On April 29, Beijing held the 96th press conference of COVID-19 epidemic prevention and control. Chen Bei, deputy secretary-general of the Beijing Municipal Government, introduced that the first-level response mechanism will be adjusted to second-level from 0:30 on April 30.
The reporter learned that on January 24 this year, Beijing issued a press conference on the prevention and control of pneumonia outbreaks of new coronavirus infections. Beijing stated that Beijing has initiated a first-level response mechanism for public health emergencies, and put all efforts to prevent and control the epidemic. The most important task.
As of April 28, two provinces, autonomous regions, and municipalities have been adjusted to grade four, 19 provinces, autonomous regions, and municipalities are grade three, and six provinces, autonomous regions, and municipalities are grade two. Hubei, Beijing, Tianjin, and Hebei provinces have epidemic prevention. The control level is still the first level emergency response level.
Interpretation 1: What is a major public health emergency response?
According to the National Emergency Response Plan for Emergent Public Health Incidents, public health emergencies refer to major infectious diseases, group unexplained diseases, major food and occupational poisoning that suddenly occur and cause or may cause serious damage to the physical and mental health of the public Public health incidents caused by natural disasters, accidents, disasters, or social security that seriously affect the physical and mental health of the public.
According to the nature, degree of harm, and scope of public health emergencies, public health emergencies can be divided into four levels: particularly significant (level I), major (level II), larger (level III), and general (level IV).
According to laws and regulations such as the Emergency Response Law, the Infectious Disease Prevention Law, the National Emergency Response Plan for Public Health Emergencies, and related regulations, local governments have formulated local emergency response plans for public health emergencies.
Interpretation 2: Which level of decision-making body corresponds to different levels of emergency response?
According to emergency plans for public health emergencies in different regions, different levels of emergency response correspond to different decision-making bodies. One to four levels of emergency response correspond to the decision-making bodies at four levels: country, province, prefecture, city and district.
Generally speaking, the decision-making body and process of the first-level response are deployed and unifiedly commanded by the provincial headquarters in accordance with the decision of the State Council. In the second-level response, the main body of the decision-making is the provincial headquarters, which organizes the analysis and judgment of the members and experts of the headquarters. The decision-making body corresponding to the three-level response is the prefectural-level emergency command agency for public health emergencies that are listed and directly under the control of the province (city, district). In the four-level response, the decision-making authority is further devolved to the county (city, district) (excluding the county (city, district) directly managed by the province) emergency command agency for public health emergencies.
Taking Guangdong as an example, according to the “Guangdong Province Public Health Emergency Response Plan”, according to the scope of public health emergencies, the degree of harm, etc., the emergency response to public health emergencies can be divided into level I, level II, level III, Four levels of level Ⅳ. Among them, the first level belongs to the highest response level.
First-level response To a particularly major public health emergency, the provincial headquarters organized and coordinated emergency response work within its administrative area in accordance with the decision-making deployment and unified command of the State Council.
The second-level response is that a major public health emergency occurs. The provincial headquarters immediately organizes the analysis and judgment of the members and experts of the headquarters to conduct a comprehensive assessment of the impact of public health emergencies and their development trends. The provincial people ’s government decides to initiate a second-level emergency Respond and issue commands to relevant units to start relevant emergency procedures.
The three-level response is that a major public health emergency occurs. The prefecture-level public health emergency emergency command agency directly listed in the county (city, district) directly organizes members and experts of each unit to analyze and judge the impact of the event and A comprehensive assessment of its development trend is made. The people ’s government at the prefecture level and listed on the market decides to initiate a level III emergency response and issues an order to start relevant emergency procedures to all relevant units.
The four-level response is that a general public health emergency occurs, and the county (city, district) (excluding the county (city, district) directly managed by the province) emergency public command organization immediately organizes the members and experts of each unit to analyze, judge, To conduct a comprehensive assessment of the impact of the incident and its development trend, the county-level people’s government decides to initiate a level IV emergency response, and issues a command to start relevant emergency procedures to all relevant units.
Interpretation 3: Why lower the response level?
On February 23, the deployment plan for the overall promotion of COVID-19 epidemic prevention and control and economic and social development was held in Beijing. General Secretary Xi Jinping pointed out that as the epidemic prevention and control situation continues to improve, eligible provinces should timely reduce the response level and implement Dynamic Adjustment.
The National Emergency Response Plan for Emergent Public Health Events also stipulates that according to the nature and characteristics of different types of public health emergencies, attention should be paid to the analysis of the development trend of the event. For incidents with ever-expanding influence and events, the level of early warning and response should be upgraded ; For events that are limited in scope and will not spread further, the response level should be reduced accordingly and the early warning should be cancelled in time.
The reporter found that the epidemic situation in many places was initially effectively controlled, which provided the prerequisites for the downgrade of emergency response level.
For example, when Ningxia adjusted the first-level response to second-level, it said that since the start of the first-level emergency response to major public health emergencies on January 25, Ningxia has achieved phased results in the prevention and control of the epidemic.
Zhejiang was adjusted from a second-level response to a third-level response on March 23. Chen Guangsheng, executive deputy director of the Zhejiang Provincial Prevention and Control Work Leading Group Office and deputy secretary-general of the provincial government, said at the press conference that since February 22, Zhejiang Province has No new local cases in 30 days. At that time, no confirmed or suspected cases due to resumption of labor and production, and no cases of local transmission of outbreaks imported from abroad. In particular, on March 22, the goal of “clearing” local confirmed cases was achieved.
After the emergency response level is lowered, Zhejiang authorizes the district governments to act as the main body of the three-level response prevention and control measures. Based on the actual situation, all localities will adjust the prevention and control strategies and work measures in a timely manner, and fully resume production on the premise of effectively preventing the rebound of the epidemic. Order of life.
When Jiangsu emergency response was downgraded to level 3, it was pointed out that Jiangsu COVID-19 epidemic prevention and control work has achieved periodic results. From February 19 to March 27, Jiangsu has no new local confirmed cases for 38 consecutive days, March 4. All counties (cities, districts) in Jiangsu and the main urban districts of districts have been turned into low-risk areas. On March 14, the province ’s confirmed cases were “cleared”.
Interpretation 4: Does lowering the level mean relaxing control?
Put forward many emergency responses after down-regulating that the situation of epidemic prevention and control is still grim and complicated and cannot be paralyzed.
When Ningxia downgraded its level, the Ningxia Daily reported that although Ningxia downgraded its emergency response level, the current epidemic prevention and control situation is still grim and complex. The inflection point of the country has not yet arrived, and prevention and control are at the most critical stage. The resumption of production and the increase of population mobility have brought a new round of pressure on the prevention and control of the epidemic, and the epidemic may still rebound. We must remain sober, and all prevention and control measures must be paid close attention to and implemented carefully, and we must not be paralyzed or lax.
Qinghai requires all localities to resolutely overcome the paralysis and relax their thoughts. All localities must adhere to the bottom line thinking, firmly establish the province’s “one game of chess” thinking, always maintain a high degree of vigilance against imported risks, and adhere to the “foreign import prevention, internal non-proliferation” simultaneously, seek truth from facts and adapt to local conditions In order to earnestly realize the ideology and understanding, the local responsibility is not defeated, the prevention and control strength is not weakened, the working standard is not reduced, and if you do not win, you will not be successful.
When Jiangsu emergency response was downgraded to level 3, it was pointed out that although Jiangsu COVID-19 epidemic prevention and control work has achieved significant results, the current epidemic prevention and control situation is still grim and complex, and the rapid spread of overseas epidemics has brought a sharp increase in input risks to prevent overseas epidemics. Importation is now the top priority; with the full restoration of normal production and living order, the increase in population gathering and mobility, the epidemic situation may still rebound; starting from April, the province ’s large and elementary schools will return to school in an orderly manner, and spring and summer will be Acute infectious diseases are prone to occur at high season, and common infectious diseases may coexist with COVID-19. It is difficult to prevent and control the epidemic.
Interpretation 5: What is the difference between prevention and control strategies after downgrading?
After the level is lowered, the prevention and control efforts will not decrease, but the focus of prevention and control will change. At the same time that many areas are imported from external defense, on the basis of internal control of the epidemic situation, internal anti-proliferation will be changed to internal anti-rebound. While preventing and controlling the epidemic, it emphasized the full restoration of normal production and living order.
For example, when Hunan adjusted its response from level one to level two, it emphasized that all localities should continue to implement precise prevention and control work in accordance with the requirements of regional grading, according to regional characteristics and epidemic situations, and adhere to the policy of “preventing imports from outside and preventing proliferation from inside”. Practically carry out detailed prevention and control work, coordinate the advancement of epidemic prevention and control and economic and social development, and resolutely win the overall epidemic prevention and control battle.
Subsequently, when the second level was lowered to the third level, Hunan Province emphasized that all regions should continue to implement the “foreign defense input, internal defense rebound” prevention and control strategy, continue to consolidate and expand the effectiveness of epidemic prevention and control, and comprehensively and orderly promote the resumption of production and re-education. Winning both victory in epidemic prevention and control and economic and social development.
Jiangsu pointed out that the emergency response level adjustment mainly adopts the prevention and control strategy and measures of “foreign defense import, internal defense rebound”, resolutely prevents the spread and spread of the epidemic caused by imported cases abroad, fully restores the normal production and living order, and strives to seize the epidemic prevention and control And the victory of economic and social development.
It requires that governments at all levels and relevant departments should fulfill their responsibilities effectively, not relax and pay close attention to all prevention and control work, and must not allow the hard-won epidemic prevention and control to continue to reverse to a good situation. Especially in the prevention of overseas imports, it is necessary to strengthen port health and quarantine, implement centralized transshipment, strictly centralize isolation, achieve seamless connection and closed-loop management of the whole process, and resolutely prevent import and spread of overseas epidemic situations.
When answering the question of Hainan ’s downgrading to Level 3 emergency response, it pointed out that due to the recent influx of personnel such as reinstatement and the increase in the flow of personnel, it is not ruled out that there may be a small amount of outbreaks imported from communities with case reports in provinces outside Hubei. The cities and counties that reported more cases in the early stage did not rule out new outbreaks. If the prevention and control measures are not in place, the epidemic situation may linger or even repeat in the near future, and the work of case detection, source investigation, and close tracking will be more complicated. Therefore, according to the current prevention and control efforts, we will continue to retain the provincial COVID-19 epidemic prevention and control work headquarters, joint prevention and joint control, and mass prevention and control work mechanisms, in accordance with the requirements of zoning prevention and control, and effectively do the epidemic prevention and control work.