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China - Harbin quarantining buildings for 2 weeks where asymptomatic patients live. Also anyone from Kazakhstan. - April 12, 2020

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  • China - Harbin quarantining buildings for 2 weeks where asymptomatic patients live. Also anyone from Kazakhstan. - April 12, 2020

    This also says something about Kazakhstan. They are reporting 840 cases and 10 deaths - not an out-of-control situation so why is Harbin (which is no where near Kazakhstan) imposing a 14 day quarantine on any travelers from there? Are they a "key area of epidemic situation"?



    Harbin
    Harbin: 14-day closed management of the buildings where asymptomatic patients are located
    Time: 12 April 2020 Source: Harbin City People's Government website Author: Editor: Xie Yongli





    According to the latest information on the latest epidemic situation changes, the Harbin Municipal People's Government website has formulated specific measures to further prevent epidemic prevention and control work related to "foreign defense input and internal defense rebound", effectively curb the spread of the epidemic situation, and improve the level of the epidemic prevention work in Harbin.
    The measures include: 14-day medical isolation observation for inbound personnel of international flights. For persons entering Kazakhstan from abroad or in key areas of domestic epidemic situation, the control measures of “14 days centralized isolation medical observation + 14 days home isolation medical observation + 2 nucleic acid detections + 1 serum antibody (IgM and IgG) detection”,

    Do everything you need to check, leave no one, and foolproof. For the newly diagnosed cases of new coronary pneumonia and asymptomatic infected persons, the building will be managed for 14 days (calculated from the day of closure).


    The full text is as follows:
    The leading groups of the districts, counties (cities) in response to the new coronary pneumonia epidemic, the municipal headquarters in response to the new coronary pneumonia epidemic, and the relevant units in the municipalities:
    According to the latest epidemic situation changes, in order to further improve the epidemic prevention and control work related to "foreign defense import and internal defense rebound", to effectively contain the spread of the epidemic situation and improve the city's epidemic prevention work, the following six measures are specially formulated:
    1. Continue to strengthen input management
    1. Strictly control the front-end, establish an information exchange mechanism with the border inspection, customs, aviation, railway and other departments to accurately grasp the information of personnel from overseas and key domestic epidemic areas to Kazakhstan. Set up front-end bayonet gates at airports and railways, implement 14-day medical isolation observation for inbound personnel of international flights ; for domestic flights and landing personnel of railway stations and highway passenger stations, verify their identities according to temperature measurement, code scanning, registration and vanguard , Trajectory information and other processes, earnestly carry out all verification work, effectively implement centralized or home medical isolation measures, and ensure that all key personnel entering Kazakhstan are in full control and do not miss.
    2. For persons entering Kazakhstan from abroad or in key areas of domestic epidemic situation, the implementation of "14 days centralized isolation medical observation + 14 days home isolation medical observation + 2 nucleic acid detection + 1 serum antibody (IgM and IgG) detection" control Measures to ensure that everyone who enters must be inspected, no one is missed, and nothing is lost.
    3. Personnel who enter the city within the first 14 days of the release of channel control in key areas of domestic epidemics should conduct 14-day isolation medical observation. In principle, centralized isolation should be implemented. If there are indeed special circumstances, after strict evaluation, they can be isolated at home and all Perform nucleic acid testing. After the end of the first 14 days, adjustments will be made depending on changes in the epidemic situation. If a new policy is issued by the state, it will be implemented according to the national policy.
    Second, continue to strengthen entry management
    1. Enrich the grassroots work force, strengthen community (village) guarantees, and further play the role of “gatekeeper” for community (village) cadres, grid heads, building heads, and unit heads, and effectively protect community gates, village gates, and enterprises For entry, you must measure the temperature, sweep the Longjiang health code, and wear a mask. It is necessary to give play to the pioneering spirit of the community (village) at the grassroots level, adapt to local conditions, and creatively do a good job in the management and control of open and old communities in accordance with the actual situation, and adapt to the transition from closed management to mobile management as soon as possible.
    2. For the newly diagnosed cases of new coronary pneumonia and the asymptomatic infected persons, the building shall be fully closed for 14 days (calculated from the day of closure). Set up a sign at a prominent position in its residence, set up a warning line, and prohibit personnel from entering and leaving. The necessities of life of the controlled persons are guaranteed by the village or community where they are located in accordance with relevant regulations. All the residents were subjected to "2 nucleic acid tests + 1 serum antibody (IgM and IgG) test".
    3. All localities and departments should use various channels to preach policies to Kazakh overseas personnel, organize and guide overseas and domestic key epidemic situation personnel to come to Kazakhstan to declare the relevant situation first, and enter Kazakhstan to actively declare and register with the unit or community. Hotels, hotels and other foreigners should strengthen supervision and establish a registration and reporting system. The district / county (city) and public security departments should strengthen work guidance and daily control, urge hotels and hotels to do related reporting work, and firmly adhere to the last mile. All districts, counties (cities), streets (towns), communities (villages), and units belonging to Kazakhstan must implement territorial responsibilities, and those who fail to report, conceal, late, and fail to report truthfully shall be investigated for relevant outsiders and their regions And unit responsibilities. At the same time, standardize the people's reporting system and unify the city's reporting reward standards. Anyone who reports and verifies the facts and has not registered them will be rewarded 2,000 yuan per person and keep them confidential. The same situation was reported by multiple people, rewarding the first to report.
    3. Continue to strengthen hospital and pharmacy management
    1. Medical institutions at all levels must strictly implement the responsibility system for the first consultation and the pre-testing and triage system. In particular, fever clinics should play the role of “sentinel” for timely detection, and immediately isolate and treat suspicious cases to achieve early detection, Early reporting, early isolation, early treatment, cut off the transmission of the infection to the society, should be held accountable and severely investigated and punished for those who fail to perform their duties and dereliction of duty.
    2. Strictly implement the protection measures of medical institutions, strengthen the management of hospital protection procedures, scientifically and rationally divide the diagnosis and diversion of medical personnel and nursing staff, avoid the accumulation of personnel, do a good job of the protection of medical staff, and resolutely prevent the occurrence of cross-infection of hospital medical staff and inpatients.
    3. All pharmacies continue to implement the original registration system for those who come to buy antipyretics, cough suppressants, and antiviral drugs.
    4. In accordance with the principles of complete collection and cure, focus on improving the rate of admission and cure, reducing the rate of infection and mortality, strengthening scientific research, scientifically formulating diagnosis and treatment plans, focusing on superior medical resources and technical strength, and doing a good job Patient rescue work.
    Fourth, continue to strengthen the management of key populations
    1. Health departments at all levels should guide relevant medical institutions to do well in isolation management and health monitoring of discharged patients and their families. The discharged patients had positive nucleic acid re-examination and clinical manifestations such as fever and cough. CT imaging showed that the lung lesions were aggravated. They were confirmed cases and should be transferred to the designated hospital as soon as possible for further treatment. If the nucleic acid test is positive but there is no clinical manifestation and imaging progress, the patient is a confirmed rehabilitation patient and should continue to be isolated and observed.
    2. Strengthen the management of asymptomatic patients. People with asymptomatic infections should focus on medical observation for 14 days. Patients with clinical symptoms and signs related to new coronary pneumonia during the period were converted to confirmed cases. Those who have concentrated medical observation for 14 days and have two consecutive negative nucleic acid tests (with a sampling time of at least 24 hours apart) can be released from concentrated medical observation. Those who still have positive nucleic acid tests and no clinical symptoms need to continue concentrated medical observation. For asymptomatic infected persons who have discontinued medical observation, medical observation and follow-up shall continue for 14 days. After the release of the concentrated medical observation, the follow-up visits will be conducted at designated hospitals in the second and fourth weeks to keep abreast of their health status.
    3. For those who have not entered the "2 nucleic acid tests + 1 serum antibody (IgM and IgG) tests" in the past 28 days, those entering Kazakhstan and key areas of the country's epidemic outbreaks in a timely manner, in accordance with the principle of what is missing, what should be done Medical testing to ensure that all inspections are performed.
    4. For close contacts of confirmed cases, suspected cases and asymptomatic infections, and close contacts of close contacts, all are isolated for 14 days. After the first 14 days, continue home isolation for 14 days, and all Perform "2 nucleic acid tests + 1 serum antibody (IgM and IgG) test".
    5. After "2 nucleic acid tests + 1 serum antibody (IgM and IgG) test", nucleic acid test is negative, serum antibody (IgM and IgG) test is positive or IgM positive, all transferred to a designated hospital for testing Isolate medical observation and diagnose as soon as possible.
    6. To further increase the screening of rheology, continue to advance the transcripts of rheology, expand the close contact of confirmed cases, suspected cases and asymptomatic infected persons, as well as close contacts of close contacts, try their best to maximize Investigate, discover, and control the source of infection and cut off the transmission route.
    V. Continuously strengthen the management of key places
    1. For newly diagnosed cases, suspected cases and asymptomatic infections newly discovered in the past 28 days, all public places where they have been visited should be temporarily closed and controlled, and disinfection and disinfection should be carried out in an all-round way. After the requirements for epidemic prevention are met, they are allowed to open.
    2. For schools, shopping malls, supermarkets, prisons, old-age care institutions, nursing homes and other key places and key places, strictly follow the standards, implement anti-epidemic measures such as small control units, elimination of ventilation, and resolutely put an end to formalism and bureaucracy.
    3. For business places such as chess and card rooms, amusement halls, Internet cafes, KTV karaoke bars, bars, public baths, etc., where the space is relatively closed and the people are relatively gathered, the resumption of work will be suspended in strict accordance with the relevant provincial regulations.
    Sixth, continue to strengthen publicity and guidance
    1. Propaganda departments at all levels and at all levels should continue to publicize the normalized requirements for epidemic prevention and control, guide the general public to raise their awareness, observe various regulations for epidemic prevention and control, and keep the prevention and control thinking unslackened.
    2. Popularize scientific epidemic prevention knowledge, enhance residents 'awareness of self-discipline and compliance, advocate the establishment of residents' commitment system, educate and guide residents to strengthen self-prevention, do not gather, do not gather, do not gather meals, and really make temperature measurement, sweep Longjiang health codes, wear masks, Disinfection, hand washing, and ventilation have become the conscious behavior and new lifestyle of every citizen.
    3. Strengthen psychological counseling to medical staff, community workers, and isolation personnel, reduce the psychological pressure and restlessness of the masses, actively respond to social concerns, publish authoritative information openly, transparently, timely and accurately according to law, effectively guide social opinion and public opinion energy.
    Party committees, governments, and municipal departments in all districts, counties (cities) should further strengthen their responsibilities and improve measures in accordance with the above work requirements, and effectively implement all tasks to ensure that the epidemic prevention and control of the people ’s war, overall war, and obstruction warfare are fully won.
    Office of Harbin City Leading Group for Response to New Coronary Pneumonia Outbreak









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