Original title: Beijing issued ten measures to optimize epidemic prevention and control, involving home isolation, returning to Beijing, and checking negative nucleic acid certificates.
Personnel returning to Beijing will no longer check the nucleic acid certificate and health code.
On December 7, Beijing West Railway Station, passengers swiped their ID cards and entered the station through the gate. Beijing News reporter Wang Guibin photo
On December 7th, Beijing held a press conference on the prevention and control of COVID-19 epidemic. Zhong Dongbo, deputy director of the Office of the Leading Group for Epidemic Prevention and Control in COVID-19, Beijing, and the Office of the Coordination Mechanism for Joint Prevention and Control of the Capital Strict Management in Beijing, and secretary of the Party Committee of the Beijing Municipal Health and Wellness Committee, released ten working measures to optimize epidemic prevention and control in Beijing.
According to the "New Ten Articles", from now on, people returning to Beijing will no longer carry out prevention and control measures such as checking negative certificates of nucleic acid testing and health codes, and will no longer carry out "three days and three inspections" after arriving in Beijing. The masses are not restricted from buying over-the-counter drugs such as antipyretic, cough relieving, anti-infection and cold treatment online and offline, and no real-name registration, window popping or follow-up visits are made to drug purchasers.
Beijing continues to provide social free nucleic acid testing.
At the press conference yesterday (7th), Xu Hejian, deputy director of the Propaganda Department of Beijing Municipal Committee and spokesman of the municipal government, introduced that with the weakening of the pathogenicity of Omicron virus, 63.7 million doses of 23.67 million people were vaccinated, which effectively accumulated experience in fighting against the impact of COVID-19 epidemic, and the epidemic prevention and control in the capital was facing a new situation and new task. We should thoroughly implement the decision-making arrangements of the CPC Central Committee and the State Council, adhere to the ninth edition of the prevention and control plan, implement 20 optimization measures, and implement the new 10 further optimization measures. According to the current epidemic situation and virus variation, we should fully, comprehensively and accurately grasp and implement all the optimization prevention and control requirements, pay close attention to all the prevention and control measures, and prevent and control them more scientifically and accurately, so as to protect people’s lives and health to the greatest extent and minimize the impact of the epidemic on economic and social development.
Xu Hejian said that epidemic prevention and control is a systematic project, and every link is very important. Optimization and adjustment need a smooth transition, timely and resolute implementation by all departments and units in all districts, and understanding, cooperation, support and implementation by the general public. Improve the grading diagnosis and treatment service system and scientifically classify and treat infected people. Enrich the grass-roots work force and do a good job in health management and service guarantee for isolated people at home. We will carry out nucleic acid testing and inspection in an orderly manner, continue to provide free social testing services, scientifically and rationally set up sampling site, improve the quality and efficiency of sampling and inspection, and meet the needs of the masses for thorough inspection and epidemic prevention. It is our common wish to return to normal, and we need to treat it scientifically and rationally to prevent and control the epidemic under the new situation. To further optimize the prevention and control measures is not to let it go, but we should remain careless and not anxious about the epidemic. It is unscientific and unnecessary to hoard drugs blindly and anxiously. Pay attention to self-protection, wear masks scientifically and actively vaccinate.
The epidemic should be prevented, the economy should be stabilized and development should be safe. It is necessary to efficiently coordinate epidemic prevention and control and economic and social development, restore normal production and living order as soon as possible, and resume work. In accordance with the requirements of "Several Measures for Beijing to Actively Respond to the Impact of the Epidemic to Help Enterprises out", we will link up the measures that have helped enterprises out, further reduce the operating costs of enterprises, increase financial support, stabilize the supply chain of industrial chain, strengthen employment and protect people’s livelihood, minimize the impact of the epidemic on economic and social development, help market players out of difficulties, and promote economic stability and upward.
Schools without epidemic situation should carry out offline teaching activities normally.
Yesterday, Zhong Dongbo introduced that in recent days, Beijing has thoroughly implemented the decision-making arrangements of the CPC Central Committee and the State Council, adhered to the ninth edition of the prevention and control plan, implemented 20 optimization measures, and insisted on putting people’s life safety and health first. Combined with the changes in the epidemic situation and virus variation in Beijing, a series of optimization and adjustment measures have been introduced in response to the concerns of ordinary people, and positive results have been achieved.
On December 7th, the Comprehensive Group of the State Council Joint Prevention and Control Mechanism issued the Notice on Further Optimizing the Implementation of COVID-19 Epidemic Prevention and Control Measures. In order to implement the requirements of the notice, the Office of the Leading Group for Beijing Epidemic Prevention and Control and the Office of the Coordination Mechanism for Joint Prevention and Control of the Capital Strict Management in Beijing decided that from now on, Beijing will implement ten measures to optimize the epidemic prevention and control.
According to the "New Ten Articles", the risk areas are scientifically and accurately divided, and various forms of temporary closure and control are not allowed. Sampling was carried out on the fifth day of personnel isolation in high-risk areas, and the seal was unsealed in time after the test result was negative; In case of persistent cases, only the persistent positive households shall be controlled, and the control time of other personnel shall not be extended. The employees in high-risk posts and those in high-risk areas shall be tested for nucleic acid according to the relevant regulations, and other personnel are willing to do all the tests. Enter the old-age care institutions, child welfare institutions, kindergartens, primary and secondary schools, inpatient departments of medical institutions, restaurants, indoor fitness and other places and closed places such as Internet cafes, bars, chess rooms, KTV, script killing, sauna bathing, etc., and scan the code and check the 48-hour negative nucleic acid certificate. No prevention and control measures, such as checking the negative certificate of nucleic acid test and health code, will be implemented for those who return to Beijing, and "three days and three inspections" will not be implemented after arriving in Beijing. Schools without epidemics should carry out offline teaching activities normally, schools with epidemics should accurately define risk areas, and normal teaching and living order should still be ensured outside the risk areas.
Zhong Dongbo said that all districts, departments and units should strictly grasp all prevention and control measures, and hope that the general public and friends will continue to understand, support and cooperate with the epidemic prevention policy of the capital, adhere to good personal hygiene habits, and be the first responsible person for their own health.
Municipal disease control: optimizing adjustment measures according to time and situation is not weakening
Pang Xinghuo, deputy director of the Beijing Municipal Center for Disease Control and Prevention, said that the optimization was not completely liberalized, but aimed at the new characteristics and epidemic characteristics of the currently popular Covid-19 mutant. Through the research and judgment of the epidemic situation, the science and accuracy of epidemic prevention and control were further improved, the epidemic prevention and control and economic and social development were better coordinated, the normal production and life and medical and health needs were better guaranteed, and people’s life safety and health were protected to the maximum extent.
At present, the risk of social transmission of epidemic situation in Beijing still exists. The dense population and frequent personnel exchanges in Beijing have increased the risk of epidemic spread. The measures to optimize and adjust according to the situation are not weakening, let alone "lying flat". In fact, optimizing and adjusting specific prevention and control measures has put forward higher requirements for territories, departments, units and individuals, and requires the participation and implementation of the whole society. Citizens and friends should be the first person responsible for their own health, continue to raise awareness of prevention and control, master relevant health knowledge, adhere to good hygiene habits such as wearing masks, washing hands frequently, and keeping a safe social distance. In particular, they should take good care of vulnerable people such as the elderly, people with basic diseases, infants and children, reduce visitors, try not to go to crowded places with poor air circulation, stay away from people with fever and cough, keep a safe social distance, and do good hand hygiene after returning home. The elderly have low resistance and a high proportion of basic diseases, and they are the high-risk group to cause severe illness after Covid-19 infection. Vaccination with COVID-19 vaccine can effectively reduce the risk of severe illness and death after infection. It is suggested that the elderly who are not contraindicated and meet the vaccination conditions should be vaccinated as soon as possible, and the booster immunization should be completed as soon as possible after 3 months of complete vaccination.
Concern 1
Can you see a doctor nearby if you have fever and other symptoms when you are isolated at home?
According to the "New Ten Articles", asymptomatic infected persons and light cases can be isolated at home after being infected with COVID-19. If residents have fever and other related symptoms, can they get timely rehabilitation guidance and support? Can I see a doctor in the nearest primary medical and health service institution?
In this regard, Zhong Dongbo said that with the adjustment and optimization of prevention and control policies, more than 90% of infected people are asymptomatic and lightly infected, and they can be isolated and rehabilitated at home, which is a prevention and control method that is more in line with the characteristics of the disease. At present, there are 10684 grass-roots medical and health service institutions such as community health service centers (stations), outpatient departments and village clinics in Beijing, covering every street and town, with 90654 grass-roots health personnel. In order to effectively support the self-medical treatment of home-isolated infected people, four measures of primary medical and health services were optimized.
The first is to provide rehabilitation guidance for isolated people at home.
The second is to provide referral services for isolated people at home. If the positive infected person’s condition worsens, the primary medical staff can carry out door-to-door rounds to assess the health status of the infected person and deal with it in time under scientific protection. If the positive infected person needs to go out for treatment, contact and dock according to the patient’s condition and wishes, and transfer to the hospital for treatment in time by means of self-driving, 120 ambulance or volunteer motorcade.
The third is to provide residents with nearby medical services. Conditional grass-roots medical and health service institutions have set up fever clinics or fever sentinel, equipped with sufficient medical strength to meet patients’ medical needs; Conditional grass-roots institutions can accept patients with 11 kinds of symptoms such as fever on the basis of strengthening protection, provide prescription and corresponding diagnosis and treatment services, and provide convenience for residents to seek medical treatment; For patients beyond the ability of primary diagnosis and treatment, timely referral to the hospital fever clinic for treatment.
The fourth is to enrich the strength of primary medical services. By coordinating the medical association, practicing in multiple places and recruiting in various ways, medical staff will be supplemented to work in primary health care institutions to meet the needs of residents’ home isolation and rehabilitation and going to primary health care institutions for medical treatment.
Concern 2
How to better protect patients from seeking medical treatment after the release of "New Ten Articles"?
Recently, some citizens are facing the problem of hospital closure when seeking medical treatment. After the implementation of the "new ten articles" policy, how can we alleviate this problem and ensure the normal medical needs of citizens?
In this regard, Zhong Dongbo said that recently, with the development of the epidemic situation, the demand for patients to go to fever clinics has increased, and some medical institutions need to sterilize after they have positive infections. Therefore, when citizens go to fever clinics and emergency departments for medical treatment, there is a phenomenon of stopping due to epidemic. In order to better protect the normal medical needs of citizens, we will further optimize and adjust service measures.
First, fever clinics and emergency departments should be set up and opened. In principle, all the fever clinics and emergency departments in the city provide services 24 hours a day, so as to ensure that "everything should be set up" and "everything should be opened" to maximize the protection of people’s medical needs.
The second is to make every effort to ensure that normal medical services are not interrupted. If a fever clinic, emergency clinic or clinic contacts a positive infected person, it will be transferred to the isolation ward within 1 hour; After the positive infected person is transferred out, the clinic space involved should be disinfected immediately and resumed as soon as possible, and the scope of sealing and control should be accurately defined by a single clinic to minimize the impact of the epidemic on medical institutions; Establish a "white list" system for medical staff, reduce the attrition of medical staff on the job, ensure the daily medical power reserve, and ensure that normal medical services are not interrupted.
The third is to effectively protect the treatment of critically ill patients. For critically ill patients, fever clinics and emergency departments may not refuse to consult for reasons such as accepting positive infected people in the consultation area and having no nucleic acid test certificate; Set up a standby emergency diagnosis and treatment area outside the routine diagnosis and treatment area to rescue critical patients; Emergency room, dialysis room, operating room, intensive care unit, delivery room, obstetrics and neonatal ward are "not controlled unless necessary" to ensure the life, health and safety of patients.
In addition, advocate Internet+medical services. If citizens have non-urgent medical needs, they can choose the form of Internet+medical treatment.
Concern 3
How to do personal protection under the new situation of epidemic prevention and control?
Yesterday, Pang Xinghuo reminded me how to do personal protection under the new situation of epidemic prevention and control.
Pang Xinghuo said that Covid-19 mainly spreads through respiratory droplets and close contact. Personal protection can effectively prevent Covid-19 infection. In indoor and outdoor crowded places, when taking elevators and taking public transportation, masks should be standardized; Don’t touch your eyes, mouth and nose without cleaning your hands. Wash your hands or disinfect your hands in time when you go home, care for the elderly, children and patients, touch your mouth, eyes and nose, cough or sneeze, clean up garbage, and touch public facilities such as express delivery, elevator buttons and door handles. Even if the weather is cold, open the window for ventilation at any time, 2-3 times a day for 20-30 minutes each time; When there are many people at home, patients or visitors, it is recommended to open the window for ventilation; When there are isolated people at home, the room where they are located should close the door and open the window separately for ventilation.
Winter is the season of high incidence of respiratory infectious diseases, so citizens are requested to enhance their awareness of protection, keep warm and avoid gathering. Try not to go to crowded places where the air is not circulating, stay away from people with fever and cough, keep a safe social distance, reduce the risk of overlapping respiratory infectious diseases in winter, and at the same time do a good job in self-health monitoring. When symptoms such as fever and cough appear, don’t go to work or school with illness, and try to avoid direct contact with family and colleagues.
Ten measures to optimize epidemic prevention and control in Beijing
First, scientifically and accurately divide risk areas
According to the requirements of defining high-risk areas by buildings, units, floors and households, it is not allowed to expand to areas such as communities, communities and streets (towns) at will.
Any form of temporary blockade shall not be adopted.
Second, implement quick sealing and quick solution in high-risk areas
After the high-risk area is designated, the community should inform the residents of the isolation control time at the first time.
Personnel in high-risk areas shall be sampled on the fifth day of isolation, and unsealed in time after the test result is negative.
In case of persistent cases, only the persistent positive households shall be controlled, and the control time of other personnel shall not be extended.
Third, optimize nucleic acid detection and inspection measures
The employees in high-risk posts and those in high-risk areas shall be tested for nucleic acid according to the relevant regulations, and other personnel are willing to do all the tests.
According to the regulations, when entering old-age care institutions, child welfare institutions, kindergartens, primary and secondary schools, inpatient departments of medical institutions, restaurants, indoor fitness and other closed places such as Internet cafes, bars, chess rooms, KTV, script killing and sauna bathing, the code must be scanned and the 48-hour negative nucleic acid certificate must be checked. The staff of the above-mentioned relevant places must follow its regulations.
Adjust the requirements for nucleic acid detection of key populations, and important units, large enterprises and major events can determine prevention and control measures such as nucleic acid detection and inspection according to needs.
For those who return to Beijing, prevention and control measures such as negative proof of nucleic acid test and health code will no longer be implemented, and "three days and three inspections" will no longer be implemented after arriving in Beijing, in accordance with the relevant prevention and control regulations of Beijing.
Fourth, optimize and adjust the isolation mode
Positive infected people should be scientifically classified and treated. Asymptomatic infected people and light cases with home isolation conditions generally adopt home isolation, or they can voluntarily choose centralized isolation and treatment.
During the isolation period, health monitoring was strengthened, and the Ct value of nucleic acid was detected twice in succession on the 6 th and 7 th day of isolation ≥ 35 release the isolation, and transfer to the designated hospital for treatment in time if the condition worsens.
Heal the infected people who leave the hospital and the cabin, and no longer carry out home health monitoring.
Close contacts with home isolation conditions can be isolated at home for 5 days, or they can choose centralized isolation voluntarily, and the isolation will be lifted after the nucleic acid test is negative on the fifth day.
Five, to ensure the basic drug purchase needs of the masses.
Pharmacies should operate normally and should not be shut down at will.
The masses are not restricted from buying over-the-counter drugs such as antipyretic, cough relieving, anti-infection and cold treatment online and offline, and no real-name registration, window popping or follow-up visits are made to drug purchasers.
Drug supervision departments guide pharmacies to increase drug reserves and fully meet market demand in a timely manner.
Primary medical institutions can provide prescription services for patients with 11 kinds of symptoms such as fever.
Six, to ensure the normal medical order
Ensure that residents go out to see a doctor and see a doctor smoothly, and residents can see a doctor on their own according to their own needs and willingness to see a doctor.
Announce to the public the address and telephone number of the fever clinic and the information of the medical institutions that receive children with fever, so as to facilitate the masses to inquire about medical treatment.
Medical institutions should set up emergency diagnosis and treatment areas in outpatient and emergency departments to rescue critically ill patients and ensure their life safety.
After the emergence of positive personnel in medical institutions, the consultation rooms involved will be opened immediately to ensure daily diagnosis and treatment services.
Seven, accelerate the vaccination of the elderly.
Adhere to the principle of taking all the connections, focus on improving the vaccination rate of people aged 60-79, accelerate the vaccination rate of people aged 80 and over, and make special arrangements.
Step by step to carry out the training of judging vaccination contraindications, and guide medical staff to scientifically judge vaccination contraindications.
Refine popular science propaganda, mobilize all social forces to participate in mobilizing the elderly to vaccinate, and mobilize the enthusiasm of the elderly to vaccinate.
Each district should accurately grasp the base number of the elderly population in its jurisdiction, provide convenient vaccination services in various ways, improve the vaccination experience, and create a good vaccination environment for the elderly.
Eight, strengthen the key groups to touch the file.
Health departments and communities should "double-check" the base number of key personnel. The health department arranges the number of pregnant women, hemodialysis patients and cancer patients through medical institutions. The community takes the initiative to find out the number of disabled and demented people who have been bedridden for a long time, the number of elderly people with basic diseases such as cardiovascular and cerebrovascular diseases, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, immune deficiency and their vaccination, file files for key people, provide services by classification, and strengthen life service guarantee, reverse isolation protection, and health medication guidance.
Nine, to ensure the normal operation of society
It is strictly forbidden to block fire exits, unit doors and residential doors in various ways.
Non-high-risk areas shall not restrict the flow of personnel. When an epidemic occurs in a unit, enterprise or place, the infected person shall be quickly isolated or transported according to local conditions, and terminal disinfection shall be carried out, and it is not allowed to stop work, production or business.
Medical personnel, public security, transportation and logistics, supermarkets, power supply, water, electricity and heating, and other basic medical services and normal social operation personnel will be included in the "white list" management, and relevant personnel will strengthen personal protection, vaccination and health monitoring.
Strengthen the care and psychological counseling for the control personnel, infected persons and front-line staff.
Timely solve the urgent and anxious problems raised by the masses, and effectively meet the basic needs of the masses during the epidemic disposal.
Ten, optimize the school epidemic prevention and control.
Resolutely implement the requirements of scientific and accurate prevention and control, schools without epidemic situation should carry out offline teaching activities normally, supermarkets, canteens, stadiums and libraries on campus should be opened normally, and the absenteeism reporting system for teachers and students and daily symptom monitoring should be strengthened.
Schools with epidemics should accurately define risk areas, and normal teaching and living order should be ensured outside the risk areas.
