On December 8th, the State Council Joint Prevention and Control Mechanism held a press conference to introduce the situation of further optimizing the implementation of epidemic prevention and control measures and answer media questions.
Graded and classified treatment
How do medical institutions do a good job in graded and classified treatment of key populations?
Guo Yanhong, director of the Medical Emergency Department of the National Health and Wellness Commission, said that in order to make overall plans for the layout and utilization of medical resources, the key point is to do a good job in the medical treatment and management of those who are seriously ill and have serious risk factors in COVID-19, and we have classified and treated those infected with COVID-19 virus.
First, for mild and asymptomatic infected people, those who have no basic diseases or whose basic diseases are in a stable period, they can take care of themselves at home.
Second, this part of patients with severe illness or serious risk should be admitted to designated hospitals. In order to ensure the treatment of this part of patients with severe illness or serious risk, we require that hospitals with strong comprehensive ability and high treatment level should be selected as designated treatment hospitals, and at the same time, they should be equipped with strong medical staff.
Thirdly, there are still some patients who have basic diseases or are mainly suffering from other diseases and go to general hospitals or specialized hospitals for treatment. In the process of treatment, they may be COVID-19-positive after testing. For these people, we have asked general hospitals and specialized hospitals to set up buffer zones, whether in outpatient, emergency or inpatient areas, so as to ensure that these patients can be treated and meet the needs of people’s medical services. Read the original > > >
What kind of symptoms do you need to see a doctor in a medical institution?
Wang Guiqiang, director of infectious diseases department of Peking University First Hospital, said that if the following five situations occur, it is recommended to contact community doctors. If the illness is serious, you can contact 120 to go to the hospital for diagnosis and treatment.
The first situation is dyspnea or shortness of breath.
The second situation is that after drug treatment, you still have a fever. If it exceeds 38.5 degrees Celsius for more than 3 days, you should go to the hospital.
The third situation is that the original underlying diseases are obviously aggravated. For example, when the medication for hypertension is uncontrollable, the medication for diabetes is uncontrollable or there are other critical risks, you must go to the hospital for treatment in time.
The fourth situation is that children have some drowsiness, refusal to eat, diarrhea, vomiting, etc., which will not be relieved after treatment, and they will have to go to the hospital for treatment for more than two days.
The fifth is that pregnant women have headaches, dizziness, palpitation, shortness of breath or abnormal fetal movement, etc., and they should also go to the hospital for further diagnosis and treatment. Read the original > > >
nucleic acid testing
From what aspects has the scope and frequency of nucleic acid detection been reduced?
He Qinghua, a first-class inspector, said that further optimization measures require further optimization of nucleic acid detection, emphasizing that nucleic acid detection should focus on areas and personnel with high risk of infection, mainly reducing the scope and frequency of nucleic acid detection from the following aspects:
First, not to carry out all-staff nucleic acid testing according to administrative regions.
Second, except for special places such as nursing homes, welfare homes, medical institutions, child care institutions, primary and secondary schools, negative proof of nucleic acid testing is not required.
Third, cross-regional migrants will no longer be examined for negative nucleic acid test certificates or health codes, and landing inspections will no longer be carried out.
Fourth, according to the needs of epidemic prevention work, antigen testing can be carried out.
In addition, it is also required to carry out nucleic acid testing for employees in high-risk positions in accordance with the relevant provisions of Article 20 optimization measures, and the scope of nucleic acid testing shall not be expanded.
Employees in high-risk positions mainly include:
Read the original > > >
What are the special places that need to provide negative nucleic acid certificates and health codes?
He Qinghua, the first-class inspector of the Department of Transmission and Prevention of the National Bureau of Disease Control and Prevention, said that although the pathogenicity of the mutant strains in Omicron is obviously weakened, the risk of serious illness is higher for the elderly and key people with basic diseases, especially those who live in nursing homes and welfare homes, as well as places where special people are concentrated, such places are prone to cluster epidemics once the source of infection is introduced, so it is necessary to provide negative proof of nucleic acid testing for foreigners entering these special places. People who enter other general places, including those who take public transport and cross-regional migrants, do not need to provide negative proof of nucleic acid test, nor do they need to carry out landing inspection, but they should do personal protection, wear masks regularly, and reduce gathering and interpersonal contact. The new 10 measures also suggest that large enterprises and some specific places can determine some prevention and control measures by themselves, and all localities can take targeted measures according to the local epidemic situation. At the same time, it is mentioned in the 20 measures that "one enterprise, one policy" and "one park, one policy" can be adopted for the prevention and control of some key enterprises, and the new 10 measures are a further continuation and update of the 20 measures.
How often do employees in high-risk positions need to carry out nucleic acid testing?
Wang Liping, a researcher at the Center for Disease Control and Prevention of China, said that according to the ninth edition of the prevention and control plan and 20 optimization measures, the employees in high-risk positions are mainly divided into two categories:
The first category is extremely risky, which refers to the entry personnel, goods, people in direct contact with the environment, staff in centralized isolation places, medical staff in designated medical institutions and fever clinics in general medical institutions,They are required to conduct closed-loop management during the operation and conduct nucleic acid testing every day;
The second category refers to some employees who are closely related to residents’ lives, such as Shangchao, Express Delivery, Takeaway, etc., who have intensive working environment, frequent contacts and strong mobility. For such people, we should also do a good job in monitoring and nucleic acid testing.Nucleic acid testing is required twice a week.
home quarantine
What factors should people consider when choosing home isolation and centralized isolation?
Wang Guiqiang, director of the Department of Infectious Diseases of the First Hospital of Peking University, said that close contacts need some basic conditions to choose home isolation: it is best to have a separate room and good ventilation; If you share the bathroom, you should do a good disinfection treatment; If the family stays at home independently, they should be able to take care of themselves in life; People at home must stay indoors and refuse all kinds of visits. In this case, we still suggest that close contact with people can be isolated at home.
We emphasize that when we are isolated at home, if there are elderly people, infants and so on who need to be taken care of at home, then we should pay attention to personal protection to avoid potential transmission risks, and we should wear masks and do a good job of hand hygiene. At the same time, antigen testing should be carried out every day, and once it is positive, it should be reported in time. At the same time, do self-monitoring after being positive. When it is negative, you should also do a good job of daily self-symptom monitoring, including whether you have fever, cough and shortness of breath. If these manifestations appear, you should also report them to the community in time.
The elderly, pregnant women, infants and people suffering from basic diseases such as cardiovascular diseases must report to the community in time for special needs, including medication and treatment, when observing at home. In case of emergency, they should also seek medical treatment in time.
How to do personal protection for isolated people at home?
Wang Guiqiang, director of the Infectious Diseases Department of the First Hospital of Peking University, said that it is necessary to do a good job of personal protection for isolated people at home, and keep as little contact with family members as possible, and keep a certain distance if they contact. Include the following points that we emphasize:
First, the living room should be ventilated every day, and good ventilation is very important to reduce the spread of respiratory infectious diseases.
Second, the bathroom, bathroom, if it is best to use it alone, it should be disinfected every day. If it is shared, it must be staggered, and it should be disinfected well after use to avoid family transmission.
Third, do a good job in hand hygiene and environmental disinfection, including paying attention to hand hygiene during cooking and dining.
Fourth, when coughing or sneezing, be sure to cover it with a paper towel and throw it into the trash can to avoid the potential risk of aerosol transmission caused by splashing.
Fifth, used paper towels, masks, disposable gloves and other household garbage are put into plastic bags and placed in special trash cans.
Another thing we should pay attention to is that personal items should not be mixed and separated from family members as much as possible, because the items themselves may also pose the risk of virus transmission.
If the medical staff are infected with Covid-19, will they be treated at home or continue to work?
Guo Yanhong, director of the Medical Emergency Department of the National Health and Wellness Commission, said that medical staff is a very special group. Due to their special positions, they will receive a large number of patients every day, so they face the highest risk of infection and the work is very heavy. It can be said that occupational exposure is inevitable.Once medical personnel are infected with Covid-19, they should also follow the relevant requirements of the "New Ten Articles".However, in order to minimize the occupational exposure risk of medical staff, we put forward a series of requirements for the management of medical institutions. Read the original > > >
Sealing and control measures
Units and buildings with "mixed pipe positive" detected no longer need to be sealed?
Wang Liping, a researcher at the Transmission and Prevention Department of China CDC, said that when the mixed tube is found to be positive, the relevant departments will inform the mixed inspection personnel as soon as possible, so that they can implement the local isolation measures, and at the same time, they will arrange personnel to take samples at home for review as soon as possible.Therefore, people in the same building and unit as those who are positive for mixed inspection do not need to be temporarily blocked.
When the recheck results are all negative, the mixed inspection personnel will immediately remove the isolation measures. However, if the door-to-door recheck results are positive, the control measures should be implemented in time, and the close contact should be controlled in time according to the results of field investigation and risk judgment, the risk area should be delineated, and the relevant epidemic situation should be handled well. Read the original > > >
Can only one positive infected person be detected without delineating high-risk areas?
Wang Liping, a researcher at the Center for Disease Control and Prevention of China,For the case that only one case is detectedIf the risk of communication in his work place, residence and activity place is relatively low, and after the secret connection is controlled in time, there is no risk of community communication after judgment, at this time, it is not necessary to delimit high-risk areas.
For a large number of households, a unit or a building may have hundreds of households.According to the current situation and risk judgment, according to the new ten articles, only the floors or households with high exposure risk can be judged to minimize the inconvenience caused by the epidemic to people’s lives.
After the high-risk area is demarcated, if no new infections are detected for five consecutive days, the seal can be released in time to avoid long-term seal control.. The new article 10 also mentioned that people with asymptomatic infection, mild illness or even close contact can choose home isolation. Therefore, it is very likely that there are some people in the community who are sealed off. For the newly infected people who are detected in the high-risk area after the risk area has been sealed off, if they live with the positive people who are strictly quarantined at home or are close to each other, there is no risk of community transmission outside the home after the judgment. In this case, even if they are positive, it will not affect the time to unseal the whole high-risk area, and they will still be unsealed without new ones for five consecutive days. Read the original > > >
Vaccination for the elderly
Why do the elderly need vaccination?
Xia Gang, Director of the Department of Health and Immunization, said that the current epidemic situation is still severe and complicated, and vaccination still has good effects in preventing severe illness and death. Vulnerable people such as the elderly can easily develop into severe illness, critical illness and even death after being infected with Covid-19, and vaccination with COVID-19 vaccine will benefit the most. There are quite a few disabled and semi-disabled elderly people in China who live at home for a long time and rarely go out. However, they may still be infected during the company or visit of relatives, which may lead to illness or even serious illness and death. Therefore, it is still necessary to vaccinate.
According to Xia Gang, according to research, compared with young people, the risk of serious illness after COVID-19 infection is 5 times, 7 times and 9 times respectively, and the risk of death is 90 times, 220 times and 570 times respectively. If the elderly over 80 years old are not vaccinated with one dose, their risk of death is about 14.7%; If one dose of vaccine is inoculated, the risk of death will be reduced to 7.16%; If three doses of vaccine are inoculated, the risk of death will be reduced to 1.5%. Compared with no vaccination, the risk of death decreased by 9.3 times after vaccination with 3 doses. Read the original > > >
What services and conveniences will be provided for the elderly when they are vaccinated?
Xia Gang introduced that in view of the mobility of these elderly people, in order to enable them to vaccinate more conveniently, we have continued some previous good practices, including using mobile vaccination vehicles, opening special vaccination sessions for the elderly and opening green channels for vaccination for the elderly. At the same time, it is also suggested that all localities can send medical personnel with rich experience in diagnosis, treatment and vaccination to form vaccination teams, carry common equipment and medicines needed during observation after vaccination, and provide home vaccination services for disabled and semi-disabled elderly people, so that these elderly people can complete vaccination without leaving home.
Editor Wang Xiaolin proofreads Zhai Yongjun.