New Coronary Virus Pneumonic Pneumonia Prevention and Control Plan for the New Coronary Pneumonia Epidemic Risk Zone (9th Edition)
Author:Beijing released Time:2022.07.08
"New Coronatte Pneumonic Pneumonia Prevention and Control Plan (Ninth Edition)"
New Crown Pneumonia Epidemic Risk Zone
Defining and control scheme
In order to guide all localities to divide the risk areas in the treatment of the epidemic, effectively implement the relevant prevention and control measures of risk areas, and maximize the impact of the epidemic on the people's masses. The Laws of Medical and Health and Promotion of Health "and" Emergency Regulations on Public Health Incidents "and other laws and regulations, combined with experience and practices in various places, specially formulated this work plan.
1. Scientifically delineate risk areas
Adhere to the principles of "prevention -oriented, combining control, science according to law, and classification", and realize normalized precision prevention and control and emergency response to the emergency handling of epidemic conditions and rapid conversion. Once a local epidemic occurs, the county (city, district, flag) of those who are infected with asymptomatic infections should be accurately divided into three types of risk areas of high -risk zones, medium -risk zones, and low -risk areas where the cases and no symptoms are infected as soon as possible. Measures dynamically update risk levels and control measures in a timely manner according to the epidemic situation, and actively release them. During the treatment of the epidemic situation, if individual cases and asymptomatic infections have low risk of spreading the risk of residential, working, and activity areas, those with close contact have been managed and controlled in a timely manner. The county (city, district, flag) without a local epidemic should effectively implement measures to prevent and control the normalization epidemic, without requiring risk areas.
(one)
High -risk zone
1. Dividement standards. Cases and asymptomatic infected places, as well as areas and regions such as frequent activity and high risk of epidemic dissemination, are classified as high -risk areas. In principle, the residential community (village) is determined, and the risk area can be adjusted according to the results of the current research and judgment.
2. Prevention and control measures. Implementing closed control measures, during the period, "not leaving home, on -site services". During the sealing control period, a new infected person was found to be organized by the local joint prevention and control mechanism to conduct risk research and judgment. According to the requirements of the "one district, one policy", the original seal -controlled area can be extended all or partially extended the sealing time.
3. Lift the standard. Those who have no new infection for 7 consecutive days, and all personnel in the risk area on the 7th day are negative, and they have been negative to complete a round of nucleic acid screening, which is reduced to medium -risk zone; those with no new infection for 3 consecutive days are reduced to low risk areas.
(two)
Central risk zone
1. Dividement standards. Cases and asymptomatic infections stay and move for a certain period of time, and may have a working place and area of the risk of epidemic dissemination. It is classified as a medium -risk area. The risk area scope is determined according to the results of the current research and judgment.
2. Prevention and control measures. The management and control measures are implemented.
3. Lift the standard. Those who have no new infections for 7 consecutive days, and all personnel in the risk area on the 7th day are negative, and they have completed a round of nucleic acid screening. They are reduced to low risk areas.
(three)
Low -risk zone
Other areas (cities, districts, flags) where the central and high -risk areas are located are low -risk areas. Implement "personal protection, avoid gathering", and leave the city to hold a 48 -hour nucleic acid test negative certificate.
After all the high -risk zones were terminated, the county (city, district, flag) carried out normalized prevention and control measures across the region.
(Four)
The main consideration of the risk zone delineates
The delineation of the high -risk zone, mid -risk zone, and low -risk areas shall be determined by the local city -level epidemic prevention and control command department organizing expert groups based on the risk of epidemic dissemination. Former command and professional guidance support. The following factors can be considered in a comprehensive consideration:
1. Cases and asymptomatic infections, living conditions, living environment, natural barriers around the place of residence (highway, rivers, mountains and rivers, etc.);
2. The protection of crowds, crowd aggregation, cases and asymptomatic infections in the relevant areas are frequent in contact with other people;
3. The time, scope, scope and ventilation of related places for cases and asymptomatic infections;
4. After the epidemic discovery, the length of the investigation time began to investigate the length of time.
(five)
Those who have the following cases and asymptomatic infections will not be included in the risk area judgment
1. The confirmed cases and asymptomatic infections found during the observation of the medical observation, the risk of spreading the risk of dissemination in other than the centralized quarantine point was investigated and evaluated.
2. Those who find confirmed cases and asymptomatic infections during the observation of home isolation medicine shall be investigated and evaluated.
3. High -risk positions The confirmed cases and asymptomatic infections discovered during the strict closed -loop management period, and the risk of dissemination of non -closed external personnel was investigated and evaluated.
4. After discharge (cabin), nucleic acid testing positive personnel have no risk of dissemination after investigation and evaluation.
5. Relucting entry personnel who are positive after the isolation nucleic acid detection and hold a new crown infection within 90 days.
New coronary pneumonia epidemic risk zone delineation and control plan
2. Clarify the work mechanism and division of responsibilities
The prevention and control of high -risk areas, mid -risk areas, and low -risk areas are commanded by the local city epidemic prevention and control command department. Establish a community prevention and control office in the community where the high -risk zone and the central risk zone are located. Generally, a comprehensive coordination group, health monitoring group, medical security group, disinfection group, transshipment group, logistics support group, safety defense group and other working groups, coordinate the streets (Township), communities (villages), public security, health and health, disease control, development reform, business, industrial credit, housing urban and rural construction, transportation, market supervision, group organizations, sinking cadres, volunteers and other aspects The work is determined by the facts and prevention and control of various places. The responsibilities of each working group are as follows:
#1
Comprehensive coordination group
It is mainly responsible for assisting the community's prevention and control offices in charge of coordination and coordination, do a good job of information collection reports and releases, personnel rehearsal cooperation, nucleic acid testing organizations, etc.
#2
Health monitoring group
It is mainly responsible for residents' health monitoring and health education.
#3
Medical security group
It is mainly responsible for providing medical services and psychological guidance support, and cooperate with the transfer of medical transspoints.
#4
Disinfection group
It is mainly responsible for disinfection and ending disinfection of key parts and regions.
#5
Transfer group
It is mainly responsible for nucleic acid testing positive, personnel with new crown pneumonia, close contact, closely connected secrets, and transfer to medical transshipment.
#6
Logistics support group
It is mainly responsible for the protection of living materials and the classification of garbage classification.
#7
Security group
It is mainly responsible for patrols in the region, closed management, assisted personnel to reconcile associations, and nucleic acid testing organizations.
New coronary pneumonia epidemic risk zone delineation and control plan
3. Category to implement community prevention and control measures
High -risk zone
1. Regional closed. Arrange 24 hours of patrols and duty. You can strengthen management by installing monitoring equipment and electronic door magnetism to prevent personnel from flowing out and strictly not getting out of the house. For those who need to go out for medical treatment, they must be coordinated by the community prevention and control offices to implement special persons and special vehicles, do personal protection throughout the process, and implement closed -loop management.
High -risk areas are located in the urban -rural junction or rural areas. Insufficient sanitary conditions, high management difficulty, and high risk of communication can be transferred to concentrated isolation places (if necessary, at most one person can stay at most)) Essence At home, take measures such as environmental disinfection and ventilation of the room.
2. Propaganda guidance. Publish control information and related arrangements in a timely manner through WeChat, SMS, public account, small speakers, and a letter. Guide residents to implement the requirements of personal protection and living room ventilation. Pay close attention and respond to residents in a timely manner, and jointly create a good prevention and control atmosphere.
3. Personalized. Through households, establish WeChat groups, and check the information of water meter meters, etc., find out all the number of personnel in the high -risk zone as soon as possible, and timely grasp the elderly, minor, maternal, disabled, personnel, people with inconvenient actions, and hemodialysis patients in a timely manner. , Psychotic patients, patients with chronic diseases. Make a timely grasp of the person who has not yet transferred the transfer of displacement and isolation personnel, implement special personnel management, strict control, and strictly implement prevention and control measures such as not leaving home, on -site sampling, and health monitoring.
4. Health monitoring. All personnel in high -risk areas are monitored and the daily zero report system is implemented. On each day and afternoon, you carry out body temperature testing and symptoms inquiries to understand the use of anti -fever, cough and cold, antibiotics, antiviral and other drugs, and fill in the "Top Ten Symptoms" health monitoring registration form. It is found that if there are symptoms such as fever, dry cough, fatigue, sore throat, smell, smell (flavor), nasal congestion, runny nose, conjunctivitis, muscle pain, and diarrhea, the health monitoring team immediately reports and arranges door nucleic acid testing.
5. Nucleic acid detection. 3 consecutive tests were carried out 3 days before the implementation of the sealing control, two all -member nucleic acid tests were completed on the first and third day, and the antigen test was performed on the second day. Within hours, nucleic acid testing in the area should be completed at a time. When conducting nucleic acid testing, it is necessary to reasonably set the sampling point and be enabled by professionals; scientifically determine the travel route, strengthen on -site organizational management, implement special personnel guidance, time -sharing partitions, fixed routes, and urge personal protection to prevent cross -infection. The buildings and courtyards that have been discovered infected can be detected in advance, and nucleic acid testing is performed in an orderly manner after negative. Special personnel such as those who have not trapped risk personnel, positive antigen detection, positive nucleic acid mixed tubes, patients with inconvenient actions, and elderly people should be sampled and implemented for single -examination.
6. Personnel transport. If the personnel in the high -risk zone are judged as close contact, they are transferred to a concentrated areolation place within 8 hours. Those who are positive for nucleic acid detection are transferred to designated medical institutions within 2 hours. Relevant personnel should strengthen control before transfer, and strengthen the personal protection of transshipment personnel and staff during transfer.
7. Environmental disinfection and monitoring. Strengthen the disinfection of key areas and key parts, and disinfect key areas of key areas and elevator keys, elevator buttons, staircase handrails, unit door handles and other key parts such as the van elevator (corridor). For the residence, work, and activities of cases and asymptomatic infections, the end -disinfection effect is carried out in a timely manner. Strengthen the training, technical guidance and supervision and evaluation of disinfection personnel.
8. Garbage classification Qingyun. Standardize the temporary collection point of domestic waste and temporary collection points for medical waste. Nucleic acid detection positive, close contact, closely connected densely generated garbage, and protective supplies used by staff, refer to medical waste treatment. Other garbage can be used as "other related domestic garbage". After collecting uniformly, it is required to be treated in accordance with the "disinfection, double bag", so as to achieve "Nissan Riqing" and keep the environment clean and hygienic.
9. Life materials and medical security. The deployment power is made to clarify the supply of basic living materials for residents, and do a good job of collecting, helping to buy, and distribute to households. The local epidemic prevention and control command department shall coordinate the development of reform, commerce, public security, transportation and other departments, unblocking transportation channels, promoting confession units, large -scale supermarkets to strengthen the connection with the community, and timely distribution related materials; Residents of risk areas provide medical treatment services, promote the establishment of a docking mechanism for community and specialized medical institutions, and provide medical convenience for the elderly, minor, maternal, disabled, inconvenient movement personnel, hemodialysis patients, mental patients, chronic disease patients, etc. 10. Psychological care. Establish a psychological guidance team to provide a special line of psychological assistance, and timely carry out health guidance, psychological guidance, and emotional soothing of residents.
Central risk zone
1. Regional control. In principle, at home, on the premise of strictly implementing personal protection, one person can be arranged per household every day to collect or receive online shopping items in the designated area in accordance with the method of "time -sharing and orderly, partitional restrictions". For those who need to go out for medical treatment, the community prevention and control office will issue a certificate and make a review and registration. All in -entry and exiting personnel implement verification, code testing, temperature measurement, and registration. At home, take measures such as environmental disinfection and ventilation of the room.
2. Propaganda guidance. Publish control information and related arrangements in a timely manner through WeChat, SMS, public account, small speakers, and a letter. Guide residents to implement the requirements of personal protection and living room ventilation. Pay close attention and respond to residents in a timely manner, and jointly create a good prevention and control atmosphere.
3. Personalized. Through households, establish WeChat groups, and check the information of water meter meters, etc., find out all the number of personnel in the central risk zone as soon as possible, and timely grasp the elderly, minor, maternal, disabled, personnel, people with inconvenient actions, and hemodialysis patients in a timely manner. , Psychotic patients, patients with chronic diseases. Make a timely grasp of the person who has not yet transferred the transfer of displacement and isolation personnel, implement special personnel management, strict control, and strictly implement prevention and control measures such as not leaving home, on -site sampling, and health monitoring.
4. Health monitoring. Carry out the "Top Ten Symptoms" monitoring of all personnel in the Central Risk Zone and implement the daily zero report system. Know all the people to purchase, use heating, treat cough, and antibiotics, and antiviral drugs in a timely manner. It is found that if there are symptoms such as fever, dry cough, fatigue, sore throat, smell, smell (flavor), nasal congestion, runny nose, conjunctivitis, muscle pain, and diarrhea, the health monitoring team immediately reports and arranges door nucleic acid testing.
5. Nucleic acid detection. 3 consecutive tests were carried out 3 days before the implementation of the management and control, two all -member nucleic acid tests were completed on the first and third day, and the antigen test was performed on the second day. The subsequent detection frequency can be determined according to the test results; Inside, the nucleic acid detection in the region should be completed at a time. When conducting nucleic acid testing, the sampling point is set up nearby, and the residents are organized in an orderly manner to go downstairs in an orderly manner.
6. Personnel to investigate and control. Local investigation special classes should comprehensively comprehensively comprehensively information about public health, public security, industrial information, transportation, transportation and other departments, and timely push the information of the cooperative inspectors to the relevant communities. And cooperate with personnel management, health monitoring, nucleic acid detection, personnel transfer, etc.; for personnel who cannot be investigated, they must report the relevant situation in a timely manner to form a closed -loop inspection information.
7. Personnel transport. If the personnel in the mid -risk zone are judged as close contact, they are transferred to a concentrated isolation place within 8 hours. Those who are positive for nucleic acid detection are transferred to designated medical institutions within 2 hours. Relevant personnel should strengthen control before transfer, and strengthen the personal protection of transshipment personnel and staff during transfer.
8. Clean and disinfection. In principle, it is mainly cleaning, supplemented by disinfection, and focusing on environmental sanitation such as family, communities, and buildings. Personnel such as the van elevator (corridor) and elevator buttons, staircase handrails, and unit door handles frequently expose the parts to disinfect the parts, and launch endless disinfection in time to work and activities such as cases and asymptomatic infections. Strengthen the training, technical guidance and supervision and evaluation of disinfection personnel.
9. Garbage classification Qingyun. Standardize the temporary collection point of domestic garbage and temporary collection points for medical waste, so as to categorize transfer, classified disposal, and "Nissan Riqing" to maintain the environmental cleanliness and hygiene. Nucleic acid detection positive, close contact, closely connected densely generated garbage, and protective supplies used by staff, refer to medical waste treatment.
10. Life materials and medical security. Set up convenience service points, guide residents to procurely purchasing living materials in an orderly manner through appointment, peaks, etc., and effectively avoid crowd gathering. Promote the online shopping of residents and advocate no contact delivery. For persons who live alone, personnel such as the disabled, and the disabled provide basic living materials on -site services. The local epidemic prevention and control command department shall designate special medical institutions to provide medical services for personnel in the Central Risk Zone, promote the establishment of a docking mechanism for community and specialized medical institutions to live in the elderly, minors, maternal women, disabled people, personnel, and blood. Patients, mental patients, patients with chronic diseases, etc. provide medical convenience.
Low -risk zone
1. Strengthen social control. Various types of people in the area carry out nucleic acid testing in accordance with the requirements. During the period, try to reduce going out, not gathering, not tied, and do personal protection when going out; strictly implement the appointment, peaks, flow limit, temperature measurement, registration, mask wearing masks when entering indoor public places Waiting for measures. 2. Personnel to investigate and control. After receiving the information from the overflowing personnel of the mid -to -high risk zone, the risk personnel should be completed within 24 hours, and the personnel management, health monitoring, nucleic acid testing, personnel transfer and other work should be completed. For those who cannot be investigated, the person who cannot investigate the relevant situation in time. Formation of closed -loop inspection.
3. Traffic control. Persons in low -risk areas advocate non -necessary non -leaving in this area. Cross -market flows must hold 48 hours of kernel acidic acid test negative proof. Vehicles and personnel who are transported by transportation production and life, medical protection supplies, and vehicles engaged in "point -to -point" transportation of road transportation are based on strict implementation of various prevention and control measures such as disinfection and closed management to ensure smooth passage. Strengthen the control of traffic gateway, airports, highways, waterways, etc., and do a good job of temperature measurement, verification, code inspection and other work.
4. Nucleic acid detection. According to the results of the risk assessment of epidemic dissemination and the management of risk personnel, scientifically determine the scope and frequency of crowds to conduct nucleic acid testing in low risk areas. When conducting nucleic acid testing, the sampling point is set up nearby, and it is enabled by professionals after evaluation; on -site organizational management is strengthened, the orderly development, avoiding gathering, and urging personal protection.
5. Healthy mission. Strengthen health education, remind residents to reduce going out, avoid gathering, maintain social distance, and do personal protection. After the symptoms, you should take the initiative to go to the medical institution in time. Do a good job of propaganda and guidance of prevention and control policies, so that residents will take the initiative to cooperate with risk personnel to investigate.
(See the attached table for delineation and control measures in high, middle and low risk areas.)
New coronary pneumonia epidemic risk zone delineation and control plan
4. Strengthen organizational guarantee
(one)
Improve the work system
Establish a "three -level contracting" system, give full play to the role of grass -roots party organizations, and implement county (city, district) cadre street (towns), township (street) cadre contract community (villages), administrative village (community) cadre and households. Establish a "five packs and one" system, refine the division of responsibilities, and jointly responsible for implementing community prevention and control measures by street cadres, community grid administrators, grass -roots medical workers, police, volunteers, etc. Management, supervision, and caring for "five in place". Establish a multi -departmental communication meeting business mechanism, strengthen the communication and coordination of the joint prevention and control related units of the community and the territory of the territory and the territory, and the formation of the epidemic prevention and control. Hospitals and disease control institutions should give full play to their professional advantages and provide support for the community to do a good job in personnel control, health monitoring, nucleic acid testing, personnel transport, cleaning and disinfection.
(two)
Reasonable equipment
All counties (cities, districts), streets (towns) and communities (villages) shall be equipped with prevention and control personnel and medical prevention and control materials in accordance with the local community scale and epidemic prevention and control needs. The premium and control command department of the county (city, district) or above should coordinate the preparation personnel in high -risk areas and mid -risk zones. In principle Equipped, relevant provincial and municipal units can sink to various working groups to work.
(three)
Do a good job of training
Strengthen the training of staff to fully grasp the knowledge of new crown pneumonia prevention and control, prevention and control policies and personal protection skills, clarify work requirements, and scientifically and accurately implement various prevention and control measures. After the scheme is issued, all localities should strengthen training and exercise, improve the working mechanism in a timely manner, and master the prevention and control measures and requirements of different risk areas.
(Four)
Strengthen staff management
Staff should protect the corresponding levels according to the exposure risk specifications, and complete the whole process of the new crown virus vaccine to serve. The staff of the high -risk zone shall implement full closed management during the work. We must do a good job in health monitoring and maintain a certain frequency of nucleic acid testing. After the work, no less than 7 days of home health monitoring.
(five)
Strengthen living materials
The county (city, district) and above epidemic prevention and control command departments shall build cross -regional material joint insurance association cooperation mechanisms together with relevant parties. Protecting work, supporting relevant enterprises to play the role of support, strict law enforcement, stabilizing prices, and do a good job of docking with the community prevention and control offices, unblock green channels, and make every effort to ensure the supply of residents' living materials.
(six)
Actively create a "epidemic district"
Adhere to scientific and precise requirements, implement various prevention and control measures at high standards, and dynamically adjust the corresponding prevention and control measures in time for no epidemic situation and meet the standards of lift the standards, fully mobilize the enthusiasm of community residents to participate in, cooperate with prevention and control work, and enhance the cadres to defeat the epidemic situation. Confidence and determination, restore the normal production and life order in a timely manner, and coordinate the prevention and control of the epidemic and economic and social development.
(seven)
Do a good job of supervision and inspection
All localities shall strengthen the supervision and inspection of community prevention and control work, and organize the supervision team of the party committee and government of the county (city, district) or above to establish a daily supervision and inspection mechanism, and regularly notice inspections and rectification. For counties (cities, districts) that occur in the epidemic, you can adopt methods such as supervision and other methods in the relevant area to urge local prevention and control measures.
New coronary pneumonia epidemic risk zone delineation and control plan
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