The State Council Joint Prevention and Control Mechanism Press Conference Authoritative Response!

The joint prevention and control mechanism of the State Council held a press conference on the afternoon of January 8 to introduce the relevant situation of the tenth edition of the prevention and control plan, pay attention together!

● What are the main adjustments made in the 10th edition of the prevention and control plan?

First, the name
of the disease has been updated.
Renamed "novel coronavirus pneumonia" to "new coronavirus infection";

The second is to strengthen monitoring and early warning
.
Under the normalization of normalization, virus mutation surveillance, case reports, sentinel hospital surveillance, unexplained pneumonia surveillance, urban sewage surveillance, etc.

are mainly carried out.
In case of emergency, increase nucleic acid and antigen detection monitoring, fever outpatient monitoring, key institution monitoring, etc.
;

The third is to adjust the detection strategy
.
Nucleic acid screening for all employees will no longer be carried out, and community residents will be "willing to check and check"
as needed.
For staff and persons under care in key institutions such as old-age institutions and social welfare institutions, antigen or nucleic acid testing
should be carried out regularly during the epidemic.
Carry out antigen or nucleic acid testing after the development of relevant symptoms in persons at high risk of severe disease in the community;

The fourth is to adjust the management of
infectious sources.
People infected with the new coronavirus will no longer implement isolation measures and implement graded and classified treatment; Close contacts will no longer be identified, and high and low risk areas will no longer be delineated;

Fifth, emergency prevention and control measures
can be taken during the epidemic.

● These emergency prevention and control measures can be taken during outbreaks

During the outbreak period, comprehensive assessment is carried out in combination with the mutation of the virus, the intensity of the epidemic, the load of medical resources and the social operation, etc.
, and temporary prevention and control measures
can be taken in a timely manner and in accordance with the law according to the infection rate of the population and the shortage of medical resources.
When the new crown epidemic breaks out and epidemics, some emergency prevention and control measures
can also be taken in a timely manner, in accordance with the law and selectively.

The 10th edition of the prevention and control plan lists a number of items, including the suspension of non-essential large-scale activities and the suspension of business activities of large-scale entertainment venues; Appropriate flow restriction measures in indoor public places such as museums and art galleries; Strictly manage places where vulnerable people are concentrated, such as old-age institutions and social welfare institutions; Implement staggered commuting, flexible working systems, or working from home; There are also educational institutions that adopt temporary online teaching
.
Once the epidemic has eased, the local government should promptly announce the lifting
of emergency prevention and control measures.

● How to monitor the mutation of the new coronavirus in the first place?

Since the epidemic prevention and control entered a new stage, the disease control department has further improved the work plan for the monitoring of new coronavirus mutations, and on the basis of the original work, strengthened the sampling and testing and sequencing comparison of inbound personnel, patients, key places and key populations
.
Strengthen close cooperation
with Customs on imported case surveillance.
In terms of local case surveillance, each province selects some cities and hospitals as surveillance sentinel points, carries out sampling and sequence determination of a certain number of new coronavirus infection cases for outpatient cases, severe cases and death cases, implements dynamic monitoring of the trend of new coronavirus mutations, timely captures new variants, and evaluates changes in their biological characteristics, providing a scientific basis
for epidemic research and judgment, detection reagents, research and development and evaluation of epidemic seedlings and drugs.

● What are the characteristics of XBB so far? Have they become more virulent and virulent?

Since the beginning of the new crown epidemic, our country has been carrying out new crown virus surveillance work
.
From a global perspective, the XBB series variant is mainly circulating
in countries such as the United States, India, Malaysia and Singapore.
Recently, XBB has also produced a new offspring subclade XBB.
1.
5 during the epidemic, which is an evolutionary branch that currently accounts for a large proportion of patients infected with the new coronavirus in the United States, and shows a growing trend
.
The US Centers for Disease Control and Prevention has also monitored and predicts that in the next few weeks, XBB.
1.
5 may replace the current epidemic dominance of BQ.
1 and BQ.
1.
1 in the United States and become the dominant epidemic strain
in the United States.
As of January 7, 2023, XBB.
1.
5
has been monitored globally in 35 countries and territories.
Our national surveillance data shows that from August 1, 2022 to the present, a total of 16 cases of XBB autochthonous-associated cases have been monitored in our country, all of which are XBB.
1 evolutionary branches
.

From the results of a number of studies, the evolutionary branch of XBB is significantly increased in its immune escape ability compared with the original strain and the previous variants of concern, such as the Delta variant and Omicron, which also leads to a significant increase in the transmission advantage of XBB in the United States
.
From the current reports and studies, no increase in severe cases and deaths infected with the XBB series variant has been observed, that is, its virulence has not increased
significantly.

• Why the approach of monitoring municipal sewage?

The monitoring of the new coronavirus in the sewage of residential buildings can better play the role of monitoring and early warning of residential buildings, Hong Kong through community sewage monitoring, timely detection of areas where there may be infected people, and then further tracking and finding positive infections, and then taking corresponding control measures, mainly applied in the early stage of the epidemic when
there was no large-scale epidemic.
Coronavirus surveillance at wastewater treatment plants allows for assessing trends in coronavirus infections in populations within a larger jurisdiction, and is suitable for longer and wider surveillance
.
Monitoring points in communities and sewage treatment plants have their own objectives
.
At this stage, the new crown virus infection in China's mainland is still in the epidemic stage, so we carry out sewage monitoring work in cities with conditions across the country to help assess the epidemic intensity and change trend of the new crown virus infection, and provide scientific basis
for epidemic research and judgment and prevention and control work.

● What are the key requirements for vaccination in the 10th edition of the prevention and control plan?

First, further emphasize the principle of informed, consent, and voluntary, and encourage vaccination of people over 3 years old if there are no contraindications
.
In addition, it is advocated that the public, especially the elderly, should be fully vaccinated against the vaccine, and those who meet the conditions should complete the booster immunization
.

Second, complete 1 booster dose
for eligible people aged 18 years and older.
In the process of booster immunization, it is also emphasized that whether sequential immunization or homologous immunization is chosen, it cannot be carried out at the same time, and only one
can be selected.

Third, it further emphasizes the recommendation
of a second dose of booster immunization for people at high risk of infection, the elderly over 60 years old, people with serious underlying diseases, and people with immunodeficiency, who are prone to severe disease after infection.
There is an interval of more than
6 months between the second dose and the first booster.
It is hoped that the level of protection for these high-risk groups, the elderly population, and those with underlying medical conditions will be improved through the second booster dose, and the key is to increase the full vaccination rate and booster immunization rate
.

● How long after infection can I be vaccinated against the new coronavirus?

If infection with the new coronavirus is confirmed by nucleic acid testing and antigen testing, it is not recommended to vaccinate against the new coronavirus in the
near future.
Several studies have shown that immunity generated by infection with the new coronavirus alone is weaker than that generated
by infection with the virus and vaccination.
Therefore, some people need to be vaccinated according to the
immunization procedure.
According to the current regulations, the time of infection and the interval between vaccinations are not less than 6 months
.
Mainly based on previous surveillance and research, the proportion of infections within 6 months is still very low
.
The interval between infection and vaccination is actually part of the vaccination process, and with the deepening of vaccination research and the need for disease prevention and control, immunization strategies will be improved and adjusted accordingly, including vaccination intervals
.

● In addition to the new coronavirus vaccines, what other vaccines should the elderly be vaccinated to prevent respiratory infections as much as possible?

For the elderly, in addition to being infected with the new coronavirus will cause some severe illness, some diseases that can be prevented by the epidemic, including influenza virus, pneumococcus and other related diseases, will also lead to severe disease for the elderly
.
On the one hand, the autoimmunity of the elderly is weakening, on the other hand, most of them have chronic underlying diseases, and if they are infected with influenza and pneumococcus, the infected diseases will be severely ill in these people
.
In addition, studies have shown that after infection, it will lead to the original underlying diseases, such as asthma, COPD, heart disease, diabetes, etc
.
Therefore, under such circumstances, it is recommended that the elderly who meet the vaccination conditions should be vaccinated against influenza and pneumococcal in addition to the new crown virus vaccine, so that they can be better protected
.

● Delayed vaccination of children with routine vaccination Generally, it will not affect the effect, but it is necessary to re-inject in time

To play a better role in epidemic shooting, first, it must be timely, and second, it must be the whole process
.
If vaccination is delayed, it will generally not affect the effect, but it will increase the risk of infection, because there is no full or no vaccination, immunity has not been fully established, and once an infectious source appears, it may be infected with the disease, and such a risk
will occur.
Therefore, it is recommended that after vaccination resumes normal work, all localities should promptly re-vaccinate the epidemic seedlings, which epidemic seedlings have not been vaccinated, and which epidemic seedlings need to be re-vaccinated, and each parent has a vaccination certificate, and that vaccination certificate is recorded
.
According to the regulations, which ones were beaten and which were not, after taking the vaccination certificate to the vaccination, the vaccination doctor will make corresponding arrangements
according to the child's situation.
During this period, some children are infected with the new coronavirus, as long as they have recovered and there are no contraindications to vaccination, subsequent routine vaccinations can be vaccinated or catch-up
.

● During the Spring Festival, the flow of people increases, what should the public pay attention to when taking planes, trains and other means of transportation?

People with fever, dry cough, fatigue, sore throat, etc.
should avoid public transportation and crowded places
until the risk of infection has been ruled out.
People who feel they are at higher risk of infection should travel
after the risk has been eliminated.

In places with closed environments and dense people, such as when waiting for a train, when taking planes, trains, subways, buses and other public transportation, it is necessary to wear masks
throughout the process.

Practice reasonable social distancing in public places and reduce close contact
with others.

Practice personal hygiene, especially hand hygiene at all times, and avoid touching public objects
.
When coughing or sneezing, cover it with a tissue or elbow and throw the used tissue into the trash in time
.
If you come into contact with respiratory secretions, wash your hands or disinfect your hands in time, and minimize the number of meals when you are outside or take public transportation, and try to eat
at different peaks.

● During the Spring Festival holiday, can the public gather for dinner as before the epidemic? What should I pay attention to in gathering activities?

The first is to advocate the public to avoid visiting relatives and travel in areas with high epidemic popularity, advocate that people in areas with high epidemic reduce travel, and the elderly and people with serious underlying diseases should avoid travel
as much as possible.

The second is to try not to hold large-scale family gathering activities, reduce the scale and number of family and friends dinner gatherings, shorten the gathering time, and strengthen self-protection
.

Third, according to the epidemic situation, try not to hold large-scale temple fairs, large-scale indoor performances, exhibitions and other activities, reduce the scale and frequency of rural fairs, and implement prevention and control measures
such as ventilation and disinfection.

● During the New Year, avoid passing on the risk of infection to the elderly at home

During the epidemic, health is a matter of public concern, and we should pay more attention to the following aspects:

The first is to continue to do a good job in personal protection, adhere to frequent hand washing, wearing masks, frequent ventilation, chopsticks, social distance, cough etiquette, cleaning and disinfection and other hygiene habits, even after the infection recovery, should also do a good job of personal protection
.

The second is to maintain a healthy life such as regular work and rest, reasonable diet, moderate exercise, and good mentality to improve self-resistance
.

The third is to try not to hold or participate in large-scale family gathering activities, reduce the number of family and friends dinner gatherings, shorten the meal time, and can also transmit blessings through video and telephone, especially to avoid passing the risk of infection to the elderly
at home.

The fourth is for people who meet the vaccination conditions to complete the full vaccination and booster immunization as soon as possible to protect the health of
themselves and their families.

The fifth is to strengthen health monitoring, pay close attention to the health status of themselves and their families, if there are symptoms such as fever, dry cough, fatigue, sore throat, or when the test is positive, stay in a well-ventilated, relatively independent room as much as possible, minimize contact with people living in the same household, pay close attention to the progress of the disease, and seek medical attention
in time if the disease is more important.