China updates COVID diagnosis, treatment protocol as country downgrades epidemic management level

Residents visit a fever clinic transformed from a sampling kiosk of nucleic acid testing in Hangzhou, East China's Zhejiang Province on December 22, 2022. Photo: IC

Inhabitants stop by a fever clinic remodeled from a sampling kiosk of nucleic acid tests in Hangzhou, East China’s Zhejiang Province on December 22, 2022. Photo: IC

China on Friday launched the 10th edition of its diagnosis and cure protocol for novel coronavirus infection, two times right before the nation downgrades the management of COVID-19 from Class A to Course B as a shift to even more refine COVID management actions toward reopening centered on science and epidemic problem. The adjustments in the most current document include things like adding antigen success as diagnostic conditions and ending the need for centralized quarantine.

Launched by the Countrywide Wellbeing Commission (NHC) and the Countrywide Administration of Common Chinese Medication, the most recent protocol came virtually 10 months right after the release of its previous model in March 2022, even though the identify for COVID-19 in Chinese has been altered from novel coronavirus pneumonia to novel coronavirus an infection.

This is due to the fact the virus’ pathogenicity has lessened and only a few scenarios showed signs of pneumonia, the NHC claimed in an introduction on the 10th protocol released on its web-site on the very same working day. 

The pathogenicity of the virus in the early stage of the epidemic was sturdy, and most medical manifestations indicated pneumonia. Nevertheless, the virus ongoing to mutate and the Omicron pressure has come to be the major circulating pressure, with a weakened virulence, and most infected folks have signs or symptoms including cough, fever and sore throat. This signifies the identify “novel coronavirus an infection” can more precisely mirror the properties of the disease, Lu Hongzhou, head of the 3rd People’s Healthcare facility of Shenzhen, told the Worldwide Instances on Friday.

Antigen detection has been included as a criterion for diagnosis of novel coronavirus infection in the most up-to-date protocol. 



With the continuous innovations of antigen detection technological innovation and the steady advancement in detection accuracy, people contaminated with the new coronavirus, primarily those people with strong infectiousness, can be identified immediately by means of antigen detection. It is also comparatively simple to conduct fast self-tests for most contaminated people today who are handled at residence, the NHC claimed. 

The new protocol also stopped demanding identification of suspicious COVID-19 conditions, as prognosis of the condition can be built swiftly and accurately by way of nucleic acid screening and antigen screening. This adjustment will aid strengthen the efficacy of scientific diagnosis and comprehend quick admission, the NHC stated.   

The new model also even further optimizes the scientific classification of COVID-19 situations from mild, medium, serious to essential ailments, which, in accordance to Lu, is more in line with medical exercise.

The protocol identifies some groups who have high hazard of getting significant circumstances, like individuals aged 65 and higher than who have not been totally vaccinated. Essential indicators checking, particularly finger oxygen saturation all through relaxation or just after-action monitoring indicators, will be integrated in the early warning indicators of intense ailments, according to the new protocol, which further increases the diagnostic criteria and warning indicators for extreme and essential circumstances, Lu highlighted.

Other adjustments in the most up-to-date protocol in contrast with the ninth edition involve ending the prerequisite of centralized quarantine and therapy of verified COVID-19 cases, and ending requiring destructive nucleic acid screening final results as a person of the requirements for patients to leave hospitals. 

The ninth protocol expected two negative nucleic acid tests outcomes that are done within at the very least 24 several hours and exhibit Ct worth of no bigger than 35 ahead of a COVID-19 affected person is allowed to be discharged.

Now, a client can be discharged as long as their situation is noticeably improved, critical symptoms are secure, system temperature is standard for additional than 24 hrs, lung imaging exhibits that the acute exudative lesions have enhanced noticeably and oral drug procedure can be utilized, and there are no problems that demand even further remedy, according to the 10th protocol.

These adjustments are in line with China’s selection in late December 2022 to downgrade the management of COVID-19 from Course A to Class B starting up January 8. This indicates there will be no more quarantine for persons moving into the place, and there will be no sealed management of COVID-19 instances or designation of high-danger spots.

China has been optimizing its COVID-19 management actions since late November 2022 dependent on science and the attributes of dominant variants as effectively as the development of the epidemic. Chinese authorities have reiterated that the aim of the country’s anti-epidemic system have shifted from preventing infection to therapy. These adjustments will aid to free up a huge sum of healthcare resources from makeshift hospitals, which can be redeployed to ordinary medical therapy in addition to shielding susceptible teams, and will provide to supply a lawful foundation for more optimization of prevention and regulate steps in the future.

At a press convention on Friday, Chinese Overseas Ministry spokesperson Mao Ning uncovered that Chinese authorities on Thursday attended an on line briefing for Planet Health Firm (WHO) customers to give a even more update on the COVID-19 epidemic. The WHO claimed that China has stepped up attempts to share data on the epidemic over the past several weeks, in accordance to Mao.

In accordance to the WHO, China has been uploading genetic sequencing information of the virus and sharing more information and facts about the epidemic more than the earlier number of months. China is completely ready to bolster cooperation with the intercontinental group, which include the WHO, to far better tackle troubles introduced by the epidemic and shield people’s life and overall health, mentioned Mao.