National Health Commission: primary and secondary schools should set up temporary observation places

Today, the National Health Commission issued a regulation, which stipulates that after infectious diseases in schools reach the early warning indicators, students with symptoms should be observed temporarily and their parents should be informed to strengthen environmental ventilation, cleaning and disinfection, and do a good job in contact personnel control and health education.

as a recommended health industry standard, the guideline specifies the organization and management system of monitoring and early warning of infectious disease symptoms in schools, the contents, methods and information reporting of monitoring, and the indicators and disposal of early warning. It is mainly applicable to all levels of primary and secondary schools. Kindergartens and ordinary colleges and universities can refer to the implementation of infectious disease symptom monitoring of school staff.

according to the guidelines, the school shall establish a leading group of infectious disease symptoms monitoring and early warning with the principal as the first responsible person to be fully responsible for the monitoring and early warning of infectious disease symptoms in schools. At the same time, it is necessary to clarify the school infectious disease epidemic situation reporter and Class infectious disease symptom monitoring reporter, in which the Class infectious disease symptom monitoring reporter shall be the class teacher or teacher. The school communicable disease epidemic situation reporter trains and assesses the Class infectious disease symptom monitoring reporter every semester. Only those who pass the examination can undertake the relevant work.

schools should implement necessary prevention and control measures, including setting up temporary observation places, providing disinfection equipment and articles, personal protective equipment, etc. If conditions permit, it is advisable to establish an information system for monitoring and early warning of infectious diseases.

according to the guidelines, the monitoring of infectious disease symptoms in schools includes morning and afternoon examination, disease-related absence registration tracking and full-time health observation. The type of symptom monitoring can be increased or adjusted according to the epidemic situation of infectious diseases.

among them, the morning and afternoon check-up mainly refers to the work of disease screening, recording and reporting for all students before the first class in the afternoon and before the evening self-study for the boarding and participating students. In the morning and afternoon examination, it is necessary to understand the reasons for students’ absence and master the list of students who are absent from work due to illness; check the mental state and health status of all students on duty, focusing on whether there are fever, cough, headache, sore throat, parotid gland enlargement, abdominal pain, diarrhea, vomiting, rash, dizziness, fatigue, conjunctival congestion and other symptoms, as well as the time and place of the symptoms. Infrared thermometer can be used for body temperature screening. When forehead temperature is more than 36.8 ℃, mercury thermometer should be used to measure armpit temperature of students.

the Class infectious disease symptom monitoring reporter will report the morning examination results to the school infectious disease epidemic situation reporter before the second class in the morning, the afternoon examination results before the second class in the afternoon, and the evening examination results before the end of the evening self-study.

full day health observation refers to the observation of students’ health status by the head teachers and teachers during the whole day in school, and timely report to the Class infectious disease symptom monitoring reporter when finding relevant symptoms. Students should pay attention to their own health status, report to the Class infectious disease symptom monitoring reporter in time if they have physical discomfort, and do not take classes with diseases.

in addition, the Class infectious disease symptom monitoring reporter registers and tracks the students who are absent from work due to illness every day to track their main symptoms, onset time, medical information, diagnosis results, similar symptoms of family members living together, and assist the school to track their illness and prognosis.

within a certain period of time, if the number of students with similar symptoms in the same dormitory, in the same class or in the same campus reaches or exceeds a certain number of cases, it is regarded as reaching the early warning index. Similar symptoms include fever, cough, headache, sore throat, parotid gland enlargement, abdominal pain, diarrhea, vomiting, rash, dizziness, fatigue, conjunctival congestion, etc.

when the early warning index of infectious disease symptoms is reached, the school infectious disease report person shall report to the local disease prevention and control institution by the most convenient communication method, and report to the education administrative department at the same time. After verifying the early warning indicators of infectious disease symptoms, the school should immediately hold temporary observation for the students with symptoms and inform their parents. At the same time, strengthen environmental ventilation, cleaning and disinfection, and do a good job in contact personnel control, health education and other work.

in case of reported cases of infectious diseases, schools shall cooperate with disease prevention and control institutions and other departments in case isolation, epidemiological investigation, close contact tracking management, emergency vaccination, disinfection and other prevention and control measures to prevent the spread of infectious diseases.