Promulgation Date: 2020-5-7 Title: 国务院应对新型冠状病毒感染肺炎疫情联防联控机制关于做好新冠肺炎疫情常态化防控工作的指导意见 Document Number:国发明电〔2020〕14号 Expiration date: Promulgating Entities:State Council Joint Mechanism for the Prevention and Control of the Covid-19 Epidemic Source of text: http://www.gov.cn/zhengce/content/2020-05/08/content_5509896.htm
People’s governments of provinces, autonomous regions, and cities directly under the jurisdiction of central government, and all State Council ministries and commissions and directly managed agencies:
Under the strong leadership of the CPC Central Committee with Comrade Xi Jinping at its core, and through the hard work of the whole country, our nation's positive trends in the prevention and control of the Covid-19 epidemic have been further solidified, and prevention and control work has changed from being an emergency state to a normal state. With the consent of the Central Leading Group for Responding to the Covid-19 Epidemic, the following Opinions are hereby put forward in accordance with the Party Central Committee's decisions and deployments on firmly grasping the facts and details to normalize epidemic prevention and control measures, so as to fully implement the overall prevention and control strategy of 'preventing external inflow and preventing internal resurgence', by persisting in prompt discover, speedy disposition, precision control, and effective treatment; and forcefully protecting the people's security in their lives and their physical health, and forcefully protecting the full recovery of economic and social order.
I. Persist in prioritizing prevention
1. Rational mask-wearing. Wear masks in closed-off areas where people congregate when interpersonal distancing is less than 1 meter. Staff of medical establishments, salespeople working in crowded public locations, security personnel, cleaning personnel, drivers/conductors, transport station service people, police, and other such personnel, as well as those seeking medical care, should wear masks.
2. Reduce gatherings of people. Pay attention to maintaining social distancing of 1 meter or more. Reduce unnecessary group activities, and reduce the number of people participating in group activities. Avoid going to places where people congregate as much as possible, especially enclosed places.
3. Strengthen ventilation and disinfection. Frequently open windows for ventilation indoors to maintain air circulation. Public venues, transit terminals, and public transportation should implement daily cleaning, disinfection, and other sanitation measures.
4. Improve health literacy. Cultivate hygienic habits and lifestyles such as the "one-meter line", washing hands frequently, wearing masks, and using serving chopsticks. Be sure to cover coughs or sneezes.
II. Implement the 'Four Early' Measures
5. Prompt discovery. Implement body temperature testing in public locations, strengthen pre-screening triage and fever clinic screening to achieve 'early discovery' of confirmed cases, suspected cases, and asymptomatic carriers, and make 'early reports' as required, with no concealment, omissions, or delays.
6. Speedy disposition. Complete epidemiological surveys within 24 hours, give full play to the advantages of big data, and so forth to thoroughly identify possible sources of infection as quickly as possible and complete assessment and follow-up management for close contacts. Implement 'Early Isolation' measures, by promptly carrying out isolated treatment of confirmed and suspected cases, and placing asymptomatic carriers and close contacts in centralized isolation for medical observation for 14 days. Completely disinfect locations that might be contaminated.
7. Precision controls. In accordance with laws and regulations, scientifically delineate the scope of prevention and control regions to the smallest unit (such as building, ward, residential community, natural village groupings, etc.) resolutely employing measures such as restricting people congregating for group activities, sealing off or cutting off transmission routes, and so forth, to reduce the risk of transmission as much as possible. Promptly release information related to prevention and control areas.
8. Effective treatment. Assign designated hospitals for treatment, implement 'early treatment' measures, and strengthen the combination of Chinese and Western medicine for treatment. Promptly, effectively, and comprehensively treat mild cases to reduce the number than become serious. Persist in the "Four Centralizations' by carrying out multidisciplinary treatment for serious cases to increase the rate of cures and reduce fatalities as much as possible. After patients are treated and discharged from hospital, continue centralized of home isolation for medical observation for 14 days.
III. Highlight Key Steps
9. Prevention and control in key locations. So long as implementation and control measures are in place, follow the relevant technical guidelines to fully open shopping malls, supermarkets, hotels, restaurants, and such venues for daily life; and parks, tourist attractions, and sports venues, and indoor venues such as libraries, museums, and art galleries, as well as enclosed entertainment and leisure venues such as theaters and amusement halls may open to hold all kinds of necessary meetings and exhibition activities by employing means such as appointment setting and flow restrictions.
10. Prevention and control in key institutions. Complete risk prevention in places such as senior care establishments, welfare homes, prisons, and mental health institutions; and implement prevention and control measures such as management of persons entering and exiting, personal protections, health monitoring, and disinfection. Where infirmaries, nursing stations, and other such medical service bodies are set up in senior care establishments, they must not exceed the scope of their medical permits or serve those outside the establishment. Where medical establishments organize senior care establishments or are adjacent to senior care establishments, they should carry out cross-infection assessments in accordance with the requirements of partitioned management of medical establishments, and employ necessary prevention and control measures for those assessed as at risk.
12. Prevention and control for key populations. Guide the protection of the elderly, children, pregnant women, persons with disabilities, persons with serious chronic illness, and other key population groups, and carry out psychological counseling, support care, and other such efforts.
12. Prevention and control in medical establishments. Strengthen prevention and control of nosocomial infection by promoting staggered appointments for treatment, strictly implementing requirements for partitioned management of medical establishments, prompt risk screening and taking measures, and strictly managing visits and attendants to avoid cross-infection. Strictly conduct prescreening, triage, and fever clinic workflows by strengthening prevention and control measures. Implement protection measures for medical personnel, strengthening health management, and monitoring of medical personnel.
13. Prevention and control in schools. Carry out 'daily reporting' and 'zero reporting' systems for education professionals and students' health. Do a good job of efforts such as health alerts, health monitoring, and ventilation and disinfection in classrooms, and implement prevention and control measures such as morning (noon) examinations of those entering schools and nurseries, and tracing and registering the cause of any absences from class (work) due to illness.
14. Community prevention and control. Strengthen ground-level networked-management for communities, giving play to the role of community volunteers. Do a good job of health education, environmental sanitation management, management of rental housing and dormitories, and management of non-local personnel. Communities with epidemic situations should strengthen screening and isolated management of close contacts, terminal disinfection, and other such work, and when necessary should take measures such as restricting activities where people congregate and closed-off management.
IV. Strengthen Support and Safeguards
15. Expand the scope of testing. As needed for epidemic prevention and control and based on their capacity for testing, each region may conduct scientific assessments and 'test all who need it' for key populations such as those with close contact to cases, non-mainland persons entering the country, fever clinic patients, newly admitted patients and their attendants, medical establishment staff, port and border quarantine personnel, prison staff, and staff of social welfare and senior care establishments. Carry out 'testing of all who seek it' for other populations. In areas with relatively dense populations with higher mobility, borders and ports, and other key areas, the disease control institutions at the county-level and higher, and level-2 or higher hospitals, shall strive to strengthen capacity for nucleic acid testing; and encourage qualified societal testing bodies to provide testing services and expand commercial applications. The costs of 'testing all those who need it' are to be borne by the local government, and the costs of 'testing all those who seek it' are to be borne by enterprises, public institutions, units, or individuals; with each local pricing department setting and announcing the fees standards for testing. Each region should promptly publish lists of testing bodies.
16. Give play to the role of big data. Rely on the National Unified Government Services Platform to comprehensively promote mutual recognition and acceptance of the 'health codes' implemented by each region for 'single code passage', and promptly share information such as nucleic acid and blood antibody test results, and on key personnel, in the 'health code' database, to promote people's safe and orderly movement. Do a good job in expanding the application of the national unified government services platform's "epidemic prevention and health information code" version persons entering the mainland to strengthen the closed-loop management of those entering the mainland.
17. Strengthen research and international cooperation. Advance research such as on vaccines, pharmaceutical science and technology, virus mutations, and immunization strategies. Accelerate the research and development of testing reagents and equipment to increase sensitivity, specificity, and simplicity, and further improve testing capabilities and shorten testing times. Strengthen information sharing, technical exchanges, and cooperation on prevention and control with the World Health Organization and relevant countries.
V. Strengthening organizational leadership
18. Implement Party committee and government responsibility. Each local Party committee and government should implement responsibility for their region, strengthen organizational leadership, persist in prevention and control that is lawful, scientific, and concerted; increasing investment of funds, strengthening dynamic reserves of medical supplies, increasing capacity for prevention, control and response, and strictly implementing the requirements for each mesure of normalized prevention and control. Each relevant department of the State Council is to implement regulatory responsibility and continue to strengthen joint prevention and control and coordination and dispatching, to strengthen guidance and support for local efforts at normalization of prevention and control.
19. Implement enterprise and public institution responsibility. Every enterprise and public institution should implement entity responsibility, strictly carry out provisions on epidemic prevention and control, complete systems for responsibility and management of prevention and control work, and draft and improve emergency response plans.
20. Dynamically adjust risk levels and emergency response levels. Based on local epidemic trends, all regions should dynamically adjust risk levels and emergency response levels in accordance with subdivision and grading standards. Continuously improve epidemic response plans and each accompanying work plan in light of local conditions and the times; promptly employing emergency response measures and carrying out precision controls as soon as an epidemic occurs.
While implementing normalization of prevention and control work, simultaneously follow the Central Party Committee's Guiding Opinions on preventing and controlling the import of diseases from abroad.
State Council Joint Mechanism for the Prevention and Control of the Covid-19 Epidemic