The National Health and Health Commission issued a new coronavirus pneumonia prevention and control program (7th edition)

In order to further guide all regions to do a good job in the prevention and control of new coronavirus pneumonia, on the basis of a comprehensive summary of China's experience in epidemic prevention and control, combined with the changes in the national epidemic situation and research progress, the State Council to respond to the new coronavirus pneumonia epidemic joint prevention and control mechanism integrated group organized the revision of the "new coronavirus pneumonia prevention and control program."
The main amendments are as follows: First, the overall requirements clearly adhere to the principle of prevention-oriented, prevention and control combined, scientific prevention and control in accordance with the law, in accordance with timely detection, rapid disposal, precise control, effective treatment of the work requirements, the implementation of the "four early" measures, resolutely prevent the import of overseas outbreaks and domestic outbreak rebound.
II. Pathogenic and epidemiological characteristics emphasize that the main route of transmission is still through respiratory droplets and close contact, but exposure to virus-contaminated items and the virus-contaminated environment under certain conditions can lead to contact transmission or aerosol transmission.
3. Epidemic surveillance I is based on the epidemic changes at home and abroad, the epidemiological history of cases emphasizes the reporting of cases or asymptomatic infected communities travel history or residence history, cases or asymptomatic infected people exposure history, etc., more accurate science.
2 is to emphasize that asymptomatic infected persons are respiratory and other specimens of the new coronavirus pathogen test positive, no relevant clinical manifestations, such as fever, dry cough, sore throat and other self-aware or clinically identifiable symptoms and signs, and CT imaging no new coronary pneumonia imaging characteristics.
3 is to increase multi-channel monitoring and early warning, requiring monitoring for populations and the environment in accordance with the principles of point-to-face integration, integration of infectious disease surveillance systems with other sectoral monitoring systems, and combination of routine monitoring and enhanced monitoring.
fourth is to improve the definition of aggregate outbreaks, according to the zoning classification criteria, the aggregate outbreak from "2 cases and above" to "5 cases and above."
4. Epidemiological investigation increases the definition of overseas imported cases, imported secondary cases, close contacts of close contacts (referred to as close contacts), etc., emphasizing case investigation, close investigation, case active search, cluster outbreak investigation and investigation information report, and analysis of the source of infection, pollution range, transmission characteristics and transmission chain.
5, close contact and secret management is to increase the secret management requirements, including management methods, management processes, management requirements, information reporting 4 aspects.
2nd is to increase the nucleic acid detection requirements during centralized isolation medical observation, requiring 3 and 1 nucleic acid tests respectively during close contact and dense dense isolation medical observation.
third is to refine the requirements of centralized isolation and home medical observation, to develop centralized isolation and home medicine observation guidelines, to guide local science to carry out related work.
6, the first outbreak disposal is for low, medium and high risk areas, further refine prevention and control measures, low-risk areas to implement normal prevention and control work, strengthen epidemic surveillance and response preparedness.
Second, the medium-risk areas scientifically delineate the scope of prevention and control areas to the smallest units (e.g. schools to classes, buildings to units, factories to work rooms, workplaces to offices, rural households as the smallest units), start intensive monitoring, the implementation of end-of-life disinfection.
, according to the needs of epidemic prevention and control and infection risk, determine the nucleic acid detection population range and priority.
3. Third, high-risk areas to schools, buildings, factories, workplaces, natural villages for the smallest units to delineate the prevention and control area, carry out comprehensive household inspection, limit crowd gathering activities, regional control and other measures to initiate emergency response.
. Specimen collection and laboratory testing have increased the content of gene sequencing, requiring the first cases and cases with unknown sources of infection in various places, as well as positive specimens found by environmental monitoring, to carry out genetic sequencing and other traceability work.
8th, overseas epidemic import prevention and control adjustment "7 plus 7" "2 plus 1" centralized isolation medical observation measures.
After receiving customs nucleic acid testing at the port of entry, the entry point is centrally isolated for 7 days and nucleic acid testing at his own expense (in principle, on the 5th day of entering the centralized isolation medical observation point), the negative test results can be transferred to the home for 7 days, and after 14 days of isolation, the voluntary self-funded nucleic acid test.
, key links of prevention and control to increase cold chain food processing and trading places of prevention and control requirements, reduce the cold chain link transmission of the risk of epidemic.
, social health management and services to strengthen community prevention and control and services, patriotic health campaigns, publicity and education and risk communication, personal health and protection, mental health services and other measures.
11. The isolation site is set up under the premise of keeping the other requirements of the isolation site basically unchanged, and the site selection requirement is revised to "should be relatively independent and maintain a certain protective distance from the densely populated residential and active areas", which is conducive to enhancing the overall isolation capacity of the city on the basis of ensuring the safety of isolation and avoiding the spread of the epidemic.
The prevention and control program requires all localities to further crush the responsibilities of the "quartet" of territories, departments, units and individuals, strengthen joint prevention and control, strengthen capacity-building, regularly conduct research and risk assessment of the epidemic situation in their jurisdictions, organize training and practical exercises in prevention and control skills, strengthen guidance and inspection of key areas, key sites and key population prevention and control work, and urge the implementation of various prevention and control measures.
: New Coronavirus Pneumonia Prevention and Control Programme (7th Edition)