It has been more than half a month since the announcement of the 20 measures. During this period, the epidemic situation in my country is severe and complicated, and the prevention and control work is facing considerable challenges.
After the announcement of the 20 measures, as of November 25, the joint defense and joint control mechanism of the State Council held a total of 3 press conferences, two of which studied and judged the current epidemic situation in our country. City.
According to the news released by the National Health and Medical Commission, from 0 to 24:00 on November 27, there were 40,052 new local cases of new coronary pneumonia infection across the country.
Recently, the local epidemic situation across the country has shown a severe and complicated situation with a wide range of transmission, multiple transmission chains, and the spread of the epidemic.
"Like Guangzhou and Chongqing, due to the large population size, strong mobility of personnel, concentration of key places such as universities, and many personnel gathering activities, the risk of epidemic spread and the difficulty of prevention and control have been exacerbated." On November 22, the National Bureau of Disease Control and Prevention Hu Xiang, the second-level inspector of the Communication and Defense Department, said at the press conference of the State Council's joint defense and joint control mechanism.
Data from the past week shows that both Guangzhou and Chongqing are provinces with a large number of infections.
From November 17 to 23, there were about 66,000 new infections in Guangzhou and about 41,000 new cases in Chongqing.
The continuous outbreak of the epidemic has brought adverse effects on the lives and health of the people and the economic development of the country. The twenty measures after in-depth research and demonstration are precisely to protect the lives and health of the people to the greatest extent and minimize the impact of the epidemic on the economy. impact on social development.
It is understood that the National Health Commission and the National Bureau of Disease Control and Prevention have sent 15 epidemic prevention and control working groups to various places. On this basis, they have strengthened video conference guidance and point-to-point scheduling, and continued to strengthen guidance on epidemic disposal in key provinces. Fast and fast, resolutely control the spread of the epidemic, and ensure that the 20 optimization measures are implemented in place and effective.
With dense buildings and narrow lanes, the virus can easily cause aerosol transmission
"On October 22, the sudden new crown virus swept Haizhu (district), which was the most complicated and severe epidemic in Guangzhou's three-year fight against the epidemic." On November 9, Haizhu District, Guangzhou City, in a letter to the general public wrote.
On November 22, there were 8,181 new local cases of new coronavirus infection in Guangzhou, of which 7,988 were newly infected in Haizhu District, which is still the central area of this round of epidemic.
Haizhu District is a relatively densely populated urban area, and some areas have a permanent population of more than 100,000 within an area of about 1 square kilometer.
Zhang Zhoubin, Secretary of the Party Committee of the Guangzhou Center for Disease Control and Prevention, said in an analysis of the epidemic situation in Haizhu District that it was largely due to the rapid spread and strong concealment of the Omicron mutant strain, and the fact that the virus survived under the environmental conditions of dense buildings and narrow alleyways. It is very easy to cause aerosol transmission; the extremely high population density also provides a suitable environment for the rapid spread of the virus.
The current round of the epidemic in Chongqing is also facing the problems of dense population and difficult control.
The central urban area with a permanent population of 11 million is the main battlefield of this round of epidemic in Chongqing.
On November 24, at a press conference on Chongqing's epidemic prevention and control work, Qiu Jingfu, dean of the School of Public Health of Chongqing Medical University, said that since the outbreak of this round of epidemic in Chongqing on November 1, it has spread rapidly and spread widely. The number of new infections remains high, the epidemic situation is extremely severe, and prevention and control are extremely difficult.
Qiu Jingfu said that through the analysis of some rheology data and some positive nucleic acid results, it was found that the current round of epidemic strain Omicron BA5. Infect a large number of people quickly.
There are also certain difficulties in personnel management in this round of epidemic.
On November 21, Li Pan, deputy director of the Chongqing Municipal Health Commission, said at a press conference that the survey results showed that some citizens had unprotected close contact in buildings, communities, and communities and violated the epidemic prevention regulations when going out.
For example, gathering, chatting, playing ball, playing mahjong, etc. in the community, staying downstairs for a long time during the nucleic acid test and not returning home, going shopping in violation of the "two points and one line" regulations and overtime phenomena are more prominent, and there are transit points for living materials in some communities The situation of residents gathering together to pick up their parcels, and at the same time, some citizens' personal protective measures are not in place when they go out for activities, especially the phenomenon of irregular wearing of masks is more prominent. These are the important reasons for the high number of new infections in this round of epidemic. reason.
On November 24, the Guangzhou epidemic prevention and control press conference reported that in some epidemic prevention and control areas recently, some people moved water barriers and went out without authorization; Card, out of the control area, suspected of violating national laws and regulations on epidemic prevention and control.
"These irrational behaviors obviously increase the risk of cross-infection and the spread of the virus." Xu Xin, director of the Propaganda Department of the Command Center of the Guangzhou Public Security Bureau, said.
The joint prevention and control of the State Council requires the improvement of the medical capacity and service guarantee level of the shelter
Most of the people infected in this round of the epidemic in my country are mild cases and asymptomatic infections. According to relevant requirements, these infected people need to be isolated and treated in the shelter hospital.
On November 22, Yinglong Fangcang Hospital, the largest shelter hospital in Chongqing, was put into use and is speeding up the timely admission of patients.
Yinglong Fangcang Hospital has a construction area of about 400,000 square meters and is a floor-type three-dimensional shelter.
The entire Yinglong Fangcang Hospital is divided into two districts, A and B, with a total of 6 independent three-dimensional buildings, each of which is led by six Chongqing municipal hospitals as "support hospitals".
Each shelter has five floors above and below, and each floor is equipped with about 800 beds, with a total of more than 26,000 beds designed.
Twenty measures require strengthening the construction of medical resources.
Formulate hierarchical and classified diagnosis and treatment plans, hospital admission standards for infected persons of different clinical severity, epidemic outbreaks in various medical institutions and infection treatment plans for medical staff, and do a good job in training for all medical staff.
Make preparations for inpatient beds and intensive care beds, and increase treatment resources.
On November 17, Guo Yanhong, director of the Medical Emergency Department of the National Health and Health Commission, said in an answer to a reporter from China Youth Daily and China Youth Daily that to strengthen the construction of medical resources by classification and classification needs to strengthen the construction of shelter hospitals, and the construction of shelter hospitals is actually the largest. Minimize the occupation of daily medical resources, coordinate the treatment of new coronary pneumonia and the guarantee of daily medical services.
According to incomplete statistics, Guangzhou has opened 19 shelter hospitals.
As of November 22, nearly 70,000 beds have been opened in Guangzhou Fangcai Hospital, which are used to treat asymptomatic infections and mild patients, and more than 11,000 people have left the cabin.
At present, Beijing is also facing the most complicated and severe epidemic prevention and control situation in the three years since the fight against the epidemic. As of November 24, the number of people infected by this round of epidemic has exceeded 10,000.
On November 23, a press conference on the prevention and control of the epidemic in Beijing announced that the new Guozhan Light Case Hospital has been put into use.
In addition, the Fangcai Hospital in Yanqing District has also been opened. According to media reports, the Nankou Fangcai Hospital in Changping District has been renovated.
Recently, some netizens reported that the environment of the shelter hospital is relatively poor.
In this regard, Guo Yanhong responded at a press conference on November 17 that the reactions of netizens showed that "when there is a large-scale epidemic in various places, some shelter hospitals may be built hastily."
In order to solve this problem, the joint defense and joint control mechanism of the State Council has issued a document to supervise and request, guide all localities to follow the relevant requirements of the management regulations of the shelter hospital, make preparations for the establishment of the shelter hospital, and continuously improve the medical capacity and quality of the shelter hospital. service assurance level.
In March this year, the State Council's joint prevention and control mechanism required each province to have at least 2 to 3 shelter hospitals.
At that time, there were 33 square cabin hospitals that had been built or were under construction across the country, distributed in 19 cities in 12 provinces, with a total of 35,000 beds.
According to the requirements, the construction of a shelter hospital needs to be laid out in advance, and corresponding hardware preparations, material preparations and personnel preparations must be made.
Hardware preparations include basic conditions such as water, electricity, toilets, showers, and ventilation.
During the preparation process of the shelter hospital, "the most important thing is to prepare medical staff and do a good job of training. Once a cluster of epidemics occurs and the shelter hospital is opened, the medical staff will immediately devote themselves to the treatment work of the shelter hospital." Guo Yanhong said.
Incorporate the implementation of the twenty measures into normalized supervision
In order to further guide the localities to do a good job in epidemic prevention and control, according to the ninth edition of the prevention and control plan and the 20-point measure document, on November 19, the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council issued four technical documents, including the "New Coronary Pneumonia Epidemic Prevention and Control" Implementation Measures for Nucleic Acid Testing, Risk Zone Delineation and Control Plan, Home Isolation Medical Observation Guidelines, and Home Health Monitoring Guidelines, to facilitate relevant grassroots staff to better understand and implement the 20 optimization measures.
Recently, the comprehensive team of the joint defense and joint control mechanism of the State Council has deployed and dispatched various regions to promote the implementation of 20 optimization measures as soon as possible through various methods such as video conferences, scheduling, and training.
Based on their own characteristics and reality, each locality set up a special work class, issued relevant supporting documents, implementation rules or guidelines, incorporated the implementation of optimization measures into normal supervision, publicized and interpreted twenty optimization measures from all angles, formulated training plans and implemented them. According to different training objects, organize and carry out series training and layered training.
On the evening of November 27, Haizhu District, the epicenter of the epidemic in Guangdong Province, issued a notice stating that the control area for implementing measures such as strengthening traffic control and suspending business and work has been greatly reduced.
Haizhu District, Guangzhou also carried out health monitoring for qualified stranded personnel on the basis of risk analysis and judgment before returning, strengthened collective organization and information push, implemented closed-loop transfer, and made every effort to ensure the safe evacuation of personnel.
In addition, there are relevant measures to promote the resumption of work and production in the control area.
At present, the number of new local confirmed cases of new coronary pneumonia in Beijing and the number of social cases are increasing rapidly, and the growth rate has not yet slowed down. The scope of the spread to the streets and villages has expanded, and the situation of epidemic prevention and control in the capital has become more severe.
On November 27, the Beijing Municipal Epidemic Prevention and Control Press Conference announced that it strictly implemented the ninth edition of the prevention and control plan and optimized 20 measures for epidemic prevention and control, and scientifically demarcated risk areas.
For the temporary management and control measures adopted such as tracing the source of the flow, checking the sun, and chasing the sun, an announcement should be issued to the public as soon as possible, with explanations and explanations, quick management, quick investigation and quick solution. In principle, the temporary control time should not exceed 24 hours.
It is strictly forbidden to take measures such as hard isolation and hard enclosures to block fire exits, unit doors, and community doors.
On November 27, Chongqing City held an epidemic prevention and control conference and announced that the total number of new infections in this round of epidemic exceeded 80,000.
At present, Chongqing has coordinated the centralized treatment hospitals at the municipal level, the designated treatment hospitals at the district and county levels, and the shelter hospitals at the city and district levels, and has organized experts and medical personnel in the fields of severe disease, respiratory, traditional Chinese medicine, public health, infection control, and nursing. Carry out work, adhere to multidisciplinary expert consultation, integration of traditional Chinese and Western medicine, one person, one policy, and meticulous treatment of critically ill and severe patients, and go all out to ensure that all receivables are collected and treated.
China Youth Daily·China Youth Daily reporter Liu Changrong Source: China Youth Daily