Interpretation of the Notice on Optimizing and Improving Policies and Measures for the Prevention and Control of Epidemics in the Province Q&A - 聊城市第二人民医院
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Interpretation of the Notice on Optimizing and Improving Policies and Measures for the Prevention and Control of Epidemics in the Province Q&A
  • Date:2022-12-10
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I. Do people with the new coronavirus have to go to the hospital?
  According to the further optimization of the implementation of the new crown pneumonia epidemic prevention and control measures related to the requirements, positive infected people can voluntarily choose to home isolation or to the hospital centralized isolation treatment. Dong Liang, head of the Shandong Province New Crown Pneumonia Medical Treatment Expert Group, gave the following answer to the question of whether or not a person infected with the New Crown virus must go to the hospital:


  1. Is it necessary to go to the hospital after contracting the new coronavirus?

  A trip to the hospital is usually not necessary. At present, Omicron BA.5.2 and BF.7 strains have minimal effect on the lower respiratory tract, and the vast majority of manifestations are in upper respiratory tract infection symptoms including fever, sore throat, dry cough, etc. The majority of infected persons have asymptomatic or mild manifestations, and the incidence of pneumonia or severe pneumonia is extremely low.

  If symptoms such as fever and cough are detected during home isolation treatment, symptomatic treatment or oral medication can be administered, and consultation through primary healthcare organizations or Internet-based treatment is also available when needed.

  Infected persons with more severe symptoms of infection or with serious underlying diseases may choose to go to hospital for treatment.

  2. What are the requirements for home isolation treatment?
  As far as possible, if conditions permit, home-bound persons should live in a relatively independent room in the home and use a separate bathroom. Families should be equipped with personal protective equipment and disinfectant products such as thermometers (for infected persons), tissues, masks, disposable gloves, disinfectants and garbage cans with lids.
  3. What indicators need to be monitored during the home stay?
  In addition to resting, strengthening nutrition, and maintaining an optimistic state of mind, you need to pay attention to the symptoms and monitoring indicators, such as whether there is any aggravation of dry cough, chest tightness and breathlessness, shortness of breath after activity, and pay attention to the monitoring of body temperature and pulse.
  4. How should I take my medication while at home?

  For young and middle-aged people without underlying diseases, when mild respiratory symptoms occur and do not affect rest and normal life, it is not recommended to take medication on their own, they can drink more water, rest and wait for self-healing.

  If the symptoms are serious, some medicines can be used to relieve uncomfortable symptoms, such as cold medicine and fever-reducing medicine. Children, teenagers, pregnant women, nursing mothers, and patients with serious underlying diseases should be cautious before choosing medicines. Please do not take the same effect drugs repeatedly, choose one can be.


  5. How long does it take to become negative after infection?

  With symptomatic treatment, most people are able to resolve their symptoms within 24 hours to 36 hours. Nucleic acid conversion is relatively rapid in asymptomatically infected, mild cases, usually 5 to 7 days, and in some cases 11 days.

  People who have received the new coronavirus vaccine and completed booster immunization have a short course of illness and mild symptoms.

  6. When do I need to go to the hospital?

  If one of the following occurs, you may seek medical attention and treatment in a hospital by self-driving car or 120 ambulance:

  (1) Difficulty in breathing or shortness of breath.

  (2) Body temperature still higher than 38.5℃ for more than 3 days after medication.

  (3) Significant aggravation of pre-existing underlying disease that cannot be controlled.

  (4)Children with lethargy, persistent food refusal, feeding difficulties, persistent diarrhea or vomiting.

  (5) Pregnant women with symptoms such as headache, dizziness, panic, breath-holding, etc., or abdominal pain, vaginal bleeding or fluid, or abnormal fetal movement.

  7. What medications does the family need to stock?

  Families can stock up on fever-reducing medicines, cough medicines, antiviral medicines, flu medicines, etc., but there's no need to go on a shopping spree or stock up. Families with children can stock up on fever-reducing medicines suitable for children.

  People with underlying diseases must take medication regularly to control their conditions, and they can stock up about 1 month's worth of medication for underlying diseases at home. Properly stock up antigen detection reagents as needed.

  (b) Why is the elderly a priority group for vaccination against the new coronavirus? What is the current situation of vaccination against the new coronavirus in our province, especially for the elderly? What are the specific arrangements for the next vaccination of the elderly?
  Zhang Li, chief expert in the field of immunization planning at Shandong CDC, provided the following answers:
  
Elderly people, especially those with long-standing underlying medical conditions, have a significantly higher rate of developing serious illness and death after infection with the new coronavirus than younger people, and vaccination against the new coronavirus can be effective in preventing serious illness and death after infection with the new coronavirus. The study found that the risk of death after infection with the new coronavirus in elderly people over 80 years old is about 14.7% if they do not receive a single dose of the new coronavirus vaccine; if they receive a single dose of the new coronavirus vaccine, the risk of death can be reduced to 7.16%; and if they receive three doses of the new coronavirus vaccine, the risk of death will be reduced to 1.5%. This shows that vaccination with the new coronavirus vaccine is very effective in protecting older adults, and that older adults have the most to gain from vaccination with the new coronavirus vaccine.
  Vaccination data show that as of December 7, 2022, the province has received a total of 255,545,800 doses of the new coronavirus vaccine, the total number of people vaccinated reached 94,947,400 people, 92,916,400 people have completed the whole process of vaccination, and 66,051,000 people have completed booster vaccinations, and the rate of the whole population of the whole process of vaccination reached 91.52%. Among them, 19,869,700 elderly people over the age of 60 have been vaccinated, the full vaccination rate has reached 97.4%, and the reinforced vaccination rate has reached 91.81%; the full vaccination rate of elderly people over the age of 80 has reached 84.73%, and the reinforced vaccination rate has reached 80.12%. The vaccination rate of the whole population and the elderly in our province has reached a relatively high level. At the same time, the monitoring found that the incidence of adverse reactions to the new coronavirus vaccine is comparable to that of other vaccines routinely administered, and the incidence of adverse reactions to the new coronavirus vaccine in the elderly population is slightly lower than that of young people, which indicates that the safety of the new coronavirus vaccine for the elderly is very good, and that the general public can be assured of receiving the vaccine.
  Overall, the province's elderly vaccination of the new coronavirus vaccine overall situation is not bad, but there is a certain difference between different age groups, the elderly over 80 years old vaccination rate is not very high. So the next step, on the one hand, to improve the overall vaccination rate of the elderly, on the one hand, to focus on promoting and enhancing the vaccination rate of the elderly over 80 years old. Recently, the State Council Joint Prevention and Control Mechanism issued the “Strengthening of new coronavirus vaccination program for the elderly”, the province has also issued a specific implementation plan, from the sound mechanism, do a good job of mapping, optimize services, standardize the vaccination, publicity and mobilization, etc., the deployment of arrangements, and will continue to set up a green channel for the elderly, the temporary vaccination point, the use of mobile vaccination trucks, door-to-door vaccination and other ways, and actively provide safe and convenient vaccination services for the vast number of We will continue to provide safe and convenient vaccination services for the elderly by setting up green channels, temporary vaccination points, using mobile vaccination vehicles and door-to-door vaccination. At the same time, we also hope and call on the elderly friends, especially those over 80 years old, to be the first person responsible for their own health, and actively take the initiative to vaccinate for personal health protection.
  (c) What about home isolation treatment for new coronavirus infected persons?
  In accordance with the requirements for further optimizing the implementation of preventive and control measures for the new Crown pneumonia outbreak, positive infected persons can voluntarily choose home isolation or centralized isolation and treatment. For those infected with home isolation treatment, Kou Zeng, an expert from Shandong CDC's Infectious Disease Prevention and Control Institute, suggests paying attention to the following matters in order to promote their own recovery as soon as possible, and to reduce the risk of infection of co-habitants.
  1. New coronavirus infected people home isolation treatment, in conditions permitting, as far as possible to use a relatively independent room with windows as isolation room, use a separate bathroom.
  2. Infected persons should do a good job of self-protection and try not to come into contact with other family members. Tables or benches can be placed outside the isolation room as a non-contact transfer of goods to avoid face-to-face direct contact.
  3. During the period of home isolation treatment, they should take the initiative to cooperate with the management of the community (village), and they and their co-inhabitants should not go out or accept visits unless necessary.
  4. Do a good job of self-health monitoring, measure body temperature twice a day in the morning and in the evening, and if necessary, contact primary health care personnel or consult relevant medical institutions through the Internet medical form. If symptoms of respiratory infection or pre-existing diseases worsen significantly, and it is necessary to go out for medical treatment, go to the relevant hospital as soon as possible under proper protection.
  5. To do a good job of cleaning and disinfection and other hygiene and epidemic prevention measures.

  (1) open windows regularly every day to maintain indoor air circulation, do not have natural ventilation conditions, available exhaust fans and other mechanical ventilation. Do a good job of ventilating and disinfecting shared areas such as bathrooms and toilets.

  (2) Prepare food, before and after meals, take off and put on masks, etc. should be disinfected or hand sanitized. Cover the mouth and nose with tissue paper or cover the mouth and nose with the inside of the elbow when coughing or sneezing, dispose of used tissue paper in the garbage, and dispose of it properly and in a timely manner.

  (3) Infected persons should not share household items with other members of the family, and dishes should be cleaned and sterilized after use. Surfaces of objects that infected persons may come into contact with on a daily basis and the towels, clothes and covers they use should be cleaned and disinfected in a timely manner, and personal belongings should be placed separately. Items contaminated by saliva, sputum, etc. should be disinfected at all times.

  (4) If the family shares a bathroom, the infected person should disinfect the bathroom every time he/she finishes using it; if the infected person uses a separate bathroom, he/she can disinfect it once a day.

  (5) Families should be equipped with thermometers (for infected persons), paper towels, masks, disposable gloves, disinfectants, and other personal protective equipment and disinfection products and garbage cans with lids. Used paper towels, masks, disposable gloves and other household garbage should be put into plastic bags and placed in special garbage cans.
                                                                                                            Source: Shandong Provincial Health Commission