Handbook for preventing and controlling and disposal of Xinhai New Crown Pneumonia Epidemic Extraction and disposal

In order to promote the prevention and control of the epidemic in science, accuracy, efficient, and orderly, according to the provincial headquarters, in accordance with the "New Coronatte Pneumonic Pneumonia Prevention and Control Plan (9th Edition)", combined with the relevant policies and experiences of the prevention and control treatment of the province, The Provincial Headquarters Office compiled the "Workbook for Prevention and Control and Disposal of the New Crown Pneumonia Institute of Pneumonia in Qinghai Province" for reference to various departments and front -line staff.

1. Normal epidemic prevention and control

1. Public measures. Give full play to the role of new media such as the Internet, Weibo, WeChat, and clients and traditional media such as radio, television, newspapers, and propaganda materials, and carry out the publicity and education of new crown pneumonia prevention and control knowledge in all aspects.

2. Do a good job of prevention and control measures for key places, key institutions and key groups. Key places and institutions: Emergency plans, organize emergency drills, do a good job of preventing epidemic prevention materials, strengthen health education and training, carry out health monitoring, measure the body gently to check the health code in accordance with regulations, do a good job of cafeteria, dormitories, bathrooms, elevator rooms, etc. In key areas and high -frequency contact sites, clean and disinfection, strengthen ventilation and ventilation of offices, canteens and bathrooms, and do personal protection. Key groups: High -exposed risk careers do personal protection according to the risk level. High -risk jobs should strictly implement the management of closed -loop management, nucleic acid detection and closed -loop management operations.

3. Come (back) the management of young personnel. For the positive personnel, secrets, sub -dense personnel, and high -risk zones flowing into the local area of ​​local people, the historical personnel who live in the high -risk zone should conduct investigation and control. For those who live in the province in the past 7 days, they will report to the system to report the system within 24 hours before the youth, and carry out the landing inspection as soon as possible at the Qing Dynasty.

2. Epidemic monitoring

4. The pathogenesis and report. Once all kinds of medical institutions at all levels find suspicious patients, they should immediately detect, report in time, regulate and observe, and closed -loop management; conduct a preliminary sieve positive report within 2 hours after the initial sieve positive personnel; The network report should be performed within 2 hours, and the clustering epidemic should be reported to the management information system through an emergency public health event report within 2 hours. Medical institutions that do not have direct online reporting conditions immediately report to local county -level disease control institutions or written reports.

Third, epidemic disposal

The epidemic disposal work must be "ten fast" and "six full", "ten fast" is fast sample, fast delivery, fast detection, fast chase, fast -flowing, fast check, fast transfer, fast isolation, fast collection treatment Quick report; "Six All" means that the screening must be complete, the chasing Yang must be full, the flow is full, the control is full, the isolation is full, and the treatment must be complete.

5. Infectious source control. When the mixed pipe is positive, the mixed inspection personnel are immediately sampled and reviewed, and local isolation measures are taken. Those who are positive for single tubes should be transferred to the designated place in time for isolation management, and the border control and edge investigation should be performed. Those with asymptomatic infections and confirmed cases shall be transferred to a designated medical institution or square -cabin hospital within 2 hours. After the healing and discharge, the health monitoring of 7 Heavenlyjujia will be monitored.

6. Epidemiological Investigation. After the epidemic, the provincial, municipal (state), and county -level three -level flow traceability work mechanisms were launched, and cases were organized to conduct case epidemiological investigations, risk personnel and risk areas judgment, epidemic trends analysis and risk research and judgment. The first epidemic survey report must be completed within 24 hours.

7. Decision and management of close contact and other risk personnel. For those who are determined to be closely contacted, the "ten same" is the same meal, living, peers, colleagues, classmates, traversal, companion, travelers, same workers, and toilets. Other negative personnel who are positive for mixed pipes are determined as close contacts. The close contact person adopts the "7 -day concentrated isolation medicine observation + 3 Heavenly House Health Monitoring" management measures. The period of isolation management will be calculated from the last exposure. "Ten Tong" personnel who have a close contact with the risk of infection are determined to be closely connected, and the 7 Heavenly Home Observation Medical Observation is adopted. Together with those with confirmed cases and asymptomatic infections, they are exposed to dense and space -closed places such as marriage (funeral) banquets, restaurants, supermarkets, shopping malls, farmers) markets, but not in line with the principle of close contact and closely connected confidential judgment principles. The personnel judged as the exposure of the epidemic venue, and each nucleic acid test was carried out on each day and 3 days after the judgment.

8. Risk personnel transfer. The headquarters of various places should set up a special set of personnel transfer work to do a good job in isolation and transfer vehicle reserves. Those who find positive infections should be transferred to a designated medical institution or square -cabin hospital within 2 hours for treatment or isolation observation, and negative pressure ambulances should be used as much as possible during transfer; , To be separated and fast. The infected person cannot transfer to the car with close contacts.

9. Risk areas delineate and prevent and control. The place where cases and asymptomatic infections live, as well as areas and regions such as frequent activity and high risk of epidemic dissemination, are classified as high -risk areas, and adopt control measures such as "not leaving home and on -site services". High -risk zones have been reduced to medium -risk zone for 7 consecutive days, and those who have no new infection in the mid -risk zone have been reduced to low -risk zones for 3 consecutive days. The workplace and activities of the risk of epidemic dissemination are classified as a medium -risk area. It adopts control measures such as "no regions and peaks". Those who have no new infections have been added to low -risk areas for 7 consecutive days. The mid -to -high risk zone shall establish a base book and entry registration form. Other areas (cities, districts, and academic committees) where the mid -to -high risk zone is located is a low -risk zone. After all the high -risk zones were terminated, the county (city, district, and academic committees) implemented normalized prevention and control measures across the region. 10. Disinfection of the epidemic place. During the hospitalization and transfer of cases or asymptomatic infections, patients with excretion, vomit, body fluids and their polluting environment and items are disinfected at any time. Places that may be polluted should be disinfected at the end to ensure that the venues after the end of the end and the various items in it no longer exist.

11. Investigation of risk personnel. After the outbreak of the epidemic is found to be out of the local area, it shall send a coordinated information to the flowing place through the national epidemic prevention and control management platform or letter within 2 hours, and assign a special person to track the cooperation information; After the information, quickly investigate the relevant personnel, take management and control measures in accordance with the requirements of risk personnel, and feedback to the results of the investigation and control of the joint investigation within 24 hours; the history and control measures for the history of the high, middle and low risk areas within 7 days, and the category of management and control measures.

12. Concentrated isolation point settings. The centralized isolation point implements the "point -length" responsibility system. The centralized isolation point is responsible for unified management by the city (state), county (district) government and township (street). Sub -districts) and other work together, staff of isolation places should regulate the training after training, and strictly implement the vaccine vaccination, health monitoring, nucleic acid detection, personal protection and closed -loop management measures.

13. Isolation management and home health monitoring. The centralized isolation point is fully closed and hard isolation management is implemented. It is strictly forbidden to enter all unrelated personnel. The 24 -hour monitoring observation is implemented, and the quarantine personnel are strictly prohibited from walking out of the door at will, and strictly abide by the "check -in notice" requirements provided by the isolation point. According to the epidemic prevention and control situation, centralized isolation personnel will conduct nucleic acid testing once a day during the isolation, and take "single -single inspection". Home isolation management shall be carried out under the guidance of community medical staff, live alone or single -room, try to use separate bathrooms, do personal protection, minimize contact with other family members, and do not go out during the observation of home isolation medicine. Home health monitoring personnel measure the body temperature once a day, do a good job of symptoms monitoring, and report truthfully to the community (village). Do not go out during home health monitoring. For special circumstances such as medical treatment, personal protection must be done when you go out to avoid taking public transportation as much as possible.

14. Management and control of key places and key groups. Implement the "daily report" and "zero report" health monitoring system in key places; strictly implement the test measures of body temperature, health code and nucleic acid test results; strictly control the number of people entering the place; The carrier rate of passenger stations and public transportation; increasing ventilation and ventilation and disinfection frequency of closed public space. The key population combines personal protection in combination with its own job nature, risk level or the type of place where the place where is located. Strictly implement the control measures after closed -loop management, nucleic acid detection and closed -loop operation. Strengthen self -health monitoring, and symptoms such as fever, dry cough, fatigue, sore throat, and other symptoms have timely medical treatment.

15. "Two stations and one game" and traffic passage management. Strictly adhere to the cutting -edge mark of the epidemic prevention and control, and strictly implement the prevention and control requirements such as early reporting, check -up verification and inspection. Entering the provinces and high -risk areas with high risks in our province to return to green vehicles to implement the "five fixed, three ca n’t" requirements, that is, the fixed entrance inlet, fixed line pass, fixed service area rest, fixed export landing, fixed destinations arrive Management, you must not change the original planned route to enter the town in the province. You must not stop at other service areas other than the dedicated service area. You must not go up and down at will during the driving. Isolation or home isolation medical observation.

16. Community management. During the epidemic period, the streets (townships), communities (villages) and grid staff three -level linkage, do a good job of key areas and high -risk areas (return) to green personnel to investigate and control, supervise the implementation of nucleic acid testing, isolation medical observation and home health monitoring Waiting for measures. Comprehensively tighten community management measures, strictly control and suspend the organizational gathering activities, and advocate non -necessary non -cross -regional activities; strictly implement the body temperature must be tested, masks must be worn, and double -code must be checked, and the community is urged to guide the community Residents do not make the door, do not pile, do not meet, do not handle, and fulfill their responsibility for preventing and controlling the epidemic.

17. Static management. According to the development and changes of the epidemic, static management measures are decisively and rapidly adopted. In addition to special needs such as nucleic acid testing and medical treatment, residents in the region are not necessary to go out or enter public places. During the static management period, each household arranged for one person to go out every two days, and the purchase time of the outing is no more than 1 hour; the institutions and institutions in the region maintain normal operation and advocate the office of the home. Fighting private flow, use of car, and traveling privately. Fourth, regional nucleic acid detection

18. Establish a special course for regional nucleic acid testing. Each municipal (state) epidemic prevention and control headquarters shall set up a nucleic acid testing group, led by the Standing Committee of the Municipal (State) Committee. Members are health, public security, civil affairs, transportation, finance, industrial and informatization, ecological environment, party committee publicity, etc. Relevant departments. Establish data statistics, inspection matching, sample transfer, positive results disposal, material guarantee, quality control, quality control, medical waste disposal, informatization guarantee, and comprehensive management class.

19. Nucleic acid detection strategy. After the epidemic, after the underwriting and judgment, the dissemination chain, the risk places and the risk personnel, the risk of the risks, and the risk of spreading the epidemic. Nucleic acid testing, after 3 consecutive nucleic acid testing without social infection, 3 days interval (during the period of only key population nucleic acid testing) is carried out again) to conduct a full -member nucleic acid test. Those without social infection can stop all nucleic acid testing. Xining City: When a wide range of community communication epidemic occurred, the city headquarters decided whether to conduct a full -scale nucleic acid test in the city. Other cities (states): The areas outside the urban area, based on the underwriting research and judgment, delineate a certain area to conduct a total nucleic acid test. In principle, a whole nuclear acid test is carried out once a day. Those who have no social infection without social infection for 3 consecutive nucleic acid tests can stop the total nucleic acid detection. Rural (pastoral area): When the epidemic affected many towns and villages, based on the underwriting and judgment, the scope of the scope of the entire staff was carried out. In principle, a whole nuclear acid test is carried out once a day. Those who have no social infection without social infection for 3 consecutive nucleic acid tests can stop the total nucleic acid detection.

20. Nucleic acid sampling. The target matching and detection power of the target of the regional nucleic acid detection within 24 hours.

Sample settings. Calculate the number of sampling personnel of 120 people per hour according to each sample station (2 sampling personnel). Number of nucleic acid sampling personnel (unit: person) = population ÷ 360; 5 -in -1 mixed mining detection technology, nucleic acid detection force (unit: pipe/day) = population ÷ 5 × 2; 10 -in -1 mixed mining detection In technology, the test force of acid testing = population ÷ 10 × 2.

Sample point settings. Set a sampling point at 2000-3000 people, and 600-800 people are set to set 1 sample table. Each sampling point requires 4-5 sample tables. In principle, the sampling point is set in the community. Each sample is equipped with 2 sampling personnel and 1 information entry personnel, and 120 samples are collected per hour for each sample. The internal of the sampling point divides the waiting area, sampling area, buffer area, temporary isolation area, and medical waste temporary area. Set up protective clothing throughout the zone, equipped with hand sanitary facilities, dressing mirrors or protective devices. Single green channels independently sample or priority samples for elderly people over 60 years of age, pregnant women, disability and other groups.

Sample method. The centralized isolation point and other key groups implement single -order inspections; high -risk zones people implement on -site single -order single inspections or 1 households and 1 pipe; people in the mid -risk zone implement 5 -in -1 mixed mining; Combining 1 mixed mining.

Sample preservation and transfer. The detection sample should be stored at low temperature (2-8 ℃). After the starting area of ​​nucleic acid samples for 1 hour, the first batch of samples should be transferred to the testing agency. The subsequent samples can be collected and transferred every half an hour to 2 hours to ensure that the laboratory detection capacity within 3 hours after the collection reaches 80 % of the maximum detection capacity. above.

twenty one. Medical waste treatment. Medical waste uses double -layer packaging bags to be blocked to ensure strict sealing and ensure that the medical waste packaging is not broken and leakless. Medical waste disposal classes should timely coordinate medical waste disposal units with corresponding qualifications, and deal with medical waste from the transfer sampling point and nucleic acid detection agency. The medical waste generated by the nucleic acid sampling point should be cleared on the same day; the medical waste conditions generated by the nucleic acid detection agency can be temporarily stored, and the time must not exceed 2 days.

5. Medical treatment

twenty two. Hospital. All cities and states (including Golmud) shall specify hospitals with strong comprehensive ability as a fixed -point treatment hospital in accordance with regulations to collect ordinary, severe, critical cases and severe cases of critical/critical high -risk people. All cities and states (including Golmud) should rely on single -closed large -space buildings to set up a certain number of square cabin hospitals to treat non -symptoms and light diagnostic cases for treating new crown viruses. It is clear that a relevant person in charge of a government docking the hospital's daily management, and designated medical institutions with strong comprehensive strength as a custody hospital and responsible for the overall operation of the hospital. The cities and states (including Golmud) have determined that at least one of the treatment hospitals in this area are used to ensure the medical needs of centralized isolation points and high -risk areas.

twenty three. Patient treatment. After the patient is admitted to the hospital, the diagnosis is determined within 8 o'clock, and a network report is reported to the network through the Chinese disease prevention and control information system within 2 hours after diagnosis. Symptoms and light cases shall implement centralized isolation management, symptomatic treatment, and condition monitoring in the square cabin hospital. If the condition worsens, the negative pressure ambulance is transferred to a designated hospital for treatment. twenty four. After discharge or lifting management. The 离 岀 or lift the isolation personnel to the streets (communities, villages) for 7 Heavenly House health monitoring and management. The streets (communities, villages) organize a special person in charge of the management of home health monitoring personnel, implement the 24 -hour duty system, do a good job of registering and monitoring information, and regularly report the management of home health monitoring personnel. If the hospital may be hospitalized during the health monitoring of the isolation personnel during the health monitoring of other diseases, the immune -related hospital designated by the city (state) is treated.

25. Medical services during the epidemic. Patients in the mid -to -high risk zone shall be assumed by the designated medical treatment hospital. The staff of the local streets (towns) and communities (villages) are connected to the 120 ambulance. The intensive and critical illness patients who need to go out for a centralized isolation point are the same as the process of consultation methods for patients with medium and high -risk zones; non -emergency patients are contacted by the staff of the isolated point to the nearest medical treatment hospital for treatment, and special vehicles are arranged to pick up and drop off. Patients with urgency and critical illnesses in low -risk areas and other areas will be transferred from the 120 Command Center to the rescue of the rescue of nearby medical institutions.

6. Infection prevention and control

26. Specific point (square cabin) hospital. Practitioners of designated hospitals areolation ward and square cabin hospitals strictly follow the regional protection requirements. The pollution area should be equipped with a professional exposure emergency response box, and the disposal process after the occupational exposure of the respiratory tract should be posted in the obvious place of the ward for use; all staff should strictly implement closed -loop management and shall not arrange a station in a designated hospital. In principle, there is no accompaniment in the ward, and patients who need to accompany children, elderly people who need to accompany them allow a family to accompany the consent of informed consent. The accompanying personnel were strictly closed during the whole process.

27. fever clinics. Reconstruction of the rolling consultation must be remedy, and the deputy dean of the medical work is responsible for it. During the epidemic period, the full -process closed -loop management is implemented. The popularity of the popularity should be set in accordance with the "three districts and two channels". There should be a physical partition between the partitions, and the target awareness is set up in the entrances and exits of each area and channel. Medical staff entered a popular kidney and staying ward, strictly through regional protection requirements. Medical institutions shall guide patients with fever or (and) respiratory symptoms and cannot clearly exclude new coronal virus infections to hot kidnascular clinics. Before the results of the relevant inspection and inspection are not feedback, the patient shall be placed on a hot kidney clinic for observation.

28. Ordinary ward (room). Standardize the pre -examination and checks, implement the first consultation system, and strengthen the patient's consultation on patients with the symptoms of new coronary pneumonia, epidemiological history and respiratory symptoms. Standardize the transitional ward for patients who have no nucleic acid test results or suspicious patients who have no nucleic acid test results. If the general ward is unnecessary and not to be accompanied and not visible, if you need to accompany special circumstances, the accompanying personnel shall be relatively fixed.

29. When receiving diagnosis and treatment measures, patients need to remove masks/departments. When a multi -point distribution or clustering epidemic occurs in the area, one -bedroom and one doctor should be strictly implemented to avoid cross -infection. The clinic is well ventilated, and mechanical ventilation or dynamic air disinfection measures should be taken if necessary. When implementing the diagnosis and treatment operation that is prone to gas solution, the operational medical staff should do a good job of personal protection. Personal protective supplies should be replaced between patients with different patients, and it should be eliminated in advance.

30. Disposal of medical institutions. When an immune -related personnel (positive infection, close contact, or secondary dense person) appear in the non -fixed -point hospital, they are immediately evaluated by the professional institute's sense of prevention and control personnel, and reported to the health administrative department of the health and control institutions. Opinions of the epidemic seal. After an epidemiological investigation, the close contact and the second -secret personnel were determined to contact the medical and control institutions in the area in a timely manner to implement the prescribed control measures. In principle, the time to block control or discontinued diagnosis did not exceed 2 days. For key departments such as emergency, dialysis rooms, operating rooms, intensive care rooms, obstetrics (delivery rooms), and neonatal ward (NICU) (NICU), accurately adopted measures and control measures to ensure medical needs of patients with emergencies and special groups.

31. Concentrate to isolation. Concentrated isolation points are adjacent to the door, and the opposite doors must be taken to pick up the meal. When taking the meal, wear the N95/KN95 protective mask to avoid talking and short -term stays. If a positive personnel are found within the centralized isolation point, transfer to a designated medical institution within 2 hours after review. The centralized isolation point of suspicious cross -infection occurs immediately, immediately conduct a special investigation, comprehensively investigate and evaluate risks, and re -calculate the isolation time for all risk personnel. The aisles, stairs, public toilets and other places and door handle and elevator keys are frequently disinfected daily. During the isolation, the room and bathroom can be disinfected by the isolated staff by themselves. The surface of items and furniture may be disinfected twice a day, which may be disinfected twice a day, and disinfect at any time when it is contaminated with saliva and sputum. The room, facilities and items after the isolation observation are lifted, and the staff inside the centralized isolation point are cleaned and disinfected. The rooms, facilities and items that occur in cases are disinfected and evaluated by professionals under the guidance of the disease control institution.

32. Management of front -line staff. The front -line staff can prevent and control the "ten prohibitions", that is, it is forbidden to dine at the same time of the same space between the two people; it is forbidden to smoke at the same time between the two or more; ; Forbidden those who are not trained and assessment are prohibited; prohibited sampling personnel from disappearing for continuous sampling; prohibited medical staff from cross -regional flow; non -frequent replacement of staff positions; prohibiting closed -loop management personnel from breaking the ring; prohibiting staff from bringing illnesses and not being reported to report on illness. Wait for the job. After the daily work is completed, the protective supplies used on the day are uniformly recovered and properly disposed of according to medical waste. 33. Medical waste disposal. All medical waste produce, collect, storage, transfer, and emergency response units shall properly manage and dispose of medical waste under the guidance of the local people's governments and the ecological environment, health, health, housing urban and rural construction, transportation and other competent authorities.

Seven, information release

34. Publicly publish information. Public public release information is based on online direct reporting data, which cannot be reported earlier than online reports. After the epidemic, the local epidemic prevention and control headquarters issued authoritative information within 5 hours. The first press conference. The press conference is generally not held in special hours in the middle of the night. The length is generally controlled at 40-60 minutes. Special circumstances can be adjusted depending on.

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