Source 丨21 Healthnews21 original work
Author 丨 Zhu Ping Intern Hu Bingyue Ouyang Xinyu Wang Xinyi
Editor 丨Xu Xu
Image source 丨 Figureworm
As the first "artifact" of epidemic prevention in China, the health code has become the only "identity card" for the healthy and smooth travel of Chinese people under the epidemic.
The three colors of red, yellow and green represent the three life situations, and the protection of the green code has become the most important thing for everyone. With the Spring Festival approaching, different versions of the "green code" story are being staged in Beijing these days.
"It wasn't until Tuesday morning, after the community contacted me for the sixth time, that it finally helped me report it, and then the pop-up window was lifted, and I was 'green code' again." On January 25, in an interview with the 21st Century Business Herald reporter, Gao Mingming was still waiting in line for the third nucleic acid test. Although he did nucleic acid three times in four days, Gao Mingming did not know the reason for the health treasure pop-up window, and speculated that he might have passed through a high-risk area or recently bought sanli pain (a cold medicine) in Jingdong.
It is understood that in order to detect and control the risk of the epidemic as soon as possible, Beijing has recently issued a policy of implementing health treasure pop-up prompts for those who purchase "four types of drugs" in pharmacies, requiring relevant personnel to conduct a nucleic acid test within 72 hours. For those who fail to be tested on time, they will be prompted by the Beijing Health Treasure, which may affect the travel and daily life of citizens.
Compared with Gao Mingming, the reason why Fu Xueer received the pop-up prompt of the health treasure seems to be more clear. Due to returning to Beijing from Wuchang Street in Yuhang District, Hangzhou, Fu Xueer's health code was abnormal. According to the requirements, although Fu Xueer can go out, but can not go to the place where the code needs to be scanned, the trip has been affected to a certain extent. Fortunately, after two nucleic acid tests and continuous reporting to the community, Fu Xueer's health code has returned to normal.
Some netizens in Beijing joked that nucleic acid testing has become a daily routine. It is understood that at present, in addition to the nucleic acid testing of all employees in Beijing Fengtai, Residents of Shijingshan, Haidian, Daxing, Chaoyang and other communities have been required to do nucleic acid testing, some of which have been done for many rounds, on January 26, some citizens reflected that the Beijing Health Treasure nucleic acid result inquiry and the appointment service page could not be displayed repeatedly. "I can't register this health treasure, I need to brush it repeatedly, but the machine for measuring nucleic acid can't be linked." Zhang Peng told the 21st Century Business Herald reporter. According to the 21st Century Business Herald reporter, under the tide of returning home during the Spring Festival, at the request of the destination, the number of people doing nucleic acid testing has also increased sharply, the sample size is large, and many institutions have produced results in 24-36 hours.
Courtesy of respondents
Nucleic acid detection is an important step in the prevention and control of the epidemic, but large-scale nucleic acid detection is a test for organizational management capabilities and testing systems. At present, Beijing has encountered the double test of Delta strain and Aomi Kerong strain, as of now, there are 7 high school risk areas, Fengtai has 11 sealing and control areas, and Xicheng has delineated two sealing and control areas.
Judging from the several rounds of local cluster epidemics in Aomi Kerong that have occurred in China, the symptoms of infected people in Aomi Kerong are relatively mild, but they spread quickly and are highly contagious. According to Science and Technology Daily, a variant of the new coronavirus known as "Omicron's sister" has been listed by the UK Health Security Agency (UKHSA) as a "variant virus under investigation" (VUI), and more than 400 cases of infection with the variant have been found in the UK. This is a sub-variant of the latest version of the Amicoreon strain called BA.2. International data suggest that it may spread relatively quickly.
Multiple nucleic acid tests
On the morning of January 25, Yang Yu, who lives in Fengtai District, received another notice from the community and went to the nucleic acid testing site. It is understood that this is the second round of nucleic acid testing in Fengtai District.
Yang Yu told the 21st Century Business Herald reporter that the nucleic acid test is for the entire Fengtai District, mainly carried out in the community, using the method of mixed inspection of ten people, the testing area is divided into waiting area, registration area and testing area, and residents queue, sample and register at the corresponding testing points, stagger the rush hour, and the test does not take too much time.
It is understood that the workload of nucleic acid screening of all key groups is large, so the actual work will be prioritized, such as the first coverage is the centralized isolation personnel, the residents of the building where the home isolation personnel are located, and then the health monitoring personnel, those who have passed the observation period and the big data screening but do not recognize the relevant points are screened. When organizing testing, screening is carried out in the order of the unit door and the building.
On January 25, Bo Lan, deputy mayor of Fengtai District, said at the press conference that at present, the epidemic situation in the city is facing the dual challenges of Delta and Omicrong strains, and the prevention and control situation is complex and severe. Fengtai District adheres to strictness, speed and tightness, and quickly carries out investigation and control. According to Bo Lan, at present, Fengtai District has a total of 11 sealing and control areas and 8 control areas, involving a total of 15,756 households and 31,910 people.
The first round of nucleic acid testing in Fengtai District began at 6 a.m. on January 23. In order to stop the spread of the epidemic as soon as possible, 4,600 medical staff from 10 districts in Beijing rushed to Fengtai and invested more than 13,000 medical and service support personnel to facilitate residents to receive nearby monitoring.
In the early morning of January 25, the Office of the Leading Group for the Prevention and Control of the New Crown Pneumonia Epidemic in Fengtai District issued a notice saying that the second round of nucleic acid testing in the whole district will be organized from 6 o'clock on January 25, reminding residents to be sure to test before going to work. Bo Lan said at the press conference on January 25 that this round of testing in Fengtai set up 1319 sampling points, invested more than 40,000 medical and support personnel, provided 400 transfer and support vehicles, and continued to strengthen the connection between mining, delivery, inspection and reporting, improve testing efficiency, and achieve fast detection and fast exit.
At about 23:00 on the evening of January 25, the Beijing Fengtai WeChat public account once again issued a notice saying that the third round of nucleic acid testing in the whole region was organized from 6 o'clock on January 26. At the same time, many streets in Haidian, Chaoyang, Daxing, Fangshan, Tongzhou, Xicheng and other districts have also launched nucleic acid testing work for key populations, among which Taoranting Street and Guangwai Street in Xicheng District will also organize nucleic acid testing for residents and units in the jurisdiction on January 25 and January 27.
Residents of a community in Beijing waiting for the machine to be restored 21st Century Business Herald reporter Bai Yang/Photo
For regional nucleic acid testing, Xu Hejian, spokesman of the Beijing Municipal Government, said at the above-mentioned press conference that it is necessary to do a good job in the organization and service of nucleic acid testing, so that it should be inspected and is willing to be inspected. Regional nucleic acid screening should be further expanded and upgraded, rolling forward, and it is necessary to do a good job of mass organization and on-site management in a meticulous and meticulous manner, maintain the on-site order of the testing point, and prevent personnel from gathering in groups. Improve detection capacity and efficiency, ensure fast harvesting and rapid inspection, and do not miss a single person.
10 people mixed inspection 21st Century Business Herald reporter Zhu Ping/photo
In fact, the reason why communities have carried out nucleic acid testing closely is the rapid spread of the epidemic in Beijing in recent days. On January 25, at the 275th press conference on the prevention and control of the new crown epidemic in Beijing, Pang Xinghuo, deputy director of the Municipal Center for Disease Control and Prevention and a member of the national new coronavirus pneumonia expert group, informed that from 16:00 on January 24 to 16:00 on January 25, there were 15 new cases of local new coronavirus infection in Beijing, including 12 local confirmed cases and 3 asymptomatic infected people, and the cases lived in Xicheng, Chaoyang, Fengtai and Daxing districts.
It is understood that on January 26, many communities in Beijing are carrying out nucleic acid testing, in the morning of the same day, there are a number of residents feedback, health treasure nucleic acid results query and appointment service page can not be displayed, in the afternoon there are a number of residents feedback, nucleic acid testing system can not be connected. As of the time of the 21st Century Business Herald reporter's press release, a number of residents have told the 21st Century Business Herald reporter that after receiving the community notice, the city's detection system has a problem, most communities cannot use it, only residents with an appointment code can go, and other personnel are waiting for the notice.
How is the green code guarded?
At present, the epidemic prevention situation in Beijing is still grim. According to the press conference on January 25, from now on, Beijing will add two new medium-risk areas, namely Huangtugang Village, Yuquanying Street, Fengtai District, and Wanliu Xiyuan Community, Yuquanying Street, Fengtai District. Up to now, there are 1+6 high school risk areas in Beijing. The rest of the city is low-risk.
Bo Lan said at a press conference on January 23 that the entire area of Fengtai District was determined as a prevention area, various epidemic prevention measures were strengthened, gathering activities were suspended, and the full load rate of rail transit and ground buses was adjusted to 75%.
In addition to the fengtai district as a preventive area, Xicheng District has also newly divided the sealing and control area. According to Song Mei, deputy mayor of the Xicheng District People's Government, at the press conference, according to the scope of activities of the infected in recent days, Building 2 of the No. 1 Courtyard of Guangwai Duck Bridge Road is designated as a sealing and control area, and the other areas of the No. 1 Courtyard are the control areas. Demarcate some bungalows and buildings in the courtyard of No. 10 A, Right Inner West Street, as sealing and controlling areas.
However, according to Xu Hejian's analysis at a press conference on January 24, the current epidemic prevention and control situation in Beijing is still severe and complex, and all relevant departments in the city have taken active actions to prevent and control rapidly, and the overall situation is controllable.
According to Pang Xinghuo, as of now, the laboratory of the Municipal Center for Disease Control and Prevention has completed the whole genome sequencing of 28 infected people, and the results show that they all belong to the Delta variant and are in the same transmission chain. In addition, whole genome sequencing of frozen goods and environmentally positive specimens in the cold storage of the epidemic was carried out, and the analysis results were completely consistent with the viral sequence of some early infected people in this round of epidemic.
In addition, Pang Xinghuo also pointed out that the current epidemic situation associated with the Omicron variant is generally stable, and the epidemic situation is basically under control. The current source of the delta strain-related epidemic is clear, the chain of transmission is basically clear, the cases found are directly or indirectly related to cold chain items or related practitioners, and the risk of further transmission is basically controllable.
In the face of the current spread of the epidemic, Beijing's epidemic prevention measures have also been tightening, such as the control of four types of drugs, health treasure pop-up tips, etc. can reveal the signal of epidemic prevention policies to a certain extent.
On January 23, Beijing announced that in order to further detect and control the risk of the epidemic in advance, from January 23, 2022, those who purchase four types of drugs for antipyretic, cough, anti-infection, and treatment of dry throat within 14 days and in the future need to undergo nucleic acid testing within 72 hours. Beijing Health Treasure will be compared through the nucleic acid test database, and those who fail to be tested on time will be prompted by pop-up windows, which may affect the travel and daily life of citizens.
In fact, since the emergence of the epidemic, all localities have successively begun to control the "four types of drugs", that is, all pharmacies are not allowed to sell fever drugs, cough drugs, antiviral drugs, antibiotic drugs when selling fever drugs, cough drugs, antiviral drugs, antibiotic drugs, or must register relevant information such as ID cards to sell. The original intention of this policy may be to make full use of the large and small pharmacies around the public, play their role as a frontier sentinel, and find and find infected people as soon as possible.
However, some insiders pointed out to the 21st Century Business Herald reporter that the control measures of the "four types of drugs" have been restricted by some factors in the implementation process. Many asymptomatic infected people and mildly infected people do not need to go to pharmacies to buy drugs, which determines that pharmacies have limited role in the formation of transmission chains and the detection of the first case. Moreover, the presence of drug stocks further limits the role of pharmacies. Since the drugs under control are household medicines, most households have stocks of four types of drugs, which also reduces the likelihood that pharmacies will find infected people.
In addition, pharmacies only have the right to truthfully register the purchase of drugs and consumer information, and do not have the ability to judge whether the drug buyers are infected, in this case, it is difficult for pharmacies to detect and report the virus transmission chain early.
So in addition to the drug purchase data, in the process of epidemic prevention and control, what are the basis for judging people's health status? Under what circumstances will the health treasure pop-up window appear? Li Keshun, president of the Product Research Institute of Guizhou Databao Network Technology Co., Ltd., explained in an interview with the media that the health code includes four big data, the first is the household registration information of the public security department; the second is the health data declared by themselves, such as body temperature and current symptoms; the third is the itinerary data, including the location of mobile phone signaling and the traffic travel data of railways and air to determine whether it has reached the risk zone; the fourth is the medical information provided by the health and disease control department, and whether there is an intersection with the confirmed person.
In fact, the newly released health treasure pop-up window prompt in Beijing is to rely on the drug purchase data to implement pop-up window management for drug buyers. "I don't know why I received the pop-up window, it may have been a few days ago in JD.com to buy Sanli Pain." Gao Mingming told reporters.
Although for epidemic prevention considerations, the health treasure pop-up window does bring inconvenience to the lives of many people. Gao Mingming said that he drove past the Yuquan Yingqiao last Thursday, and then Gao Mingming did two nucleic acid tests on Saturday and Sunday, and received a phone call on Sunday night asking for a report. But when he went to work on Monday, there was still a pop-up prompt for health treasure, and Gao Mingming failed to enter the office building and was told that he needed to communicate with the community. However, the staff of the community did not have time to take care of it, and the policy was not very clear. In his interview, the community and the work unit asked Gao Mingming to do the third nucleic acid test, and he was in line at this time.
In addition, many Beijing citizens have received health treasure pop-up windows due to "trip data", and the emergence of pop-up prompts has brought inconvenience to travel. Fu Xue'er, who returned to Beijing from other places, is a representative.
Fu Xue'er returned from Wuchang Street, Yuhang District, Hangzhou City, and was asked to do nucleic acid twice, coupled with constantly calling the community and reporting, fu Xueer's health code has returned to normal. However, Fu Xueer also said in an interview that during the health treasure pop-up window, although it is possible to travel, many places that need to scan the code can still not be visited, and travel has been subject to many restrictions. In particular, sometimes the interval between residents meeting the requirements of the health treasure and the lifting of the pop-up window is long, which affects the life.
"Beijing Health Treasure" pop-up window prompts the interviewee to provide a picture
Regarding the health treasure pop-up window prompt policy, Li Ang, deputy director of the Beijing Municipal Health Commission and spokesman, interpreted at a press conference on January 25 that according to the policy, from January 23, SMS prompts have been sent to relevant personnel, asking relevant personnel to pay attention to SMS reminders, and timely nucleic acid testing within 72 hours. For the relevant personnel who have not carried out nucleic acid testing 72 hours after purchasing drugs and visiting the doctor, The health treasure will carry out a pop-up window prompt; for the completed nucleic acid test, the testing institution has uploaded the test results to the nucleic acid testing platform of the Health Commission, and the health treasure can query the nucleic acid test results through the nucleic acid testing platform, and the Beijing Health Treasure will lift the pop-up window to restore the green code at 24 o'clock every day. If you have completed the test and uploaded the nucleic acid test results normally, but the "Beijing Health Treasure" is still unable to assign the code normally, please consult the community, village, hotel, unit or 12345 citizen hotline where you live, and solve it through offline rescue channels.
However, the health treasure pop-up window is not an excuse to refuse to provide nucleic acid testing services. In order to prevent the policy from being misunderstood, Li Ang further pointed out that citizens and friends can conduct nucleic acid testing in the nearest nucleic acid testing institutions in the city, and at present, the city has required all kinds of nucleic acid testing institutions at all levels to increase the number source, and can not refuse the health treasure pop-up window personnel to accept nucleic acid testing services for any reason.
Li Ang also pointed out that it is recommended that the elderly and chronic patients who need to purchase four types of drugs for a long time can go to the community health service center to get medicines, which can effectively avoid the health treasure pop-up situation. If you develop fever, visit the nearest fever clinic.
(In the text, Yang Yu, Gao Mingming, Fu Xueer, and Zhang Peng are pseudonyms)