Xinhua News Agency, Beijing, November 11th: The Comprehensive Team of the Joint Prevention and Control Mechanism of the State Council announced on the 11th the "Notice on Further Optimizing Prevention and Control Measures for the New Coronavirus Epidemic and Carrying Out Scientific and Accurate Prevention and Control Work." The notice pointed out that the Party Central Committee has made important arrangements and put forward clear requirements for 20 measures to further optimize prevention and control work. All localities and departments must implement all optimization measures to the letter.
(1) For close contacts, the management measures of "7 days of centralized isolation and 3 days of home health monitoring" will be adjusted to "5 days of centralized isolation and 3 days of home isolation". During this period, they will be assigned code management and are not allowed to go out. A nucleic acid test will be conducted on the 1st, 2nd, 3rd, and 5th days of centralized isolation medical observation, and a nucleic acid test will be conducted on the 1st and 3rd days of home isolation medical observation.
(2) Determine close contacts promptly and accurately, and no longer determine close contacts.
(3) Adjust the "7-day centralized quarantine" for the spillover personnel in high-risk areas to "7-day home quarantine". During this period, they will be assigned a code to manage and they will not be allowed to go out. A nucleic acid test will be conducted on the 1st, 3rd, 5th and 7th days of home isolation.
(4) Adjust the risk areas from the three categories of "high, medium and low" to the two categories of "high and low" to minimize the number of control personnel. In principle, areas such as the residences of infected persons and workplaces and activity areas with frequent activities and high risk of epidemic transmission are designated as high-risk areas. High-risk areas are generally demarcated in units and buildings and shall not be expanded at will; high-risk areas Other areas in the county (city, district, banner) where the risk area is located are designated as low-risk areas. No new infections were found in the high-risk area for five consecutive days, and it was reduced to a low-risk area. High-risk areas that meet the conditions for unblocking must be unblocked in a timely manner.
(5) For employees in high-risk positions who have completed closed-loop operations, the "7-day centralized quarantine or 7-day home quarantine" is adjusted to "5-day home health monitoring", and the period is coded and managed. 1. 3. Carry out nucleic acid testing once every five days. Do not go out unless necessary. If you really need to go out, do not go to crowded public places or take public transportation.
(6) In areas where no epidemic has occurred, nucleic acid testing of risk positions and key personnel shall be carried out strictly in accordance with the scope determined by the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded. Generally, nucleic acid testing is not carried out for all employees according to administrative regions. It is only carried out when the source of infection and transmission chain are unclear, and the community transmission time is long and the bottom of the epidemic is unknown. Formulate specific implementation measures to standardize nucleic acid testing, reiterate and refine relevant requirements, and correct unscientific practices such as "two tests a day" and "three tests a day."
(7) Cancel the circuit breaker mechanism for inbound flights, and adjust the two negative nucleic acid test certificates within 48 hours before boarding to one negative nucleic acid test certificate within 48 hours before boarding.
(8) For incoming important business personnel, sports groups, etc., "point-to-point" transfer to the quarantine-free closed-loop management area ("closed-loop bubble") to carry out business, training, competition and other activities, during which Code management, you cannot leave the management area. Chinese personnel must complete enhanced immunization against the new coronavirus vaccine before entering the management area. After completing their work, appropriate isolation management or health monitoring measures will be taken based on the level of risk.
(9) Clarify that the positive criterion for entry personnel is a nucleic acid test Ct value of lt; 35. Risk assessment will be conducted for those who have a nucleic acid test Ct value of 35-40 when they are released from centralized isolation. If they have been infected in the past, they will be quarantined at home. During this period, there will be "two inspections in three days", code management, and no going out.
(10) For immigrants, the "7 days of centralized quarantine and 3 days of home health monitoring" will be adjusted to "5 days of centralized quarantine and 3 days of home quarantine". During this period, they will be assigned code management and are not allowed to go out. After immigrants complete quarantine at the first point of entry, they must not be quarantined again at the destination. A nucleic acid test will be conducted on the 1st, 2nd, 3rd, and 5th days of centralized isolation medical observation, and a nucleic acid test will be conducted on the 1st and 3rd days of home isolation medical observation.
(11) Strengthen the construction of medical resources. Formulate hierarchical and classified diagnosis and treatment plans, admission standards for infected persons with different clinical severities, plans for outbreaks in various medical institutions and infection treatment plans for medical staff, and provide training for all medical staff. Make preparations for inpatient beds and critical illness beds, and increase treatment resources.
(12) Promote COVID-19 vaccination in an orderly manner. Formulate a plan to accelerate vaccination and accelerate the increase in vaccine coverage, especially for the elderly. Accelerate the research and development of monovalent or multivalent vaccines with broad-spectrum protection, and advance approval in accordance with laws and regulations.
(13) Accelerate the reserve of drugs related to the treatment of new coronavirus pneumonia. Make supply reserves to meet the medication needs of patients, especially the treatment needs of high-risk and elderly patients with severe illness. Attention should be paid to giving full play to the unique advantages of traditional Chinese medicine and making good reserves of effective traditional Chinese medicine prescriptions. Strengthen reserves of emergency medicines and medical equipment.
(14) Strengthen the protection of key institutions and key groups. Find out the numbers of the elderly, patients with underlying diseases, pregnant women, and hemodialysis patients, and formulate health and safety plans. Optimize the management of places where vulnerable people gather, such as nursing homes, psychiatric hospitals, and welfare homes.
(15) Implement the "four mornings" requirements to reduce the scale of the epidemic and the time for treatment. All localities should further improve the multi-channel monitoring and early warning and multi-point triggering mechanisms for the epidemic, carry out "on-the-ground inspections" for people moving across provinces, promptly report infected persons in accordance with the law, conduct flow control and control of risk personnel as soon as possible, and strictly implement early detection, Early reporting, early isolation, and early treatment are required to avoid the expansion of the front line and the extension of time. We must not wait and see and do our own thing.
(16) Increase efforts to rectify the problem of "one size fits all" and layer upon layer. Local party committees and governments must fulfill their local responsibilities and strictly implement the unified national prevention and control policies. It is strictly forbidden to arbitrarily close schools and classes, suspend work and production, block traffic without approval, adopt "silent" management at will, arbitrarily block and control, and not lift the blockade for a long time. , arbitrarily suspending clinics and other types of behaviors that have been stepped up at all levels, increase notifications and public exposure, and seriously hold accountable those who cause serious consequences in accordance with the law and regulations. Give full play to the role of special teams at all levels to rectify problems that have been escalated at all levels, efficiently collect and transfer reporting clues, and urge local governments to make timely rectifications. The National Health Commission, the Bureau of Disease Control and Prevention, the Ministry of Education, the Ministry of Transport and other industry authorities have strengthened supervision and guidance of the industry system, increased the exposure of typical cases, and effectively acted as a deterrent.
(17) Strengthen service guarantees for people in quarantine. All localities should establish special teams to ensure the supply of daily necessities, promptly formulate and improve plans for the market supply of daily necessities, distribution in closed communities, and regional joint guarantee and joint supply, and make good reserves of important people's livelihood commodities. Comprehensively collect and sort out the basic information of the community's permanent population, understand the situation of key personnel such as the elderly living alone in empty nests, children in need, pregnant women, and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize terminal distribution in closed areas, identify specialized forces for the supply of daily necessities, designate fixed receiving points in the community, and open up the "last meter" of distribution. Guide communities to establish direct hotlines with medical institutions, pharmacies, etc., equip communities with special vehicles, and ensure good service connections. Strictly implement the first-diagnosis responsibility system and the emergency and critical rescue system. Refusal of treatment for any reason shall not be used to ensure residents' treatment, medication and other needs. We will do a good job in psychological counseling for people in quarantine, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, and solve the practical difficulties of the people.
(18) Optimize campus epidemic prevention and control measures. Improve the school-local coordination mechanism, joint prevention and control to strengthen the emergency response of campus epidemics, prioritize campus transportation and isolation, nucleic acid testing, circulation traceability, environmental disinfection, and daily material support, improve the school's epidemic emergency response capabilities, and support schools to implement rapid response Deal with the epidemic quickly. All localities and schools must strictly implement national and education department prevention and control measures, resolutely implement scientific and precise prevention and control requirements, and must not increase control. The Ministry of Education and various provincial and prefecture-level education departments have taken the lead in setting up special work teams to investigate one by one the random closure of campuses, the closure time is too long, offline teaching has not been carried out for a long time, the living security cannot keep up, and the control of the families of teachers, students and employees We will monitor outstanding problems such as inconsistent requirements and urge rectification, and rectify the problems of ineffective prevention and control and excessive epidemic prevention. Education departments at all levels have set up complaint platforms and hotlines to accept, transfer and respond in a timely manner, establish a "handle complaints immediately" mechanism, improve the rapid response to problems and solve feedback mechanisms, and promptly promote the resolution of urgent, difficult and anxious problems of teachers and students.
(19) Implement prevention and control measures for enterprises and industrial parks.
The joint prevention and control mechanisms in various regions should set up special teams to find out the number of enterprises and industrial parks, including private enterprises, in the jurisdiction, and formulate epidemic prevention and control plans based on "one enterprise, one policy" and "one park, one policy". Implement the main responsibilities of enterprises and industrial parks for epidemic prevention and control, establish a responsibility system for all employees in epidemic prevention and control from enterprise and park management to workshop teams and front-line employees, and refine the epidemic prevention and control ledger for the entire link and process. Strictly check the epidemic risk of personnel returning to work, and only return to work after confirming their health. Strengthen the protection of the life, epidemic prevention and job rotation preparation of employees in key positions and key processes, improve the management methods for third-party outsourcing personnel, and strictly manage the entry and exit of social personnel. During the epidemic, we must make every effort to ensure the smooth flow of logistics. We must not arbitrarily require key companies that are related to the overall industrial chain and people's livelihood and supply to suspend work and production, and implement the "white list" system.
(20) Evacuate stranded people in an orderly and classified manner. Where epidemics occur, risk areas must be accurately delineated in a timely manner. For foreigners who are not in high-risk areas, they should be allowed to leave after risk assessment to avoid being detained, and protection must be taken on the way back. In places where a large number of people are stranded, special evacuation plans must be formulated. Information communication and cooperation between the departure point and the destination must be strengthened, and arrangements must be made securely on the premise of effectively preventing the spread of the epidemic. Transportation, civil aviation, national railways and other units must actively provide transportation services. Capacity guaranteed. Destinations must increase their awareness of the overall situation, and must not refuse to accept the return of stranded people, and implement prevention and control measures for returnees as required. They must avoid the spread of the epidemic and must not increase control.