Author: Ming Shuyuan official account: Ming Shuzatan WeChat ID: laomingdashu
1) In the past period, the debate on epidemic prevention policy within Chinese society has been particularly fierce, resulting in considerable tearing, confrontation and internal strife. In the three years since the outbreak of the epidemic, China’s epidemic prevention policy has never been static. With the constant variation of the virus itself, as human beings become more and more fully aware of the virus, and with the changes in various conditions of anti epidemic in China’s society, including the preparation of epidemic prevention materials, the need to better balance the relationship between epidemic prevention and economic stability in different periods, and the comprehensive consideration of the economic and social costs of epidemic prevention, China’s epidemic prevention policy has never been rigid, but has kept pace with the times on the basis of seeking truth from facts. Next, the direction of optimization of China’s epidemic prevention policy should be to better implement the “Twenty Principles” on the basis of adhering to the ninth version of the prevention and control plan, and on the basis of continuing to protect the health and life safety of the majority of the people, to effectively reduce the economic and social costs of epidemic prevention by correcting “layer upon layer”, “one size fits all” and other problems, especially to avoid various secondary disasters caused by epidemic prevention, On the basis of “epidemic prevention”, more attention should be paid to “economic stability” and “development security”.
2) At present, the conditions for further optimization of China’s epidemic prevention policy have been preliminarily met. On the contrary, if we can’t solve the problems of “layer by layer” and “one size fits all”, with the increasing economic and social costs of epidemic prevention, and with the continuous occurrence of secondary disasters brought about by epidemic prevention, the consensus of Chinese society on epidemic prevention is being torn, and there are huge risks hidden in it. At present, China’s epidemic prevention is facing some new conditions:
——The infectivity of COVID-19, the variant strain of Omicron, increased significantly, but its pathogenicity decreased significantly. Objectively speaking, after Omikron became the main epidemic strain, the difficulty of epidemic prevention increased significantly, and the cost and cost of epidemic prevention also increased significantly. Although the number of COVID-19 infected people in China has remained relatively high for some time in the past, asymptomatic infected people and mild diseases account for the vast majority, while critical diseases account for a very small proportion. Omikron has made fundamental changes with the original COVID-19 strain and even with the previous Delta. There is no need to use the method of fighting COVID-19 2020, or even COVID-19 2021 to fight COVID-19 2022 and 2023;
——The Chinese society has accumulated rich experience in epidemic prevention, and has made positive progress in the use of existing Chinese and Western medicines for prevention and treatment, as well as in the reserve of epidemic prevention materials, the construction of medical resources, and the reserve of other materials;
——Three years after the epidemic, the tension and contradiction between epidemic prevention and stabilizing the economy and ensuring the people’s livelihood have become increasingly prominent. In particular, the frequent and large-scale containment brought about by the high infectivity of Omikjon has caused relatively serious economic and social consequences, and other social risks and contradictions have risen in the context of epidemic prevention. Timely adjustment and optimization of epidemic prevention policies are not only a reflection of respect for science, but also a response to the aspirations of the general public, and also a requirement for effective prevention and resolution of various social risks;
——On November 30 and December 1, it was also natural for relevant parties to make new arrangements on the basis of new information input after holding a series of symposiums for experts and front-line epidemic prevention representatives.
3) At this moment, there is no need to argue whether China is going to “lie flat”, because it is very clear that China’s epidemic prevention has never really “lie flat”. The epidemic prevention policy is constantly optimized and adjusted to achieve better epidemic prevention effect. The “lying flat”, which completely ignores the existence of viruses and epidemics and gives up its hands, is unlikely to occur in China. Even though the specific operation standards of epidemic prevention may be “relaxed” in the future, for example, the frequency of nucleic acid testing is reduced, the detection of nucleic acid negative results is reduced, and for close contact, asymptomatic infected persons and mild infected persons in some special populations, etc., home isolation can be considered, but in essence, this is still the optimization of epidemic prevention policies, in order to avoid excessive consumption of social resources, It is to take care of the personalized needs of special people, not to “lie flat”. To be sure, in the coming quite a long time, even if the epidemic enters a new stage of normalized prevention and control, the necessary nucleic acid testing, antigen testing, wearing masks and other requirements will still be an important part of epidemic prevention, but there is no doubt that the impact of epidemic prevention on people’s lives and economic activities will continue to decline.
4) The general direction of China’s epidemic prevention policy optimization is very clear:
——On the basis of continuing to protect people’s health and life safety, we will truly control the economic and social costs of epidemic prevention at a low and sustainable level;
——The top priority of epidemic prevention is to protect vulnerable people and avoid the worst case of death of large-scale infected people. At the same time, we should try our best to avoid excessive consumption of social resources and medical resources caused by epidemic prevention, especially to avoid medical runs, and to avoid the situation that critical patients among COVID-19 infected people and critical patients in other diseases cannot be treated in time due to the collapse of the medical system and a large number of deaths occur;
——At present, vaccination will be the top priority for people over 60 years old, especially those with basic diseases. The National Health Commission has recently released the work plan for vaccination of the elderly. Next, every family, every old person, and every person with an old person in the family should take action immediately. According to the suggestions of the Health Commission, let their grandparents, parents, etc. take over all of them. All kinds of COVID-19 vaccines that have been approved in China are safe and very effective in preventing post infection hospitalization, severe illness and death;
——In order to avoid a medical run, the key is to clarify the tight connection, isolation and treatment of asymptomatic, mild and moderate infected people. In order to really use “good steel on the blade”, it may be necessary to consider whether close contact, asymptomatic, mild and moderate infected persons with home isolation conditions can be considered for home isolation. Shelters are mainly used to isolate and simply treat infected persons without home isolation conditions. Some cabins may need to be upgraded to divert some patients who are at risk of developing in the critical direction under special circumstances;
——We will continue to expand the construction of ordinary sickbeds and ICU sickbeds, and continue to reserve various epidemic prevention materials and medicines.
5) In the past two days, Beijing, Guangzhou and other places further shortened the time and scope of closure in accordance with the requirements of the “Twenty Rules”, and some other places in the country are also lifting the closure and “silence” measures that have been implemented for a long time in accordance with the requirements of the “Twenty Rules”. Next, there may be a period of chaos in the national epidemic prevention, but it is believed that with the introduction of new epidemic prevention requirements and standards, the Chinese society will rebuild the consensus on epidemic prevention, and the epidemic prevention standards in various regions will be increasingly unified. For many places, the key at this stage is to correct the “layer by layer”, “one size fits all” and other problems. For a long time, the whole country has stopped punishing local officials for the outbreak of an epidemic in a certain place, which may be a signal in itself. At this moment, in the county and city, never “act too much” or “act out of shape” again.
6) To avoid a run on medical resources, three key tasks need to be completed:
——At any time point, on the premise that the economic and social costs caused by epidemic prevention are affordable and sustainable, the speed of virus transmission should be slowed down as much as possible, and the total number of infected people in a single time period should be reduced as much as possible. Only when the total number of infected persons is reduced, can the absolute number of critical cases be reduced, and can a large number of critical patients impact the medical system in a short time be avoided. Therefore, each of us should be the first responsible person for our own health. No matter how the epidemic prevention policy is optimized, we should try our best to avoid infection. This is not only to protect themselves and their families, but also to avoid spreading the virus to more people, especially to vulnerable people. Next, we need to work together to protect the valuable medical system and medical resources in China. Knowing this, we can see that no matter how the epidemic prevention policy is optimized and adjusted, basic protective actions such as wearing masks and washing hands frequently must be taken;
——Shunt the asymptomatic, mild and moderate infected people, and the people who will not have serious risks among other patients temporarily, so as to reduce the pressure on the medical system. In short, in the next six months to one and a half years, if we can not go to the hospital, we should try not to go to the hospital. We should leave precious medical resources to the critical patients, the elderly, pregnant women, children and other special groups. At this time, I strongly suggest making good use of the existing online consultation and online medical consultation platform. These platforms are equivalent to making better use of the time beyond the eight hour work of regular doctors, which can relieve the pressure of hospitals. This requires national policies to keep up with it quickly, and “traffic lights” should be set up. What can and cannot be done in online consultation and online medical consultation should be properly standardized. However, I personally prefer to be tolerant and open to online consultation and consultation when the epidemic has caused a shortage of medical resources. In the past three years, I have used the online medical consulting platform for many times. It is enough to solve some common health problems. In combination with online platforms such as Meituan Buying Medicine, common diseases such as headaches, colds and fever basically do not need to run to the hospital;
——According to the experience of various countries, after the large-scale spread of the virus in the community, the medical population will “lose” a considerable proportion. Therefore, medical staff must be well protected. At the same time, from now on, we should make a thorough investigation and statistics of the personnel who have retired, left their jobs, or transferred to another job, but still have the qualification and ability to perform medicine. When necessary, we should mobilize them as the “reserve team” of regular medical personnel, and they can take the lead at any time when the medical system is under pressure. This work is also very important to avoid the collapse of the medical system.
7) To
As soon as possible, study the standard operating procedures (SOPs) for normal operation in all walks of life under the new normalized prevention and control conditions. These days, I see that some nursing homes and sanatoriums have started closed-loop operation, and some important industries and special industries have also started closed-loop operation, which is just a beginning. Next, all walks of life should have clear SOPs on how to conduct nucleic acid testing, how to check health codes, how to seal, how to unseal, and how to resume production in case of an epidemic. In everything we do, we must be prepared.
8) From the perspective of stabilizing the economy and ensuring the people’s livelihood, how to resume work and production in catering, tourism, cinema and other industries that are highly dependent on offline on-site consumption? This issue is particularly important. Do you want to scan the health code? Do you want to check the nucleic acid negative certificate? Do you want to limit the number of people? All these issues should be considered. For labor-intensive manufacturing enterprises, it is particularly important to consider the problem of returning to work and production under the conditions of normalized epidemic prevention and control, and especially to avoid the destructive impact of the concentrated outbreak of the epidemic on production. For all other enterprises, institutions and government departments, how to resume work and production safely and how to ensure normal operation and work order also need to be considered in advance.
9) From the perspective of thousands of households, the resumption of classes in kindergartens, primary and secondary schools and universities is more sensitive and complex. Under what conditions can classes resume? After the resumption of classes, how do students and faculty do nucleic acid or antigen testing? If there is a positive infection, how to seal it? How to isolate? How to unseal? These problems need to be planned in advance.
10) Finally, is it necessary to consider getting through the national nucleic acid and antigen testing results? Do you need a unified health code? Only by getting through and unifying, can the national epidemic prevention work come out of the current situation of fragmentation, fragmentation, mutual conflict and numerous contradictions, and can the normal flow of people be restored nationwide. This is crucial to stabilizing the economy and ensuring people’s livelihood.
The optimization and adjustment of P.S. epidemic prevention policy is a general direction, provided that our scientific understanding of viruses and epidemics is constantly deepening. Therefore, in the face of the new situation of normalized epidemic prevention and control, we need not have any panic. The existing scientific evidence can fully prove that, for the vast majority of healthy people, Omicron is not terrible. Even if infected, it can heal itself within a week or two. There is no consensus in the world’s scientific community on the view that Omikjon may cause sequelae. At least, there is no evidence that infection with Omikjon will cause serious and long-term sequelae in a large area.
While the prevention and control measures are constantly optimized, everyone should do a good job in personal protection. Again, try not to be infected if you can avoid infection. If possible, you can store some commonly used drugs, N95 masks, antigen detection reagents, etc. at home. Even if you are infected, you can also use online inquiry and online medical consulting services to avoid going to the hospital if you can, so as not to allow medical runs to occur in China. You can leave precious medical resources to the critically ill, the elderly, pregnant women and children.
“Helping each other in the same boat” is the collective virtue of the Chinese nation in the face of major risks and challenges, and it is also an important reason why we can make the current achievements in the fight against epidemic. Next, no matter how the prevention and control policies are adjusted and optimized, we need to continue to carry forward the spirit of “working together in the same boat” until the epidemic is completely ended.
We have all experienced the days without epidemic, and we will certainly usher in the days without epidemic again. This is not “singing high key”, this is the real expectation in my heart as an ordinary person at this moment. At the same time, I also know that this expectation, in the final analysis, has scientific basis.
It is only for reference.