Under the strong leadership of the CPC Central Committee with Comrade Xi Jinping at the core, and through the hard work of the whole country, the prevention and control of the new crown pneumonia epidemic in China has been further consolidated, and the prevention and control work has changed from an emergency state to a normalized state. In accordance with the Party Central Committee's decision-making and deployment on the normalization of epidemic prevention and control work, and with the consent of the Central Leading Group for Responding to the Novel Coronavirus Pneumonia Epidemic, the following Opinions are hereby put forward with the consent of the Central Leading Group for Responding to the Novel Coronavirus Pneumonia Epidemic, so as to fully implement the overall prevention and control strategy of "preventing the import from outside and preventing the rebound from within", to persist in timely detection, rapid handling, precise control, and effective treatment, to effectively protect the people's lives and health, and to effectively ensure the full restoration of economic and social order.
1. Insist on prevention first
1. Wear masks scientifically. Wear a mask in crowded closed places and when in contact with others at a distance of less than 1 meter. Staff of medical institutions, salesmen, security guards, cleaners, drivers and passengers, service personnel at passenger terminals, police and other personnel, as well as medical personnel working in closed public places must wear masks.
2. Reduce gatherings of people. Pay attention to social distancing of more than 1 meter. Reduce non-essential gathering activities and reduce the number of people participating in gathering activities. Try not to go to places where people gather, especially closed places.
3. Strengthen ventilation and disinfection. Open windows frequently to ventilate the room and maintain air circulation. Public places, stations, wharves, and public transportation should implement daily cleaning, disinfection and other sanitation measures.
4. Improve health literacy. Develop hygiene habits and lifestyles such as "one-meter noodles", frequent hand washing, wearing masks, and chopsticks. Cover coughs and sneezes.
Second, the implementation of the "four early" measures
5. Timely detection. Implement measures for temperature detection in public places, strengthen pre-examination and triage and fever clinic investigation, so as to achieve "early detection" of confirmed cases, suspected cases, and asymptomatic infections, and "early reporting" as required, and must not conceal, omit, or delay reporting.
6. Rapid disposal. Complete the epidemiological investigation within 24 hours, give full play to the advantages of big data, thoroughly identify the possible source of infection as soon as possible, and do a good job in the identification and tracing management of close contacts. Implement "early isolation" measures, promptly isolate and treat confirmed and suspected cases, and implement 14-day centralized isolation medical observation for asymptomatic infections and close contacts. Complete terminal disinfection of potentially contaminated sites.
7. Precise control. In accordance with laws and regulations, scientifically delineate the scope of prevention and control areas down to the smallest unit (such as buildings, wards, residential areas, natural village groups, etc.), and decisively adopt measures such as restricting people's gathering activities and locking down, cutting off transmission routes, and reducing the risk of infection as much as possible. Promptly publish relevant information on prevention and control areas.
8. Effective treatment. Designate designated hospitals, implement "early treatment" measures, and strengthen the integration of traditional Chinese and Western medicine. Timely and effective comprehensive admission and treatment of patients with mild symptoms to reduce the transformation to severe disease. Adhere to the "four concentrations", implement multidisciplinary treatment for seriously ill patients, maximize the cure rate and reduce the mortality rate. After the patient is cured and discharged from the hospital, he will continue to be under centralized or home isolation for 14 days.
3. Highlight key links
9. Prevention and control in key venues. In accordance with relevant technical guidelines, under the premise of implementing prevention and control measures, shopping malls, supermarkets, hotels, restaurants and other living places will be fully opened; Adopt reservations, flow restrictions, etc., open parks, tourist attractions, sports venues, indoor venues such as libraries, museums, art galleries, as well as closed entertainment and leisure venues such as theaters and amusement halls, and hold all kinds of necessary meetings, exhibitions, etc.
10. Prevention and control in key institutions. Do a good job of risk prevention in elderly care establishments, welfare homes, prisons, mental health medical establishments, and so forth, and implement prevention and control measures such as personnel entry and exit management, personnel protection, health monitoring, and disinfection. Where elderly care establishments have infirmaries, nursing stations, and other medical service establishments, they must not provide services beyond the scope of medical licensing services. Where medical establishments set up elderly care institutions or are adjacent to elderly care institutions, cross-infection assessments should be carried out in accordance with the requirements of the regional management of medical institutions, and necessary control measures should be taken if the risk is assessed.
11. Prevention and control of key populations. Guide key populations such as the elderly, children, pregnant women, persons with disabilities, and persons with severe chronic diseases to do a good job of personal protection, and carry out psychological counseling and care and assistance.
12. Prevention and control in medical establishments. Strengthen the prevention and control of nosocomial infections, promote time-based appointments for diagnosis and treatment, strictly implement the requirements for the zoning management of medical institutions, promptly investigate risks and take disposal measures, and strictly manage visits and escorts to avoid cross-infection. Strict pre-examination triage and fever clinic workflow, and strengthen prevention and control measures. Implement protective measures for medical personnel, and strengthen health management and monitoring of medical personnel.
13. Campus prevention and control. Implement a "daily report" and "zero report" system for the health of faculty, staff and students. Do a good job in health tips, health management, classroom ventilation, disinfection, etc., and implement prevention and control measures such as morning (noon) inspection for enrollment and nursery, tracing and registration of the cause of absenteeism (attendance) due to illness.
14. Community prevention and control. Strengthen the grid management of grassroots communities and give play to the role of community volunteers. Do a good job in health education, environmental sanitation management, management of rental housing and collective dormitories, and management of foreign personnel. Communities where the epidemic has occurred should strengthen efforts such as close contact screening, isolation management, and terminal disinfection, and when necessary, adopt measures such as restricting gathering activities and closed management.
Fourth, strengthen support and guarantees
15. Expand the scope of testing. Based on the needs of epidemic prevention and control work and testing capacity, all localities may conduct scientific assessments, and "test all who should be tested" for key groups such as close contacts, overseas entrants, fever outpatients, newly hospitalized patients and their accompanying personnel, staff of medical institutions, port quarantine and border inspection personnel, prison staff, and staff of social welfare and elderly care institutions. Carry out "voluntary testing" for other groups of people. Disease control institutions at the county and district level and above, and hospitals at level <> and above in key areas such as areas with relatively dense populations and large mobility, as well as border ports, should focus on strengthening the capacity building of nucleic acid testing; Encourage qualified social testing establishments to provide testing services and expand commercial applications. The cost of "due diligence" shall be borne by the local government, and the cost of "willing inspection" shall be borne by enterprises, institutions or individuals; The testing fee standard shall be determined and publicized by the local price department. All localities should promptly publish the list of testing institutions.
16. Give full play to the role of big data. Relying on the national integrated government service platform, comprehensively promote the implementation of the "health code" interoperability and mutual recognition of "one code pass" in all localities, and promptly share nucleic acid and serum antibody test results, key personnel and other information to the "health code" database, and promote the safe and orderly flow of personnel. Do a good job in the promotion and application of the "epidemic prevention health information code" version of the national integrated government service platform, and strengthen the closed-loop management of inbound personnel.
17. Strengthen scientific research and international cooperation. Promote research on vaccines, drug science and technology, virus mutations, and immunization strategies. Accelerate the research and development of detection reagents and equipment, improve sensitivity, specificity, and simplicity, further improve detection capabilities, and shorten detection time. Strengthen information sharing, technical exchanges, and cooperation in prevention and control with the World Health Organization and other international organizations and relevant countries.
5. Strengthen organizational leadership
18. Implement the responsibilities of Party committees and governments. Party committees and governments in all localities should implement their territorial responsibilities, strengthen organization and leadership, persist in prevention and control in accordance with law, scientific prevention and control, and joint prevention and control, increase financial investment, strengthen the dynamic reserve of medical supplies, improve prevention and control and emergency response capabilities, and strictly implement the requirements of normalized prevention and control measures. All relevant departments of the State Council should implement the responsibilities of their supervisors, continue to strengthen joint prevention and control, overall planning and scheduling, and strengthen guidance and support for normalized prevention and control efforts in all regions.
19. Implement the responsibilities of enterprises and public institutions. All enterprises and public institutions should implement entity responsibility, strictly implement epidemic prevention and control regulations, improve the responsibility system and management system for prevention and control work, and formulate and improve emergency response plans.
20. Dynamically adjust the risk level and emergency response level. All localities should dynamically adjust the risk level and emergency response level in accordance with the zoning and grading standards and the local epidemic situation. It is necessary to adapt measures to local conditions and time conditions, continuously improve the emergency plan for epidemic prevention and control and various supporting work plans, and once an epidemic occurs, take emergency response measures in a timely manner to implement precise prevention and control.
While implementing normalized prevention and control work, the prevention and control of imported epidemics from abroad is to be implemented in accordance with the central government's guiding opinions on doing a good job in the prevention and control of imported epidemics.