Report on the Implementation of the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases

Leaders, experts:

The report on the implementation of the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases of the People's Republic of China is as follows

Pingluo County is located in the northern part of the Yinchuan Plain. It administers 128 administrative villages in seven towns and six townships, with a total area of ​​about 2,200 square kilometers and a total population of nearly 300,000. There are 238 medical and health institutions at all levels in the county, including 1 county-level general hospital, 1 Chinese medicine hospital, 1 health and epidemic prevention station, 1 maternal and child health center, 16 township health centers, training center and Honghui clinic. There are 1 preventive health station, 168 village medical stations, and 47 individual and social medical institutions. There are 817 health personnel in the county, 414 people with college education or above, 154 people with technical secondary education or above, including 34 with senior titles and above, 134 with intermediate titles, and 464 with junior and junior titles.

Since the promulgation and implementation of the "Infectious Diseases Prevention and Control Law", under the guidance of the district and city business departments, under the supervision and support of the county people's congress, the county people's government adheres to the "prevention-oriented" health work policy and continuously strengthens infectious diseases. Prevention and management are the main content of preventive health care, establish and improve the county's network of infectious disease prevention and treatment organizations, work teams and hardware facilities, establish and improve a series of working mechanisms and prevention and control plans for infectious disease prevention and control, and effectively improve The comprehensive prevention and treatment capacity and management level of infectious diseases and the prevention and treatment of infectious diseases have achieved remarkable results and played an important role in safeguarding the health and life safety of the people.

I. Overview of the prevention and treatment of infectious diseases

After years of unremitting efforts, the county has formed a network of infectious disease prevention and treatment organizations at the county, township and village levels with sound organization and complete functions. Entrusted by the government's health administrative department, the county health and epidemic prevention station specifically undertakes the law enforcement supervision, business management and technical guidance of the Law on the Prevention and Control of Infectious Diseases. All township health centers and county-level medical and health units in the county have anti-protection departments, designated persons responsible for the management of infectious diseases in the township and their own units, and 56 village-level anti-insurance personnel with professional knowledge of health are employed. More than 120 technical personnel involved in the management and supervision of infectious diseases. In 2003, the county's children's program immunization card rate reached 100%; the planned immunization “five seedlings” single seedling coverage rate and five seedling coverage rate reached 99%; the legally reported infectious disease incidence rate was 394/10 in 1997. 10,000 fell to 272/100,000 in 2003. Diphtheria and polio have not been diagnosed in 19 years and 15 years respectively; some infectious diseases such as measles, tuberculosis and meningitis that seriously endanger people's health have been effectively controlled. The relevant indicators of infectious disease management have reached the standards of the state and autonomous regions. Claim. In the past few years, our county has won the “Advanced Collective of World Bank Loan Tuberculosis Project”, “The Advanced Group of Polio Eradication and Anti-immunization in the Whole Region”, “National Advanced Collectives for Polio Eradication” and “Advanced Collective of National Primary Health Care Work”. Honorary title.

2. Implementation of the Law on the Prevention and Control of Infectious Diseases

Increase publicity and training, improve the understanding and understanding of the "Infectious Diseases Prevention and Control Law" by health technicians and the community

In order to deepen the understanding and understanding of the "People's Disease Prevention and Control Law" by the broad masses of the people, we take different forms and make full use of radio, television, propaganda materials, propaganda slogans, establishment of consultation points and the implementation of the "Infectious Diseases Prevention and Control Law" to implement the anniversary. Laws and regulations such as the Prevention and Treatment of Infectious Diseases have carried out multi-level and all-round publicity. Adhere to the "Infectious Diseases Prevention and Control Law" and infectious disease management, prevention and treatment and other related knowledge as an important part of the "three basic training" of health technicians, and strengthen the training of health technicians by holding various types of training courses. According to statistics, in recent years, more than 200,000 copies of various publicity materials have been distributed, more than 100 banners have been hoisted, more than 1,000 slogans have been written, more than 80,000 people have been consulted, and more than 200 training sessions have been held. More than 80,000 people. Through publicity and training, people from all walks of life have further enhanced their understanding and support for the Law on the Prevention and Control of Infectious Diseases. The awareness of the people's population on the prevention and treatment of infectious diseases and the prevention and control techniques of health technicians have been further improved, laying down the correct and effective prevention and treatment work. A solid foundation.

Strengthen leadership and improve the management of target responsibility system

In order to effectively strengthen the leadership of infectious disease prevention and control work, the county people's government regards the prevention and treatment of infectious diseases as an important content, and is included in the county's economic and social development plan and annual work plan, and is arranged and examined together with other work. The leading group for the prevention and treatment of infectious diseases is responsible for the organization, leadership and coordination of infectious disease prevention and control work in the county. The County Health Bureau has incorporated the prevention and treatment of infectious diseases into the health development plan and the annual health work plan, implemented the target responsibility system for the prevention and treatment of infectious diseases, and signed the target responsibility letter with the medical and health units to conduct regular management of infectious diseases. Sex check and regular assessment, reward and punishment at the end of the year. The county health and epidemic prevention station implemented a fragmentation of infectious disease prevention and control work, clearly defined responsibilities, and the supervisors often went to the township to supervise the implementation of the work; at the same time, they convened a special epidemic prevention meeting every month to arrange the deployment of infectious disease prevention and control work, exchange experience, and solve prevention and treatment work. There are problems in it. Through the layer-by-layer target responsibility system and hierarchical management, the implementation of infectious disease prevention and control work has been ensured.

Multiple measures to improve the emergency response capacity of infectious diseases

Combined with the development of SARS and human avian influenza prevention and control work, the early warning and emergency treatment of infectious diseases have been further strengthened. First, the development and improvement of the "precautionary plan for the prevention and control of infectious atypical pneumonia", "the work plan for early warning of fever patients" and "precautions for prevention and control of human avian influenza", for early warning, epidemiological investigation and emergency of infectious disease epidemics The orderly development of processing and other work provides a basis for guidance. The second is to establish a team for emergency health emergency response, and to form a number of detachments such as epidemic surveillance, investigation and treatment, disinfection and isolation, medical treatment, etc., to provide organizational guarantee for the emergency treatment of infectious diseases. The third is to meet the centralized treatment and observation and identification of major infectious diseases such as SARS, raise funds to renovate and construct a fever clinic and isolation observation ward in the county people's hospital, and establish a medical isolation system with 60 beds in the inpatient department of the original county hospital. Inspection station. Fourth, an infectious ward with 30 beds and equipped with advanced equipment was built in the infectious disease ward of the County People's Hospital. It was equipped with all kinds of professional talents required, which created conditions for the scientific and standardized treatment of various infectious diseases. In 2003, the county successively dispatched 350 people to the outbreak, organized investigation and treatment of 26 epidemics of infectious diseases, conducted epidemiological investigations on 258 suspected symptoms and contacts, and concentrated medical attention and family observations. name.

Strengthen measures to conscientiously carry out infectious disease prevention and control work

1. Seriously implement the infectious disease monitoring and reporting system. The county's health and epidemic prevention station was established as the leader, the county and township medical units were the hub, and the village-level medical station relied on the infectious disease monitoring report network, and the infectious disease card filling level reporting system was implemented. Since the implementation of the "SARS" and avian flu prevention and control work, the county has further improved the relevant systems for infectious disease management and epidemic reporting, and implemented the "SARS" and human bird flu epidemic report and zero reporting system. The county health bureau and the health and epidemic prevention station set up an epidemic situation room, announced the telephone number of the epidemic, and implemented a 24-hour shift; the county-level medical and health unit opened the “National Infectious Diseases and Public Health Intervention Network Special Reporting System” to realize infectious diseases. Internet direct reporting of the epidemic. In accordance with the provisions of the Law on the Prevention and Control of Infectious Diseases and its implementation measures, each medical unit also appoints a special person to supervise the implementation of various work measures for the management of infectious diseases in its jurisdiction, and requires outpatient medical staff of each medical unit to conduct outpatient registration and suspicious patients. Screening and reporting of infectious diseases according to law. Through the implementation of the infectious disease monitoring and reporting system, it was ensured that the epidemic was reported in a timely manner and the phenomenon of false negatives was eliminated.

2. Seriously implement the “project immunization” system. The county has established a county and township two-level project immunization management system centered on the county health and epidemic prevention station. It has a strong sense of responsibility, a skilled and skilled immunization team and a well-equipped cold chain operation system. In accordance with the principle of territorial management, all medical and health units in the county have signed a child care immunization insurance contract with all parents of school-age children in the jurisdiction, and the children are administered a full-plan immunization management, and a monthly centralized immunization is carried out. The County Health Bureau has established a monitoring system for children's “seven diseases” and other infectious diseases, regularly monitoring and supervising the effectiveness of the county's program immunization work, and promoting the improvement of the child's program immunization quality. In recent years, the county's planned immunization work management level and vaccination quality have been in the precedent of the whole region. It has successfully completed the 85% target review and acceptance of the national plan immunization, and eliminated many major immunization activities such as polio intensive immunization. Implementation has been commended and rewarded by the national, district and municipal health departments.

3. In-depth development of the patriotic health campaign with environmental rectification, water reform and toilet reform, anti-rat and rodent control and health knowledge publicity as the main content. In 2003, in cooperation with the prevention and treatment of SARS, the county organized the activities of “Prevention of SARS, elimination of habits, and new winds”, and used radio, television, leaflets, and consultations to publicize the knowledge of health and disease prevention to the general public. Prevent SARS knowledge and correct bad health habits; the county medical and health units insist on making bulletin boards and publicity windows at least once a quarter to publicize the public's regular health publicity and enhance the people's awareness and ability to prevent diseases.

4. Strengthen the disinfection and protection work of medical and health institutions. Disinfection protection and prevention of nosocomial infections are an important part of the prevention and treatment of infectious diseases. The county health bureau will include it in the comprehensive target assessment of all units of the health system, and strictly strengthen the law enforcement supervision and standardized management of medical institutions, schools and other related units in strict accordance with the provisions of the "Disinfection Management Measures". The county-level medical unit has established a quality control health department, which is responsible for the management of disinfection protection and hospital infection control. All medical and health units have established and improved the relevant systems and operational specifications for disinfection protection management, and insisted on regular periodic disinfection of air, equipment and key parts in medical and public places; in accordance with the Regulations on Disinfection Management and the Regulations on the Administration of Medical Wastes, Carefully handle the harmless treatment of medical waste to prevent the harm of the pollution source in the hospital to the surrounding environment. In 2003, a total of 175 samples of disinfection work were monitored in the medical and health units and child care institutions in the county, and the disinfection rate reached 70%.

Strengthen supervision and increase the enforcement of the Law on the Prevention and Control of Infectious Diseases

In order to better implement the prevention and treatment of infectious diseases, the county health and epidemic prevention station has set up an infectious disease prevention and control supervision department, and established a team of 7 infective disease law enforcement supervisors to formulate supervision plans and adhere to the infectious diseases of the county medical institutions. The management work carries out regular supervision and inspection, and investigates and acts in violation of the law. Since the "SARS" prevention and treatment work, it has carried out more than 10 large-scale special law enforcement supervision and inspection activities such as prevention and treatment of infectious diseases, disinfection management, treatment of medical wastes, supervision of bird flu market, and morning inspection of schools, and dispatched more than 100 inspectors. , handling more than 10 cases of various types of illegal cases. The development of special inspection activities for law enforcement supervision has cracked down on illegal activities and promoted the implementation of infectious disease prevention and control work in the county.

Increase investment in health care and improve public health support

In recent years, the county people's government has overcome the actual financial difficulties of the county, continuously increased funding for health care, prioritized the investment in preventive health care, and maintained full funding for the regular funding of epidemic prevention stations and health centers. Adhere to the rural preventive health care funds of 100,000 yuan and TB control funds of 30,000 yuan into the financial budget, given timely and full allocation. Increase the intensity of running projects and attracting funds. Since 1995, it has invested more than 20 million yuan to renovate the county hospital, the outpatient department of the Chinese medicine hospital, the inpatient department, the epidemic prevention station, and most of the township health centers in the county, so that the overall level of the county's health infrastructure Significantly improved; introduced and purchased a large number of medical diagnostic and treatment equipment, equipped with a new three pieces of B-ultrasound, X-ray, electrocardiograph, etc. for most township hospitals, effectively improving rural medical diagnosis conditions and quality of diagnosis and treatment, and promoting infectious diseases The quality of prevention and control work has improved.

Third, the existing problems and the next step

In recent years, our county has done a lot of work in implementing the Law on the Prevention and Control of Infectious Diseases, and has achieved certain results, but there are still some difficulties and problems, mainly in:

The propaganda of the Law on the Prevention and Control of Infectious Diseases and related laws and regulations is not broad enough and in-depth, and the grassroots people do not know enough.

Rural preventive health workers are under-paid, the team is unstable, and the quality of grassroots preventive health care is not high.

At present, the prevention and control of infectious diseases is still dominated by administrative management. The climate that is managed according to law has not really formed. It is necessary to further strengthen public opinion guidance and government administrative support.

The harmless treatment of medical wastes in medical institutions in the county needs to be further regulated; the reporting system for infectious diseases in village medical stations and individual clinics is poorly implemented, and there is no strong supervision and control measures.

The county's work on the prevention and control of infectious diseases still has a dead end. Some enterprises aim at pursuing economic benefits. The importance of this work is not enough. The prevention and treatment of infectious diseases is neglected, and active cooperation cannot be given to prevention and treatment.

In response to existing problems, in the future work, we will further increase support and implementation of health care, especially the prevention and control of infectious diseases, increase publicity, increase investment, strengthen law enforcement supervision, and earnestly sum up experience. We will promptly resolve the practical difficulties and problems existing in grassroots work, strive to promote the management of infectious disease prevention and control work, safeguard the health and life safety of the people, and ensure the rapid development of the county's economic and social undertakings.