Can I see a doctor without nucleic acid test results? Can the elderly with chronic diseases be vaccinated?

It is put forward on the basis of scientific evaluation of the implementation effect of the ninth edition prevention and control plan and the National Day holiday plan. Combined with the recent experience and outstanding problems in dealing with the epidemic situation in various places, the prevention and control work such as nucleic acid detection, positive infection and close contact management, as well as school epidemic prevention and control and epidemic-related safety guarantee have been further optimized. For patients with common type or who have progressed to severe risk factors, antiviral treatment can be given as soon as possible, but antiviral drugs must be taken under the guidance of a doctor. Traditional Chinese medicine has unique advantages in the treatment of viral infection. COVID-19 's treatment and treatment of basic diseases should be taken into account at the same time, so we should stop the use of drugs for basic diseases and pay special attention to the continuous treatment of basic diseases. There is no need to hoard and snap up drugs we have asked medical institutions at and above the county level to strengthen the treatment of these symptomatic drugs as well as antiviral drugs.

The joint prevention and control mechanism of the State Council held a press conference on December 7 to introduce the further optimization and implementation of epidemic prevention and control measures. Can I see a doctor without nucleic acid test results? Can the elderly with chronic diseases be vaccinated? Let's pay attention together!

What is the background of further optimization measures?

With the large-scale vaccination and novel coronavirus mutation, the transmission power of the virus is enhanced, but the pathogenicity is weakened, and the overall health risks to the population tend to be alleviated. China's epidemic prevention and control is facing a new situation and new tasks.

The 20 optimization measures previously announced were put forward on the basis of scientific evaluation of the implementation effects of the ninth edition of the prevention and control plan and the National Day holiday plan. After implementation, we closely followed the implementation results of various localities, and put forward ten targeted optimization measures in the light of the experience accumulated in the recent epidemic response process and the outstanding problems faced by them.

Ten measures for further optimization

In what ways have changes been made?

The ten newly formulated optimization measures further optimize the prevention and control work of nucleic acid testing, the management of positive infections and close contacts, the delineation and control of high-risk areas, the vaccination of the elderly and the use of medicine by the masses, as well as the prevention and control of epidemic situation in schools and the safety guarantee of epidemic-related diseases.

This optimization is not completely unguarded.

This optimization is not completely open and unguarded, but is optimized actively rather than passively. It is made by dynamically studying and judging the epidemic situation and evaluating the effectiveness of the current prevention and control measures, especially by combing and summarizing the local useful experience and existing problems after the implementation of the 20 articles, in view of the characteristics of the main popular virus variants and epidemic situation in our country.

What are the treatments for COVID-19 patients?

For novel coronavirus infected people, the first treatment is symptomatic treatment.

First, some patients will have fever, sore throat, cough, for these symptoms, mainly symptomatic treatment, such as some antipyretic drugs, as well as some antitussive and expectorant drugs.

Second, antiviral drugs, for ordinary patients or patients who have progressed to severe risk factors, can be treated with antiviral therapy as early as possible to reduce the conversion to severe disease. But antiviral drugs must be taken under the guidance of a doctor.

Third, it is also very important to attach equal importance to the integration of traditional Chinese and western medicine. Traditional Chinese medicine has unique advantages in the treatment of viral infection, and some good traditional Chinese medicine can also be used as a very good choice for treatment.

Fourth, in the course of treatment, both the treatment of COVID-19 and the treatment of basic diseases should be taken into account at the same time, and the use of drugs for basic diseases, such as diabetes and hypertension, should not be stopped just because he was infected with COVID-19. Daily treatment is uninterrupted. Therefore, while treating COVID-19, we should also pay special attention to the continuous treatment of basic diseases.

There is no need to hoard and snap up drugs

We have asked medical institutions at and above the county level to strengthen preparations for these symptomatic drugs and antiviral drugs, including traditional Chinese medicine, western medicine and other drugs, including antigenic reagents. At the same time, through classified treatment, many infected people will choose home treatment, so grass-roots medical institutions, as well as drug retail outlets are required to make corresponding preparations, so as to ensure the accessibility of drugs. We will also use a variety of ways to let people know how to use these drugs and how to use antigenic reagents to ensure the safety of drug use.

There is no need to hoard and snap up drugs. With the deployment of the whole work, whether in drug sales outlets or in medical institutions, these drugs are adequate.

What are the procedures for receiving a fever clinic?

When a patient goes to the fever clinic, the doctor should ask about some medical history, especially the symptoms and course of the disease, and do some medical tests, including blood routine and etiological tests, through which the doctor can judge whether novel coronavirus is infected or other diseases.

At the same time, the fever clinic is required to implement the first doctor responsibility system, so there are a series of arrangements for his referrals to which departments and places for further treatment.

At the same time, when patients go to the fever clinic to see a doctor, they should also wear a mask and see a doctor in accordance with the work flow of the hospital. At the same time, the gathering and contact with other people should be avoided in the fever clinic to reduce the risk of cross-infection.

China's novel coronavirus vaccine is very safe.

The benefits far outweigh the risks after vaccination.

The Chinese Center for Disease Control and Prevention has monitored the adverse reactions of more than 3.4 billion doses and more than 1.3 billion people who have been vaccinated in China, and found that the incidence of adverse reactions of novel coronavirus vaccine in China is similar to that of some other vaccines we have been vaccinated all the year round. and the incidence of adverse reactions in the elderly is slightly lower than that in the young.

At present, our country has provided more than 2.2 billion doses of vaccine to more than 120 countries and international organizations around the world. It can also be seen from the report that the heads of state, government and government officials of more than 30 countries have taken the lead in vaccinating China's novel coronavirus. So far in the world, according to our incomplete statistics, people over the age of 60 have received more than 1 billion doses of China's novel coronavirus vaccine, all of which are very safe. The current party and state leaders have been vaccinated against novel coronavirus, and they have all been vaccinated with the same domestic novel coronavirus vaccine as ordinary people.

Chronic diseases were not vaccinated by novel coronavirus.

Absolute taboo

Some elderly people have chronic diseases such as diabetes and hypertension, and if they have some worries, they can tell everyone clearly that these chronic diseases are not absolute taboos for novel coronavirus's vaccination, as long as these chronic diseases are well controlled and in a stable stage, can be vaccinated against novel coronavirus.

At present, four cases of non-vaccination or suspension of vaccination have been identified.

First, the elderly in the past vaccination has had a serious allergic reaction, such as anaphylactic shock, laryngeal edema, and so on, this kind of situation can not be vaccinated with novel coronavirus vaccine.

Second, because the infectious disease is in a period of acute fever, it is recommended to postpone the vaccination of novel coronavirus at this stage and control it later.

Third, in the acute attack period of chronic diseases, for example, tumor patients are during chemotherapy, or patients with hypertension are in hypertension crisis, some patients with coronary heart disease are in the attack stage of myocardial infarction, there are some patients with neurological diseases in the progressive stage of the disease, and epilepsy is in the acute attack stage, we suggest that we postpone vaccination against COVID-19 for these patients, and they can also be vaccinated after the condition is stable.

Fourth, because serious or chronic diseases are already at the end of life, we do not recommend vaccination.

Again, for the elderly, as long as the conditions are met, we must speed up the vaccination of novel coronavirus vaccine, so that we should take it as soon as possible. only in this way can we better protect our health and safety.

Do a good job in the smooth and orderly convergence of policies

Do a good job in the smooth and orderly convergence of policies. For example, it is required not to carry out nucleic acid testing in accordance with the administrative area, but we should ensure that people with testing needs; for example, do a good job in the safety management of positive infections to home isolation, to avoid causing new social infections, and so on. It is necessary to do a good job in the preparation and reserve of medical resources, devote more prevention and control resources to key groups, find out their health status, do a good job in setting up documents, manage them at different levels, and make the work more solid, more detailed and more temperature-sensitive.

Resolutely avoid adding code layer by layer

Risk areas should be delineated according to buildings, units, floors and households, and shall not be expanded at will. Nucleic acid testing cannot be carried out according to the administrative area. Except for special places, nucleic acid testing certificates are no longer required, and health codes and travel codes are not checked. For cross-regional mobile workers, no longer check nucleic acid test negative certificates, do not check health codes and travel codes, and no longer carry out landing inspection, so as to minimize the impact of the epidemic on economic and social development.

Strictly prevent the occurrence of run on medical resources

At present, it is necessary to pay close attention to the variation of novel coronavirus. Various localities report COVID-19 's severe illness and death after infection, as well as the occupation of medical resources, and strictly prevent the occurrence of a run on medical resources.

First, the research and development of vaccines and drugs, vaccination and drug reserves. In terms of vaccination, positive progress has been made, with the full vaccination rate of the whole population exceeding 90%. Recently, key arrangements have been made to promote vaccination for the elderly, strengthening drug research and development, production and storage, and focusing on the storage of anti-novel coronavirus drugs, traditional Chinese medicine, as well as therapeutic and routine drugs for children and the elderly.

The second is to strengthen the preparation of medical treatment resources. We will improve the graded diagnosis and treatment system, and increase the number of critical beds, ICU and related treatment equipment and materials in designated hospitals. To co-ordinate the treatment of COVID-19 infected people and the guarantee of daily medical services, do not affect normal medical services as far as possible, and ensure that other medical institutions meet the needs of the people for medical treatment. Strengthen capacity building at the grass-roots level, improve grass-roots prevention and control capabilities and health management capabilities, and give full play to the role of "gatekeepers".

The third is to strengthen the monitoring of virus variation, disease severity and the use of medical resources. We will strengthen the prevention and control of the epidemic in special places such as nursing homes, welfare homes, medical institutions, kindergartens, primary and secondary schools, ensure the normal operation of society, try our best to maintain the order of normal production and work, and solve the problems reflected by the masses in a timely manner.

The fourth is to forge social consensus. The masses generally support and welcome the optimization of prevention and control measures; it is necessary to strengthen the popularization of health knowledge to make public awareness of COVID-19 more rational and personal health awareness significantly enhanced.

Why after the elderly have completed the basic immunization

The time for the first dose to strengthen

From 6 months to 3 months?

First, all countries around the world have adjusted on the basis of the initial six months of the first enhanced vaccination. At present, all the first doses in the world have been strengthened, and most countries have adjusted it to 3-6 months.

Second, the immune effect is guaranteed when the first dose is strengthened 3 months after basic immunization and 6 months after basic immunization. our R & D unit has conducted clinical and real-world studies on people over the age of 18, including the elderly. The study found that the neutralizing antibody produced by the first dose within 3 months after the completion of basic immunization was not as high as that after 3 months. However, the level of neutralizing antibody was basically the same at 3 months after the completion of basic immunization and 6 months after the completion of basic immunization. Therefore, the immune protection effect of 3 months and 6 months after the completion of basic immunization is equivalent.

Third, studies have shown that it is very safe to strengthen either 3 months after basic immunization or 6 months after basic immunization.

Fourth, such adjustment is also the need of epidemic prevention and control in our country. Such an adjustment will help us to strengthen vaccination coverage for the elderly, especially the elderly, and meet the needs of current epidemic prevention and control.

Treating patients must not be treated with

Whether there is a nucleic acid test result as a prerequisite

First, it is the sacred duty of our medical institutions and medical personnel to save lives and heal the wounded. All medical institutions cannot refuse treatment for any reason, especially for those emergency patients without nucleic acid results, many of whom are acute and critically ill, which can easily lead to delays in treatment. Therefore, it is all the more necessary to provide emergency medical services to these patients in a timely manner, requiring all medical institutions to implement the first treatment responsibility system and the emergency and critical care system. At the same time, it is necessary to formulate and improve corresponding emergency plans and strictly implement them. The treatment of patients must not be based on the presence or absence of nucleic acid test results.

Second, for emergency patients, if there is no nucleic acid results, we all require medical institutions to set up relatively independent buffer areas in the emergency area, and medical staff also do a good job of personal protection. For these critical patients without nucleic acid results, go directly to the buffer area for emergency treatment, at the same time, the hospital can also improve the detection of antigen or nucleic acid to ensure that the emergency treatment needs of patients can be met at the first time.

In addition, we also require all medical institutions, whether in emergency rooms or operating rooms, hemodialysis areas, including wards and wards, to set up buffer areas, which are relatively separated from other diagnosis and treatment areas, and be prepared. Once patients are found to have some basic diseases and novel coronavirus tests are positive, we will treat these patients in the buffer area in time.

How to treat COVID-19 patients by grade and classification?

First of all, for mild, asymptomatic infected people, they can take care of themselves at home. Basic diseases that are relatively stable can also be treated at home. For the elderly, mobility difficulties of these infected people, we also recommend staying at home. We require hospitals to provide online services through Internet medical care, while medical staff, especially our primary health care institutions, can also provide door-to-door services and no longer transfer out for centralized treatment.

Second, patients with severe and high risk factors are still admitted by designated hospitals to ensure timely treatment of patients with severe diseases and patients with severe risk factors. We choose hospitals with strong comprehensive ability and high treatment level as designated hospitals, at the same time, we strengthen the construction of designated hospitals and constantly improve the ability of medical treatment.

Third, there are some patients with basic diseases or other diseases, to the general hospital or specialist hospital, at the same time in the process of seeing a doctor found that he is COVID-19 positive infection. For these patients, some basic diseases are still relatively serious, we require all medical institutions to be prepared, because the diseases of such patients should be treated in accordance with specialist diseases in order to maximize the health benefits of patients. Therefore, we require general hospitals and specialist hospitals to optimize the diagnosis and treatment process and set up buffer areas to ensure that these patients get timely treatment and improve the effect of their treatment.

Will vaccination orders be issued?

Some countries have introduced vaccination orders, which really help to improve the vaccination rates in these countries. At present, the vaccination rate of the whole population in our country, including 97.5% at the age of 3-17, has exceeded 95% at the age of 18-59. The vaccination rate for the whole population is already very high, and it also belongs to a relatively high level in the world. At present, why do we develop vaccination programs for the elderly? That is, the vaccination rate of our elderly is relatively low. However, through this plan, we can also see that there has been a very good progress in this work recently.

Whether this measure is to be introduced must be in accordance with national laws and regulations, and the introduction of vaccination orders cannot be forced. In this regard, we must also make choices in accordance with the laws and regulations of our country.

I understand the picture.

"guidelines for Home treatment of novel coronavirus infection" ↓↓↓

Information synthesis: China government network, news broadcast

Source: Fuyang Traffic Radio