Questions and Answers on ＂Notice on Further Optimizing Prevention and Control Measures of COVID-19 Epidemic, Doing Prevention and Control Work Scientifically and Accurately＂

CCTV News:"Healthy China" WeChat WeChat official account released "〈Notice on further optimizing the prevention and control measures of epidemic situation in COVID-19 and doing a good job in prevention and control scientifically and accurately〉Interpretation of questions and answers.

I. On Further Optimizing the Prevention and Control Measures of COVID-19 Epidemic   What is the background of the Notice on Scientific and Accurate Prevention and Control?

At present, Covid-19 continues to mutate, the global epidemic situation is still in an epidemic situation, and new domestic epidemics are constantly emerging. China is a country with a large population, with a large number of vulnerable people, unbalanced regional development and insufficient medical resources, and the epidemic situation in some areas still has a certain scale. Affected by virus variation and climatic factors in winter and spring, the spread and scale of the epidemic may be further expanded, and the situation of prevention and control is still severe and complicated. It is necessary to maintain strategic strength and do a good job in prevention and control of the epidemic scientifically and accurately. In order to adapt to the new situation of epidemic prevention and control and the new characteristics of Covid-19’s variation, adhere to the established general strategy and policy of epidemic prevention and control, carry out prevention and control work more scientifically and accurately, and efficiently coordinate epidemic prevention and control and economic and social development, the State Council should organize experts from the comprehensive group of joint prevention and control mechanism of novel coronavirus epidemic prevention and control, conduct research and demonstration on the existing measures of epidemic prevention and control, such as isolation and transshipment, nucleic acid detection, personnel flow, medical service, vaccination, service guarantee enterprises and campus, and relieve stranded personnel, and put forward suggestions for further optimization and adjustment. On November 10th, The Politburo Standing Committee (PSC) held a meeting to listen to the report on epidemic prevention and control in COVID-19, and to study and deploy twenty measures to further optimize the prevention and control work.

II. What optimization and adjustment has been made to the duration and mode of isolation management of risk personnel in the Notice?

The Notice clearly adjusts the management measures for close contacts to "5-day centralized isolation +3-day home isolation", no longer judges the close contact, adjusts the management measures for overflow personnel in high-risk areas to "7-day home isolation", and adjusts the management measures for employees in high-risk posts who end closed-loop operations to "5-day home health monitoring". Those who do not have home isolation conditions can be isolated in a centralized way. During the period of home isolation, it is necessary to assign code management, and I and the common residents strictly do not go out. During the period of home health monitoring, it is necessary to strictly implement the requirements of non-essential not going out and timely nucleic acid detection.

3. What adjustments have been made to the delineation of risk areas in the Notice, and for what reasons?

In this measure, the risk area is adjusted from "high, medium and low" to "high and low". In principle, the areas where infected people live, workplaces and activities with frequent activities and high risk of epidemic spread are designated as high-risk areas, which are generally designated by units and buildings. Under the premise of scientific and accurate control of risk areas, the scope of control and personnel are minimized. In the case that the risk of epidemic spread is not clear or there is widespread community spread, it is necessary to appropriately expand the scope of high-risk areas. No new infections were found in the high-risk area for 5 consecutive days, and it was reduced to a low-risk area. The high-risk areas that meet the conditions for unsealing should be unsealed in time.

4. What is the optimization of the Notice for external defense input measures? What are the main considerations?

In combination with the development and changes of the global epidemic situation, in order to better coordinate the epidemic external defense input and international exchanges, and facilitate personnel exchanges, the fuse mechanism of inbound flights was cancelled, and the negative certificate of two nucleic acid tests within 48 hours before boarding was adjusted to the negative certificate of one nucleic acid test within 48 hours before boarding. Adjust the criteria for judging the positivity of entry personnel, and adjust the isolation period of entry personnel to "5 days of centralized isolation +3 days of home isolation". With reference to the experience of epidemic prevention and control in Beijing Winter Olympics and Chengdu World Table Tennis Championships, an isolation-free closed-loop management zone ("closed-loop bubble") will be established for important business personnel and sports groups entering China. Strictly implement the requirements of closed-loop management, personal protection, nucleic acid detection and other requirements for foreign and Chinese personnel in the closed-loop management area without isolation, and strictly prevent "breaking the ring".

V. The Notice highlights the epidemic prevention and control in enterprises, schools, nursing homes, psychiatric hospitals, welfare homes and other places. What are the main considerations?

Omicron mutant spreads faster and is more concealed. Enterprises, schools, nursing homes, psychiatric hospitals, welfare homes and other key institutions are crowded, especially the vulnerable groups such as the elderly have weak resistance. Once infected people are introduced, it is easy to cause a cluster epidemic, and it is difficult to deal with the epidemic. The "Notice" puts forward clear requirements for epidemic prevention and control in key places, requiring "one enterprise, one policy" and "one park, one policy" to formulate epidemic prevention and control disposal plans and implement the main responsibility of prevention and control; Improve the school’s ability to deal with the epidemic situation, and support schools to deal with the epidemic situation quickly; Optimize the management of places where vulnerable people are concentrated, such as nursing homes, psychiatric hospitals and welfare homes.

6. What are the requirements of the Notice on medical treatment, vaccination and drug reserve?

The "Notice" requires the formulation of a graded diagnosis and treatment plan, the training of all medical staff, the preparation of inpatient beds and critically ill beds, and the increase of treatment resources. Accelerate the improvement of vaccination coverage rate of vaccines, especially for the elderly. Do a good job in drug supply and storage to meet the needs of patients, especially the treatment needs of severe high-risk and elderly patients, and do a good job in the storage of effective Chinese medicine prescriptions.

7. What new requirements does the Notice put forward for the problem of layer-by-layer overweight?

In order to ensure the normal production and living order of the society, the Notice clearly requires that all localities are strictly prohibited from arbitrarily closing schools, suspending classes, stopping production, blocking traffic without approval, arbitrarily adopting "silent" management, arbitrarily blocking control, unsealing for a long time, and arbitrarily stopping clinics, etc. Increase the intensity of notification and public exposure, and seriously blame those who cause serious consequences according to laws and regulations. For areas where there is no epidemic, we should carry out nucleic acid testing for risk posts and key personnel in strict accordance with the scope determined in the ninth edition of the prevention and control plan, and we can neither arbitrarily expand the scope of nucleic acid testing, nor arbitrarily expand the scope of personnel control, community blockade and quarantine transport. Correct unscientific practices such as "two inspections a day" and "three inspections a day". The places where the epidemic occurred should be sorted and orderly, and the stranded people in other places should be relieved. The destination should not refuse to accept the return of the stranded people, and it is necessary to avoid the overflow of the epidemic and not to increase the control.