The Joint Prevention and Control Mechanism of the State Council issued the Capacity-Building Work for Further Promoting the Detection of New Coronavirus Nucleic Acids

Invention Electric (2020) No. 22
People's Governments of provinces, autonomous regions and municipalities directly under the Central Government,
ministries and agencies directly under the Central Committee:
In order to implement the relevant decision-making and deployment of the CPC Central Committee,
to do a good job in the detection of new coronavirus nucleic acid, now will be "further promote the new coronavirus nucleic acid testing capacity-building work programme" issued to you, please combine the actual serious implementation.to the new coronavirus infection pneumonia
outbreak joint prevention and control mechanism
August 27, 2020Party Central Committee,
times to improve the detection capacity of the new coronavirus nucleic acid deployed. In order to
the requirements of the
Executive Meeting and the special meeting of the
Joint Prevention and Control Mechanism, and to further promote the capacity-building of the detection of new coronavirus nucleic acids, this programme has been formulated.
I. Work Target
By the end of September 2020, we will have achieved nucleic acid sampling and testing capabilities in three-level general hospitals, infectious disease specialist hospitals, disease control agencies at all levels and at least one county-level hospital in the county. By the end of 2020, all secondary general hospitals will have nucleic acid sampling and testing capabilities, complete the construction of urban testing bases and public testing laboratories, give full play to the role of independently set up medical testing laboratories (here are called third-party laboratories), rationally lay out the regional mobile nucleic acid detection force, form a rapid response mechanism, with the ability to complete the detection of nucleic acids in a relatively short period of time in the event of local cluster outbreaks.
, work tasks and
(i) to improve the daily nucleic acid detection capabilities. General hospitals at or above level two, specialized infectious disease hospitals, disease control institutions at all levels and county-level hospitals with nucleic acid detection capabilities in the county should make full use of existing resources to speed up the upgrading of nucleic acid detection capabilities to meet the needs of daily testing. All localities in accordance with the standard of at least 1 per 1 million permanent resident population in urban areas above the ground level and the principle of filling in the same, relying on the three-level general hospital to build urban testing base, urban resident population of less than 1 million at least one. Urban testing base testing capacity should reach 10,000 copies / day (based on single testing calculation, human parts according to mixed sample testing calculation), in the event of an outbreak by increasing the shift to reach 30,000 copies / day. In principle, the urban testing base only undertakes the task of the city in which it is located, and ensures the need for sporadic dissemination of nucleic acid detection. We should strengthen the capacity-building of port rapid nucleic acid detection and cargo disinfection testing, and improve the convenience of customs clearance.
(ii) to build a mobile nucleic acid detection force.
1. Construction of public testing laboratories. Comprehensive local medical and health resources layout and geographical transportation and other factors, in the country to select 100 large public hospitals, CDC to build public testing laboratories. Make full use of existing resources, adhere to the principle of "combination of peace and war, fill in the balance", each public testing laboratory should have 10,000 copies / day testing capacity, equipped with mobile square cabin laboratory (mobile biosecurity secondary laboratory) and related auxiliary mobile facilities, the formation of 1 million copies / day of mobile testing reserve capacity. The construction work shall be organized and carried out by the province in which it is located.
2. Organizations purchase third-party laboratory nucleic acid testing services. All localities should take active measures to guide and promote the healthy development of third-party laboratories in accordance with the law. In the event of an outbreak, third-party laboratories shall be organized to participate in nucleic acid testing by way of government purchase of services in accordance with the criteria of more laboratories, wider distribution, stronger detection capabilities and higher efficiency of resource mobilization and voluntary participation. Local and third-party laboratories signed a purchase service agreement, clear testing volume, completion time limit, testing costs, etc., and agreed on other related matters.
(iii) to establish a zone mobile support system. Comprehensive population, medical and health resources layout and geographical transportation and other factors, the country will be divided into 8 zones, the overall area of public testing laboratories, large-scale third-party laboratories as a mobile testing team, each area formed 500,000 - 700,000 copies / day of mobile nucleic acid detection capacity. The division of the various regions of the country and the configuration of public testing laboratories are attached.
when the relevant local outbreak requires nucleic acid testing and screening, in principle, should rely on the region, the province's detection force, testing capacity is indeed insufficient to need support, to
joint prevention and control mechanism integrated group to apply. Specific support work is coordinated by the National Health and Safety Commission to mobilize mobile testing teams from the area to provide support, and to mobilize support from adjacent areas when the area is insufficient or the district is inconvenient to mobilize. The transportation, accommodation and testing expenses of the relevant personnel of the public testing laboratory shall be the responsibility of the recipient place.
sent by the mobile testing team detection capacity in accordance with the following objectives, to achieve 5-7 days to basically complete the full nucleic acid testing work: the number of detection in less than 5 million, the daily detection volume through mixed sample detection reached 500,000-1 1 million to 1.5 million tests; more than 10 million to more than 1.5 million tests; and more than 1.5 million tests.
(iv) strengthen the construction of the team of inspectors. All places should be equipped with sufficient testing personnel according to the size of the testing laboratory, the establishment of reserve personnel echelons. To develop a highly operational and detailed training program, organization of medical institutions, CDC and third-party laboratory testing personnel to carry out relevant training. To complete the training of current on-the-job technicians by the end of September 2020, the additional technicians in the newly expanded laboratory will complete the training when the laboratory is completed, so that the institutions and personnel are in place at the same time. To fully organize the mobilization of existing medical and health personnel, each testing laboratory construction unit should optimize the internal staffing, and according to the testing work needs to be equipped with sufficient sampling personnel.
(v) to establish nucleic acid detection resource information management system. On the basis of the current nucleic acid detection information platform, the National Health and Health Commission will incorporate the relevant information of various testing institutions with nucleic acid detection capabilities into the list of nucleic acid testing institutions. At the same time, the medical institutions, cdcs, third-party laboratories sampling, testing personnel information summary, the establishment of sampling and testing personnel database. The directory of nucleic acid testing institutions and the database of sampling and testing personnel shall be dynamically managed, and the administrative departments of health and health at all levels and relevant institutions and personnel shall be mastered and managed according to the corresponding authority.
3, work requirements
(1) to increase policy financial support and protection. All regions should increase supporting policies and financial support to ensure the relevant laboratory infrastructure construction, equipment allocation and so on. We should effectively optimize and adjust the structure of fiscal expenditure, and make overall use of various channels such as investment in the central budget, special government bonds against epidemics, special bonds of local governments and local financial funds. Allow the CDC to carry out nucleic acid testing with reference to the public hospital fees and charges, the fees charged as administrative fees paid to the national treasury in a timely manner, the CDC to carry out nucleic acid testing expenses in accordance with the provisions into the budget management.
(ii) strengthen the detection technology methods to optimize innovation and testing materials supply guarantee. All localities may refer
the relevant technical specifications issued by the Medical Treatment Group of the Joint Prevention and Control Mechanism to carry out mixed sample testing. Low-risk areas can be mixed testing in accordance with 10:1 and medium-risk areas in a 5:1 manner, and high-risk areas and key population groups should be individually tested in a 1:1 manner. Grasp the research to identify the technical conditions that do not require rapid laboratory testing and develop relevant operating guidelines. Encourage all localities and relevant institutions to carry out testing equipment research and development and testing technology method optimization, vigorously promote the use of new technologies and new products, and further improve testing efficiency and quality. Depending on the inspection requirements and application scenarios, detection equipment with different amounts and speeds is available. Urban testing bases and public testing laboratory construction units should do a good job in the procurement and reserve of testing materials. All localities should make overall arrangements for the capacity-building of local nucleic acid detection, and support construction units and production enterprises to make use of the national key medical materials to ensure the dispatch platform to do a good job of production and demand docking.
(iii) to do a good job in the supervision and management of the laboratory. All localities should incorporate various nucleic acid testing institutions such as medical institutions, CDC and third-party laboratories into the management of quality control and quality assessment systems, and do a good job in daily quality control supervision and random spot checks. To strengthen the overall coordination of all types of testing laboratories, so that the number of samples received and testing capacity to match, testing process specifications, reliable testing quality, testing report feedback timely. In strict accordance with the Regulations on Biosecurity Management of Pathogen Microbiology Laboratory and related technical specifications, we will carry out experimental activities, strengthen sample management, prevent laboratory leakage or human infection, and ensure laboratory biosecurity.
(iv) to further raise awareness and implement responsibilities. Timely nucleic acid testing is the key measure to implement the "four early" requirements, but also to do a good job of normal precision prevention and control of the basis and premise. All localities should attach great importance to and implement their responsibilities, and the joint prevention and control mechanism (leadership group, command) to deal with the outbreak of neo-pneumonia should strengthen organizational leadership, comprehensively promote the capacity-building of nucleic acid testing, and ensure the completion of the task on schedule and with high quality. the relevant member units of the joint anti-control mechanism should step up their efforts to support and guide all regions to improve nucleic acid detection capabilities. The National Development and Reform Commission and the Ministry of Finance are responsible for guiding local investment in capacity-building for nucleic acid testing, the Ministry of Science and Technology, the Ministry of Industry and Information Technology are responsible for promoting research and development and production of testing equipment, reagents, consumables, etc., organizing and coordinating relevant enterprises to speed up production to meet testing needs, and the National Health and Health Commission is responsible for providing technical guidance on capacity-building for nucleic acid testing, and organizing the implementation of zones Mobile support work; the General Administration of Customs is responsible for the capacity-building of rapid nucleic acid testing and cargo disinfection testing at ports; the State Drug Administration is responsible for opening green channels to speed up the review and approval of relevant equipment, reagents and consumables; and the Ministry of Transport, the Civil Aviation Administration of China, the State Railway Administration and china National Railway Group Co., Ltd. are responsible for coordinating the transportation of personnel and materials.
Annex: Division of various regions and configuration of public testing laboratories
Annex
Annex First District
Beizhou
Tianjin
Hebei Province
Shanxi Province
Bei Autonomous Region Beijing Hospital
China-Japan Friendship Hospital Concord Hospital of the Chinese Academy of Medical Sciences
Beijing University First Hospital
Peking University People's Hospital
Peking University Third Hospital
Beijing Chaoyang Hospital, affiliated with Capital Medical University
Beizhou CDC
Tianjin Medical University General Hospital
Tianjin Cdc
Hebei Medical University First Hospital
Hebei Medical University First Hospital
Shanxi Medical University Second Affiliated Hospital
Shanxi Province CDC
Inner Mongolia Autonomous Region People's Hospital
N autonomous Region CDC
Jilin Province
Heilongjiang Province
Jilin University First Hospital
Jilin University Second Hospital
Jilin University Sino-Japanese Friendship Hospital
Jilin Provincial People's Hospital
Jilin Provincial CDC
China Medical University First Affiliated Hospital
Liaoning Province CDC
Dalian Medical University Affiliated First Hospital
Dalian University of Medicine CDC
Three District
Shanghai
Jiangsu Province
Anhui Province
Shandong Province
Fudan University-affiliated Zhongshan Hospital
Fudan University-affiliated Huashan Hospital
Shanghai Jiaodan University School of Medicine affiliated Ruijin Hospital
Sao-Shanghai CDC
Nanjing Gulou Hospital
Jiangsu Province CDC
China University of Science and Technology affiliated first hospital
Anhui Province CDC
University Qilu Hospital
S shandong University Second Hospital
Shandong Provincial Hospital
Shandong Province CDC
Qingdao City Hospital
Singtao City CDC
fourth Area
Zhejiang Province
Fujian Province
Jiangxi Province
Zhejiang University School of Medicine affiliated with the first hospital
Zhejiang Province CDC
Chinese Academy of Sciences Ningbo Huamei Hospital
National Ningbo City CDC

Fujian Provincial Hospital
Fujian Provincial CENTER for Disease Control and Prevention
Xiamen University Affiliated Zhongshan Hospital
Xiamen City CDC
Nanchang University First Affiliated Hospital
Jiangjiang Province CDC
The fifth piece District
Henan Province
Hubei Province
Hunan Province
Tongji Medical College affiliated Concord Hospital
Huahua Central University of Science and Technology Tongji Medical College affiliated Tongji Hospital
Wuhan University People's Hospital
Wuhan University Central South Hospital
Beijiang Province CDC
Central South University Xiangya Hospital
Central South University Xiangya II Hospital
Central South University Xiangya Iii Hospital
Hunan Provincial People's Hospital
Hunan Province CDC
Zhengzhou University First Affiliated Hospital
Henan Province CDC
6th District
Guangdong Province
Guangxi Zhuang Autonomous Region
Hainan Province
Zhongshan University affiliated First Hospital
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Sun Yat-sen University Affiliated Third Hospital
Guangdong Provincial People's Hospital
Guangdong Provincial CDC
Shenzhen People's Hospital
Shenzhen CDC

Guangxi Zhuang Autonomous Region People's Hospital
Guangxi Zhuang Autonomous Region CDC
Hainan Provincial People's Hospital
Hainan Province CDC
The seventh district
Se
Sichuan Province
Guizhou Province
Yunnan Province
Sechuan Autonomous Region
Sichuan University Huaxi Hospital
Shchuan Provincial People's Hospital
Sichuan Provincial Center for Disease Control and Prevention
Chongqing Medical University affiliated first hospital
Seco chongqing CDC
Guizhou Provincial People's Hospital
Guizhou Province CDC <br