Notice on Printing and Distributing the Overall Plan for the Implementation of "Class B and B Controls" for Novel Coronavirus Infection
Joint Prevention and Control Mechanism Comprehensive Issue [2022] No. 144
All provinces, autonomous regions, municipalities directly under the Central Government, and Xinjiang Production and Construction Corps' joint prevention and control mechanism (leading group, headquarters) in response to the novel coronavirus infection, and the member units of the State Council's joint prevention and control mechanism in response to the novel coronavirus infection:
In order to implement the decision-making and deployment of the Party Central Committee and the State Council, and implement the "Class B and B Management" of new coronavirus infection in a smooth and orderly manner, the State Council's comprehensive team of the joint prevention and control mechanism for the new coronavirus infection has formulated the "About the Implementation of "B Class B" for New Coronavirus Infection. "Class B pipe" overall plan".
It is now printed and distributed to you, please organize and implement it seriously.
If there are relevant suggestions in the process of implementation by various localities and departments, please give feedback to the comprehensive team of the mechanism in a timely manner.
State Department Response to Novel Coronavirus Infection
Comprehensive Group of Epidemic Joint Prevention and Control Mechanism
(Stamp of the National Health Commission)
December 26, 2022
(Information disclosure form: voluntary disclosure)
The overall plan for the implementation of "Class B and B management" for novel coronavirus infection
In order to implement the decision-making and deployment of the Party Central Committee and the State Council, effectively coordinate the prevention and control of the new coronavirus infection epidemic and economic and social development, and adjust the new coronavirus infection from "Class B and A management" to "B and B management" in a stable and orderly manner, it is effective and effective In order to effectively deal with the risks that may arise after the adjustment, this plan is formulated in accordance with the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases".
1. Formulation background
Since the outbreak of the novel coronavirus infection, the Party Central Committee with Comrade Xi Jinping as the core has attached great importance to the prevention and control of the epidemic, comprehensively strengthened the centralized and unified leadership of the prevention and control work, and clarified the institutional mechanisms, strategic principles, objectives, tasks, and work requirements for epidemic prevention and control. , It provides fundamental guidelines and scientific guidance for winning the people's war, general war, and interdiction war for epidemic prevention and control, and for doing a good job in normalizing epidemic prevention and control.
my country's epidemic prevention and control has always adhered to the supremacy of the people and the supremacy of life. All regions and departments have cooperated closely and performed their duties with due diligence, dynamically optimized and adjusted prevention and control measures according to the time and situation, and continuously improved the level of scientific and precise prevention and control.
1.4 billion people fought against the epidemic with one heart and tenacious dedication, effectively coping with the impact of five waves of the epidemic around the world, successfully avoiding the widespread prevalence of relatively strong pathogenic original strains and delta mutant strains, greatly reducing severe illness and death, and also It has won precious time for the preparation of resources such as vaccines, drug development and application, and medical treatment.
The epidemic and the number of deaths in my country have remained at the lowest level in the world, the health of the people has been steadily improving, and the coordination of economic development and epidemic prevention and control has achieved the best results in the world. control miracle.
At present, with the mutation of the virus, the change of the epidemic situation, the popularization of vaccination and the accumulation of experience in prevention and control, the prevention and control of the new coronavirus infection in my country is facing new situations and new tasks, and the prevention and control work has entered a new stage.
From the perspective of virus mutation, experts at home and abroad generally believe that the general direction of virus mutation is lower pathogenicity, more prone to upper respiratory tract infection, and shorter incubation period. The new coronavirus will exist in nature for a long time, and its pathogenicity has decreased significantly compared to the early stage. The resulting disease will gradually evolve into a common respiratory infectious disease.
From the perspective of the epidemic situation, the Omicron mutant strain has become the dominant strain in the world. Although the number of infected people is large, asymptomatic infections and mild cases account for more than 90%, and the severe and fatal rates are extremely low.
From the perspective of my country's prevention and control foundation, my country has currently received more than 3.4 billion doses of new coronavirus vaccines, and the vaccination rate of people over 3 years old has exceeded 90%. The research and development of specific antiviral drugs at home and abroad has made progress, and my country has screened out "three medicines and three prescriptions" and other clinically effective prescriptions; the vast number of medical and health personnel have accumulated rich experience in epidemic prevention and control and disposal, and their prevention and control capabilities have been significantly improved.
Comprehensive assessment of factors such as virus mutation, epidemic situation, and my country's prevention and control foundation, my country has the basic conditions to adjust the new coronavirus infection from "Class B and A control" to "B and B control".
2. General requirements
(1) Guiding principles.
Guided by Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, give full play to the advantages of the system, adhere to the supremacy of the people and life, adhere to scientific prevention and control, precise policy implementation, improve response preparations, adjust prevention and control measures, unify rules, classify guidance, and prevent risks. Orderly implement "Class B and B management".
(2) Work objectives.
Focusing on "protecting health and preventing severe illness", take corresponding measures to maximize the protection of people's life safety and health, and minimize the impact of the epidemic on economic and social development.
(3) Progress arrangement.
From January 8, 2023, "Class B and B control" will be implemented for new coronavirus infection.
According to the Law on the Prevention and Control of Infectious Diseases, isolation measures will no longer be implemented for people infected with the new coronavirus, and close contacts will no longer be identified; high and low risk areas will no longer be demarcated; patients infected with the new coronavirus will be treated in different grades and medical insurance policies will be adjusted in a timely manner; testing strategies Adjusted to "willing to do all inspections"; adjust the frequency and content of epidemic information releases.
According to the Frontier Health and Quarantine Law, no quarantine and infectious disease management measures will be taken for entry personnel and goods.
3. Main measures
(1) Further increase the vaccination rate of the new coronavirus vaccine among the elderly.
my country's large-scale vaccination practice has proved that my country's new coronavirus vaccine is safe and effective.
It is necessary to further strengthen organizational mobilization, scientifically evaluate vaccination contraindications, accelerate the improvement of vaccination coverage, especially the coverage of the elderly population, give priority to sequential enhanced immunization, and strive to achieve "everything that should be received".
On the basis of the first dose of booster immunization, promote the second dose of booster immunization among people at high risk of infection, people aged 60 and over, people with serious underlying diseases, and people with low immunity.
(2) Improve the preparation of drugs and testing reagents related to the treatment of new coronavirus infection.
Prepare for the treatment of new coronavirus infection-related traditional Chinese medicines, symptomatic drugs, anti-new coronavirus small molecule drugs, and antigen detection reagents.
Medical institutions at or above the county level dynamically prepare symptomatic drugs such as traditional Chinese medicines related to novel coronavirus infection, anti-new coronavirus small molecule drugs, antipyretics and cough antitussives according to the daily usage for three months; primary medical and health institutions use 15%- 20% will dynamically prepare traditional Chinese medicines, symptomatic treatment drugs, and antigen detection reagents related to new coronavirus infection, and increase as appropriate in densely populated areas; pharmaceutical retail companies will no longer carry out sales monitoring of antipyretic, cough, antibiotic, and antiviral drugs.
The joint defense and joint control mechanisms (leading groups and headquarters) in various places have effectively assumed the leadership responsibility for the preparation of pharmaceutical reagents.
(3) Increase investment in the construction of medical resources.
Focus on preparing inpatient beds and intensive care beds, fully equipped with high-flow respiratory therapy devices, ventilators, ECMO and other critical care equipment to improve oxygen supply conditions.
According to the principle of "should be set up as much as possible, and should be opened as much as possible", hospitals above the second level have set up fever clinics with sufficient medical strength; primary medical and health institutions with conditions should set up fever clinics or consulting rooms.
Intensive beds and convertible intensive care beds in designated hospitals account for 20% of the total number of beds.
Second-level general hospitals should set up independent intensive care departments, and second-level infectious diseases and children's specialized hospitals should set up intensive care units.
Tertiary hospitals should strengthen the preparation of intensive care resources, rationally allocate intensive care personnel, ensure that comprehensive ICU monitoring units can be used at any time, and ensure that intensive care resources are doubled within 24 hours by building convertible intensive care units.
According to the population size, eligible shelter hospitals will be upgraded to sub-(quasi) designated hospitals, and other shelter hospitals will remain.
Strengthen the equipment allocation and upgrading of grassroots medical and health institutions, and realize as soon as possible that fever clinics (outpatient clinics) should be set up and opened as much as possible.
All localities should increase investment and ensure the completion of construction and transformation in accordance with the principle of filling and filling.
(4) Adjust the crowd detection strategy.
Residents in the community are "willing to do all the inspections" as needed, and no longer carry out nucleic acid screening for all staff.
Carry out antigen or nucleic acid testing for outpatients and emergency patients with fever and respiratory infection symptoms admitted to medical institutions, hospitalized patients with high risk of severe illness, and symptomatic medical staff.
During the epidemic period, regularly carry out antigen or nucleic acid testing for the staff and care recipients in elderly care institutions, social welfare institutions and other places where vulnerable groups are concentrated.
For community residents aged 65 and above, long-term hemodialysis patients, severe diabetes patients and other community residents at high risk of serious illness, and infants and young children aged 3 and under, timely guidance to carry out antigen detection after fever and other symptoms, or go to the convenient nucleic acid set up in the community Nucleic acid detection at the detection point.
Foreign personnel entering places where vulnerable groups gather, etc., check the negative nucleic acid test certificate within 48 hours and carry out antigen testing on the spot.
Keep enough convenient nucleic acid testing points in the community to ensure residents' "willing to test all tests" needs.
Ensure sufficient supply of antigen detection reagents in retail pharmacies, drug online sales e-commerce, etc.
(5) Rescue and treat patients by classification.
Asymptomatic infected persons and mild cases without serious underlying diseases should take self-care at home; ordinary cases, elderly asymptomatic infected persons and mild cases with serious underlying diseases but stable conditions should be treated in sub-designated hospitals; pneumonia is the main Severe and critical cases requiring hemodialysis will be treated intensively in designated hospitals; severe and critical cases with underlying diseases, and those whose underlying diseases exceed the medical treatment capabilities of primary medical and health institutions and sub-designated hospitals, will be treated in three designated hospitals. Grade hospital treatment.
Comprehensively implement the responsibility system for the first diagnosis of patients with fever and other diseases at the grassroots level, rely on medical associations to do a good job in graded diagnosis and treatment of new coronavirus infection, and strengthen health monitoring of special groups such as the elderly. Medical and health institutions closely monitor their health status, guide and assist infected persons who are at risk of severe disease to refer or directly go to the corresponding hospital for diagnosis and treatment.
Ensure timely detection and timely treatment of those at high risk of severe illness.
Coordinate the mobilization and response of medical institutions in emergency situations, regional linkage and personnel mobilization, and further improve the regional coordination mechanism for medical treatment resources.
Dynamically monitor the use of medical resources in designated hospitals, hospitals above the second level, sub-designated hospitals, and grassroots medical and health institutions, and use prefectures and cities as units to determine the number of beds available for treatment of patients with novel coronavirus infection in designated hospitals, sub-designated hospitals, and general hospitals When the utilization rate reaches 80%, the medical institution will issue an early warning message.
For prefectures and cities where there is a large gap in medical strength and the medical service system has been greatly impacted, the provincial health and health administrative department mobilizes medical reinforcement through intra-provincial coordination according to the situation, and applies to the state for dispatching medical strength through cross-regional coordination when necessary Reinforcement to ensure smooth and orderly medical services.
(6) Do a good job in key population health surveys and classified and graded health services.
Find out the underlying diseases (including coronary heart disease, stroke, hypertension, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, tumor, immune function deficiency, etc.) of the elderly aged 65 and over in the jurisdiction and their vaccination status of the new coronavirus, according to Classify patients' basic disease conditions, new crown virus vaccination status, and post-infection risk level, play the role of "network bottom" of grassroots medical and health institutions and family doctors' health "gatekeepers", and provide vaccination, health education, health consultation, and medication guidance , Assist in referral and other classified and graded health services.
The community (village) assists in providing health services for key populations. Resident (village) committees cooperate with grassroots medical and health institutions to provide medicines, antigen tests, and contact higher-level hospitals around the elderly and other high-risk groups.
(7) Strengthen the prevention and control of key institutions.
Elderly care institutions, social welfare institutions and other crowded places shall adopt internal zoning management measures based on the conditions of the facilities.
When the epidemic is severe, the local party committee and government or the joint prevention and control mechanism (leading group, headquarters) will adopt closed management in a timely manner after scientific assessment, and report to the higher-level competent department to prevent the risk of introduction and spread of the epidemic, and promptly detect, treat and manage infected persons. Establish and improve the transfer mechanism for infected persons and the green channel mechanism for treatment with medical institutions, transfer and give priority to the treatment of infected persons in institutions as soon as possible, and control the clustered epidemics in the premises.
Medical institutions should strengthen personal protection guidance for medical staff and patients, strengthen daily disinfection and ventilation in the premises, and reduce the risk of virus transmission in the premises.
Schools, preschool education institutions, large enterprises and other key institutions where personnel gather should do a good job in personnel health monitoring, and take timely measures to reduce human contact after an epidemic occurs to slow down the development of the epidemic.
When the epidemic is severe, key party and government agencies and key industries should in principle require staff to "two points and one line" and establish a personnel rotation mechanism.
(8) Strengthen epidemic prevention and control in rural areas.
Do a good job in educating and guiding rural residents.
Give full play to the role of the county, township, and village medical and health networks, do a good job of health surveys for key populations, strengthen the allocation of medical resources, and provide adequate respiratory disease treatment drugs and auxiliary treatment equipment such as oxygen machines.
Relying on the county-level medical community to improve the medical security capabilities of the new coronavirus infection in rural areas, form a three-level linkage medical service system at the county, township, and village levels, establish a village-township-county convenient channel for medical referral for severe patients, and coordinate urban and rural medical resources. Based on the principle of sub-regional medical treatment, establish and improve the counterpart assistance mechanism between general hospitals at the second-level and above in cities and county-level hospitals.
Unimpeded the two-level referral mechanism at the city and county levels, improved the ability to treat severe diseases in rural areas, and provided medical care for high-risk groups such as the elderly in rural areas and patients with chronic underlying diseases.
According to the regional epidemic situation and the wishes of residents, appropriately control the scale and frequency of gathering activities such as rural fairs, temple fairs, and cultural performances.
(9) Strengthen epidemic monitoring and response.
Dynamically track virus mutations at home and abroad, evaluate changes in virus transmission, pathogenicity, immune escape ability, etc., track and judge in a timely manner and take targeted measures.
Monitor the infection level of the community population, monitor the outbreak of the epidemic in key institutions, dynamically grasp the epidemic intensity, and judge the development trend of the epidemic.
Comprehensively assess the intensity of the epidemic, the load of medical resources, and social operations, and take appropriate measures to restrict gathering activities and the movement of people in accordance with the law to suppress the peak of the epidemic.
(10) Advocate adherence to personal protection measures.
Widely publicize and advocate the concept that "everyone is the first person responsible for their own health", adhere to good hygiene habits such as wearing masks and washing hands frequently, maintain interpersonal distance in public places, and complete vaccines and strengthen immunizations in a timely manner.
When the epidemic is severe, the elderly, pregnant women, and children with underlying diseases should avoid going to crowded places as much as possible.
Asymptomatic infections and mild cases should implement self-care at home, reduce contact with co-residents, rationally use symptomatic treatment drugs in accordance with relevant guidelines, do a good job of health monitoring, and seek medical treatment in a timely manner if the condition worsens.
(11) Do a good job in information release and publicity and education.
Formulate epidemic information reporting and announcement plans, and gradually adjust the frequency and content of epidemic information releases.
Comprehensively and objectively publicize and interpret the purpose and scientific basis of adjusting "Class B and A management" to "Class B and B management", fully publicize the key role of personal protection, vaccination, classified diagnosis and treatment and other measures in responding to the epidemic, and build a solid defense against the group basis of control.
(12) Optimize the management of personnel exchanges between China and foreign countries.
Persons coming to China should undergo a nucleic acid test 48 hours before departure. Those with a negative result can come to China without applying for a health code from our embassy or consulate abroad, and fill in the result in the customs health declaration card.
If positive, relevant personnel should come to China after turning negative.
Nucleic acid testing and centralized isolation for all staff after entry will be cancelled.
Those who have a normal health declaration and no abnormality in the routine quarantine at the customs port can be released to enter the society.
The number control measures for international passenger flights such as "five ones" and passenger load factor restrictions will be cancelled.
All airlines continue to do a good job in on-board epidemic prevention, and passengers must wear masks when boarding.
Further optimize arrangements for foreign nationals coming to China, such as resumption of work and production, business, study abroad, family visits, reunions, etc., and provide corresponding visa convenience.
Passenger entry and exit at sea and land ports will be gradually resumed.
According to the international epidemic situation and various service guarantee capabilities, the outbound travel of Chinese citizens will be resumed in an orderly manner.
4. Organizational guarantee
(1) Strengthen organizational leadership.
The joint prevention and control mechanism of the State Council implements the decision-making and deployment of the Party Central Committee and the State Council, coordinates and leads all relevant departments to divide responsibilities, coordinate and cooperate, optimize and adjust the responsibilities of each working group, establish and improve relevant work special classes, and actively and steadily promote the implementation of the new type of coronavirus infection. management" measures.
(2) Strengthen the implementation of responsibilities.
Local party committees and governments at all levels must be responsible for guarding the territory, fulfill their responsibilities, consolidate the main responsibility, and effectively enhance the sense of urgency and responsibility. The main responsible comrades will personally grasp it, refine the local implementation plan in light of the actual situation, clarify the division of responsibilities, strengthen the coordination of forces, and organize carefully Implementation, in accordance with the requirements of the state, pay close attention to all tasks.
The comprehensive team of the joint defense and joint control mechanism of the State Council dispatched inspection teams to the localities to supervise and guide localities to make preparations and adjust measures.
(3) Strengthen training guidance.
The Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council coordinates relevant working groups or special classes, and conducts national epidemic prevention and control video conferences, scheduling meetings, etc., to provide information on vaccination, drug storage, medical resource preparation, hierarchical and classified diagnosis and treatment, epidemic monitoring, publicity and guidance, etc. Work deployment training and policy interpretation, clarify work objectives, refine work requirements, and promote work implementation.
The competent departments of various industries adjusted relevant policies in a timely manner, strengthened supervision and guidance, and ensured that relevant requirements were implemented in place.