Notice on further optimizing the prevention and control measures for the new coronavirus epidemic and carrying out scientific and precise prevention and control work

Joint Prevention and Control Mechanism Zongfa [2022] No. 101

The joint prevention and control mechanism of all provinces, autonomous regions, municipalities and Xinjiang Production and Construction Corps in response to the new coronavirus pneumonia epidemic, and the member units of the joint prevention and control mechanism of the State Council in response to the new coronavirus pneumonia epidemic:

Since the outbreak of the new coronavirus pneumonia, in Under the strong leadership of the Party Central Committee, our country puts people first and life first, insists on preventing external imports and domestic rebounds, adheres to dynamic clearing, optimizes and improves prevention and control measures according to the situation, and actively responds to the impact of multiple rounds of epidemics around the world. It has protected people's life safety and health to the greatest extent, and achieved significant positive results in coordinating epidemic prevention and control and economic and social development. On November 10, the Standing Committee of the Political Bureau of the CPC Central Committee held a meeting to listen to a report on the prevention and control of the new coronavirus epidemic and study and deploy 20 measures to further optimize the prevention and control work. In order to implement the spirit of the meeting of the Standing Committee of the Political Bureau of the CPC Central Committee and implement epidemic prevention and control and optimization and adjustment measures, the relevant work is hereby notified as follows:

1. Improve political stance and scientifically and accurately implement epidemic prevention Control work

Currently, the new coronavirus continues to mutate, the global epidemic is still in an epidemic situation, and new domestic epidemics are constantly emerging. Our country is a country with a large population, a large number of vulnerable people, uneven regional development, insufficient total medical resources, and the epidemic situation in some areas is still large-scale. Affected by virus mutation and winter and spring climate factors, the scope and scale of the epidemic spread are likely to further expand, and the prevention and control situation remains severe and complex. We must maintain strategic focus and carry out various epidemic prevention and control tasks scientifically and accurately. It is necessary to adapt to the characteristics of the rapid spread of the virus, use the quick to control the quick, take more resolute and decisive measures to curb the spread of the epidemic as soon as possible, and concentrate on fighting the war to annihilate the epidemic in key areas. All localities and departments must resolutely unify their thoughts and actions with the decisions and arrangements of the Party Central Committee, fully, accurately and comprehensively implement the decisions and arrangements of the Party Central Committee, unswervingly adhere to the people's supremacy and life first, and unswervingly implement the "external defense import, internal defense" "Rebound" general strategy, unswervingly implement the general policy of "dynamic clearing", and effectively coordinate epidemic prevention and control and economic and social development in accordance with the requirements of preventing the epidemic, stabilizing the economy, and ensuring safe development. It is necessary to further improve the political stance and fully understand that optimizing and adjusting prevention and control measures is not to relax prevention and control, nor is it to relax or "lay down", but to adapt to the new situation of epidemic prevention and control and the new characteristics of the new coronavirus mutation, and adhere to the established prevention and control measures Strategies and guidelines to further improve the scientific nature and precision of prevention and control, protect people's life safety and health to the greatest extent, minimize the impact of the epidemic on economic and social development, and implement the spirit of the 20th National Congress of the Communist Party of China with practical actions.

2. Implement the Party Central Committee’s deployment and actively and steadily optimize and adjust prevention and control measures

The Party Central Committee has made important arrangements and made clear 20 measures to further optimize prevention and control work. It is required that all localities and departments must implement all optimization measures to the letter.

For close contacts, the management measures of "7 days of centralized isolation + 3 days of home health monitoring" will be adjusted to "5 days of centralized isolation + 3 days of home isolation". During this period, they will be assigned code management and are not allowed to go out. A nucleic acid test will be conducted on the 1st, 2nd, 3rd, and 5th days of centralized isolation medical observation, and a nucleic acid test will be conducted on the 1st and 3rd days of home isolation medical observation.

Promptly and accurately determine close contacts, and no longer determine close contacts.

The "7-day centralized quarantine" for spillover personnel in high-risk areas will be adjusted to "7-day home quarantine". During this period, they will be assigned code management and are not allowed to go out. A nucleic acid test will be conducted on the 1st, 3rd, 5th and 7th days of home isolation.

Adjust the risk areas from the three categories of "high, medium and low" to the two categories of "high and low" to minimize the number of control personnel. In principle, areas such as the residences of infected persons and workplaces and activity areas with frequent activities and high risk of epidemic transmission are designated as high-risk areas. High-risk areas are generally demarcated in units and buildings and shall not be expanded at will; high-risk areas Other areas in the county where the risk area is located are designated as low-risk areas. No new infections were found in the high-risk area for five consecutive days, and it was reduced to a low-risk area. High-risk areas that meet the conditions for unblocking must be unblocked in a timely manner.

For employees in high-risk positions who have completed closed-loop operations, the "7-day centralized quarantine or 7-day home quarantine" is adjusted to "5-day home health monitoring", and the period is coded and managed, No. 1, 3, and 5 Carry out a nucleic acid test once a day, and do not go out unless necessary. If you really need to go out, do not go to crowded public places or take public transportation.

In areas where no epidemic has occurred, nucleic acid testing of risk positions and key personnel shall be carried out strictly in accordance with the scope determined by the ninth edition of the prevention and control plan, and the scope of nucleic acid testing shall not be expanded. Generally, nucleic acid testing is not carried out for all employees according to administrative regions. It is only carried out when the source of infection and the chain of transmission are unclear, and the community transmission time is long, and the bottom line of the epidemic is unknown. Formulate specific implementation measures to standardize nucleic acid testing, reiterate and refine relevant requirements, and correct unscientific practices such as "two tests a day" and "three tests a day."

The circuit breaker mechanism for inbound flights will be cancelled, and two negative nucleic acid test certificates within 48 hours before boarding will be adjusted to one negative nucleic acid test certificate within 48 hours before boarding.

For incoming important business personnel, sports groups, etc., they will be transferred "point-to-point" to the isolation-free closed-loop management area to carry out business, training, competition and other activities. During the period, they will be assigned a code and cannot leave the management area. Chinese personnel must complete enhanced immunization against the new coronavirus vaccine before entering the management area. After completing their work, appropriate isolation management or health monitoring measures will be taken based on the level of risk.

It is clear that the positive criterion for entry personnel is a nucleic acid test Ct value of 35. A risk assessment will be conducted for those who have a nucleic acid test Ct value of 35-40 when they are released from centralized isolation. If they have been infected in the past, they will be quarantined at home for "two days every three days". "Inspection", code management, and no going out.

For immigrants, the "7-day centralized quarantine + 3 days of home health monitoring" will be adjusted to "5-day centralized quarantine + 3 days of home quarantine". During this period, they will be assigned code management and are not allowed to go out. After immigrants complete quarantine at the first point of entry, they must not be quarantined again at the destination. A nucleic acid test will be conducted on the 1st, 2nd, 3rd, and 5th days of centralized isolation medical observation, and a nucleic acid test will be conducted on the 1st and 3rd days of home isolation medical observation.

Strengthen the construction of medical resources. Formulate hierarchical and classified diagnosis and treatment plans, admission standards for infected persons with different clinical severities, plans for outbreaks in various medical institutions and infection treatment plans for medical staff, and provide training for all medical staff. Make preparations for inpatient beds and critical illness beds, and increase treatment resources.

Promote COVID-19 vaccination in an orderly manner. Formulate a plan to accelerate vaccination and accelerate the increase in vaccine coverage, especially for the elderly. Accelerate the research and development of monovalent or multivalent vaccines with broad-spectrum protection, and advance approval in accordance with laws and regulations.

Accelerate the reserve of drugs related to the treatment of new coronavirus pneumonia. Make supply reserves to meet the medication needs of patients, especially those at high risk of severe illness and elderly patients. Pay attention to the unique advantages of traditional Chinese medicine and make a good reserve of effective traditional Chinese medicine prescriptions. Strengthen reserves of emergency medicines and medical equipment.

Strengthen the protection of key institutions and key groups. Find out the numbers of the elderly, patients with underlying diseases, pregnant women, and hemodialysis patients, and formulate health and safety plans. Optimize the management of places where vulnerable people gather, such as nursing homes, psychiatric hospitals, and welfare homes.

Implement the "four mornings" requirements to reduce the scale of the epidemic and the time for treatment. All localities should further improve the multi-channel monitoring and early warning and multi-point triggering mechanisms for the epidemic, carry out "on-the-ground inspections" for people moving across provinces, promptly report infected persons in accordance with the law, conduct flow control and control of risk personnel as soon as possible, and strictly implement early detection, Early reporting, early isolation, and early treatment are required to avoid the expansion of the front line and the extension of time. We must not wait and see and do our own thing.

Intensify efforts to rectify the problem of "one size fits all" and layer upon layer. Local party committees and governments must fulfill their local responsibilities and strictly implement the unified national prevention and control policies. It is strictly prohibited to arbitrarily close schools and classes, suspend work and production, block traffic without approval, adopt "silent" management at will, arbitrarily block and control, and not lift the blockade for a long time. , arbitrarily suspending clinics and other types of behaviors that have been stepped up at all levels, increase notifications and public exposure, and seriously hold accountable those who have caused serious consequences in accordance with the law and regulations. Give full play to the role of special teams at all levels to rectify problems that have been escalated at all levels, efficiently collect and transfer reporting clues, and urge local governments to make timely rectifications. The National Health Commission, the Bureau of Disease Control and Prevention, the Ministry of Education, the Ministry of Transport and other industry authorities have strengthened supervision and guidance on the industry system, increased the exposure of typical cases, and effectively acted as a deterrent.

Strengthen service guarantees for people in quarantine. All localities should set up special teams to ensure the supply of daily necessities, promptly formulate and improve plans for the market supply of daily necessities, distribution in closed communities, and regional joint guarantee and joint supply, and make good reserves of important people's livelihood commodities. Comprehensively collect and sort out the basic information of the community's permanent population, understand the situation of key personnel such as the elderly living alone in empty nests, children in need, pregnant women, and patients with basic diseases, and establish a list of key personnel and a list of needs during the epidemic. Optimize terminal distribution in closed areas, identify specialized forces for the supply of daily necessities, designate fixed receiving points in the community, and open up the "last meter" of distribution. Guide communities to establish direct hotlines with medical institutions, pharmacies, etc., equip communities with special vehicles, and ensure good service connections. Strictly implement the first-diagnosis responsibility system and the emergency and critical rescue system. Refusal of treatment for any reason shall not be used to ensure residents' treatment, medication and other needs. We should do a good job in psychological counseling for people in quarantine, increase care and help for special groups such as the elderly, the weak, the sick and the disabled, and solve the practical difficulties of the people.

Optimize campus epidemic prevention and control measures. Improve the school-local coordination mechanism, joint prevention and control to strengthen the emergency response of campus epidemics, prioritize campus transportation and isolation, nucleic acid testing, circulation traceability, environmental disinfection, and daily material support, improve the school's epidemic emergency response capabilities, and support schools to implement rapid response Deal with the epidemic quickly. All localities and schools must strictly implement national and education department prevention and control measures, resolutely implement scientific and precise prevention and control requirements, and must not increase control. The Ministry of Education and various provincial and municipal education departments have taken the lead in setting up special work teams to investigate one by one the random closure of campuses, the closure time is too long, offline teaching has not been carried out for a long time, the living security cannot keep up, and the control of the families of teachers, students and employees We will monitor outstanding problems such as inconsistent requirements and urge rectification, and rectify the problems of ineffective prevention and control and excessive epidemic prevention. Education departments at all levels have set up complaint platforms and hotlines to accept, transfer and respond in a timely manner. They have established a "handle complaints as soon as they are received" mechanism, improved the rapid response and solution feedback mechanism, and promptly promoted the resolution of urgent, difficult and anxious problems of teachers and students.

Implement prevention and control measures for enterprises and industrial parks.

The joint prevention and control mechanisms in various regions should set up special teams to find out the number of enterprises and industrial parks, including private enterprises, in the jurisdiction, and formulate epidemic prevention and control plans based on "one enterprise, one policy" and "one park, one policy". Implement the main responsibilities of enterprises and industrial parks for epidemic prevention and control, establish a responsibility system for all employees in epidemic prevention and control from enterprise and park management to workshop teams and front-line employees, and refine the epidemic prevention and control ledger for the entire link and process. Strictly check the epidemic risk of personnel returning to work, and only return to work after confirming their health. Strengthen the protection of the life, epidemic prevention and job rotation preparation of employees in key positions and key processes, improve the management methods for third-party outsourcing personnel, and strictly manage the entry and exit of social personnel. During the epidemic, we must make every effort to ensure smooth logistics. We must not arbitrarily require key companies that are related to the overall industrial chain and people's livelihood to suspend production. We must implement the "white list" system.

Easy the stranded people in an orderly and classified manner. Where epidemics occur, risk areas must be accurately delineated in a timely manner, and foreigners who are not in high-risk areas must be allowed to leave after risk assessment to avoid stranding them, and protection must be taken on the way back. In places where a large number of people are stranded, special evacuation plans must be formulated. Information communication and cooperation between the departure point and the destination must be strengthened to ensure safe arrangements while effectively preventing the spread of the epidemic. Transportation, civil aviation, national railways and other units must actively provide transportation services. Capacity guaranteed. Destinations must increase their awareness of the overall situation, and must not refuse to accept the return of stranded people, and implement prevention and control measures for returnees as required. They must avoid the spread of the epidemic and must not increase control.

3. Strengthen risk prevention and implement various measures to deal with hidden risks

All localities and departments must adhere to bottom-line thinking, highlight problem orientation, and implement optimization and adjustment measures The orderly work connection, grasp the key links, and do a good job in preventing and responding to relevant risks to ensure that the overall epidemic risk is controllable.

About risk personnel management and control. All localities must strictly manage centralized isolation points to avoid cross-infection at isolation points. Instruct those who are eligible for home isolation to strictly implement relevant requirements during the period of home isolation. Once positive, carry out transmission risk analysis and track and manage relevant risk personnel to prevent the epidemic from spreading; those who are not eligible for home isolation are still subject to centralized isolation. It is necessary to strengthen closed-loop management and personal protection during work for employees in high-risk positions to avoid infection during work. Instruct employees in high-risk positions to strictly implement relevant requirements during home health monitoring. Once positive, immediately carry out transmission risk analysis and track and manage relevant risk personnel to prevent the epidemic from spreading.

About risk area delineation. After an epidemic occurs, various localities must promptly delineate high-risk areas and announce them to the public. High-risk areas are generally delineated based on units and buildings. When the risk of epidemic transmission is unclear or there is widespread community transmission, the scope of the high-risk areas can be appropriately expanded.

About adjustments to measures to prevent external imports. All localities should reserve centralized isolation resources, standardize the setting up of centralized isolation points and strictly implement management. Strengthen the standardized management of incoming personnel during home quarantine. Strictly implement closed-loop management, personal protection, nucleic acid testing and other requirements for personnel inside and outside the isolation-free closed-loop management zone and Chinese personnel to strictly prevent "breaking the loop". Entrants with a nucleic acid test Ct value of 35-40 will be further screened, and another nucleic acid test will be completed 24 hours later. If the nucleic acid test Ct value is 35, they will be immediately transferred to a designated hospital or makeshift hospital for isolation treatment; if the nucleic acid test Ct value is ≥35 , generally due to past infection, during the period of home isolation, "test twice in three days", assigned code management, and are not allowed to go out.

4. Strengthen the organizational guarantee for optimization and adjustment work

To implement the prevention and control measures for optimization and adjustment, we must focus on policy interpretation, training guidance and responsibility implementation, and further unite the interests of the whole society. * awareness, avoid and eliminate misunderstandings about the optimization and adjustment of measures, strengthen leadership, strengthen responsibilities, and resolutely maintain the bottom line of preventing large-scale epidemics.

Strengthen publicity, guidance and policy interpretation. Strengthen the interpretation of optimization and adjustment policies, emphasize the continued adherence to my country's general strategy and general principles for epidemic prevention and control, guide the whole society to fully understand the importance of adhering to people first, life first, insisting on preventing external imports and domestic rebounds, and insisting on dynamic clearance, and fully It is understood that further optimizing prevention and control measures is to make prevention and control more scientific and precise, and it must not lead to the misunderstanding of relaxing epidemic prevention and control, or even relaxing or "laying down". It is both scientific and necessary to guide an objective understanding of the optimization and adjustment of my country's prevention and control policies and measures based on the characteristics of virus mutation. We must strive for the understanding and support of the general public and grassroots front-line workers to build a solid foundation for mass prevention and control. Strengthen public opinion monitoring and respond to public concerns in a timely manner.

Strengthen work guidance and training at all levels. Competent departments in various industries must effectively assume their responsibilities, strengthen guidance on the optimization and adjustment of this industry and this area, improve supporting policies, and supervise the implementation of various measures. All localities must accurately grasp the essence of the policy, carry out comprehensive deployment, refine specific work requirements, carry out in-depth training for prevention and control staff at all levels, and promote the improvement of local party committees and governments at all levels, joint prevention and control mechanisms at all levels, and grassroots level through organized training The ability and level of work on the front line of prevention and control.

Strengthen organizational leadership and responsibility implementation. Local party committees and governments at all levels must have the responsibility to defend the territory and fulfill their responsibilities. The main responsible comrades must personally handle it, clarify the division of responsibilities, organize and implement it carefully based on actual conditions, strengthen policy training, force coordination and material support, and effectively and orderly promote the optimization and adjustment of prevention and control measures. Implement all tasks to the letter.

We must fully understand the complexity, arduousness, and repetitiveness of the fight against the epidemic, strengthen our responsibilities, enhance our fighting skills, go deep into the grassroots and the front line, pay close attention to various epidemic prevention and control tasks, and do our best to ensure the production and life services of the people. , effectively meet the basic living needs of the people during the epidemic response, ensure basic livelihood services such as medical treatment, strive to maintain normal production and living order, provide ideological guidance and psychological counseling, and resolutely win the battle of normalized epidemic prevention and control. We must adhere to bottom-line thinking and highlight problem orientation. We must not only oppose irresponsible attitudes and not fail to implement them in place, causing amplification of prevention and control risks, but also oppose and overcome formalism and bureaucracy, and resolutely correct simplification, "one size fits all" and hierarchical We will implement measures such as layer-by-layer overweighting, implement optimization and adjustment measures, efficiently coordinate epidemic prevention and control and economic and social development, and use practical actions to reflect the good results of studying and implementing the spirit of the 20th National Congress of the Communist Party of China.

State Council’s Response to Novel Coronavirus Pneumonia

Integrated Team of Joint Epidemic Prevention and Control Mechanism_

November 11, 2022