New coronary virus pneumonia prevention and control scheme (ninth edition)

New coronary virus pneumonia prevention and control solution

(Ninth Edition)

In order to guide the new type of coronary virus pneumonia (hereinafter referred to as the new coronary pneumonia, COVID-19), the epidemic prevention and control work, comprehensively implement the general strategy of "external prevention input, internal anti-rebound" and the general policy of "dynamic clearing". The requirements of class A management of infectious diseases, combined with my country's epidemic prevention and control and emergency response experience, formulate this plan on the basis of the first eighth version of the prevention and control plan.

1. Overall requirements

Adhere to the principles of "prevention -oriented, combining control, science according to law, and classification", and adhere to the combination of normalized and precise prevention and control and local emergency disposal. Prevent overseas epidemic input and domestic epidemic rebound. Adhere to scientific and precise prevention and control, implement measures "early prevention, early discovery, early reports, early isolation, early treatment", further strengthen source control, persist in people, physical, and environmental defense, strengthen the epidemic prevention of key periods, key areas, and key groups of people. Control, improve the sensitivity of monitoring and early warning, and timely discover the distribution of cases and clustering epidemics in time. It is powerful, orderly, and effectively dispose of the epidemic. Life safety and physical health, to maximize the prevention and control of epidemics and economic and social development.

Second, pathogenics and epidemiological characteristics

The new coronary virus (2019-NCOV, hereinafter referred to as the new coronary virus) is a β-genre virus, which is sensitive to ultraviolet rays and thermal, 75%ethanol, chlorine-containing disinfection 2 doses, peroxycetic acid, and chloroform can be effectively lived. Virus. The crowd is generally susceptible to infectious sources. The main cases of new coronary pneumonia are diagnosed and asymptomatic. The main transmission pathway is to spread through the respiratory tract droplets and close contact. It may cause infection. At present, Omikon mutant strains have become the advantages of my country's overseas input and local epidemics. The existing research reminds that the average incubation period of Omikon variants has been shortened, mostly 2-4 days, more dissemination capacity, the speed of transmission speed Fast, the infection dose is lower, the pathogenic force is weakened, and the ability to escape more immune is still effective. The existing vaccine is still effective in preventing the severe and death caused by the mutant strains.

3. Public measures

(1) Publicity and education.

Give full play to the role of new media such as the Internet, Weibo, WeChat, and clients and the role of traditional media such as radio, television, newspapers, and propaganda materials. One responsible person, advocate the public to abide by the basic codes of the prevention of epidemic prevention, adhere to good health habits such as well -washing, wearing masks, constant ventilation, public chopsticks, "one meter", cough etiquette, cleaning and disinfection, etc. Consciously improve the ability of health literacy and self -protection; reduce gathering, dinner and gatherings during the epidemic, and cooperate with risk investigation, nucleic acid testing and other prevention and control measures, maintain awareness of self -health management, improve physical immunity, and seek medical treatment in a timely manner. Strengthen the training of new coronary pneumonia prevention and control knowledge and strategic measures for the prevention and control of epidemic prevention and control, eliminate panic psychology, and scientifically and accurately implement various prevention and control measures.

(2) vaccination.

1. The scope of the new crown virus vaccination population has expanded to over 3 years old. It adheres to the principles of knowledge, consent, and voluntarily, and encourages people who do not take over in the age of 3 to take over.

2. For eligible people over the age of 18, one -dose sub -origin or sequentially enhanced immune vaccination, and cannot be accepted at the same time to strengthen immunity and sequentially enhanced immune vaccination.

3. Focus on increasing the entire in vaccination rate and strengthening immune vaccination rate of people with severe high -risk people such as aged 60 and above.

4. Based on the progress of vaccine research and development and clinical trials, further improve the vaccine vaccination strategy.

(3) Patriotic hygiene.

Adhere to prevention, carry out in -depth patriotic sanitation campaigns, highlight the rural, urban -rural borders, public agglomeration places and other key areas and weak links, innovate methods, continue to promote the improvement of urban and rural environment, and continuously improve public health facilities. Advocate civilized and healthy green and environmentally friendly lifestyle, carry out the popularization of health knowledge, establish a good dietary style, and promote civilized and healthy living habits. Establish a public health committee in the village (neighborhood) committee to promote the patriotic health movement to enter the community, village towns, families, schools, enterprises, and institutions, promote healthy into all policies, and mobilize the masses to participate in the patriotic health movement extensively.

Fourth, epidemic monitoring

(1) Epidemic discovery report.

1. Case discovery report. All kinds of medical institutions at all levels should strengthen the collection and fever, dry cough, fatigue, weakness, sore throat, smell) symptoms such as degeneration, diarrhea and other symptoms of epidemiological history. Once suspicious patients are found to conduct laboratory testing in time, and the positive sieve positive personnel are found. It is necessary to follow the principle of "Fengyang's Report, Fengyang is the newspaper", and conduct a preliminary sieve positive report within 42 hours after the test results. Transfer to a fixed -point medical institution or square -cabin hospital for treatment, and timely severity clinical clinical is set according to the course of the disease. For details of the report and management requirements of the first -sieved personnel of nucleic acid, please refer to the "Guidelines for the Management of the New Siege Positive Personnel Management of New Crown Pneumonia". After the community health service stations, village clinics and individual clinics are found suspicious patients, they must report the community health service center or township health centers within 2 hours, and implement the "village report, township sampling, county testing" nucleic acid testing strategy. Antigen detection and detecting the epidemic as soon as possible. Strengthen the close contact with close contacts and close contacts (hereinafter referred to as closely connected), immigration personnel, risk professional population, key institutions and venues, and the health monitoring and nucleic acid detection of the community management population. 2. Anymal -infected infection finds the report. An asymptomatic infection refers to those who are positive but have no relevant clinical manifestations of the original test of the new coronary virus. It is mainly discovered by close contact with close -to -connection and close -to -connection secrets, entry personnel, risk career, key institutions and venues, and incorporated into the community management crowd, the source tracking of infection, epidemic survey, and regional crowd screening. Early sieve -positive personnel should conduct a preliminary sieve positive report within 2 hours after the test results are issued. Those who are diagnosed as asymptomatic infected should conduct network direct reports through the Chinese disease prevention and control information system within 2 hours, and transfer to the square cabin hospital Observation of isolation. Strict health monitoring during isolation medical observation. If related symptoms or signs of subsequent occurrences need to be ordered as confirmed cases within 24 hours.

3. Research report of clustering epidemic. The clustering epidemic refers to 2 or more cases and asymptomatic infections within the same school, residential communities, factories, natural villages, and medical institutions within a week. The clustering epidemic is discovered mainly through conventional diagnosis and treatment, data review and analysis of direct reporting data, cases or asymptomatic infections, health monitoring and nucleic acid testing of key institutions and venues, and key groups. The clustering epidemic reports the management information system network report through emergencies within 2 hours.

(2) Multi -channel monitoring and early warning.

In accordance with the principles of binding and facial combination, symptoms monitoring and nucleic acid detection, infectious disease monitoring system and other departments monitoring systems, to carry out multi -channel monitoring of people, things, and environment. Strengthen information sharing between departments, summarize multi -channel monitoring information, carry out comprehensive analysis and risk research and judgment, propose risk assessment results and early warning response suggestions, and timely issue epidemic information and health risks to the society.

1. Monitoring of medical institutions. Medical institutions at all levels, especially the medical staff of grass -roots medical and health institutions, should raise the discovery and reporting consciousness of new crown pneumonia cases. For all fever patients and other suspicious patients, unknown causes of pneumonia and hospitalized patients Cases, all new patients and their accompanying personnel to conduct new crown virus nucleic acid testing. Primary medical and health institutions that do not have the ability to detect nucleic acid can conduct antigen testing of the above -mentioned personnel.

2. Monitoring of risk career. For personnel who are in direct contact with immigration personnel, items, and the environment (such as cross -border transportation, cleaning, maintenance, maintenance, etc., the port of port imported items, the customs of the customs and immigration management departments directly contact the entry personnel and items, etc.), Concentrated isolation venues, designated medical institutions and ordinary medical institutions to issue nucleic acid tests once a day. Practitioners who are densely intensive, frequent contact personnel, and strong liquidity (such as express delivery, takeaway, hotel services, decoration, loading and unloading services, transportation services, shopping mall supermarkets and agricultural market trade market staff, etc.) Ordinary medical institutions have conducted two nucleic acid tests twice a week except the popular rib clinics. If a local epidemic occurs, the frequency of nucleic acid testing is increased according to the risk of the epidemic diffusion.

3. Monitoring of key institutions and personnel. Schools and child care institutions, children's welfare field service agencies, psychiatric hospitals, training institutions and other key institutions, regulatory places, production workshops, construction sites and other dense places such as regulatory places, production workshops, construction sites, etc. The symptoms of relevant personnel should be performed under normalization. After 1 or above infected infected in the jurisdiction, a full -time nucleic acid test should be organized in a timely manner, and subsequent nucleic acid tests can be performed according to the test results and the risk of epidemic diffusion in accordance with the sampling ratio of at least 20%per day or in accordance with the test requirements of the area.

4. Community management crowd monitoring. The new crown pneumonia who was included in the community management (cabin) infected person and their co -residence performed a nucleic acid test on the 3rd and 7th day after the discharge (cabin) were discharged (cabin); Regional cooperative inspectors, exposure personnel of immune -related venues, and high -risk jobs who lift closed -loop management, etc., carry out nucleic acid detection and health monitoring in accordance with prevention and control requirements.

5. Concentrated isolation venues and medical institutions monitoring. The enabled centralized isolation places regularly carry out environmental nucleic acid testing. Capture the nucleic acid testing of the items, the environment (including mobile phone surfaces, luggage items, pillow surfaces, toilet doors, etc.) in concentrated isolation rooms for nucleic acid before the centralized isolation isolation. Popular rockets of ordinary medical institutions regularly carry out environmental nucleic acid testing. 6. Imported items and environmental monitoring. Proper sampling nucleic acid testing for imported cold chain foods and its processing, transportation, storage and other places; imported goods and its cargo compartment, container, carriage, container and cargo storage venues from high -risk countries and low -temperature transportation environments in the port conduct sampling sampling Nucleic acid testing, the number of detection frequency and sampling can be increased under low temperature conditions in winter. Nucleic acid testing is regularly carried out on the environment of large -scale farmers (collectives) markets in cities with cold chain food wholesale sales. Sewage monitoring can be carried out regularly for large -scale imported frozen items processing places.

7. Drug monitoring. After a local epidemic, pharmacies in the jurisdiction respond to those who have registered the purchase of fever, cough, antiviral, antibiotics, colds and other drugs for real -name registration and pushing information to the streets (communities) in the jurisdiction. Carry out an antigen detection.

8. Monitoring of virus gene mutation. For the first or early cases in the local epidemic, key cases associated with epidemiological diseases with early cases, local cases with unknown sources of infection, overseas input cases, entry items and related environmental positive specimens to carry out virus gene sequence measurement, analysis and virus separation , Dynamically understand the mutation of virus genes, and timely find the source of infection.

5. Epidemic disposal

After the epidemic, the command system should be activated immediately, and the normal state and emergency mechanism conversion should be completed. Resolutely take measures to deal with disposal.

(1) Infectious source control.

1. Confirm the case. After the diagnosis, it should be transferred to a designated medical institution or square -cap hospital within 2 hours. After the case is cured, the health monitoring of the 7 Heavenly House should be performed.

2. Suspected cases. If a suspected case is found, the specimen should be collected immediately for nucleic acid test review. During the period, single -person single interval isolates, and the new crown virus nucleic acid detection negative (at least 24 hours) can be excluded.

3. Symptoms of infection. Refer to the management of light cases, and conduct 7 days of centralized medical observation at the square cabin hospital. During the 6th and 7th day, the nasopharyngeal swab was collected and each carried out one nucleic acid test (at least 24 hours of the sampling time), such as two nucleic acid testing N genes and ORF genes CT values ​​≥35 (fluorescent quantitative PCR detection method, boundary limit value is 40, the same below), or detect negative (fluorescent quantitative PCR detection method, the boundary value is less than 35, the same below), which can be lifted in the prescription The centralized isolation medicine observation of the cabin hospital; if it does not meet the above conditions, continues to be separated in the square hospital to meet the compartment standards. During the observation of the centralized isolation medical observation, the condition monitor the condition. After the diagnostic standard for the diagnosis of the diagnosis of the diagnosis of the diagnosis, it will be ordered to be a confirmed case in a timely manner. After losing the observation of centralized isolation medicine, the health monitoring of 7 Heavenly Home Furniture should be continued.

4. Nucleic acid detection positive personnel after discharge. After the previous infection was discharged from the hospital (cabin), the respiratory specimen was positive. If there was no symptoms of the symptoms and the CT value of the nucleic acid detection of the nucleic acid detection, no management and judgment were no longer performed; CT value dynamic changes and other rapid assessment of their transmission risks. If there is a risk of transmission, it is managed by the infected person, and the close contact with frequent contact with it with its joint living and working together does not need to determine the secret of the secret; Those who are in close contact for management and judgment. If clinical manifestations such as fever, cough, or CT imaging shows that the worsening of the lung disease should be transferred to a designated medical institution immediately, and the classification management and treatment according to the condition. For example, the CT value of nucleic acid detection ≥35, no need to track and control the close contact; such as the CT value of the nucleic acid detection <35, the close contact with the frequent contact with its joint residence and work together shall be determined. Essence

(2) Dis -control control and control areas (personnel).

1. Epidemiological survey. After the epidemic, in accordance with the principles of territorialization management, the on -site flow traceability class (working group) of the local city joint prevention and control mechanism where the medical and health institutions where report cases are reported to the case of reporting cases conduct epidemiological investigations. The on -site flow group composed of hygiene, disease control, public security and other departments carried out work based on the division of labor and adopted a combination of on -site flow and telephone flow. Core information survey, complete preliminary epidemiological survey reports within 24 hours, and dynamically update the flow report according to the progress of the epidemic. The content and focus of epidemiological survey need to be dynamically adjusted according to the progress of the epidemic and scale. For the epidemic of early, the number of cases, the number of cases, and the continuous spread of the community, the precise flow is needed to conduct a detailed investigation of the previous contact history and activity trajectory of cases, clarify the source of the infection of the case, determine the close contact, the close connection, and the close connection, and the confidential connection. Risks such as the exposure of the immune -related venues, and the risk areas are delineated. When the epidemic developed further, the number of cases increased significantly, the community continued to spread, the spread chain was difficult to clarify, and the community had been designated as the management and control measures in the mid -to -high risk zone. The first nucleic acid detection positive time, etc., is used to follow -up and analyze the situation of the development of the epidemic. For key cases, such as the infected persons in other personnel other than those who are in accordance with the controller of the material security personnel, the courier personnel, the volunteer, the community service personnel, etc., and the new infection who is effectively controlled and at the end of the closing stage Stream. 2. Determine and management of close contact and other risk personnel. According to the action trajectory and flow information of the case, the "three public (work)" cooperates with the technical means and big data information of multiple departments, and the public health professional and technical personnel quickly and accurately determine the close contact, the secret connection and the exposure of the exposure of the immune -related venue, etc. Risk staff. Priority determination and management of close contact with the risk of infection such as frequent contact with cases and long duration. For those with densely complicated cases (such as restaurants, entertainment venues, supermarkets and other closed space places), the scope of the determination of close contact can be expanded moderately. The close contact person takes the "7 -day centralized isolation medical observation+3 Heavenly House Health Monitoring" management measures (hereinafter referred to as the "7+3" management measures). Protection, try to avoid taking public transport. A nucleic acid test is carried out on each day of the first, 2, 3, 5, and 7 days of centralized isolation of medical observation. On the third day of home health monitoring, a nucleic acid test is carried out. When a large -scale epidemic occurs, in order to alleviate the serious insufficient resources of the centralized isolation point, the "5 -day centralized isolation medical observation+5 Tianju family isolation medicine observation" can be taken for those who are closely contacted. A nucleic acid test is conducted in 5 days, and home isolation medical observation is performed on the 2nd and 5th day to carry out one -time nucleic acid testing. After the quarantine management period is calculated from the last exposure, the "point -to -point" closed loop should be returned to the residence after the centralized isolation is lifted. For those close contact with those with high risk of infection, live, meals, work (study), and entertainment (such as chess and cards, karaoke), etc., have been determined to be closely connected for a long time. The closely connected secret adopt 7 Heavenly House isolation medical observation. Daily monitoring of mild symptoms should be performed every day, and nucleic acid testing is performed on each day, 4, and 7 days. For example, the nucleic acid detection during the observation of the secret -connected home isolation medicine is negative, and the corresponding close contacts are negative in the first two nucleic acid testing during the observation of the isolation medicine. The first two nucleic acid detection has positive results, and the closely connected densely adjusted to the close contact person and managed according to the close contact person. Together with suspected cases, confirmed cases, and asymptomatic infections on marriage (funeral) banquets, restaurants, supermarkets, shopping malls, farmers, farmers (collectives) and other people intensive and closed places, but they do not meet the close contact, the secret confrontation judgment The exposed personnel of the principles are exposed to the person with risk assessment to take nucleic acid testing measures for people with higher risk of infection.

3. Risk -regional delineation and prevention and control. After the local epidemic occurs, the risk of the activity trajectory and the risk of epidemic dissemination according to the cases and asymptomatic infections are delineated. The place where cases and asymptomatic infections live, 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 high -risk zone is determined by the residential community (village) unit. It can adjust the scope of the risk area according to the results of the current research and judgment, and adopt seal control measures such as "not leaving home and on -site services". High -risk zones have been reduced to medium -risk zones for 7 consecutive days, and those with no new infection in the mid -risk zone have been reduced to low -risk zones for 3 consecutive days. The cases and regions of the risk of epidemic dissemination may be made to stay in the medium -risk area according to the results of the risk area, and the risk areas that may have the risk of the case and the asymptomatic infection. The mid -risk zone adopted the control measures such as "no regions and peaks to take things". Those who had no new infection for 7 consecutive days were reduced to low -risk zones. Other areas of the county (city, district, and flag) where the mid -to -high risk zone is located is a low -risk area, and preventive measures such as "personal protection and avoiding gathering" should be adopted. Low -risk zones should hold a 48 -hour nucleic acid test negative certificate for leaving the city. After all the high -risk zones were terminated, the county (city, district, flag) carried out normalized prevention and control measures across the region. 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. 4. Risk staff to investigate and control. After the epidemic occurred, the infected person, the close contact, the secret -connected secret, the exposure personnel of the immune -related venue, and the personnel of the high -risk areas flowed out of the local area, the local joint prevention and control mechanism should be flowed into the inflow through the national epidemic prevention and control management platform or letter within 2 hours. The collaboration list (including identity information, contact telephone number, contact method, last exposure time, etc.), the required information required for investigation and control), can also send cross -regional collaboration mechanisms through the establishment of the "point -to -point" cross -regional inspection mechanism between the establishment of the city and the city. information. After receiving the inspection information, the inspection party quickly investigated the relevant personnel, and adopted the management and control measures such as sending SMS, nucleic acid detection, health monitoring, isolation, etc. according to the risk level to ensure that the management and control measures of each risk personnel were implemented in place, and they were received by the cooperation inspection. After the information, the preliminary investigation and control results were preliminarily investigated and controlled to the epidemic situation within 24 hours, and the information was closed. The place where non -epidemic occurs, and personnel should also actively investigate the inflow of high -risk areas to prevent the spread of the epidemic. For those who have a 7 -day history of high -risk areas, we will take 7 days of centralized isolation medical observation, and carry out one nucleic acid test at the first, 2, 3, 5, and 7 days in centralized isolation; Persons' observation of 7 Heavenly House Observation Medical Observation, and conducting nucleic acid testing at each 1, 4, and 7 days at home isolation medicine; rise. For those who have a history of 7 days of living in low -risk areas, two nucleic acid detection should be completed within 3 days and a good health monitoring. The management measures for overflowing personnel in the high -risk zone within the jurisdiction of provinces (autonomous regions and municipalities) are formulated and released by localities.

(3) Regional nucleic acid detection.

On the basis of epidemiological survey, comprehensive research and judgment based on factors such as the population size of the area, whether the source of infection is clear, whether there are community transmission risks, and whether the dissemination chain exists. The scope, frequency, and sequence, formulate operating nucleic acid detection solutions, quickly organize scheduling nucleic acid detection power (including third -party detection agencies) and materials to ensure that the connection of each link of "collection, sending, inspection, and reporting" is smooth, and avoid detection in time. Caused by positive infections, the delay caused by the spread of the epidemic. Reasonably set the sampling point, or orderly tissue nucleic acid sampling to prevent cross -infection. Based on the results of risk assessment, the scope and frequency of dynamic adjustment of nucleic acid detection to prevent the spread of the epidemic. When the regional nucleic acid detection capacity is insufficient, antigen detection can be used as a supplement to quickly coordinate and coordinate the support of nucleic acid detection.

(4) Personnel transport.

After the local epidemic occurs, make a good call for the transportation vehicle. The confirmed cases and asymptomatic infections should be transferred to a designated medical institution or square -cabin hospital for treatment or isolation after discovery. The negative pressure ambulance is used as much as possible during transfer. Those with close contact shall arrange for special vehicles to transfer to concentrated isolation places within 8 hours, so that they should be separated and fast. Before the transfer, we must do a good job in organizational management. In accordance with the principle of nearby, reasonably allocate centralized isolation points and dispatch vehicles, timely grasp the transfer of transfer, and resolutely prevent the infected person's transfer with the close contact. During the transfer process, the number of people in the same car is controlled, the number of fellow car personnel is controlled, trying to keep the interval, strictly implement personal protection and vehicle disinfection measures, and avoid cross -infection. After arriving at the isolation point, do a good job of transferring personnel.

(5) Isolation management.

Reasonably select concentrated areolation places and set up and regulate management in accordance with the "three districts and two channels", that is, the isolation area, work preparation area (living area and material security zone), buffer area, staff channel and quarantine channel channels, organize the sense of the hospital, organize the sense of hospital feelings Experts in areas such as prevention and control can be enabled after passing the qualifications. The local and cities are used as a total of 60 local residential population/10,000 population proportion to concentrate the concentrated isolation rooms, and coordinate with surrounding cities to coordinate the use of isolation resources. After the local epidemic occurs, the provincial joint defense joint control mechanism shall immediately start the centralized isolation point scheduling and ladder opening mechanism. The staff of the isolated place shall regulate the training after training, and implement the vaccine vaccination, health monitoring, nucleic acid detection, personal protection and closed -loop management measures. Strictly follow the standards for the treatment of medical waste and garbage clearance in isolation places. Strictly achieve single -player rooms and prevent cross -infection. When lift the isolation, the "people, objects, and environment" are sampled at the same time for nucleic acid testing. If the results are negative, centralized isolation can be lifted; Essence In principle, medical staff at the isolated point is responsible for the sampling of the isolated personnel. When the concentrated isolation point detects positive, timely check the risk of cross -infection at the isolation point. Home isolation medicine observation should be carried out under the guidance of community medical staff, live alone or in a single room, try to use separate bathrooms, do personal protection, minimize contact with other family members. During the observation of home isolation medical observations, I and common residents must not go out. Do not go out during home health monitoring. If special circumstances such as medical treatment must go out, do personal protection when going out, and avoid taking public transportation as much as possible. (6) Traceable survey.

For cases with unknown sources of infection, quickly conduct traceability investigations, adhere to people, things, and environment to investigate, and give priority to investigating the source of "human biography". Through epidemiological survey, virus whole genome test, nucleic acid screening, serum antibody dynamic detection and big data, etc., analyze and demonstrate one by one from the aspects of people, items and environment, comprehensively study the source of virus, transmission pathway, and spread chain relationship. And pay close attention to the mutation of the virus gene. For evidence that the items and the environment are infected, the first sealing, sampling, and disinfection should be adopted to avoid loss of evidence.

(7) Disinfection.

During the transfer of cases or asymptomatic infections, it should be disinfected at any time in response to the environment and items that may be polluted; after transfer, it should be disinfected by its residence, activity, and other possible places that may be polluted; It can be discharged (compartment) after disinfection of its personal items. In the implementation of control measures in the middle and high risk zones, it focuses on preventive disinfection of regional environments such as residential buildings, prevention of epidemic prevention materials (points), garbage storage points, and courier distribution points. Before disinfection in rural areas and urban villages, the local ring should be

The actual situation of realm and residence conditions formulate disinfection solutions. Evaluation of on -site disinfection process at the end of the epidemic source place to ensure that the disinfection process is valid; the evaluation of the disinfection effect can be raised in proportion to on -site needs. The last disinfection at the end of the squares and isolation points at the end of the isolation point needs to be evaluated by disinfection effects.

(8) Psychological health services.

All localities should formulate the psychological intervention plan for the affected people, sort out various psychological service resources of local online and offline online and offline, and establish and improve the psychological intervention team of epidemic prevention and control. Establish and improve a psychological intervention network for psychological intervention of psychological intervention in the establishment of psychological intervention of psychological intervention in the establishment and improvement of psychological intervention in the establishment and improvement of psychological intervention in the establishment and improvement of psychological intervention in the establishment and improvement of psychological intervention in the establishment and improvement of psychological hotline services. Strengthen the psychological health knowledge of various types of people. When a clustered epidemic occurs, we will increase the mission of the Department of Psychological Health, organize mental health and psychological health professionals to conduct targeted psychological intervention on patients and family members, isolation staff, and epidemic prevention and control.

(9) Epidemic information release.

After the epidemic occurs, the local joint prevention and control mechanism shall release relevant information such as epidemic and risk areas within 5 hours. The information information of the epidemic shall be based on the online direct reporting data. Press conference mechanism. Organize experts in related fields to respond to hot issues in a timely manner through the form of media interviews and other forms.

6. Laboratory testing

The detection agency should choose a new coronary virus nucleic acid detection agent for the open code box LAB (ORF1AB) and nuclear clothing protein (N) gene. In principle, the human specimen detection uses a detection reagent containing endogenous endogenous endogenous parameters. Specifications collection, transportation, storage and testing shall be strictly implemented in accordance with regulations. Certificate of diagnosis, asymptomatic infection, immigration personnel, close contacts, and closely connected secrets in hospitalization, isolation medical observation or health monitoring should be "single -single inspection", that is, individual specimens are collected separately. Perform mixed mixed inspections. Medical and health institutions and third -party testing agencies shall feedback the laboratory test results within 12 hours. The province's epidemic prevention and control headquarters shall coordinate provincial -level disease control institutions, designated hospitals, etc., to detect positive specimens of input cases, input items and related environmental nucleic acid detection, and the first or early cases in the local epidemic. The key cases, local cases with unknown sources of infection, and specimens of the nucleic acid detection positive after vaccine are carried out. When CT value ≤ 322, the virus genome sequence measurement is carried out. After the sequence is completed (For the Poor Virus) to carry out sequence comparison. In provinces that do not have gene sequencing conditions, the specimen should be sent to the virus disease. When the CT value is ≤30, the virus separation training is carried out. The obtained virus strains shall be submitted to the virus disease in time, and the provinces that do not have the conditions of the virus separation must be sent to the virus separation work for the virus disease. 7. Enter the epidemic prevention and control overseas

(1) Administration of immigration personnel.

Strengthen information communication and sharing of information from all parties, and implement prevention and control measures such as entry quarantine, closed -loop transfer, isolation management, and nucleic acid detection of entry -person personnel. Strengthen remote prevention and control measures, strengthen the review of the health certification of the personnel to enter, and conduct health notifications; remind passengers to comply with health management measures and personal protection requirements. Implement the "7 -day centralized isolation medical observation+3 Heavenly House Health Monitoring" management measures for immigration personnel, and carry out one, 2, 3, 5, and 7 days of centralized isolation medical observation. Carry out nucleic acid detection once in 3 days. Do not go out during home health monitoring. If special circumstances such as medical treatment must go out, do personal protection when going out, and avoid taking public transportation as much as possible. Before the centralized isolation isolation, the provincial -level joint defense joint control mechanism of the first entry -level place shall promptly push the relevant information of the immigration personnel to the provincial joint prevention joint control mechanism in destination, and to share information.

(2) Management and control of immigration items.

The environment for importing cold chain foods and its processing, transportation, storage, and sales venues and the proper sampling testing and preventive disinfection from non -cold chain items from serious epidemics. The port cities with a large number of imported cold chain foods must build a centralized supervision warehouse, and uniformly disinfected and tested the import of cold chain foods. Strictly import the production, circulation and sales of cold chain foods throughout the process of preventing and controlling and tracing management. Sterilize the consignment and hand luggage of the entry flights. According to the outbreak of the country (region) of imported non -cold chain items, categories and characteristics, transportation methods and duration, loading and unloading methods, etc., the risk level of imported non -cold chain items is polluted, and the classification of preventive disinfection or release measures. Strengthen the coordination of departments to avoid repeated disinfection and increasing unnecessary operation. After the circulation, sales and other links of imported cold chain foods were found to be tested with positive items, they were temporarily sealed and disinfected with related items, and disinfected on the working area. information. For the detection of cold chain foods that are positive for the new coronary virus nucleic acid, it is dealt with in accordance with the relevant requirements of the new crown pneumonia epidemic prevention and control of cold chain food classification. Persons who have touched the positive items and their same batch of items conducted two consecutive nucleic acid tests (the sampling time interval at least 24 hours), of which practitioners with high contact frequency adopted 7 Heavenly Home Health Monitoring, in the first, 4th, 7th, 7th, 7th, 7th, 7th, 7th, 7th, 7 Each of the sky is carried out once a nucleic acid detection.

(3) Prevention and control of the epidemic situation of high -risk positions.

Strengthen the registration and management of high -risk jobs who are directly contacted with imported personnel, imported cold chains and other goods and environment, strengthen the responsibility of the main body of the unit, improve the management system of relevant personnel, fixed positions, avoid cross -operation, equip necessary protective materials, implement concentration to implement concentration Prevention and control measures such as residential closed -loop management, nucleic acid detection, health monitoring, and health education. After leaving the job, it takes 7 days to concentrate or isolate medical observation at home. During the first, 4th and 7th days, each nucleic acid test was carried out.

(4) Prevention and control of port cities.

Improve the prevention and control mechanism of the port cities, establish a special class of port prevention and control, implement the responsibility of territoriality, clarify the division of responsibilities and responsible persons in various links, and coordinate the forces of all parties to do a good job of the epidemic prevention and control. Port cities should improve the epidemic monitoring and early warning system, adhere to the character inspection of the characters, the characters of the characters, and effectively prevent the risk of input and transmission through immigration personnel and imported goods. The city of land border ports should urge cross -border transportation enterprises to implement the requirements of "separation of goods and segmented transportation", and implement non -contact cargo transfer models such as shaking, connection, and lifting. To leave the city of the land border, a 48 -hour nucleic acid detection negative certificate is required.

8. Strengthen the prevention and control of key links

(1) Key population.

Volunteers, community staff, police, security and other professional groups who expose risks, combine their own job nature, risk level, or the type of place in the place where they are in good personal protection. High -risk positions should strictly implement the control measures after closed -loop management, nucleic acid detection and closed -loop operation. After the county (district) occurs in the local epidemic, 20 try to avoid clustering activities such as gathering, dinner, marriage and funeral. Elderly people, pregnant women, children, etc. with basic diseases should be reduced as much as possible to avoid going to personnel dense, especially in a closed space where they are intensive. (2) Key institutions.

For key institutions that maintain the normal operation of society or are prone to aggregate epidemic, strengthen prevention and control measures such as internal control, cleaning and disinfection, ventilation, ventilation, and personal protection. After the local epidemic occurs in the area, cooperates with the requirements for emergency response to the local epidemic, and at the same time, according to the needs of prevention and control, the service institutions, care homes, mental health medical institutions, and regulatory places may be implemented in nursing homes, child welfare fields. Schools can adopt closed management to reduce gathering. Primary and secondary schools and child care institutions can stop offline teaching; large enterprises and institutions and institutions may adopt a flexible work system; major construction projects can adopt closed management to reduce non -critical job work work Measures and other measures.

(3) Key places.

For places that are susceptible to clustering epidemic such as personnel dense and closed space, such as stations, public transportation, logistics parks, farmers (collectives) markets, fitness and entertainment venues, hairdressing and bathing places, confinement centers, etc., we must implement ventilation and gas replacement gas , Clean and disinfection, body temperature testing and other normalized prevention and control measures. After the local epidemic occurs in the area, cooperates with the requirements for emergency response to the local epidemic, and at the same time, according to the need for prevention and control, it can be shortened by shortening business hours, controlling the density of passenger flow, and avoiding gathering agglomeration activities, large -scale meetings and training, reducing passenger station stations and public transportation. Measures such as carriering rates.

Nine, organizational security

(1) Improve the command system.

The local party committees and governments at all levels should implement the responsibility of the territory, improve the prevention and control system of the epidemic, strengthen the construction of joint prevention and control mechanisms, and clarify departmental responsibilities and division of labor. Establish a command system, information reporting system, work meeting system, work ledger system, external communication and contact mechanism, supervision and inspection system, emergency drill system, urban support system, etc. Detection, flow traceability, regional cooperation, port prevention and control and other classes. The command system should be maintained for 24 hours, and immediately transferred to the emergency state after the epidemic. The local party and government responsible comrades were mainly commanded, reducing command, and advanced command. Each working group cooperated with collaboration and information sharing. Essence Strengthen training and drills such as the prevention and control policies and strategies and measures of party and government leaders at all levels to improve scientific command. It is necessary to establish an expert meeting and decision -making consulting system to achieve science and accuracy in accordance with the law.

(2) Strengthen information support.

Relying on existing information platforms or construction of emergency disposal information platforms, we will integrate data related to the epidemic conditions of various departments horizontally, and to penetrate the national information platform vertically to improve the monitoring and early warning capabilities. Integration laboratory testing, big data, epidemiological investigation, close contact management, isolation point management, case transfer and diagnosis and treatment, etc. to achieve dual closed -loop management of epidemic prevention and control and information. It is necessary to gradually improve the application of platform function to provide support for the research and judgment of epidemic risk, prevention and control measures, and resource coordination.

(3) Strengthen capacity building.

The epidemic prevention and control headquarters at all levels should respond in accordance with different scenarios of the epidemic situation, and combine local actual situations to do a good job of professional prevention and control teams, nucleic acid detection capabilities, designated hospitals, centralized isolation places, transshipment vehicles, and epidemic prevention materials. It is necessary to adhere to the principle of combining the peaceful war, formulate step scheduling plans and emergency plans, efficiently respond to different scale epidemic conditions, and regularly train and exercise to comprehensively improve emergency response and precise prevention and control capabilities.

(4) Strengthen material protection.

The epidemic prevention and control headquarters at all levels should improve the emergency plan and make the material reserve and call mechanism. According to the situation and actual needs of the epidemic, timely coordinate the supply of medical supplies, residents' production and living materials. It is necessary to scientifically regulate the control measures in the province and outside the province, and ensure that the transportation of emergency supplies, people's livelihood guarantee vehicles and other vehicles in accordance with epidemic prevention safety requirements.

(5) Strengthen supervision and inspection.

The epidemic prevention and control headquarters at all levels should combine the local epidemic situation and the needs of prevention and control work, and regularly organize the supervision and inspection of key institutions, key places, key population prevention and control, emergency disposal drills, ability reserves, and epidemic disposal. With weak links, and urging rectification, avoid excessive prevention and control and layer by layer, ensure the prevention and control of the epidemic, and the implementation of various policies and measures to regulate the implementation of the implementation.

Source: Comprehensive Group of the State Council to respond to the new type of coronary virus pneumonia.

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