Sichuan released the new coronavirus infection "B class B management" work guide (seventh edition)

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The reporter learned from the Sichuan provincial government website on the 15th, in order to implement the State Council joint prevention and control mechanism “new coronavirus infection prevention and control program (tenth edition)”, to guide the implementation of the new coronavirus infection around the “category B B management” after the prevention and control of the epidemic, Sichuan Province to deal with the new coronavirus infection emergency command to develop and Sichuan Province, the new coronavirus infection “B class B management” work guide (seventh edition).

The full text is as follows.

In order to implement the State Council joint prevention and control mechanism “new coronavirus infection prevention and control program (10th edition)”, to guide the implementation of the new coronavirus infection around the “Class B B tube” after the prevention and control of the epidemic, the development of this work guide.

First, the “four-party responsibility”. All places should be responsible for the land, land, the main responsibility, the main responsible comrades personally grasp, closely around the “health, prevention of serious illnesses, reduce the number of deaths” goal, the coordination of the relevant departments (units) division of responsibility, coordination and cooperation, smooth and orderly implementation of the new coronavirus infection “B class B management “various measures. The competent departments of the industry to adjust the relevant policies in a timely manner, strengthen supervision and guidance to ensure that the “Class B B tube” the implementation of the various policy measures on the ground. Institutions, enterprises and institutions to strengthen training and guidance, and urge employees to strictly comply with the provisions of the new coronavirus infection “category B B management. Individuals should fulfill their epidemic prevention and control obligations, establish the concept of “everyone is the first person responsible for their own health”, and consciously comply with the basic code of conduct for epidemic prevention.

Second, standardize the management of infectious sources. The new coronavirus infection is no longer isolated, the implementation of graded classification of treatment; no longer determine the close contacts; no longer delineate the high and low risk areas. Asymptomatic infected persons without serious underlying diseases, light cases can take home self-care, other cases should promptly go to medical institutions. Infected persons should stay in a well-ventilated and relatively independent room as much as possible during their stay at home, and reduce close contact with people living with them. Infected persons should not go out unless necessary, avoid going to crowded public places, and do not participate in gathering activities; if they need to go out, they should wear N95 or KN95 masks throughout. Infected persons should clean and disinfect frequently touched areas such as countertops, door handles, light switches and other common areas such as bathrooms and toilets; consciously collect, disinfect, pack, seal and put away household garbage, and strengthen disinfection and protection in the process of transfer and disposal.

Third, strengthen multi-point monitoring and early warning. All relevant departments (units) should strictly follow the requirements of the “Prevention and Control of Infectious Diseases Law of the People’s Republic of China” and carry out diagnostic reporting of cases in accordance with the law, in a timely, standardized and accurate manner. Health, civil affairs, education, ecological environment, housing, urban and rural construction, water conservancy and other departments to strengthen collaboration, the sentinel hospital patients, sentinel community populations, inbound personnel, elderly institutions, social welfare institutions, schools and other key institutional populations, sewage treatment plants into the water and other people, things, the environment to carry out regular sampling and testing, and timely and dynamic grasp of the level of incidence of infection in the population and changing trends, scientific research and prediction of the epidemic Scale, intensity and epidemic time, dynamic analysis of the virus strain variation, for the smooth implementation of the “B class B control”, effective adjustment of the epidemic prevention and control measures, to provide strong data support and technical support.

Fourth, the standardization of nucleic acid and antigen detection. The company’s main goal is to provide a comprehensive range of products and services to the public. In the event of fever, respiratory infections and other symptoms, they should promptly carry out antigen testing on their own or go to a convenient nucleic acid testing site for nucleic acid testing to ensure early detection and early treatment. To ensure adequate supply of antigen testing reagents for retail pharmacies, drug network sales e-commerce, etc. Conduct antigen or nucleic acid testing for patients admitted to medical institutions with symptoms related to novel coronavirus infection such as fever. During the epidemic, the staff and caregivers of elderly institutions, social welfare institutions and other places where vulnerable people are concentrated regularly carry out antigen or nucleic acid testing; foreigners entering places where vulnerable people are concentrated, check the proof of negative nucleic acid test within 48 hours and carry out antigen testing on site.

Fifth, strengthen the prevention and control of key populations. All localities should implement the responsibility system, the establishment of cadres, children’s liaison, special groups of joint, vertical linkage “four” mechanism. The role of primary medical and health institutions “under the net” to achieve the 65 years old and above, people with disabilities and other key groups of family doctors “willing to sign up”; according to the 65 years old and above combined with basic diseases and their new coronavirus vaccination status for grading In addition, we provide vaccination, health education, health consultation, medication guidance, assistance in referral and other classified and graded health services. The community (village) will assist in providing health services for key populations, and the village (residential) committee will cooperate with primary health care institutions to provide services such as medicine, antigen testing, and contact with higher-level hospitals for the elderly, maternal and other high-risk groups, and issue “love epidemic prevention health kits” for the special hardship cases and empty nest elderly, and provide free home health care for the elderly aged 65 and above. Provide free home health services for the elderly aged 65 and above who are disabled.

Sixth, strengthen the prevention and control of key institutions (places). The elderly institutions, social welfare institutions and other places where vulnerable people are concentrated should adopt internal zoning management in conjunction with the conditions of the facilities. When the epidemic is serious, by the local party committee and government or the leading group (command) scientific assessment, when appropriate to take closed management, and reported to higher authorities to prevent the introduction of epidemic and the risk of proliferation, timely detection, treatment and management of infected persons. Establish and improve the mechanism for the transfer of infected persons and the green channel mechanism for medical institutions to provide timely transfer and priority treatment of infected persons in institutions, and effectively control the gathering of epidemic in the premises. Medical institutions should strengthen personal protection guidance for medical staff and patients, strengthen daily disinfection and ventilation in the premises, and reduce the risk of virus transmission in the premises. Schools, preschools, large enterprises and other key institutions where people gather should do a good job of monitoring the health of personnel and take timely measures to reduce interpersonal contact after an outbreak. In the event of a serious epidemic, the staff of public service institutions such as water, electricity, fuel, gas, communications, sanitation, food, oil, meat and vegetable supply, etc., which guarantee the basic operation of life and society, should implement “two points and one line” trajectory management and establish a staff rotation mechanism. For passenger transport stations, markets, supermarkets, exhibition venues, conference centers, sports venues, cultural venues and other crowded, space-confined large places, during the seriousness of the epidemic, the local party government or the leading group (command) after scientific assessment, can take measures to delay the holding of large-scale activities, shorten business hours and other measures to reduce the gathering of people and reduce the flow of people.

Seven, strengthen grass-roots prevention and control. Strengthen grass-roots health services, agriculture and rural areas, health, civil affairs, human resources and social security departments to strengthen the people’s governments of towns (streets), village (neighborhood) people’s committees and their public health committees, grid members, volunteers, family doctors guidance, do a good job of rural residents and returning home to the epidemic prevention and control publicity, timely attention to grasp the information of returning home to do health tips. Strengthen the training of grassroots medical personnel (including village doctors) to improve the screening and identification of high-risk key populations, early diagnosis and treatment to prevent serious illnesses and other medical services. All localities take the community grid as a unit, organize medical personnel (village doctors) in the area to join the village (community) residents WeChat group, and actively carry out online health guidance and answer questions and solve problems. Give full play to the role of county, township and village medical and health networks, and establish convenient referral channels for serious patients from village to township to county. Smooth the referral mechanism at city and county levels to improve the ability to treat serious illnesses in rural areas. According to the regional epidemic situation and residents’ wishes, appropriately control the scale and frequency of gathering activities such as rural fairs, temple fairs and cultural performances.

Promote new coronavirus vaccination. Adhere to the principle of “receive as much as possible”, government-led, departmental linkage, village mobilization, implementation of local management responsibilities, focusing on four groups of people at high risk of infection, the elderly, people with serious underlying diseases and people with low immunity, etc., to guide the public to receive the second booster dose of the new coronavirus vaccine early and actively. Encourage places with conditions to provide preventive vaccination against influenza and pneumonia for elderly people in need. Further optimize the effective measures for the convenience of the people in the early stage, the grassroots medical and health institutions that undertake the task of vaccination should provide maximum convenience of vaccination by setting up green channels for the elderly, temporary vaccination points and arranging mobile vaccination vehicles to enter villages and households to enhance the temperature of vaccination services and ensure the safety of vaccination.

Nine, optimize the management of immigration personnel services. The nucleic acid test will be carried out within 48 hours before the entry, and those with negative results will be allowed to enter the country, and the test results will be filled in the customs health affirmation card; if they are positive, the persons concerned should enter the country after turning negative. No longer implement the full nucleic acid test on the entry personnel, the health declaration is normal and no abnormal customs port routine quarantine, can be released into the social surface. For those who declare other abnormalities or have fever and other symptoms, the Chengdu Customs will conduct antigen and nucleic acid tests for the new coronavirus at the port of entry, and for those with positive results, the Chengdu Customs will notify the designated receiving units in Chengdu to cooperate with local follow-up disposal work. Go to medical institutions for consultation and treatment; those with negative results will be routinely quarantined by Chengdu Customs in accordance with the laws and regulations such as the “Law of the People’s Republic of China on Health and Quarantine at the State Border”. Continue to do a good job of in-flight epidemic prevention, passengers must wear masks when taking the plane. Further optimize the entry arrangements for foreigners who resume work and production, business, study, family visits and reunions, provide appropriate visa facilities and orderly resume citizens’ outbound travel.

Ten, enhance public health awareness. Vigorously carry out patriotic health campaign, full mobilization, universal participation, region-wide coverage, promote the improvement of the human environment, increase the health science publicity and education, guide the public to strengthen self-protection, adhere to wear masks, hand washing and other good hygiene habits, maintain a social distance in public places, timely completion of vaccinations and vaccination boosters. Give full play to the role of radio “village sound” in rural areas to promote the prevention and treatment of infection, home rehabilitation, personal protection, the use of drugs and antigen reagents and other knowledge, guide the public to scientific and rational understanding of the new coronavirus, good protection, reasonable medical care, reduce anxiety, stockpile an appropriate amount of daily drugs and antigen detection reagents, and good self-health monitoring.

This guide is implemented from the date of publication, the previously published sixth edition of the work of the guide is also abolished. If there are new national policy requirements, they will be implemented in accordance with national requirements.