First, centralized isolation medical observation

Manage objects.

1. Close contacts of confirmed cases, suspected cases and asymptomatic infected persons and their close contacts.

2. Entry personnel.

3 other personnel should be separated according to the needs of prevention and control work.

Isolation period.

1. Close contact isolation

Close contacts of medical observation were isolated for 14 days, and nucleic acid detection was carried out on 1, 4, 7 and 14 days respectively.

After isolation, family health monitoring was carried out for 7 days. During the period, do a good job in monitoring body temperature and symptoms, reduce the amount of activity, do personal protection when going out, do not participate in gathering activities, and conduct a nucleic acid test on the second and seventh days respectively.

The observation period and centralized isolation period of close contacts are determined according to the results of nucleic acid detection of close contacts. During the isolation medical observation, the first two nucleic acid tests of close contacts were negative, and the nucleic acid tests of close contacts were negative on days 1, 4 and 7, so the isolation medical observation can be lifted on the seventh day. If the previous two nucleic acid tests of a close contact are positive, the close contact shall be managed as a close contact until the expiration of 14 days.

2. Isolate the entry personnel

Implement 14 days of isolated medical observation measures for entry personnel.

For the entry personnel who have completed the remote nucleic acid detection, if they have the conditions of closed transportation management, home isolation and accurate community control, they can implement the "7+7" isolation medical observation measures on a voluntary basis.

Carry out 7-day home health monitoring, during which, do a good job in monitoring body temperature and symptoms, reduce the amount of activities, do personal protection when going out, do not participate in party activities, and conduct a nucleic acid test on the second and seventh days respectively.

Health and epidemic prevention requirements.

1. During detention, direct contact should be minimized, and close contacts should take personal protective measures such as wearing masks.

2. During the observation, all the observed objects are not allowed to contact with other observed objects. Except for staff, access to personnel is strictly restricted. If you really need to go to the public * * * area in the centralized observation point, you should wear medical protective masks, keep a distance of more than 1 meter from each other, reduce the stay time, and try not to touch the articles and facilities in the public * * * area.

3. The windows should be ventilated regularly, and the window opening time should be adjusted appropriately according to the climatic conditions; When using air conditioning system for ventilation, split air conditioning should be selected, such as using central air conditioning to ensure the normal operation of air conditioning, increasing fresh air volume and closing the return air of the whole air system.

4. Disinfect walkways, stairs and other places 1 time every day, and clean up garbage at least 1 time, and clean up in time if necessary. During the isolation period, rooms and bathrooms can be disinfected by isolation personnel themselves. For temporary centralized isolation medical observation places, disinfection measures should be further strengthened and disinfection frequency should be increased.

5. Strengthen the food hygiene and safety management of isolated medical observation points, and do a good job in ensuring life.

6. In strict accordance with the standards, do a good job in medical waste disposal and disinfection of fecal sewage in isolated places, effectively reducing the risk of disease transmission.

7. Disinfect articles, furniture surfaces and other surfaces that may be contaminated twice a day, and disinfect them at any time when they are contaminated by saliva or sputum. During disinfection, use available chlorine 500 mg/L ~ 1000 mg/L chlorine-containing disinfectant, 75% alcohol or other disinfectants that can be used for surface disinfection to wipe and disinfect, and then wash with water after 30 minutes.

8. Tableware should be boiled for disinfection15min, or soaked in 250 mg/L ~ 500 mg/L chlorine-containing disinfectant solution15min and then washed with clear water.

9. Sanitary appliances such as mops and rags should be used separately according to the room partition. After use, use chlorine-containing disinfectant 1000mg/L to soak and disinfect, rinse with clean water after 30 minutes, and dry and store.

10. Toilets used in isolation by one person are disinfected every day 1 time. The urinal and its surroundings can be wiped and disinfected with 2000mg/L chlorine-containing disinfectant for 30 minutes. Toilet doorknobs, faucets, etc., which are often touched by hands, can be wiped and disinfected with chlorine-containing disinfectant with available chlorine of 500mg/L or other disinfectants that can be used for surface disinfection, and then cleaned with water after 30 minutes.

1 1. Rooms, facilities and articles with cases are subject to terminal disinfection and evaluation by professionals under the guidance of the disease control department.

12. The rooms, facilities and articles after the isolation observation are cleaned and disinfected by the staff of the observation point.

13. All the garbage in the isolated place, including the lunch boxes and domestic garbage of the observed objects, should be put into yellow medical waste disposal bags and collected to the garbage storage station at the isolation point in a centralized way every day according to the requirements of medical waste. The garbage stored in the isolated place can be recycled every 2 ~ 3 days by the medical waste disposal unit according to the actual storage capacity, and the date, quantity and handover shall be signed by both parties.

Second, family medical observation

Manage objects.

1. Close contacts and special people in close contact. For example, only 14-year-old children or pregnant women in family members are close contacts or close contacts; Suffering from basic diseases or being a special group with semi-self-care and no self-care ability.

2. Entry personnel who implement "7+7".

3. Patients after discharge and asymptomatic infected persons after isolation.

4. Other personnel who are unable to conduct centralized and isolated medical observation after professional evaluation.

Management period. Entry personnel who implement "7+7" will continue to observe at home for 7 days after the centralized isolation medical observation, and other personnel will observe at home for 14 days.

Site requirements.

1. It is best for family medical observers to live alone; If the conditions do not allow, choose a well-ventilated room in the house as an isolation room and remain relatively independent.

2. Place tables and chairs in a relatively independent isolation room as the handover point of non-contact transfer items.

3. Air conditioning should not be used in rooms, especially central air conditioning connected with other rooms.

4. If conditions permit, try to use a separate bathroom and avoid sharing the bathroom with other family members.

5. The room should be equipped with personal protective equipment such as thermometers, paper towels, masks, disposable gloves, disinfectants, disinfection products and covered trash cans.

Management requirements.

1. Management requirements for family medical observers

Family medical observation should be carried out under the guidance of community medical personnel.

During the observation of home medicine, their daily life and diet should be confined to the isolation room as far as possible, all visits should be refused, and other personnel should try not to enter the isolation room.

You don't need to wear a mask when you are in the isolation room, but you should wear a mask when you leave the isolation room. Try to reduce contact with other family members, keep the distance above 1 m, wear a mask and do personal protection.

You are not allowed to go out during medical observation at home. If you have to go out, you must obtain the approval of the medical observation and management personnel in your community, and wear a disposable surgical mask to avoid going to crowded places.

If the family medical observer is a nursing mother, she can continue breastfeeding her baby on the basis of personal protection.

Pregnant women can have a normal check-up, so make an appointment in advance, avoid centralized waiting, do a good job of protection, try to shorten the time of seeing a doctor, and wash your hands in time after returning home.

Family medical observers with basic diseases should take medicine on time and should not stop taking it without authorization. When the drug reserve is insufficient, they can prescribe drugs at the nearest community health service institution, or their family members can take drugs on their behalf, so as to protect themselves when seeking medical treatment.

2. Health monitoring requirements.

Community workers should register family medical observers in their respective jurisdictions.

Home medical observers should conduct temperature measurement and self-health monitoring every morning and evening, and report the monitoring results to community medical observation management personnel.

During medical observation, if the home medical observer has symptoms such as fever, dry cough, fatigue, sore throat, hypoesthesia and diarrhea. , community management personnel should promptly report to the local health administrative department and the disease control institutions in the jurisdiction, and transfer them to designated medical institutions for investigation and handling according to regulations, and implement closed-loop management.

3. Health and epidemic prevention requirements.

Keep the house ventilated. Try to open the doors and windows for ventilation every day. If it is not natural ventilation, use mechanical ventilation such as exhaust fans.

Do a good job in ventilation and disinfection of toilets, bathrooms and other * * * enjoyment areas.

Wash your hands or disinfect before and after preparing food, eating and defecating, and before and after wearing a mask. When you wipe your hands, you'd better use a disposable tissue.

Pay attention to cough etiquette, cover your nose and mouth with paper towels when coughing or sneezing, or cover your nose and mouth with the inside of your elbow and throw the used paper towels into the trash can. If you come into contact with respiratory secretions, wash or disinfect your hands immediately.

Don't use daily necessities with other family members. Tableware should be cleaned and disinfected after use. Tableware should be boiled for disinfection15min, or soaked in 250 mg/L ~ 500 mg/L chlorine-containing disinfectant solution15min and then washed with clean water. The surfaces of desktop, door handle, telephone, switch, hot water kettle, washbasin, toilet and other items that may come into contact with daily should be wiped with chlorine-containing disinfectant containing 250 mg/L ~ 500 mg/L effective chlorine, and then rinsed with clean water at least 1 time every day. Wet mop the floor with 250 mg/L ~ 500 mg/L chlorine-containing disinfectant every day.

When towels, clothes, quilts, etc. Household medical observers that need to be cleaned should be placed separately, soaked in chlorine-containing disinfectant of 250 mg/L ~ 500 mg/L for 30min, or boiled for 65438±05min for disinfection, and then rinsed with clear water.

If the toilet is used at home, the family medical observer should disinfect the toilet every time 1 time; If the family medical observer uses a separate toilet, the toilet can be disinfected 1 time every day. The urinal and its surroundings can be wiped and disinfected with 2000mg/L chlorine-containing disinfectant for 30 minutes. Toilet doorknobs, faucets, etc., which are often touched by hands, can be wiped and disinfected with chlorine-containing disinfectant with available chlorine of 500mg/L or other disinfectants that can be used for surface disinfection, and then cleaned with water after 30 minutes.

Used paper towels, masks, disposable gloves and other household garbage are put into plastic bags, put into special trash cans and cleaned every day. Before cleaning, spray chlorine-containing disinfectant containing 500 mg/L ~ 1000 mg/L or 75% alcohol for disinfection until it is completely wet, then tie the plastic bag tightly and discard it together with other domestic garbage.

Disinfect articles contaminated by saliva, sputum, etc. Any time. During disinfection, use available chlorine 500 mg/L ~ 1000 mg/L chlorine-containing disinfectant, 75% alcohol or other disinfectants that can be used for surface disinfection, and then wash with water after 30 minutes. A large number of pollutants should be completely covered with disposable absorbent materials, and then a sufficient amount of chlorine-containing disinfectant of 5000 mg/L ~ 10000 mg/L should be poured on the absorbent materials for disinfection for more than 30min, and carefully removed. Then use 500 mg/L ~ 1000 mg/L chlorine-containing disinfectant to wipe the contaminated surface and its surroundings for 2 meters. Wear gloves and masks when handling pollutants, and take a shower and change clothes after handling.