A few days ago, the General Office of the Hubei Provincial Party Committee and the General Office of the Provincial Government issued the "Implementation Opinions on Further Improving the Scientific and Accurate Prevention and Control of COVID-19 Epidemic Normalization", and issued a notice requesting all localities and departments to conscientiously implement it in light of the actual situation.
The full text of the "Implementation Opinions on Further Improving the Scientific and Accurate Prevention and Control of COVID-19 Epidemic Normalization" is as follows:
In order to implement the Party Central Committee’s decision-making and deployment on the prevention and control of normalized epidemic situation, and implement the spirit of "Guiding Opinions on Doing a Good Job in the Prevention and Control of COVID-19 Epidemic Situation" (Guo Fa Dian [2020] No.14) of the State Council Joint Prevention and Control Mechanism, combined with the actual situation of epidemic situation prevention and control in our province, the following opinions are put forward.
I. General requirements
Thoroughly implement the spirit of the series of important speeches and important instructions of the Supreme Leader General Secretary on epidemic prevention and control, do a good job in ideological preparation and work preparation for long-term normalization prevention and control, always tighten the string of epidemic prevention and control, and resolutely overcome paralysis, war-weariness, luck and relaxation. We will continue to pay close attention to the work of "internal defense rebound, external defense output and strict prevention of input", pay more attention to prevention and control according to law, scientific prevention and control, and precise prevention and control, and improve and implement the normalized prevention and control mechanism of timely detection, rapid disposal, precise control and effective treatment. Tightening territorial responsibility, departmental responsibility, unit responsibility, personal and family responsibility, re-investigating prevention and control loopholes, re-reinforcing prevention and control priorities, and re-implementing prevention and control requirements, guarding your own doors, keeping an eye on your own people, and doing your own thing well, ensuring that the epidemic situation does not rebound, the achievements of epidemic prevention and control will be wasted, and striving to win the "double victory" of epidemic prevention and control and economic and social development.
Second, the work measures
(A) adhere to the prevention first, and build a prevention and control barrier.
1. Continue publicity and education. Strengthen the publicity of laws and regulations on the prevention and control of infectious diseases, prevention knowledge and prevention and control guidelines, guide the public to firmly establish the consciousness of "individual is the first person responsible for health", and develop sanitary habits and lifestyles such as wearing masks scientifically, washing hands frequently, keeping social distance, strengthening ventilation and disinfection, and comprehensively improve the health literacy of urban and rural residents and improve their self-protection ability.
2. Vigorously promote the patriotic health campaign. We will prevent the gateway from moving forward and the center of gravity from sinking, continue to promote the patriotic health campaign, continue to do a good job in urban and rural environmental sanitation management, comprehensive improvement of environmental sanitation in key places such as farmers’ markets and residential areas (villages), vector control, etc., do a good job in cleaning and disinfecting public areas in residential quarters, and establish and improve a long-term environmental sanitation management mechanism.
3. Effectively strengthen the guidance on epidemic prevention and control. Provincial disease prevention and control professional institutions should issue prevention and control guidelines in a timely manner according to the epidemic situation in different periods and the characteristics of different people, different industries and different places. City and county-level disease prevention and control professional institutions should, according to the characteristics of the local epidemic situation, strengthen the guidance on prevention and control of resumption of work, business, and classes, scientifically standardize public prevention and control behavior, improve the working mechanism of mass prevention and control, and build a complete epidemic prevention and control barrier.
(2) Insist on strengthening the foundation at the grass-roots level and keeping an important defense line in the community.
4. Enrich the power of community prevention and control. Select the best and strengthen the secretaries of grass-roots party organizations, promote the professionalization and specialization of community workers, and establish and improve the community normalization prevention and control work team in which party member, community workers, grass-roots medical personnel, police, property managers, volunteers, various community autonomous organizations and residents widely participate. Strengthen the linkage among counties (cities, districts), streets (towns) and communities (villages), further clarify the division of responsibilities, adhere to the command and dispatch of grass-roots party organizations, implement various prevention and control requirements, and build a community governance pattern of co-construction, co-governance and sharing under the guidance of party building.
5. Accurately implement community control. Streets (towns and villages) should strengthen the inspection and supervision of community prevention and control work, continue to do a good job in policy propaganda, prevention and control guidance and problem supervision and rectification work, and earnestly keep the first line of defense in the community. Wuhan should continue to strengthen and improve the management and control of residential areas, coordinate the implementation of management and control forces, focus on strengthening the management and control of old residential areas, open residential areas, "three noes" residential areas, urban villages, urban-rural fringe areas, dormitories, rented houses and other areas, and insist on scanning health codes, checking body temperature, wearing masks and recording strangers’ information for people entering and leaving, and adjust the management and control measures in a timely manner according to the epidemic situation. Low-risk areas in other cities and States outside Wuhan can optimize and adjust community management measures in light of local conditions, and continue to do a good job in the investigation and control of key populations. All localities should establish a working mechanism that combines prevention and control with emergency management under normal conditions.
6. Strengthen grid management. Make full use of health codes, incorporate epidemic prevention and control into the key content of grid management, do a good job in information collection, epidemic prevention and control investigation and epidemic information publicity of community personnel, strengthen the management of key groups such as fever personnel, overseas and high-risk areas who come to and return from Hubei, asymptomatic infected people, cured and discharged patients, close contacts, people with difficulties in life, floating population, etc., so as to achieve full coverage and no omissions, ensure efficient and accurate information collection, and ensure strong and orderly control of key personnel. Improve the community sharing mechanism of epidemic information in health, entry and exit departments, and improve the pertinence and accuracy of information collection and epidemic investigation of grid staff.
(C) Adhere to the role of "checkpoints" and hold the first pass of the hospital.
7. Strengthen the pre-inspection triage system and closed-loop management of fever clinic. Medical institutions at or above the second level and township health centers should set up fever clinics and triage points in strict accordance with the norms, and play the role of "checkpoints" for hospital early warning, warning and alarm. All fever clinics should strictly implement the procedures of receiving, screening and referral, and carry out rapid screening of nucleic acid, antibody, CT and hemogram for fever patients after entering the fever clinic, so that ordinary patients can be treated symptomatically, suspected patients can be isolated for observation, and confirmed patients can be transported in time. At the same time, the closed-loop management of fever patients should be established simultaneously, and the closed-loop management of epidemic reporting and epidemic adjustment should be carried out simultaneously for suspected and confirmed patients.
8. Strengthen the prevention and control of hospital sensation and the protection of medical personnel. Strictly implement the prevention and control system of nosocomial infection, standardize the setting of clean areas, polluted areas, semi-polluted areas, medical staff passages and patient passages in hospital fever clinics and infectious areas, and implement the provisions of "double triage and double buffering" in general outpatient and emergency departments. Strengthen the monitoring of nosocomial infection, do a good job in personal protection of medical staff, strictly manage visits and escorts, set up safety protection facilities, strengthen ventilation and disinfection of wards, and standardize the disposal of medical wastes. On the basis of doing a good job in nucleic acid screening for medical staff, the nucleic acid screening for accompanying staff and workers should be implemented.
9. Implement patient treatment and personnel isolation measures. Cities and States should designate designated hospitals for the treatment of critically ill patients in COVID-19, and treat critically ill patients in accordance with the principles of centralized patients, experts, resources and treatment. Counties (cities, districts) designate more than one designated hospital in COVID-19 and one medical observation point for asymptomatic infected people, designate centralized isolation points that can accommodate more than 200 people as centralized isolation places for close contacts and entry personnel, and reserve enough medical resources such as beds, medical personnel and materials to deal with possible epidemics.
10. Do a good job in rehabilitation treatment and management of discharged patients. All localities should integrate professional forces, do a good job in rehabilitation and psychological counseling of discharged patients in the form of family doctors signing services, purchasing services and volunteering services, and strengthen psychological crisis intervention.
(four) adhere to focus, pay close attention to the implementation of prevention and control measures.
11. Do a good job in prevention and control of key places. On the premise of implementing prevention and control measures, open shopping malls, supermarkets, hotels, restaurants and other places in an orderly manner; Open parks, tourist attractions and sports venues by making an appointment or limiting the flow; Open indoor venues such as libraries, museums and art galleries in an orderly manner; Can hold all kinds of necessary meetings, exhibitions and other activities. According to the development of the epidemic situation, Wuhan can gradually, steadily and orderly open indoor theaters, chess and cards rooms, amusement halls, Internet cafes, dance halls, bars, KTV, indoor swimming pools, closed places or some areas of stadiums and gymnasiums with poor ventilation conditions such as using underground space according to the situation; Low-risk areas in other cities and states outside Wuhan can decide the opening of relevant places on their own according to the overall assessment of epidemic prevention and control.
12. Strengthen the prevention and control of key institutions. Continue to implement closed management of pension institutions, welfare homes, prisons and mental health medical institutions, and do a good job in risk prevention. Implement prevention and control measures such as personnel access management, personnel protection, health monitoring, disinfection, etc., and all new entrants will be isolated for 14 days and tested for nucleic acid. Visitors should take personal protective measures and encourage non-contact visits such as videos. If there are medical service institutions such as infirmary and nursing station in the old-age care institutions, they shall not serve outside the scope of medical licensing services. If a medical institution holds an old-age care institution or is adjacent to it, it shall carry out cross-infection assessment according to the requirements of zoning management of medical institutions, and take necessary control measures if there are risks.
13. Highlight the prevention and control of key populations. Guide the elderly, children, pregnant women, the disabled, medical personnel, patients with severe chronic diseases and other key groups to do personal protection, and carry out psychological counseling, care and assistance. Strengthen the assistance of vagrants and beggars, and find that fever personnel take timely control measures.
14. Strengthen campus prevention and control. Implement the system of "daily report" and "zero report" on the health status of faculty and students. Do a good job in health tips, health management, classroom ventilation, disinfection, etc., and implement prevention and control measures such as morning and afternoon (evening) check-up of school attendance, tracing and registration of the cause of absence due to illness. All localities should equip each school with full-time or part-time professional health personnel in accordance with the provision of 1 professional health personnel for every 600 students. Wuhan has implemented the "1+2" prevention and control cooperation mechanism with one school doctor, one community general practitioner and one disease control staff. Students, faculty and staff in the school campus continue to implement protective measures to wear masks and keep social distance, and adjust the regulations on wearing masks in a timely manner according to the epidemic prevention and control situation. Students in schools in low-risk areas in other cities and States outside Wuhan may not wear masks, and teachers may not wear masks when teaching.
15 to prevent the import of overseas epidemic. Implement the "push" of immigration information — Comparison — Screening — Feedback "information closed loop and the" transportation intervention "of overseas people from Hubei — Port quarantine — Classified transshipment — Centralized isolation — Community prevention and control "closed loop of the whole process management, strengthen the management of overseas people coming to Hubei. All persons who have lived abroad for 14 days before coming to Hubei will be tested for nucleic acid, among whom the confirmed patients, suspected patients, suspected fever patients, close contacts and asymptomatic infected persons will be classified and disposed of on the spot according to the prevention and control regulations, and all other persons will be kept under centralized medical observation for 14 days in the first entry city and will be included in the local community (village group) prevention and control system.
(5) Persist in standing by and resolutely deal with sudden outbreaks.
16. Strengthen monitoring and early warning. Strictly implement the reporting system of infectious diseases, integrate the monitoring information of disease control, medical care, medical insurance and medicine, improve the early warning mechanism, define the dynamic early warning indicators, procedures, grades and methods, and establish a highly sensitive perennial monitoring and early warning system in COVID-19. Implement monitoring and reporting of symptoms such as abnormal body temperature in communities, units, public places and ports. Improve the ability of screening, investigation and disposal of infectious diseases in primary medical and health institutions.
17. Rapid linkage reaction. After finding confirmed cases, suspected cases, asymptomatic infected persons and clustered cases, counties (cities, districts) should immediately organize, direct and dispatch the epidemic disposal work; Disease control institutions and public security departments should complete the work of flow adjustment and epidemic point sealing and control within 24 hours; Street (township) in conjunction with the first aid, medical and other institutions responsible for the transfer of patients, asymptomatic infected persons and close contacts, the implementation of isolation treatment or centralized medical observation. Strengthen the joint prevention and control of epidemic-related areas, notify the infectious sources and close contacts in the field, and strictly manage them on the spot according to the principle of territoriality.
18. Accurate and powerful disposal. Adhere to the principle of early, small, strict, practical and classified disposal, implement the "four early" measures of early detection, early reporting, early isolation and early treatment, quickly determine the epidemic point, epidemic area, spread range and population, implement strict closure management, and control the epidemic situation to a minimum. In case of sporadic epidemic, the building and ward where the case is located shall be designated as the epidemic point; If there is a cluster epidemic, the community and natural village (group) where the case is located shall be designated as the epidemic point (a larger area may be designated as the epidemic area); In case of epidemic spread, the community and administrative village where the case is located shall be designated as epidemic areas.
(six) adhere to strict testing and screening, strengthen the management of asymptomatic infected people.
19. Expand the scope of nucleic acid screening. Implement relevant funds and policy guarantees in accordance with state regulations, further increase the intensity of nucleic acid testing, expand the scope of testing, and do everything that should be tested, willing to be tested, and able to be tested. On the basis of ensuring the full coverage of key groups such as expatriates, teaching staff, medical staff, public transport service personnel, employees in public places and relevant personnel in special places, as well as people with difficulties in living in rental houses, public officials with wide social contacts, universities and primary and secondary school students, and ensuring the full coverage of key areas such as old communities, open communities, "three noes" communities, villages in cities, urban-rural fringe areas, collective dormitories and rental houses, Wuhan combines prevention and control. On the basis of continuing to do a good job in the testing of teaching staff and medical personnel, other cities and States outside Wuhan will determine the screening scope by themselves according to local conditions. Xiaogan, Huanggang, Ezhou and other cities should do a good job in nucleic acid testing for students who have resumed classes.
20. Improve the ability of nucleic acid detection. All tertiary general hospitals, centers for disease control and prevention, qualified specialized hospitals, secondary hospitals and independent medical laboratory in the province should further strengthen laboratory construction and improve the ability of nucleic acid detection. It is necessary to strictly carry out daily supervision, ensure the quality of testing, optimize services, improve efficiency and reduce prices. In 2020, each county (city) must have at least two nucleic acid testing laboratories. Increase technical training and guidance for medical and health personnel, and improve the standardization of personnel operation. Data such as nucleic acid and serum detection should be collected and reported in time.
21. Strict management of asymptomatic infected people. Implement the report, mediation and management of asymptomatic infected persons, analyze the source of infection, and strengthen the tracking, screening and medical observation of close contacts. On the basis of nucleic acid detection, antibody, CT and hemogram examination should be carried out for asymptomatic infected people. Asymptomatic infected persons who have clinical manifestations during centralized medical observation should be immediately transported to designated medical and health institutions for standardized treatment, and the relevant information in the epidemic reporting system should be revised in time after diagnosis, and no delay, omission or concealment is allowed. Close contacts of asymptomatic infected persons should be tested for nucleic acid. After the asymptomatic infected people are released from centralized medical observation, they will be included in the management of basic public health services, and follow-up, follow-up and health management will be done well. For asymptomatic infected persons and their close contacts, case information should be formed in time and pushed to the government sharing exchange platform or data center at the same level to realize closed-loop management of data and incorporate it into health code management in time.
Third, organizational guarantee
(A) compaction Sifang prevention and control responsibility
22. Implement territorial responsibility. Party committees and governments at all levels should strengthen organizational leadership, adhere to the working mechanism of direct command of epidemic prevention and control by the main party and government leaders, adhere to prevention and control according to law, scientific prevention and control, joint prevention and control, increase funding, strengthen the dynamic reserve of medical materials, enhance prevention and control and emergency response capabilities, and ensure the implementation of normalized prevention and control measures.
23. Implement departmental and industry responsibilities. All relevant departments should implement their responsibilities, strengthen industry and system management, incorporate epidemic prevention and control into the daily industry supervision, and earnestly do a good job in the prevention and control of their own industries and systems. Continue to strengthen joint prevention and control, overall scheduling, and strengthen guidance and support for grassroots normalization prevention and control work.
24. Implement the responsibilities of enterprises and institutions. All enterprises and institutions should implement the main responsibility, take the initiative to accept the guidance and supervision of the competent departments of the industry, improve the responsibility system and management system for prevention and control, formulate and improve emergency plans, and equip them with necessary protective articles and facilities. Strictly implement epidemic prevention and control regulations, strengthen employee publicity and education and health monitoring, and implement various prevention and control measures in accordance with relevant prevention and control guidelines.
25. Implement personal and family responsibilities. Individuals and families should strictly abide by the laws and regulations on epidemic prevention and control, consciously fulfill their obligations of prevention and control, actively cooperate with relevant departments to do a good job in epidemic prevention and control, accept the investigation, sample collection, detection and isolation treatment of infectious diseases according to law, do a good job in personal protection, report patients or suspected patients in time, and do not spread rumors, believe rumors or spread rumors.
26. Strengthen supervision and accountability. All localities should establish an inspection mechanism, focus on the key areas and links of epidemic prevention and control, carry out supervision and inspection on the implementation of normalized prevention and control measures and responsibilities, strictly enforce discipline requirements, and compact the responsibilities of the four parties. Those who engage in formalism, bureaucracy, seeking no practical results, deceiving their superiors and deceiving their subordinates, etc., which seriously affect the prevention and control work, must be resolutely investigated and dealt with and seriously held accountable.
(2) Adhere to scientific prevention and control according to law.
27. Prevention and control according to laws and regulations. All localities should strictly implement the laws and regulations on epidemic prevention and control and emergency response to public health emergencies, perform their duties of epidemic prevention and control according to law, improve decision-making procedures, standardize decision-making processes, and timely disclose relevant information on epidemic prevention and control. Disciplinary committees at all levels should strengthen supervision and strictly enforce discipline. Health administrative departments at all levels should strengthen law enforcement inspection on the prevention and control of infectious diseases, and severely investigate and deal with illegal acts such as concealing and delaying the reporting of epidemic situations. All relevant departments should strengthen supervision over the prevention and control of infectious diseases and resolutely investigate and deal with illegal acts.
28. Scientific and precise prevention and control. All localities should promptly judge the epidemic situation and prevention and control capabilities, and scientifically and dynamically adjust the risk level and emergency response level according to the situation. The Provincial Center for Disease Control and Prevention carries out the risk level assessment with counties (cities, districts) as the unit, and the provincial health and wellness committee timely announces the adjustment; According to the published risk level, each city and state scientifically demarcates the prevention and control area to the smallest unit, and accurately implements various control measures.
(3) Strengthen work security measures
29 to strengthen the construction of public health emergency management system. Efforts will be made to improve the public health emergency command system, monitoring and early warning system, and improve the combination of peacetime and wartime, rapid response, and accurate prevention and control mechanisms. Reform and improve the disease control system, innovate the collaborative model of medical treatment and prevention, and strengthen public health and major disease prevention and control. Strengthen the construction of emergency system for infectious diseases in medical and health institutions. Consolidate and improve the network of public hospitals at the provincial, city and county levels and the network of medical and health services at the county, township and village levels, and further strengthen the capacity building of epidemic prevention and control in primary medical and health institutions. Strengthen the construction of health emergency infrastructure and discipline talent team to promote the sinking of high-quality resources. Improve the reserve system of materials and production capacity of drugs, medical protective equipment and medical equipment. Strengthen the public health emergency material security, investment security and emergency medical security to ensure the public health safety of the province.
30. Strengthen information technology support. Improve and perfect the big data platform for epidemic prevention and control, make full use of China Disease Prevention and Control Information System, Hubei COVID-19 Information Registration System, Hubei COVID-19 Rehabilitation Intelligent Escort System, medical insurance, market supervision and other related information and data, and timely share information such as nucleic acid and antibody test results, key personnel, and purchase of fever-reducing and cough-relieving drugs to the provincial big data platform for epidemic prevention and control, so as to ensure the province’s confirmed patients, suspected patients, suspected fever patients, close contacts and asymptomatic infected people. Continue to promote the mutual recognition of health codes between provinces and our province, realize "one code communication", and ensure the safe and orderly flow of personnel. Make full use of digital technologies such as big data, artificial intelligence and cloud computing to provide strong support for epidemic prevention and control.
31. Strengthen scientific research and international cooperation. Vigorously promote research on vaccines and drugs, virus variation and immunization strategies. Accelerate the research and development of detection reagents and equipment, improve sensitivity, specificity and simplicity, further improve detection ability and shorten detection time. Strengthen scientific research on epidemiology and post-epidemic rehabilitation. Strengthen international exchanges and cooperation, popularize Hubei’s anti-epidemic experience and practices, and realize information sharing, technical exchange and cooperation in epidemic prevention and control.
32. Properly prevent and resolve "post-epidemic syndrome". We should focus on the whole and the overall situation, firmly establish the people-centered development thought, strengthen social psychological counseling services, and strengthen psychological assistance and psychological crisis intervention. Strengthen care for people, groups and enterprises affected by the epidemic and help solve practical difficulties. Grasp the early signs, strive to resolve contradictions, prevent all kinds of risks from being transmitted and superimposed, prevent individual and local risks from escalating into systematic and regional risks, and ensure the overall political and social stability of the province.
