From 65438+February 1, offline teaching was resumed in primary and secondary schools in six towns including Jiekou Street in Conghua District, kindergarten children returned to the park normally, off-campus training institutions resumed offline teaching in an orderly manner, and trusteeship and child care institutions resumed services in an orderly manner.
Figure/vision china
At the same time, the social management of the central city of Chongqing, according to the idea of zoning classification, point-to-point and gradual liberalization, establishes an epidemic-free area with the community as the unit, in which people flow in an orderly manner, and other districts and counties gradually realize normal prevention and control under the premise of controllable risks. Guangzhou, Beijing and other places allow home isolation of some close contacts or special people among positive infected people.
According to the epidemic data released by National Health Commission, since June165438+1October 30th, the number of local infected people in China has increased rapidly, with more than 35,000 new cases in COVID-19. There are more than 20,000 new cases of local infection every day for 16 days, and more than 30,000 new cases of local infection in the past 8 days.
People's Republic of China (PRC) Sun Chunlan, Vice Premier of the People's Republic of China165438+1October 30th held a symposium in National Health Commission, pointing out that with the weakening of the pathogenicity of Omicron virus, the popularization of vaccination and the accumulation of prevention and control experience, China's epidemic prevention and control is facing a new situation and a new task. Sun Chunlan fully affirmed the important contribution of experts in the prevention and control work, and hoped to continue to give full play to their professional advantages, carry forward the scientific spirit, deepen research around key issues, and contribute to the prevention and control of epidemic situation.
The epidemic situation in Guangzhou is controllable as a whole, and it is conditional to achieve deregulation.
"The epidemic in Guangzhou is still running at a high level recently. The epidemic broke out locally in Haizhu District and developed into a multi-district, multi-point sporadic and aggregated epidemic in Haizhu, Tianhe and Panyu Baiyun. Cross-diffusion of flows between districts in the city is more common. " Zhang Yi, deputy director and spokesperson of Guangzhou Municipal Health and Wellness Commission, said at the press conference on165438+1October 30th.
According to the press conference that day, there were 6 183 new cases in Haizhu District on the 29th, and the number of new cases in key areas continued to decline. The new cases are still concentrated in areas such as Datang and Kanglu, and there are more new infections in Huazhou, Jianghai and Zhou Nan Street.
The meeting pointed out that all districts are further optimizing prevention and control measures, including scientifically and accurately delineating high-risk areas, accurately conducting epidemiological investigations, scientifically carrying out nucleic acid testing, and isolating close contacts.
Specifically, those who meet the unsealing conditions should be unsealed in time, and the sealing control management should be unsealed quickly. In addition, the screening scope of close contacts shall not be expanded at will, and close contacts shall not be judged by time and space. Generally, full-time nucleic acid testing shall not be carried out according to administrative regions.
On the afternoon of the 30th, several districts in Guangzhou successively announced the lifting of the temporary control zone in the district.
Among them, Tianhe District immediately lifted the temporary control measures of several streets such as Yuancun and Changxing, and lifted the temporary control measures of six towns and streets such as Jiangpu Street from Conghua District. Panyu District and Baiyun District have lifted all temporary control areas for epidemic prevention and control and managed them as low-risk areas. Zengcheng District and Huadu District respectively adjusted some areas of several towns into low-risk areas. Haizhu District, the worst epidemic area in Guangzhou, proposed that the whole district should be managed as a low-risk area and the prevention and control measures of "personal protection and avoiding gathering" should be implemented.
"Before this, the area near my community has been controlled for about half a month. Shortly after the press conference on the afternoon of the 30 th, the iron wall that was originally surrounded on the street outside has been demolished one after another. Many people go out of their homes and feel that the long-lost fireworks are back. " Chen Han, a resident of Haizhu District, told China Newsweek.
A number of experts told China Newsweek that the temporary control area of multi-district epidemic prevention and control in Guangzhou has taken a positive step in implementing the "20 measures".
Since 654381October 22nd, the cumulative number of local infected people in Guangzhou has exceeded130,000, and the increasing number of local infected people began to decline after reaching more than 9,000 cases on1October 7th.
According to the data of Guangzhou165438+1October 30th,165438+1October 29th, there were more than 6,900 new cases of local infection in Guangzhou, and 68 cases were discovered by the society. Among them, more than 6,400 cases were asymptomatic, accounting for 92.27%; More than 280 cases were mild and average, accounting for 4%; There are no serious or critical patients.
"At present, there are very few new infections in Guangzhou. Take the data on the 29th as an example. For a big city with a population of10 million, the risk of social surface infection of 68 cases is very small. Therefore, the overall trend of the epidemic in Guangzhou is controllable and it is conditional to achieve deregulation. " Jin Dongyan, a professor and virologist at the School of Biomedical Sciences of the University of Hong Kong, made an analysis to China Newsweek.
Besides Guangzhou, the number of new infections in Beijing and Chongqing is also at a high level. According to the epidemic data released by National Health Commission, there were more than 37,000 newly infected people in the Mainland on the 29th, including 4,522 newly infected people in Beijing and 7,833 newly infected people in Chongqing, totaling more than 6,543.38+0.2 million, accounting for more than 30% of the newly infected people in the Mainland that day.
According to Weibo165438+1October 30th, the number of newly infected people in Chongqing was 96 12, 872 1 and 7792 respectively from 27th to 29th, showing a decreasing trend. For three days in a row, the daily drop was about 1000 cases. The proportion of newly infected people in non-high-risk areas in the central city is 4%, 3. 15% and 3.2% respectively, which is also decreasing day by day.
The State Council Joint Prevention and Control Mechanism165438+1October 29th held a press conference, saying that at present, all localities are doing their best to prevent and control the epidemic. It is necessary to make a good risk judgment according to the results of testing and flow adjustment, and accurately determine the risk area; The management of closure and control should be fast and fast, so as to reduce the inconvenience caused by the epidemic to the masses.
Explore family isolation in many places
165438+1On October 30th, Guangzhou Epidemic Conference pointed out that in principle, close contacts are subject to centralized isolation observation, and those who meet the conditions of home isolation are subject to home isolation. Dongguan 65438+February 1 also announced that time and space companionship is not the standard of secret association, and qualified secret associates will be isolated at home.
Jin Dongyan said that after finding infected people or close contacts, the hospital should be arranged for transfer and isolation according to the wishes of residents and the actual situation. For example, residents who have extra separate rooms at home can be isolated at home. Guangzhou is currently developing in this direction.
On June165438+1October 19, the comprehensive group of joint prevention and control mechanism of the State Council released the guidelines for home isolation medical observation of COVID-19 epidemic and the guidelines for home health monitoring of COVID-19 epidemic, which clearly included the home isolation medical observation and home health monitoring personnel into the community grid management. To carry out home isolation medical observation and home health monitoring for special personnel such as empty nest elderly people living alone, patients with basic diseases, pregnant women and hemodialysis patients, establish a ledger and provide relevant services.
According to the above two guidelines, special people in close contact, close contacts and entry personnel who have been released from centralized isolation, overflow personnel in high-risk areas and other personnel who cannot carry out centralized isolation medical observation after professional evaluation should be observed at home; Employees in high-risk positions who have completed closed-loop operations, discharged patients with COVID-19 infection, and other personnel who need family health monitoring after professional evaluation should be monitored at home.
165438+1On October 25th, a positive mother in Guangzhou wanted to take care of her depressed son and was allowed to be isolated at home as a special group after coordination. 165438+1On October 27th, a 2-year-old boy was diagnosed in Huigu Sunshine Community, Chaoyang District, Beijing. Because he has asthma, his neighbors advised him to be isolated at home. After the neighbor of the same unit signed the agreement, the street agreed that he would not go to the shelter and be isolated at home.
"Close contacts who meet the conditions of home isolation can be isolated at home." Li Pan, deputy director of the Chongqing Municipal Health and Wellness Commission, introduced at the press conference held on June 30th that some special patients, such as those with serious basic diseases, some elderly people, some pregnant women or women who are still breastfeeding, can be isolated at home if they have isolation conditions. Home conditions, generally have an independent living room, it is best to have an independent bathroom. During the period of home isolation, I had no contact with my family and ate in my room.
Li Pan suggested that family members can put a table or stool outside the isolation room at home, and put necessary supplies in a non-contact way to protect themselves. On the other hand, community workers will monitor the health status of the quarantined people at home to ensure that they will not be infected.
Antigens, drugs and vaccines should keep up.
"If nucleic acid testing is reduced, it is necessary to do more antigen testing to supplement it, such as distributing antigen testing reagents to residents for free, or putting more antigen testing reagents in pharmacies for the public to buy." Jin Dongyan said that antigen testing reagents can be sent to people in high-risk areas and close contacts at home, so that they can test themselves. If the latter tests the antigen for several days and the result is negative, they should return to normal life in time.
A well-known virologist in China told China Newsweek that for people who are at risk or infected at home, some drugs should be prepared at home to help eliminate symptoms.
It is worth noting that a few days ago, the sales of "antipyretic, antitussive, antiviral and antibiotic" drugs were adjusted in many places across the country.
165438+1around October 26th, Wenzhou, Taizhou, Lishui, Huzhou and other cities in Zhejiang Province issued the latest sales requirements of "Class IV drugs" according to the documents of Zhejiang Provincial Epidemic Prevention and Control Office. Customers who buy antipyretics and other epidemic monitoring drugs in retail pharmacies must cooperate with pharmacies to complete real-name information registration and complete a nucleic acid sampling within 24 hours after purchase. Give a yellow code to the health code of those who have not been sampled within the time limit, and it will automatically turn into a green code after sampling. Retail pharmacies should report the real-name registration information to the provincial US Food and Drug Administration's epidemic prevention and control monitoring and early warning system for retail pharmacies within 2 hours after selling the "four types" drugs.
165438+1On October 28th, Jiangsu Huai 'an Market Supervision Bureau and Jiangsu Taizhou Jiangyan Epidemic Prevention and Control Headquarters both issued notices to stop selling "four drugs". "As far as possible, open the purchase channels of medicines such as colds and fever to facilitate the public to buy." Jin Dongyan said.
In addition, it is easy to be overlooked that the low vaccination rate of the elderly is still the weak link in current epidemic prevention.
165438+1On 29 October, Xia Gang, director of the Department of Health and Immunity of the National Bureau of Disease Control and Prevention, said at the press conference of the joint prevention and control mechanism of the State Council Office that as of128 October165438+76.6% of the population over 80 years old were vaccinated in COVID-19. 14,456,000 people over 80 years old have completed intensive immunization, accounting for 40.38% of the population over 80 years old, which means that there are still many shortcomings in the establishment of the immune barrier for the elderly.
On the same day, the National Health and Family Planning Commission issued the Work Plan for Strengthening Vaccination for the Elderly in COVID-19, demanding that the vaccination rate of people over 80 years old be accelerated and the vaccination rate of people aged 60-79 should be continuously improved.
According to the Guangzhou Epidemic Conference held on165438+1October 20th, since the start of vaccination in COVID-19 in February 2020, Guangzhou has vaccinated 22.06 million people with 55.5 million doses, and14.7 million people have completed intensive immunization. However, more than 60 people 1 10000 in Guangzhou did not receive the first dose of COVID-19 vaccine, and more than 220,000 people did not receive booster injections.
"The key now is to improve the vaccination rate of the elderly population, at least to ensure that they have basically had 3 injections, which can greatly reduce the probability of serious illness and death of the elderly population infected with COVID-19." Jin Dongyan said that under the premise of improving the vaccination level of the elderly, epidemic prevention measures can be further optimized. For example, COVID-19 should be included in outpatient service, people with symptoms should go to hospital for treatment, and people without symptoms should recover at home.
Reporter: Niu He