He ‘nan Province Co-ordinates the Press Conference on Prevention and Control of Infection in Covid-19

  Conference video

  At 10: 00 on January 9, 2023, the Information Office of the Provincial Government held a press conference on the prevention and control of Covid-19 infection in Henan Province.

  Release content: Introduce and interpret the specific situation of implementing the "Class B and B Management" measures for novel coronavirus infection around "protecting health, preventing severe illness, strengthening treatment and providing excellent service", and answer the questions concerned by the media.

  Published by:

  Kanquancheng Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Party Secretary and Director of the Provincial Health and Wellness Committee

  Yao Yanling first-class inspector of the Provincial Department of Industry and Information Technology

  Member and Deputy Director of the Party Group of Meng Lingwu Provincial Civil Affairs Department

  Liu Baocang, deputy director of the Agricultural Office of the Provincial Party Committee, member of the Party Group and deputy director of the Provincial Department of Agriculture and Rural Affairs.

  Second-level inspector of the Department of Transportation of Cuimei Province

  Director of Hao Yibin Provincial Center for Disease Control and Prevention

  Ping Ping, Deputy Director of Propaganda Department of Provincial Party Committee and Director of Information Office of Provincial Government

  Ladies and gentlemen, friends from the media,

  Hello everyone! Welcome to the press conference held by the Information Office of Henan Provincial People’s Government.

  At present, the epidemic prevention and control of COVID-19 in China has entered a new stage. Since January 8, 2023, novel coronavirus infection has been treated with "Class B and B management". Facing the new situation and new tasks, the provincial party committee and the provincial government attach great importance to it, emphasizing the need to thoroughly implement the important instructions of the important speech of the Supreme Leader General Secretary on epidemic prevention and control, adhere to the people first, put life first, and make every effort to do a good job in epidemic prevention and control in the new stage in accordance with the requirements of "keeping health, preventing severe diseases, strengthening treatment and providing excellent services" and fully safeguard the health and safety of the people. In order to let everyone fully understand the relevant work, today, we held a press conference here, focusing on introducing and interpreting the overall situation of Covid-19’s prevention and control of infection, and answering media concerns.

  First of all, let me introduce the publisher who attended today’s press conference:

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Mr. Kan Quancheng, Party Secretary and Director of the Provincial Health and Wellness Committee;

  Mr. Yao Yanling, first-class inspector of the Provincial Department of Industry and Information Technology;

  Mr. Meng Lingwu, member of the Party Group and Deputy Director of the Provincial Civil Affairs Department;

  Mr. Liu Baocang, deputy director of the Agricultural Office of the Provincial Party Committee, member of the Party Group and deputy director of the Provincial Department of Agriculture and Rural Affairs;

  Ms. Cui Mei, the second inspector of the Provincial Department of Transportation;

  Mr. Hao Yibin, Director of the Provincial Center for Disease Control and Prevention.

  Next, please give Mr. Kan Quancheng a briefing.

Kan

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Secretary of the Party Group and Director of the Provincial Health and Wellness Committee.

  Dear media friends:

  Hello everyone! Since the outbreak of the COVID-19 epidemic, under the strong leadership of the CPC Central Committee with the Supreme Leader as the core, the provincial party committee and government have always adhered to the principle of putting people first and life first, resolutely implemented the major requirements of "preventing the epidemic, stabilizing the economy and ensuring safe development", United and led the whole province to effectively coordinate the epidemic prevention and control and economic and social development, and optimized the prevention and control measures and improved the prevention and control capabilities in light of the epidemic development situation in different periods and stages. It has formed a series of effective prevention and control policy systems, firmly grasped the initiative in the fight against the epidemic, protected people’s lives and health to the greatest extent, and minimized the impact of the epidemic on economic and social development.

  According to the unified arrangements of the CPC Central Committee and the State Council, since January 8, 2023, novel coronavirus infection has been adjusted from "Class B A tube" to "Class B tube". For the prevention and control of the epidemic in the new stage, the provincial party committee and the provincial government attach great importance to it and plan it as early as possible. Secretary Lou Yangsheng has given instructions for many times, made a special judgment and consultation, and clearly put forward the work requirements of "protecting health, preventing severe diseases, strengthening treatment and providing excellent services", and studied and formulated a series of prevention and control measures for optimization and adjustment; Governor Wang Kai made many field investigations and video scheduling, and made work arrangements. The provincial epidemic prevention and control headquarters issued the "Implementation Measures for Implementing the" Class B and B Management "of novel coronavirus Infection", so as to guide the demand for medical treatment in an orderly manner, fully protect the people’s demand for medical treatment, and ensure the overall social stability. The main work is as follows:

  First, adjust and optimize the command system. According to the development of the situation and the change of tasks, the provincial epidemic prevention and control headquarters has adjusted its organizational structure to "one running nine special classes": the provincial health and wellness commission undertakes the daily work of the provincial prevention and control office, and implements daily research and scheduling and weekly monitoring and analysis; Set up nine special classes for medical treatment, medical materials supply, rural areas, monitoring and judgment, transportation, education, civil affairs, women and children, and safety and stability, implement special personnel to take charge of it, and link joint prevention and control to play the roles of medical care, supply, smoothness, stability, security and demand. Adhere to the "provincial overall planning, city dispatching, county and township implementation", implement the regional coordination mechanism in the province, and connect with the provincial guidance group, further improving the working mechanism of overall planning and up-and-down linkage in the province.

  Second, closely monitor the epidemic situation. According to the community monitoring data, as of January 6, 2023, the infection rate in Covid-19 was 89.0%, including 89.1% in urban areas and 88.9% in rural areas. At this stage, the most prevalent strain is Omicron BA.5.2 mutant. From the data of fever clinic, the number of patients reached a peak on December 19th, 2022, and then showed a continuous downward trend. According to the comprehensive judgment, our province has successfully passed the peak of the epidemic and achieved a smooth and orderly transition. It is estimated that by the end of this month, the number of new infections per day will remain at a low level.

  Third, do a good job in classified medical treatment. The first is to grasp the first diagnosis. All the 942 hospitals above the second level in the province have fever clinics, and all the 2556 township hospitals and community health service centers have fever clinics (outpatient clinics), so that they should be set up and open all the time, and receive consultations 24 hours a day to ensure that the people can get medical treatment in time when they are nearby. The second is to grasp the treatment. Hospitals above the second level open all campuses, wards, wards, and treat patients with Covid-19 infection, so as to collect all the receivables and cure them. Improve the linkage mechanism between outpatient and emergency departments and wards, and give priority to high-risk patients. As of January 7, the utilization rate of beds in hospitals above the second level in the province was 94.95%, and the utilization rate of critically ill beds was 82.35%. There was no serious medical run. The third is to grasp the emergency department. Establish a graded response mechanism of emergency command center, and take measures such as reforming the command and dispatch system, expanding lines, adding dispatching seats, increasing the reserve of dispatchers, and classifying emergency calls to ensure the smooth flow of emergency service hotline. The answering rate of emergency calls in 10 seconds in the province is 98.6%, and the leaving rate in 3 minutes is 99.5%. The fourth is to grasp security. Give full play to the role of Internet hospitals, conduct online consultation, send medicines free of charge, and provide convenience services through multiple channels to meet the needs of the masses. In the case of increasing infection and decreasing flow of people, we have actively organized party and government organs, enterprises and institutions to donate blood for free, and the blood reserve for clinical use has reached 7 days.

  Fourth, efforts should be made to strengthen health services in rural areas. According to the deployment of the video dispatching meeting of the provincial party Committee on rural epidemic prevention and control, we will earnestly achieve "five full coverage". First, the fever clinic is fully covered in rural areas. All community and rural medical and health institutions accept patients with fever, accounting for more than 90% of the patients. The second is the full coverage of symptomatic treatment drugs. Explore the promotion of drug distribution directly to the countryside, and dynamically reserve Chinese medicine, antipyretic and cough-relieving drugs, antigen detection kits in township hospitals and village clinics to ensure the right medicine and standardized medication. The third is the full coverage of the door-to-door consultation of special people. Implement grid management, find out the health status of the elderly, pregnant women, left-behind children and other groups with basic diseases, and provide health monitoring, medication guidance, antigen testing and other services through telephone, video and offline follow-up to ensure that care and warmth are sent to the hearts of the masses. The fourth is the security coverage of the third-level hospital. Delineate the scope of responsibility of tertiary general hospitals (including traditional Chinese medicine hospitals), implement lump-sum responsibility, clarify and smooth the green channel for referral, and treat severe and critical patients. 425 secondary and tertiary hospitals provide counterpart support to township health centers, and 6,390 doctors are assisted by stationing or visiting clinics to guide the medical treatment and classified health services of township health centers on the spot. Fifth, the patriotic health campaign covers all urban and rural areas. Innovatively carry out the "one science popularization and six actions", further promote urban and rural environmental sanitation management, guide the broad masses of people to enhance their awareness of protection, develop good hygiene habits, build a healthy defense line, and be the first person responsible for their own health. The health literacy level of residents in the province has reached 29.37%.

  At present, with the approach of the Spring Festival, the flow of people has increased, and the number of returnees has increased. The prevention and control of epidemic situation should continue to be strengthened. We will thoroughly implement the decision-making arrangements of the provincial party Committee and the provincial government, fully implement the overall plan of "Class B and Class B Management", resolutely stick to the bottom line of medical treatment, earnestly safeguard people’s health and safety, and provide a strong health guarantee for the province’s economic and social development.

  Let me introduce these first, thank you!

  Ping Ping, Deputy Director of Propaganda Department of Provincial Party Committee and Director of Information Office of Provincial Government

  Thank you, Director Kan, for your detailed release! Next, please ask the reporter friends to ask questions. As a rule, please inform the news organizations you represent before asking questions.

  People’s Daily People’s Daily reporter

  As mentioned in the release just now, at this stage, we should focus on "protecting health, preventing severe illness, strengthening treatment and providing excellent service". What specific measures have Henan taken to expand medical treatment resources and strengthen medical treatment? Thank you.

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Secretary of the Party Group and Director of the Provincial Health and Wellness Committee.

  Thank you for your concern about the medical treatment of Covid-19 infection. The focus of epidemic prevention and control in the new stage lies in medical treatment. Although the current peak of infection has passed, it is still at the peak of severe treatment. The Provincial Health and Wellness Committee co-ordinates the medical treatment resources in the province, highlights the "three key points" (namely, rural areas, pension and social welfare institutions, and elderly people with serious basic diseases), and goes all out to do a good job in medical treatment to ensure a smooth transition of epidemic prevention and control.

  First, do everything possible to expand critically ill beds. Hospitals above the second level in the province tap the internal potential, and adopt measures such as strengthening the establishment of new wards, emergency addition of respiratory wards, emergency extra beds in various wards, and transformation of ordinary wards into severe wards to expand the total beds and intensive care beds. From December 10, 2022 to January 7, 2023, the total number of beds in hospitals above the second level in the province increased from 393,301 to 545,119, and the number of ICU beds increased from 13,635 to 21,771, which provided a strong guarantee for medical treatment.

  Second, many channels purchase much-needed equipment. The provincial government urgently allocated 600 million yuan for medical institutions to expand critically ill beds and purchase urgently needed equipment by means of awards instead of subsidies. There CRRT 7,750 original invasive ventilators, 1,166 new ones and 1,932 new ones, 4,585 original noninvasive ventilators, 674 new ones and 1,141 new ones, 71,592 original monitors, 3,612 new ones and 4,649 new ones, and 2,645 original high-flow oxygen inhalers, 1,000 new ones and 1,765 new ones.

  Third, systematic and efficient training of medical staff. Organized provincial experts in critical care medicine, respiratory medicine, emergency medicine, pediatrics, neonatal intensive care, clinical nutrition and rehabilitation medicine to produce 59 special training courses with a cumulative duration of 1,727 minutes, and conducted online training through the platform of medical and health newspapers and Henan appointment registration platform. After training, medical staff from other departments in medical institutions supported respiratory department, infectious department and intensive care department, and the number of medical staff in intensive care increased from 26,134 to 33,171.

  The fourth is to coordinate and treat critically ill patients. According to the principle of zoning, all localities and cities delimit the scope of responsibility for each tertiary general hospital, which is responsible for treating the elderly patients with Covid-19 infection. At the same time, a special class for dispatching critically ill patients was set up to grasp the daily medical conditions, inpatients, critically ill patients and other data of medical institutions above the second level in the jurisdiction in real time, and accurately dispatch the hospitalization and transfer of critically ill patients to ensure that all receivables are collected and all should be cured.

  The fifth is to comprehensively carry out guidance and consultation. Seventeen medical treatment guidance groups were set up, and 68 provincial experts were organized to go to various places, and went deep into 59 counties, 104 medical institutions above the second level, 64 county-level hospitals, 82 township hospitals and community health service centers, 77 village clinics, 30 pharmacies, 31 nursing homes and social welfare institutions, and 3 municipal emergency medical rescue command centers, focusing on the treatment of critically ill patients. Establish a provincial expert consultation mechanism, arrange provincial experts in critical illness, respiratory, traditional Chinese medicine and other related disciplines to rotate in groups, provide remote consultation services online, give technical guidance to the treatment of complex critical cases at the grassroots level, and improve the standardized and homogeneous treatment level of severe patients.

  Sixth, give full play to the role of traditional Chinese medicine. A 93-member expert group on TCM treatment was set up to optimize the TCM treatment plan, improve the treatment process, and strengthen the province’s TCM treatment guidance and coordinated intensive consultation between Chinese and Western medicine. At the same time, we have done a good job in the treatment of Chinese medicine at the grassroots level. At present, we have completed 150,000 online trainings on Chinese medicine treatment. We will promote the storage of major Chinese medicines in various places, encourage hospitals to develop Chinese medicine preparations, and promote 76 Chinese medicine preparations throughout the province to fully protect the people’s demand for Chinese medicine services. thank you

  Xinhua news agency reporter

  Drugs for treatment in COVID-19 have always been a common concern and an important link in epidemic prevention and control. It is understood that the first domestically produced COVID-19 oral drug, Azvudine, was independently developed by Henan enterprises and its production base is in Henan. In the face of the current contradiction between supply and demand of drugs, how can Henan do a good job in ensuring the production of Azif tablets? thank you

Yao

  Yao Yanling, first-class inspector of the Provincial Department of Industry and Information Technology

  Thank you for your question. After the approval of the application for registration of azvudine tablets to increase the treatment indications in COVID-19, whether the drug can meet the national market demand under the current situation of epidemic prevention and control has become a common concern of the public. Azvudine tablet is the first domestic oral small molecule Covid-19 pneumonia drug officially approved for marketing. It was jointly developed by the research team of Professor Chang Junbiao, a Henan scientist, and Henan Real Biotechnology Co., Ltd., and completed the phase III clinical trial against Covid-19 in May 2022, and was approved for conditional marketing by National Medical Products Administration on July 25th. The production of this drug involves two main links: bulk drug and preparation tabletting. Among them, the raw material medicine is produced by Xinxiang Pharmaceutical, and the preparation tablet has now formed a large-scale production base consisting of Pingdingshan production base, Peking Union Medical College and China Resources Shuanghe, and has distributed 8.53 million copies of azithromycin tablets, with an inventory of 2.07 million copies.

  The provincial party committee and government attach great importance to the production guarantee work of Azfuding. Lou Yangsheng, secretary of the provincial party committee, and Wang Kai, governor of Azfuding, have listened to the work reports and made instructions for many times, and put forward clear requirements. Before the drug went on the market, our province set up the Azvudine production guarantee special class led by the provincial government, with the participation of the provincial department of industry and information technology, the provincial health and wellness commission, the provincial food and drug administration and other relevant departments and bureaus, and the Pingdingshan municipal government and Xinxiang municipal government, and carried out the whole process and whole chain scheduling around the marketing permission, production preparation, factor deployment, expansion plan, etc., so as to help and coordinate and solve the difficulties and problems encountered by Xinxiang Pharmaceutical, a real biological and Azvudine raw material drug manufacturer. After the promulgation of the "New Ten Articles" for national epidemic prevention and control, the Provincial Department of Industry and Information Technology presided over a dispatch meeting for key enterprises such as Real Biology and Xinxiang Pharmaceutical to mobilize enterprises to increase production and supply, prompting them to cope with the peak of drug use. On December 16, they organized a factory-based working group to enter the factory to provide services, comprehensively solve various problems encountered by enterprises, and help enterprises reach full production as soon as possible.

  In the face of the current shortage of azvudine tablets, Real Bio has started full-load production 24 hours a day, without stopping work on holidays. With the strong support of the Provincial Health and Health Commission and the provincial drug supervision department, the existing three manufacturers have fully expanded their production and increased production, and on this basis, two new production bases of preparation tablets, such as Xinxiang Changle Pharmaceutical, have been added, and the production capacity of finished preparations has been comprehensively improved. It is estimated that the daily output will be close to 1.5 million in the second half of this month, which can basically meet the needs of severe treatment. Xinxiang Pharmaceutical Factory has a certain stock of raw materials. By the end of January, it can continue to supply 783kg of raw materials (21.92 million finished products can be produced), which can meet the needs of five finished pharmaceutical factories for tablet pressing. It is estimated that the stable production will exceed 1500kg per month by February (42 million finished preparations can be produced).

  In the next step, we will strengthen cooperation with health departments, drug supervision departments, Pingdingshan Municipal Government and Xinxiang Municipal Government according to the deployment of the joint prevention and control mechanism of the provincial party committee, the provincial government and the State Council, relying on the special class of production guarantee for the key drug azifudine, and jointly solve related problems such as raw material supply and approval for capacity expansion. At the same time, relying on the in-factory service working group of the Ministry of Industry and Information Technology, we will strengthen the research and dispatch, provide capital, employment and other factors for production enterprises, help enterprises complete production tasks with good quality and quantity, ensure the stable supply of finished drugs and raw materials of azithromycin tablets, and contribute to building a barrier for epidemic prevention and control and protecting people’s health. Thank you!

  Henan Daily reporter

  The elderly are the key protection targets in epidemic prevention and control. What measures have been taken by the Provincial Health and Wellness Committee for the elderly population? Thank you.

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Secretary of the Party Group and Director of the Provincial Health and Wellness Committee.

  Thank you for your question. We always adhere to the people first and life first, and regard the elderly as the key protection object of epidemic prevention and control from beginning to end. After the epidemic prevention and control has entered a new stage, it is mainly to promote the "gateway forward", strengthen health management services by classification and grading, and protect people’s health and life safety to the greatest extent.

  The first is to find out the base. To conduct a comprehensive survey on the health status of the elderly over 65 years old, and divide them into three categories, namely, high-risk population, medium-risk population and low-risk population, which are marked as red, yellow and green respectively, according to the factors such as their combined basic diseases and vaccination. As of January 7th, 12,834,200 people have been investigated in the province, including 1,007,900 high-risk people, accounting for 7.85%. There are 2,450,700 people at middle risk, accounting for 19.10%; The low-risk population is 9,375,600, accounting for 73.05%.

  The second is to speed up vaccination. Take measures such as mobile vaccination vehicles entering the community, entering the old-age care institutions, and going to the countryside to enter the village to accelerate the vaccination of the elderly. As of January 7th, 13,720,200 people aged 60-79 in the whole province had been vaccinated, with a vaccination rate of 98.49%, and 10,806,300 people had been strengthened with a vaccination rate of 93.58%. People over 80 years old were vaccinated with 1,549,800 people in the whole process, with a vaccination rate of 93.25%, and 908,200 people were strengthened with a vaccination rate of 80.27%, which is at the leading level in the country.

  The third is to strengthen health management. Relying on the 32,000 family doctors and 110,000 village doctors in the province, the high-risk population was followed up three times a week and the middle-risk population was followed up twice a week by means of telephone, WeChat, video and home visit. Follow-up health monitoring, medication guidance and consulting services for key populations, implement early intervention and strengthen early identification. Once the symptoms related to COVID-19’s infection are found, they should be referred to the doctor immediately to prevent serious illness.

  The fourth is graded medical treatment. Township hospitals and community health service centers are generally able to carry out oxygen therapy services. Zhengzhou, Luoyang, Nanyang, Zhoukou, Luohe, Hebi and other places have transformed some nucleic acid huts into fever clinics to facilitate residents to seek medical treatment nearby. At the same time, relying on the medical community to do a good job of grading diagnosis and treatment, and establish a referral and transfer mechanism for critically ill patients. For elderly patients with severe tendency, they are directly referred to a general hospital at or above the second level.

  In the next step, we will continue to take the elderly as the focus of epidemic prevention and control, adhere to the principle of "early detection, early identification, early intervention and early referral", give full play to the role of comprehensive management of grassroots organizations and professional services of grassroots medical and health institutions, further strengthen the health management and medical service guarantee of key populations, and strive to maintain health, prevent serious illness and reduce illness and death. Thank you.

  China news service reporter

  We know that the old-age care institutions, social welfare institutions and children’s welfare institutions are all elderly people, children and disabled people, and they belong to high-risk susceptible groups. I would like to know how the civil affairs departments arrange the deployment of epidemic prevention and control in these special places. Thank you.

first month of a season

  Meng Lingwu, member and deputy director of the Provincial Civil Affairs Department.

  Thank you for your concern for these special groups. There are 4,069 old-age care institutions (including social welfare institutions) and 36 children’s welfare institutions managed by the civil affairs departments of the province, including 138,000 elderly people and 3,624 children. Since the release of the "New Ten Articles" of the epidemic prevention and control policy, we have focused on strengthening the closed-loop management of "one old and one small" institutions, ensuring medical treatment and medication, and accelerating vaccination. The "one old and one small" institutions are relatively less affected by society, and the epidemic prevention and control situation is stable. There are four main measures taken:

  The first is to comprehensively arrange deployment. Three-level special classes have been set up in the province, and civil affairs classes for epidemic prevention and control have been set up at the provincial level. At the city and county levels, special working groups led by government leaders in charge of civil affairs, and responsible comrades of civil affairs, health care, disease control and other units have been set up. The civil affairs system has set up a special class for "daily dispatch", issued nine guiding opinions, and clarified various measures such as medical security and vaccination. Dispatch and deploy regularly, and put forward 13 measures. The implementation of departmental leadership package supervision, daily scheduling since New Year’s day.

  The second is strict closed-loop management. Specially, the work measures after the "second-class and second-class management" in the old-age care institutions were optimized and adjusted, and the workflow of changing shifts of staff, newly admitted elderly people and returning to the institutions after medical treatment was refined. For example, institutions with conditions are encouraged to provide accommodation, and staff members live in old-age care institutions. For those who really need to rotate their posts, the shift-changing staff will be changed at least 14 days, and the shift-changing staff will provide negative proof of antigen test (or nucleic acid test) twice within 48 hours before taking up their posts. At the same time, strictly implement physical and environmental protection measures to reduce risks from management.

  The third is to refine the safeguard measures. Strengthen requirements for key links such as medical security, drug security and vaccination. In terms of medical security, it is clearly required that each old-age care institution should dock with a designated hospital at or above the second level, and establish a transshipment mechanism to directly refer the elderly at high risk in the old-age care institution to a tertiary general hospital once they are infected. At present, all institutions have established docking mechanisms and comprehensively improved emergency plans. In terms of material security, it is clearly required to treat the epidemic prevention medical materials of old-age care institutions and social welfare institutions as medical institutions and give priority to protection; Free distribution of antigens to the elderly at a frequency of not less than twice a week. The province has solved 868,000 pieces of medicines and materials for "one old and one small" institutions. In terms of vaccination, we take daily reports and send reminders to speed up the progress. The vaccination rate of the elderly without contraindications in the old-age care institutions in the province reached 97%, and the whole vaccination rate was 88.6%. Among them, the vaccination rate under 80 years old is 99.8%, and the whole vaccination rate is 93.3%.

  The fourth is to actively solve problems. This year, we allocated 17.78 million yuan from the welfare lottery public welfare fund to purchase equipment subsidies such as epidemic prevention materials for old-age care institutions. All localities can purchase epidemic prevention equipment such as automatic thermometers, ultraviolet sterilizers and spray sterilizers, and epidemic prevention materials such as protective clothing, goggles and N95 masks. Together with eight departments, including finance, we have issued supporting policies to promote the recovery and development of the aged care service industry, and put forward 10 supporting measures, such as issuing temporary relief subsidies and reducing deferred rent. Jiaozuo, Kaifeng, Hebi and other cities distributed health kits, antigens, protective clothing and other materials to the old-age care institutions to help alleviate the difficulties of epidemic prevention.

  After the "Class B Management", the "one old and one small" institutions will face the risk of infection in contact with the society. As the Spring Festival approaches, the prevention and control of epidemic situation in old-age care institutions in rural areas still needs attention. In the next step, the Provincial Department of Civil Affairs will attach great importance to the work of "early detection, early identification, early intervention and early referral" of infected persons in "one old and one small" institutions, effectively bring the old-age care institutions into the relevant working mechanism of "moving forward", coordinate the health and disease control departments to support the old-age care institutions to do a good job in prevention and emergency response, urge and guide the old-age care institutions to conscientiously implement relevant measures, and strengthen the dynamic service and "gateway" for key people in rural old-age care institutions. Thank you.

  Henan TV reporter

  The prevention and control of rural epidemic situation has always attracted everyone’s attention. We know that in order to do a good job in epidemic prevention and control in rural areas, our province has set up a special class for epidemic prevention and control in rural areas. I would like to know what work is mainly carried out to strengthen epidemic prevention and control and health services in rural areas at present and in the future. Thank you.

a state in the Zhou Dynasty

  Liu Baocang, deputy director of the Provincial Agricultural Office, member of the party group and deputy director of the Provincial Department of Agriculture and Rural Affairs.

  Thank you for your attention to our work. Our province attaches great importance to the prevention and control of epidemic situation in rural areas, and has established a special class for epidemic prevention and control in rural areas, which is responsible for the implementation of work responsibilities, the coordination of epidemic prevention policies, and the mobilization of grassroots organizations.

  First, establish a five-level secretary to grasp the prevention and control mechanism of rural epidemic situation. Conscientiously implement the requirements of epidemic prevention and control in rural areas throughout the country, make overall planning in the province, dispatch in the city, implement in counties and villages, compact responsibilities at different levels, and do a good job in the current epidemic prevention and control in rural areas. At present, cities and counties have established special classes for epidemic prevention and control in rural areas, which work under the epidemic prevention and control command at the same level to promote the implementation of key tasks. Give full play to the role of the village party organization as a fighting fortress and the vanguard and exemplary role of party member, and weave a "safety net" for epidemic prevention and control by using grid management, refined service and information support.

  Two, the development of rural epidemic prevention and control work guide. Guide rural areas to do a good job in epidemic prevention and control and health services during the Spring Festival, strengthen daily health services around "protecting health, preventing severe diseases, strengthening treatment and providing excellent services", orderly channel the demand for diagnosis and treatment, guide the masses to make the first visit at the grassroots level, highlight the management of key populations, the prevention and control of epidemic diseases in key institutions, and the treatment of severe patients, do a good job in ensuring people’s medication, improve epidemic prevention and control measures in rural areas, strengthen the implementation of prevention and control responsibilities, and accelerate the construction of health defense lines for rural permanent residents and returnees.

  Third, strengthen the information dispatch of key rural populations. Establish an information system, dispatch the work data of health care, civil affairs, people’s society, disabled persons’ Federation and other departments, and do a good job in information collection and entry, so as to provide a basis for judging the epidemic situation and solving practical problems. At present, the special classes at the city and county levels have mainly carried out the dispatch of 20 indicators, such as the number of elderly people aged 60 and over in rural areas, the number of elderly people aged 65 and over with basic diseases, the number of disabled people, the number of blood oxygen monitoring equipment in village clinics and the number of people vaccinated in Covid-19.

  Fourth, do a good job in publicity services for rural personnel before and after the Spring Festival. Use a variety of publicity methods to publicize epidemic prevention and control policies and personal prevention and control knowledge. Promote scientific and rational understanding of Covid-19 and vaccination, and guide vaccination. Actively advocate the new style of festival civilization, and conduct public activities and dinners in an orderly manner. Strengthen the service management of rural gatherings, temple fairs, weddings and funerals and other gathering activities. Continue to carry out village cleaning operations, focus on toilet revolution and garbage and sewage treatment, do a good job in sanitation, epidemic prevention, disinfection and general cleaning, and create a clean and tidy holiday environment in the countryside.

  In the next step, we will conscientiously implement the arrangements of the provincial party committee and the provincial government, strengthen coordination and linkage, refine work measures, pay close attention to the implementation of tasks, and safeguard the health of farmers and the normal production and living order in rural areas to the greatest extent. Thank you.

  Dahe daily reporter

  Recently, many relatives and friends around me have been "Yang Kang". It is said that there is still the possibility of reinfection after "Yang Kang". How to protect after "Yang Kang", try to avoid reinfection, and how to distinguish between "Yang Rehabilitation" and reinfection? In addition, the Spring Festival holiday is coming, and Spring Festival travel rush has already begun. What should you pay attention to when you return home and travel during the Spring Festival? Thank you.

a surname

  Hao Yibin, Director of the Provincial Center for Disease Control and Prevention

  Thank you for your question. Compared with other mutants before, Omicron mutant has enhanced its spreading ability and immune escape ability, but according to epidemiological research and clinical observation, the probability of Covid-19 reinfection within 3-6 months after "Yangkang" is relatively low. At the same time, according to the gene sequencing of local cases carried out in our province since December, the results show that BA.5.2 branch accounts for 94.5%, BF.7 branch accounts for 4.4%, and BA.5.2.20 branch accounts for 1.1%. At present, BA.5.2 is still the dominant strain in our province, and no new mutant has been found yet, so it is unlikely to infect the same mutant again in a short time.

  The best way to prevent reinfection is still to implement personal protective measures, including wearing masks, paying attention to hand hygiene, frequent ventilation and vaccination. Especially after the rehabilitation of the elderly and children, try to reduce gathering, ensure good hygiene habits, and strengthen nutrition through reasonable diet; After 6 months, "Yangkang" actively inoculated with COVID-19 vaccine to strengthen the immune barrier, which can reduce the risk of reinfection.

  How to distinguish "relapse" from reinfection. "Re-positive" usually occurs within 2-3 weeks after negative conversion, and patients usually have no obvious clinical symptoms, mainly because the residual virus nucleic acid fragments in the body are positive and generally not contagious; Reinfection usually occurs within several months to one year after the first infection, which is equivalent to a new infection, usually with clinical symptoms, and the viral nucleic acid load is high and infectious. "Fuyang" patients do not need further treatment, just pay attention to rest, reasonable diet and nutrition. Patients with reinfection, such as symptoms, need to undergo standardized treatment again, and strictly do personal protection and self-isolation, pay attention to the protection of family members and colleagues, and reduce the risk of epidemic spread.

  The Spring Festival, our traditional festival, is coming soon. This year is the first Spring Festival after the epidemic prevention and control has entered a new stage, and the people are full of expectations. Compared with previous years, with the continuous optimization of prevention and control measures and the accelerated release of cross-regional personnel mobility, coupled with the concentrated release of travel needs accumulated by the people in the past three years, such as returning home for the New Year, visiting relatives and friends, and sightseeing, it is expected that the personnel mobility during Spring Festival travel rush will increase substantially. In order to further reduce the risk of epidemic spread, it is suggested that everyone must continue to implement personal protection, carry out self-health monitoring, and be the first person responsible for their own health during the Spring Festival. In particular, take the initiative to avoid traveling with symptoms, such as fever, sore throat, cough and other symptoms, it is recommended to carry out antigen or nucleic acid testing in time. After confirming the infection, please do not take public transport or participate in gathering activities. At the same time, it is also suggested that the elderly with basic diseases, pregnant women and children should minimize travel and reduce the risk of infection for themselves and their families. thank you

  Ping Ping, Deputy Director of Propaganda Department of Provincial Party Committee and Director of Information Office of Provincial Government

  Thank you publishers! Time, that’s all for today’s on-site questions. If journalists and friends have other concerns, they can contact the relevant publishing units for an interview after the press conference.

  Media friends, the decision of the CPC Central Committee to optimize and adjust epidemic prevention and control measures is a major decision made on the basis of overall planning and comprehensive judgment. The implementation of "Class B Management" is an adjustment of prevention and control strategy based on a comprehensive assessment of virus variation, epidemic situation and China’s prevention and control work. It is an initiative to seek truth from facts and optimize and improve prevention and control measures according to the situation, and it is also to continuously improve the scientific, accurate and effective prevention and control work. Through today’s press conference, we also saw the efforts and achievements made by our province to do a good job in medical treatment and other work to ensure a smooth transition of epidemic prevention and control. Here, I hope that all news media will thoroughly publicize and report the effectiveness of our province’s measures to coordinate the prevention and control of epidemic situation in the new stage, do a good job in policy interpretation, increase popular science propaganda, guide the public to consciously strengthen and do a good job in personal protection, be the first responsible person of their own health, firmly believe in overcoming the epidemic situation, and vigorously create a good public opinion atmosphere to ensure smooth and orderly adjustment, people’s safety and health, and social harmony and stability!

  That’s all for today’s press conference. Thank you publishers! Thank you, journalists and friends! Goodbye.