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"Category B and B pipe": What changes have been brought about by prevention and control measures? How can risks be prevented?

 Last Update: 2023-02-03
 Source: Internet
 Author: User

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The new crown virus infection will be adjusted from "Class B tube" to "Class B tube" from January 8, 2023, which is a major adjustment of China's new crown epidemic prevention and control policy, and the society is widely concerned
.
What is the legal procedure for adjusting from "Class B tube" to "Class B tube"? What changes have been brought about by the prevention and control measures? How to effectively prevent risks that may occur after adjustment? The joint prevention and control mechanism of the State Council invited authoritative experts - Lei Zhenglong, director of the Department of Communication and Prevention of the National Disease Control Administration, Xu Wenbo, director of the Institute of Virology of the Chinese Center for Disease Control and Prevention, and Li Qun, director of the Emergency Center of the Chinese Center for Disease Control and Prevention, to interpret.

Q: What criteria are China's Class A, B and C notifiable infectious diseases mainly divided on? At present, what are the infectious diseases of Class A and "Class B tube"? Lei Zhenglong: According to the outbreak, epidemic situation and degree of harm at the time of occurrence of infectious diseases, statutory infectious diseases are divided into three categories
: A, B and C.
At present, there are 40 kinds of notifiable infectious diseases, including 2 types of Class A, 27 types of Class B and 11 kinds of Class C
.
At present, Class A infectious diseases include plague and cholera, and "Class B tube" infectious diseases include infectious atypical pneumonia and pulmonary anthrax in anthrax
.
Q: What are the main differences between the prevention and control measures of "Class B tube A" infectious diseases and "Class B tube" infectious diseases? Lei Zhenglong: In terms of epidemic prevention and control, the difference between "Class B tube" and "Class B tube" is mainly reflected in the following aspects: The first is the
time limit for reporting.
For "Class B" infectious diseases, the responsibility report and the responsible epidemic should be reported online within 2 hours after detection; For "Class B tube" infectious diseases, network reporting
should be carried out within 24 hours.
The second is in terms of
isolation measures.
"Class B tube A" infectious diseases shall be isolated and treated for suspected patients and patients and pathogen carriers, and suspected patients and close contacts of patients and pathogen carriers shall be medically observed in designated places; "Class B tube" infectious diseases require necessary treatment and control of transmission measures
according to the condition.
The third is regional
management.
Isolation measures may be taken for personnel in a place where cases of Class A (including "Category A") infectious diseases have occurred or in a specific area within the premises; In the event of an outbreak of Class A and B infectious diseases, emergency measures
such as restricting clustered activities, stopping work, suspending business, suspending classes, and sealing off epidemic areas may be taken.
Fourth, traffic
health quarantine.
When Class A (including "Category B") infectious diseases occur, traffic health quarantine can be implemented; This measure
is not implemented for "Class B tube" infectious diseases.
Q: What is the legal procedure for adjusting from "Class B tube" to "Class B tube"? What are the risks after the adjustment? How to prevent it effectively? Lei Zhenglong: According to the relevant provisions of the Law on the Prevention and Control of Infectious Diseases, if Class B infectious diseases and infectious diseases of unknown sudden cause require the prevention and control measures of Class A infectious diseases, the administrative department of health under the State Council shall publish and implement
them after reporting to the State Council for approval.
The risks that new coronavirus infection may face from "Class B tube" to "Class B tube" are mainly as follows: First, after adjustment, due to the lack of isolation measures for infectious sources and close contacts, the rate of new coronavirus infection may show a rapid upward trend
.
Second, the large increase in the number of new coronavirus infections in a short period of time will significantly increase the demand for medical treatment, and the infection of medical staff themselves will lead to a decrease in the supply of medical services, so there may be a relative shortage of medical resources in some areas in the early stage of adjustment
.
Third, in the early stage of adjustment, some members of the public may be anxious about the rapid rise of the new crown epidemic, worried about the health hazards
after the new crown infection.
To this end, the following measures will be taken to effectively prevent possible risks and ensure the smooth implementation of
the new coronavirus infection "Class B tube".
First, strengthen health education
.
Popularize the knowledge of the prevention and control of new coronavirus infection, advocate personal protection, adhere to good hygiene habits such as wearing masks and washing hands frequently, help the public use medicine rationally, seek medical treatment correctly, and maintain a peaceful attitude and optimism
.
The second is to optimize the allocation of medical and health resources
.
Prepare medical resources in advance, coordinate medical and health resources in the region, and improve hierarchical and categorical diagnosis and treatment mechanisms
.
The third is to strengthen the guarantee
of drug supply.
Prepare traditional Chinese medicines, symptomatic treatment drugs, antiviral drugs, antigen detection reagents, etc.
related to the treatment of new coronavirus infection, and meet the needs
of residents for purchasing medicines through various channels and methods.
Q: Has the government's responsibility for epidemic prevention and control changed after the adjustment? Are there still responsibilities for each department? Lei Zhenglong: China's epidemic prevention and control has always adhered to the principle of putting people first and life first, giving full play to the advantages of the system, and taking corresponding measures around "health care and health prevention" to protect people's lives and health to the greatest extent and minimize the impact of
the epidemic on economic and social development.
After the implementation of "Class B and B tube" for new coronavirus infection, all relevant departments continue to divide labor and be responsible, coordinate and cooperate, and focus on promoting the following work: first, to further improve the vaccination rate of the elderly with new coronavirus, second, to improve the preparation of drugs and testing reagents related to the treatment of new coronavirus infection, third, to increase the construction of medical resources and improve and establish a hierarchical and categorical diagnosis and treatment mechanism, fourth, to improve the population nucleic acid and antigen detection strategies, and fifth, to do a good job in health surveys and classified and graded health services for key populations.
The sixth is to strengthen the prevention and control of key groups, key institutions and key places, the seventh is to strengthen epidemic surveillance, and the eighth is to do a good job in information release and publicity and education
.
The competent departments of various industries will also adjust relevant policies in a timely manner, strengthen supervision and guidance, and actively and steadily promote the implementation of various measures
of the new crown virus infection "Class B and B pipe".
Q: After the policy adjustment, how can individuals be the first responsible person for their own health? Xu Wenbo: First, individuals should do a good job in self-health monitoring, adhere to a healthy lifestyle
such as regular work and rest, exercise, healthy diet, and maintain a good attitude.
Second, you should pay attention to your own protection, wash your hands frequently, abide by cough etiquette, and eat in a civilized manner; Keep the room clean, ventilated frequently, clean as the mainstay, and use disinfectants when necessary; Masks
should be worn when going to crowded places.
Third, relevant drugs can be appropriately reserved, and after suspected new crown symptoms, self-antigen tests can be carried out first, and if the results are positive and the symptoms are mild, they can be treated at home; If symptoms worsen, go to a medical institution in time
.
Fourth, if the new coronavirus test is positive or has symptoms such as fever and respiratory infection, you should avoid going out
as much as possible.
The elderly, people at high risk of severe disease of underlying diseases, pregnant women, children and other special groups should not go out
as much as possible.
Q: After the policy adjustment, how to effectively protect vulnerable groups such as the elderly, pregnant women, and children? Xu Wenbo: First, vulnerable groups such as the elderly, patients with serious underlying diseases, pregnant women, and children should first do a good job of self-protection, wash hands frequently, standardize the wearing of masks, avoid going to places where crowds gather and have poor ventilation, and if they must go, they must standardize the wearing of masks
throughout the process.
The living room should be ventilated frequently, pay attention to maintaining family environmental hygiene, receive express delivery and other items to do personal protection and appropriate appearance disinfection
.
Second, if the vaccination requirements are met, the full vaccination and booster vaccination
should be completed as soon as possible.
In particular, people over 60 years old and at high risk of severe disease such as underlying diseases should be fully vaccinated and received early, which is extremely important
to protect their own health.
The third is to reduce the chance of infection of vulnerable groups such as the elderly, pregnant women, patients with serious underlying diseases, and children as much as possible, and if there are infected people living in the same household, they can be arranged in a separate room during home treatment to avoid contact
with relevant people.
Fourth, the community should find out the base of vulnerable groups such as the elderly and pregnant women, pay attention to the medication and treatment needs of relevant personnel, and provide them with necessary medical and health security services
.
Fifth, the community and family care for the mental health of vulnerable groups, so that they can maintain a happy mood, exercise moderately, and enhance the
body's immunity.
Q: What are the changes to the requirements for surveillance, data collection, reporting and publication of the new coronavirus epidemic after the implementation of "Class B and B Management"? Li Qun: After the new crown virus infection is adjusted to "Class B and B tube" infectious diseases, some adjustments should also be made to the work of disease surveillance, reporting and external release: The first is to adjust the content of
the announcement.
Confirmed cases, severe cases, and deaths will be retained, and close contact information
will no longer be published.
The second is to adjust the frequency of announcement, adjust it according to the changes in the epidemic situation, and finally adjust it to once
a month.
The third is to adjust the monitoring content
.
The surveillance focusing on each case in the early stage will be adjusted to the monitoring focusing on the epidemic trend and key groups, and on the basis of continuing to do a good job in direct reporting of infectious diseases online, various forms of surveillance such as sentinel surveillance of medical institutions and community populations will be carried out, and the monitoring of virus mutations will be strengthened, and the relevant monitoring results will be published
on the website of the Chinese Center for Disease Control and Prevention.
Q: Is it possible to further reduce the coronavirus infection to a class C infectious disease? What are the requirements for downgrading from Class B to Class C? Li Qun: According to the mode of transmission, transmission speed, epidemic intensity, and degree of harm to human health and society, the Law on the Prevention and Control of Infectious Diseases divides statutory infectious diseases into three categories
: A, B and C.
Class C infectious diseases are usually some common and frequent infectious diseases, such as influenza, mumps, rubella, hand, foot and mouth disease, a total of 11 kinds
.
The prevention and control of such infectious diseases focuses on paying attention to their epidemic trends and controlling outbreaks
.
Whether to further adjust the new coronavirus infection to a Class C infectious disease depends on its degree of harm, and it is necessary to continuously monitor the incidence of the disease and the mutation of the virus, and after a sufficient basis, after scientific assessment, consider whether to adjust from Class B to Class
C.
Generally speaking, it is necessary to consider from three aspects: first, the virus strain is relatively stable, and the virulence and pathogenicity should preferably be further reduced; Second, the understanding of the disease is more comprehensive and systematic, and the prevention and treatment methods are more mature; Third, the public has a fuller understanding of the risk of disease, and the ability of personal protection has been continuously improved
.
At present, it is necessary to observe the research and accumulate more scientific data for evaluation
.
Q: After the policy adjustment, will the epidemic response organizational system and response system be adjusted accordingly? Will group prevention and control, joint prevention and control still persist? Li Qun: Since the outbreak of the new crown epidemic, the organizational system and working mechanism of China's epidemic response have been optimized, adjusted and improved
according to the changes in the global epidemic situation and the mutation of the virus, combined with China's epidemic prevention and control practice.
After this adjustment, all localities can conduct in-depth research and demonstration according to the needs of prevention and control work and the implementation effect of prevention and control measures, and continue to optimize, adjust and improve the organizational system and response mechanism of epidemic response, so as to better coordinate epidemic prevention and control and economic and social development
.
Group prevention and control, joint prevention and control have always been the summary
of China's successful experience in coping with various infectious disease epidemics.
In the future, we must still adhere to scientific prevention and control, precise policies, continue to pay attention to changes in the international and domestic epidemic situation, continue to carry out virus mutation monitoring and analysis and judgment, continue to optimize epidemic prevention and control policies and measures, and make good use of the important magic weapon
of mass prevention and control, joint prevention and control.

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