(1) For close contacts, the management measures of "7-day centralized isolation +3-day home health monitoring" will be adjusted to "5-day centralized isolation +3-day home isolation", during which they will be coded and not allowed to go out. On 1, 2, 3 and 5 days, medical observation was concentrated and 1 nucleic acid was detected respectively. On 1 and 3 days, medical observation was isolated at home and 1 nucleic acid was detected respectively.
(two) timely and accurately determine the close contacts, no longer determine the close contacts.
(3) Adjust the "7-day centralized isolation" of overflow personnel in high-risk areas to "7-day home isolation", and assign code management during this period, and do not go out. On day 1, day 3, day 5 and day 7 of home isolation, 1 nucleic acid was detected respectively.
(4) Adjust the risk area from "high, medium and low" to "high and low" to minimize the number of management personnel. In principle, the areas where infected people live, workplaces and activities with frequent activities and high risk of epidemic spread are designated as high-risk areas, which are generally designated by units and buildings and may not be expanded at will; Other areas in counties (cities, districts and banners) where high-risk areas are located are classified as low-risk areas. No new infection cases were found in the high-risk area for 5 consecutive days, and it was reduced to the low-risk area. High-risk areas that meet the conditions for unsealing should be unsealed in time.
(5) Employees in high-risk positions who have completed closed-loop operations are adjusted from "7-day centralized isolation or 7-day home isolation" to "5-day home health monitoring". During the period, they were assigned to code management, and 1 nucleic acid detection was carried out on the 65438th, 3rd and 5th days respectively, and they were not allowed to go out unless necessary. If they really need to go out, they don't go to crowded public places or take public transportation.
(6) In epidemic-free areas, nucleic acid testing shall be conducted for risk posts and key personnel in strict accordance with the scope determined in the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded. Generally, the whole staff is not tested according to the administrative area, but only when the source of infection and transmission chain are not clear and the community transmission time is long. Formulate specific implementation measures to standardize nucleic acid detection, reiterate and refine relevant requirements, and correct unscientific practices such as "two inspections a day" and "three inspections a day".
(7) Cancel the fuse mechanism of inbound flights, and adjust the negative certificate of nucleic acid test twice within 48 hours before boarding to the negative certificate of 1 nucleic acid test within 48 hours before boarding.
(8) Important business personnel and sports organizations entering the country are transported to the closed-loop management area ("closed-loop bubble") without isolation to carry out business, training, competitions and other activities. In the meantime, they will be assigned code management and cannot leave the management area. Chinese personnel need to complete the COVID-19 vaccine booster immunization before entering the management area, and take corresponding isolation management or health monitoring measures according to the risks after completing the work.
(9) The Ct value of nucleic acid detection is the standard for clearly judging the positive of entry personnel.
(10) For the entry personnel, the "7-day centralized isolation +3-day home health monitoring" was adjusted to "5-day centralized isolation +3-day home isolation", during which code management was implemented and they were not allowed to go out. After the entry personnel are quarantined at the first entry point, the destination shall not be quarantined again. On 1, 2, 3 and 5 days, medical observation was concentrated and 1 nucleic acid was detected respectively. On 1 and 3 days, medical observation was isolated at home and 1 nucleic acid was detected respectively.
(eleven) to strengthen the construction of medical resources. Formulate graded diagnosis and treatment plans, admission standards for infected people with different clinical severity, epidemic situation in various medical institutions and infection treatment plans for medical staff, and do a good job in training all medical staff. Make preparations for sickbeds and critically ill sickbeds, and increase resources for treatment.
(twelve) to promote vaccination work in COVID-19 in an orderly manner. Formulate plans to accelerate vaccination and accelerate the increase of vaccination coverage, especially for the elderly. Accelerate the research and development of monovalent or multivalent vaccines with broad-spectrum protection, and promote approval according to laws and regulations.
(thirteen) to speed up the treatment-related drug reserves in COVID-19. Do a good job of supply and reserve to meet the needs of patients, especially the treatment needs of critically ill and high-risk and elderly patients. Pay attention to the unique advantages of traditional Chinese medicine and make a good reserve of effective traditional Chinese medicine prescriptions. Strengthen the reserve of first-aid drugs and medical devices.
(fourteen) to strengthen the protection of key institutions and key groups. Find out the base of the elderly, patients with basic diseases, pregnant women, hemodialysis patients and other groups, and formulate health and safety protection programs. Optimize the management of places where vulnerable people are concentrated, such as nursing homes, mental hospitals and welfare homes.
(fifteen) the implementation of the "four early" requirements, reduce the scale of the epidemic and disposal time. All localities should further improve the multi-channel monitoring and early warning and multi-point triggering mechanism of the epidemic situation, carry out "landing inspection" for migrant workers across provinces, report infected people in time according to law, do a good job in the management of risk personnel at the first time, and strictly implement early detection, early reporting, early isolation and early treatment to avoid expanding the front line and extending the time. We must never wait and see and go our own way.
(sixteen) to increase the "one size fits all", layers of overweight problem rectification efforts. Local party committees and governments should implement territorial responsibilities and strictly implement the unified national prevention and control policies. It is strictly forbidden to suspend classes, suspend classes, stop production, block traffic without approval, take "silent" management without authorization, block control without authorization, unseal for a long time, and stop clinic without authorization. Increase the intensity of notification and public exposure, and those who cause serious consequences will be seriously held accountable according to the law and regulations. Give full play to the role of special classes at all levels to rectify overweight problems, collect and transfer reporting clues efficiently, and urge local authorities to rectify in time. Health and Wellness Commission, CDC, Ministry of Education, Ministry of Transport and other competent departments of various industries have strengthened supervision and guidance on the industry system, increased the exposure of typical cases, and effectively played a deterrent role.
(seventeen) to strengthen the service guarantee for closed and isolated personnel. All localities should set up special classes for the protection of living materials, formulate and improve the market supply of daily necessities, closed community distribution, regional joint supply and other plans in a timely manner, and do a good job in the reserve of important livelihood commodities. Comprehensively sort out the basic information of the resident population in the community, master the situation of key personnel such as empty nesters living alone, children in distress, pregnant women and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize the terminal distribution in closed areas, clarify the special strength of living materials supply, draw a fixed receiving point in the community, and get through the "last meter" of distribution. Guide the community to establish a direct hotline with medical institutions and pharmacies, equip the community with a special car, do a good job in service connection, strictly implement the responsibility system for the first diagnosis and the emergency rescue system, and do not refuse to consult for any reason to ensure the demand of residents for treatment drugs. Do a good job in psychological counseling of isolated and controlled people, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, and solve the practical difficulties of the masses.
(eighteen) optimize the campus epidemic prevention and control measures. Improve the coordination mechanism between schools and places, strengthen the emergency support of campus epidemic situation through joint prevention and control, give priority to the work of campus transshipment isolation, nucleic acid detection, flow tracking, environmental disinfection, and living materials support, improve the emergency response capacity of schools, and support schools to quickly respond to the epidemic situation. Schools around the country should strictly implement the prevention and control measures of the state and education departments, resolutely implement the requirements of scientific and accurate prevention and control, and must not increase control. The Ministry of Education and the education departments of provinces, prefectures and cities took the lead in setting up special classes to investigate outstanding problems such as arbitrary closure of the campus, too long closure time, long-term off-line teaching, inadequate living security, and inconsistent family control requirements for teachers, students and employees, and urge rectification, and rectify problems such as poor prevention and control and excessive epidemic prevention. Education departments at all levels set up complaint platforms and hotlines to receive, forward and reply in time, establish a "complaint handling" mechanism, improve the feedback mechanism for rapid response and problem solving, and promptly promote the solution of urgent problems for teachers and students.
(nineteen) the implementation of enterprise and industrial park prevention and control measures. Local joint prevention and control mechanisms should set up special classes, find out the base of enterprises and industrial parks including private enterprises within their jurisdiction, and formulate epidemic prevention and control plans of "one enterprise, one policy" and "one park, one policy". Implement the main responsibility of epidemic prevention and control in enterprises and industrial parks, establish a full-time responsibility system for epidemic prevention and control from enterprises and park management to workshop teams and front-line employees, and refine the ledger of epidemic prevention and control in each link and process. Strictly check the epidemic-related risks of returnees and confirm their health before returning to work. Strengthen the life, epidemic prevention and job preparation of employees in key positions and key processes, improve the management measures of third-party outsourcing personnel, and strictly manage the access of social personnel. During the epidemic, we should make every effort to ensure the smooth flow of logistics, and must not require key enterprises that are related to the overall situation of the industrial chain and the protection of people's livelihood to stop production and implement a "white list" system.
(twenty) do a good job in resolving the stranded personnel in an orderly manner. Where an epidemic occurs, it is necessary to define the risk area in a timely and accurate manner. Foreigners who are not in high-risk areas are allowed to leave after assessing the risks, avoiding detention and doing a good job in return protection. Where there are many stranded people, it is necessary to formulate special rescue plans, strengthen information communication and cooperation between the starting point and the end point, and make good safety arrangements on the premise of effectively preventing the epidemic from spilling over. Transportation, civil aviation, national railways and other units should actively give transport capacity protection. The destination should enhance the awareness of the overall situation, not refuse to accept the return of the stranded personnel, and implement the prevention and control measures for the returned personnel as required to avoid the spillover of the epidemic and not increase the control.