Further optimize the implementation of the COVID-19 epidemic.
Detailed rules for the implementation of preventive and control measures
In order to scientifically and accurately do a good job in epidemic prevention and control, and promote the restoration of normal production and living order, according to the ninth edition of the prevention and control plan, 20 optimization measures of the State Council joint prevention and control mechanism and 10 optimization measures, the implementation rules for further optimizing epidemic prevention and control are as follows:
First, optimize personnel travel management and nucleic acid detection.
(1) Optimize personnel travel management.
Those who return to Guangxi from outside the region will no longer be managed according to the risk level, and the declaration requirements for those who return to Guangxi will be cancelled.
People in the area flow normally across regions, and there is no need to inquire about health codes and nucleic acid test reports, and there is no need to carry out health management such as home health monitoring.
Take the subway, bus, taxi and other public transport to enter the airport, railway station, high-speed railway station, road and waterway passenger station, expressway service area, supermarket, hotel, restaurant, business building, public cultural places (museums, libraries), tourist attractions, Internet service places, entertainment places, theater performance places, script entertainment business places and catering service places.
Foreigners entering nursing homes, welfare homes, medical institutions, nurseries, primary and secondary schools and other special places must scan the Guangxi health code and check the negative certificate of nucleic acid test within 48 hours.
(2) Further optimize nucleic acid detection.
Cross-regional floating population will no longer be examined for negative health codes and nucleic acid tests, and "landing inspection" will no longer be implemented. Not according to the administrative region for all the nucleic acid testing, further narrowing the scope of nucleic acid testing, reduce the frequency. All localities should reasonably arrange convenient nucleic acid sampling points according to the needs of the masses, and provide paid "willing to do all the inspection" services for convenience users. In order to avoid too much trouble caused by "mixed management" to the same management personnel, the "willing to check" group is a single management in principle. According to the needs of epidemic prevention work, antigen testing can be carried out.
Closed-loop management shall be implemented for the operation process of people who are in direct contact with entry personnel, people who import cold-chain goods and their environment, staff in centralized isolation places, designated medical institutions and medical staff in fever clinics of comprehensive medical institutions, and 1 nucleic acid detection shall be conducted every day; Employees in high-risk positions such as supermarkets, postal services, express delivery and takeout. People are crowded, have frequent contacts and have strong mobility, and nucleic acid detection is conducted twice a week; Other employees in the airport area will no longer carry out normalized nucleic acid screening. Others are "willing to complete the inspection". Important organs, large enterprises, some specific places and major activities can be determined by the territories or units themselves according to needs.
Second, optimize the health management of risk personnel.
(1) Optimize the health management of people who have become regular employees.
65438+ positive cohabitants will be isolated at home for 5 days. On the premise that there is no new positive person in this household, wear N95 mask to go out for nucleic acid detection on the fifth day. Normal life can be restored after the nucleic acid result is negative (or the Ct value is ≥35 twice). If you have symptoms such as fever and cough, do a good job of symptomatic treatment. If necessary, you can contact primary health care institutions or seek medical treatment through the Internet, and doctors will provide professional guidance. If the condition worsens, it will be transferred to the designated hospital for treatment in time.
2. If the nucleic acid test result is "mixed tube positive", there is no need to drive the poplar, and the nucleic acid testing institution is responsible for sending a text message to inform. The person who is involved in "mixed tube positive" will go to the nucleic acid detection point to complete the single-person single-tube detection within 24 hours of notification. You don't have to report to the community, and you will return to normal life if your nucleic acid is negative.
(2) Optimize the health management of close contacts.
Close contacts of centralized management at present:
1. If it has been 5 days, release the isolation in time after the nucleic acid test result is negative on the fifth day;
2. Less than 5 days, with home isolation conditions, return to the community for home isolation in a "point-to-point" way, and dock with the community to make up for the 5-day isolation time;
3. Those who do not have the conditions for home isolation or voluntarily choose to continue centralized isolation can be released after 5 days of centralized isolation and the nucleic acid test result is negative on the fifth day;
4. If it fails to be transported to the centralized isolation point in the early stage and adopts home isolation management, the home isolation can be lifted within 5 days, and the nucleic acid test is negative on the fifth day.
(3) Optimize risk area division and risk management.
According to buildings, units, floors and households, high-risk areas shall be designated, and shall not be expanded to residential areas, communities, streets (towns) and other areas at will. No temporary blockade in any form is allowed. Implement "quick sealing and quick solution" in high-risk areas. If there is no high-risk area for new infections for 5 consecutive days, it should be unsealed in time.
(4) Optimize employee management in high-risk positions with closed-loop operation.
Carry out "5-day home health monitoring" for employees in high-risk positions who have completed closed-loop operation, and carry out 1 nucleic acid test on the fifth day, and return to normal life if the nucleic acid test result is negative.
Third, strengthen the health management of key personnel.
(a) to speed up the elderly COVID-19 vaccination.
All localities should adhere to the principle of "drawing inferences from others", focus on improving the vaccination rate of people aged 60-79, and accelerate the vaccination rate of people aged 80 and over. Optimize vaccination services by setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles and other measures. It is necessary to carry out training in judging contraindications to vaccination step by step, and guide medical personnel to scientifically judge contraindications to vaccination. Refine popular science propaganda, mobilize all social forces to participate in mobilizing the elderly to vaccinate, and all localities can take incentives to mobilize the enthusiasm of the elderly to vaccinate.
(2) Strengthen the health status and classified management of key populations.
Mobilize all forces to participate, give full play to the role of village (neighborhood) committees and their public health committees and the professional advantages of urban and rural primary medical and health institutions, make full use of existing residents' health information, and conduct a thorough investigation on the health status of the elderly through health management services for the elderly and telephone, SMS and WeChat surveys. During the epidemic, "Party Construction+Grid" has established a ledger, which does not need to be collected repeatedly. Encourage the integration of information through information technology, determine the scope of key groups, and effectively reduce the burden on the grassroots. According to health status, vaccination, risk of infectious diseases, etc. Divide the diagnosed population into key, sub-key and general population, give play to the role of "party building+grid", "net bottom" and "gatekeeper" of family doctors in primary medical and health institutions, and provide corresponding health services by classification.
(3) Strengthen the safety of infectious diseases.
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 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.
Fourth, strengthen medical and health security.
(1) Strengthen the construction of medical resources.
Strengthen the preparation of intensive care resources in tertiary hospitals, increase the comprehensive ICU beds in tertiary hospitals, start the expansion and transformation of other specialized ICU beds, reserve a number of "convertible ICU beds" and set up buffer wards. Strengthen the reserve of critical illness medical resources in secondary hospitals as a useful supplement to the critical illness medical resources in tertiary hospitals. Ensure the preparation of medical resources in designated hospitals, and set up severe beds and convertible severe beds respectively according to national requirements. Upgrade and transform the hospice, take prefecture-level cities as units, upgrade and transform the hospice into sub-designated hospitals according to the population size, and set up monitoring beds.
(2) Optimize the patient's medical treatment process.
The fever clinic of medical institutions must be "fully opened", and the telephone number and address should be made public, so that people can go to the fever clinic nearby. Fever clinics should expand the reception space, equip with medical staff, improve the reception capacity, and must not be shut down at will to ensure the smooth and orderly development of diagnosis and treatment work and better safeguard the health of the people.
The outpatient area of medical institutions should be divided into nucleic acid positive diagnosis and treatment area and nucleic acid negative diagnosis and treatment area, and the corresponding patients should be treated separately. For emergency patients, the lack of 48-hour nucleic acid results should not affect the treatment; If there is a 48-hour nucleic acid test result, go directly to the emergency treatment area. If there is no 48-hour nucleic acid test result, enter the emergency buffer and check the antigen and nucleic acid at the same time. COVID-19 positive patients are treated according to the principle of classification, while asymptomatic infected people and mild cases with home isolation conditions are generally treated at home; Patients with obvious symptoms such as cough and fever can go to the hospital for fever clinic treatment; Mild cases, ordinary cases, severe cases and critical cases with serious basic diseases are hospitalized according to their conditions. Designated hospitals and secondary designated hospitals mainly treat patients with COVID-19's symptoms; Positive patients with basic diseases and specialized medical needs are admitted to hospitals at all levels. The hospitalized patients are still strictly forbidden to visit and escort unless necessary, and the fixed escort who really needs escort is strictly protected, and it is forbidden to go out during the escort period. The patients in the emergency observation room are managed as inpatients. All medical institutions should optimize the process of medical treatment, establish a dynamic adjustment mechanism, maximize the number of medical staff and consultation rooms in outpatient and emergency departments and fever clinics, meet patients' medical needs in time, and ensure a safe and orderly medical order to the maximum extent. The cost of diagnosis and treatment of positive infected persons shall be handled in accordance with the relevant provisions of common diseases.
(three) to ensure the normal operation of society and basic medical services.
Non-high-risk areas shall not restrict the flow of personnel, and shall not stop work, production or business. Medical staff, public security, transportation and logistics, supermarkets, power supply, water and electricity heating, etc. WHO ensures that basic medical services and normal social operations are included in the "white list" management. Relevant personnel should do a good job in personal protection, vaccination and health monitoring, ensure normal medical services and the supply of basic living materials, water, electricity and warmth, try their best to maintain normal production and work order, solve the "urgent problems" reflected by the masses in time, and effectively meet the basic living needs of the masses during the epidemic handling period.
(four) to ensure the people's basic drug procurement needs.
Local pharmacies should operate normally and cannot be shut down at will. It is not allowed to restrict people from buying antipyretic, antitussive, antiviral, cold medicine and other over-the-counter drugs online and offline. People who buy antipyretic, cough-relieving, antiviral and antibiotic drugs through Internet platforms or pharmacies will no longer register their real names and check their health codes and negative nucleic acid test certificates.
Five, optimize the management of key places
(a) to further optimize the school epidemic prevention and control work.
Schools around the country should resolutely implement the requirements of scientific and accurate prevention and control, and primary and secondary schools and kindergartens should decide whether to carry out mixed sampling inspection according to the local and school epidemic situation. Encourage qualified places to organize primary and secondary schools and kindergartens to carry out nucleic acid testing according to territorial policies. Encourage the scientific wearing of masks in schools (except during sports). Non-epidemic schools should carry out normal offline teaching activities, and supermarkets, canteens, stadiums and libraries on campus should be opened normally. Schools with epidemics should accurately define risk areas and ensure normal teaching and living order outside the risk areas.
(two) the implementation of enterprise and industrial park prevention and control measures.
All localities should find out the base of enterprises and industrial parks, including private enterprises, and formulate epidemic prevention and control plans. 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 each link and process. Strictly check the epidemic-related risks of returnees and confirm their health before returning to work. Strengthen the life, epidemic prevention and job preparation of employees in key positions and key processes, improve the management measures of third-party outsourcing personnel, and strictly manage the access of social personnel. During the epidemic, we should make every effort to ensure the smooth flow of logistics, and must not require key enterprises that are related to the overall situation of the industrial chain and the protection of people's livelihood to stop production and implement a "white list" system.
Sixth, strengthen border epidemic prevention and control.
(1) Standardize the closed-loop management of employees.
Entry personnel shall be strictly subjected to 5 days of centralized isolation medical observation (centralized isolation 1, 2, 3 and 5 days 1 nucleic acid detection) and 3 days of home isolation (1 day 1 nucleic acid detection), and shall not go out.
Under the guidance of the local headquarters, important business personnel and sports groups will be transported to the closed-loop management area without isolation ("closed-loop bubble") to carry out business, training, competitions and other activities. In the meantime, they will be assigned code management and cannot leave the management area. Chinese personnel need to complete the COVID-19 vaccine booster immunization before entering the management area, and take corresponding isolation management or health monitoring measures according to the risks after completing the work.
(2) Optimize the detection and monitoring of key personnel in border areas.
Cancel routine nucleic acid screening in Napo County, Jingxi City, Longzhou County, Pingxiang City, Ningming County, dongxing city City, Fangcheng District and border towns in daxin county, and set up convenient nucleic acid sampling points reasonably according to local specific conditions to meet the needs of people with symptoms such as fever and cough.
(3) Optimize port management.
Border port areas are accurately divided into risk areas and clean areas (namely, red areas and green areas) according to the risk prevention and control situation of each job post. Fences and purse seines are used for physical isolation between areas, and standardized closed-loop operation procedures and personnel management rules are formulated for risk areas.
Optimize the management of inbound vehicles and goods at border ports. After the entry vehicles and goods leave the port area, they can enter the urban areas of border port cities in the way of domestic logistics vehicles and goods management, and each port city will optimize management measures. All ports (mutual markets) shall not suspend the import of cold chain and other goods at will.
Strict zoning management is implemented for airports and airports. In accordance with the principle of closed-loop management of international inbound passengers and closed-loop management of frontline staff, we will improve the infrastructure settings such as international inbound passenger lanes, crew lanes and emergency isolation places, strengthen the closed management of terminal transfer lanes, realize the physical isolation of inbound personnel from domestic personnel, crew members from passenger activity places, and realize the separation of international and domestic workplaces, facilities and equipment, staff and activity tracks.
Inland rivers, seaports, ports and foreign trade operation areas shall be managed by districts, and facilities and equipment for receiving, transferring and disposing ship domestic garbage, domestic sewage and port garbage shall be set up and classified. Strictly implement the boarding and disembarkation reporting system, strengthen the control of foreign ship personnel, continuously strengthen the dynamic management of boarding operators, and strictly implement the unnecessary measures of "no boarding, no landing, no boarding".
Seven, optimize the management measures of various conference activities.
There is no need to report all kinds of meeting activities. In accordance with the principle of "who sponsors, who is responsible, who sends, who is responsible", we will strictly compact the main responsibility of the organizers of conference activities, strengthen organizational leadership, and do a good job in epidemic prevention and control.
Eight, the implementation of personal health management responsibility
We should continue to do a good job of personal protection, insist on wearing a mask, washing hands frequently, walking a mile, being ventilated frequently, and not gathering or gathering. We should continue to do a good job in self-health monitoring, maintain healthy and civilized living habits, be the first person responsible for our own health, and protect ourselves and our families.
The COVID-19 Epidemic Prevention and Control Command of the Autonomous Region will continue to optimize and adjust relevant epidemic prevention measures according to national policies and changes in the epidemic situation.