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Joint Prevention and Control Mechanism of the State Council: Notice on Further Optimizing the Implementation of New Crown Pneumonia Epidemic Prevention and Control Measures

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Notice on further optimizing the implementation of the prevention and control measures of the new crown pneumonia epidemic

All provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Production and Construction Corps Joint Prevention and Control Mechanism (Leading Group and Headquarters) for Responding to the Novel Coronavirus Pneumonia Epidemic, and members of the State Council's Joint Prevention and Control Mechanism for Responding to the Novel Coronavirus Pneumonia Epidemic:

Recently, all localities and departments have thoroughly implemented the decision-making and deployment of the Party Central Committee and the State Council, adhered to the ninth version of the prevention and control plan, implemented 20 optimization measures, and continued to rectify the problem of increasing the code at every level, and achieved positive results
.
According to the current epidemic situation and virus mutation, in order to be more scientific and accurate prevention and control, and effectively solve the outstanding problems in the prevention and control work, the following notice is hereby issued on matters related to the further optimization and implementation of epidemic prevention and control measures:

First, scientifically and accurately divide risk areas
.
High-risk areas are designated according to buildings, units, floors, and households, and must not be arbitrarily expanded to areas such as
communities, communities, and streets (townships).
No temporary
lockdowns of all forms shall be used.

First, scientifically and accurately divide risk areas
.

The second is to further optimize nucleic acid detection
.
Do not carry out nucleic acid testing for all employees according to administrative regions, further reduce the scope and frequency
of nucleic acid testing.
According to the needs of epidemic prevention work, antigen testing
can be carried out.
Nucleic acid testing shall be carried out for employees in high-risk positions and personnel in high-risk areas in accordance with relevant regulations, and other personnel are willing to conduct due
diligence.
Except for special places such as nursing homes, welfare homes, medical institutions, childcare institutions, primary and secondary schools, a negative nucleic acid test certificate is not required, and the health code
is not checked.
Important institutions, large enterprises and some specific places can determine prevention and control measures
by the territory on their own.
Cross-regional mobile personnel will no longer be checked for negative nucleic acid test certificates and health codes, and landing inspections
will no longer be carried out.

The second is to further optimize nucleic acid detection
.

The third is to optimize and adjust the isolation method
.
Infected people should be scientifically classified and treated, and asymptomatic infections and mild cases with home isolation conditions are generally isolated at home, or they can voluntarily choose centralized isolation for treatment
.
During the home isolation period, health monitoring was strengthened, and the Ct value of nucleic acid tests was ≥35 for two consecutive times on the 6th and 7th days of isolation, and the condition was promptly transferred to the designated hospital for treatment
.
Close contacts who have the conditions for home isolation are subject to 5-day home isolation, or they can voluntarily choose centralized isolation, and the isolation
will be released after a negative nucleic acid test on the 5th day.

The third is to optimize and adjust the isolation method
.

The fourth is to implement "quick sealing and quick solution"
in high-risk areas.
High-risk areas where there are no new infected persons for 5 consecutive days should be unblocked
in time.

The fourth is to implement "quick sealing and quick solution"
in high-risk areas.

Fifth, ensure the basic drug purchase needs
of the masses.
Pharmacies in various places should operate normally and must not be closed at will
.
The masses must not be restricted from purchasing over-the-counter drugs
such as antipyretic, cough, antiviral, and cold treatment online and offline.

Fifth, ensure the basic drug purchase needs
of the masses.

Sixth, accelerate the promotion of new crown virus vaccination
for the elderly.
All localities should adhere to the principle of due diligence, focus on increasing the vaccination rate of people aged 60-79, accelerate the vaccination rate of people aged 80 and above, and make special arrangements
.
Optimize vaccination services
through measures such as setting up green channels for the elderly, temporary vaccination sites, and mobile vaccination vans.
It is necessary to carry out training on the determination of contraindications to vaccination step by step, and guide medical staff to scientifically determine contraindications
to vaccination.
Refine science popularization publicity, mobilize the whole society to participate in mobilizing the elderly for vaccination, and all localities can adopt incentive measures to mobilize the enthusiasm of
the elderly for vaccination.

Sixth, accelerate the promotion of new crown virus vaccination
for the elderly.

Seventh, strengthen the health situation of key groups and categorical management
.
Give play to the role of grassroots medical and health institutions as "gatekeepers" of family doctors' health, find out the elderly with cardiovascular and cerebrovascular diseases, COPD, diabetes, chronic kidney disease, tumors, immune deficiencies and other diseases and their new coronavirus vaccination status in their jurisdiction, and promote the implementation of hierarchical and categorical management
.

Seventh, strengthen the health situation of key groups and categorical management
.

Eighth, ensure the normal operation of society and basic medical services
.
Non-high-risk areas shall not restrict the movement of personnel, and shall not suspend work, production or business
.
Medical personnel, public security, transportation and logistics, supermarkets, supply assurance, water, electricity and heating and other personnel who ensure basic medical services and the normal operation of society are included in the "white list" management, relevant personnel do a good job in personal protection, vaccination and health monitoring, ensure normal medical services and basic living materials, water, electricity and heating and other supplies, do their best to maintain normal production and work order, promptly solve the urgent and difficult problems raised by the masses, and effectively meet the basic living needs
of the masses during the epidemic handling period.

Eighth, ensure the normal operation of society and basic medical services
.

The ninth is to strengthen the security of epidemic-related security
.
It is strictly forbidden to block fire escapes, unit doors, and community doors in various ways to ensure that the public can go out for medical treatment and emergency avoidance
.
Promote the establishment of a docking mechanism between communities and specialized medical institutions, and provide medical facilities
for the elderly, minors, pregnant women, persons with disabilities, and persons with chronic diseases living alone.
Strengthen care and psychological counseling
for lockdown personnel, patients, and front-line staff.

The ninth is to strengthen the security of epidemic-related security
.

Ten is to further optimize the epidemic prevention and control work
in schools.
All schools in all regions should resolutely implement the requirements of scientific and precise prevention and control, schools without epidemics should carry out normal offline teaching activities, and supermarkets, canteens, sports venues, libraries, etc.
on campus should be opened
normally.
Schools with epidemics should accurately delineate risk areas, and normal teaching and living order
should still be ensured outside the risk areas.

Ten is to further optimize the epidemic prevention and control work
in schools.

All relevant departments in all localities should further improve their political standing, unify their thinking and actions with the decision-making and deployment of the Party Central Committee, adhere to the ninth version of the prevention and control plan, implement the twenty optimization measures, implement the requirements of this notice, resolutely correct simplification, "one-size-fits-all", layer by layer and other practices, oppose and overcome formalism and bureaucracy, pay close attention to various prevention and control measures, protect people's lives and health to the greatest extent, and minimize the impact of
the epidemic on economic and social development.

The Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council to Respond to the Novel Coronavirus Pneumonia Epidemic, December 7, 2022

Q&A on the interpretation of the Notice on Further Optimizing the Implementation of New Coronavirus Epidemic Prevention and Control Measures

I.
What is the background to the issuance of the circular? What is the main content?

Since the outbreak of the new crown pneumonia epidemic, the Party Central Committee and the State Council have always put the safety of people's lives and health first, and according to the characteristics of virus mutation and the development of the epidemic, they have adhered to the principle of steadiness and progress, taken small steps and never stopped, and optimized and improved prevention and control measures
according to the situation 。 After the announcement and implementation of the 20 optimization measures, we closely tracked the implementation effects in various places, combined with the useful experience accumulated in the recent epidemic response process in various places, and in view of the outstanding problems, organized research and proposed ten targeted measures, further optimized the isolation of infected and close contacts, nucleic acid testing and other measures, and further strengthened the requirements of "quick closure and quick solution" in high-risk areas, vaccination, school prevention and control, epidemic-related safety and security, people's medical treatment, medication and basic living security, and maintenance of normal social operations.
Continue to improve the scientific and accurate level of prevention and control, protect people's life safety and health to the greatest extent, and minimize the impact of
the epidemic on people's production and living order and economic and social development.

II.
What provisions does the Circular make on the delimitation of risk areas? For what reason?

The Notice requires scientific and precise division of risk areas, delineation of high-risk areas by building, unit, floor, and household, and must not be arbitrarily expanded to communities, communities, streets (townships), etc.
, and accurately determine risk areas through flow adjustments, and further reduce the number of
closure and control personnel.
At the same time, it is required that various forms of temporary lockdowns should not be adopted, let alone "silent" management
should not be adopted arbitrarily.
In the process of handling the epidemic, all localities should quickly control close contacts, and high-risk areas
may not be designated when there is no risk of community transmission.

III.
What further optimizations have been made in the Notice for nucleic acid testing? For what reasons?

Nucleic acid testing should focus on areas and personnel with high infection risk, and do not carry out nucleic acid testing for all employees according to administrative regions, further reducing the scope and frequency
of nucleic acid testing.
According to the needs of epidemic prevention work, antigen testing
can be carried out.
In accordance with the relevant provisions of Article 20 optimization measures, nucleic acid testing shall be carried out for persons directly in contact with inbound personnel, goods, and the environment, staff in centralized isolation places, medical personnel in designated medical institutions and general medical institutions with fever clinics, and practitioners in high-risk positions with dense working environments such as shopping malls, supermarkets, express delivery, and takeaways, with frequent contact with people and strong mobility, and other personnel are willing to conduct inspections
.

Considering that nursing homes, welfare homes, childcare institutions, primary and secondary schools, etc.
are places where special groups such as the elderly and young children are concentrated, once the source of infection is introduced, cluster epidemics are prone to occur, and the risk of severe disease is high
.
Therefore, entering nursing homes, welfare homes, childcare institutions, primary and secondary schools must provide a negative nucleic acid test certificate to prevent the introduction
of infectious sources.
Once the source of infection is introduced, it is easy to cause the spread of the epidemic and the occurrence of nosocomial infection, affecting the normal operation of medical institutions and the normal medical treatment of the masses
.
Therefore, when entering a medical institution, a negative nucleic acid test certificate is required, but the medical institution shall not shirk or refuse to treat critically ill patients
on the grounds that there is no negative nucleic acid test certificate.
Important organs, large enterprises and some specific places may determine prevention and control measures by their territories to ensure the normal operation of society and maintain normal production and life order
.

After the outbreak occurs, all localities should assess the size of the epidemic risk in different regions according to the epidemic situation and the situation of flow research and judgment, determine the scope and frequency of nucleic acid testing by level and classification, and improve the quality and efficiency
of nucleic acid screening.

4.
The Circular adjusts the isolation method of infected persons and close contacts, what are the considerations?

The pathogenicity of the Omicron variant is significantly weakened, and after clinical observation, most of the infections are asymptomatic infections and mild cases, and no special treatment
is required.
Asymptomatic infections and mild cases who have the conditions for home isolation can be isolated at home, health monitoring is strengthened, and the condition is aggravated and promptly transferred to the designated hospital for treatment
.
Close contacts who have the conditions for home isolation shall be isolated at home for 5 days, strengthen the management of home isolation, do a good job in health monitoring, and complete nucleic acid testing
in accordance with regulations.
The adjustment of the isolation method of infected persons and close contacts fully reflects the principle that China's epidemic prevention and control has always adhered to the principle of people first and life first, and dynamically optimized and improved prevention and control measures
according to the characteristics of virus mutation and the development of the epidemic.

V.
What are the reasons for the Circular requiring high-risk areas to implement "quick sealing and quick resolution"?

In accordance with the relevant requirements of the ninth edition of the prevention and control plan and the twenty optimization measures, after the infected person is discovered, high-risk areas should be designated as soon as possible, risk personnel should be investigated and controlled, and community transmission should be interrupted in a timely manner, so as to achieve "quick closure and quick solution"
.
If there are no high-risk areas with new infections for 5 consecutive days, they should be unblocked in time to avoid long-term lockdowns and reduce the inconvenience
caused to the public due to the epidemic.
If the newly infected persons found in high-risk areas after lockdown are co-residents, close contacts or their householders who strictly implement home isolation management, there is no risk of community transmission outside the home after assessment, and the unblocking time
of high-risk areas will not be affected.

6.
What measures does the Circular take to ensure the basic drug purchase needs of the public?

All localities should ensure the normal operation of pharmacies, and must not close pharmacies
at will.
Make a reserve of conventional drug supply, especially for patients with underlying diseases
.
Smooth multi-channel drug purchase channels and distribution links, and must not restrict the masses from purchasing over-the-counter drugs such as antipyretic, cough, antiviral, and cold treatment online and offline, and cancel requirements such as pop-up windows and nucleic acid testing when purchasing the above-mentioned over-the-counter drugs
.
Take a variety of measures to ensure the basic drug purchase needs
of the public, especially the elderly, patients with underlying diseases and other special groups.

7.
Why should the elderly be vaccinated? How is it arranged to accelerate the vaccination of the elderly?

The current situation of epidemic prevention and control is severe and complex, vaccination still has good effects in preventing severe disease and death, and vulnerable groups such as the elderly are prone to develop severe disease, critical illness and even death after being infected with the new crown virus, and vaccination with the new crown virus vaccine benefits the most, so it is necessary
for the elderly to receive the new crown virus vaccine in time 。 In order to accelerate the vaccination of the elderly against the new crown virus, we have made arrangements from the following aspects: taking measures such as setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles, etc.
, providing door-to-door vaccination services for the disabled and semi-disabled elderly, optimizing various convenience measures, opening up the "last 100 meters" of vaccination for the elderly, and providing convenience for the elderly to the greatest extent
.
Carry out training on determining contraindications to vaccination step by step, guide medical staff to scientifically determine contraindications to vaccination, and eliminate the doubts
of vaccination for the elderly.
Refine the popularization of science, mobilize the whole society to participate in mobilizing the elderly to vaccinate, and let the concept of the elderly being vaccinated to protect their health deeply rooted in the hearts of
the people.

VIII.
The "Notice" mentions the mapping and categorical management of key groups, how will the work be promoted?

Mobilize the participation of multiple forces, give play to the role of neighborhood (village) committees and their public health committees and the professional advantages of urban and rural grassroots medical and health institutions, make full use of existing residents' health information, and carry out a thorough
survey of the health status of the elderly through health management services for the elderly, as well as telephone, text message, WeChat surveys, etc.
Where accounts have been established during the epidemic, there is no need to collect them repeatedly, and information is encouraged to be integrated and shared through information technology and the scope of key groups is determined, so as to effectively reduce the burden on the
grassroots level.
According to the health status, vaccination status, degree of risk of infectious diseases, etc.
, the bottom group is divided into key, sub-critical, and general populations, giving play to the role of the "bottom of the network" and the health "gatekeeper" of family doctors in primary medical and health institutions, and providing corresponding health services
by level and classification.

9.
What are the considerations in the Circular for ensuring the normal operation of society and basic medical services, what requirements does it put forward, and what issues should be paid attention to in implementation?

China is a country with a large population, a large number of vulnerable people, uneven regional development, insufficient total medical and health resources, and the current epidemic scale in some areas is large, and the prevention and control situation is severe and complex
.
Although the pathogenicity of the Omicron variant has been significantly reduced, the transmission capacity has been significantly enhanced, and if a large number of personnel who ensure the normal operation of society and basic medical services are infected in a short period of time, it will cause a shortage of manpower, which may have an impact
on social operation and basic medical services.

In order to efficiently coordinate epidemic prevention and control and economic and social development, and ensure the normal operation of society and basic medical services during the epidemic, the Notice requires that non-high-risk areas shall not restrict the movement of personnel, and shall not suspend work, production or business; Include medical personnel, public security, transportation and logistics, supermarkets, supply assurance, water, electricity and heating and other personnel who ensure basic medical services and the normal operation of society into the "white list" management, and relevant personnel need to pay attention to personal protection, vaccination and health monitoring on a daily basis, reduce contact with society, work "two points and one line" as much as possible, and go to work normally with a negative nucleic acid test certificate; When a positive test is detected, accurately determine the close contact, do not adopt temporary lockdown in the workplace, and do not carry out large-scale isolation from the personnel in the workplace, so as to ensure normal medical services and the supply of basic living materials, water, electricity and heating, try our best to maintain normal production and work order, promptly solve the urgent and difficult problems raised by the masses, and effectively meet the basic living needs
of the people during the epidemic handling period.

10.
What provisions does the Notice make on strengthening epidemic-related safeguards?

In order to strengthen risk prevention in epidemic prevention and control and protect the safety of people's lives and property, the Notice requires that it is strictly forbidden to block fire passages, unit doors, and community doors in various ways, so as to ensure that the public's channels for going out such as medical treatment and emergency avoidance are smooth
.
While controlling risk personnel, it is necessary to strengthen door-to-door services and do a good job in life and normal medical security
.
Promote the establishment of a docking mechanism between communities and specialized medical institutions, and provide medical facilities
for the elderly, minors, pregnant women, persons with disabilities, and persons with chronic diseases living alone.
Strengthen care and psychological counseling for lockdown personnel, patients, and front-line staff, provide psychological assistance hotlines, and carry out psychological support services
.

11.
What further optimizations have been made in the Notice for school epidemic prevention and control? For what reasons?

Schools are key places
for dense crowds.
Ensuring the health of teachers and students to the greatest extent and maintaining normal education and teaching order to the greatest extent are important tasks
for the current epidemic prevention and control in schools.
According to the current epidemic situation and the actual situation of schools, in order to guide schools to be more scientific and accurate prevention and control, the Notice clearly requires special places such as childcare institutions, primary and secondary schools to check negative nucleic acid test certificates and health codes
.
At the same time, schools in all regions are required to resolutely implement the requirements of scientific and precise prevention and control, schools without epidemics should carry out normal offline teaching activities, and supermarkets, canteens, sports venues, libraries, etc.
on campus should be opened
normally.
Schools with epidemics should scientifically and accurately delineate risk areas, and ensure normal teaching and living order
outside the risk areas.
All relevant departments in all localities should attach great importance to the prevention and control of the epidemic in schools, improve the school-local coordination mechanism, and further optimize prevention and control measures according to the characteristics of all levels and types of schools to ensure the health of teachers and students and campus safety
.

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