The State Council’s joint defense and control mechanism: resolutely oppose "one letter and one release"

  At the press conference held by the joint prevention and control mechanism of the State Council on the 17th, Mi Feng, spokesman of National Health Commission and deputy director of the Propaganda Department, said that it is necessary to accurately understand and grasp the deployment measures to optimize prevention and control work, and resolutely oppose two tendencies, that is, to continuously rectify layers of overweight, prevent "one letter from being sealed", and oppose irresponsible attitudes, prevent "one release", ensure that the 20 measures are implemented to the letter, and ensure the safety and health of the people.

  Will it cause hidden risk if we no longer judge the secret connection?

  Regarding the social concern that it is no longer necessary to judge whether the secret connection will cause hidden risks, Shen Hongbing, deputy director of the National Bureau for Disease Control and Prevention and academician of China Academy of Engineering, said that this is a more scientific and accurate prevention and control measure based on the risk of infection, and this group of people is no longer isolated centrally, in order to make more effective use of prevention and control resources and service guarantee resources such as diversion and isolation.

  He said that at present, in some places, it is not necessary to directly judge the secret connection as secret connection and carry out upgrading control. "At the same time as canceling the judgment of the secret connection, all localities should make quick judgment, quick detection and quick control for the secret connection. Once the nucleic acid test of the close contact person is positive, it is necessary to further carry out the investigation and control of the close contact person at the first time, which has higher work requirements. "

  Will the cancellation of the medium-risk area affect the precise prevention and control?

  "In order to minimize the control of unnecessary regional personnel, 20 optimization measures canceled the judgment of medium-risk areas." Wang Liping, a researcher at the Center for Disease Control and Prevention of China, said that this set a higher standard for the handling of epidemic situations in various places, requiring more accurate and efficient epidemiological investigation and risk assessment. Regarding the nucleic acid detection and control measures in high-risk areas, it is still implemented according to the ninth edition of the prevention and control plan. It is required to carry out nucleic acid detection three days before the implementation of the closure control, and the frequency of subsequent detection can be determined according to the results of the first three tests. Within 24 hours before the cancellation of management, a full-time nucleic acid test in the area should be completed.

  Wang Liping stressed that the elderly, minors, pregnant women, disabled people, people with mobility difficulties, hemodialysis patients, mental patients and patients with chronic diseases living alone in the closed management area should be well arranged to provide them with better living and medical supplies.

  Does it mean that the diagnosis and treatment of COVID-19 patients should be classified in the future?

  Guo Yanhong, director of the Medical Emergency Department of National Health Commission, said that one of the 20 measures is to strengthen the construction of medical resources, which is also a specific requirement for dealing with the epidemic faster, better and more efficiently in combination with the current situation of epidemic prevention and control, and is also an important measure to better coordinate the epidemic prevention and control and daily medical service guarantee and persist in improving the quality of medical services.

  Guo Yanhong said that since the outbreak, we have strengthened capacity building and classified treatment of patients from three aspects. First, all localities are required to designate hospitals with strong comprehensive ability and high treatment level as designated hospitals. Designated hospitals should be equipped with beds for treatment according to the local population size, and ICU beds should reach 10% of the total number of beds. Second, strengthen the construction of shelter hospitals. Third, hospitals above the second level are required to set up fever clinics, so that they should be all set up and open, and the responsibility system for first diagnosis should be strictly implemented. Once suspicious patients are found, they should be screened as soon as possible. If they are positive, they should be quickly transferred to designated hospitals or shelter hospitals for treatment.

  What are the requirements for regional nucleic acid detection after local epidemic?

  Shen Hongbing pointed out that if there are only sporadic infected people in the local epidemic and the transmission chain is clear, when there is no risk of community transmission, it is generally not necessary to carry out all-staff nucleic acid testing according to administrative regions; When there is a risk of spread of the epidemic, the district where the epidemic is located can carry out a full-time nucleic acid test every day according to the risk assessment results. After three consecutive nucleic acid tests without social infection, a full-time nucleic acid test will be carried out every three days. If there is no social infection, the full-time nucleic acid test can be stopped.

  "For other areas where infected people have frequent activities and long stay, a certain area can be designated to carry out full-time nucleic acid testing based on flow research." Shen Hongbing said that in principle, all staff nucleic acid testing should be carried out once a day, and three consecutive nucleic acid tests without social infection can stop all staff nucleic acid testing.

  Inter-provincial tourism management activities are no longer linked with risk areas. How is it specifically stipulated?

  Recently, the Ministry of Culture and Tourism issued the Notice on Further Optimizing the Prevention and Control Measures of Epidemic Situation in COVID-19, and doing a good job in prevention and control of cultural and tourism industries scientifically and accurately. It is clear that inter-provincial tourism business activities will no longer be linked with risk areas. In this regard, Li Xiaoyong, deputy director of the Market Management Department of the Ministry of Culture and Tourism, said that the document also requires local cultural and tourism departments to actively guide inter-provincial tourists to take the initiative to conduct nucleic acid testing in accordance with the requirements of "landing inspection" for inter-provincial migrants.

  Regarding the social concern about checking nucleic acid test certificates in public places, Shen Hongbing said that special people such as infants under 3 years old can be exempted from checking negative nucleic acid test certificates. Cross-regional migrants should take the plane, high-speed rail, train, inter-provincial long-distance bus, inter-provincial passenger ship and other means of transportation with negative nucleic acid test certificate within 48 hours. After arriving at the destination, they should carry out "landing inspection" according to territorial requirements. Those who stay in hotels and enter tourist attractions need to check the health code and negative nucleic acid test certificate within 72 hours.

  What is the role played by the special classes in various places to rectify the problem of "layers of overweight"?

  According to Shen Hongbing, since the publication of the 20 measures on the 11th, from the information data of the official website of National Health Commission "Nine No Public Message Boards for Epidemic Prevention and Control", the number of complaints from the masses has dropped significantly, from 3,306 on the 11th to 2014 on the 16th, with a drop of 39%.

  Shen Hongbing pointed out that the problems are mainly concentrated in three aspects: first, restrictive measures such as forced repatriation and isolation are taken for people from low-risk areas, accounting for 25%; The second is to expand the restricted travel range from high-risk areas to other areas at will, accounting for 23%; The third is to expand the scope of risk personnel who take isolation and control measures at will, accounting for 18%.

  "As of 12: 00 on the 17th, rectification ‘ Layer by layer plus code ’ The problem class has transferred a total of 130,000 clues to complaints from local people, and the completion rate is 99%. It should be said that the effect is very remarkable. " Shen Hongbing said.

  (Beijing, November 17 th, by reporter Jin Zhenya)