Strengthen the protection of key populations in rural areas! Tianjin Epidemic Prevention and Control Command reminds!

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Recently, “strengthen the current prevention and control of new coronavirus infection in rural areas work program” (hereinafter referred to as “the program”) issued by the State Council joint prevention and control mechanism, the Central Rural Work Leading Group, aimed at guiding rural areas to deal with the end of the year and the beginning of the crowd flow brought about by the epidemic prevention and control challenges, scientific implementation of new coronavirus infection “B class B management “The measures to effectively maintain the order of production and life in rural areas.

The “Program” requires that around the “health protection, prevention of serious illness”, take appropriate measures, focusing on the operation of the epidemic prevention system in rural areas, the supply of drugs, treatment of serious illnesses, protection of the elderly and children, strengthening daily health services, highlighting the management of key populations, orderly diversion of treatment needs, provide graded classification of medical and health services, maximum To protect the lives and health of rural residents and minimize the impact of the epidemic on rural economic and social development.

The Program proposes to strengthen the protection of key populations in rural areas in four aspects: establishing an information base of key populations, accelerating the rate of vaccination of key populations, strengthening health services for key populations, and establishing green channels for key populations.

The city’s Epidemic Prevention and Control Command reminds the general public in the city’s rural areas that everyone is the first person responsible for their own health, scientific and rational understanding of the new coronavirus and vaccination to improve self-protection. Citizens are advised to stagger their travel, minimize travel in areas with high epidemic prevalence, and strengthen health monitoring for those returning home. When visiting friends and relatives, insist on wearing masks and washing hands regularly, gather as little as possible, and keep interpersonal distance in public places. Adhere to a healthy lifestyle, regular work and rest, healthy diet, drink more water, and maintain a good state of mind. Neighbors should help each other and share and exchange surplus epidemic prevention materials and treatment drugs.

At the same time, according to the regional epidemic situation and residents’ wishes, the scale and frequency of gathering activities such as fairs, temple fairs and cultural performances should be appropriately controlled. Strengthen the management of public confined places and implement preventive and control measures such as ventilation and disinfection. Promote the change of customs in rural areas, reduce and simplify wedding and funeral gatherings and other activities, and oppose extravagance and waste to avoid the gathering of people leading to the spread of the epidemic too quickly.

The full text of the Program is as follows.

Strengthen the current prevention and control of new coronavirus infection in rural areas work program

In order to implement the Party Central Committee, the State Council on the prevention and control of new coronavirus infection decision deployment, guidance to rural areas to deal with the end of the year and the beginning of the crowd flow brought about by the epidemic prevention and control challenges, scientific implementation of new coronavirus infection “Class B B management” measures to effectively maintain the order of production and life in rural areas, the development of this program.

A. General requirements

All regions and departments should fully understand the importance and urgency of the prevention and control of the current epidemic in rural areas, the effective implementation of local and departmental responsibilities, the integration of resources and forces in all areas, planned and systematic implementation of the epidemic prevention and control policies, work to do a good job of deployment and contingency plans, the formation of scientific and effective response to the epidemic force. Focusing on “protecting health and preventing serious illnesses”, we will take appropriate measures to focus on the operation of the epidemic prevention system in rural areas, the supply of drugs, the treatment of serious illnesses, and the protection of the elderly and children, strengthen daily health services, highlight the management of key populations, orderly channel the demand for medical treatment, and provide graded medical and health services to protect rural residents to the greatest extent possible. To protect the lives and health of rural residents and minimize the impact of the epidemic on rural economic and social development.

Second, improve the grassroots epidemic prevention and control system

(a) Give full play to the role of rural grass-roots organizations. Strengthen the leadership of rural grass-roots Party organizations in epidemic prevention and control work, play a good role as a fighting base of village Party organizations and other types of organizational resources, promote village cadres, the first secretary and task force in the village, rural Party members and other forces rushing to the front line, take the initiative, scientific and accurate to do the work of epidemic prevention and control. Innovative methods and approaches, using grid-based management, refined services, information technology support, etc., to improve grassroots governance and enhance the ability and level of response to the epidemic.

(B) Improve the level of medical and health services in rural areas. Guidance around the implementation of the new coronavirus infected people to promote the graded classification of treatment and health management services. Township health centers should accelerate the improvement of the capacity to receive people infected with the new coronavirus, in principle, to achieve full coverage of the fever clinic. The village health office is close to the health services for rural residents, providing services such as guidance on antigen testing and symptomatic drug treatment for villagers in need. Improve family doctor contracting services, strengthen health promotion and education for contracted villagers, and respond to health consultations and questions in a timely manner through various forms. Increase the training of primary health care personnel to improve the identification, diagnosis and treatment of high-risk populations.

(iii) Strengthen support for medical and health institutions in rural areas. Based on the province’s urban and rural hospital counterpart support relationship, select the province’s urban comprehensive strength of secondary and above comprehensive hospitals, in accordance with the principle of subdistrict package, and counties (cities, districts, banners) to establish counterpart support mechanism, relying on the county medical community to do a good job of graded diagnosis and treatment interface, improve the process of primary care, reception and referral at the grassroots level. Coordinate the deployment of medical personnel within the county, combined with the township health center service population and service volume, increase the township health center medical staffing efforts. County hospitals, township health centers to establish medical and health personnel echelon, in the township health center, village health room medical staff shortage, echelon personnel immediately through the station, traveling medical and other ways to fill.

(D) to ensure the reserve and supply of supplies in rural areas. In terms of funds, manpower, resources, technology, facilities and equipment, etc., increase support for rural areas in response to the epidemic to ensure that bottlenecks are unblocked, obstacles are removed, normal production and life order is maintained, and the basic needs of the public during the disposal of the epidemic are effectively met. Guarantee the supply of rural necessities and epidemic prevention materials, and open up rural logistics and distribution channels.

(E) do a good job in educating rural residents to guide. Deeply promote the patriotic health campaign in rural areas, combined with the construction of a healthy village to carry out innovative forms, rural residents enjoy popular science and publicity activities. Innovative forms and means, in-depth publicity “everyone is the first person responsible for their own health” concept, promote scientific and rational understanding of the new coronavirus and vaccination, improve self-protection capabilities. Play the role of mainstream media, respond to social concerns in a timely manner, and summarize and promote good experiences and practices. Advocate staggered travel, minimize travel in areas with high epidemic prevalence, and guide people returning home to strengthen health monitoring. Advocate for the standard wearing of masks and diligent hand washing when visiting friends and relatives, minimize gatherings and dinners, and maintain interpersonal distance in public places. Advocate a healthy lifestyle, regular work and rest, healthy diet, drink more water, and maintain a good state of mind. Advocate mutual help among neighbors and share and exchange surplus epidemic prevention materials and treatment drugs. According to the regional epidemic situation and residents’ wishes, appropriately control the scale and frequency of gathering activities such as fairs, temple fairs and cultural performances. Strengthen the management of public confined places and implement preventive and control measures such as ventilation and disinfection. Promote the change of customs in rural areas, guide the reduction and simplification of wedding and funeral gatherings and other activities, oppose extravagance and waste, and strengthen consumer guidance to avoid the gathering of people leading to the rapid spread of the epidemic.

Third, to ensure the supply of medical supplies in rural areas

(a) Speed up the production of epidemic prevention drugs. Supervise and guide drug-related enterprises to make every effort to ensure production, strengthen the supply of medical supplies such as masks and antigen detection reagents, speed up the production of antipyretic, cough and pain relief drugs, and simplify the supply of drugs in tight packaging or implement small packaging. Guide the establishment of villagers’ committees and medical institutions, pharmacies and other direct hotline, according to the actual need to supply drugs to rural areas at an appropriate angle.

(B) strengthen the preparation of medical supplies. Accelerate the improvement of disinfection, inspection and testing, emergency rescue and other appropriate equipment and drug configuration in rural areas. Strengthen the supply reserve of antipyretic, cough and pain relief drugs to meet the treatment needs of rural residents’ patients, especially those at high risk of serious illness and elderly patients. Make a good reserve of effective Chinese medicine prescriptions and drugs. Strengthen the stockpile of emergency drugs and medical equipment. Allocate sufficient Chinese medicines, antipyretics and antigen detection reagents for county hospitals, township health centers and village health offices. Geographically remote and inaccessible townships and villages should be fully stocked with therapeutic drugs and epidemic prevention materials in advance.

(C) stabilize the order of the drug market. Strengthen the supervision of the market of allopathic medicines such as Chinese medicine, antipyretic and cough medicines, and medical supplies such as antigen detection reagents, and crack down on illegal acts such as price gouging. Supervise the normal operation of pharmacies around the world, do not arbitrarily shut down, to ensure the normal supply of drugs.

(D) smooth drug purchase channels. Smooth online and offline purchase of antipyretic, cough, antiviral, cold and other non-prescription drugs. Under the premise of ensuring drug safety, shortage of drugs are allowed to split and sell to meet the basic needs of rural residents to purchase drugs. Increase the supply of therapeutic drugs and antigen detection reagents in rural areas, ensure the logistics of drug supply enterprises, and provide convenience for courier companies to send them to ensure that rural residents buy them normally.

Fourth, enhance the level of critical care

(A) strengthen the construction of medical resources for serious and infectious diseases in county hospitals. County hospitals that are tertiary hospitals, speed up the completion of the construction and upgrading of integrated ICU monitoring units. Referring to the comprehensive ICU standards, immediately start the expansion and renovation of other specialized intensive care beds in addition to the comprehensive ICU, equipped with monitoring and treatment equipment to meet the needs of comprehensive intensive care. County hospitals that are secondary hospitals should independently set up intensive care medicine departments, and build and renovate intensive care units according to comprehensive ICU standards. Strengthen the construction of buffer wards and infectious disease units. Establish a mixed team working model consisting of medical and nursing staff specialized in critical care medicine and trained medical and nursing staff of other specialties. Urban counterpart hospitals should send medical and nursing staff specialized in critical care medicine to conduct professional training for medical and nursing staff of county hospitals in critical care, internal medicine, pediatrics and emergency medicine to improve their ability to identify critical illnesses, emergency treatment and comprehensive treatment.

(2) Scientific development of graded treatment. Asymptomatic infected persons without combined serious underlying diseases, light cases, take home self-care. Beyond the service capacity of the township health center, under the guidance of the county medical community lead county hospital, timely referral of patients. Ordinary cases, asymptomatic infected patients of advanced age combined with serious underlying diseases but in stable condition, and light cases are referred to sub-determined hospitals for treatment. Heavy and critical cases with pneumonia as the main manifestation and cases requiring hemodialysis are referred to the sub-designated hospitals for centralized treatment. Heavy and critical cases with underlying diseases, as well as those with underlying diseases beyond the medical treatment capacity of township health centers and sub-determined hospitals, are referred to the county-level hospitals led by the county medical community for treatment, and those in urgent cases can go directly to medical institutions with corresponding treatment capacity. County hospitals are not tertiary general hospitals or capacity does not meet the needs of patients, timely referral to urban counterparts to help hospitals. Patients do not have the conditions for referral, the city’s counterpart hospital to help send a team of experts down to the county hospital to guide treatment. Fully play the role of information technology support, the use of remote consultation, remote diagnosis, etc., to ensure that patients receive timely and effective treatment. Insist on the combination of Chinese and Western medicine and the use of Chinese and Western medicine in treatment, and give full play to the unique advantages and role of Chinese medicine.

(C) do a good job of patient referral articulation. Strengthen the county coordination and dispatch, improve the rural emergency transfer system, in medical and health institutions to speed up the provision and call ambulances based on the local government immediately organize a number of ready to use for patient transfer vehicles, to protect the rural new coronavirus infected people timely transfer, admission. Determine special posts and personnel, responsible for and township health centers, county medical community leading county hospitals, designated hospitals, sub-designated hospitals, urban counterpart hospitals, transfer vehicles and other good referral interface, the establishment of a clear intake process and green channel. Medical institutions at all levels should strictly implement the first responsible system and emergency critical care rescue system, not for any reason to shirk or refuse the new coronavirus infected patients to consult.

V. Strengthen the protection of key populations in rural areas

(A) the establishment of key populations information base. Find out the health situation of the elderly, disabled, maternity, widows and orphans, de facto unsupported children, left-behind children and other people in the village group with combined basic diseases, implement the “new crown key population health service work program”, and improve the electronic health records of key populations.

(b) Accelerate the rate of vaccination for key populations. Implement the Program for Strengthening Vaccination against the New Coronavirus for the Elderly, scientifically assess contraindications to vaccination, and “receive as many vaccinations as possible” to accelerate the coverage rate of vaccine booster vaccination, especially for the elderly. By setting up green channels for the elderly or arranging for mobile vaccination vehicles to go to villages, we can provide maximum convenience for the elderly to receive vaccination.

(3) Strengthen health services for key populations. Accelerate the expansion of the coverage of family doctor contracting services for the elderly aged 65 and above in rural areas, and achieve full coverage for key groups. Strengthen health monitoring, medication guidance, antigen testing and other services for home treatment and observation personnel through telephone, video, WeChat or offline follow-up visits. The disabled, widows and orphans, de facto unsupported children, and left-behind children who lack the ability to manage their own health should be assisted in health monitoring and timely feedback to rural medical institutions. Encourage the issuance of free health kits for key populations such as elderly people with combined underlying diseases in rural areas. During severe epidemics, elderly institutions, social welfare institutions, psychiatric hospitals and other crowded places should adopt strict closed management and internal zoning management measures to prevent the introduction and risk of spread of epidemics.

(D) Establish green channels for key populations. Ensure timely detection, timely treatment of advanced age combined with underlying diseases and other serious risks of new coronavirus infection, clear and smooth referral green channel, improve the efficiency of referral.

Sixth, the overall promotion of agricultural production and stable supply

(a) grasp the winter vegetables to ensure stable production and supply. According to the situation of vegetable production and supply this winter and next spring, zoning classification clear vegetable production target tasks, guidance around the strengthening of policies, materials, technology, personnel and other elements of security, strengthen the implementation of disaster prevention and mitigation measures to ensure adequate supply of vegetables. At the same time, strengthen information guidance, promote the linkage between production and marketing, good scheduling guidance and coordination services, smooth transport channels, to prevent and solve the risk of agricultural products stalled and difficult to sell.

(B) guide the local livestock production. Supervise and guide key areas to actively help farmers to alleviate difficulties, smooth forage and other materials, livestock and poultry and product transportation channels, to maintain the normal production and marketing order of animal husbandry. Issuing technical guidelines for animal disease control and promoting the construction of animal disease purification sites. Supervise and guide the local winter and spring major animal diseases and key zoonotic disease prevention and control work, firmly guard the bottom line of no major regional animal epidemics.

(C) to protect winter and spring agricultural production. Do a good job of wheat, rape pre-winter management, the organization of experts to develop pre-winter field management technical advice, tour guidance, the implementation of winter wheat pre-winter suppression, watering overwinter water, winter rape drought watering, scientific fertilization, pest control and other key technical measures. In the face of a possible phase of low-temperature cold wave, early development of this winter and spring scientific disaster plans, do a good job of material reserves and technical preparations, focusing on preventing drought, low-temperature frost damage, etc., to ensure safe overwintering. Early planning of spring agricultural production, pre-judgment of risks and good contingency plans to minimize the impact of epidemics.

(D) to open the blockage to ensure the supply of agricultural materials. Early dispatch of fertilizer, drugs and other agricultural materials for spring management, good production reserves, strengthen the transfer of surplus and shortage, strengthen quality supervision, to protect production needs. Normalize the implementation of agricultural supply mechanism, play the role of fertilizer supply and price stabilization mechanism, strengthen departmental communication and coordination, timely study and help solve difficult problems, and fully guarantee the supply of agricultural materials for spring management.

Seven, compact work responsibilities

(A) the implementation of the work of all levels of responsibility. The State Council joint prevention and control mechanism in conjunction with the Central Rural Work Leading Group to grasp the coordination, work guidance, common problems will be discussed in response and supervision and inspection work. Five levels of the Secretary to grasp the epidemic prevention and control in rural areas, like grasping poverty alleviation, provincial coordination, city scheduling, county and village grasp the implementation of the layers of responsibility, and effectively implement the measures to prevent and control the epidemic to the village to households. Provincial party committees and governments are responsible for the prevention and control of rural epidemics in the region, according to the epidemic situation, according to local conditions, combined with the actual development of policies and measures. Municipal party committees and governments are responsible for the deployment, supervision and inspection of the prevention and control of rural epidemics in the region. County-level party committees and governments assume the main responsibility, and the main person in charge of the county-level party committees and governments is the first responsible person to focus on the prevention and control of the epidemic in rural areas. Townships and villages should implement epidemic prevention and control organization, mobilization, coordination, propaganda, guidance and other responsibilities required to ensure that the work is carried out in villages and households.

(B) Strengthen the collaboration of departments. Give full play to the role of joint prevention and control mechanisms at all levels (leading groups, command), strengthen coordination, improve the working mechanism, strengthen communication and cooperation, in terms of drugs, equipment, manpower, funds, etc., to increase support for the prevention and control of the epidemic in rural areas to protect. The Central Agricultural Office, the Ministry of Agriculture and Rural Development, and the National Rural Revitalization Bureau, together with the Central Organization Department, the National Development and Reform Commission, the Ministry of Industry and Information Technology, the Ministry of Civil Affairs, the Ministry of Finance, the National Health Commission, the National Disease Control Bureau and other departments, set up a task force to work under the joint prevention and control mechanism of the State Council, focusing on the implementation of responsibilities, policy synergy and grassroots mobilization, and coordinating and promoting relevant parties to grasp the epidemic prevention system in rural areas The work includes the operation of the epidemic prevention system, the supply of medical supplies, the treatment of serious illnesses, the protection of key people and the stabilization and supply of agricultural products. Party committees at all levels should establish corresponding working mechanisms in rural areas to keep abreast of the dynamics of epidemic prevention and control in rural areas, coordinate and promote the solution of major problems, summarize and promote effective practices and experiences, and establish a 24-hour duty and daily situation reporting system.

(C) timely response to the demands of the farmers. All regions and departments should collect the problems reflected by the public by setting up columns to reflect the problems and publishing emergency contact numbers. Collected clues to the relevant places in a timely manner to verify and rectify the deadline, all areas should provide timely feedback on the disposal of the problem to ensure that the problems reflected by the farmers can be properly resolved as soon as possible.