Including special people among close contacts, close contacts and entry personnel after lifting centralized isolation, overflow personnel in high-risk areas and other personnel who cannot be subjected to centralized isolation medical observation after professional evaluation.

Second, the site requirements

Home isolation medical observers had better live alone; If conditions do not allow, choose a well-ventilated room in the house as an isolation room and remain relatively independent.

Put tables and stools outside the relatively independent isolation room as the junction of non-contact transfer items.

When the room is ventilated by air conditioning system, split air conditioning should be selected. For example, central air conditioning should be used to ensure the normal operation of air conditioning, increase the fresh air volume, and turn off the return air for the whole air system.

If conditions permit, try to use a separate bathroom and avoid sharing the bathroom with other family members.

The room should be equipped with personal protective equipment such as thermometers, paper towels, masks, disposable gloves, disinfectants, disinfection products and garbage cans with covers.

Third, the management requirements

Community service requirements.

1. Register. Street and community workers should get in touch with home isolation medical observers in time, master the information of home isolation medical observers, check whether the living place meets the conditions of home isolation medical observation, issue a notice of home isolation medical observation, inform the relevant requirements of home isolation medical observation, and register in accordance with the requirements of "one file for one household" or "one file for one person" and incorporate it into community grid management. Master the situation of special personnel in home isolation medical observation, such as elderly people living alone in empty nests, patients with basic diseases, pregnant women, hemodialysis patients, etc., establish a ledger, and do a good job in necessary life support and care services.

2. Monitoring information collection. Streets and communities can regularly ask and collect the temperature, symptoms and other information of medical observers in home isolation twice a day in the morning and evening by establishing WeChat groups and small programs. If anyone with symptoms such as fever, dry cough, fatigue, sore throat, decreased sense of smell and diarrhea is found, they should report it immediately, and a special person should contact 120 negative pressure ambulance and send it to a fever clinic or a designated medical institution for medical treatment according to the principle of proximity.

3. Nucleic acid detection. The nucleic acid detection during the observation period of home isolation medicine is collected by community sampling personnel at home, and the results of nucleic acid detection are pushed in time.

4. Environmental cleaning and garbage disposal. Disinfect the walkways, stairs and other places on the floor where medical observers live in isolation at home once a day, clean up the garbage at least once, and clean it up in time if necessary.

5. Psychological assistance and social work service requirements. Inform home medical observers of the telephone number of psychological assistance hotline, provide psychological support, psychological counseling and other services, alleviate the negative emotions of isolated personnel, prevent and alleviate the psychological distress caused by the epidemic, and prevent extreme events caused by psychological pressure. When mental health problems are found in home isolation medical observers, they should be referred to their counterparts' mental health medical institutions in time.

6. Spot check regularly. The community should regularly carry out spot checks on the observers who are implementing home isolation medicine within their jurisdiction to find out whether they are conducting home isolation medicine observation as required, whether they leave their residence, whether they participate in gathering activities, and whether they complete nucleic acid detection and other activities on time.

7. Staff protection. When the community medical observation managers are in contact with the isolated medical observers at home, they should do a good job of self-protection when dealing with their pollutants and the surface of contaminated objects, and wear disposable working caps, medical surgical masks, work clothes and disposable gloves to keep a distance of 1 meter or more. N95/KN95 particulate matter protective mask should be worn when transporting positive infected persons, handling infected persons' pollutants and polluting the surface of objects, or being in close contact with isolators due to other work.

Self-management requirements of medical observers in home isolation.

1. Health monitoring. Home-isolated medical observers should take 1 time temperature measurement and self-health monitoring every morning and evening, and report the monitoring results to the community medical observation management personnel. During medical observation, if there are symptoms such as fever, dry cough, fatigue, sore throat, hypoesthesia, diarrhea, etc., the community management personnel shall promptly report to the local health administrative department and the disease control institutions under their jurisdiction.

2. No going out. During the period of home isolation, the code management is assigned, and the home isolation personnel strictly do not go out and refuse all visits. For those who really need to go out for medical treatment, they can go out only after being approved by the local community medical observation and management personnel, and arrange a special car to do personal protection and implement closed-loop management.

3. Personal protection. Non-single residents, their daily life and meals should be confined to the isolation room as far as possible, and other people should not enter the isolation room. You don't need to wear a mask when you are in the isolation room, and you should wear a mask when you leave the isolation room. Try to reduce contact with other family members, keep a distance of 1 m or more, and wear medical surgical masks regularly. If the home isolation medical observer is a nursing mother, she can continue to breastfeed her baby on the basis of personal protection.

4. Nucleic acid detection and antigen self-test. Home isolation medical observers should cooperate with the staff to complete nucleic acid detection, antigen self-test and report the results according to the relevant prevention and control requirements.

5. Health and epidemic prevention requirements.

Keep the home ventilated, try to open doors and windows for ventilation every day, and use mechanical ventilation such as exhaust fans if it is not natural ventilation.

Do a good job in ventilation and disinfection of toilets, bathrooms and other * * * enjoyment areas.

Wash hands or disinfect hands when preparing food, defecating before and after meals, taking off masks, etc. When wiping your hands, you'd better use disposable tissue.

Pay attention to cough etiquette, cover your mouth and nose with paper towels when coughing or sneezing, or cover your mouth and nose with the inside of your elbow, and throw the used paper towels into the trash can. If you contact respiratory secretions, wash your hands or disinfect your hands immediately.

Do not use daily necessities with other family members. Tableware should be cleaned and disinfected after use. Tableware should be disinfected by boiling for15min, or soaked in chlorine-containing disinfectant solution containing 250mg/l ~ 500mg/l of available chlorine for15min, and then washed with clean water.

The surfaces of table tops, door handles, telephones, switches, hot water kettles, washbasins, toilets and other items that may be used in daily contact shall be wiped with chlorine-containing disinfectant containing 250 mg/L ~ 500 mg/L of available chlorine, and then washed with clean water at least 1 time every day. Wet mopping the floor with chlorine-containing disinfectant containing 250 mg/L ~ 500 mg/L of available chlorine every day.

When towels, clothes, quilts, etc. of medical observers in home isolation need to be cleaned, they should be placed separately and soaked in chlorine-containing disinfectant containing 250 mg/L ~ 500 mg/L of available chlorine for 30 minutes, or disinfected by boiling 15 minutes and then rinsed with clear water.

If the toilet is used at home, the home isolation medical observer should disinfect the toilet 1 time; If isolated medical observers at home use a separate toilet, the toilet can be disinfected 1 time every day. The urinal and its surroundings can be wiped and disinfected with chlorine-containing disinfectant containing available chlorine 2000mg/L for 30 minutes. Toilet door handles, faucets and other parts that are often touched by hands can be wiped and disinfected with chlorine-containing disinfectant containing 500mg/L of available chlorine or other disinfectants that can be used for surface disinfection, and cleaned with water after 30 minutes.

Used paper towels, masks, disposable gloves and other household garbage are put into plastic bags, placed in special garbage bins, and cleaned every day. Before cleaning, they are sprayed with chlorine-containing disinfectant containing 500 mg/L ~1000 mg/L or 75% alcohol for disinfection until they are completely wet, then the plastic bags are tied tightly and discarded together with other household garbage.

Disinfect the articles contaminated by saliva, sputum, etc. at any time. When disinfecting, wipe them with chlorine-containing disinfectant containing 500 mg/L ~1000 mg/L, 75% alcohol or other disinfectants that can be used for surface disinfection, and clean them with water after 30 minutes. A large number of pollutants should be completely covered with disposable water-absorbing materials, and then a sufficient amount of chlorine-containing disinfectant containing 5000 mg/L ~10000 mg/L of available chlorine should be poured on the water-absorbing materials for disinfection for more than 30 minutes, and carefully removed. Then use chlorine-containing disinfectant containing available chlorine 500 mg/L ~1000 mg/L to wipe the contaminated surface and its surrounding area of 2 square meters. Gloves and masks should be worn when handling pollutants, and you should bathe and change clothes after handling.

6. The medical observation of home isolation was lifted. After the expiration of home isolation medical observation, those whose nucleic acid test results are negative and there are no abnormal symptoms can be released from home isolation medical observation after community verification and receipt of the notice of cancellation of home isolation medical observation.

* * * same as the requirements of the residents or accompanying personnel.

1. When the accompanying personnel are in contact with the isolated medical observers at home, they should do a good job of self-protection when dealing with their pollutants and the surfaces of contaminated objects, and wear disposable working caps, medical surgical masks, work clothes and disposable gloves, keeping a distance of more than 1 meter.

2. After any direct contact with medical observers at home or leaving their living space, clean and disinfect their hands before and after meals, before wearing gloves and after taking off gloves.

3. People with basic diseases and the elderly can't be chaperones of children, pregnant women, semi-self-care and self-care disabled people.

4.*** Comply with the management requirements of home isolation medical observation together with residents or accompanying personnel.

Personnel transfer after centralized isolation.

The community receives the relevant information of the person who needs to be isolated at home in time, such as name, gender, age, current address, contact number, ID number, health status, etc., and transfers it to the home isolation place in a peer-to-peer closed loop. The corresponding transfer vehicles and personnel should be guaranteed, and relevant training should be done well. Take corresponding protective measures during transshipment.

Fourth, the security requirements

Organizational guarantee. In the community where the home isolation medical observer is located, a special person shall be appointed to undertake the work of community medical observation management and sampling service, with clear responsibilities, the 24-hour duty system shall be implemented, and problems shall be found and solved in time.

Living material security. Establish a demand list during the period of home isolation, clarify the special strength of living materials supply, optimize terminal distribution, and get through the "last meter" of distribution.

Protection material support. The community should reserve enough protective materials, disinfection facilities and medicines.

Medical service guarantee. The community should establish direct hotlines with pharmacies and medical institutions, and do a good job in connecting services to meet the needs of residents for medication and medical treatment. Implement the responsibility system for the first diagnosis and the emergency rescue system, and do not shirk and refuse the diagnosis for any reason.

Schedule 1

Notice of home isolation medical observation

Schedule 2

Notice of termination of medical observation in home isolation