Monday, October 5, 2020

Covid to be classified under "Class B infectious diseases" but its prevention and control measures under "Class A infectious diseases" in mainland China

Report by : Gan Yung Chyan, KUCINTA SETIA



News(1)

The National Health Commission intends to classify covid under "Class B infectious diseases" but adopt its prevention and control measures under "Class A infectious diseases"

The official website of the National Health Commission of the People's Republic of China issued a notice on 2 October 2020 stating that a two-week public consultation was launched on the draft revision of the Law on the Prevention and Control of Infectious Diseases. The draft for comments included classifying covid  as a "Category B infectious disease" but proposed measures to prevent and control covid under "Category A infectious disease" against SARS, pulmonary anthrax and covid in the "Category B infectious disease". The amendment also proposes to establish a reporting reward and liability exemption system.

The draft for comments pointed out that "Category A infectious diseases" include plague and cholera, which are infectious diseases that are particularly harmful to human health and life safety, and may cause major economic losses and social impacts. They require compulsory management, compulsory isolation treatment, and health quarantine and control the spread of the epidemic. "Class B infectious diseases" include 27 infectious diseases such as SARS. Among them, humans are newly infected with H7N9 avian influenza and covid. These infectious diseases have serious harm to human health and life safety, and may cause greater economic loss and social impact. Therefore, strict management, implementation of various prevention and control measures to reduce morbidity and harm are necessary.

The draft also proposes that when patients with or suspected "Category A infectious diseases" are discovered, group diseases of unknown causes with epidemiological characteristics of infectious diseases, and other infectious disease outbreaks and epidemics, online reports should be lodged within two hours, and the construction party including building square cabin hospitals has been elevated to legal requirements.

Those who refuse to cooperate with disease prevention and control will be detained for up to 10 days

Regarding the reward and punishment system, the draft for comments puts forward: "The state will reward units and individuals that have discovered and reported unexplained clusters of diseases with epidemiological characteristics of infectious diseases and new outbreaks of infectious diseases in accordance with relevant state regulations: In the event of an epidemic, relevant units and individuals will not be held accountable."

The draft for soliciting opinions and proposes that when infectious diseases break out and spread, refuse to implement the prevention and control decisions and orders issued by the government, refuse to accept or cooperate with the epidemic prevention and control measures taken by the disease prevention and control agency, and deliberately conceal the condition of infectious diseases. Patients, pathogen carriers, suspected patients, and close contacts who refuse to accept isolation treatment or medical observation, or leave isolation treatment and medical observation without authorization, fabricate or deliberately spread false information about the epidemic, may be warned by the public security organ or fined up to  2,000 RMB. Under circumstances of severe cases, the culprits can be detained for 5 to 10 days and fined up to 5,000 RMB.

Ref : http://www.nhc.gov.cn/fzs/s3577/202010/330ecbd72c3940408c3e5a49e8651343.shtml

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News (2)

Epidemic resurgence in Liaoning, Guangxi, Inner Mongolia, Tianjin, local covid prevention under inspection

China's central authority has sent inspection teams to multiple regions in the country in a supervision campaign to check COVID-19 containment measures and make sure these localities are ready to prevent a resurgence of infections in autumn and winter.

Respective teams, sent by the State Council's joint prevention and control mechanism against COVID-19, went to provincial-level regions including Liaoning, Guangxi, Inner Mongolia, and Tianjin to supervise local authorities' work in fixing anti-epidemic loopholes, strengthening containment measures in key areas, implementing resurgence prevention measures, and improving regular containment work.

In Liaoning, the inspectors listened to local officials' reports, checked relevant documents, held forums, and visited local ports, hospitals, schools, railway stations, quarantine sites, disease control centers, markets, and resident communities.

In Guangxi, a border region where the work to prevent imported cases is under greater pressure, the inspectors visited a border point of entry and gave some suggestions to local anti-epidemic authorities, including increasing local epidemiological investigation personnel and enhancing nucleic acid testing capability.

Another team of inspectors went to Inner Mongolia and visited a closed temporary hospital that remains ready to receive new patients.

In Tianjin, the team inspected the city's anti-epidemic headquarters, disease control center, ports, communities, and nursing homes, warning of infection risks at some medical facilities. 

Source : National Health Commission, http://en.nhc.gov.cn/2020-09/30/c_81784.htm

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News (3)

Diagnosis and treatment protocol for covid patients in mainland China

The National Health Commission (NHC) on Aug 18 issued the Tentative 8th Edition of the Diagnosis and Treatment Protocol for COVID-19 Patients. Based on the previous editions, this latest protocol highlights some revised key points including etiological and epidemiological characteristics, clinical characteristics, as well as case definitions, treatment and discharge. 

Source : National Health Commission

Ref: Diagnosis and Treatment Protocol for COVID-19 Patients, National Health Commission, http://regional.chinadaily.com.cn/pdf/DiagnosisandTreatmentProtocolforCOVID-19Patients(Tentative8thEdition).pdf



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