SN/T 5166-2019Health and quarantine procedures for charter flights for people with unexplained diseases (English PDF)

5.1 Information

The customs received a notification from the inbound charter carrier, crew, or a report from the relevant local government department.

The department at the same level reports and informs the joint prevention and control unit of the port.

5.2 Joint defense and control

Set up special working groups including customs, health, diplomacy, immigration, ecological environment, civil affairs, transportation and other relevant departments, Coordinate and lead and coordinate the health quarantine work of chartered flights for people with unknown causes of illness. Special working groups include.

--Comprehensive group, responsible for liaison and communication, material preparation, organization and implementation of relevant implementation plans, timely reporting of disposal, and coordination Relevant government departments and organizations organize investigations and assessments of incidents, and members should include customs field commanders, ministries Responsible personnel at the door site;

--Expert group, responsible for carrying out evaluation and research and judgment, and providing guidance for emergency response in each link;

-The inspection team is responsible for docking with the random medical team to do board quarantine and emergency response;

--Sampling team, responsible for on-site sample collection and sample transfer;

--The treatment team is responsible for supervising and guiding the health treatment unit to carry out the health treatment work according to high-risk incidents and carry out the health treatment effect Evaluation, etc.

--Transportation group, responsible for patient and close contact transfer treatment, isolation, and epidemiological investigation and sampling.

5.3 Risk assessment

5.3.1 Early assessment

Before the charter flight took off, the expert group based on the world epidemic situation, local epidemic situation, case consultations and epidemic diseases.

To carry out risk assessments based on survey data, submit risk assessment reports to special working groups, and make health and quarantine recommendations.

5.3.2 On-site assessment After the charter flight arrives, the expert group conducts another risk assessment and confirms or adjusts the health quarantine based on the preliminary data and on-site verification.

Measures.

5.4 Material preparation

Prepare sufficient personal protective equipment (see SN/T 2752.1) and health and quarantine inspection equipment (see SN/T based on the results of the risk assessment)

1480), sanitary supplies (see SN/T 1758), sampling and testing supplies. Risk assessment reports based on prior assessments and on-site assessments Determine the level of personal protection as appropriate or ascending.

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According to the results of the risk assessment and the patient's condition, the protective measures for patients and random personnel should be implemented in accordance with the principles of SN/T 2752.1.

5.5 Staff Preparation

30 minutes before the charter flight arrives, the on-site disposal personnel should arrive at the designated location to stand by and take personal protection in accordance with the principles of SN/T 2752.1.

6.1 Declaration

6.1.1 Pre-declaration before departure

Before the charter flight takes off, the carrier shall submit the general declaration form, the crew member list, and the passenger name to the competent customs office through the designated customs declaration channels.

Documents, carry-on baggage and a list of carried items, valid mosquito certificate and other designated declaration materials shall also be submitted to the competent customs at the time of declaration.

6.1.2 Declaration during flight

During the flight, the situation on board should be reported regularly according to the itinerary and according to the requirements of the competent customs. Flight duration exceeding 10 hours should be entered every 4 hours.

Make a report. If there are deaths, new cases, or cases that are exacerbated, you should report immediately.

6.1.3 Declaration before charter

30 minutes before the charter plane landed, the latest situation on the charter plane should be reported to the competent customs.

6.2 Boarding quarantine

6.2.1 Workspace settings

Charter flights should stop at designated quarantine stations and wait for boarding quarantine. The center of the aircraft should be a 50 m radius isolator Work area, set up guard bands around the quarantine work area.

6.2.2 Situation verification

The inspection team members carried the inspection equipment on board, verified the declaration data, and listened to the report of the medical person in charge on the charter flight.

Receive original case data and pre-declaration data, conduct temperature monitoring and medical inquiry to personnel on board, and check random health status records Information and personal protection. Report the verification to the working group.

6.2.3 Disposal of personnel

According to the principle of "critically critical, then general", the transfer team will handle the cases and make a record of the transfer with the relevant local departments.

Include the following.

-Disposal of critical cases. Critical cases are taken off the plane as the first batch. According to the results of the risk assessment, the corresponding transfer method is adopted directly.

Transfer to designated medical institutions for diagnosis and treatment, send staff to take samples at designated hospitals or be sampled by hospital medical staff.

-Handling of general cases. General cases should be protected according to the principles of SN/T 2752.1.

After conducting epidemiological surveys on site, collecting various types of samples, and taking corresponding transfers based on the results of risk assessment the method is directly transferred to the designated medical institution for treatment.

-Disposal of other persons on board. The other personnel on the aircraft are well protected in accordance with the principles of SN/T 2752.1.

After the case has been transferred, the patient will be transferred again. Based on the results of the risk assessment, medical observation or designated place isolation will be implemented.

-Handling of deaths. The remains should be sealed and sanitized. The remains should be cremated as soon as possible.

6.2.4 Epidemiological investigation

Epidemiological investigations are conducted on-site for general cases. Focus on case data, complaints, clinical symptoms, current medical history, signs, and individuals Group sex.indd 3.2019/9/12 13.56.14 ????? ????, ????, ??

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History, past history, travel history, patient contact history, bird and animal contact history, mosquito bite history, infection environment exposure history, vaccination history, Allergies, etc. Critical cases or other unsuitable on-site personnel may conduct epidemiological investigations in designated medical or isolated places.

6.2.5 On-site disposal methods

6.2.5.1 Suspected respiratory infection

For cases that are preliminarily determined to be suspected of respiratory infectious diseases by epidemiological investigations, the on-site handlers should follow the guidelines of SN/T 2752.1.

The principle is to take good protection and follow-up disposal and sanitary treatment. The sampling team took samples of nasopharyngeal swabs, cough fluid, sputum, and blood.

Exhibition follow-up testing. The consent of relevant personnel should be obtained when sampling, and the informed consent for sampling should be signed.

6.2.5.2 Suspected infectious diseases of digestive tract

For cases that are initially determined to be suspected of infectious diseases of the digestive tract by epidemiological investigation, the on-site handlers should follow the instructions of SN/T 2752.1.

The principle is to take good protection and follow-up disposal and sanitary treatment. The sampling team collected vomitus, fecal specimens, anal swabs, blood and other organisms Follow-up testing of samples and other samples on the surface of the polluted body, food, drinking water, etc. The consent of relevant personnel should be obtained when sampling, Sign sampling informed consent.

6.2.5.3 Suspected insect-borne infectious diseases

For the cases that are preliminarily judged to be suspected of arboreal infectious diseases by epidemiological investigation, the on-site handlers should follow the original principles of SN/T 2752.1.

Then take good protection and follow-up disposal and sanitary treatment. The sampling team collected blood, saliva, urine and other samples from suspicious cases.

Vector specimens for subsequent testing. The consent of relevant personnel should be obtained when sampling, and the informed consent for sampling should be signed.

6.2.5.4 Other

For cases where the type of infectious disease cannot be identified through epidemiological investigation, on-site handlers should be equipped with high-risk protective equipment.

For continued disposal and sanitary treatment, the sampling team collected multiple types of biological samples for subsequent testing. The consent of relevant personnel should be obtained when sampling, Sign sampling informed consent.

6.3 Sample transport and testing

Ports and subsequent samples should be submitted for inspection as soon as possible. Samples should be stored at low temperature according to "Highly pathogenic microorganisms that can infect humans" Regulations on the Management of the Transport of Bacteria (Poisons) or Samples "and other relevant regulations.

For samples highly suspected of being a severe infectious disease, pathogen testing should be carried out in the corresponding biosafety level laboratory in accordance with relevant regulations jobs.

6.4 Hygiene treatment

The sanitation treatment is implemented by the treatment team, and the customs conducts guidance and supervision.

During the on-site treatment at the port, disinfection should be carried out at any time in the areas where the cases pass, and in areas that are contaminated or potentially contaminated. all After the personnel get off the plane, terminal disinfection should be implemented.

The Customs will issue a quarantine notice to guide and require qualified quarantine units to charter medical flights in accordance with high-risk incidents.

Cabin for hygienic treatment (see SN/T 1758), hygienic treatment and evaluation of case excreta, domestic waste and medical waste (See SN/T 1234).

Wastes after sanitary treatment shall be collected and registered separately, and shall be handed over to medical waste disposal agencies for professional treatment.

6.5 Visa Release

After passing the sanitary evaluation, the customs will release the quarantine certificate.

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