In order to guide all localities to respond to the possible COVID-19 epidemic in a timely, scientific, standardized and orderly manner, these guidelines are formulated according to the relevant requirements of the joint prevention and control mechanism in the State Council and the emergency command institutions for epidemic prevention and control in provinces and cities.
The first is to implement epidemic monitoring and early warning.
Strengthen crowd monitoring. Monitor suspicious cases in COVID-19, and carry out COVID-19 nucleic acid test for all patients with respiratory symptoms such as fever, dry cough or unexplained digestive tract symptoms every day according to the requirement of "check everything"; Monitor personnel in key places, and do a good job in health monitoring of personnel in social welfare institutions, pension service institutions, schools and child care institutions, restaurants, farmers' (markets, seafood) markets and other key places; Conduct regular nucleic acid detection for entry personnel, high-risk groups included in community management, port quarantine and frontier inspection personnel, staff of centralized isolation medical observation places, employees of imported cold chain food and goods, transfer personnel and "fast track" staff; Monitor the body temperature of people entering and leaving public places ("two stops and one meeting", farmers' markets, shopping malls, supermarkets, theaters, libraries, museums, exhibition halls, gymnasiums and other places. ); Carry out etiological monitoring of respiratory infectious diseases; Monitor drug sales and drug buyers. Strengthen environmental monitoring. Monitoring the environment of farmers' markets and medical institutions; For imported cold-chain food and imported goods, we will "check everything".
Second, strict epidemic reporting system.
Diagnose and report confirmed cases, suspected cases and asymptomatic infected persons in strict accordance with the prevention and control plan of COVID-19 (the seventh edition) and the diagnosis and treatment plan (the eighth edition for trial implementation). All medical institutions should implement the integrated closed-loop management of pre-inspection and triage and fever clinic work, strictly implement the responsibility system of first diagnosis, and not shirk patients for any reason. Fever clinics should pay special attention to patients with fever, cough, asthma, sore throat, diarrhea, loss of sense of smell (taste) and other symptoms. All patients should be tested for COVID-19 nucleic acid and blood routine (antibody and CT examination if necessary). All suspicious patients were observed, and the case information was reported within 2 hours, and the results of nucleic acid detection were reported within 4-6 hours. After receiving the positive report of nucleic acid detection, the medical institution shall complete the direct network report within 2 hours, and report to the health administrative department and the disease prevention and control institutions under its jurisdiction (see the attached table for contact information); The CDC should immediately start the epidemiological investigation and complete the three-level confirmation audit within 2 hours. After receiving the epidemic report, the local health department immediately reported to the local COVID-19 epidemic prevention and control leading command organization and the Municipal Health and Wellness Committee.
Third, start the emergency response immediately.
Keep the city's epidemic prevention and control emergency command system running efficiently for 24 hours, and closely track the development and changes of epidemic situation at home and abroad. Once an epidemic occurs, a front-line command center will be set up immediately, headed by the main responsible comrades of the party Committee or government in the epidemic area, and implemented at the city and county levels to coordinate and unify the division of labor. Establish and improve the information circulation platform, smooth information channels, and establish an expert consultation and decision-making consultation system. Quickly organize health departments and experts to judge the epidemic situation, timely and decisively adjust the emergency response level, ensure that the critical period of epidemic response is grasped, and timely and quickly handle and control the epidemic situation.
Fourth, quickly organize traffic and trace the source.
Immediately organize a mobile team composed of health, public security, communications and other departments in the jurisdiction, quickly enter designated hospitals and related places, and carry out on-site epidemiological investigation and traceability work at the first time. According to the principle of "people check together", the work, life and study environment of confirmed cases, asymptomatic infected persons, suspected cases and their close contacts will be "face to face" within 24 hours. Use big data technology to analyze and investigate the patient's action trajectory and quickly lock in the people who may come into contact. Give full play to the guiding role of the special class for mobile supervision and traceability, the expert group for epidemic prevention and control and the municipal CDC, which are composed of health, public security, transportation, market supervision, communication management, customs, border inspection, civil aviation, railways and other departments. Organize ventilation management and environmental disinfection in relevant key places.
Fifth, expand the population for nucleic acid testing.
Quickly organize experts at the city and county levels to determine and expand the scope of nucleic acid detection according to the designated risk areas to ensure that possible infected people can be detected. All localities should promptly investigate and count the background information of the persons to be inspected within their jurisdiction, so as not to leak one household or one person, and immediately organize all local nucleic acid testing forces to carry out sampling and testing. After the outbreak of cluster epidemic, the single-day detection amount should be determined according to the goal of basically completing all nucleic acid detection in 3-4 days, in which low-risk areas can be sampled and tested according to 1: 1, high-risk areas and key populations can be sampled and tested according to1:1,and middle-risk areas can be sampled and tested according to detection ability. Co-ordinate the deployment of nucleic acid detection teams, reasonably determine the detection sequence according to the circle division of people involved in the epidemic area, people who have been to the epidemic area within 14 days, high-risk areas, medium-risk areas, key people and low-risk areas, improve the ability and efficiency of nucleic acid detection, quickly complete the whole process of detection, and comprehensively investigate infected people. At the same time, pay attention to strengthen the order organization of the sampling site to prevent cross-infection caused by personnel gathering. We should make full use of information technology to improve work efficiency and avoid mistakes. For isolated people and people in areas with severe epidemic situation, nucleic acid detection is conducted every 2-3 days during the incubation period to ensure that infected people are found in time.
Sixth, go all out to treat patients.
After finding the confirmed infected person, make sure to transfer to the designated hospital within 2 hours and go all out to treat the patient according to the principle of "four concentrations". When the number of confirmed patients exceeds 10, a designated hospital should be vacated within 48 hours for centralized treatment of patients. Designated hospitals give priority to organizing professional and experienced medical staff to go all out to treat patients. Timely improve the "1+3" examination (including nucleic acid, antibody, CT and blood routine) of asymptomatic infected persons, make clear the clinical diagnosis, and timely intervene the progress of the disease. Strictly prevent mild cases from turning into severe cases, carry out personalized multidisciplinary diagnosis and treatment for severe cases according to the principle of "one person, one policy", give play to the unique advantages of traditional Chinese medicine, improve the treatment rate and reduce the mortality rate. Strictly prevent and control nosocomial infections, effectively implement infection prevention and control systems and preventive measures, and resolutely prevent cross-infection incidents.
Seven, the implementation of regional hierarchical control.
In view of the confirmed cases and their epidemiological investigation, the epidemic headquarters should quickly organize health departments and experts at the city and county levels to carry out epidemic research and judgment, adjust the emergency response level in time according to procedures, and scientifically delimit high, medium and low-risk areas. For medium and high-risk areas, measures such as traffic control and home prevention and control should be taken according to laws and regulations to control the flow and gathering of people and reduce the risk of epidemic spread; People in low-risk areas travel with negative nucleic acid tests. Immediately implement closed management of the communities where the epidemic occurred, buildings and units with confirmed cases, and organize disease control personnel to carry out centralized disinfection; At the same time, it is necessary to implement the basic living security measures for residents. Further tighten the "four-party responsibility", implement 24-hour duty for communities and checkpoints in high-risk areas, and strictly implement verification, temperature measurement, code inspection and registration measures.
Eight, strictly implement centralized isolation.
All localities should reserve a sufficient number and scale of centralized isolation points in advance according to the requirements of each infected person 100 isolation room. For the identified high-risk areas, we will strictly carry out household "net-pulling" investigation to ensure that close contacts, close contacts and other key groups are isolated in a centralized way, so as to "isolate every one and leave no leakage". According to the specification, the relevant isolation personnel should be transported to the centralized isolation place within 12 hours. Centralized isolation points should meet the requirements of "three zones and two channels", strictly implement "hard isolation" of single person and single room, prohibit isolated people from contacting each other during medical observation, and strictly restrict personnel from entering and leaving. Do a good job in health monitoring and information reporting of isolated personnel, and arrange personnel to fully disinfect isolated rooms, bathrooms, walkways and other places every day. Do a good job in the service guarantee of centralized isolation places, ensure the staffing and training, standardize the service guarantee of food delivery, disinfection and garbage disposal, and implement the 24-hour duty system for important posts. Strengthen material security and safety protection to ensure the stable operation of centralized isolation work.
Nine, timely release of epidemic information
After a cluster epidemic occurs in various places, authoritative information will be released within 5 hours at the latest, and a press conference will be held 24 hours at the latest, and a routine press release mechanism will be established. Responsible comrades, spokespersons, grass-roots representatives, experts and scholars of the party and government departments in the epidemic areas will attend the press conference, focusing on releasing important information such as new cases, epidemiological investigation, ensuring stable prices, nucleic acid testing, epidemic prevention policies, and popular science knowledge. Strictly control the release content, conduct risk assessment on the release of important information and sensitive issues, do a good job in social public opinion research and publicity and guidance, widely disseminate epidemic prevention knowledge through various forms, respond to hot issues related to the epidemic situation, carry forward the positive energy of epidemic prevention and control, and reduce social panic. The above are some starting conditions of the municipal epidemic emergency system. I wish you a happy life. Thank you for your concern.