Policies have been issued in many places to standardize the diagnosis of contraindications to vaccination： set up expert groups and establish ledgers.

　　Recently, Taiyuan in Shanxi, Jingchuan in Gansu, Yizhang in Hunan, Siping in Jilin and other places have issued relevant regulations to standardize the diagnosis of contraindications to vaccination, including the establishment of an expert group for the diagnosis of contraindications to vaccination, the opening of a green channel for the elderly aged 60 and over, and the establishment of a ledger for the sales of contraindications.

　　Hunan Yizhang also requires that medical personnel who have issued certificates from relevant medical institutions should scientifically and accurately judge the contraindications and suspension of vaccination, and classify and evaluate the recipients who do have contraindications and basic diseases, and standardize the issuance of true and reliable vaccination contraindications or suspension of vaccination certificates, and must not shirk or refuse to issue certificates; The doctor who issued the certificate of contraindications should issue the certificate based on the real situation of the recipient’s illness, and must not resort to deceit. If there is any fraud, once it is verified, the responsibility of the doctor concerned will be investigated.

　　Expert groups for judging contraindications were established in many places, and the attending doctors issued relevant certificates.

　　The Paper noted that according to the news released by Jingchuan on August 27th, in order to strictly diagnose the contraindications of vaccination in Covid-19 and help the vaccination work in COVID-19, an expert group for the diagnosis of contraindications of vaccination in COVID-19 was established in Jingchuan County, Gansu Province.

　　The chief person in charge of the expert group is the vice president of the county people’s hospital and the chief physician of the Department of Cardiology. The members of the expert group come from the departments of respiratory medicine, cardiology, pediatrics, obstetrics and gynecology, radiology, laboratory, internal medicine, infection and so on of the county people’s hospital, and go to work normally on holidays.

　　According to the news, if it is confirmed by diagnosis that there are definite contraindications to vaccination in Covid-19, the attending physician will issue a diagnosis certificate of contraindications to vaccination in COVID-19, which will be signed by the leader of the expert group and stamped with the official seal of the hospital as the basis for contraindications to vaccination in Covid-19.

　　According to the report of Shanxi Evening News on August 26th, on the 26th, Taiyuan Epidemic Prevention and Control Office issued a notice, designated 14 medical institutions as designated hospitals to issue vaccination contraindications, and made clear the principles for judging vaccination contraindications and the issuance process.

　　According to the requirements, the medical institutions that issue vaccination contraindications must be public hospitals of Grade II and above. Taiyuan Epidemic Prevention and Control Office requires that all designated hospitals should set up an expert group to determine the contraindications of Covid-19 vaccination in the hospital, which is composed of professionals from neurology, cardiology, dermatology, respiratory department, pediatrics, intensive medicine, endocrinology, rheumatology and immunology, obstetrics and gynecology, and preventive medicine, and is responsible for judging, reviewing, training and guiding the contraindications of vaccination in Covid-19. It is necessary to designate special departments to undertake this work specifically and coordinate relevant departments to complete it together. Non-designated hospitals or personnel without professional training shall not issue taboo certificates.

　　In addition, after the evaluation doctor checked the relevant documents and medical information, combined with the comprehensive judgment of consultation and physical examination, if it is really a vaccination contraindication, he will issue a certificate of Covid-19 vaccination contraindication, the doctor will sign it, affix the official seal of the hospital, and record the information at the same time.

　　According to the news of WeChat WeChat official account, Propaganda Department of Anshan Municipal Committee of Liaoning Province on August 24th, Zhang Lu, Chief of Prevention, Control and Occupational Health Section of Municipal Health and Health Commission, said that the first batch of 13 designated medical institutions in the city issued contraindications for the people. Considering the principle of convenience for the people nearby, 13 medical institutions covered 7 counties and cities in the city. Each designated medical institution has set up an expert group for the certification of contraindications to vaccination in Covid-19, to give a scientific and professional evaluation on whether the diseases of patients are contraindications to vaccination in Covid-19, so as to ensure the vaccination safety of the people.

　　In some areas, it is required to classify and evaluate the recipients and establish a ledger.

　　Previously, Yizhang, Hunan, Siping, Jilin and other places also issued relevant regulations to standardize the diagnosis of contraindications to vaccination in COVID-19.

　　According to the news of WeChat WeChat official account, the Propaganda Department of Yizhang County Committee, on August 27th, six secondary hospitals, including Yizhang County People’s Hospital, were designated as the units that issued the vaccination contraindications and suspension certificates in Covid-19. Each unit clearly defined the departments (departments) that issued the vaccination contraindications and suspension certificates, and designated clinical medical personnel with intermediate or above titles to be responsible for issuing the vaccination contraindications and suspension certificates in Covid-19.

　　The news mentioned that medical personnel who have issued certificates from relevant medical institutions should scientifically and accurately judge the contraindications and suspension of vaccination, and classify and evaluate the recipients who do have contraindications and basic diseases, and standardize the issuance of true and reliable vaccination contraindications or suspension of vaccination certificates, and must not shirk or refuse to issue certificates; For the elderly aged 60 and above who apply for the Certificate of Vaccination Taboo and Suspension of Vaccination (attachment), it is necessary to open up a green channel and reduce the waiting time in line.

　　According to the aforementioned news, the doctors who issue certificates of contraindications should issue certificates based on the true condition of the recipients, and they should not resort to fraud. If there is any fraud, once it is verified, the responsibility of the doctors concerned will be investigated. If it is difficult to judge, it should be submitted to the county-level expert group for investigation and diagnosis of abnormal reaction to vaccination for discussion and decision.

　　According to the news of Siping Municipal People’s Government on August 23rd, the Municipal Health and Health Commission organized Covid-19 to train experts to judge the contraindications of vaccination and carry out supervision and inspection. The Municipal Health and Health Commission requires all supervision teams to immediately check the practices of all localities in implementing the judgment of contraindications, check the registration of contraindications at all vaccination sites, whether the relevant work requirements of the municipal party committee and municipal government are implemented, and whether the contraindications are established in all localities.

　　In addition, through training and supervision, we will further standardize the judgment and management of contraindications for vaccination in Covid-19, so as to avoid the situation that the judgment of contraindications is too large and the judgment is not strict, improve the vaccination ratio, realize that people without contraindications should be connected, and establish the city’s immune barrier as soon as possible.