The joint prevention and control mechanism of the State Council held a press conference on the afternoon of November 29 to introduce the implementation of prevention and control measures and effectively grasp the handling of the epidemic.
Long-term lockdowns must be corrected and avoided
Long-term lockdowns not only greatly affect the normal production and living order of the people, but also easily cause anxiety and cause difficulties in life, which must be corrected and avoided. To this end, all localities should further strengthen training on the standards for dividing high- and low-risk areas, organize the delineation and management of risk areas, and in principle, high-risk areas are generally designated by units and buildings, and must not be arbitrarily expanded. In the case where the risk of epidemic transmission is not clear or there is extensive community transmission, the delineation of high-risk areas can be appropriately expanded, but it is necessary to pass nucleic acid screening and epidemic research and judgment in a timely manner, and quickly seal and solve it. The judgment of at-risk personnel should be based on on-site flow adjustment, and must not expand the scope through time and space, causing large-scale "accidental injury", and minimize the inconvenience caused to the public due to the epidemic. High-risk areas should not only be strictly controlled, so as to "stay at home", but also make every effort to do a good job in service guarantee to meet the basic living and medical needs of the masses. At the same time, do a good job in the guidance of lockdown, control and isolation personnel, increase the intensity of care and help for special groups such as the elderly, weak, sick, disabled, and pregnant, and solve the actual difficulties of the people.
It is necessary to increase the intensity of reporting and public exposure of all kinds of behavior
At present, the overall development of the epidemic situation in the country is relatively rapid, the epidemic has spread widely, some places have the risk of large-scale rebound of the epidemic, and some places are facing the most complex and severe situation in the three years since the epidemic was fought.
Through the national "nine prohibitions" message board and public opinion, we learned that the main problems reported by the masses at present include these aspects: First, the prevention and control measures adopted by some places are not accurate, which has a relatively large impact on the production and life of the masses and is inconsistent with national policies; Second, individual grassroots workers have a single working method, a blunt attitude, lack patience, poor communication with the masses, and easy to intensify contradictions; Third, the release of epidemic-related information in a few places is not timely and sufficient, which is easy to cause some misunderstandings among the masses.
In order to rectify the situation layer by layer, local party committees and governments must implement territorial responsibilities, strictly implement the unified national prevention and control policy, and increase the intensity of notification and public exposure for arbitrary closure of schools and classes, suspension of work and production, as well as unauthorized blocking of traffic, arbitrary adoption of "silent" management, arbitrary closure and control, long-term unblocking, arbitrary suspension of diagnosis and other layer-by-layer behaviors, and seriously pursue responsibility in accordance with laws and regulations for those who cause serious consequences.
Special attention should be paid to the standardization, efficacy and safety of self-collected nucleic acids
Some places try to carry out nucleic acid self-collection in different forms, but special attention should be paid to the standardization, effectiveness and safety of self-collected nucleic acid, and a sound implementation plan should be formulated, and at the same time, it is necessary to do a good job in organizing and implementing and strengthening technical guidance. Because the quality standardization and safety of sampling are very important, even if it is self-collected nucleic acid, the quality of sampling must be guaranteed.
The Omicron variant and its evolutionary clades are significantly less virulent and virulent than those of the original strain and Delta variants
International and domestic surveillance data confirm that the Omicron variant and its evolutionary clades BA.1, BA.2, BA.5 series, including BF.7, BQ.1 and recombinant XBB, are significantly less virulent and virulent than the original strain and Delta variants. Foreign studies have shown that the proportion of severe disease and death caused by the Omicron variant is significantly lower than that of the previous original strain and the variant of concern, which is not only the characteristics of the Omicron variant, but also may be related to factors such as the improvement of the immune level of vaccination and timely intervention and treatment of the population. Traditional Chinese medicine has also played a positive role, but people with underlying medical conditions, older age and unvaccinated people may still develop a certain proportion of severe disease if infected with the Omicron variant. However, existing vaccines are still effective in reducing severe disease and death from Omicron infection.
From the practice of clinical treatment of new coronary pneumonia, there is a tendency for severe disease in three groups
First, the elderly. Older people over the age of 60 are at risk of severe illness after contracting the new coronavirus. The elderly over 80 years old are at high risk of severe disease. Therefore, families and pension institutions with elderly people should be more likely to prevent the risk of infection, and when an epidemic occurs, elderly care institutions should take effective measures to prevent the elderly from being infected. At the same time, the elderly should also wear masks, wash hands frequently, ventilate frequently, and do not gather these effective personal protection measures.
Second, patients with underlying medical conditions. In clinical practice, people with underlying diseases, especially cardiovascular and cerebrovascular diseases, respiratory diseases, tumors, chronic renal insufficiency and other underlying diseases, are at higher risk of severe disease after infection with the new coronavirus.
Third, the unvaccinated population. Vaccination can effectively reduce the risk of severe disease and death, and it is recommended that people who have no contraindications and are eligible for vaccination, especially the elderly, should be vaccinated as soon as possible, and those who meet the conditions for booster vaccination should be vaccinated as soon as possible.
How can individuals avoid the risk of infection during nucleic acid testing?
Individuals should wear masks during the process of nucleic acid testing and sampling, do not gather, and at the same time keep a distance of more than one meter from the people in front and behind, and consciously obey the guidance of on-site staff. During the sampling process, wait for the person in front to leave, and the sampler will complete hand disinfection before stepping forward. At the same time, at the time of sampling, the person being sampled cannot touch any items on the sampling table, and wear a mask as soon as possible after sampling and quickly leave the sampling site.
Resolutely and in accordance with laws and regulations, seriously handle serious violations of the law by issuing false nucleic acid test reports
For nucleic acid testing, the National Health Commission has always been strict in the access and quality control of testing qualifications, continuously optimized technical specifications, and focused on strengthening the supervision of testing institutions, including third-party testing institutions. Since the beginning of this year, the health administrative departments of Beijing, Anhui Hefei, Hebei Shijiazhuang, Henan Xuchang, Inner Mongolia and other places have found some violations of laws and regulations in the supervision of testing institutions, and have all imposed serious penalties. Some offending institutions and individuals have also been held criminally responsible. In the next step, we will continue to strengthen supervision, and resolutely and seriously deal with serious violations of the law and regulations for issuing false test reports.
How do I manage co-occupants of people in home isolation?
Co-residents or accompanying persons of persons in home isolation shall also comply with the management requirements for medical observation in home isolation.
First, during the period of home isolation, strictly do not go out and refuse all visits; For those who really need to go out for medical treatment, they should apply to the community, arrange a special car after consent, do a good job in personal protection throughout the process, and implement closed-loop management.
The second is to try not to enter the room of people in home isolation, and avoid sharing toilets or daily necessities. If there is any direct contact or when handling pollutants, you should protect yourself and clean and disinfect your hands in time.
Third, people with underlying diseases and the elderly, who are at risk of severe illness, should not be used as companions for people in home isolation.
During home isolation, once a person with high-risk spillover is found positive, he or she should report it in time and transfer it to a designated medical institution or cabin hospital within 2 hours
According to the provisions of the 20 optimization measures, 7-day home isolation will be implemented for overflow personnel in high-risk areas, during which code management shall be assigned and they shall not go out. On the 1st, 3rd, 5th, and 7th days of home isolation, nucleic acid tests should be carried out once. Relevant personnel should strictly implement the relevant requirements for home isolation management during the period of home isolation, and once there is a positive test, they should report it in time and transfer it to the designated medical institution or cabin hospital within 2 hours for isolation observation and treatment, and require nucleic acid testing for those living together, and carry out risk research and judgment to track and manage relevant risk personnel.
Vulnerable groups such as the elderly are prone to develop severe disease, critical illness and even death after being infected with the new crown virus, and the benefits of vaccination are the greatest
The number of people over 60 years old vaccinated was 239.4 million, 228.165 million people were fully vaccinated, the number of people covered and the number of people fully vaccinated accounted for 90.68% and 86.42% of the elderly population respectively, and 181.511 million people completed booster immunization, of which 27.426 million people over 80 years old were vaccinated and 23.563 million people were fully vaccinated, and the number of people covered and fully vaccinated accounted for 76.6% and 65.8% of the population over 80 years old respectively , 14.456 million people completed booster immunization.
In order to further accelerate the vaccination of the elderly, the comprehensive group of the joint prevention and control mechanism of the State Council issued a work plan to strengthen the vaccination of the elderly against the new crown virus, and made arrangements and promotions in terms of improving the mechanism, doing a good job in surveying, optimizing services, and refining publicity. In the next step, we will earnestly implement the requirements of the plan, guide all localities to carefully organize and deploy, optimize vaccination services, and do a good job in the new crown vaccine booster immunization and the vaccination of the elderly. It is also hoped that elderly friends, especially those over 80 years old, will take the initiative to get vaccinated and escort personal health.
It is necessary to scientifically classify and treat key groups such as the elderly and tumor patients
The elderly and tumor patients, especially those in the tumor treatment period, are high-risk groups that are prone to severe disease, so special attention should be paid in the process of medical treatment. First of all, for the elderly, we know that the elderly often suffer from underlying diseases, some underlying diseases are still more serious, and some elderly people will suffer from a variety of underlying diseases, once infected with the new crown virus, on the one hand, it will lead to the aggravation of some underlying diseases, and it is easy to become severe. For patients in the tumor treatment period, because surgery or radiotherapy and chemotherapy, they can lead to low immunity, so they are also at high risk of developing severe disease. We know that for patients in the tumor treatment period, tumor treatment cannot be interrupted, which is also the principle that we have repeatedly adhered to the principle that underlying diseases and new crown pneumonia must be treated together. Therefore, in this case, it is necessary to scientifically classify and treat such infected people, properly arrange medical treatment, actively treat underlying diseases, and ensure the health and safety of patients.
In the medical treatment work, we always adhere to the concept of "people first, life first", adhere to the people-oriented purpose, properly organize the medical work of the elderly, tumor patients and other key groups, ensure that patients can get the best treatment and care, and promote the early recovery of patients.
—END—
丨Statement: This article comes from the Chinese government website, the copyright of the picture belongs to the original author, if the shared content infringes your copyright or the source marked is not the first original, please contact the editor in time, we will deal with it as soon as possible.