We used data to find these differences in the ninth edition of the epidemic prevention and control programs

Data News Editor Chen Hualuo New Media Design Miao Qihui School against Li Lijun

On July 23, the joint prevention and control mechanism of the State Council held a press conference. The meeting introduced that the recent exfoliation and frequent occurrence of local epidemics, and the epidemic situation in some areas has not been completely blocked, and the prevention and control situation is severe and complicated.

At present, the new crown epidemic has continued to be popular worldwide, and the frequency of local epidemic in the country has increased significantly since this year. In this regard, the joint defense and joint control mechanism requires that the overall strategy of "external defense input, internal defense rebound" and the "dynamic clear zero" general policy, concentrated resources and strength quickly extinguish the concentrated epidemic, and quickly curb the spread of local epidemic. In areas where there is no epidemic, normalized prevention and control should be done.

And these, the "New Coronatte Virus Pneumonia Prevention Plan (Ninth Edition)" (hereinafter referred to as "Ninth Edition") released by the National Health and Health Commission on June 28 also reflected.

It has been more than a year since the eighth edition, and many changes have taken place in the epidemic situation in this year. Key words such as Omikon, the clustered epidemic, and external prevention input have become the focus of prevention and control. Time pace is reflected in the new version of the prevention and control plan.

It can be seen that the update speed from the ninth edition to the eighth edition has slowed down. The most frequently updated is the trial version of January 2020 to the sixth edition on March 7 of the same year, less than two Six versions were updated in the month. At this stage, it is also a short time after the domestic epidemic. In the face of the daily increase, the prevention and control should be the speed of dissemination of the virus.

The latest ninth edition and the eighth edition are more than a year apart, that is, from May 2021 to June 2022, during this period, the epidemic situation of Nanjing Lukou Airport, Dalian Cold Chain imported food epidemic occurred, and in the mainland of my country There are many local epidemics such as Putian School in Fujian, as well as the Shanghai epidemic in March and the Beijing epidemic in late April, and experience accumulation of experience in various localities are also reflected in the plan.

Compared with the eighth edition of the content, the overall requirements of the ninth edition have added "adherence to scientific and precise prevention and control", "further strengthening source control", "improving the sensitivity of monitoring and early warning", "controlling the epidemic at the minimum at the minimum and the lowest cost to minimize the minimum. Scope "and" maximize the preparation of epidemic prevention and control and economic and social development ".

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Ninth Edition Prevention and Control Plan

Emphasize precision prevention and control

Precision prevention and control is inseparable from the characteristics of Omikon. The Omikon strain was first confirmed in South Africa in November 2021. According to the World Health Organization report, Omikon mutant strains are currently the main mutant strains in the world. The existing research reminds that the average incubation period of Omikon variants is shortened, mostly 2-4 days, more dissemination capacity, faster transmission speed, lower infection dosage, and strong immune escape ability.

Therefore, the core and method of isolation management of risk personnel, the core of the ninth edition of the prevention and control scheme is that the control time is greatly shortened. Adjust the timely contact with the isolation and control of the entry personnel from "14 days of centralized isolation medical observation+7 Heavenly House Health Monitoring" to "7 -day concentrated isolation medicine observation+3 Heavenly Home Health Monitoring"; "Concentrated Isolation Medicine Observation" was adjusted to "7 Heavenly House Observation Medicine Observation".

In this regard, Wang Liping, a researcher at the Defense Office of the China Centers for Disease Control and Prevention, said that the study found that the average incubation period of Omikon's mutant strain was shortened, mostly 2 to 4 days; most of them could be detected within 7 days. Such adjustments do not mean the "looseness" of prevention and control measures, but to further optimize prevention and control measures based on the popular characteristics of Omiko's mutant strains. It will not increase the risk of epidemic dissemination and it is a reflection of precision prevention and control.

In order to reduce the impact of the epidemic on production and life, in the ninth edition of the prevention and control scheme, the concept of the sealing management and control areas and the mid -to -high risk areas are uniformly used, and the concept of the medium and high risk areas is uniformly used to form a new risk -regional delineation and control scheme.

The introduction of this new set of standards largely reduces the significance of the stars on the stroke card and facilitates the flow of the flow. In this way, there are only many places to go out to verify 48 hours of nucleic acid negative, and health information can also be replaced with health code. On the afternoon of June 29, the Ministry of Industry and Information Technology announced the cancellation of the "Star" mark of the communication card to support the prevention and control of the epidemic and the development of economic and social development, and facilitating the majority of users to travel.

At the same time, accurate prevention and control are also reflected in the management of risk career. In the ninth edition plan, whether it is foreign -related personnel or the industry's liquidity service industry, or practitioners in the medical structure, the scope of prevention and control has expanded.

In terms of foreign -related aspects, the eighth edition of the eighth edition is fine to specific foreign -related departments, such as imported food cold chain regulators. "Personnel" are classified as risk -ups, and the intensity of nucleic acids has also changed from Monday to one daily inspection.

From May 2021 to June 2022, many places involved in cleaning, decoration, farmers 'markets such as cleaning, decoration, and farmers' markets appeared, such as the epidemic situation of Nanjing Lukou Airport, Beijing Yuezhuang wholesale market epidemic, etc. In the version of the prevention and control scheme, the test scope and testing of employees with strong liquidity have been expanded with the times.

In key institutions and venues, when a infected person was found in the jurisdiction, the eighth edition required others to do daily health monitoring, which is obviously not enough to cope with the characteristics of Omikon's dissemination. The ninth edition requires a round of staff for kindergarten, schools, pension institutions, and some production workshops, and then sample nucleic acids 20%per day. Bleak

Fast is the core

Epidemic disposal, case transfer speed faster

Compared with the eighth edition, the ninth edition of the ninth edition is significantly accelerated. This is quickly reflected in the transfer, flow tone, information release speed, and the frequency of nucleic acid monitoring. Strong communication.

In terms of epidemic disposal, the eighth edition emphasizes how to hierarify control after the epidemic, and the ninth edition prevention and control plan emphasizes the establishment and start of the joint prevention and control mechanism. After the epidemic occurs, the command system should be activated immediately, and the normal state and emergency mechanism conversion must be completed. This shows that the normal and emergency mechanisms have been established. According to the situation of the epidemic situation, it is more flexible.

In terms of confirmed cases and asymptomatic infections, the ninth edition of the content generally emphasizes the principle of "Fengyang must be reported, Fengyang is reported" at the same time, and the content of the first -sieve positive personnel is added. "Internal positive reports", this is also to better determine that positive personnel belong to the confirmed case or asymptomatic infection. Compared with the eighth edition, there is no requirement.

Here is a mention of the diagnosis and treatment of asymptomatic infections. The eighth and ninth editions are very different. In the eighth edition, asymptomatic infections are required to observe for 14 days in a designated institution. There are a lot of inspection, and after the isolation is to be separated, it is necessary to conduct another 14 -day home medical observation; the ninth edition requires asymptomatic infected people to isolate for 7 days in the square cabin hospital. The CT value is more considered during the detection of nucleic acid. You only need to conduct 7 days of home health observation.

It can be seen that the ninth version of the prevention and control plan is more scientific compared to the eighth edition. For the infected person, the prevention and control process is more brief. It is also a conservation for medical resources, and it is also more adaptable to the characteristics of Omikdon.

The ninth edition of the prevention and control plan also greatly improves the transfer and flow rate of cases and asymptomatic infections. In the eighth edition, it is required to transfer the confirmed cases and asymptomatic infected infected within 2 hours, and transfer to a centralized isolation place within 8 hours. The ninth edition requires it to be transferred to a designated hospital immediately; The case survey of the infected person within the hour ", the" Ninth Edition "clearly requires" the positive personnel will arrive at the scene within 2 hours after the review and confirm, complete the core information survey of the case within 4 hours, and complete the preliminary epidemiological survey report within 24 hours. " The improvement shows that my country has greatly improved the ability to tone personnel.

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Nucleic acid testing, joint defense joint control, square cabin hospital

The top -down prevention and control system

In order to show the changes in the ninth and eighth editions more intuitive, we have frequently statistics on the two version of the text text, and the introduction of the influence of non -meaning words and punctuation symbols is introduced to discontinue discontinuation of the output. At the same time, statistics and calculations of the frequency of key concept vocabulary are calculated to obtain its rise index.

In addition to "precise prevention and control" and "efficient and fast", in the ninth version scheme, there are also these key presentations:

Pay more attention to nucleic acid detection. The frequency of nucleic acid detection in the ninth edition is much higher than the eighth edition. Since last year, several small -scale epidemic conditions in local areas have made us realize the importance of the prevention and control of the epidemic. The effective means of dynamic prevention and control are the first line of defense for active screening of asymptomatic infections and implementing prevention and control. Now many cities require residents to enter public places to hold 48 hours or 72 hours of nucleic acids. The most core epidemic infrastructure and capabilities.

The concept of home is strengthened, and the community has become the basic unit of epidemic prevention and control. Regardless of whether the infected person who observes or secrets, most of the contents of the ninth edition are required to be tested at home, and the eighth edition is more dependent on fixed -point medical institutions. Home testing not only reduces the occupation of medical resources, but also allows patients or secrets to get a better life.

At home, the community prevention and control requirements are relatively high. As a gathering nest of residents in the city, the community is the basic unit of society. After the control and service, all community support also requires community support. The strong community capabilities have also reduced people's dependence on medical resources.

In terms of vaccines, in the eighth version and the ninth version, the frequency of vaccine has not been greatly improved, but the ninth edition has specifically explained the vaccine's inoculation group, and it is clearly proposed that the "over 3 years of age should be connected to" all over 3 years old. "And emphasized that it is necessary to focus on strengthening the whole process of the elderly over 60 years old and strengthening inoculation.

Reference materials:

1. "Important iteration of the prevention and control system: Learning for the 9th Edition Prevention and Control Plan"

https://mp.weixin.qq.com/s/w4nnp03ro5bkyqyp5qxxja2, Xinhua Daily Telecom China Government Network, "What are the targeted adjustments to the ninth version of the new crown pneumonia prevention and control scheme? Expert Interpretation "

https://m.thepaper.cn/baijiahao_19047525

Duty editor Li Jiazhuo

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