National Health Commission: Let the residents who see a doctor be able to go out of the door of the community and enter the door of the hospital

Li Bin said that "dynamic zero clearance" is the best choice for the current overall planning of epidemic prevention and control and economic and social development, and it is the bottom line that must be kept in the current epidemic prevention and control of the mainland.

Written by | Tian Dongliang

Source | "Medical Community" public account

Following yesterday (April 28) afternoon, the joint prevention and control mechanism of the State Council held a press conference on the situation related to the strict and down-to-earth grasp of the epidemic prevention and control work, this morning, the State Council New Office held a press conference on the relevant situation of adhering to the "dynamic clearance" and doing a good job in epidemic prevention and control.

For ensuring the medical needs of residents in the closed control area and the control area under the epidemic, Li Bin, deputy director of the National Health commission, said at the meeting that those who need to go out for medical treatment should be picked up and dropped off point by point, closed-loop management, so that residents with medical needs can go out of the door of the community and enter the door of the hospital.

"Dynamic zero clearance" is the bottom line that must be observed in epidemic prevention and control

Li Bin said that practice has proved that "dynamic zeroing" is the best choice for the current overall planning of epidemic prevention and control and economic and social development, and is the bottom line that must be kept in the current epidemic prevention and control of the mainland.

The continent is vast, can it be realized that some places coexist and other places "dynamically clear zero"? For this question from the reporter at the meeting, Li Bin responded: Epidemic prevention and control is an overall battle, and only when all localities adhere to the "dynamic clearance" and strive to control the local epidemic situation, can they win a comprehensive victory in the national epidemic prevention and control. If the "dynamic clearance" of individual places is not resolute and decisive, and it is flexible, resulting in the rapid spread of the virus in the local epidemic, causing the spillover of the epidemic and becoming the "spreader" and "amplifier" of the epidemic, it will cause major losses to people's lives and property, and seriously affect economic and social development.

Li Bin also said that under the premise of adhering to the general policy of "dynamic zero clearance", local governments are encouraged to explore and summarize some good experiences and practices according to the local epidemic situation and characteristics, further improve the scientific and accurate level of epidemic prevention and control, and strive to achieve the greatest prevention and control effect at the smallest cost.

For the argument that there is "lying flat" in the society, Liang Wannian, head of the expert group of the National Health Commission's leading group for epidemic response and handling, said that at present, 90% of the mainland population has been vaccinated, but there is still an imbalance in the vaccination rate, so it is necessary to increase the vaccination rate of the elderly, children and other vulnerable groups to achieve a controllable active immunity barrier.

Liang Wannian believes that "dynamic zero clearance" has left a time window for the mainland, and in this time window, China should strengthen vaccination and accelerate the research and development of drugs and vaccines, and we may seize this opportunity. When our vaccination coverage is high, especially the vaccination coverage rate of vulnerable groups such as the elderly is further improved, all localities have made preparations for medical resources, isolation beds, effective drugs, material supply, emergency mechanisms, etc., while effective drugs can be widely used, the virus does not appear worse, new mutations, but more moderate, the risk of death is within the range we can bear, we will be able to defeat the new crown pneumonia epidemic.

"Yellow Code" hospitals have been set up in various places

In the process of epidemic prevention and control, how to ensure normal medical order and maintain the continuity of medical services, Li Bin said that this has always been the most concerned issue of the National Health Commission.

For the areas where the epidemic occurred, how to ensure the medical needs of the masses, Li Bin introduced that it is necessary to grasp the key links in four aspects:

First, ensure the treatment of acutely critically ill patients. The National Health Commission deploys, requiring all localities to set up "yellow code" hospitals, open "cloud outpatient clinics", for critically ill patients, in the case of nucleic acid test results are unknown, it is necessary to timely start and standardize the use of emergency departments, rescue rooms, operating rooms, wards set up buffer areas, medical personnel strictly implement the first diagnosis responsibility system and the system of emergency and critical care rescue, do a good job of personal protection, timely and effective treatment, do not prevaricate and refuse, delay treatment for any reason.

Second, it is necessary to meet the medical needs of special groups. For patients on hemodialysis in the sealing and control area, patients with tumors such as radiotherapy and chemotherapy, as well as special groups such as pregnant women and newborns, local epidemic prevention and control departments should do a good job of investigation and statistics, establish ledgers, achieve "clear bottom numbers, clear situations", and effectively implement continuous medical service guarantees. For patients with chronic diseases who take drugs for a long time, grass-roots medical and health institutions can provide good services by prescribing long prescriptions and other means to meet the needs of medical services.

Third, improve medical security in areas where the epidemic occurs. During the epidemic prevention and control period, improve the level of overall planning, strengthen departmental linkage, and scientifically set up emergency telephones such as 120 and convenient service channels to ensure that the masses can "get through, contact, find people, and see the disease" in an emergency. The sealing and control area and the control area should continuously improve the operation mechanism of medical service management under the emergency state, arrange an expert team to provide consultation and evaluation to personnel in need, and if they need to go out for medical treatment, point-to-point pick-up and drop-off, closed-loop management, so that residents with medical needs can get out of the door of the community and enter the door of the hospital.

Fourth, coordinate the prevention and control of the epidemic and medical services within medical institutions. Further strengthen the monitoring and early warning of the epidemic situation in medical institutions, improve the process of handling sudden epidemics, and immediately activate emergency response plans once confirmed cases are found. While doing a good job in emergency response in a timely and effective manner, it is necessary to report to the local disease prevention and control command department and make overall plans for the prevention and control of the epidemic in the hospital and the prevention and control of the social epidemic. For medical institutions where cases are found, they cannot be closed or sealed because of the handling of the epidemic situation, and after taking sealing and control measures, the emergency mechanism is quickly activated to fully guarantee the continuity of medical services in key departments such as emergency departments, dialysis rooms, operating rooms, intensive care units, and delivery rooms, to ensure that critically ill patients receive timely treatment, and to minimize the impact of epidemic prevention and control on the normal medical services of medical institutions.

In addition, for the medical treatment of people infected with the new crown virus, Liang Wannian introduced three aspects of work:

The first is to strengthen the establishment and management of designated hospitals for new crown pneumonia. Guide all localities to treat hospitals with strong comprehensive capabilities, high treatment levels, and good infection prevention and control technologies as designated hospitals, and concentrate on treating patients, and at the same time put forward the bed requirements for designated hospitals in cities with different populations, such as the total number of beds in designated hospitals in cities with a permanent population of 1 million to 5 million should be no less than 500, the total number of beds in designated hospitals in cities with a population of 5 million to 10 million should be no less than 1,000, and the total number of beds in designated hospitals in large cities with more than 10 million people should be no less than 1,500. Among them, the number of intensive care beds is not less than 10% of the total number of designated beds. In addition, it is required to set up a certain number of reserve designated hospitals in various places to ensure that they can be vacated and put into use within 24 hours when needed.

The second is to strengthen the management of the establishment of the square cabin hospital. Implement the construction and renovation of a number of square cabin hospitals for case grading treatment to ensure that they can be put into use within two days when necessary, and ensure that they should be collected and treated. As of April 25, there were nearly 400 square cabin hospitals that had been built or were under construction across the country, with a total of about 560,000 beds.

The third is to effectively improve the utilization rate of medical resources. Guide all localities to timely transfer patients with new crown pneumonia who meet the standards to the square cabin and designated hospitals to maximize the use of beds, and also require all localities to make overall plans for epidemic prevention and control and normal medical services.

Do "four mornings",

There is no need for full nucleic acid and city-wide sealing

Omilon has the characteristics of fast transmission, strong concealment, and asymptomatic infection, and in order to prevent the spread of Omilon in the areas where the epidemic occurs in China, full nucleic acid and global stationary measures are often taken in the early stage of the epidemic.

Can we achieve effective control of the epidemic without the condition of nucleic acid testing for all employees and lockdown in the whole city? Liang Wannian's answer is: as long as the "four early" (early detection, early reporting, early isolation and early treatment) can be achieved.

However, if the "four early" cannot be done, the epidemic is discovered late, and the source of the infection is not clear, the scope of the infection and the contact population, Liang Wannian believes that it is necessary to appropriately expand the scope of control, strengthen nucleic acid testing, and strengthen corresponding control measures, which is also the need for epidemic prevention and control.

Source: Medical community

Editor-in-charge: Zheng Huaju

Proofreader: Zang Hengjia