Chinanews.com, January 20. According to the website of the National Health Commission, recently, the State Council’s Comprehensive Joint Prevention and Control Mechanism for the New Coronavirus Pneumonia Epidemic and the Central Rural Work Leading Group Office formulated the "Prevention and Control of New Coronary Pneumonia in Rural Areas in Winter and Spring" Work Program" (hereinafter referred to as "Program").
The "Plan" clarifies that returnees must return home with a valid negative result of the new coronavirus nucleic acid test within 7 days. After returning home, they will implement home health monitoring for 14 days. During this period, they will not gather or move, and carry out a nucleic acid test every 7 days.
Data map: An epidemic prevention and control checkpoint about 8 kilometers from Xiaoguozhuang Village, Gaocheng District, Shijiazhuang City.
Photo by China News Agency reporter Hou Yu
The "Plan" pointed out that recently, my country's sporadic cases and clustered epidemics in local areas have increased significantly, exposing problems such as lax prevention and control awareness, weak prevention and control capabilities, and difficulty in prevention and control in rural areas, especially those returning from rural areas during the Spring Festival. Increased and frequent gathering activities will increase the risk of the spread of the epidemic.
In order to further strengthen the leadership of rural grassroots party organizations in epidemic prevention and control, and to guide rural areas to scientifically and accurately prevent and control the new crown pneumonia epidemic in winter and spring, according to the "Guiding Opinions on Doing a Good Job in the Normalization of New Coronary Pneumonia Epidemic Prevention and Control", "Rural Regional New Coronary Pneumonia Epidemic Prevention and Control Work Plan" and other requirements, combined with the shortcomings and weaknesses in the recent rural cluster epidemic prevention and control work, this work plan is formulated.
Early prevention
Reduce personnel turnover.
Advocate non-necessary non-flow during the Spring Festival holiday, encourage colleges, universities, colleges, and enterprises to take a staggered holiday and start school. Staff engaged in the handling, transportation, storage and sales of imported goods should, in principle, take leave or work at the workplace.
Strictly control the entry and exit of personnel in areas with high-risk areas.
Reduce personnel gathering.
During the Spring Festival, all localities strictly control temple fairs, theatrical performances, exhibitions and sales promotion activities, reduce the scale and frequency of rural fairs, and control the flow of people in accordance with the principle of non-essential and non-organization.
Implement the requirements for the control of religious activities and venues, and strictly implement the epidemic prevention and control regulations.
Resident families do not hold gatherings such as dinner parties, publicize and advocate changing customs, persuade the peasants not to visit, gather, and go out less, and advocate "postponement of happy events, brief funerals, and no banquets."
For activities that are really needed, the scale is controlled to less than 50 people and a prevention and control plan is submitted to the local epidemic prevention and control headquarters for approval, and the village committee is responsible for supervising and registering the basic information of the participants and strictly implementing prevention and control measures.
Strengthen the management of returnees.
Returnees must return home with a negative result of a valid new coronavirus nucleic acid test within 7 days. After returning home, they will implement home health monitoring for 14 days. During this period, they will not gather or move, and carry out a nucleic acid test every 7 days.
All towns (streets) and administrative villages (neighborhood committees) implement a responsibility system, implement grid management of returnees, and do a good job in registration, health monitoring, and handling of abnormal situations.
Strengthen publicity and education.
Use traditional media and new media to carry out new crown pneumonia prevention and control knowledge and measures to promote, guide returning people to comply with epidemic prevention and control regulations, truthfully report personal trips, actively cooperate with health monitoring, and strengthen villagers to wash hands frequently, maintain indoor ventilation, and seal Wear masks and other hygienic habits in places to enhance the awareness of seeing a doctor and reporting immediately after symptoms such as fever, dry cough, sore throat, decreased sense of smell (taste), and diarrhea appear.
Early detection
Expand the scope of "all inspections to be inspected".
Include new inpatients and accompanying staff of county hospitals and township health centers, staff of medical institutions (including county hospitals, township health centers, village clinics, and individual clinics), and rural personnel who need to be investigated and assisted in inspections. , Carry out nucleic acid testing every week.
Timely carry out sample collection and nucleic acid testing.
Implementation of "township sampling, county testing", the township health center is responsible for nucleic acid testing sample collection and testing, the county-level health administrative department arranges for sample collection and testing, county hospitals, disease control centers or third-party testing The agency is responsible for nucleic acid testing.
Nucleic acid testing is included in the scope of local inspections.
Strengthen environmental and drug monitoring.
Nucleic acid tests are carried out in public places such as village clinics and individual clinics, farmer’s markets, villagers’ activity rooms, chess and card rooms, leisure and entertainment rooms, public restrooms, nursing homes, nearby airports and other public places every week, and household sampling tests are carried out regularly.
Rural pharmacies set up real-name registration accounts for the sale of anti-fever drugs and anti-infection drugs.
Early report
Suspicious patient report.
Village clinics and individual clinics should observe the patients after finding suspicious patients, and report to the township health center within 2 hours. The township health center is responsible for collecting samples and submitting for examination, and assisting in referrals.
Report to the township health center within 2 hours after the rural pharmacy finds the patients who have purchased anti-fever drugs and anti-infection drugs.
Nucleic acid test result report.
The testing agency will feed back the test results within 12 hours after receiving the sample, and the positive result should be immediately fed back to the sample delivery agency and the county-level health administrative department.
Direct reporting of infected persons online.
The medical institution shall report the confirmed cases and asymptomatic infections directly through the network within 2 hours, and the medical institutions without the conditions for direct network report shall immediately report to the disease control agency by telephone.
Early isolation
Quick response.
Township governments and village committees must immediately report to the county (district) joint epidemic prevention and control mechanism after discovering the epidemic, and transfer the infected person within 2 hours.
The county (district) joint epidemic prevention and control mechanism should quickly organize and dispatch epidemic analysis, epidemiological investigation, nucleic acid testing, medical treatment, environmental disinfection, community prevention and control and other work teams to carry out epidemic prevention and control, and conduct centralized isolation and designated medical institutions. Rescue and other work.
Township governments, village committees, and village doctors should actively cooperate in epidemiological investigations, tracing the source of infection, and control of people involved in the epidemic.
Implement closed management and control of natural villages.
The natural villages and households where confirmed cases and asymptomatic infections are found shall immediately implement closed management and control, and all residents shall conduct medical observation at home, standardize the establishment of village quarantine points, and implement measures such as temperature measurement, inquiries, registration, code scanning, and disinfection of personnel entering and exiting.
When the epidemic continues to spread, the newly discovered cases and asymptomatic infections are the center, and the activity trajectories of close contacts and close contacts of close contacts scientifically delimit the epidemic area.
Carry out epidemiological investigations and determine close contacts.
The county-level disease control agency should carry out epidemiological investigations under the guidance of the municipal disease control agency, and the health, public security, industry and information departments should cooperate together, and the township government, village committees and village doctors should actively cooperate to complete the epidemic within 24 hours. Scientific investigation and determination of close contacts.
Based on the communication big data, promptly investigate the outflow of personnel from the epidemic area and issue a notice for co-investigation.
At the same time, under the guidance of provincial and municipal experts, grassroots medical and health institutions cooperate with county-level disease control institutions to carry out traceability investigations of the epidemic.
Close contacts are managed in isolation.
The county government uniformly establishes centralized isolation places, and in principle conducts centralized isolation medical observation of close contacts and close contacts of close contacts, except in special circumstances.
The transfer of close contacts and close contacts of close contacts must be completed within 12 hours.
Those who do not have the conditions for centralized quarantine medical observation can take home medical observation, and strengthen the implementation of measures such as single-person quarantine, nucleic acid testing, and temperature monitoring by issuing notices, hanging public signs, and daily visits.
Natural villages separated from homes shall be managed in accordance with the requirements of centralized isolation sites.
Implement nucleic acid screening for all employees.
It is necessary to carry out nucleic acid testing for all employees in natural villages or epidemic areas where the epidemic has occurred, clarify the location of sample collection and nucleic acid testing points, effectively allocate teams, and carry out orderly by region and time period.
When necessary, organize multiple nucleic acid screenings to eliminate potential risks.
Establish an information platform.
The county government establishes an information sharing platform consisting of testing agencies, emergency centers, disease control agencies, public security agencies, designated hospitals, centralized isolation sites, etc., interconnects with provincial platforms, clarifies the responsibilities and workflows of departments and agencies, and shares nucleic acid testing in real time Information on positive persons, big data information on activity trajectories, close contacts and close contact information and management status of close contacts, etc., coordinate the development of epidemiological investigations and close contact tracking management.
Carry out environmental elimination.
Township governments and village committees should set up special duty officers to be responsible for the elimination of key public places prone to the spread of the epidemic, such as urban-rural fringe areas, nearby airports, and public toilets.
The entire chain of actions of confirmed and asymptomatic infected persons will be completely eliminated.
Domestic garbage shall be disinfected and transported out for centralized treatment, and garbage generated by quarantined personnel shall be centralized disinfected, sealed, and processed by relevant departments.
Early treatment
Find suspicious patients as early as possible.
Formulate guidelines for the admission of fever patients in primary medical and health institutions and individual clinics, strengthen the pre-examination and triage and the responsibility system for the first consultation, and focus on recent returnees who have fever, dry cough, sore throat, reduced smell (taste), diarrhea, etc. For patients with clinical symptoms, strengthen epidemiological history consultation, nucleic acid testing and early identification of suspicious cases.
Referral for suspicious patients.
County hospitals should standardize the establishment of fever clinics and observation rooms; qualified township health centers should set up fever clinics (or clinics), and township health centers, village clinics and clinics that do not meet the requirements should have special rooms for suspicious patients. Be isolated.
Township health centers, village clinics, and clinics should report to the county-level health and health administrative department immediately after finding a suspicious patient.
The county-level health administrative department arranged a negative pressure ambulance to transfer the patient to the county hospital for treatment within 2 hours.
If there is no negative pressure ambulance when using an ordinary ambulance, pay attention to the protection of the driver and medical personnel.
Township governments and village committees should assist in providing transshipment services.
Standardize treatment.
If the county hospitals have the conditions for admission, the confirmed cases and asymptomatic infections shall be admitted in a centralized manner, and homogenized and standardized treatment shall be implemented according to the diagnosis and treatment plan.
County hospitals do not have the conditions for admission and treatment, and severe cases that can be transferred must be admitted to designated hospitals at the prefecture and city level.
Strictly prevent and control hospital sense.
The main person in charge of the county hospital is the first person responsible for the prevention and control of nosocomial infections. Special personnel should be designated to be responsible for the prevention and control of nosocomial infections in the hospital and all medical institutions in the medical community, carry out training for all staff, and implement standard protective measures.
All personnel entering medical institutions must wear masks, measure body temperature, and present health codes or other health certificates.
It is necessary to optimize the diagnosis and treatment process, do a good job in the flow of people and logistics control, and reduce the gathering of people.
When medical institutions such as township hospitals do not meet the above conditions, they must eliminate the environment and equipment as soon as possible after receiving suspicious patients with new coronary pneumonia to prevent cross-infection.
The provincial and municipal health and health administrative departments should organize hospital infection prevention and control experts, organize several inspection teams, and conduct regular inspections and guidance to medical institutions in the county, covering county hospitals, primary medical and health institutions, village clinics and Clinic etc.
County disease control agencies should guide medical institutions to isolate close contacts and environmental elimination after the outbreak.
Strong guarantee
Organizational leadership.
The county-level epidemic prevention and control command system must maintain an emergency state, implement a 24-hour shift, and strictly implement the "daily report" and "zero report" systems.
Implement the territorial responsibilities of the party committee and the government, the responsibilities of industry department heads, the main responsibilities of units, and the responsibilities of individual and family self-management.
Give full play to the role of the county and village three-level prevention network, establish a three-level subcontracting mechanism of “county-level leaders subcontract townships, township officials and village officials, and village officials and households” to implement township officials, village officials, public security officials, and village officials. The "five guarantees and one" responsibility system for township medical workers and grid staff.
Give full play to the role of the medical community and medical consortium, the county and township shall implement the regional prevention and control tasks of the county-level medical and health institutions for epidemic prevention and control, and the township shall implement the village and township health centers.
Improve the rural public health committee and organize villagers to do a good job in the prevention and control of epidemics in winter, spring and Spring Festival.
The rural grassroots party organizations should effectively assume the leadership responsibilities for epidemic prevention and control, strengthen supervision and inspection, give full play to the role of the village’s “two committees”, first secretaries, village cadres and rural party members, and organize and mobilize groups such as the Communist Youth League and the Women’s Federation. , Ethics Council, Red and White Council, leading agricultural industrialization enterprises, farmer cooperatives and the general public to carry out mass prevention and mass control, and implement various prevention and control measures.
Capability guarantee.
Strengthen technical training in sample collection, nucleic acid testing, epidemiological investigation, environmental disinfection, etc. for county and village three-level professionals.
Strengthen the construction of sampling and nucleic acid testing capabilities of medical institutions and disease control institutions, and ensure that at least one institution in the county has nucleic acid testing capabilities by deploying mobile testing forces or purchasing third-party testing agency services.
The county-level people's government should reserve 100 isolation rooms for one infected person, and the prefecture (city, prefecture) people's government should coordinate the centralized isolation rooms in the area to deal with the need for large-scale isolation of people.
Centralized isolation sites must meet the requirements of relevant standards, and be equipped with anti-epidemic materials such as staff and vehicles, disinfectants, and isolation clothing.
Counterpart assistance.
If the city’s tertiary hospitals have formed a medical consortium with county hospitals, the provincial and municipal health administrative departments must supervise the city’s tertiary hospitals to strengthen comprehensive support for county hospitals, and dispatch personnel for management, medical care, nursing, testing, and hospitality Stationary guidance, especially during the Spring Festival, should be strengthened on duty.
If the county hospital has not established a medical consortium with the city’s tertiary hospitals, the provincial and municipal health and health administrative departments must designate tertiary hospitals to package tablets in counties, and strengthen the guidance to county hospitals in accordance with the delineated scope of responsibility.
Through the counterpart assistance of the city's tertiary hospitals, the ability and level of hospital infection prevention and control, nucleic acid testing, and medical treatment of medical institutions in the county will be improved.
Material security.
The provincial and prefecture-level people's governments should refine emergency response plans, carry out training exercises involving multi-sectoral participation level by level, and make preparations for reinforcement of epidemic prevention and control in rural areas.
The people's governments at the county level and above are responsible for financial support and material guarantee for epidemic prevention and control and emergency response, and implement preparations for production and living security for regional management and control after the outbreak.
Township governments and village committees should prepare protective materials in advance based on the administrative village.
All localities must effectively supply agricultural products to meet the living needs of rural residents, and include agricultural products such as grain, oil, vegetables, meat, eggs, milk, and aquatic products into the scope of daily necessities during the epidemic prevention and control period.
Implement the "green channel" policy for the transportation of fresh agricultural products, urge all localities to maintain the normal market circulation order, and ensure the smooth production and marketing of agricultural products.
While focusing on epidemic prevention and control, scientifically and rationally arrange the production of important agricultural products such as vegetables, meat, eggs, milk, and aquatic products, strengthen field management of crops, and ensure the smooth flow of agricultural production materials. Do not use epidemic prevention as an excuse to intercept agricultural transportation vehicles.
Supervise and inspect.
All localities must deploy in advance in accordance with the requirements of the work plan, with individual responsibilities, and include the prevention and control of the new crown pneumonia epidemic into the assessment content of governments at all levels.
The Agricultural Affairs Office of the Party Committee should actively play the role of overall planning and coordination to guide rural areas to do a good job in epidemic prevention and control, agricultural production, and agricultural product supply guarantee.
It is necessary to organize and carry out special supervision work for the prevention and control of the new crown pneumonia epidemic during the Spring Festival, make the prevention and control of the epidemic in rural areas the key content of the supervision, supervise and guide all regions to investigate risk loopholes, make up for shortcomings, and ensure timely rectification.
Serious accountability for non-accountability, omission, misconduct, dereliction of duty and other violations of laws, regulations and disciplines in the work.
The "Plan" stated that all provincial-level joint prevention and control mechanisms should be based on actual conditions, formulate work plans for the prevention and control of epidemics in rural areas in winter and spring in the region, and report to the State Council's Joint Prevention and Control Mechanism Comprehensive Team for record.