The General Office of the State Council on Further Improving Type AH1N1Notice on Influenza Epidemic Prevention and Control Work
State Office Invents Electricity〔2009〕19No.

The people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all agencies directly under the State Council:

　　2009Year4Since January, the outbreak of influenza A around the worldH1N1The Party Central Committee and the State Council made decisive decisions and unified arrangements for the influenza epidemic. All regions and relevant departments attached great importance to it, actively responded, jointly prevented and controlled the epidemic, and dealt with it scientifically in accordance with the law. We have done a solid job in various prevention and control tasks, effectively reducing the harm of the epidemic to people's health and ensuring the normal order of economic and social life. At present, the epidemic continues to spread rapidly around the world, and the virus is more transmissible than seasonal influenza; my country's epidemic is showing a growth trend, local cases continue to increase, clusters of epidemics have increased significantly, and severe cases have continued to appear. According to expert predictions, this autumn and winter, influenza AH1N1A second wave of influenza epidemics in the northern hemisphere will be inevitable, and the harm may be even greater. Our country's epidemic prevention and control work is facing a severe situation. To further improve Type AH1N1Influenza epidemic prevention and control work is to minimize the harm of the epidemic to people's health and ensure the normal order of economic and social life. With the consent of the State Council, the relevant matters are hereby notified as follows:
1. Attach great importance to effective prevention and control. All regions and relevant departments must clearly understand the seriousness of the current epidemic prevention and control situation, overcome paralysis and lax thinking, effectively strengthen leadership, improve working mechanisms, strengthen supervision and inspection, and pay close attention to the implementation of measures. It is necessary to uphold and improve the effective prevention and control measures in the previous stage. On the basis of preventing internal spread and blocking external imports, the focus should be on strengthening preventive measures, strictly controlling community transmission, strengthening severe treatment, and reducing the harm of the epidemic. It is necessary to strengthen classified guidance, focus on epidemic prevention and control in key periods, key areas (places), key groups and key links, effectively prevent large-scale spread of the epidemic and cluster outbreaks, and strive to reduce the occurrence of severe cases and case deaths.
2. Effectively carry out epidemic prevention and control work at major events such as National Day. In accordance with the principles of territorial management, we will do a good job in epidemic prevention and control at major events. Beijing and other key areas for National Day activities should further strengthen epidemic prevention and control, make work plans, improve cross-department and cross-regional information notification and coordination mechanisms, and strengthen emergency duties, emergency team and technical preparations, and emergency material deployment. Railway, civil aviation, transportation, tourism and other departments must formulate and improve emergency plans for epidemic prevention and control in response to intensive movements of people.
3. Strengthen epidemic prevention and control in key places such as schools. Schools at all levels and types must implement various prevention and control measures, and in the event of an epidemic, suspend classes and other measures in a scientific and reasonable manner. Government agencies, large enterprises and institutions, and other state institutions and departments providing basic social services must prepare response plans and formulate and implement work systems such as shift preparation, rotational breaks, and staggered work hours. Strengthen epidemic prevention and control in rural and urban communities, strive to reduce the occurrence of cluster epidemics, and prevent large-scale spread of the epidemic.
4. Improve and strengthen medical treatment. All localities should designate hospitals that meet the requirements for the treatment of respiratory infectious diseases to treat influenza AH1N1For influenza cases, hotels, schools and other places can be requisitioned to treat patients if necessary. The principle of graded and classified treatment is implemented. Severe cases are given priority in designated tertiary hospitals. Mild cases can be treated in isolation at home. Primary medical institutions provide door-to-door services and provide registration and follow-up. It is necessary to formulate and improve relevant work plans and conduct training and drills for medical personnel. Strengthen hospital infection control to prevent hospitals from becoming places of infection. Pay attention to the role of traditional Chinese medicine. Make a good reserve of necessary medical supplies such as ventilators, medicines, and protective equipment to ensure they are in good condition and available. Earnestly implement relevant policies and ensure medical treatment funding.
5. Speed up the production, purchase and storage of vaccines and drugs. Relevant departments must study and formulate vaccine supply plans, and on the premise of ensuring quality and safety, organize and mobilize qualified and capable enterprises to expand vaccine production capacity, accelerate vaccine production, and complete collection and storage tasks on schedule. It is necessary to further strengthen the reserves of antiviral drugs Tamiflu and zanamivir to ensure treatment needs. Strengthen the reserve of traditional Chinese medicines for prevention and treatment, and establish a cross-regional transfer mechanism.
6. Actively and steadily carry out vaccination work. Adhere to the principles of informed consent, voluntariness and free of charge, and carry out emergency vaccination in key areas and key groups in a timely manner according to the needs of epidemic prevention and control. Front-line medical and health personnel, public service personnel in port quarantine and border inspection, civil aviation, railway, transportation and other positions, personnel organized to participate in National Day activities, People's Liberation Army and armed police officers and police officers who perform centralized stability maintenance tasks, students and teachers in primary and secondary schools, and chronic disease patients with respiratory diseases, cardiovascular and cerebrovascular diseases and other basic diseases are given priority for vaccination. The specific population types and vaccination sequence are determined by each province (region, city). The people's governments of all provinces (autonomous regions and municipalities) must carefully formulate vaccination implementation plans in their regions, propose key vaccination areas and key vaccination groups and vaccine needs in their regions, and carefully organize vaccination work. Provincial finances must allocate funds related to vaccines and vaccination, and the central finance should provide appropriate subsidies to the central and western regions. The health department must conscientiously carry out personnel training, vaccination point setting, vaccine cold chain management, vaccination implementation management, etc., and strictly control contraindications to vaccination. Relevant departments should strengthen the monitoring of adverse reactions to vaccination, establish and improve the monitoring system for adverse reactions to vaccines, the mechanism for handling adverse reactions to vaccines, and the emergency stop mechanism for vaccination as soon as possible, clarify the criteria for stopping vaccination, and deal with possible coincidences or adverse reactions to vaccines in a timely and effective manner to prevent the occurrence of events that affect social stability.
7. Strengthen epidemic monitoring. It is necessary to strengthen the work of influenza surveillance sentinel hospitals and network laboratories, continuously improve the quality of surveillance work, ensure timely and accurate grasp of important information such as epidemic intensity, virus transmissibility and virulence changes, and drug resistance, organize experts to scientifically study and judge the development trend of the epidemic, and continuously improve epidemic prevention and control work plans. The Ministry of Health should strengthen guidance on epidemic surveillance work in various places. We must continue to do a good job in port inspection and quarantine to reduce the spread of imported cases. Continue to do a good job in animal infection with influenza AH1N1Influenza monitoring and strengthening epidemic prevention management in farms.
8. Strengthen research on prevention and control technologies. It is necessary to actively organize and carry out scientific research on key technologies for prevention and control, and strengthen theH1N1Scientific and technological research on the basic, clinical and prevention and control aspects of influenza, especially to study and analyze the occurrence and mechanism of severe clinical cases, strive to make breakthroughs in key technologies, provide scientific basis for the formulation and improvement of relevant prevention and control strategies and measures, and provide technical reserves for effective prevention and control of epidemics.
9. Strengthen public self-protection. It is necessary to strengthen mass prevention and control work, and use various methods to help the masses master relevant prevention and control knowledge, develop good personal hygiene habits, and improve self-protection awareness and ability. It is necessary to vigorously carry out patriotic health campaigns, advocate healthy and civilized lifestyles, mobilize the masses to improve environmental sanitation, and actively participate in social prevention and control work.
10. Do a good job in publicity and public opinion guidance. It is necessary to introduce the development of the epidemic to the public in an open, transparent, scientific and objective manner, and promptly and accurately release epidemic information and prevention and control measures taken by the government. Promote vaccination in a scientific, accurate and appropriate manner, focusing on promoting my country's vaccine research and development results and vaccination policies. It is necessary to strengthen the monitoring of public opinion, promptly discover emerging problems, and provide proactive guidance to ensure social stability.

General Office of the State Council

September 10, 2009