Health And Wellness Commission: Promote the detection of new coronary nucleic acids, 8 categories of people "should be checked"

joint defense control mechanism integrated (2020) 181The CPC Central Committee and
attach great importance to the detection of new coronavirus nucleic acids, and the central government should make a deployment at the meeting of the leading group on the outbreak of pneumonia with new coronavirus infection, calling for efforts to improve detection capabilities and try its best to expand the scope of testing. Strengthening nucleic acid detection is not only conducive to consolidating the results of prevention and control, maintaining the health of the masses, but also helping the rational flow of personnel, promoting the full resumption of work and re-learning, is an important measure of "external defense input, internal defense rebound". In order to guide all regions in the normal prevention and control work to do a good job in nucleic acid detection work, put forward the following comments:adhere to the prevention-oriented, will speed up the improvement of nucleic acid detection capacity, try to expand the scope of nucleic acid detection as the normal prevention and control of the implementation of the "four early" measures of the first measures. In accordance with the principles of regulation, classification guidance and local conditions, do a good job in the key industries of the key groups of people should be checked, and make every effort to check the hidden dangers. We will implement the personnel, equipment and funds needed to speed up the upgrading of testing capabilities, reduce the responsibilities of local areas, departments, units and individuals, improve working mechanisms, strengthen organizational management, achieve early detection, accurate prevention and control, and create conditions for accelerating the full restoration of production and living order.can be based on the needs of epidemic prevention and control work and detection capabilities, determine and dynamically adjust the detection strategy and population range.
(i) key groups of people "should be checked."
1. Close contacts;
2. Overseas entry personnel;
3. Fever outpatients;
4. New inpatients and escorts;
5. Medical institution staff;
6. port quarantine and border inspectors;
7. prison staff;
8. social welfare institution staff.
(ii) other groups of people "willing to check." Local areas can be based on local actual identification and dynamic adjustment of priority detection population.
(iii) strengthen public monitoring and early warning. THE CDC regularly conducts sampling monitoring and epidemiological surveys of the general population, and do a good job in information collection, analysis and evaluation, and monitoring and early warning. All regions in accordance with the development of the epidemic dynamic adjustment of normal prevention and control measures and dynamic promotion should be checked.(i) strengthen the construction of laboratories. All localities should strengthen the construction of three-level hospitals, infectious disease specialist hospitals, county (district) level and above disease control institutions, customs and conditional county hospital laboratories, so that they have the ability to carry out new coronavirus detection. For land border port cities with relatively lack of medical resources, relatively weak detection capacity and greater pressure on epidemic prevention and control, key support should be provided to disease control agencies, customs and a medical institution with strong comprehensive strength, and mobile box laboratories may be used if necessary. With the strengthening of other secondary or above hospitals, specialized hospitals, maternal and child health care hospital laboratory construction, so that it gradually reached the new coronavirus nucleic acid testing conditions.
(ii) strengthen quality control and biosecurity. Strengthen laboratory capacity-building standard system certification and laboratory indoor quality control, normal acceptance of national or provincial clinical inspection quality control. The provincial health administrative departments organize the testing institutions within the jurisdiction to participate in the inter-room quality assessment in batches, to ensure that each institution participates in the inter-room quality assessment at least once a year. Testing institutions to strengthen biosecurity management, strict operation procedures, proper disposal of remaining biological samples, sample use, preservation, delivery and destruction work.
(iii) strengthen the training of personnel norms. Develop training plans, provincial and municipal disease control agencies, inspection centers, customs to comprehensively strengthen the technical training and guidance of inspection and testing personnel, to ensure the quality of laboratory personnel needs. To achieve sampling personnel proficient in nasopharyngeal swabs, pharynx swabs and other standardized collection methods, laboratory testing personnel proficient in specimen processing, related reagent use and testing methods, reduce the impact of technical operation problems on the accuracy and reliability of test results, to achieve sample collection, preservation, transportation, laboratory testing and other aspects of the whole process of standardized operation.
(iv) to accelerate the increase in equipment production capacity. Strengthen research, approval and market transformation in testing equipment, testing methods and testing reagents, as well as mobile chamber laboratories, and urgently increase the production of simpler, more efficient and accurate testing equipment, especially the production and expansion of nucleic acid rapid detection equipment, expand commercial applications, and actively organize the upgrading of mobile square cabin laboratory and other new testing equipment production capacity application scale. The territory government organizes the relevant departments to scientifically assess the local testing needs and equipment, reagents and consumables production capacity, and formulate a supply and demand plan. The industrial and information technology departments coordinate production enterprises to expand the production capacity of equipment, reagents and consumables as soon as possible according to demand. Development and reform departments to do a good job of testing the necessary materials unified deployment.
(v) to ensure the smooth flow of information. Strengthen information security management, through information means, to ensure the accuracy of the information of the subject, detection results of the regulatory management and privacy protection. The testing institution provides the test certificate to the subject and does a good job of information registration, and strictly fulfills the reporting responsibility when it finds that the test results are positive. All regions should timely share the test results information to the "health code" database, and rely on the national integrated government service platform to promote the mutual recognition and sharing of nucleic acid detection-related information in various regions, in the national integrated platform "epidemic prevention health information code" and immigration version of the unified label. To forge, tamper with the results of new coronavirus detection and other acts in accordance with the law and strictly crack down.(i) to implement the responsibilities of relevant departments. The Health and Health Department publishes the list of institutions with testing qualifications, designates medical institutions, disease control agencies, customs and social testing institutions to provide testing services for the "due diligence" population, and designates medical institutions and social testing institutions to provide testing services for the "willing to inspect" the population. When carrying out large-scale population testing, 5 to 10 specimens can be mixed for initial screening methods to improve detection efficiency and reduce testing costs. We should strengthen the supervision of laboratory quality control and biosecurity, incorporate testing into the business assessment content of medical and health institutions, collect relevant information on testing and report it to the higher health departments. The health and health department is responsible for organizing the testing work of close contacts, fever outpatients, new inpatients and escorts, medical institution staff, the civil affairs department coordinates the inspection work of the staff of old-age institutions, child welfare institutions, non-adult rescue and protection institutions and urban and rural community workers, the public security and judicial administrative departments are responsible for organizing the inspection work of the staff of the prison and the newly received supervised personnel, the customs department is responsible for organizing the inspection work of overseas immigration personnel and quarantine personnel, and the immigration administration department is responsible for the inspection of border inspectors. Education, transportation, human resources, social security, business and other departments in accordance with the actual situation in various places, priority organization, orderly guidance to do a good job of school (kindergarten) staff, students from key areas of the epidemic, public transport and passenger terminal service personnel, new workers (return to work) personnel testing work.
(ii) to play the role of community units. The community should strengthen the management of key population groups, take the initiative to strengthen information communication, increase health education efforts, guide the community to assist and cooperate with government departments to organize and carry out testing work, and accept sample collection, testing, isolation, treatment and other preventive and control measures in accordance with the law. All organs, enterprises, institutions, schools, social organizations and other organizations should establish and improve the management system of nucleic acid testing, earnestly fulfill the main responsibility, actively contact the health and health departments, and organize and carry out the testing work in an orderly manner.
(iii) to improve the follow-up work of testing. The testing institution shall notify the detection object of the test results in a timely manner. For those who test positive for positive results in accordance with the provisions of the network direct reporting, epidemiological investigation, outbreak disposal, social testing institutions should timely report the nucleic acid test results positive information to the county (district) disease control agencies. Confirmed patients immediately transferred to fixed-point medical institutions in accordance with the provisions, asymptomatic infected persons in accordance with the provisions of the implementation of centralized isolation medical observation, observation period, such as clinical manifestations should be transferred to fixed-point medical institutions in a timely manner, after diagnosis timely revision. All over the county (district) as a unit, reasonable set up isolation points, so that should be separated, receivable.(i) strengthen organizational leadership. Local governments and
at all levels should take strengthening testing as an important part of the current normal epidemic prevention and control work, strengthen leadership and organize it carefully. Joint prevention and control mechanisms (leadership groups and commands) at all levels should formulate work programmes, implement departmental responsibilities, hold regular coordination meetings, study and solve key difficulties in expanding nucleic acid testing, do a good job in public opinion assessment and risk response, and make dynamic adjustments in a timely manner according to the situation of epidemic prevention and control.
(ii) strengthen policy support. Local
governments should study and formulate relevant policy measures to rapidly improve nucleic acid detection capabilities, and mobilize the enthusiasm of social testing service institutions to carry out nucleic acid testing. Provincial medical insurance departments promptly and in accordance with procedures to nucleic acid testing projects and related supplies into the province's medical security diagnosis and treatment project directory. The provincial price department shall formulate the charging standards for uniform implementation within the province.
(iii) to increase financial security. Governments at all levels should strengthen the overall arrangement of funds and provide financial support for the construction of disease control institutions, medical institutions, customs laboratories and testing equipment, especially in key areas such as areas with relatively dense populations and high mobility and border crossings. Eligible regions incorporate testing reagents and consumables into the procurement scope of provincial centralized procurement platforms and simplify tender procurement procedures. The expenses required for "due diligence" shall be borne by the local governments, and the expenses required for "willing to inspect and inspect" shall be borne by enterprises and institutions or individuals.
(iv) to increase publicity and advocacy. Local propaganda departments and health departments to jointly strengthen the new crown pneumonia prevention and control knowledge of popular science publicity work, the use of a variety of media to widely disseminate prevention and control knowledge, improve the awareness of the masses to take the initiative to participate in nucleic acid testing, promote willingness to check.