The management measures for close contacts have been adjusted to "5-day centralized isolation + 3-day home isolation", close contacts are no longer judged, and medium-risk areas are no longer judged... These optimized measures for epidemic prevention and control policies have become the focus of public opinion in the near future.

On November 10, the joint prevention and control mechanism of the State Council announced twenty measures to optimize the prevention and control of the new crown pneumonia epidemic (hereinafter referred to as "twenty measures"). Ninth Edition) (hereinafter referred to as the "Ninth Edition of Prevention and Control Program").

　　Since the outbreak of the novel coronavirus in Wuhan in 2020, my country has issued a total of nine prevention and control plans.

Wang Liping, a researcher at the Chinese Center for Disease Control and Prevention, said that every adjustment of the epidemic prevention and control policy is very prudent, and the optimization of each measure has undergone repeated research, judgment and scientific demonstration. This is based on the huge population and the large number of vulnerable groups in my country , The total amount of medical resources is insufficient and the distribution is unbalanced.

Reducing the isolation time by 2 days can save about 30% of centralized isolation resources

　　Twenty measures require that for close contacts, the management measures of "7-day centralized isolation + 3-day home health monitoring" be adjusted to "5-day centralized isolation + 3-day home isolation", during which codes are assigned and management is not allowed to go out.

Chang Jile, deputy director of the National Bureau of Disease Control and Prevention, explained in detail the reasons for the modification of the epidemic prevention measures and the working mechanism at the press conference.

　　On January 8 this year, Omicron became popular in our country.

my country also began to formulate the ninth version of the prevention and control plan that month, and it took shape until March.

From April 5 to May 5, the ninth version of the prevention and control plan was piloted in 7 cities across the country.

"At that time, the main virus strains prevalent in our country were Omicron BA.1 and BA.2. The results of the pilot test showed that after the last exposure of the positive infected persons in close contact, the positive rate was 89.1% within 5 days, and 7 days was 89.1%. 97.3%." Chang Jile said, so the ninth edition of the prevention and control plan stipulates that the isolation time for close contacts is "7+3".

　　After the release of the ninth edition of the prevention and control plan on June 28, another evaluation was carried out in July and August.

At that time, the main popular strains in our country were Omicron BA.5, BA.5.2 and BA.2.76.

The evaluation found that 81.4% of close contacts tested positive within 3 days, 90.1% within 4 days, 94.5% within 5 days, and 99.7% within 7 days.

Based on these results, the isolation period for close contacts was further optimized to "5+3".

　　Chang Jile said that from "7+3" to "5+3", reducing the isolation time by two days can save about 30% of centralized isolation resources.

　　Regarding the reason why the close contact is no longer judged, Chang Jile explained that the evaluation found that the positive detection rate of the second close contact is very low, about 3.1/100,000, that is, there are 3 people in 100,000 people.

By timely identifying and controlling close contacts, the positive detection rate of secondary close contacts can be reduced.

"According to this situation, we can save a lot of service guarantee resources if we don't manage or judge the second close connection. When we introduce public policies, we need to choose the lesser of two evils, so we will no longer judge the second close connection."

　　Regarding the reasons for canceling the determination of medium-risk areas, Chang Jile said that since the outbreak in Wuhan in 2020, the delineation of risk areas in my country has been adjusted. It was originally called closed control area, control area, and prevention area. It was unified after the eighth edition of the prevention and control plan. These are called high-risk, medium-risk, and low-risk areas.

　　After the practical application of the ninth edition of the prevention and control plan and related evaluations, it was found that the positive detection rate in medium-risk areas was 3/100,000.

"There is a risk, but it is not big. At the same time, after the delineation of the medium-risk area, there will be more control personnel, which will also consume epidemic prevention personnel, so it is decided to cancel the medium-risk area." Chang Jile said.

Optimizing and adjusting prevention and control measures is not to relax prevention and control, let alone let go and "lie down"

　　Regarding the reasons for canceling the secondary close contact, Lei Haichao, deputy director of the National Health and Medical Commission, added at the press conference that the current epidemic prevention and control process is under great pressure in the flow adjustment, and the number of flow adjustment personnel is relatively insufficient.

To a certain extent, canceling the control of close contacts can better concentrate the energy and time of epidemiological investigators, and do a better job of investigation and risk control of risk areas and close contacts, so as to use less cost in the Control the epidemic to a minimum in the shortest possible time, and balance the relationship between epidemic prevention and control and economic and social development.

　　Lei Haichao emphasized that these adjustments and optimizations are based on scientific understanding and new results based on evidence-based research.

"This is not to relax, let alone 'lay flat', but to do a good job in our epidemic prevention, control and disposal work in a more precise and scientific way."

　　On November 10, the Standing Committee of the Political Bureau of the CPC Central Committee held a meeting to listen to the report on the prevention and control of the new crown pneumonia epidemic, and studied and deployed 20 measures to further optimize the prevention and control work.

The meeting pointed out that at present, the new crown virus is still continuously mutating, the global epidemic is still in an epidemic situation, new domestic epidemics are constantly emerging, and the epidemic in some areas is still on a certain scale.

Affected by the mutation of the virus and climatic factors in winter and spring, the scope and scale of the epidemic may further expand. The prevention and control situation is still severe. It is necessary to maintain strategic focus and scientifically and accurately do a good job in epidemic prevention and control.

　　According to a report from the National Health and Medical Commission, since November, the number of local confirmed cases of new coronary pneumonia in my country has continued to increase. Since November 8, the number of new local confirmed cases has exceeded 1,000 for 6 consecutive days (as of November 13).

In addition, the number of new local asymptomatic infections has also been at a high level this month, with 2,346 new cases on November 1 and 14,325 new cases on November 13, an increase of more than five times.

　　Facing the severe epidemic situation, the meeting of the Political Bureau of the Central Committee emphasized that it is necessary to fully, accurately and comprehensively implement the decision-making and deployment of the Party Central Committee, unswervingly adhere to the supremacy of the people and life, and unswervingly implement the general strategy of "foreign defense import, internal defense rebound" , Unswervingly implement the general policy of "dynamic clearing".

　　Lei Haichao said that in addition to the large base of vulnerable groups, my country currently has only 6.7 medical beds per 1,000 population, and less than 4 intensive care beds per 100,000 population. There are still many gaps between these indicators and developed countries. Yes, the total amount of medical resources is insufficient.

　　Therefore, the twenty measures also require strengthening the construction of medical resources, accelerating the storage of drugs related to the treatment of new coronary pneumonia, and strengthening the protection of key institutions and key populations.

Find out the base numbers of the elderly, patients with underlying diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection plans.

Intensify efforts to rectify the problems of "one size fits all" and "overweighting at every level"

　　On the day when the ninth edition of the prevention and control plan was released on June 28 this year, the joint prevention and control mechanism of the State Council held a press conference. The group, together with relevant member units, set up a special class to rectify the problem of "overweighting at every level". This special class is composed of the Ministry of Education, the Ministry of Industry and Information Technology, the Ministry of Transport, the Ministry of Agriculture and Rural Affairs, the Ministry of Commerce, the It is composed of the Health Commission, the General Administration of Customs, the State Administration for Market Regulation, and the State Post Bureau.

　　Cheng Youquan introduced that the special class to rectify the problem of "overweighting at layers" is mainly to deal with prominent problems such as simplification of epidemic prevention and control, "one size fits all" and "overweighting at layers".

The joint prevention and control mechanism of the State Council has required the joint prevention and control mechanisms at the provincial level to follow the structure of the special team of the comprehensive group of the joint prevention and control mechanism of the State Council, and set up a special team at the provincial level to rectify the problem of "overweighting at every level".

　　The newly issued 20 measures continue to clearly call for more efforts to rectify the problems of "one size fits all" and "additional measures".

Local party committees and governments must implement territorial responsibilities, strictly implement the national unified prevention and control policy, and strictly prohibit random closure of schools and classes, suspension of work and production, blocking of traffic without approval, random adoption of "silent" management, arbitrary closure and control, and prolonged closure , random suspension of clinics and other "layer-by-layer" behaviors, increase the intensity of notification and public exposure, and strictly pursue accountability in accordance with laws and regulations that cause serious consequences.

Give full play to the role of special classes for the rectification of "level-by-level overweight" problems at all levels, efficiently collect and transfer reporting clues, and urge local governments to make rectifications in place in a timely manner.

The Health and Health Commission, the Bureau of Disease Control, the Ministry of Education, the Ministry of Transport and other industry authorities have strengthened their supervision and guidance on the industry system, and increased the exposure of typical cases to effectively deter them.

　　In the process of implementing the twenty measures, how to avoid formalism and bureaucratic excessive prevention and control?

Lei Haichao responded that optimizing the formulation of policies is a very important part of the work, but what is more important is to organize and implement the optimized policies and measures.

Next, a series of measures will be adopted to promote the effective implementation of the twenty measures.

"All localities have set up special classes for the rectification of 'increasing weight at every level'. Every day, they actively and effectively respond to various problems reported by netizens and people in various places, and transfer them to relevant places for promotion and resolution."

　　It is understood that on the afternoon of November 11, the joint prevention and control mechanism of the State Council held a video conference. Vice Premier Sun Chunlan gave a detailed interpretation of the 20 measures at the meeting, and also provided guidance on the implementation of the 20 measures to all levels of epidemic prevention and control. The leading organs and relevant departments put forward corresponding work requirements: leading cadres must learn one step first and take the lead in mastering.

　　"Although the content of the twenty measures does not seem to be much, the ninth version of the plan has been optimized and adjusted in many places. During the implementation process, we need staff at all levels engaged in epidemic prevention and control to deeply understand and master the specific content. and related requirements." Lei Haichao said that on the afternoon of the 11th, the National Bureau of Disease Control and Prevention had arranged a corresponding video training session to intensively promote the understanding and thorough understanding of the 20 measures at the national level, and their implementation in various places.

　　China Youth Daily·China Youth Daily reporter Liu Changrong Source: China Youth Daily