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China exploring home isolation in many places instead of detention centers due to lower pathogenicity of Omicron variants - December 1, 2022

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  • China exploring home isolation in many places instead of detention centers due to lower pathogenicity of Omicron variants - December 1, 2022

    Under the new situation of epidemic prevention, home isolation is explored in many places
    December 01, 2022 10:31 China News Weekly
      On November 30, Guangzhou's Liwan, Tianhe, Panyu, Conghua, Baiyun and other districts successively issued notices to optimize and improve epidemic prevention and control measures, and lift the temporary control areas for epidemic prevention and control in the districts. On the afternoon of the same day, the subway stations and Haizhu trams in Guangzhou, which had been suspended due to epidemic prevention and control, gradually resumed normal operations. According to the "China Guangzhou Release" news at 5 pm on the 30th, Guangzhou South Railway Station currently strictly implements the inspection of negative nucleic acid certificates within 48 hours, body temperature testing, and green codes with health codes for passengers entering the station.

      Starting from December 1, primary and secondary schools in 6 towns including Jiekou Street in Conghua District will resume offline teaching, kindergarten children will return to kindergarten normally, off-campus training institutions will resume offline teaching in an orderly manner, and trusteeship and childcare institutions will resume orderly Restore service.

      At the same time, the social management of Chongqing's central urban area is based on the idea of ​​zoning and classification, from point to area, and gradually liberalization. The districts and communities are used as units to create epidemic-free communities and epidemic-free communities. Personnel can have On the premise of controllable risks, other districts and counties will gradually realize normalized prevention and control. Guangzhou, Beijing and other places allow home isolation for some close contacts or special groups of positive infections.

      The epidemic data released by the National Health and Medical Commission shows that since November, the number of local infections in China has increased rapidly. On November 30, there were more than 35,000 new local infections of the new crown. For 16 consecutive days across the country, the number of new local infections per day has exceeded 20,000, and the number of new local infections in the past eight days has exceeded 30,000.

      Sun Chunlan, vice premier of the State Council, held a symposium at the National Health and Medical Commission on November 30 and pointed out that with the weakening of the pathogenicity of Omicron virus, the popularization of vaccination, and the accumulation of experience in prevention and control, my country's epidemic prevention and control is facing a new situation new task. Sun Chunlan fully affirmed the important contributions of experts in prevention and control, and hoped to continue to give full play to their professional advantages, carry forward the scientific spirit, deepen research on key issues, and contribute to the prevention and control of the epidemic.

      The overall epidemic situation in Guangzhou is under control, and the control can be lifted conditionally

      "The epidemic situation in Guangzhou is still running at a high level recently. The epidemic has developed from a local cluster outbreak in Haizhu District to Haizhu, Tianhe, Panyu Baiyun and other multiple districts. .” Zhang Yi, deputy director and spokesperson of the Guangzhou Municipal Health Commission, said at a press conference on November 30.

      According to the press conference on the same day, 6,183 new cases of infection were reported in Haizhu District on the 29th, and the number of new cases in key areas continued to decline. The new cases were still concentrated in Datang, Kanglu and other areas. The number of new infections is high.

      The press conference pointed out that all districts are further optimizing prevention and control measures, including scientifically and accurately demarcating high-risk areas, accurately conducting epidemiological investigations, scientifically conducting nucleic acid testing, and doing a good job in the isolation management of close contacts.

      Specifically, those who meet the unblocking conditions must be unblocked in a timely manner, and the seal and control management must be quickly unblocked and unblocked, and should be released as much as possible. In addition, the scope of screening of close contacts should not be arbitrarily expanded, time and space companionship should not be used as the criterion for judging close contacts, and nucleic acid testing of all staff is generally not carried out according to administrative regions.

      On the afternoon of the 30th, multiple districts in Guangzhou successively announced the lifting of the temporary control areas in the district.

      Among them, Tianhe District immediately lifted the control measures of Yuancun, Changxing and other temporary street control areas, and Conghua District lifted the temporary control measures of Jiangpu Street and other 6 towns and streets. Both Panyu District and Baiyun District have released all temporary control areas for epidemic prevention and control, and managed them as low-risk areas. Zengcheng District and Huadu District respectively adjusted parts of several streets and towns to low-risk areas. Haizhu District, the most severely affected area in Guangzhou, proposed that the entire region (except high-risk areas) be managed as low-risk areas, and preventive measures of "personal protection and avoiding gatherings" should be implemented.

      "Prior to this, the area around my community has been under control for about half a month. Not long after the press conference on the afternoon of the 30th, the iron walls surrounding the streets outside have been demolished one after another. Many people walked out of their homes. It feels like the long-lost world is back." Chen Han (pseudonym), a resident of Haizhu District, Guangzhou, told China News Weekly.

      A number of experts told China News Weekly that the lifting of temporary control areas for epidemic prevention and control in multiple districts in Guangzhou has taken a positive step in implementing the "Twenty Measures" measures.

      Since October 22, the cumulative number of local infections in Guangzhou has exceeded 130,000, and the number of local infections has increased daily since reaching more than 9,000 on November 17.

      According to data from the press conference in Guangzhou on November 30, more than 6,900 new cases of local infections were added in Guangzhou on November 29, and 68 cases were found in the society. Among them, more than 6,400 cases were asymptomatic, accounting for 92.27%; more than 280 cases were mild and common, accounting for 4%; there were no severe or critical patients.

      "The current new infection cases in Guangzhou have a very small social distribution. Taking the data on the 29th as an example, for a large city with a population of tens of millions, the social infection risk of 68 cases is very small. Therefore, the Guangzhou epidemic The overall trend is controllable, and the control can be lifted conditionally." Jin Dongyan, a professor at the School of Biomedical Sciences of the University of Hong Kong and an expert in virology, analyzed to China News Weekly.

      In addition to Guangzhou, the number of new infections in Beijing and Chongqing is also at a high level. According to the epidemic data released by the National Health and Medical Commission, on the 29th, there were more than 37,000 new local infections in the mainland, including 4,522 new infections in Beijing and 7,833 new infections in Chongqing. More than 30% of the new local infections in the mainland that day.

      According to the official Weibo of "Chongqing Release" released on November 30, from the situation in the past three days from the 27th to the 29th, the number of new infections in Chongqing was 9,612, 8,721, and 7,792, showing a daily decline. trend. For three consecutive days, the number of cases dropped by about 1,000 per day. The proportions of new infections in non-high-risk areas in the central urban area were 4%, 3.15%, and 3.2%, respectively, which are also decreasing day by day.

      The Joint Prevention and Control Mechanism of the State Council held a press conference on November 29 and stated that at present, all localities are doing a good job in the prevention and control of the epidemic. It is necessary to do a good job of risk research and judgment based on the results of inspections and flow adjustments, and accurately determine risk areas; the closure and control management must be quickly closed and released, so as to reduce the inconvenience caused to the masses due to the epidemic.

      Exploring home isolation in many places

      The Guangzhou Epidemic Conference on November 30 pointed out that in principle, close contacts should implement centralized isolation and observation, and close contacts who meet the conditions for home isolation should implement home isolation. Dongguan also announced on December 1 that space-time companionship will not be used as a close contact standard, and those who meet the conditions will be quarantined at home.

      Jin Dongyan said that after an infected person or close contact is found, the shelter hospital should be arranged for transfer and isolation according to the residents' wishes and actual conditions. For example, residents who have a spare separate room for isolation at home can be isolated at home. Guangzhou is currently following this direction.

      On November 19, the Comprehensive Team of the Joint Prevention and Control Mechanism of the State Council issued the "Guidelines for Medical Observation in Home Isolation of the New Coronary Pneumonia Epidemic" and "Guidelines for Home Health Monitoring of the New Coronary Pneumonia Epidemic", clearly including home isolation medical observation and home health monitoring personnel into the community grid manage. For empty-nest elderly living alone, patients with underlying diseases, pregnant women, hemodialysis patients and other special personnel who are under home isolation medical observation and home health monitoring, an account should be established and related services should be provided.

      According to the aforementioned two guidelines, special groups of people who are in close contact, close contacts and immigrants after the release of centralized isolation, spillover personnel from high-risk areas, and other personnel who have been evaluated by professionals and cannot conduct centralized isolation medical observation, undergo home isolation medical observation; end Employees in high-risk positions with closed-loop operations, personnel discharged from the hospital (cabin) of patients infected with new coronary pneumonia, and other personnel who need to conduct home health monitoring after professional assessment, conduct home health monitoring.

      On November 25, a positive mother in Guangzhou hoped not to be transferred in order to take care of her depressed son. After coordination, she was allowed to be isolated at home as a special group. On November 27, after a 2-year-old boy was diagnosed in Huigu Sunshine Community, Chaoyang District, Beijing, his neighbors advised him to isolate himself at home because he had asthma. Finally, after the neighbors in the same unit signed and approved, the street agreed that he should not go to the cabin. , Home isolation.

      "Close contacts who meet the conditions for home isolation can be isolated at home." Li Pan, deputy director of the Chongqing Municipal Health Commission, said at a press conference held on November 30 that for some special patients, such as those with serious underlying diseases, Some elderly people, some pregnant women or women who are still breastfeeding can be isolated at home if they have the conditions for isolation at home. Home conditions, generally have a separate living room, it is best to have a separate bathroom. During the home isolation period, there is no contact with family members, and meals are eaten in the room by oneself.

      Li Pan suggested that family members can put a table or stool outside the isolation room at home, put the necessary supplies in a non-contact manner, and take care of themselves. On the other hand, community staff will monitor the health of people in home isolation to ensure that they are not infected.

      Antigens, drugs, vaccinations should keep up

      "If nucleic acid testing is reduced, it is necessary to supplement it with more antigen testing, such as distributing free antigen testing reagents to residents, or placing more antigen testing reagents in pharmacies for citizens to buy." Jin Dongyan said that people in high-risk areas and close contacts at home can be provided. The personnel wait for the antigen detection reagents to be distributed to them and let them do the self-testing. If the latter has been tested for antigens for several days and the results are all negative, they should be allowed to return to normal living conditions in time.

      A well-known domestic virologist told China News Weekly that for people who are at risk of being isolated at home or who are infected, they should keep some medicines at home to help eliminate symptoms.

      It is worth noting that a few days ago, many places across the country have adjusted the sales of four types of drugs: "antipyretic, cough, antiviral, and antibiotics".

      Around November 26, Wenzhou, Taizhou, Lishui, Huzhou and other cities in Zhejiang issued the latest sales requirements for "four types of drugs" according to the requirements of the Zhejiang Provincial Office of Epidemic Prevention and Control. "Medicine" must cooperate with the pharmacy to complete the registration of real-name information, and complete a nucleic acid sampling within 24 hours after purchase. A yellow code will be assigned to the health code of the personnel who have not sampled within the time limit, and it will automatically turn into a green code after sampling. Retail pharmacies are required to report the real-name registration information to the Provincial Food and Drug Administration’s retail pharmacy epidemic prevention and control monitoring and alert system within 2 hours after selling the “four major categories” of drugs.

      On November 28, the Market Supervision Bureau of Huai'an City, Jiangsu Province and the Jiangyan District Epidemic Prevention and Control Headquarters in Taizhou, Jiangsu Province both issued notices requesting that the sale of "four types of drugs" be stopped. "Open as much as possible the purchase channels of medicines for colds and fevers, so that citizens can buy them conveniently." Jin Dongyan said.

      In addition, what is easily overlooked is that the low vaccination rate of the elderly is still a weak link in the current epidemic prevention.

      On November 29, at the press conference of the Joint Prevention and Control Mechanism of the State Council, Xia Gang, director of the Department of Health and Immunization of the National Bureau of Disease Control and Prevention, said that as of November 28, the number of people over 80 years old who have been vaccinated with the new crown vaccine and the number of people who have been vaccinated in the whole process are respectively Accounting for 76.6% and 65.8% of the population over 80 years old. 14.456 million people over the age of 80 have completed enhanced immunization, accounting for about 40.38% of the population over the age of 80, which means that there are still many shortcomings in the establishment of immune barriers for the elderly.

      On the same day, the National Health and Medical Commission issued the "Work Plan for Strengthening New Coronavirus Vaccination for the Elderly", which requires accelerating the increase in the vaccination rate of people over 80 years old and continuing to increase the vaccination rate of people aged 60-79.

      According to the Guangzhou epidemic situation conference held on November 20, since the start of the new crown vaccination work in December 2020, Guangzhou has received a total of 22.06 million people and 55.5 million doses, and 14.7 million people have completed enhanced immunization. However, there are still more than 110,000 people over the age of 60 in Guangzhou who have not received the first dose of the new crown vaccine, and more than 220,000 people have not received the booster injection.

      "The key now is to increase the vaccination rate of the elderly population first, at least to ensure that they have basically received 3 shots, which can greatly reduce the probability of severe illness and death of the elderly population after being infected with the new crown." Jin Dongyan said, in improving the vaccination level of the elderly population Under the premise, the epidemic prevention measures can be further optimized. For example, the new crown is included in the outpatient clinic, the symptomatic patients go to the hospital for treatment, and the asymptomatic patients recover on their own at home.


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