Notice on further optimizing the prevention and control measures of epidemic situation in COVID-19 and doing a good job in prevention and control scientifically and accurately
According to the news of "Healthy China" WeChat WeChat official account on November 11th, the State Council should issue the Notice on Further Optimizing the Prevention and Control Measures of COVID-19 Epidemic scientifically and accurately to the Comprehensive Group of novel coronavirus Epidemic Prevention and Control Mechanism, with the details as follows.
Notice on further optimizing the prevention and control measures of epidemic situation in COVID-19 and doing a good job in prevention and control scientifically and accurately
No.101 [2022] of Joint Prevention and Control Mechanism
All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps should respond to the joint prevention and control mechanism of novel coronavirus epidemic (leading group and headquarters), and the State Council should respond to the members of the joint prevention and control mechanism of novel coronavirus epidemic:
Since the outbreak of the COVID-19 epidemic, under the strong leadership of the CPC Central Committee with the Supreme Leader as the core, China has adhered to the people first, life first, external defense input, internal defense rebound, dynamic zero-clearing and unshakable, optimized and improved prevention and control measures according to the situation, actively responded to the impact of multiple global epidemics, protected people’s life safety and health to the greatest extent, and achieved significant positive results in overall epidemic prevention and control and economic and social development. On November 10th, The Politburo Standing Committee (PSC) held a meeting to listen to the report on epidemic prevention and control in COVID-19, and to study and deploy 20 measures to further optimize the prevention and control work. In order to implement the spirit of the The Politburo Standing Committee (PSC) Conference and do a good job in the implementation of epidemic prevention and control and optimization adjustment measures, the relevant work is hereby notified as follows:
First, improve the political position and do a good job in epidemic prevention and control scientifically and accurately.
At present, Covid-19 continues to mutate, the global epidemic situation is still in an epidemic situation, and new domestic epidemics are constantly emerging. China is a country with a large population, with a large number of vulnerable people, unbalanced regional development and insufficient medical resources, and the epidemic situation in some areas still has a certain scale. Affected by virus variation and climatic factors in winter and spring, the spread and scale of the epidemic may be further expanded, and the situation of prevention and control is still severe and complicated. It is necessary to maintain strategic strength and do a good job in prevention and control of the epidemic scientifically and accurately. It is necessary to adapt to the rapid spread of the virus, take more resolute and decisive measures to curb the spread of the epidemic as soon as possible, and concentrate on fighting the epidemic annihilation war in key areas. All localities and departments should resolutely unify their thoughts and actions with the decision-making and deployment of the CPC Central Committee, fully, accurately and comprehensively implement the decision-making and deployment of the CPC Central Committee, unswervingly adhere to the people first and life first, unswervingly implement the general strategy of "importing foreign defense and preventing internal rebound", unswervingly implement the general policy of "dynamically clearing", and effectively coordinate epidemic prevention and control and economic and social development in accordance with the requirements of preventing the epidemic, stabilizing the economy and ensuring safe development. It is necessary to further improve the political stance, fully understand that optimizing and adjusting prevention and control measures is not to relax prevention and control, let alone to "lie flat", but to adapt to the new situation of epidemic prevention and control and the new characteristics of Covid-19’s mutation, adhere to the established prevention and control strategies and policies, further enhance the scientific and accurate prevention and control, and protect people’s life safety and health to the greatest extent.Minimize the impact of the epidemic on economic and social development, and implement the spirit of the 20 th Party Congress with practical actions.
Second, implement the deployment of the CPC Central Committee and actively and steadily optimize and adjust the prevention and control measures
The CPC Central Committee has made important arrangements and put forward clear requirements for the 20 measures to further optimize the prevention and control work, and all localities and departments should put all the optimization measures in place to the letter.
(1)For close contacts, the management measures of "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", during which they will be managed with codes and not allowed to go out.Nucleic acid detection was carried out on the first, second, third and fifth days of centralized isolation medical observation, and on the first and third days of home isolation medical observation.
(two) timely and accurately determine the close contact, no longer determine the close contact.
(3)Adjust the "7-day centralized isolation" of overflow personnel in high-risk areas to "7-day home isolation", and manage them with codes during the period, and they are not allowed to go out.On the 1st, 3rd, 5th and 7th day of home isolation, nucleic acid detection was conducted once each.
(4)Adjust the risk area from "high, medium and low" to "high and low" to minimize the number of control personnel.In principle, the areas where infected people live, work places and activities with frequent activities and high risk of epidemic spread are designated as high-risk areas. High-risk areas are generally designated by units and buildings, and may not be expanded at will.; Other areas of counties (cities, districts and banners) where high-risk areas are located are designated as low-risk areas. No new infections were found in the high-risk area for 5 consecutive days, and it was reduced to a low-risk area. High-risk areas that meet the conditions for unsealing should be unsealed in time.
(5)Employees in high-risk posts who have finished closed-loop operations are adjusted from "7-day centralized isolation or 7-day home isolation" to "5-day home health monitoring". During the period, they are assigned code management, and nucleic acid detection is carried out on the first, third and fifth days respectively, and they are not allowed to go out unless necessary.Do not go to crowded public places or take public transport if you really need to go out.
(six) in areas where there is no epidemic, nucleic acid testing shall be carried out for risk posts and key personnel in strict accordance with the scope determined in the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded.Generally, nucleic acid testing for all employees is not carried out 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. Formulate specific implementation measures to standardize nucleic acid detection, reiterate and refine relevant requirements,Correct unscientific practices such as "two inspections a day" and "three inspections a day".
(7)Cancel the fuse mechanism of inbound flights, and adjust the negative certificate of two nucleic acid tests within 48 hours before boarding to the negative certificate of one nucleic acid test within 48 hours before boarding.
(8)For important business personnel and sports groups entering the country, they will be transported to the closed-loop management area without isolation ("closed-loop bubble") in a "point-to-point" manner to carry out business, training, competitions and other activities. During this period, they will be assigned code management and cannot leave the management area.Chinese personnel need to complete the intensive immunization of Covid-19 vaccine before entering the management area, and take corresponding isolation management or health monitoring measures according to the risk after completing the work.
(9)It is clear that the positive criterion for entry personnel is that the Ct value of nucleic acid detection is < 35,The Ct value of nucleic acid detection is 35— 40% of the staff will be assessed for risk. If they are infected in the past, they will be "checked twice every three days" during the period of home isolation, and they will be assigned code management and will not be allowed to go out.
(10)For the entry personnel, the "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", during which they will be assigned code management and not allowed to go out.After the entry personnel are quarantined at the first entry point, the destination shall not be quarantined again. Nucleic acid detection was carried out on the first, second, third and fifth days of centralized isolation medical observation, and on the first and third days of home isolation medical observation.
(eleven) to strengthen the construction of medical resources. Formulate graded diagnosis and treatment plans, admission standards for infected people with different clinical severity, epidemic situations in various medical institutions and treatment plans for medical staff infection, and do a good job in training all medical staff. Do a good job in preparing hospital beds and critically ill beds, and increase the resources for treatment.
(twelve) to promote vaccination in Covid-19 in an orderly manner. Formulate a plan to accelerate vaccination, and accelerate the increase of vaccination coverage, especially for the elderly. Accelerate the development of monovalent or multivalent vaccines with broad-spectrum protection, and promote approval according to laws and regulations.
(thirteen) to speed up the treatment-related drug reserves in COVID-19. Do a good job of supply and reserve to meet the drug demand of patients, especially the treatment needs of severe high-risk and elderly patients. Pay attention to the unique advantages of traditional Chinese medicine and make a good reserve of effective traditional Chinese medicine prescriptions. Strengthen the reserve of first-aid drugs and medical equipment.
(fourteen) to strengthen the protection of key institutions and key groups. Find out the base of the elderly, patients with basic diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection programs. Optimize the management of places where vulnerable people are concentrated, such as nursing homes, psychiatric hospitals and welfare homes.
(fifteen) the implementation of the "four early" requirements, reduce the scale of the epidemic and disposal time. All localities should further improve the multi-channel monitoring and early warning and multi-point trigger mechanism of epidemic situation,Carry out "landing inspection" for migrant workers across provincesIf the infected person is found, report it in time according to law, do a good job in the management and control of risk personnel at the first time, strictly realize early detection, early reporting, early isolation and early treatment, and avoid the expansion of the front line and the extension of time. Never wait and see and go its own way.
(sixteen) increase the "one size fits all", layers of overweight problem rectification efforts. Local party committees and governments should implement territorial responsibilities and strictly implement the unified national prevention and control policies.It is strictly forbidden to arbitrarily close schools, suspend classes, stop production, block traffic without approval, arbitrarily adopt "silent" management, arbitrarily seal and control, unseal for a long time, and stop clinics at will, and increase the intensity of notification and public exposure, and seriously pursue responsibility for those who cause serious consequences according to laws and regulations.Give full play to the role of special classes at all levels to rectify the problem of overweight at all levels, efficiently collect and transfer reporting clues, and urge local authorities to rectify in time. The Health and Wellness Commission, the CDC, the Ministry of Education, the Ministry of Transport and other departments in charge of various industries have strengthened supervision and guidance on the industry system, increased the exposure of typical cases, and effectively played a deterrent role.
(seventeen) to strengthen the service guarantee of the closed and isolated personnel. All localities should set up special classes for the guarantee of living materials, formulate and improve the market supply of daily necessities, closed community distribution, regional joint supply and other plans in a timely manner, and do a good job in storing important commodities for people’s livelihood. Comprehensively arrange the basic information of the resident population in the community, grasp the situation of key personnel such as empty nest elderly people living alone, children in distress, pregnant women and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize the terminal distribution in closed areas, clarify the special strength of living materials supply, draw a fixed receiving point in the community, and get through the "last meter" of distribution. Guide the community to establish a direct hotline with medical institutions and pharmacies, equip the community with a special car, and do a good job of service connection.Strictly implement the responsibility system for the first diagnosis and the emergency rescue system, and do not shirk and refuse the diagnosis for any reason to ensure the needs of residents for treatment and medication.Do a good job in psychological counseling for the people who are under quarantine control, 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.
(eighteen) optimize the campus epidemic prevention and control measures. Improve the coordination mechanism between schools and places, strengthen the emergency response guarantee of campus epidemic situation through joint prevention and control, give priority to the work of campus transshipment isolation, nucleic acid detection, flow tracing, environmental disinfection, and living materials guarantee, improve the emergency response capability of schools, and support schools to deal with the epidemic situation quickly. Schools in all localities should strictly implement the prevention and control measures of the state and education departments, resolutely implement the requirements of scientific and precise prevention and control, and must not increase control. The Ministry of Education and the provincial, prefectural and municipal education departments took the lead in setting up special work classes.One by one, we will investigate outstanding problems such as random closure of campus, too long closure time, long-term failure to carry out offline teaching, inability to keep up with living security, and inconsistent management and control requirements of teachers, students and employees’ families, and urge rectification to rectify the problems of poor prevention and control and excessive epidemic prevention.Education departments at all levels set up complaint platforms and hotlines to receive, transfer and respond in a timely manner, establish a "complaint-handling" mechanism, improve the feedback mechanism for rapid response to problems and solve problems, and promptly promote the solution of teachers and students’ urgent problems.
(nineteen) the implementation of enterprise and industrial park prevention and control measures. Local joint prevention and control mechanisms should set up special classes, find out the base of enterprises and industrial parks including private enterprises in the jurisdiction, and formulate epidemic prevention and control plans with "one enterprise, one policy" and "one park, one policy". Implement the main responsibility of epidemic prevention and control in enterprises and industrial parks, establish a full-time responsibility system for epidemic prevention and control from enterprises and park management to workshop teams and front-line employees, and refine the ledger of epidemic prevention and control in all links and processes. Strictly check the epidemic-related risks of returning personnel and confirm their health before returning to work. Strengthen the life, epidemic prevention and post preparation guarantee for employees in key positions and key processes, improve the management measures for third-party outsourcing personnel, and strictly manage the access of social personnel. During the outbreak, we should make every effort to ensure smooth logistics.It is not allowed to ask key enterprises that are related to the overall industrial chain and the people’s livelihood to stop production without authorization., implement the "white list" system.
(twenty) to do a good job of resolving the stranded personnel in an orderly manner. Where the epidemic occurs, it is necessary to define the risk area in time and accurately, and allow foreigners who are not in the high-risk area to leave after assessing the risk, so as to avoid detention and make good protection on the way back. Where there are many people stranded, it is necessary to formulate a special relief plan, strengthen information communication and cooperation between the starting point and the destination, and make safe arrangements on the premise of effectively preventing the spillover of the epidemic. Transportation, civil aviation, national railways and other units should actively give traffic capacity protection.The destination should enhance the overall awareness, not refuse to accept the return of stranded personnel, and implement the prevention and control measures for returnees as required, so as to avoid the spillover of the epidemic and not to increase the control..
Third, strengthen risk prevention and implement various measures to deal with potential risks.
All localities and departments should adhere to the bottom line thinking, highlight the problem orientation, do a good job in the orderly connection of the implementation of optimization and adjustment measures, grasp the key links, and do a good job in preventing and responding to relevant risks to ensure that the epidemic risk is generally controllable.
(1)About the control of risk personnel.All localities should strictly manage centralized isolation points to avoid cross-infection of isolation points. Instruct people with home isolation conditions to strictly implement the relevant requirements during the home isolation period. Once positive, carry out communication risk judgment and track and manage relevant risk personnel to prevent the epidemic from spilling over; Those who do not have the conditions for home isolation are still subject to centralized isolation. It is necessary to strengthen the closed-loop management and personal protection of employees in high-risk positions during operation to avoid infection during work. Instruct employees in high-risk positions to strictly implement relevant requirements during home health monitoring. Once positive, immediately carry out communication risk judgment and track and manage relevant risk personnel to prevent the epidemic from spilling over.
(2)On the delineation of risk areas.After the outbreak, all localities should designate high-risk areas in time and release them to the outside world. Generally, high-risk areas are defined by units and buildings, and the scope of high-risk areas can be appropriately expanded if the risk of epidemic spread is unclear or there is widespread community spread.
(3)Adjustment of external defense input measures.All localities should do a good job in centralized isolation resource reserves, standardize the setting of centralized isolation points and strictly implement management. Strengthen the standardized management of immigrants during the period of home isolation. Strictly implement the requirements of closed-loop management, personal protection, nucleic acid detection, etc. for internal and external personnel and Chinese personnel in the closed-loop management area without isolation ("closed-loop bubble") to prevent "ring breaking". The Ct value of nucleic acid detection is 35— 40% of the entry personnel will be further screened, and a nucleic acid test will be completed 24 hours later. If the Ct value of nucleic acid test is less than 35, they will be immediately transferred to designated hospitals or shelter hospitals for isolation treatment; For example, the Ct value of nucleic acid detection ≥ 35, generally infected in the past, during the period of home isolation, "three days and two inspections", code management, not allowed to go out.
Fourth, strengthen the organizational guarantee for the optimization and adjustment work
To implement the prevention and control measures of optimization and adjustment, we should focus on policy interpretation, training guidance and responsibility implementation, further unite the consensus of the whole society, avoid and eliminate the misunderstanding of the optimization and adjustment of measures, strengthen leadership and responsibility, and resolutely hold the bottom line that no large-scale epidemic will occur.
(1) Strengthen publicity, guidance and policy interpretation. Strengthen the interpretation of the optimization and adjustment policy, emphasize continuing to adhere to the general policy of China’s epidemic prevention and control strategy, and guide the whole society to fully understand the importance of adhering to the people first, life first, external defense input, internal defense rebound, and dynamic zero clearing, and fully understand that further optimization of prevention and control measures is to prevent and control more scientifically and accurately, and must not lead to misunderstanding of relaxing epidemic prevention and control, or even letting go and lying flat. It is not only scientific but also necessary to guide the objective understanding that the optimization and adjustment of China’s prevention and control policies and measures are based on the characteristics of virus variation, and strive for the understanding and support of the broad masses and grassroots frontline staff to build a solid foundation for group prevention and control. Strengthen public opinion monitoring and respond to the concerns of the masses in a timely manner.
(2) Strengthen work guidance and training at all levels. Departments in charge of various industries should earnestly shoulder their responsibilities, strengthen guidance on the optimization and adjustment work in this field, improve supporting policies, and urge the implementation of various measures. All localities should accurately grasp the essence of policies, make overall arrangements, refine specific work requirements, carry out in-depth training for prevention and control staff at all levels, and organize training to promote the work ability and level of local party committees and governments at all levels, joint prevention and control mechanisms at all levels, and grassroots prevention and control frontline.
(3) Strengthening organizational leadership and responsibility implementation. Local party committees and governments at all levels should be duty-bound and conscientious, and the main responsible comrades should personally grasp it, clarify the division of responsibilities, organize and implement it carefully in light of the actual situation, strengthen policy training, overall planning of strength and material security, vigorously and orderly promote the optimization and adjustment of prevention and control measures, and implement all tasks to the letter. We should fully understand the complexity, arduousness and repetitiveness of the anti-epidemic struggle, strengthen our responsibility, enhance our fighting skills, go deep into the grass-roots units and the front line, pay close attention to all aspects of epidemic prevention and control, do our best to ensure the people’s production and living services, effectively meet the basic needs of the people during the epidemic handling period, ensure basic livelihood services such as medical treatment, do our best to maintain normal production and living order, do a good job in ideological guidance and psychological counseling, and resolutely win the tough battle of normalized epidemic prevention and control. We must adhere to the bottom line thinking and highlight the problem orientation. We must not only oppose irresponsible attitude, but also oppose and overcome formalism and bureaucracy, resolutely correct simplification, "one size fits all" and layer-by-layer overweight, firmly grasp the measures of optimization and adjustment, effectively coordinate epidemic prevention and control and economic and social development, and reflect the good results of studying and implementing the spirit of the 20 th Party Congress with practical actions.
The State Council responds to novel coronavirus.
Comprehensive group of epidemic prevention and control mechanism
(Seal of National Health and Wellness Commission)
November 11, 2022