5) If abnormal symptoms such as fever and cough occur, report them to the department in a timely manner, and the department head will report to the Emergency Response Office and then uniformly contact a doctor for examination and treatment at a designated medical facility.
If the fever exceeds 38 ℃, at the same time one of the following three conditions, 1) accompanied by dyspnea, obvious chest tightness and shortness of breath; 2) contact with a new type of pneumonia or suspected new type of pneumonia patients; 3) themselves have high blood pressure, heart disease and other cardiovascular, cerebral, hepatic, pulmonary, renal and other basic diseases of the patient. Must call 120 to the hospital, if necessary, in the hospital isolation treatment.
4.2 Early warning information release
The emergency office received early warning information on suspected patients, reported to the emergency leadership group, the emergency leadership group combined with the hospital diagnosis, research and judgment of the possible consequences, comprehensive judgment of the urgency of the situation, to determine the level of early warning. By the emergency office by phone, QQ platform, microblogging platform, SMS and other ways to release early warning information, early warning information, including the possible occurrence of the event time, location, the scope of the possible impact and measures to be taken.
4.3 Early Warning Actions
The emergency rescue working group received early warning information to enter the standby state, ready for emergency response.
4.4 Adjustment and end of early warning
The Emergency Response Office, according to the changes in the acute infectious disease incident, reported to the emergency response leading group
approval, issued a notice of adjustment or lifting of early warning information.
" 5 Emergency Response
5.1 Information Reporting
5.1.1 After the occurrence of a new coronavirus pneumonia event, the person in charge of the incident unit should immediately report to the Lvliang Lishi District Energy Bureau, the Lvliang Lishi District Emergency Management Bureau, Lvliang, and to the nearby disease prevention and control organizations or medical institutions in a timely manner. .
5.1.2 Reporting content: the name of the new coronavirus pneumonia, location, time of occurrence, spread to the population or potential threat and impact, reporting unit, contact person and mode of communication. And as far as possible to provide the following information: the nature of the new coronavirus pneumonia, the scope, severity, possible causes, measures taken, the distribution of cases and the possible development trend.
5.2 Emergency Response Measures
5.2.1 Emergency Response Measures for Emergency Response to Novel Coronavirus Pneumonia Incident mainly include:
5.2.1.1 Calling on all personnel to develop good hygiene habits and maintain hygiene in office and living places.
5.2.1.2 Control the entry and exit of personnel, and at the same time check the health status of those entering and exiting the camp, and immediately isolate and observe those who are suspected of having acute infectious diseases. Set up a temperature check point at the entrance of the camp, and check the temperature of incoming and outgoing personnel. In particular, check the temperature of foreign visitors, issue masks, and register.
5.2.1.3 Sterilization. Coronavirus is sensitive to heat, 56 ℃ for 30 minutes, ether, 75% alcohol, chlorine disinfectant, peroxyacetic acid and chloroform and other fat solvents can effectively inactivate the pathogen. Disinfect camps, office areas, dormitories, meeting rooms, etc. Open doors and windows regularly for natural ventilation to improve indoor air quality. It is prohibited to pile up garbage in the open air in the field area, and the garbage dump cleans up the garbage in time to eliminate the flow of sewage.
5.2.1.4 If you can do a single person living the best, if you can not do, try to do and family members to maintain a distance of one meter away, in addition, a single isolated room, the fewer things the better, wear a good mask, do a good job ventilating; during the isolation period, pay attention to drink more water.
5.2.1.5 Strengthen the management of canteen hygiene, set up hand-washing points at the entrance, service personnel use masks, common utensils using disinfection cabinets to disinfect, staff storage of dishes and chopsticks cabinets are regularly disinfected and cleaned. Individual dishes and chopsticks are sterilized separately, and dishwashing sinks are kept clean and hygienic. Food ingredients, do not eat live poultry, wild game, to maintain balanced nutrition;
5.2.1.6 After the use of the bathroom, do a good job of disinfection and ventilation. Improve facilities such as hand-washing sinks and hand sanitizer dryers in toilets, strengthen hygiene management and keep toilets clean and hygienic. Clean all 'high frequency contact' surfaces such as counters, table tops, door handles, restroom fixtures, toilets, cell phones, keyboards, tablets and bedside tables daily. Also, clean any surface that may carry blood, body fluids and/or secretions or feces.
5.2.1.7 Check incoming employees and outside transients on a case-by-case basis and deny entry to any person found to have an abnormal body temperature. Body temperature over 37.3 degrees call the epidemic emergency response office, by the prevention and control of the leadership team of the body temperature abnormalities in isolation and observation. Body temperature over 38 ℃, immediately call 120 emergency telephone.
5.2.2 For infectious diseases, suspected infectious diseases in the premise of their own protection, should be timely
sent to the medical emergency center (medical department) for treatment. The discoverer should avoid direct contact or close contact with the patient as much as possible, and leave the room or office where the patient lives and works. Guard the vicinity of the scene to prevent people from entering or leaving, and wait for the arrival of other personnel from the emergency organization.
5.2.3 For infectious disease patients, pathogen carriers, suspected infectious disease patients contaminated places, objects, good disinfection. The occurrence of confirmed or suspected patients in the infected area, space, transport, patient contacted items, vomit, excreta, effective disinfection; not suitable for the use of chemical disinfection drugs to disinfect the items, to take other effective methods of elimination; for the value of the pollutants is not large, the use of the designated location in the thorough incineration, the depth of the burial (less than 2 meters), to prevent the secondary transmission.
5.2.4 Close contact with infectious diseases or suspected patients should be isolated for clinical observation. The need to observe the isolation of employees to set up a special isolation area, is responsible for arranging the rationing of living necessities of the isolated personnel. The cafeteria purchase to avoid the source of the virus, to ensure the safety of food.
5.2.5 Give full consideration to the possible shortage of manpower during the occurrence of infectious disease outbreaks and group unexplained diseases, and reasonably deploy human resources to ensure normal life and work order.
5.2.6 Timely announcement of the occurrence of the disease transmission methods, transmission patterns, effective prevention methods, how to correctly treat, so that the majority of workers to further understand the prevention of related diseases knowledge. In order to eliminate the fear of the workers, the masses, stabilize the mood of the workers, to ensure normal production and living order.
5.2.7 Prohibit non-unit personnel to ride the company's vehicles, at any time to the company's vehicle disinfection. According to the need to send special vehicles to participate in rescue work.
5.2.8 Concentrate the healthy uninfected personnel to live, unified food and lodging, and reduce the external contact, in order to protect the above personnel from being infected.
5.3 Expanded Response
When the current emergency measures are difficult to cope with, and may cause significant casualties or property damage, the on-site emergency response headquarters should promptly request the Indonesia Representative Office Emergency Response Leadership Group to adjust the response level, request support from higher-level units, and at the same time, fully seek the support of the territorial government or rescue organizations.
5.4 End of Emergency Response
Set up an isolation room in the new apartment building, in the isolation time period, has been quarantined people have been diagnosed, the patient's living and working places have been disinfected; and no new suspected cases and confirmed cases, the head of the daily management of the emergency response organization to report to the Emergency Response Command. Emergency leadership team leader in accordance with the unified deployment of the higher level, announced the end of the new coronavirus pneumonia incident emergency response.
" 6 Post-disposal
6.1 After the end of the emergency response, in accordance with the principle of reducing the losses and impact of the accident to a minimum, the timely production and life recovery work.
6.2 The Finance Section is responsible for taking the lead in accounting for the expenses incurred in disaster relief and later insurance and claims.
6.3 The incident investigation team must seek truth from facts, respect science, in accordance with the ? Four don't spare? principle, timely and accurate identification of the causes of infectious disease outbreaks, y learn the lessons of the accident, develop preventive measures, the implementation of accountability, to prevent similar incidents.
6.4 The Emergency Response Office is responsible for collecting and organizing the records, programs, documents and other information of the emergency rescue work, and organizing the departments to summarize and evaluate the emergency rescue process and emergency rescue protection, and put forward the improvement opinions and suggestions, and report the summary and evaluation report to the higher authorities.
? " 7 Emergency security
7.1 Emergency team
by the emergency leading group to form the scene of emergency rescue team, mainly including on-site rescue group (rescue, evacuation, alert, etc.), logistical support group, aftermath treatment group, accident investigation group, the group of personnel from the professional related to the composition of the staff of the various departments drawn from the relevant staff should participate in the corresponding emergency plan exercises Or training activities.
7.2 Emergency supplies and equipment
Emergency office, medical office organization reserves appropriate amount of emergency protection facilities, such as protective gloves, masks, disinfectant, infrared temperature detector.
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