A big country in the urban and rural capillaries fights the epidemic
From 0 to 24:00 on April 11, 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps reported 1,251 new confirmed cases of new coronary pneumonia and 23,295 new local asymptomatic infections.
Affected by the fourth wave of the global epidemic, especially the high epidemic situation in neighboring countries and my country's Hong Kong Special Administrative Region, my country's "foreign defense import" pressure is huge.
From March 1 to April 11, 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps reported a total of 325,303 local infections, and the epidemic affected 30 provinces (autonomous regions and municipalities).
At present, the epidemic is still running at a high level, and the scope of the epidemic is further expanding. The prevention and control is in a critical period.
Alpha, Beta, Gamma, Delta, Omicron... The constantly mutating new coronavirus mutants make prevention and control work extremely difficult.
On March 18, at a press conference held by the State Council Information Office, Wang Hesheng, deputy director of the National Health Commission and director of the National Centers for Disease Control and Prevention, said that after the epidemic prevention and control work entered the "dynamic clearing" stage of precise prevention and control of the whole chain. , based on the early, small, and basic, to improve the ability of epidemic prevention and control and early detection.
Grasp the early, grasp the small, grasp the basics, these seven simple words are an important test for my country's epidemic prevention and control work.
"Dynamic clearing": focus on early, small, and basic
On March 18, a positive case of the new coronavirus was found in the No.
Subsequently, the relevant area of No. 3 Beixiao Street Courtyard was divided into a closed area and a control area.
The No. 3 courtyard of Beixiaojie is a bungalow area. There are 14 east-west branch alleys, and the population is dense. There are 91 households and 198 residents in the closed area alone.
On March 31, the infected person 87 of the current round of the epidemic in Beijing took the G530 train to return to Beijing. During the waiting period, he went to the same bathroom with a close contact of a confirmed case outside Beijing in the same carriage. The close contact was later diagnosed.
Pang Xinghuo, deputy director of the Beijing Center for Disease Control and Prevention, said that based on the results of epidemiological investigations and gene sequencing, it was initially believed that infected person 87 was more likely to be infected while waiting for a bus outside Beijing.
Most of the residents under lockdown do not have independent toilets in their homes, and the public toilets that residents usually use are outside the lockdown area.
In order to meet the needs of residents, Dongcheng District has mobilized 5 mobile toilets and placed them in the closed area.
Ensuring that residents are not infected while using the toilet has become one of the important tasks of prevention and control workers.
On March 29, under the leadership of Section Chief Wen Chao of the Urban Management Office of Beixinqiao Street, Dongcheng District, Beijing, reporters from China Youth Daily and China Youth Daily came to the closed area of No. 3 Courtyard on Beixiao Street.
In a mobile toilet, a sanitation worker is killing.
The sanitation officer told reporters that she would kill every resident after using the toilet, and she could not remember how many times that day.
There are a total of 4 sanitation workers in the closed control area who are specially responsible for the disinfection of mobile toilets.
According to relevant regulations, the residents in the closed area need to stay at home, but the residents in the bungalow area cannot do this because they need to go out to the toilet.
How to achieve precise prevention and control?
Wen Chao told reporters that in addition to ensuring "one person, one killing", they also installed 7 surveillance cameras in the closed control area to promptly detect possible crowd gatherings in the hospital.
In addition, each household is equipped with a door sensor, and the mobile phone of the prevention and control staff can also receive message reminders when someone goes out.
When a reporter from China Youth Daily and China Youth Daily visited the No. 3 courtyard of Beixiaojie, they found that the alleys were crisscrossed, and some aisles were so narrow that only one person could pass through them. .
Wen Chao said that he originally wanted to install more mobile toilets for the convenience of residents, but there was nowhere to put them.
Going to the bathroom is a small thing.
In order to avoid "a hole as large as the tip of a needle leaking through a large wind", there is also a whole set of plans behind this trivial matter in the front-line prevention and control work at the grassroots level.
The truthfulness of trivial matters also reflects the determination to implement the "dynamic clearing" policy.
On March 17, the Standing Committee of the Political Bureau of the Central Committee of the Communist Party of China held a meeting to analyze the situation of the new crown pneumonia epidemic and deploy strict measures to prevent and control the epidemic.
General Secretary Xi Jinping pointed out that we must always adhere to the supremacy of the people and life, adhere to scientific precision and dynamic clearing, and curb the spread of the epidemic as soon as possible.
The essence of "dynamic clearing" is fast and precise.
Based on the early, small, and basic, we do not pursue zero infection, but if we find it, we will "extinguish" it together, and keep the bottom line that there will not be a large-scale rebound of the epidemic.
Fast and accurate "dynamic clearing" is the "magic weapon" for China to control the epidemic.
Wen Chao said that when he reached the lockdown area on the afternoon of March 19, the mobile toilet was in place before the prevention and control personnel.
If the mobile toilet needs to be cleaned, the sanitation department will arrive at the scene within an hour after receiving the report.
There are also different needs of thousands of households behind precise prevention and control.
There is a 90-year-old man who lives alone in the courtyard of No. 3 Beixiaojie.
The elderly will plug the electric mattress, electric heater, induction cooker, table lamp, etc. into the same power strip.
During the lockdown, her house had two trips due to overloaded electricity consumption.
After the prevention and control staff went to the old man's house to find out the problem, they sent her another power strip.
Wen Chao said that prevention and control workers visit the elderly living alone every day and ask them about their needs.
In addition, the prevention and control workers have also evacuated the sewers for the residents in the large courtyard, printed homework for elementary school students studying at home, sent pregnant women for maternity examinations, and delivered medicine to chronically ill patients... The people-oriented governance philosophy is reflected in these trivial matters. .
The grassroots anti-epidemic forces that should be inspected and separated
The car slipped back more than 3 meters while climbing the mountain!
On February 13, 2022, a rare heavy snow fell in Wufeng County, Yichang City, Hubei Province. Gao Ningzhou, a public health doctor at the Second Hospital of Wufeng County, needed to test nucleic acid for villagers who were quarantined at home.
The long road was slippery, and the driver who sent him to Gao Ningzhou put snow chains on the wheel in advance, but the car still could not climb the snow-covered mountain road.
After the car slipped, even the driver who had been on the mountain road for many years did not dare to drive forward. Gao Ningzhou could only walk to the villagers' homes.
It took him 3 hours to walk, and the thickest part of the snow was below his knees.
The villager Tan Minwei (pseudonym) who needs to be tested for nucleic acid is a seafarer. His freighter sails to Spain, the United States, Iraq and other countries all year round. Before returning to Hubei, he completed centralized isolation in Shanghai. After returning home, he still needs to be isolated at home for 7 days. Two nucleic acid tests must be completed within 7 days.
On January 8, 2022, at the press conference of the joint prevention and control mechanism of the State Council, Mi Feng, spokesman of the National Health and Health Commission, said that China's foreign defense import pressure has further increased, and we must continue to adhere to the principle of "external defense import, internal defense rebound". The strategy and the general policy of "dynamic clearing" are to ensure that all inspections should be carried out, every isolation should be separated, and every treatment should be done.
How to do it without compromise?
Gao Ningzhou, who works at the grassroots level, gave the answer with his practical actions.
Tan Minwei's home is located on the top of the mountain, and Gao Ningzhou, who decided to walk to it, can only go up step by step.
On the way to Gao Ningzhou, I fell a lot.
Gao Ningzhou was born in 1997 and just started working in 2019. The 25-year-old did not expect that his grassroots public health work would be so busy before he joined the job.
During the Spring Festival holiday this year, in order to carry out nucleic acid tests for the returnees from the village, Gao Ningzhou did not rest a day, and the same was true on the first day of the new year.
Due to the scattered places where the villagers live, Gaoning Prefecture can only collect nucleic acid samples from four or five people in one day.
When we arrived at Tan Minwei's house, it was already 1 pm.
Tan Minwei saw that Gao Ningzhou had walked such a long snowy road to test nucleic acid for himself, and said moved: "Thank you very much, now your work attitude is really good, and the national policy is really good. I have been to many countries. , I'm proud of my country's system."
my country's public health system, which Tan Minwei is proud of, is going through a big historical test starting in 2020.
At the beginning of 2020, the outbreak of the new crown pneumonia epidemic, this major public health incident since the founding of the People's Republic of China, is a severe test for our national public health system.
In order to fight the epidemic prevention and control battle, more than 40,000 medical staff resolutely went to Hubei, and many people embarked on the journey on New Year's Eve, when thousands of families were reunited.
Across the country, more than 4.6 million grassroots party organizations charged into battle, and more than 4 million community workers were on duty day and night in 650,000 urban and rural communities across the country...
"The greatness of a great country also has the weight of a great country. In the final analysis, it is a matter of thousands of households." This sentence of General Secretary Xi Jinping's New Year's message in 2022 is impressive.
The same is true for the prevention and control of the new crown pneumonia epidemic, which ultimately has to be settled in every household in the community and village.
The community is an important link in the prevention and control of the new crown pneumonia epidemic.
General Secretary Xi Jinping pointed out that there are two positions in the fight against the epidemic, one is the hospital's rescue and recovery position, and the other is the community's prevention and control position.
The key to persevering in the prevention and control of the epidemic depends on the community.
The public health committee of the village (resident) committee (hereinafter referred to as the "public health committee") is an important force for organizing the masses to participate in the community prevention and control work.
In July 2021, the Central Committee of the Communist Party of China and the State Council issued the Opinions on Strengthening the Modernization of Grass-roots Governance System and Governance Capability, requiring the empowerment of townships (subdistricts) to deal with emergencies and the enhancement of township (subdistricts) emergency management capabilities. Among them, strengthening the construction of public health committees Make clear demands.
In January 2022, the Ministry of Civil Affairs, the National Health and Health Commission, the State Administration of Traditional Chinese Medicine, and the National Bureau of Disease Control and Prevention jointly issued the "Guiding Opinions on Strengthening the Construction of Public Health Committees of Village (Resident) Committees".
Fu Wei, the supervisory commissioner of the grass-roots department of the National Health and Health Commission, once explained at the press conference of the joint prevention and control mechanism of the State Council that the establishment of a public health committee is essential to strengthening the grass-roots social governance system, improving the rural (community) public health system, and strengthening the prevention and control of epidemics in urban and rural communities. has a very important meaning.
As of January 2022, 24 provinces (autonomous regions and municipalities) across the country have promoted the construction of public health committees in village (resident) committees to varying degrees. Among them, Beijing, Guangdong, Anhui, Gansu and other provinces (cities) have The construction of public health committees has been comprehensively promoted throughout the province (city).
At a press conference held by the Shandong Provincial Government Information Office on March 23 this year, Mu Shanyong, deputy director of the Shandong Provincial Health Commission, introduced that at present, more than 60,000 village (resident) committees in the province have established public health committees. , has played a fundamental and irreplaceable role in normalized epidemic prevention and control and local epidemic disposal.
Strengthen the grassroots and build a strong public health system
A history of human civilization can be said to be the history of human struggle against plagues.
Major diseases such as smallpox, plague, and hemorrhagic fever all caused appalling deaths and devastation.
In the 21st century, with the expansion of human activities and frequent cross-border flows, the conditions for the rapid spread of pathogens to the world continue to develop. On average, one new infectious disease appears every year, which seriously threatens human health.
The currently spreading new crown pneumonia epidemic is the most serious infectious disease pandemic in the world since the 1918 influenza pandemic, and the most serious global public health emergency since the end of World War II. Its complexity and arduousness are unprecedented.
At the beginning of 2020, in the face of the sudden new crown pneumonia epidemic, the Party Central Committee coordinated the overall situation, made decisive decisions, and insisted on putting people's life safety and health first. It took about 3 months to win the battle of Wuhan and Hubei. The decisive result of the national epidemic prevention and control battle has achieved major strategic results.
On June 2, 2020, General Secretary Xi Jinping presided over a symposium of experts and scholars in Beijing and delivered an important speech.
He pointed out that the fight against the new crown pneumonia epidemic shows that my country's public health service system, medical service system, medical security system, drug supply security system, and major epidemic prevention and control and emergency management systems are generally effective, but there are also some weak links.
Among them, some are institutional and mechanism issues, some are policy implementation issues, and some are development issues.
Only by building a strong public health system, improving the early warning and response mechanism, comprehensively improving the prevention, control and treatment capabilities, weaving a dense protective net, and building a solid separation wall, can we effectively provide a strong guarantee for the maintenance of people's health.
He has repeatedly proposed that while doing a good job in epidemic prevention and control, we must take a long-term perspective, sum up experience, learn lessons, and pay close attention to the problems and deficiencies exposed in epidemic prevention and control.
In September of the same year, General Secretary Xi Jinping's speech at the forum of experts and scholars was published in the magazine "Seeking Truth" under the title "Building a Strong Public Health System to Provide Strong Guarantee for Safeguarding People's Health" (hereinafter referred to as "article"). .
Among the several issues mentioned in the article, the first is to reform and improve the disease prevention and control system.
The article pointed out that it is necessary to optimize and improve the functional setting of disease prevention and control institutions, and improve the national, provincial, municipal and county-level CDCs and various specialized disease prevention and control institutions as the backbone, medical institutions as the support, and grass-roots medical and health institutions as the bottom of the network. A disease control system that integrates military-civilian integration and prevention and control, and establishes a division of labor and cooperation mechanism for upper and lower linkages; it is necessary to strengthen the capacity building of national disease prevention and control institutions, strengthen their technology, capabilities, and talent reserves, and play a leading role; it is necessary to improve disease control institutions and urban and rural areas. Community linkage work mechanism, strengthen the disease prevention responsibilities of township health centers and community health service centers, and consolidate the grass-roots foundation for joint prevention and control.
At 10:00 on May 13, 2021, at No. 14 Zhichun Road, Haidian District, Beijing, the National Bureau of Disease Control and Prevention was officially listed.
According to Xinhua News Agency, the National Bureau of Disease Control and Prevention is a deputy ministerial-level agency under the management of the National Health Commission. It will be responsible for formulating policies for infectious disease prevention and control and public health supervision, guiding the construction of the disease prevention and control system, and planning and guiding the epidemic monitoring and early warning system. Construction, guide the construction of the disease control scientific research system, public health supervision and management, and infectious disease prevention and control supervision.
The establishment of the new institution means that the function of the disease control institution has changed from simply preventing and controlling diseases to comprehensively maintaining and promoting the health of the whole population. It can not only better respond to public health emergencies, organize and mobilize energy for prevention and control, but also adapt to health conditions. To develop new trends, and actively respond to the new needs of the people's healthy development.
Zhong Nanshan, an academician of the Chinese Academy of Engineering, analyzed in an interview with the media that the new crown pneumonia epidemic has exposed some deficiencies in China's public health system, and the establishment of the National Center for Disease Control and Prevention will make up for this shortcoming.
Zhong Nanshan said that the establishment of the new institution means that the prevention and control strategy is moved forward, which is conducive to the transformation from "treatment-centered" to "people's health-centered".
At present, my country's epidemic prevention and control situation is severe and complicated.
On March 18, at the press conference held by the State Council Information Office on the situation of strictly controlling the epidemic prevention and control work, Wang Hesheng said that the National Health Commission and the National Center for Disease Control and Prevention have responded to the recent local gatherings in some parts of the country. The epidemic situation, together with relevant departments, strengthen the prevention and control guidance for key areas of the epidemic, implement the requirements of "early detection, early reporting, early isolation, and early treatment", carry out prevention and control work in a strict and practical manner, and resolutely take more effective and targeted measures. We will strive to effectively control local clustered epidemics as soon as possible, and create a favorable environment for people's lives and economic and social development.
At the meeting, a foreign media reporter asked whether China's general policy of "dynamic clearing" will change in the first half of this year?
Wang Hesheng replied: Facts have proved that the practice of "dynamic clearing" is in line with China's national conditions and scientific laws. The way is right and the effect is good.
Although the prevention and control measures of "dynamic clearing" will have some impact on production and life in some areas, these impacts are short-term and limited in scope. It should be said that any prevention and control measures will have a certain price, but the same protection Compared with people's life safety and physical health, these costs are worth it.
China Youth Daily, China Youth Daily reporter Liu Changrong Source: China Youth Daily