On December 8, the Comprehensive Team of the Joint Prevention and Control Mechanism of the State Council in response to the new coronavirus pneumonia epidemic issued the "Notice on Issuing the New Coronavirus Antigen Detection Application Plan", as follows: New Coronavirus Antigen Detection Application Plan Antigen detection has Due to the characteristics of high sensitivity in the early stages of infection, in order to guide those in need to conduct independent and standardized COVID-19 antigen testing (hereinafter referred to as antigen testing), the following plans are proposed: 1. Applicable objects (1) Persons who need independent antigen testing. (2) People in crowded places (large enterprises, construction sites, universities, etc.). (3) Elderly people at home and elderly people in nursing homes. 2. Persons who need independent antigen testing All personnel can conduct self-antigen testing at any time in accordance with the principle of autonomy and voluntariness. (1) Obtain detection reagents. Persons who need independent antigen testing can purchase antigen testing reagents through retail pharmacies, online sales platforms and other channels to conduct self-tests. (2) Frequency of testing. Test at any time according to your own will. (3) Things to note. During self-testing, you can conduct the test and interpret the results according to the requirements and procedures indicated in the instructions, or you can contact the contracted service medical staff of primary medical and health institutions to complete the antigen test under their remote guidance. (4) Disposal of test results. 1. Antigen test is positive. Independent antigen testers report positive antigen test results to local primary medical and health institutions. When there are no symptoms or mild symptoms, isolate yourself at home and choose appropriate drugs for treatment according to the medication guidelines for home isolation treatment personnel. When symptoms worsen, the primary medical and health institutions in the jurisdiction will promptly assist in going to the fever clinic (clinic) of the medical and health institution for treatment. 2. Antigen test is negative. You can work, study and live normally. 3. People in crowded places (1) Obtaining detection reagents. Such personnel are required to purchase antigen detection reagents by themselves when conducting their own antigen testing; when participating in antigen testing required by their institution, their institution will issue antigen detection reagents. (2) Frequency of testing. Such personnel can carry out antigen testing independently at any time, or they can carry out antigen testing at a specified frequency according to the requirements of their institutions (enterprises, construction sites, universities, etc.). (3) Things to note. Such personnel can conduct antigen testing and result interpretation in accordance with the requirements and procedures indicated in the instructions, or they can apply to their institution to conduct antigen testing under the guidance of personnel designated by the institution. (4) Disposal of test results. 1. Antigen test is positive. Report positive antigen test results to your institution and local primary medical and health institutions. When there are no symptoms or mild symptoms, work or study should be suspended, isolation treatment should be carried out at home, and appropriate drugs should be selected for treatment according to the medication guidelines for people in home isolation. When symptoms worsen, go to the medical institution within your institution or the fever clinic (clinic room) of the medical and health institution in your jurisdiction for treatment in a timely manner. 2. Antigen test is negative. You can work, study and live normally. 4. Elderly people at home and elderly people in nursing homes (1) Obtaining testing reagents. Elderly people at home and in nursing homes can purchase antigen testing reagents independently. The cities/districts and counties where they are located should distribute free antigen testing reagents to the elderly based on the number of elderly people in their jurisdiction and the frequency of antigen testing per week. (2) Frequency of testing. Such personnel should carry out antigen testing twice a week, and can also conduct antigen testing independently at any time. (3) Precautions. Elderly people living at home will have their family members perform antigen testing and result interpretation in accordance with the requirements and procedures indicated in the instructions. They may also contact medical personnel contracted by primary medical and health institutions to complete the antigen testing under their remote guidance. Staff of nursing homes conduct antigen testing and result interpretation for the elderly in accordance with the requirements and procedures indicated in the instructions. (4) Disposal of test results. 1. Antigen test is positive. The family member or nursing home institution shall report the positive antigen test result to the local primary medical and health institution. When there are no symptoms or mild symptoms, the elderly at home should choose appropriate drugs for home treatment according to the medication guidelines for people in home isolation and under the guidance of medical staff contracted by primary medical and health institutions in the jurisdiction. Elderly care institutions choose relatively independent rooms, follow the medication guidelines for people in home isolation, and choose appropriate drugs for treatment under the guidance of medical staff from on-site medical institutions. Whether they are elderly people at home or in nursing homes, when symptoms worsen, they should go to a tertiary hospital in time. 2. Antigen test is negative. Can live a normal life. (5) Test reagent reserves.
Reserves are carried out at primary medical and health institutions, and each primary medical and health institution reserves antigen detection reagents according to 15 to 20% of the total population served. 5. Relevant work requirements (1) The industrial and information technology departments should organize antigen detection reagent manufacturers to reasonably increase production capacity and increase production according to market demand to ensure that demand is met. (2) Retail pharmacies that have obtained a drug business license in accordance with the law, and medical device operating enterprises that have obtained a corresponding medical device business license in accordance with the law, may sell antigen detection reagents approved by the national drug regulatory department through physical stores and e-commerce channels. Drug regulatory and other departments shall strengthen supervision of retail pharmacies and related e-commerce operators in accordance with their duties to ensure that the quality of antigen detection reagents is qualified. (3) Large enterprises, construction sites, universities and other personnel-intensive institutions should purchase a certain amount of antigen detection reagents in advance and reserve an appropriate amount of antigen detection reagents based on the number of personnel and testing needs. (4) Prefecture-level city/district and county governments should equip a certain amount of antigen detection reagents and reserve an appropriate amount of antigen detection reagents according to the number of elderly people in their jurisdiction and the frequency of testing, as well as the communities/elderly care institutions where the elderly belong. (5) The health departments of each province (autonomous region, municipality directly under the Central Government) should formulate relevant regulations on reporting positive antigen test results, and facilitate all types of personnel to report antigen test results by developing APP mini-programs, improving information system functions, etc., and specify the reporting channels. Announced to the public in a variety of ways. (6) The health administrative department should conduct antigen testing training for medical staff of primary medical and health institutions (community health service centers/township health centers) to ensure that medical staff of primary medical and health institutions can provide technical guidance to those who need antigen testing. Primary medical and health institutions should focus on understanding the antigen testing situation of the elderly who have contracted services and health management, so as to detect risks in a timely manner and deal with them effectively. Instructions for residents’ antigen self-test → 1. Obtaining reagents Community residents who are interested in conducting antigen self-testing can obtain it through the following channels: (1) Purchase by themselves through retail pharmacies, online sales platforms and other channels; (2) Apply to the community where they are located to obtain it. 2. Self-test process (1) Preparation before antigen self-test 1. Wash your hands. 2. Read the instruction manual of the antigen reagent to understand the self-test process and precautions. 3. Check the shelf life and integrity of the reagents. 4. The ambient temperature is between 14°C-30°C and avoid moisture. Unpack the antigen test card and place it in a flat, clean place. (2) Those aged 14 and above for sample collection can take nasal swab samples by themselves. Blow your nose with toilet paper first. Carefully unpack the nasal swab and avoid touching the swab head with your hands. Then tilt your head slightly, hold the tail of the swab in one hand and stick it to one nostril, then slowly go back and penetrate 1 cm along the bottom of the lower nasal passage, then stick it to the nasal cavity and rotate it for at least 4 times (the dwell time is no less than 15 seconds), and then use the same swab Repeat the same operation for the other nasal cavity. Those aged 2 to 14 years old who perform self-examination should have another adult take samples on their behalf. Figure Antigen self-test flow chart (please refer to the specific kit instructions for details) (3) Antigen detection 1. According to the reagent instructions, immediately place the nasal swab after collecting the sample into the sampling tube, and the swab head should be rotated and mixed in the preservation solution. Apply evenly for at least 30 seconds, and at the same time squeeze the swab head through the outer wall of the sampling tube with your hand at least 5 times to ensure that the sample is fully eluted in the sampling tube. 2. Squeeze the liquid from the swab head through the outer wall of the sampling tube with your hands, and discard the swab. After capping the sampling tube, drop the liquid vertically into the sample hole of the test card. 3. According to the reagent instructions, wait for a certain period of time before interpreting the results. Positive result: Both "C" and "T" show red or purple strips, and the color of the strip at "T" can be dark or light, both are positive results. Negative result: A red or purple band appears at "C" and no band appears at "T". Invalid result: No red or purple band is shown at "C", regardless of whether a band is shown at "T". The result is invalid and you need to take a new test strip and retest. 3. Result Reporting The reporting channels for local health departments and primary medical and health institutions to announce antigen test results to the public. After the residents' testing is completed, the results will be reported to primary medical and health institutions as required.