Chongqing Municipal Health Commission: according to the number of fever outpatient clinic admissions changes in Chongqing this round of new crown infection peak period has passed

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What is the current situation of infection at the social level in Chongqing? What is the current situation in Chongqing after the implementation of further optimization of epidemic prevention and control measures? After the implementation of the “B class B control”, Chongqing will take what detailed measures to further carry out the epidemic prevention and control work?

On January 3, Chongqing held a press conference (No. 161) on the prevention and control of the new crown infection, and Li Bian, deputy director of Chongqing Municipal Health and Wellness Commission, responded to the relevant questions.

Li Bian introduced that, at present, the prevention and control of the new coronavirus outbreak has shifted from “prevention of infection” to “health protection and prevention of serious illness”. Nucleic acid testing is no longer required.

For the new phase, Chongqing health system mainly serves febrile patients and newly infected people in six ways.

First, strengthen the setting and management of fever clinics.

In accordance with the principle of “setting up as many as possible and opening as many as possible”, since December, Chongqing has opened 49 new fever clinics in medical institutions above the second level and 772 new fever clinics in primary medical institutions (township health centers and community health service centers), and so far, a total of 1,416 fever clinics have been opened. (consultation rooms), which are open 24 hours a day to meet the needs of fever patients. At the same time, in order to facilitate patients to seek medical treatment in a timely manner, Chongqing has released the “fever clinic” query function in conjunction with Gaode Map, so that you can retrieve and navigate through the information means.

According to statistics, the daily number of fever clinics in Chongqing medical institutions above the second level and primary medical institutions reached a peak of about 49,000 on December 20, but currently there are only 7,000 people. The highest number of people seen at fever clinics in secondary and above-level medical institutions was more than 30,000 a day on Dec. 16, but now it has dropped to more than 3,000 a day.

Li Bian said, “A visual judgment can be made from the infection situation in Chongqing, and our peak period should have passed.”

Second, strengthen the preparation of medical resources.

Chongqing’s existing “9 city-level + 41 district and county-level” designated hospital treatment system, since December to add 1,885 beds for treatment, 2,131 critical beds, treatment beds reached 16,527 beds, critical beds reached 3,358, municipal designated hospitals are set up hemodialysis center, delivery room, pediatric wards, equipped with appropriate facilities. All municipal designated hospitals have set up hemodialysis centers, delivery rooms, pediatric wards, and are equipped with corresponding facilities to protect the needs of special patients for treatment. At present, Chongqing’s designated hospitals are equipped with a total of 1,906 hemodialysis machines, and 5,168 critical care beds have been set up in 280 non-designated hospitals at the secondary level and above. The configuration of critical care beds and hemodialysis machines in designated medical institutions are higher than the standards required by the state. Chongqing has 5,174 ventilators in the city, making every effort to protect the needs of patients.

Third, strengthen the management of medical order.

For patients with fever and for those infected with the new coronavirus, we firmly implement the first-call responsibility system, and all medical institutions are not allowed to refuse or pass the buck to patients. Chongqing has established a priority consultation system for high-risk patients in the outpatient clinics of medical institutions. A mechanism has been set up to connect outpatient clinics and wards, especially for “one old and one small” (i.e. senior citizens and younger children) who are eligible for direct referral to tertiary hospitals.

On the other hand, in accordance with the national requirement of “zoning and grid management of tertiary hospitals”, Chongqing has clearly defined 11 municipal hospitals in four zones to provide technical guidance to district and county-level medical institutions and smooth the referral channel. In addition, make full use of the existing district and county medical community system, play a leading role in the region’s tertiary hospitals, the eligible patients in the region to achieve “should be admitted, should be treated as much as possible”.

Fourth, strengthen the grass-roots treatment capacity to ensure.

The primary medical and health institutions are equipped with 584 sets of pulmonary function instruments, reaching a total of 752 sets, with 71.14%. The city’s primary medical and health institutions are equipped with 4112 pieces of finger-clamp pulse oximeters. At the same time, strengthen the counterpart support, just mentioned in accordance with the existing tertiary hospitals to help county hospitals work mechanism, each counterpart support hospitals through sinking, rounds, stationing professionals to establish a telemedicine collaboration network, etc., to help the grassroots to improve the treatment capacity. At present, Chongqing has established 68 remote collaboration networks, covering all grassroots medical and health institutions in the city to enhance their capabilities.

Fifth, strengthen the health management of key populations.

Relying on the city’s primary health management platform, Chongqing has developed an emergency health survey system for key populations, compiled relevant data, and classified these key populations into “red, yellow and green” categories, covering 5,717,200 people aged 65 and above, including 502,100 people in the high-risk (red) population and 134,000 people in the medium-risk (yellow) population. Among them, 502,100 people are at high risk (red), 1,340,600 people are at medium risk (yellow), and 3,874,500 people are at low risk (green).

Chongqing has set up separate management for different groups of people. The low-risk group is mainly through strengthening health education and guiding those who have not completed vaccination to get vaccinated as soon as possible; the medium-risk group mainly provides health consultation, medication and follow-up services, and the community assists home-based infected people to seek medical treatment; the high-risk group should be evaluated, and those who can be home-based are provided with health consultation, health monitoring and other necessary health and health services under the guidance of higher-level hospitals, and if If necessary, timely referral.

Sixth, vaccination.

Chongqing has set up more than 2,000 vaccination sites for the new coronavirus in the city, and has adopted time-sharing appointments, mobile vaccination vans, and special vaccination sites to provide door-to-door vaccination services for the disabled and semi-disabled elderly. As of January 2, 2023, Chongqing reported a total of 78,883,000 doses of vaccination, with a total of 28,862,000 people vaccinated and a coverage rate of 90.1% for the entire population; 28,211,000 people have been fully vaccinated; 16,516,000 people have received booster vaccinations, including 237,000 people who have received a second dose of booster vaccination. The number of vaccinated people reached 6,462,000, and the vaccination coverage rate was higher than that of the whole population, reaching 92.2%. Among the elderly, 6.195 million people completed the full course of vaccination, accounting for 97% of those eligible for the full course of vaccination. The first dose of booster vaccination was given to 4.682 million people, accounting for 92.4% of those eligible for booster vaccination.