How to optimize nucleic acid detection and how to carry out home monitoring —— The press conference of joint prevention and control mechanism in the State Council responded to hot issues
Xinhua News Agency, Beijing, December 8thQuestion: How to optimize nucleic acid detection and how to carry out home monitoring — — Press conference of the State Council joint defense and joint control mechanism responds to hot issues.
Xinhua News Agency reporters Gu Tiancheng, Li Heng and Peng Yunjia
Recently, the Comprehensive Group of Joint Prevention and Control Mechanism of the State Council has successively published several guiding documents, such as the Notice on Further Optimizing and Implementing the Prevention and Control Measures of COVID-19 Epidemic, the Guide for Home Treatment of Covid-19 Infected Persons, and the Application Scheme of Covid-19 Antigen Detection. On the 8th, the joint prevention and control mechanism of the State Council held a press conference, and made authoritative responses to hot issues such as optimizing nucleic acid detection, home monitoring and treatment, epidemic prevention and control in medical institutions, and vaccination for the elderly.
The State Council joint defense and control mechanism press conference site. Xinhua News Agency reporter Gu Tiancheng photo
How to optimize nucleic acid detection? Focus on high-risk areas and people
"Further optimize nucleic acid detection, emphasizing the need to focus on areas and people with high risk of infection." He Qinghua, a first-class inspector of the Department of Transmission and Prevention of the National Bureau for Disease Control and Prevention, said that the scope and frequency of nucleic acid testing should be reduced mainly from four aspects.
First, not to carry out all-staff nucleic acid testing according to administrative regions; Second, except for special places such as nursing homes, welfare homes, medical institutions, child care institutions, primary and secondary schools, negative proof of nucleic acid testing is not required; Third, no longer check the negative certificate or health code of nucleic acid testing for cross-regional migrants, and no longer carry out landing inspection; Fourth, according to the needs of epidemic prevention work, antigen testing can be carried out.
Wang Liping, a researcher at the China Center for Disease Control and Prevention, introduced two categories of high-risk employees who need to carry out nucleic acid testing in accordance with relevant regulations: the first category is those with high risk of infection, such as entry personnel, staff in centralized isolation places, and medical staff in fever clinics; The second category is those with dense employees, frequent contacts and strong mobility, such as Shangchao staff, couriers, take-away staff and so on.
How can medical staff reduce infection? Strengthen scientific protection and resource scheduling.
Due to their special positions, medical staff will receive a large number of patients every day, so they are at high risk of infection.
"In order to minimize the risk of occupational exposure of medical staff, the management of medical institutions must meet a series of requirements." Guo Yanhong, director of the Medical Emergency Department of the National Health and Wellness Commission, said.
Guo Yanhong said, first, it is necessary to strengthen the management of key areas of medical institutions, such as fever clinics, emergency departments and wards. Medical staff should scientifically do personal protection, wear protective equipment, and strive to minimize the risk of occupational exposure. At the same time, it is necessary to strengthen the scheduling and preparation of medical resources.
Second, we should implement various measures to care for medical personnel, do a good job in vaccination and health monitoring of medical personnel, especially dynamically optimize and adjust the grouping of medical personnel, the allocation of medical forces and the arrangement of work shifts.
Third, medical institutions have a large flow of people and a large number of vulnerable people, so it is necessary to check the 48-hour negative nucleic acid certificate when entering medical institutions. Patients should do a good job of nucleic acid detection or antigen detection as early as possible. At the same time, once there is an emergency, even if the patient has no nucleic acid certificate, the treatment should be given priority to ensure the smooth development of the patient’s treatment.
What can be monitored at home? Mild and asymptomatic infections
"At present, the pathogenicity of Covid-19 Omicron virus strain has dropped significantly, and most of them are asymptomatic or mild after infection, so there are few severe cases." Wang Guiqiang, director of the Department of Infectious Diseases of the First Hospital of Peking University, said that most Covid-19-infected people can be observed and treated at home. During this period, personal health monitoring should be done well, and community doctors should be contacted at any time if there is any problem, and they should go to the hospital for treatment if necessary.
Wang Guiqiang said that the purpose of home isolation and observation treatment is to treat patients in different levels more accurately and effectively. Personal protection should be done for people who are isolated at home, and contact with family members as little as possible, and if they contact, they should keep a certain distance.
According to reports, the room where the home isolation personnel live should be ventilated every day, and it is best to use the bathroom alone and disinfect the environment frequently. When coughing or sneezing, cover it with a tissue. At the same time, personal belongings between people living together should not be mixed and separated as much as possible.
How to protect high-risk people? Implement preventive measures and make emergency plans.
The elderly and children are the groups that need special attention in the process of epidemic prevention and control, and the elderly are the serious and high-risk groups in COVID-19. Regarding the epidemic prevention and control of special institutions such as nursing homes and welfare homes, Guo Yanhong said that it is necessary to implement preventive measures and make emergency plans.
In terms of preventive measures, we should remind and assist the elderly and children to do hand hygiene. Staff should wear masks regularly to reduce the gathering and flow of people in the organization and reduce the risk of infection.
In terms of emergency plans, special institutions such as nursing homes and welfare homes should make relevant plans, and once infection occurs, they should be scientifically managed by districts. When necessary, large centralized pension institutions can send emergency vehicles to ensure that the infected elderly can be transported to the hospital in time when their condition gets worse.
"I hope that the elderly will take the initiative to vaccinate and escort their health." Xia Gang, director of the Department of Health and Immunity of the National Bureau for Disease Control and Prevention, said that vulnerable groups such as the elderly benefited the most from vaccination with Covid-19 vaccine. In the next step, we will continue to use mobile vaccination vehicles, set up special sessions for the elderly and open green channels for the elderly to facilitate vaccination.
How to use drugs for home treatment? Take medicine according to the symptoms, and don’t hoard medicine.
In view of the problem of drug use during home treatment that people are concerned about, Wang Guiqiang said that if symptoms such as fever and cough appear, you can take drugs according to the symptoms, but you don’t need to hoard drugs or buy drugs in large quantities.
Experts suggest that there are many analgesic drugs with different names, but the ingredients are the same. Don’t take them together, just take one. If you use too much or eat too much, it will cause a series of adverse reactions. People with basic diseases should ensure the use of drugs for basic diseases and not stop taking drugs. At the same time, antibacterial drugs should be used reasonably, not abused, and must be used under the guidance of a doctor.
What if the situation doesn’t get better after taking the medicine? Experts suggest that if you have difficulty breathing and shortness of breath, the original basic disease is aggravated, and the fever lasts for more than 3 days and exceeds 38.5℃, you should contact the community doctor in time. If the condition gets worse, you can contact 120 directly and go to the hospital for diagnosis and treatment in time.
