Local policies and measures are not synchronized or connected or leave blind spots for imported case prevention and control

Closed-loop management to prevent foreign input

● Strengthening the prevention and control of imported cases abroad has become the top priority of epidemic prevention and control at this stage. As long as it is a natural person who enters China, it must comply with China's epidemic prevention and control regulations.

● Asynchronous epidemic prevention policies and measures are not synchronized and not connected, it may leave blind spots in the prevention and control of imported cases, and may also lead to multiple prevention and control in various places and lack of unified deployment. As a result, grass-roots epidemic prevention personnel missed each other and let the virus find their way out.

● Through stricter screening, stricter centralized management, stricter closed-loop connection, and further tightening, weaving, and weaving the prevention and control network, we can achieve "one hundred secrets" without "one dredge".

Our reporter Wang Yang

Reporter Zhang Shoukun

Late at night on March 21, Mr. Chen walked out of the Shanghai Hongqiao Airport terminal. Thinking of the experience of returning home, he took a long breath.

Mr. Chen has been working in Thailand. In March, the domestic epidemic eased significantly, and Mr. Chen decided to go to Nanning, Guangxi to contact the business. When purchasing tickets online, he learned that according to the current regulations of Guangxi, personnel arriving outside Nanning need to stay in a designated hotel for centralized medical observation for 14 days, during which they will pay for their own room and board. When Mr. Chen was struggling with whether to return to China, a friend reminded him that the immigration isolation policies and measures in different provinces and cities across the country were not exactly the same. Mr. Chen searched on the Internet and found that several provinces and cities did not have isolation requirements for Thai entry. So, Mr. Chen bought the ticket as fast as possible and boarded the flight from Bangkok to Shanghai. After entering China, after more than 3 hours of inspection, Mr. Chen left the Shanghai Hongqiao Airport terminal by himself.

An interview with the "Legal System Daily" reporter learned that the number of immigrants in various parts of China is still increasing, and the prevention and control of imported cases abroad has become the top priority of epidemic prevention and control at this stage.

Some experts believe that it is necessary to resolutely curb the spread of the epidemic through the ports of entry in accordance with the requirements of the Frontier Health and Quarantine Law, the Law on the Prevention and Control of Infectious Diseases, and the International Health Regulations formulated by the World Health Organization. In addition, preventive control measures for immigrants should be uniformly deployed across the country to avoid blind spots in prevention and control due to unsynchronized and incompatible epidemic prevention policies and measures.

A surge in overseas imported cases

Different bull control standards

After two and a half months of national war, China's epidemic prevention and control has achieved certain results, and there have been no new confirmed cases in many places across the country for many days. On March 12, the National Health and Medical Commission announced that the peak of the current round of epidemic in China has passed, and the epidemic remained generally low.

At present, overseas imports are showing a rapid growth trend and have become the main source of new cases in non-Hubei regions. According to the official website of the National Health and Health Commission, as of 24:00 on March 24, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps have reported a total of 474 confirmed imported cases abroad, involving Beijing, Shanghai, Tianjin, Chongqing, Gansu, Guangdong, Zhejiang, Ningxia, Henan, Shandong, Yunnan, Guangxi, Shaanxi, Sichuan, Heilongjiang, Fujian, Liaoning, Jiangxi, Jiangsu, Hebei, Jiangxi, Inner Mongolia, Jilin, 23 provinces (autonomous regions, municipalities).

This means that while the number of overseas imported cases has increased, the coverage of provinces has also expanded.

However, whether or not immigrants need to be uniformly separated is not yet fully unified in China. Whether to quarantine or not is basically determined by the provinces and cities.

After reviewing the immigration policies and measures of various provinces and cities, the reporter of the "Legal System Daily" found that the criteria for whether immigrants need isolation are mainly divided into the following three categories:

In the first category, quarantine is performed regardless of the country you have visited before entering the country. For example, Jiangsu Province has implemented centralized medical observation for all immigrants for 14 days since March 23 (home medical observation can be implemented if conditions permit). Beijing has adopted stricter immigration measures since March 25. It is not suitable for centralized observation for elderly people over 70 years of age, minors under 14 years of age, pregnant women, and suffering from basic diseases. Personnel must also go to a centralized observation point for nucleic acid testing, and then transfer to home observation after passing the test. In addition, those who enter Beijing from other ports within 14 days, take a plane or train into Beijing, and must arrive in time after arriving at the station The meeting point set up at the scene (each area has a corresponding meeting point at the scene) to cooperate with the transfer.

In the second category, persons with a history of sojourn in a severely infected country or region prior to entry need to be quarantined. Guizhou Province stipulates that for those returning to Guizhou from key epidemic areas and those who have lived in key epidemic areas within 14 days, all of them will implement centralized medical isolation for 14 days, and carry out nucleic acid testing and chest CT examinations.

The third category is the need for quarantine before entry into the country or region with a history of travel. For example, Hainan Province requires that since March 16, all overseas Qiong personnel who have a history of travel in the country or region where the epidemic occurred in the past 14 days are transferred to the Qiongkou port in principle (Haikou, Sanya, Qionghai, Dongfang ) Medical observation points set up for 14 days of centralized medical observation, at your own expense.

In some provinces, in addition to quarantine people from countries or regions with a severe epidemic situation within 14 days, health surveillance and prevention and control management are also required for people or immigrants from high-risk countries or regions. For example, Shanghai stipulates that 100% boarding and quarantine will be implemented for flights from non-key countries, 100% temperature monitoring, 100% epidemiological investigation, 100% health declaration card review, % New crown virus nucleic acid detection, etc.

In addition, the reporter of "Legal System Daily" found that in some provinces, there is no clear stipulation on whether to follow the isolation policy measures of the final destination after transit from other places.

A few days ago, a woman in Chongqing refused to quarantine and quarreled with the epidemic prevention personnel, causing heated discussions on the Internet. The reason was that the woman wanted to fly from Thailand to Shanghai and then fly back to Chongqing from Shanghai. According to the rules of Shanghai Hongqiao Airport, she does not need to be home or centralized isolation; but when she arrived in Chongqing, she was told that 14 days of centralized isolation was required. The woman believed that she was not the subject of quarantine and had a dispute with the epidemic prevention staff.

There are many similar things caused by the misunderstanding of immigrants about the vaccination policy measures.

Some commenters said that asynchronous policies and measures are not synchronized and not connected, it may leave blind spots in the prevention and control of imported cases. It may also result in multiple prevention and control in various places and lack of unified deployment. As a result, the grass-roots epidemic prevention personnel lost sight of each other and let the virus find out.

Deng Liqiang, director of the Legal Affairs Department of the Chinese Medical Doctors Association, told the reporter of the Legal Daily that according to the Law on Prevention and Control of Infectious Diseases, as long as it is a natural person entering China, it must comply with China's regulations on epidemic prevention and control. "Because the epidemic of new crown pneumonia continues to spread globally, all immigrants are required to be quarantined for 14 days. Limiting the scope of immigration activities is conducive to reducing the reach of diagnosed patients, reducing the number of close contacts, and preventing importation. Cases cause infection in a wide range of people. "

Comprehensive judgment based on epidemic situation

Divide the extent of overseas risks

It is worth noting that for the countries with severe outbreaks and key countries mentioned in the isolation policy measures of various provinces, the reporters of the Legal Daily did not find clear basis and standards for division from the official data.

However, according to recent announcements issued by the Ministry of Culture and Tourism and the Ministry of Foreign Affairs, Italy, Spain, France, Germany, the United States, Switzerland, the United Kingdom, the Netherlands, Sweden, Norway, Denmark, Austria, Belgium, Iran, South Korea, etc. are listed as high-risk countries .

The reporter of "Legal System Daily" combed and found that the countries with severe outbreaks listed in the provinces with a history of travel in a severely infected country within 14 days as a necessary condition for centralized isolation or home observation would include these countries.

According to the requirements of the Guiding Opinions on the Scientific and Precise Prevention and Control Strategies for the Prevention and Control of the New Coronary Pneumonia Epidemic Situation issued by the State Council ’s Joint Prevention and Control Mechanism, localities have divided the epidemic risk levels by counties (cities, districts, and flags). Taking Shanxi Province as an example, its low-risk area is defined as an area with no confirmed cases or no new confirmed cases for 14 consecutive days. The medium-risk area refers to the area where the cumulative number of confirmed cases does not exceed 50 and there are new confirmed cases within 14 days; or the area where the cumulative number of confirmed cases exceeds 50 and no cluster outbreak has occurred within 14 days. The high-risk area refers to an area where there are more than 50 confirmed cases with a clustered outbreak within 14 days.

The reporter of "Legal System Daily" combed and found that the comprehensive diagnosis of high-risk countries has been included in the Ministry of Foreign Affairs, Culture and Tourism, and the classification of overseas risks should also be based on the comprehensive diagnosis of new cases of pneumonia, the distribution of clustered epidemics and the epidemic trend. Divided.

Strict screening and centralized management

Weaving tightly to prevent and control the network

As the number of immigrants continues to increase, good anti-epidemic policies and measures are the key to strictly preventing foreign imports.

Recently, at the press conference of the joint prevention and control mechanism of the State Council, Lin Wei, director of the Health and Quarantine Department of the General Administration of Customs, stated that the customs implemented 100% inspection and health declaration for all entry-exit personnel, comprehensively carried out temperature monitoring and screening, and strictly implemented medical inspections. For those who have symptoms, either from countries or regions with severe epidemics, or those who have been in contact with confirmed or suspected cases, strict epidemiological investigations, medical investigations, and laboratory tests are performed.

But as far as the current situation is concerned, these alone cannot deal with all imported cases abroad. According to the overseas imported cases reported by Beijing and other places, a considerable number of immigrants did not have obvious symptoms such as fever and cough when they entered the country, and they experienced discomfort during the isolation process or after returning home. The nucleic acid test was positive.

Wu Zunyou, chief expert of epidemiology at the Chinese Center for Disease Control and Prevention, said that for asymptomatic infections, there should be several lines of defense when preventing importation. "The first line of defense is a port. Through temperature detection, the first line of defense can screen about one-third of cases; the second line of defense is a 14-day observation and can track nearly two-thirds of cases; the third The line of defense is a continuous observation of returning to the residence after 14 days of quarantine. These three lines of defense can play a protective role in preventing the re-epidemic of imported cases. "

Chen Bei, deputy secretary-general of the Beijing Municipal People ’s Government, emphasized at a recent press conference that through stricter screening, stricter centralized management, stricter closed-loop connection, and further tightening, weaving, and weaving of prevention and control networks, In order to achieve "one hundred secrets" without "one sparse".

Heilongjiang's prevention and control measures can be used as a reference. Heilongjiang Province requires all personnel who enter from Beijing to Heilongjiang Province, and the provincial, city (prefecture) pick-up working group is responsible for the registration of personnel information, and guides them to complete the commitment letter, apply for the "Longjiang Health Code" and set it to "Red Code". After the information is sorted out, it will be pushed to the relevant city (prefecture) headquarters. It is strictly forbidden for immigrants to return by themselves. After arriving in Heilongjiang Province from Beijing, the person who arrives at the city (prefecture) headquarters is responsible for transferring to the designated place for centralized medical isolation for 14 days. Nucleic acid testing is required before the isolation is lifted. Those with special risks and those who have symptoms during quarantine will be transferred to designated medical institutions for further investigation and diagnosis.

Some commented that the prevention and control measures in Heilongjiang Province not only coordinated and coordinated public resources, but also ensured that there were no loopholes in the entire process of entry.

On March 5, Deputy Foreign Minister Ma Zhaoxu said that in response to the epidemic, China will treat foreign citizens and Chinese citizens equally and implement them without discrimination. "Under the current situation, various localities in China have adopted relevant inspection and quarantine and prevention and control measures for people from countries or regions with severe epidemics after entering the country in accordance with laws and regulations, according to local epidemic prevention and control needs, and taking into account the development of international epidemics. Local practices are determined by local needs, such as measuring body temperature, staying at home for 14 days, or focusing on observation. "

Lin Hongchao, director of the China University of Political Science and Law's Emergency Management Law and Policy Research Base, also believes that for the isolation method after entry, local governments should be allowed to adjust space. For example, home or centralized medical observation can be selectively applied. On the one hand, the number of immigrants in each place is different, and the pressure they face is different; on the other hand, the level of public resources and management capacity is also different in each place.

Our newspaper, Beijing, March 25