1. What is the background of the announcement?

What is the main content?

  Since the outbreak of the new crown pneumonia epidemic, the Party Central Committee and the State Council have always put the people's life safety and physical health first. Step by step, optimize and improve prevention and control measures according to the time and situation.

After the announcement and implementation of the 20 optimization measures, we closely tracked the implementation effects in various places, combined with the beneficial experience accumulated in the recent epidemic response process in various places, and aimed at the outstanding problems, organized research and proposed ten targeted measures to further optimize the infection and close contact. Measures such as isolation of patients and nucleic acid testing have further strengthened the requirements for "quick closure and quick release" in high-risk areas, vaccination, school prevention and control, epidemic-related safety guarantees, medical treatment for the masses, medication and basic living guarantees, and maintenance of normal social operations. The scientific and precise level of prevention and control can maximize the protection of people's life safety and health, and minimize the impact of the epidemic on the production and living order of the masses and economic and social development.

  2. What provisions does the "Notice" provide for the delineation of risk areas?

For what consideration?

  The "Notice" requires the scientific and accurate division of risk areas, and the delineation of high-risk areas according to buildings, units, floors, and households, and shall not be arbitrarily expanded to residential areas, communities, and streets (townships), etc. Control the number of personnel.

At the same time, it is required that various forms of temporary blockade and control should not be adopted, let alone "silent" management at will.

In the process of dealing with the epidemic, all localities should quickly control the close contacts. If there is no risk of community transmission, it is not necessary to designate high-risk areas.

  3. What further optimizations have been made to nucleic acid testing in the "Notice"?

For what considerations?

  Nucleic acid testing should focus on areas and personnel with a high risk of infection, and not carry out nucleic acid testing for all employees according to administrative regions, further narrowing the scope and frequency of nucleic acid testing.

According to the needs of epidemic prevention work, antigen detection can be carried out.

In accordance with the relevant provisions of the 20 optimization measures, personnel who have direct contact with entry personnel, articles, and the environment, staff in centralized isolation places, medical personnel in fever clinics in designated medical institutions and general medical institutions, and employees in shopping malls, supermarkets, express delivery, and takeaways, etc. Employees in high-risk positions with dense environmental personnel, frequent contact with personnel, and high mobility carry out nucleic acid testing, and other personnel are willing to undergo exhaustive testing.

  Considering that nursing homes, welfare homes, childcare institutions, and primary and secondary schools are places where the elderly, young children and other special groups gather, once the source of infection is introduced, clustered epidemics are prone to occur, and the risk of severe illness is high.

Therefore, when entering nursing homes, welfare homes, childcare institutions, and primary and secondary schools, it is necessary to provide a negative nucleic acid test certificate to prevent the introduction of infection sources.

Medical institutions have a complex population, a large flow of people, and a confined space. Once the source of infection is introduced, it is easy to cause the spread of the epidemic and the occurrence of nosocomial infections, affecting the normal operation of medical institutions and the normal medical treatment of the masses.

Therefore, when entering a medical institution for medical treatment, it is necessary to provide a negative nucleic acid test certificate, but the medical institution shall not shirk or refuse to treat emergency and critically ill patients because they do not have a negative nucleic acid test certificate.

Important organs, large enterprises, and some specific places can determine prevention and control measures by their own territories to ensure the normal operation of society and maintain normal production and living order.

  After the outbreak, all localities should assess the risk of the epidemic in different regions based on the epidemic situation and flow investigation and judgment, determine the scope and frequency of nucleic acid testing by classification and classification, and improve the quality and efficiency of nucleic acid screening.

  4. The "Notice" has adjusted the isolation method of infected persons and close contacts. What are the considerations?

  The pathogenicity of the Omicron mutant strain is significantly weakened. According to clinical observation, most of them are asymptomatic infections and mild cases after infection, and no special treatment is required.

Asymptomatic infected persons and mild cases who have the conditions for home isolation can be isolated at home, strengthen health monitoring, and transfer to designated hospitals for treatment in a timely manner if the condition worsens.

Close contacts who have the conditions for home isolation should be isolated at home for 5 days, strengthen home isolation management, do a good job of health monitoring, and complete nucleic acid testing in accordance with regulations.

The adjustment of the isolation method for infected persons and close contacts fully reflects the principle that my country's epidemic prevention and control has always adhered to the principle of putting people first and life first, and dynamically optimized and improved prevention and control measures according to the characteristics of virus mutations and the development of the epidemic situation.

  5. The "Notice" requires that high-risk areas should implement "quick sealing and quick release". What are the considerations?

  In accordance with the ninth edition of the prevention and control plan and the relevant requirements of the 20 optimization measures, after an infected person is discovered, high-risk areas will be delineated as soon as possible, and risk personnel will be screened and controlled, and community transmission will be blocked in a timely manner, so as to achieve "quick closure and quick release".

If there are no new high-risk areas with new infections for 5 consecutive days, they should be unsealed in time to avoid prolonged closures and reduce inconvenience to the masses due to the epidemic.

If the newly infected people found in the high-risk area after the closure are the co-residents, close contacts or co-residents of the positive people who strictly implement the home isolation management, after assessment, there is no risk of community transmission outside the family, and the high-risk areas will not be affected. The unblocking time of the area.

  6. What measures does the "Notice" take to ensure the basic needs of the masses to purchase medicines?

  All localities must ensure the normal operation of pharmacies and must not shut down pharmacies at will.

Do a good job of stockpiling routine medicines, especially medicines for patients with underlying diseases.

Unblock the multi-channel drug purchase channels and distribution links, do not restrict the online and offline purchase of over-the-counter drugs such as antipyretic, cough, anti-virus, and cold treatment, and cancel the pop-up window and nucleic acid testing requirements when purchasing the above-mentioned over-the-counter drugs.

A variety of measures have been taken to ensure the basic drug purchase needs of the people, especially the elderly, patients with underlying diseases and other special groups.

  7. Why should the elderly be vaccinated?

How is it arranged to speed up the vaccination of the elderly?

  The current situation of epidemic prevention and control is severe and complicated. Vaccination still has a good effect in preventing severe illness and death. Vulnerable people such as the elderly are prone to develop severe illness, critical illness or even death after being infected with the new crown virus. Vaccination against the new crown virus benefits the most, so It is necessary for the elderly to be vaccinated against the new coronavirus in time.

In order to speed up the vaccination of the elderly against the new crown virus, we have made arrangements in the following aspects: measures such as the establishment of green passages for the elderly, temporary vaccination sites, and mobile vaccination vehicles are adopted to provide door-to-door vaccination services for disabled and semi-disabled elderly people. Various convenience measures have opened up the "last 100 meters" of vaccination for the elderly to provide maximum convenience for the elderly.

Carry out training on the identification of vaccination contraindications level by level, guide medical staff to scientifically determine vaccination contraindications, and eliminate the doubts of the elderly about vaccination.

Detailed popular science publicity, mobilize the whole society to participate in the mobilization of the elderly to vaccinate, so that the concept of vaccinating the elderly to protect their health is deeply rooted in the hearts of the people.

  8. The "Notice" mentions the investigation and classified management of key groups. How will the work be promoted?

  Mobilize multiple forces to participate, give full play to the role of neighborhood (village) committees and their public health committees and the professional advantages of urban and rural grassroots medical and health institutions, make full use of existing residents' health information, and use methods such as health management services for the elderly and telephone, SMS, and WeChat surveys Carry out a survey of the health status of the elderly.

Those who have already established accounts during the epidemic do not need to collect them repeatedly. It is encouraged to integrate and share information and determine the scope of key groups through information technology, so as to effectively reduce the burden on the grassroots.

According to health status, vaccination status, risk of infectious diseases, etc., the people who have been thoroughly investigated are divided into key, sub-key, and general groups, and the role of the "network bottom" of grassroots medical and health institutions and the "gatekeeper" of family doctors' health are brought into play. Provide appropriate health services.

  9. What are the considerations of the "Notice" for ensuring the normal operation of the society and basic medical services, what requirements are put forward, and what problems should be paid attention to in the implementation?

  my country is a country with a large population, a large number of vulnerable groups, unbalanced regional development, and insufficient medical and health resources. At present, the scale of the epidemic in some areas is relatively large, and the prevention and control situation is severe and complicated.

Although the pathogenicity of the Omicron mutant strain has been significantly weakened, the transmission ability has been significantly enhanced. If a large number of personnel who ensure the normal operation of society and basic medical services are infected in a short period of time, it will cause a shortage of manpower, which may have an impact on social operations and basic medical services. .

  In order to efficiently coordinate epidemic prevention and control and economic and social development, and ensure the normal operation of society and basic medical services during the epidemic, the "Notice" requires that non-high-risk areas shall not restrict the movement of people, stop work, production, or business; Logistics, supermarkets, supply guarantees, water, electricity, heating and other personnel who guarantee basic medical services and normal social operations are included in the "white list" management. Relevant personnel need to pay attention to personal protection, vaccination and health monitoring on a daily basis, and reduce contact with the society. Work as "two points and one line" as much as possible, and you can go to work normally with a negative nucleic acid test certificate; when a positive test is detected, close contacts will be accurately identified, the workplace will not be temporarily sealed off, and the same workplace personnel will not be quarantined on a large scale to ensure normal work. Provide medical services, basic living supplies, water, electricity, heating, etc., try our best to maintain the normal production and work order, solve urgent problems raised by the masses in a timely manner, and effectively meet the basic living needs of the masses during the epidemic situation.

  10. What provisions does the "Notice" make to strengthen the safety guarantee related to the epidemic?

  In order to strengthen risk prevention in the prevention and control of the epidemic and ensure the safety of people's lives and property, the "Notice" requires that it is strictly forbidden to block fire exits, unit doors, and community doors in various ways, so as to ensure that the public's access to medical treatment, emergency escape, etc. is unobstructed.

While controlling the risk personnel, it is necessary to strengthen door-to-door services and ensure daily life and normal medical care.

Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide convenience for the elderly living alone, minors, pregnant women, disabled people, and patients with chronic diseases.

Strengthen care, care and psychological counseling for people under quarantine, patients, and front-line staff, provide psychological assistance hotlines, and provide psychological support services.

  11. What further optimizations has the "Notice" made to school epidemic prevention and control?

For what considerations?

  The school is a key place with dense population.

Protecting the health of teachers and students to the greatest extent and maintaining normal education and teaching order to the greatest extent are important tasks for the current school epidemic prevention and control.

According to the current epidemic situation and the actual situation of the school, in order to guide the school to prevent and control more scientifically and accurately, the "Notice" clearly requires nursery institutions, primary and secondary schools and other special places to check the negative nucleic acid test certificate and health code.

At the same time, all schools are required to resolutely implement scientific and precise prevention and control requirements. Schools without epidemics must carry out normal offline teaching activities, and supermarkets, canteens, stadiums, and libraries on campus must be open normally.

Schools with epidemics must scientifically and accurately delineate risk areas, and normal teaching and living order must still be guaranteed outside the risk areas.

Relevant departments in various places should attach great importance to the prevention and control of school epidemics, improve the school-local coordination mechanism, and further optimize prevention and control measures according to the characteristics of schools at all levels to ensure the health of teachers and students and campus safety.