How to ensure the orderly conduct of nucleic acid testing in multiple places?

  Recently, normalized nucleic acid testing has been implemented in many places.

How to ensure the orderly conduct of normalized nucleic acid testing?

How effective is the normalized nucleic acid detection?

"Xinhua Viewpoint" reporters followed up.

Several provinces carry out normalized nucleic acid testing and charge fees in some areas

  Since April this year, Shenzhen, Wuhan, Hangzhou and other places have successively implemented normalized nucleic acid testing.

At a recent press conference held by the Joint Prevention and Control Mechanism of the State Council, the person in charge of the Medical Administration and Hospital Administration of the National Health and Health Commission said that normalized nucleic acid testing is determined based on local epidemic prevention and control needs, and is mainly focused on those with higher risk of importation. Provincial capital cities and cities with a population of 10 million.

  The reporter combed and found that as of the beginning of June, Beijing, Shanghai, Hubei, Henan, Shanxi and other provinces and municipalities had implemented normalized nucleic acid testing, and the testing frequency ranged from 2 to 10 days.

At least 10 megacities with a population of over 10 million across the country have realized the normalization of nucleic acid testing.

  Early detection of the epidemic is the goal of implementing normalized nucleic acid testing in various places.

For example, the relevant announcement in Wuhu, Anhui stated that in order to further strengthen the "early detection" mechanism of the new crown epidemic, normalized nucleic acid testing should be done well; Shanxi Jincheng issued a notice saying that in order to further strengthen the "four early" mechanism of the new crown epidemic, the normalization of free nucleic acid testing was carried out. detection work.

  In places where nucleic acid testing is normalized, most of them implement a free policy, with financial support provided by the financial department.

Xu Guangjian, a professor at the Institute of Public Finance and Public Policy at the School of Public Administration of Renmin University of China, said that the government will carry out normalized nucleic acid testing free of charge for the entire population. First- and second-tier cities may be able to afford high costs, but small and medium-sized cities face greater financial pressure.

  On May 23, Longxi County, Gansu Province issued an announcement saying, "We advocate a weekly nucleic acid test for all people in the whole society at their own expense. If the nucleic acid test is not carried out on time, a code reminder will be given."

  On May 27, Langzhong City, Sichuan Province announced that after May 31, citizens must consciously conduct regular nucleic acid testing at their own expense once a week, at a cost of 3.5 yuan each time.

On the 29th, Langzhong City adjusted "voluntary testing" to "voluntary testing".

  On May 31, the person in charge of the Shanghai Municipal Health Commission revealed that the testing services at the normalized nucleic acid testing points in Shanghai will be free until June 30.

  According to a notice recently issued by the National Medical Insurance Administration and the Medical Rescue Group of the Joint Prevention and Control Mechanism of the State Council, for the large-scale screening and normalized testing organized by the government, testing institutions are required to provide services based on a multi-person mixed test no higher than 3.5 yuan per person. .

Build a 15-minute nucleic acid "sampling circle", there is a large gap in sampling personnel in some places

  In the corner of Wucai Square in Qionglai City, Chengdu, a movable "small house" is very conspicuous. This mobile and convenient nucleic acid sampling workstation can accommodate two medical staff for sampling work at the same time, and has no contact with the subjects during the whole process.

Outside the workstation, people come to nucleic acid testing from time to time, and the whole process only takes two or three minutes.

  Convenient sampling point layout is one of the important foundations for normalized nucleic acid detection.

The recent press conference of the Joint Prevention and Control Mechanism of the State Council has repeatedly mentioned the construction of a 15-minute nucleic acid "sampling circle".

  At present, a convenient "sampling circle" jointly woven by fixed sampling points, convenient sampling points and mobile sampling points is gradually taking shape in many cities, and the capabilities of sampling and inspection are gradually matching with it.

  Chen Jin, deputy mayor of Hangzhou, said that according to the standard of arriving within 15 minutes on foot and waiting in line for no more than 30 minutes, Hangzhou has set up more than 10,000 people in the city by means of party and mass service centers, pharmacies, health stations, and mobile sampling huts. sampling points.

  For many cities, normalized nucleic acid testing is a new work, and the pressure it brings is objective, as can be seen from the gap of nucleic acid sampling personnel in many places.

Henan plans to train 50,000 nucleic acid testing personnel within this year; Haikou recruits nucleic acid samplers from the society; Caofeidian District, Tangshan City urgently recruits nucleic acid sampling and testing volunteers...

  "The city now has a total of 62,000 sampling forces, and the number of sampling personnel deployed every day is more than 12,000." Chen Jin said that in addition to using medical personnel from public medical institutions, Hangzhou also mobilized private medical institutions and pharmacies, as well as factory doctors and school doctors. , Retired medical volunteers to enrich the sampling team.

  In order to build a 15-minute nucleic acid "sampling circle", various places are also actively exploring.

A variety of intelligent nucleic acid sampling workstations were launched quickly; multiple navigation software loaded with convenient nucleic acid sampling point navigation functions; launched nucleic acid point real-time queuing, running status and other small programs in many places.

  In the detection link, after more than two years of construction, my country's nucleic acid detection capabilities have been continuously improved, which can effectively complete large-scale nucleic acid detection tasks.

As of the end of May, my country's total nucleic acid detection capacity has reached nearly 90 million tubes/day.

  At the same time, problems such as untimely inspection, inaccurate reporting, and lax laboratory management have also occurred.

In order to standardize nucleic acid testing, the Joint Prevention and Control Mechanism of the State Council recently issued a notice to strengthen the supervision of the whole chain of nucleic acid testing of the new coronavirus, the management of the qualifications of testing institutions and personnel, the management of sample collection, storage and transfer, the supervision of nucleic acid testing institutions in emergency situations, and the management of nucleic acid testing institutions. The implementation of the withdrawal mechanism has put forward clear requirements.

  "At present, the development of normalized nucleic acid testing mainly relies on third-party testing institutions." The person in charge of a medical testing company in South China said that in the long run, with the gradual reduction of nucleic acid testing prices, small-scale and single-technology small third parties in the industry Medical inspection institutions will gradually be eliminated, and professional and large-scale third-party inspection institutions are more in line with social needs.

Normalized testing finds infected people in some low-risk areas to adjust the frequency of testing

  The reporter learned from the Wuhan Epidemic Prevention and Control Headquarters that after the Qingming Festival holiday this year, taking into account the large population flow, Wuhan followed the principle of "willingness to do all the inspections" and actively carried out a round of expanded nucleic acid testing in the city. 10.7 million residents voluntarily participated during the period.

  It was during this nucleic acid test that Wuhan screened a new case of local asymptomatic infection.

Through local rapid containment and multiple rounds of expanded nucleic acid testing, Wuhan City achieved zero new positive cases on April 19, and quickly achieved zero social coverage.

  Through normalized nucleic acid testing, a positive case of the new crown nucleic acid test was found in Xihu District of Hangzhou City on May 1 and promptly disposed of; Tonglu County found one case on May 6.

Due to the timely detection and proper handling, the epidemic did not spread, reducing the impact on the entire society.

  When Shenyang reported the situation of newly infected people on April 20, it also mentioned that 1 positive infected person was found in the normalized nucleic acid detection work.

  "The cost of normalized nucleic acid testing is not low, but compared with the economic and social costs brought about by fixed-point, high-intensity sealing and control, the cost of normalized nucleic acid testing is much smaller." Chen Jin said.

  The reporter observed that recently, according to changes in the epidemic prevention and control situation, some low-risk areas have reduced the frequency of normalized nucleic acid testing.

Hangzhou, Suzhou, Wuhan, Shenzhen and other places have been extended from the initial 48 hours to 72 hours; Jiangxi Fuzhou has changed the general population 3-day 1 inspection to 7-day 1 inspection; Jiangxi Xinyu has adjusted the previous general population 3-day 1 inspection to 10 days 1 inspection...

  It is the common expectation of all parties to strive to achieve the best prevention and control effect at the least cost, and to carry out the epidemic prevention work scientifically and accurately.

Experts said that the fundamental is to improve the city's ability to respond to the epidemic, enhance the city's "immunity", continue to promote scientific and technological breakthroughs such as vaccines, rapid detection reagents and drug research and development, optimize the allocation of medical software and hardware resources, and increase the redundancy of medical resources. .

  (Reporters Liao Jun, Hou Wenkun, Xiong Qi, Huang Xiao, Dong Xiaohong)

  Xinhua News Agency, Wuhan, June 8th.