How to detect the positive mixed pipe building, what symptoms after the need to go to the hospital... An authoritative response!

Under the joint prevention and control mechanism of The State Council, a press conference was held on the afternoon of December 8 to further optimize the implementation of epidemic prevention and control measures.

After optimizing measures, personal protection should continue to be done

After the introduction of the ten optimization measures, local governments moved quickly to formulate specific implementation measures, accurately demarcating high-risk areas, optimizing nucleic acid testing, adjusting quarantine methods, canceling nucleic acid negative verification, canceling health codes and travel codes in accordance with regulations. This is also to remind you that after optimizing measures, you should continue to do a good job of personal protection, maintain a healthy and civilized lifestyle, be the first person responsible for your health, protect yourself and your family.

How to classify the treatment of COVID-19 patients?

· For mild and asymptomatic infected people who have no underlying diseases or stable underlying diseases, they can take home self-care.

On the one hand, the infected should carry out self-health monitoring and symptomatic treatment at home. In particular, it should be emphasized that those without symptoms do not need treatment, and self-health monitoring should be done well. Those with symptoms, such as fever and cough, should receive symptomatic treatment. If necessary, they can contact primary medical institutions or Internet medical services for professional guidance from doctors.

On the other hand, since most of the infected can be treated in isolation at home, grassroots medical and health institutions are required to make public their consultation telephone numbers, and set up a ledger for elderly people living alone, patients with underlying diseases, and pregnant women, especially those on hemodialysis, so as to guarantee medical services. Hospitals can also provide online services through the Internet, and medical personnel, especially those in primary medical and health institutions, can also provide on-site and other forms of professional services. Meanwhile, medical institutions at all levels, especially those in primary medical and health institutions, are required to prepare common drugs and antigen detection reagents to meet the health monitoring and medication needs of home-based treatment staff.

· Patients in serious condition or at risk of serious condition shall be admitted to designated hospitals.

In order to ensure the treatment of patients with severe or at risk of severe illness, hospitals with strong comprehensive capacity and high treatment level should be selected as designated hospitals for treatment, and sufficient medical staff should be assigned. Medical staff should also be multi-disciplinary, because we need to ensure not only the treatment of COVID-19, but also the treatment of basic diseases. Therefore, we require designated hospitals to enhance their capacity of medical treatment to ensure the treatment of patients.

· Some patients with underlying diseases or other diseases go to general or specialized hospitals for treatment, and may test positive for COVID-19 after treatment.

For these people, general hospitals and specialized hospitals are required to set up buffer zones, whether in outpatient, emergency or inpatient areas, so as to ensure that these patients can be treated and meet the needs of the people for medical services.

What symptoms do you need to go to the hospital after?

Most people infected with the novel coronavirus are able to stay at home, while only a small number have serious underlying diseases or may need to seek medical care. If the following situations occur, we suggest to contact the community doctor, if the condition is very serious, you can directly contact 120 to the hospital for diagnosis and treatment.

One is difficulty breathing and shortness of breath.

Second, after drug treatment, the fever still persists, exceeding 38.5℃ for more than 3 days.

Third, if the original underlying disease worsens and can not be controlled by medication, or if there is an urgent and critical risk of precardiac pain, we must go to the hospital for treatment in time.

Four is children, children appear lethargy, vomiting, diarrhea, refusing to eat, and so on, after treatment does not relieve, more than two days to the hospital.

Fifth, the pregnant women have headache and dizziness, palpitation or shortness of breath or abnormal fetal movement, but also to the hospital treatment.

How to treat COVID-19 patients without affecting the order of daily diagnosis and treatment?

First, we will strengthen the construction and coordination of medical resources. It has guided local governments to strengthen the preparation of medical treatment beds and expand treatment resources. In particular, it has formulated a classified diagnosis and treatment strategy, as well as admission criteria for patients with different clinical severity. It has implemented graded and classified treatment for patients so as not to affect the daily medical services of medical institutions to the greatest extent possible.

Second, epidemic prevention and control in medical institutions should be carried out in a scientific and precise manner. Medical institutions at risk of the epidemic should not be shut down or shut down, especially important diagnosis and treatment departments such as fever clinics, emergency rooms, operating rooms, including dialysis departments and intensive care units, so as to effectively guarantee the treatment of patients. For areas with real risks that need to be dealt with, they should also be sealed and cleared quickly so that normal diagnosis and treatment can be resumed at the fastest speed.

Third, we need to strengthen information disclosure and communication. Information about fever clinics and medical institutions should be released to the public in a timely manner, including their telephone numbers and addresses, so that the public can have access to relevant information.

Fourth, it requires the establishment of ledger management. Grassroots communities are required to implement ledger management for elderly people with basic diseases, pregnant women, regular hemodialysis and other special groups, ensure the drug needs of patients with chronic diseases, guide communities and medical institutions to smooth the green channels for medical treatment, and do a good job in connecting services.

At the same time, medical institutions are required to strictly implement the system of responsibility for the first diagnosis and the system of emergency and critical care rescue, and not to evade or refuse treatment for any reason. At the same time, they should also play the role of medical association and medical community and carry out "Internet medical services". Further enrich and scientifically dispatch the pre-hospital first aid force, so that 120 can be called through and sent to ensure the service in place.

How can people quarantined at home minimize transmission within the family?

People quarantined at home should take good personal protection, and have as little contact with family members as possible, if contact should also keep a certain distance.

First, the room should be ventilated every day. Good ventilation is essential to reduce the spread of respiratory infectious diseases.

The second is the bathroom, bathroom, if single use is the best, every day to disinfect, if shared, must stagger the time, after use should also be very good disinfection, to avoid the spread of the family.

Third, do a good job of hand hygiene and environmental disinfection, including in the process of cooking and dining, we should pay attention to good hand hygiene.

Fourth, when coughing and sneezing, be sure to cover with a tissue and throw the tissue into the trash can to avoid potential aerosol transmission risks caused by spatter.

Fifth, used paper towels, masks, disposable gloves and other household garbage into plastic bags, placed in a special garbage can. Do not mix personal items and keep them apart from family members as much as possible, as the items themselves may also pose a risk of spreading the virus.

In short, through a series of protective measures, to minimize the cause of transmission within the family.

Why do elderly people who stay at home for a long time and rarely go outside need to be vaccinated?

The current epidemic situation is still severe and complex, and vaccination is still effective in preventing severe illness and death. The elderly and other vulnerable groups are more likely to develop severe or critical illness or even death after being infected with the novel coronavirus. A considerable number of disabled or semi-disabled elderly people live at home for a long time and rarely go out. However, when accompanied by relatives or visited by relatives, they may still be infected, leading to morbidity and even severe illness or death. Therefore, it is still necessary to vaccinate.

The risk of dying from COVID-19 after receiving three doses of the vaccine was 9.3 times lower in people over 80

According to research, people over 65, 75, and 85 are five, seven, and nine times more likely to become seriously ill after contracting COVID-19, and 90, 220, and 570 times more likely to die, respectively, than younger people. For people over 80 who do not receive one dose of the vaccine, the risk of death is about 14.7 percent. With one dose, the risk of death dropped to 7.16 percent; With three doses, the risk of death drops to 1.5 percent. Three doses of the vaccine were associated with a 9.3-fold reduction in the risk of death compared with no vaccination. It is hoped that the elderly can take the initiative to vaccinate and escort their health.

Many analgesics have different names but the same ingredients. Don't mix them together

It is emphasized that you should not hoard or buy drugs in large quantities. General analgesics, some traditional Chinese medicine and some medicines like cold can be used according to the instructions. You can also consult your community doctor or consult your doctor through the Internet for rational use.

It should be stressed that there are many analgesics with different names, but the ingredients are the same. Don't mix them together, just use one. If you use too much, it can cause a series of adverse reactions, so you don't want to use too much. At the same time, we stress that antibiotics should be used rationally, not abused, and must be used under the guidance of doctors, because irrational use of antimicrobials is also prone to bacterial imbalance and the risk of double infection.

Fever clinics in medical institutions must be set up and opened as much as possible

In autumn and winter, there are more respiratory infectious diseases, including influenza, and many have fever symptoms. Therefore, medical institutions are required to "set up and open the fever clinic as much as possible", and at the same time, the telephone number and address should be made public, so that people can go to the fever clinic nearby for treatment. At the same time, it is also required that the fever clinic should expand the receiving space, complete the medical force and improve the receiving capacity. It should not be shut down arbitrarily, so as to ensure the smooth and orderly development of the diagnosis and treatment work.

What should be done after finding "mixed pipe positive"?

When "mixed pipe positive" is found, the relevant departments will inform the mixed inspection personnel as soon as possible, so that he can implement the on-site isolation measures, and will also arrange personnel to door-to-door sampling and review as soon as possible. Therefore, with the mixed positive personnel in the same building, the same unit of personnel do not need to implement temporary seal control. When the recheck results are negative, the mixed inspection personnel immediately lift the quarantine measures, but if the on-site recheck is positive, the control measures should be implemented in time, according to the on-site flow and risk study results, timely control of tight contact, delimit the risk area, and do a good job in related epidemic treatment.

The practice of "hard quarantine" is to put people's lives and property at risk, and we must resolutely stop it

In view of the "hard isolation" measures strongly reflected by the masses, the new ten optimized rules clearly require that it is strictly prohibited to block fire passages, unit doors and community doors in various ways, and ensure the smooth flow of exit passages for the masses to see a doctor or seek emergency shelter. The practice of "hard quarantine" is not targeted prevention and control, but lazy administration and neglect of people's lives and property safety. We must resolutely stop this. To determine the need to seal and control the area, the Party committee and government of the sealed and controlled area must do the bottom number, the situation is clear, the service is in place, the isolation of personnel to use the heart, care and love, not only to have strength, but also to have the temperature, at the same time to strengthen door-in-door service, do a good job in life and normal medical security. We will promote the establishment of a mechanism linking communities with specialized medical institutions to provide convenience for the elderly, minors, pregnant women, the disabled and patients with chronic diseases who live alone.