The ninth edition of the New Coronary Pneumonia Prevention and Control Plan has been released, and people in low-risk areas do not need to be quarantined when going out across regions

　　The ninth edition of the New Coronary Pneumonia Prevention and Control Plan was released. People in low-risk areas do not need to be isolated and closely connected when going out across regions, and the isolation and control time for inbound personnel has been shortened to 7+3

On June 28, the National Health and Medical Commission issued the "New Coronavirus Pneumonia Prevention and Control Plan (Ninth Edition)".

　　The reporter noted that this is another important epidemic prevention-related plan that has been adjusted since the update of my country's new coronary pneumonia diagnosis and treatment plan in March this year.

　　Wu Hao, head of the National Health Commission's Community Prevention and Control Expert Group on New Coronary Pneumonia Epidemic and Dean of the School of General Medicine and Continuing Education of Capital Medical University, introduced in an interview with a reporter from the Beijing News that since December last year, my country has begun to face the Olympic Games. The challenge of the transmission of the Mikron variant has been deepened in more than half a year.

According to the characteristics of short incubation period, rapid spread and strong concealment of the Omicron variant, this version of the prevention and control plan has been revised in terms of the setting of the quarantine period, the delineation and management of risk areas, and nucleic acid antigen detection.

　　He also said that with the future changes in the new crown virus and epidemic situation, the prevention and control plan will be dynamically optimized and adjusted.

"It is necessary to prevent the epidemic and minimize the impact on production and life as much as possible."

　　Beijing News: On the afternoon of June 28, the State Council's Joint Prevention and Control Mechanism held a press conference.

　　According to Mi Feng, spokesperson of the National Health and Medical Commission, the comprehensive group of the Joint Prevention and Control Mechanism of the State Council released the full text of the "New Coronavirus Pneumonia Prevention and Control Plan (Ninth Edition)" on the official website of the National Health and Medical Commission on the 28th.

The plan fully implements the general strategy of "foreign defense against importation, internal defense against rebound" and the general policy of "dynamic clearing", aiming at the characteristics of Omicron variant strains, monitoring the epidemic situation, isolation management of risk personnel, and medium and high-risk areas according to the situation and situation. The delineation standards, etc. have been adjusted.

　　Mi Feng said that the ninth edition of the prevention and control plan is to optimize the prevention and control work, not to relax the prevention and control, the goal is to be more scientific and accurate.

On the morning of June 28, the comprehensive group of the Joint Prevention and Control Mechanism of the State Council held a national teleconference on epidemic prevention and control, emphasizing that all localities and departments should always tighten the string of epidemic prevention and control, strictly implement the ninth edition of the prevention and control plan, Resolutely manage those who live, resolutely implement what should be implemented, resolutely cancel what should be cancelled, and clean up inconsistent measures within a time limit.

The comprehensive group of the joint prevention and control mechanism of the State Council will send a working group to supervise the local implementation.

　　The revision of the prevention and control plan is mainly based on three considerations, including changes in the epidemic situation.

　　Lei Zhenglong, deputy director and first-level inspector of the National Health and Health Commission's Disease Control Bureau, introduced at the meeting that the National Health and Health Commission's revision of the prevention and control plan is mainly based on the following three considerations:

　　The first is the change of the epidemic situation.

At present, the new crown epidemic continues to spread around the world. The frequency of local epidemics has increased significantly since the beginning of this year, and the epidemic has affected a wide range of regions, especially the Yangtze River Delta, Pearl River Delta, Beijing-Tianjin-Hebei and border port cities. my country is facing increasing pressure from external defense imports and internal defense rebound, and the prevention and control situation is more severe and complex.

In the past month, the overall situation of my country's epidemic prevention and control has stabilized and improved. The number of positive infections has continued to decline, and the number of areas with epidemics has also decreased, creating a window period for optimizing and adjusting the prevention and control plan.

　　The second is to find the characteristics of virus mutation.

Omicron variants have become the dominant epidemic strains imported from abroad and local epidemics in my country. Research suggests that Omicron variants have a short incubation period, stronger virus transmission ability, faster transmission speed, and stronger immune evasion ability. The concealment of transmission is strong, which brings new challenges to epidemic prevention and control.

　　The third is to carry out pilot research in the early stage. According to the decision and deployment of the Party Central Committee and the State Council, the comprehensive group of the joint prevention and control mechanism of the State Council carried out a four-week period from April to May in seven cities including Dalian, Suzhou, Ningbo, Xiamen, Qingdao, Guangzhou and Chengdu. The pilot research work on optimizing the prevention and control measures of the new crown pneumonia epidemic.

　　At the same time, the prevention and control plan was revised based on the practice of prevention and control in various places, especially the experience in handling large-scale epidemics in Shanghai, Jilin and other places.

　　Optimize and adjust the time limit and method of risk personnel isolation management

　　Lei Zhenglong introduced that compared with the eighth edition of the prevention and control plan, the ninth edition of the prevention and control plan has been revised in three major aspects:

　　The first is to optimize and adjust the isolation management period and method of risk personnel.

Adjusted the isolation and control time for close contact and inbound personnel from "14 days of centralized isolation medical observation + 7 days of home health monitoring" to "7 days of centralized isolation medical observation + 3 days of home health monitoring", and the close contact control measures were changed from "7 days of centralized isolation medical observation + 3 days of home health monitoring". "Isolation for medical observation" was adjusted to "7-day home isolation".

　　The second is to unify the standards for the delineation of closed control areas and medium and high risk areas.

In the past, there were two types of risk area delineation standards, one for high, medium and low risk areas, and the other for closure, control, and prevention and control areas.

The ninth edition of the prevention and control plan connects the two types of risk area demarcation standards and prevention and control measures, integrates and uniformly uses the concepts of high, medium and low risk areas, and forms a new risk area delineation and control plan.

　　The third is to improve the epidemic monitoring requirements.

Encrypt the frequency of nucleic acid testing for risk occupational groups, and increase antigen testing in primary medical and health institutions as a supplementary means of epidemic monitoring.

At the same time, the plan clarifies regional nucleic acid detection strategies in different scenarios. For provincial capital cities, cities with a population of more than 10 million, general cities, and rural areas, the start and termination conditions of regional nucleic acid detection and corresponding nucleic acid detection strategies after the outbreak of the epidemic are clearly defined.

　　Focus 1

　　Does the shortening of the close isolation period mean that the prevention and control measures are "relaxed"?

　　As Omicron replaced the previous new crown variant as the main epidemic strain, according to its characteristics, whether the isolation time of relevant risk personnel should be adjusted has also been paid attention to by the industry.

　　Wang Liping, a researcher at the Communication and Prevention Division of the China Center for Disease Control and Prevention, introduced in an interview with a reporter from the Beijing News that from April to May this year, the comprehensive team of the Joint Prevention and Control Mechanism of the State Council carried out pilot research work on optimizing the prevention and control measures of the new crown pneumonia epidemic in selected regions across the country. The study found that the average incubation period of Omicron mutants was shortened, mostly 2-4 days; most of them could be detected within 7 days.

　　The virus incubation period is an important basis for setting the duration of isolation.

The reporter noticed that with the shortening of the incubation period of Omicron, some areas tried to make adjustments to the isolation period.

In May this year, Beijing issued measures to implement "10-day centralized isolation + 7-day home isolation" for close contacts, "7-day home isolation" for second-class personnel, and "10-day home isolation + 7-day health monitoring" for high-risk groups. Compress the previous quarantine period.

　　The ninth edition of the prevention and control plan has unified and clarified the isolation management of risk personnel.

The overall isolation and control time for close contact and entry personnel has been shortened by about half.

For the management of the second secret, the "7-day centralized isolation medical observation" was cancelled, and it was adjusted to "7-day home isolation medical observation", and nucleic acid testing on the 1st, 4th, and 7th days.

　　"The shortening of the isolation period can reduce the work pressure at the isolation point, enable the effective use of isolation resources, and help those who have been excluded from risk to return to normal life as soon as possible and relieve their psychological pressure." The National Health Commission's community prevention and control experts for the new crown pneumonia epidemic Wu Hao, group leader and dean of the School of General Medicine and Continuing Education, Capital Medical University, said.

　　Wang Liping said at the press conference that the adjustment of the quarantine period for inbound personnel and close contacts does not mean that the prevention and control measures are "relaxed", but the further optimization of prevention and control measures according to the epidemic characteristics of the Omicron variant. It will increase the risk of the spread of the epidemic, which is a manifestation of precise prevention and control.

Lei Zhenglong also emphasized that the ninth edition of the prevention and control plan is an optimization and adjustment of prevention and control measures. The key risks that should be kept under control, those that should be implemented, and those that should be cancelled should be resolutely canceled, further improve the scientific and precise nature of epidemic prevention and control, make full use of resources, improve the efficiency of prevention and control, and coordinate epidemic prevention and control and economic and social development.

　　Focus 2

　　Do people in low-risk areas need to be quarantined when they go out across regions?

　　Wu Hao introduced that previously, the delineation of high, medium and low risk areas was based on the number of confirmed local cases and the number of clustered epidemics to study and judge risks, while control areas and closed control areas were measures for prevention and control, and the two were independent. concept.

The ninth edition of the prevention and control plan integrates and unifies the two to form a new risk area delineation and control plan.

　　The ninth edition of the prevention and control plan makes it clear that if new infected persons are discovered during the closure and control period, the local joint prevention and control mechanism will organize risk research and judgment.

　　"The so-called "one area, one policy" means that if there are new cases in the risk area, it is not necessary to prolong the closure and control time of the entire area, but to make a more precise distinction. Avoid one person's infection and everyone's 'accompanying'." Wu Hao said However, this also tests the risk analysis and management capabilities of various places. Especially in large communities, it is necessary to strengthen the fine management of grid.

　　In addition, Lei Zhenglong introduced at the press conference that people in low-risk areas leaving the region or city where they are located should hold a 48-hour negative nucleic acid test certificate.

For people in low-risk areas who go out across regions, isolation and control measures are not required, but they are required to complete two nucleic acid tests within 3 days and conduct personal health monitoring.

　　After the outbreak of the epidemic in the county (city, district, banner) all medium and high risk areas are lifted, the county (city, district, banner) where it is located will implement normalized prevention and control measures.

　　Lei Zhenglong introduced that in the process of epidemic disposal, if individual cases and asymptomatic infected persons have a low risk of transmission to the place of residence, work place, and activity area, and the close contact personnel have been controlled in time, and it is judged that there is no risk of community transmission, then there is no risk of community transmission. Risk areas may not be delineated.

This can further improve the science and accuracy of epidemic prevention and control.

　　Focus 3

　　How should I deal with a positive nucleic acid test after discharge?

　　In the new version of the new crown diagnosis and treatment plan announced before, one of the most concerned revisions is to lower the threshold for discharge, and no longer use nucleic acid "negative" as the hard standard.

　　According to the diagnosis and treatment plan, the Ct value of N gene and ORF gene of two consecutive new coronavirus nucleic acid detections are both ≥35 (fluorescence quantitative PCR method, the threshold value is 40, and the sampling time interval is at least 24 hours), or two consecutive new coronavirus nucleic acid detection Negative (fluorescence quantitative PCR method, the threshold value is lower than 35, the sampling time interval is at least 24 hours), and those who meet the corresponding standards such as body temperature, respiratory symptoms, imaging, etc., can be discharged (released from isolation).

　　So, if the nucleic acid test is positive after discharge, what should be done?

　　The ninth edition of the prevention and control plan has classified regulations.

　　Among them, after the previously infected person is discharged from the hospital (cabin), the nucleic acid test of the respiratory specimen is positive. If there are no symptoms and signs and the nucleic acid test Ct value is ≥35, the management and determination of close contacts are no longer carried out; if the nucleic acid test Ct value is less than 35, combined with The course of disease, the dynamic change of Ct value, etc., can quickly assess the risk of transmission. If there is a risk of transmission, it will be managed according to the infected person, and the close contacts who have frequent contact with them, such as living and working together, do not need to be judged; if there is no risk of transmission, Management and identification of close contacts are no longer carried out.

　　If there are clinical manifestations such as fever and cough, or CT imaging shows that the lung lesions are aggravated, they should be immediately transferred to a designated medical institution for classified management and treatment according to the condition.

If the nucleic acid detection Ct value is greater than or equal to 35, it is not necessary to trace and control the close contacts; if the nucleic acid detection Ct value is less than 35, the close contacts who have frequent contact with them, such as living and working together, should be determined and controlled, and there is no need to determine the close contact .

　　Focus 4

　　How should regional nucleic acid screening be carried out?

　　Due to the rapid spread of Omicron and its strong invisibility, various places have taken different measures this year, including the wider use of regional nucleic acid screening.

　　The ninth edition of the prevention and control plan clarifies the frequency of regional nucleic acid screening based on differences in city size.

　　In provincial capital cities and cities with a population of more than 10 million, after the outbreak of the epidemic, according to the current research and judgment, the transmission chain is unclear, there are many risk sites and risk personnel, and the mobility of risk personnel is large. One nucleic acid test for all employees, after 3 consecutive nucleic acid tests without social infection, a nucleic acid test for all employees is carried out at an interval of 3 days. Those who have no social infection can stop nucleic acid testing for all employees.

　　In other areas where infected persons have frequent activities and stay for a long time, a certain area can be designated to carry out nucleic acid testing of all employees based on the flow investigation and judgment.

In principle, nucleic acid testing of all staff is carried out once a day, and if there are no social infections in three consecutive nucleic acid tests, nucleic acid testing of all staff can be stopped.

In the event of a widespread community-spreading epidemic across districts, the command will be raised, and the provincial joint epidemic prevention and control mechanism will decide whether to carry out nucleic acid testing for all employees across the city.

　　After the outbreak of the epidemic in general cities, it is judged by current research that the transmission chain is unclear, there are many risk sites and risk personnel, and the risk personnel are highly mobile. When the epidemic is at risk of spreading, the urban area of ​​the city where the epidemic is located will carry out nucleic acid testing for all employees every day. After 3 consecutive nucleic acid tests for people without social infection, a nucleic acid test for all employees is carried out at an interval of 3 days. Those without social infection can stop nucleic acid testing for all employees.

　　In areas outside the urban area, based on the flow investigation and judgment, a certain area is designated to carry out nucleic acid testing for all employees.

In principle, nucleic acid testing of all staff is carried out once a day, and if there are no social infections in three consecutive nucleic acid tests, nucleic acid testing of all staff can be stopped.

　　In rural areas, after the outbreak of the epidemic, according to the current research and judgment, the transmission chain is unclear, there are many risk sites and risk personnel, and the risk personnel are highly mobile, and when the epidemic is at risk of spreading, the natural villages involved in the epidemic, the location of the township government and the county where it is located, Nucleic acid testing of all staff is carried out once a day. After 3 consecutive nucleic acid tests without social infection, a nucleic acid test for all staff is carried out at an interval of 3 days. Those who have no social infection can stop nucleic acid testing for all staff.

　　When the epidemic spreads to many townships, based on the current investigation and judgment, the scope of nucleic acid testing for all employees will be expanded.

In principle, nucleic acid testing of all staff is carried out once a day, and if there are no social infections in three consecutive nucleic acid tests, nucleic acid testing of all staff can be stopped.

　　Focus 5

　　Which risk occupations are encrypted nucleic acid detection frequency?

　　Wang Liping said that the ninth edition of the prevention and control plan proposes to further strengthen monitoring and early warning in view of the faster spread and stronger concealment of the Omicron variant.

On the basis of normalized monitoring in the past, the frequency of nucleic acid testing for risk occupational groups has been encrypted.

　　Persons who have direct contact with inbound personnel, items, and the environment (such as cross-border transportation drivers, cleaning, maintenance personnel, personnel handling imported goods at ports, front-line personnel from customs and immigration management departments who directly contact inbound personnel and goods, etc.), centralized Nucleic acid testing is carried out once a day for staff in quarantine sites, as well as medical staff in fever clinics in designated medical institutions and general medical institutions.

　　Practitioners with dense working environment, frequent contacts and high mobility (such as express delivery, takeaway, hotel services, decoration loading and unloading services, transportation services, staff in shopping malls, supermarkets and agricultural markets, etc.) and general medical institutions except fever clinics Staff of other departments, etc., carry out nucleic acid tests twice a week.

After a local epidemic occurs, the frequency of nucleic acid testing should be increased according to the risk of epidemic spread.

　　The plan also added drug monitoring requirements.

When a local epidemic occurs, real-name registration is carried out for those who purchase antipyretic, cough, antiviral, antibiotics, colds and other drugs, and the drug users are urged to carry out testing in a timely manner.

　　A14-A15 Edition Written by Dai Xuan, reporter from Beijing News