Authoritative response to the press conference of the State Council joint defense and joint control mechanism today!
The State Council Joint Prevention and Control Mechanism held a press conference on the afternoon of January 8th to introduce the tenth edition of the prevention and control plan, and pay attention together!
—— The tenth edition of the prevention and control plan—
What adjustments have been made to the tenth edition of the prevention and control plan?
One isUpdated the name of the disease. Renaming "novel coronavirus" as "novel coronavirus Infection";
The second isStrengthen monitoring and early warning. Under normal conditions, virus variation monitoring, case report, sentinel hospital monitoring, unexplained pneumonia monitoring and urban sewage monitoring are mainly carried out. In case of emergency, increase nucleic acid and antigen detection and monitoring, fever clinic monitoring, monitoring of key institutions, etc.
The third isAdjust the detection strategy.No longer carry out full-time nucleic acid screening, and community residents are "willing to check as much as possible" according to their needs.. For the staff and caregivers of key institutions such as pension institutions and social welfare institutions, antigen or nucleic acid testing should be carried out regularly during the epidemic period. Carry out antigen or nucleic acid detection after the symptoms of severe high-risk personnel in the community appear;
The fourth isAdjust the management of infectious sources. Infected in novel coronavirusNo longer implement isolation measures., the implementation of classification and treatment;Close contacts are no longer judged, and high and low risk areas are no longer delineated.;
The fifth isEmergency prevention and control measures can be taken during the epidemic..
These emergency prevention and control measures can be taken during the outbreak.
During the outbreak of the epidemic, comprehensive assessment should be made in combination with the variation of the virus, the epidemic intensity, the load of medical resources and the social operation, and temporary prevention and control measures can be taken timely and legally according to the infection rate of the population and the shortage of medical resources.When the epidemic situation breaks out and spreads in COVID-19, some emergency prevention and control measures can be taken timely, legally and selectively.
The tenth edition of the prevention and control plan lists some, including suspending non-essential large-scale activities and suspending the business activities of large-scale entertainment venues; Take appropriate current limiting measures in indoor public places such as museums and art galleries; Strictly manage places where vulnerable people are concentrated, such as pension institutions and social welfare institutions; Carry out the measures such as commuting at the wrong time and peak, flexible working system, or taking home office; There are also educational institutions that adopt temporary online teaching.Once the epidemic situation is alleviated, the local government should promptly announce the lifting of emergency prevention and control measures.
-virus mutation monitoring-
How to monitor the variation of Covid-19 in the first time?
Since the epidemic prevention and control entered a new stage, the disease control department has further improved the work plan of mutation monitoring in Covid-19. On the basis of the original work,The sampling, inspection and sequencing of entry personnel, patients, key places and key populations have been strengthened.. In terms of monitoring imported cases,Strengthen close cooperation with customs.. In terms of local case monitoring,Each province chooses some cities and hospitals as monitoring posts.To carry out sampling and sequencing of a certain number of Covid-19 infected cases in outpatient cases, severe cases and death cases, to dynamically monitor the trend of Covid-19 mutation, to capture new mutant strains in time, and to evaluate the changes of their biological characteristics, so as to provide a scientific basis for epidemic situation judgment, research and development and evaluation of detection reagents, vaccines and drugs.
What are the characteristics of XBB so far? Is the pathogenicity and toxicity stronger?
Our country has been carrying out monitoring work in Covid-19 since the new crown epidemic. From a global perspective, XBB series mutants are mainly popular in the United States, India, Malaysia and Singapore.Recently, XBB has also produced a new offshoot XBB.1.5 in the epidemic process. This evolutionary branch accounts for a large proportion of patients infected with Covid-19 in the United States at present, and it shows a growing trend.The US Centers for Disease Control and Prevention also monitored it, and predicted that XBB.1.5 may replace the popular advantages of BQ.1 and BQ.1.1 in the United States and become the dominant epidemic strain in the United States in the next few weeks. As of January 7, 2023, XBB.1.5 has been detected in 35 countries and regions around the world. Our national monitoring data shows that,From August 1, 2022 to the present, 16 cases of XBB local associated cases have been detected in our country, all of which are evolutionary branches of XBB.1.
From the results of many studies, compared with the original strain and the previously concerned mutant, such as Delta mutant and several early discovered evolutionary branches in Omicron, the evolutionary branches of XBB have obviously increased their immune escape ability, which has also led to an obvious increase in the spread advantages of XBB in these countries in the United States. From the current reports and studies, no increase in severe cases and deaths of XBB series mutants has been observed, that is to say, its pathogenicity has not increased significantly.
Why adopt the method of monitoring urban sewage?
Monitoring the sewage of residential buildings in Covid-19 can better play the role of monitoring and early warning for the residential buildings where they are located. Through community sewage monitoring, Hong Kong can find out the areas where there may be infected people in time, and then further track and find the positive infected people, and then take corresponding control measures, mainly when there is no large-scale epidemic in the early stage of the epidemic. The monitoring of Covid-19 in sewage treatment plants can evaluate the trend of Covid-19 infection in a larger area, which is suitable for monitoring for a longer time and a wider range. Monitoring points are set up in communities and sewage treatment plants, and their monitoring purposes are different.At present, Covid-19 infection in mainland China is still in the epidemic stage, so we carry out sewage monitoring in qualified cities across the country to assist in evaluating the epidemic intensity and changing trend of Covid-19 infection.To provide scientific basis for epidemic research and prevention and control.
-vaccination-
What are the key work requirements for vaccination in the tenth edition of the prevention and control plan?
First, further emphasize the principles of knowledge, consent and voluntariness.For school-age people over 3 years old, vaccination is encouraged if there is no contraindication.. In addition, advocate that the public, especially the elderly, should be vaccinated all the time, and those who meet the conditions should complete the enhanced immunization.
Second,One dose of booster immunization should be completed for eligible people aged 18 and above.. In the process of strengthening immunization, it is also emphasized that whether sequential immunization or homologous immunization is selected,Cannot do it at the same time, only one item can be selected..
Third, it further emphasizes the rightPeople with high risk of infection, people over 60 years old, people with serious basic diseases, and people with immunodeficiency.These people who are easy to cause severe illness after infection put forward the suggestion of strengthening immunity in the second dose. The interval between the second dose of immunization and the first dose of booster immunization should be more than 6 months.It is hoped that the protection level of these high-risk groups, the elderly and people with basic diseases will be improved by the second dose of immunization.The key is to improve the whole vaccination rate and strengthen the immunization rate.
How long can I get Covid-19 vaccine after infection?
If Covid-19 infection is confirmed by nucleic acid detection and antigen detection,Covid-19 vaccination is not recommended in the near future.. A number of studies have shown that the immunity generated by Covid-19 infection alone,Weaker than the immunity caused by virus infection and vaccination.. Therefore, some people need to be vaccinated according to the immunization program. According to the current regulations,The interval between infection time and inoculation time is not less than 6 months.. Mainly according to the previous monitoring and research,The proportion of infection within 6 months is still very low.. The interval between infection and vaccination is actually a part of vaccination immunization program. With the deepening of vaccine research and the need of disease prevention and control, the immunization strategy will be improved and adjusted accordingly, including vaccination interval.
Besides Covid-19 vaccine, which vaccines should the elderly be vaccinated to prevent respiratory infectious diseases as much as possible?
For the elderly, in addition to being infected with Covid-19, there are some diseases that can be prevented by vaccines, includingRelated diseases caused by influenza virus and pneumococcus, etc.,For the elderly, it can also lead to severe cases.. On the one hand, the old people’s immunity is weakening, on the other hand, most of them have chronic basic diseases. If they are infected with influenza and pneumococcus, the infected diseases will be severe among these people. In addition, some studies have shown that after infection, it will lead to the original basic diseases, such as asthma, chronic obstructive pulmonary disease, heart disease, diabetes and so on. So, in this case,It is suggested that the elderly people who meet the vaccination conditions should be vaccinated with influenza vaccine and pneumococcal vaccine in addition to Covid-19 vaccine.And make them better protected.
Generally speaking, children’s delayed vaccination with conventional vaccines will not affect the effect, but they should be replanted in time.
Vaccines should play a better role, first, in time, and second, in the whole process.If vaccination is delayed, generally speaking, the effect will not be affected.However, it will increase the risk of infection, because there is no whole process or vaccination, and immunity has not been fully established. Once there is a source of infection, it may be infected with diseases, and there will be such a risk. soIt is suggested that all localities should replant vaccines in time after the vaccination units return to normal work.Which vaccines have not been vaccinated and which vaccines need to be replanted, each parent has a vaccination certificate, which is recorded. According to the regulations, which ones did and which ones didn’t,After taking the vaccination certificate to the vaccination unit, the vaccination doctor will make corresponding arrangements according to the child’s situation.. During this period, some children are infected with Covid-19. As long as he has recovered and there is no contraindication for vaccination, the follow-up routine vaccine can be vaccinated or replanted.
—— Returning home during the Spring Festival—
During the period of Spring Festival travel rush, the mobility of people increased. What should the public pay attention to when taking planes, trains and other means of transportation?
People with fever, dry cough, fatigue, sore throat and other symptoms should avoid taking public transport and going to crowded places before excluding the risk of infection. People who feel that they have a high risk of infection,You should not travel until the risks are eliminated..
In places with closed environment and crowded people, such as waiting for the bus, taking planes, trains, subways, buses and other public transport, it is necessary toWear masks regularly throughout the process..
Keep a reasonable social distance in public places,Reduce close contact with others.
Do a good job in personal hygiene, especially pay attention to hand hygiene at any time and avoid contact with public goods. When coughing or sneezing, cover it with paper towels or elbows and throw the used paper towels into the trash can in time. If you come into contact with respiratory secretions, you shouldWash your hands or disinfect your hands in time. When you are out or take public transport, try to reduce the number of meals and try to eat at the wrong peak..
During the Spring Festival holiday, can the public get together for dinner as before the epidemic? What should we pay attention to in gathering activities?
First, advocate people to avoid visiting relatives and traveling in areas with high epidemic situation, and advocate people in areas with high epidemic situation to reduce travel.Old people and people with serious basic diseases should try to avoid traveling..
The second isTry not to hold large-scale family gathering activities., reduce the scale and number of friends and relatives gathering, shorten the gathering time and strengthen self-protection.
Third, according to the epidemic situation,Try not to hold large-scale temple fairs, large-scale indoor cultural performances, exhibitions and other activities., reduce the scale and frequency of rural fairs, and implement prevention and control measures such as ventilation and disinfection.
During the Chinese New Year, avoid passing on the risk of infection to the elderly at home.
During the epidemic period, healthy New Year is a public concern, and we should pay more attention to the following aspects:
The first isContinue to do personal protection.Adhere to frequent hand washing, wearing a mask, regular ventilation, public chopsticks system, keeping social distance, cough etiquette, cleaning and disinfection and other hygiene habits, even after recovery from infection, personal protection should be done.
The second isMaintain regular work and rest, reasonable diet, moderate exercise, good attitude and other healthy living methods., improve self-resistance.
The third isTry not to hold or participate in large-scale family gathering activities, and reduce the number of family and friends gathering.Shorten the dinner time, and you can also send blessings through video and telephone, especially to avoid passing the risk of infection to the elderly at home.
The fourth isPeople who meet the vaccination conditions,Complete the whole vaccination and strengthen immunization as soon as possible.Protect the health of yourself and your family.
The fifth isIt is necessary to strengthen health monitoringPay close attention to the health status of yourself and your family. If you have symptoms such as fever, dry cough, fatigue, sore throat, or when you test positive, you should stay in a well-ventilated and relatively independent room as much as possible, minimize contact with people living with you, pay close attention to the progress of your illness, and seek medical attention in time if your illness is serious.