First, scientifically and accurately divide the risk areas. In accordance with the requirements of buildings, units, floors and residents, high-risk areas shall be designated, and shall not be expanded to communities, communities and streets (towns) at will, and shall not be temporarily closed in various forms. When the risk is small, accurately delimit the household or floor. When the risk is high, define the units and buildings accurately.

According to the risk judgment, enterprises and industrial parks should be zoned as small as possible, and the normal production and operation of enterprises and industrial parks should not be affected. The division of classes in schools shall not affect the overall teaching order of schools.

Second, implement quick sealing and quick solution for high-risk areas. After the high-risk area is designated, the community should inform the residents of the isolation control time at the first time. Personnel in high-risk areas should take samples on the fifth day of isolation, and unseal them in time after the test results are negative; For persistent cases, only persistent positive households are controlled, and the control time of other personnel shall not be extended.

Third, optimize nucleic acid detection and inspection measures. In the ninth edition of the prevention and control plan, it is clear that key populations should be comprehensively inspected, and other populations are willing to conduct comprehensive inspections. Nursing homes, welfare homes, child care institutions, primary and secondary schools and other special places and people's livelihood security institutions such as water, electricity and heating, as well as important organs, large enterprises and some specific places should check the negative certificate of nucleic acid test within 48 hours.

The outpatient and emergency departments of medical institutions shall be inspected according to the requirements of pre-inspection and triage. Convenient nucleic acid sampling points should continue to work to meet the needs of the masses. No longer carry out "landing inspection, landing inspection and landing management" for cross-regional floating population.

Fourth, optimize and adjust the isolation mode. The positive infected people should be scientifically classified and treated. Asymptomatic infected persons and mild cases with home isolation conditions generally adopt home isolation, or they can voluntarily choose centralized isolation treatment. During isolation, health monitoring should be strengthened. On the 6 th and 7 th day of isolation, nucleic acid was detected twice in a row, and the Ct value was ≥35, and the isolation was lifted. If the condition worsens, it should be transferred to a designated hospital for treatment in time.

Heal the infected people who leave the hospital and the cabin, and no longer carry out home health monitoring. Close contacts with home isolation conditions can be isolated at home for 5 days, or they can voluntarily choose centralized isolation, and the isolation will be lifted after the nucleic acid test is negative on the fifth day.

Five, to ensure the people's basic drug demand. Local pharmacies should operate normally and cannot be shut down at will. Cancel the restrictive measures that people used to buy "four drugs".

It is not allowed to restrict people from buying over-the-counter medicines such as antipyretic, antitussive, antiviral and cold medicines online and offline, and cancel the pop-up window and nucleic acid detection requirements when buying over-the-counter medicines. Do a good job in the supply and storage of conventional drugs, especially those related to patients with basic diseases.

Six, accelerate the COVID-19 vaccination of the elderly. All localities should strengthen organizational mobilization and fully mobilize the enthusiasm of the elderly for vaccination.

Focusing on improving the first vaccination rate of the elderly over 80 years old, we will take measures such as making a thorough investigation by household survey teams, improving the convenience of mobile vaccination vehicles and door-to-door vaccination service teams, and scientifically judging contraindications, so as to comprehensively improve the whole vaccination rate of the elderly over 60 years old, strengthen the needle coverage rate, and continue to carry out vaccination work for people over 3 years old, so as to ensure that COVID-19's vaccines should be "received in full".

Seven, strengthen the health status and classification management of key populations. Governments at all levels should organize and do a good job in finding out and filing the vaccination situation of the elderly suffering from cardiovascular and cerebrovascular diseases, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, tumor, immunodeficiency and other diseases and COVID-19.

According to health status, vaccination, risk of infectious diseases, etc. Divide the diagnosed population into key, sub-key and general population, give play to the role of "net bottom" of primary medical and health institutions and "gatekeeper" of family doctors, and provide corresponding health services by classification.

Eight, to ensure the normal operation of society. Minimize the impact of the epidemic on economic and social development. In principle, no shutdown, no shutdown, no shutdown, no shutdown. Medical personnel, public security, transportation and logistics, supermarkets, power supply, water, electricity, heating, communications and other basic medical services and normal social operators will be included in the "white list" management, and relevant personnel will strengthen personal protection, vaccination and health monitoring.

Formulate guidelines for epidemic prevention and control in industries, industrial enterprises and parks that ensure the normal operation of society.

Nine, do a good job in basic medical services. Announce the address and telephone number of the fever clinic and the information of medical institutions that receive special people to the public, so as to facilitate the people to inquire about medical treatment. Optimize the medical treatment process, set up an emergency diagnosis and treatment area in the outpatient and emergency department to rescue critically ill patients, and do not affect the treatment of emergency patients on the grounds that there is no 48-hour nucleic acid result, so as to ensure the safety of patients.

After the positive personnel appear in medical institutions, the consultation room involved will be opened immediately to ensure daily diagnosis and treatment services. Medical institutions should do a good job in coping with the rapidly growing demand for medical treatment that may occur, and pay close attention to the preparation of medical resources.

Ten, strengthen the safety of the epidemic. It is strictly forbidden to block fire exits, unit doors and residential doors in various ways to ensure that people go out for medical treatment and emergency avoidance. Promote the establishment of a docking mechanism between communities and specialized medical institutions to provide convenience for elderly people living alone, minors, pregnant women, disabled people and patients with chronic diseases.

Strengthen the care and psychological counseling for the sealing control personnel, patients and front-line staff.

Eleven, optimize the school epidemic prevention and control. Schools around the country should resolutely implement the requirements of scientific and accurate prevention and control, schools without epidemic situation should carry out offline teaching activities normally, and supermarkets, canteens, stadiums and libraries on campus should be opened normally.

Twelve, strengthen the organization and implementation. Emergency command systems at all levels should continue to be activated, strictly implement the "four-party responsibility" of territories, departments, units and individuals, strengthen training and guidance, and promote the implementation of various optimization measures. We should do a good job in the smooth and orderly connection of policies, the preparation and reserve of medical resources, and make the work more solid, detailed and temperature-sensitive.

It is necessary to timely release relevant dynamic information on the development of epidemic prevention and control, let the masses actively participate in prevention and control, and unite the awareness of the whole society to work together to fight the epidemic. It is necessary to strengthen publicity and advocacy for the masses, increase the popularization of health knowledge, listen to the opinions of the masses and respond to their concerns. We must resolutely avoid layers of overweight and "one size fits all" and effectively protect the vital interests of the people.