Report on the Implementation of the Emergency Regulations on Public Health Emergencies

Directors and members:

Entrusted by the county people's government, the report on the implementation of the “Emergency Regulations on Public Health Emergencies” in our county is as follows, please consider.

In May 2003, the 7th executive meeting of the State Council passed and promulgated the “Emergency Regulations for Public Health Emergencies”. Since the promulgation and implementation of the Regulations, under the correct leadership of the county party committee and county people's government, under the strong support of the district and city business departments, the county health bureau has insisted on implementing the “prevention-oriented” health work under the supervision and support of the county people's congress. The policy has been to strengthen the prevention and health care work with the "Emergency Regulations on Public Health Emergencies" and related regulations as the main content, establish and improve the emergency response mechanism for public health emergencies in the county, and establish and improve the public health emergency in the county. The emergency response plan has effectively improved the ability of early warning and emergency response to public health emergencies, and played an important role in safeguarding the health and safety of the people.

I. Basic overview of the implementation of the "Emergency Regulations for Public Health Emergencies"

, the basic situation of the county health system

After years of construction, the county has formed a three-level public health work network and service system with relatively complete facilities and functions. There is a staff-filled team of health professional technology and health supervision and law enforcement. There are 30 medical and health service institutions in the county, including 5 at the county level and 20 at the township level. There are also two health technology training centers, rural cooperative medical management centers, one red card clinic, and two preventive health stations. There are 154 village medical stations in the county, and 47 individual and social medical institutions. There are 696 health professionals in the county's medical and health institutions, including 282 middle-level and above professional titles. There are more than 150 professionals engaged in public health work in the county, including more than 70 college graduates.

And the construction of the public health system

Entrusted by the County Health Bureau, the county health and epidemic prevention station is responsible for the law enforcement supervision of 10 townships, 128 administrative villages, 2 field mines, 62 industrial and mining enterprises, and nearly 260,800 populations. , business management and technical guidance tasks. There are 62 employees in the epidemic prevention station, 48 in the compilation, 7 from the self-support, 7 in temporary employment; 54 of them are professional and technical personnel, accounting for 86% of the total number of employees; 35 are college graduates or above, secondary school graduates 12 people; 7 people with senior professional titles, including 2 chief physicians, 5 deputy chief physicians, and 21 intermediate titles. The Health Supervision Office of the Health and Epidemic Prevention Station was built in 1974 with an area of ​​780.72 square meters. The comprehensive office building was built in 1985 with an area of ​​1,165 square meters. The new CDC building, which was built with the use of national debt funds, was put into use in October 2003. The area is 1,500 square meters, with a total investment of 1.8 million yuan. There are 20 sets of equipment of more than 10,000 yuan.

And the construction of medical treatment system

As the leading unit of the medical treatment system, Pingluo County Hospital has undertaken the arduous and arduous medical treatment task in public health emergencies. In December 2002, the Pingluo County Emergency Center was established, with 300 beds, including: Emergency Department. The house has 240 square meters, 10 observation beds, 3 "120" ambulances, 4 beds in the ICU ward and some basic medical ambulance equipment. The Department of Infectious Diseases set 20 beds. County Hospital of Traditional Chinese Medicine has set up 120 beds, Pingluo Taole Hospital has set up 50 beds, 32 sets of beds for maternal and child health centers, and 15 beds for Yaofu Center Health Center. It has certain basic medical equipment and hospitalization ability. Other medical and health units The medical conditions are simple and can only solve the basic medical care of the local people.

2. Implementation of the Emergency Regulations on Public Health Emergencies

Increase publicity and training, and raise awareness and understanding of the “Emergency Regulations on Public Health Emergencies” among health technicians and the community.

In order to deepen the understanding and understanding of the general public on the "Emergency Regulations for Public Health Emergencies", we make full use of radio, television, propaganda materials, propaganda slogans, and setting up consultation points to make "Emergency Regulations for Public Health Emergencies". And related regulations have carried out multi-level and all-round publicity. Adhere to the "Emergency Regulations on Public Health Emergencies" and the management of infectious diseases, prevention and treatment, etc. 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, over 3,000 copies of various publicity materials have been distributed over the past year, more than 20 banners have been hoisted, more than 400 slogans have been written, more than 6,000 people have been consulted, and 17 training sessions have been held. The training staff has reached 1,000. The rest of the people. Through publicity and training, people from all walks of life have enhanced their understanding and support for the Emergency Regulations on Public Health Emergencies, further strengthened the public health work of our county, and laid a solid foundation for the smooth implementation of the Emergency Regulations on Public Health Emergencies. .

Strengthen leadership, establish and improve the emergency response mechanism for public health emergencies in our county.

In the face of public health incidents that raided, in May 2003, the State Council urgently formulated and promulgated the “Emergency Regulations for Public Health Emergencies”. In order to further strengthen the leadership of the county's work in the prevention and treatment of atypical pneumonia, according to the work arrangements of the district and city party committees and governments, the county has established the Pingluo County Atypical Pneumonia Work Command, and the office is located in the Pingluo County Health Bureau. Implementing the divisional responsibility system for county-level leadership against SARS, and formulating the Emergency Treatment Plan for SARS in Pingluo County, clarifying the responsibilities of the health department and other relevant departments, and ensuring comprehensive measures against SARS. implement. The County Health Bureau has set up an emergency command center with organizations such as health quarantine, medical treatment, and logistics support. In accordance with the principle of "mainly prevention, combination of prevention and control, emergency response, combination of peacetime and warfare, block-based, bar-and-block combination, special-oriented, group-specific combination", all tasks have been successfully completed. In order to effectively improve the emergency response capacity of public health emergencies, the county people's government issued the "Emergency Notice on Seriously Studying and Propagating and Implementing the Emergency Regulations on Public Health Emergencies" to Do a Good Job in Prevention and Control of SARS. As an important task, the "Emergency Regulations for Public Health Emergencies" 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 County Health Bureau also included the implementation of the “Emergency Regulations for Public Health Emergencies” into the health development plan and the annual health work plan, implemented the target responsibility system management, signed the target responsibility book with each medical and health unit, and conducted regular Inspection and regular assessment, reward and punishment at the end of the year.

Combined with the development of SARS and human avian influenza prevention and control work, the early warning and emergency response of public health emergencies in the county were 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 medical emergencies, and to form a number of detachments such as epidemic monitoring, investigation and treatment, disinfection and isolation, medical treatment, etc., to provide organizational guarantee for emergency treatment of sudden epidemics. 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 organize various medical and health units to seriously carry out emergency response to major public health emergencies.

We will conscientiously implement the infectious disease surveillance and reporting system, and establish a network of infectious disease surveillance reports based on county health and epidemic prevention stations, county and township medical units as hubs, and village-level medical stations. . 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. The County Health Bureau also requires outpatient medical staff of all medical and health units to conduct outpatient registration and suspicious patient screening for the patients, and to report the infectious diseases according to law. Through the implementation of the infectious disease monitoring and reporting system, it is ensured that the epidemic situation is reported in a timely manner, the phenomenon of false positives and false positives is eliminated, and the rapid response capability for emergency response to public health emergencies is improved.

Increase investment in health services and improve public health infrastructure.

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 improving township health The hospital's ability to prevent and stress major infectious diseases.

Third, the outstanding problems:

In recent years, with the rapid development of economy and society and the improvement of the health needs of the people, the development level of the county's health care industry can not fully meet the requirements of society, economy and people's people, especially in 2003-2004 SARS and other major infections. In the prevention and treatment of diseases and major disasters, a series of prominent problems in the public health work of the county have been exposed:

The prevention, early warning and emergency control of public health problems lack a unified, scientific operation mechanism and management system, and the mechanism for responding to public health emergencies is still not perfect.

Through the prevention and treatment of SARS, although we have accumulated a certain amount of experience in dealing with public health emergencies, the problems reflected in the SARS prevention and treatment process cannot be ignored: First, some leaders have prevented public health emergencies. The work is not taken seriously, and the importance of establishing a public health mechanism is not really recognized. There is no long-term consideration in terms of prevention and early warning. There are ideas for blindly participating in emergencies. Second, some departments have mutual work in their respective interests. The phenomenon of uncoordinated and mutual squatting; Third, some peasant people do not understand or support the decisions of the county party committee and the government, and some still hold opposing attitudes.

Public health-related infrastructure and equipment support are seriously lagging behind, rural health work is developing slowly, and the level of health technology and public health services is low.

At present, although the county has formed a network of public health work and services at the county, township and village levels with relatively complete facilities and functions, the public health infrastructure work is still weak: First, most of the medical income of each medical unit is used. In order to pay employees' wages, unable to purchase medical equipment and introduce new technologies, there is widespread phenomenon that medical equipment is backward and technical conditions are poor. Second, because township hospitals are limited by housing conditions, there is no standardized infectious disease clinic, which is easy to cause. There is a medical hazard in iatrogenic infection and transmission. Third, although the county health and epidemic prevention station has built a new disease control center building, the construction funds are insufficient, with a gap of 400,000 yuan. At the same time, due to the lack of equipment supporting funds, it is impossible to equip with advanced testing equipment. The existing inspection equipment is relatively backward and cannot meet the emergency needs of current disease control and public health emergencies. Fourth, the Pingluo County hospital business housing is seriously inadequate, restricting the development of emergency services and the management of infectious diseases. The medical equipment is outdated. There are few "120" emergency systems and vehicle-mounted equipment, which can only cope with general conditions of first aid and general infection. The treatment needs of the disease does not have the conditions to cope with large-scale public health emergencies. The county hospitals have a simple clinic and isolation ward, and there are few beds. Once there are many cases of SARS, they will not be able to cope. And the county hospital issued a fever clinic, isolation ward is located in the hospital, and other patients and hospital staff members of the family area is relatively close, without isolation belt, easy to cause iatrogenic infection and spread. Fifth, the functions of county-level medical and health institutions are not clear, the functions are imperfect, the service functions are not strong, the township health centers are serious, the public health departments are not perfect or ineffective, and the village clinics only pay attention to the pursuit of economic interests and other issues; Taking the county-level medical institutions as the leader, the township hospitals as the link, and the village-level health-based three-level medical and health service system fail to play their due role and need further strengthening and development. Seventh, the county and township governments fail to give full play to their management functions and the role of the village committee. They should follow the principle of localized management, integrate the elements into blocks, and gradually form prevention, early warning at the county, township and village levels. , control and deal with integrated emergency mechanisms.

The shortage of funds limits the wide and effective implementation of public health, especially preventive health care.

In recent years, with the development of the economy and social progress, the field of public health services has been continuously expanded. In addition to good planning immunization and tuberculosis prevention and control, county health and epidemic prevention stations have also carried out chronic disease prevention and control, AIDS prevention and treatment, health education and health. A series of special work such as law enforcement supervision, public health incident handling, occupational disease supervision, etc., and the funds required for these projects are not included in the county budget. At the same time, due to the increase in workload, the demand for various types of professional and technical personnel has increased. However, the county finances have implemented an increase in the number of people, and the policy of self-supporting and self-supporting has led to the phenomenon that medical units lack talents but cannot afford talents. The lack of investment in business funds and the shortage of talents have limited the development of public health in our county. As the hub of the tertiary medical preventive health care network, the township health center shoulders the specific work of public health services and undertakes a large number of preventive and health care tasks. Many of the jobs are free of charge. In recent years, due to the relatively tight financial budget of the county, the funds allocated to the township hospitals are only 60% of the employee's file salary, which is equivalent to 30% to 40% of the total wages of the employees, and the business income cannot make up for the shortfall of the employees' wages. Low wages, coupled with poor living conditions and working conditions, have caused serious brain drain in township health centers, directly affecting the quality of rural health work.

Fourth, future work ideas and work tasks

Further establish and improve the emergency mechanism for public health emergencies

1. Establish and improve the unified command and organization system for emergency public health emergencies in the county. Establish a leading group for emergency response to public health emergencies, responsible for the unified leadership of major emergencies in the county, clarifying the duties and tasks of relevant departments and townships, and forming a monitoring and early warning of public health emergencies based on the coordination of health departments and coordination of departments and towns. And the emergency response linkage mechanism to provide organizational guarantee for the effective handling of emergencies. The health department will also set up a corresponding command and coordination organization to be responsible for the prevention and control and emergency treatment of medical and health units, implement a scientific division of labor, be responsible for grading, and establish and improve the organization and management system.

2. Establish a unified early warning and reporting system for public health emergencies. The county health bureau will be the center, the county-level disease control, medical and supervision institutions will rely on the technology, and the public health incident monitoring report and early warning network extended by the township medical and health institutions will further standardize the monitoring, reporting and division of labor coordination system. .

3. Strengthen and improve the emergency early warning mechanism for public health emergencies. Further integrate emergency plans for SARS, bird flu prevention, food hygiene and safety, occupational poisoning, major disasters and other public health emergencies, and revise and improve various emergency prevention and control measures in accordance with the provisions of the Emergency Regulations on Public Health Emergencies Scientific division of labor, strict responsibility, and gradually establish an emergency response system for public health emergencies covering urban and rural areas, with comprehensive functions, responsiveness, and coordinated operation, including medical treatment, disease prevention and control, and health law enforcement supervision.

4. Establish a county public health emergency response and medical treatment team. Strengthen the business training and relevant laws and regulations training for health professionals in the county, improve the overall quality of health personnel and the awareness and emergency response capabilities of emergencies, and implement specialized intensive training and regular drills each year for the emergency treatment team. Strive to create a veritable professional emergency response team. According to the needs of emergency public health events, especially major incidents, in line with the principle of comprehensive business coverage, excellent technology, strict organization, rapid response, and coordination and efficiency, the technical backbone of each relevant business should be selected at the county-level medical and health units. To form an emergency treatment and medical rescue team, equipped with corresponding vehicles and equipment, and set up various professional emergency work groups to meet the professional needs of different types of emergencies; at the same time, set up emergency work reserve echelons in major business units to deal with major The need for subsequent processing of disaster events.

Strengthen the infrastructure of public health work, increase investment, and effectively improve the hardware conditions of public health work.

1. Actively strive for government and higher-level health departments' policies and project support, increase public health infrastructure investment, improve the installation of hardware facilities and equipment for secondary medical treatment and disease prevention and control in counties and towns, and ensure government's public health The necessary investment in work-related funds, in line with the requirements of coordinated and sustainable development, the public health investment is moderately advanced, increasing proportionately year by year, as soon as possible, the originally weak public health work has been effectively improved and strengthened.

2. The county's disease prevention and control center with advanced facilities and complete functions. It is necessary to rely on the state to increase the investment in public health construction investment, actively strive for the county CDC equipment supporting projects, comprehensively carry out technical equipment support and update to meet the needs of major infectious diseases, public health, occupational health and other technical testing needs.

3. While deepening the reform of the health supervision system, strive for the support of national policy projects, build a health supervision and law enforcement command and dispatch center, equip with the necessary vehicles and facilities for supervision, enrich the health supervision and law enforcement team, and create corresponding measures to ensure the smooth development of public health and safety work. Hardware condition.

4. Accelerate the construction of infectious wards in county hospitals, actively use treasury funds, and build a high standard and high configuration in the former site of Pingluo County Hospital of Traditional Chinese Medicine in accordance with the requirements for emergency treatment of infectious diseases in the new era and the provisions of the Law on the Prevention and Control of Infectious Diseases. The infectious disease building, supporting the construction of sewage treatment, medical waste incineration and other equipment, and the transformation of the old ward of the original Chinese medicine hospital, the opening of fever clinics, intestinal clinics, hepatitis clinics and medical technology departments, at the same time through multi-funding, purchase of ventilators , monitors, X-ray machines and other equipment to strengthen the equipment for infectious wards. The newly built infectious disease building will undertake the centralized treatment and handling of major infectious diseases in the county.

5. Renovate and expand the “120” emergency center in Pingluo County, and plan to build a new business building of 1,500 square meters. Plan to establish an emergency operating room, blood purification room, emergency department, surgical ward, expansion of temporary infusion room, observation room, rescue room, Internal surgery diagnostic room and consultation room. The emergency center will add new ventilators, cardiac defibrillators, monitors, cardiac temporary pacemakers, electrocardiographs, hemodialysis equipment and ancillary equipment, operating room equipment, ambulances and vehicle rescue equipment to update existing aging equipment. . Further play the important role of emergency centers in major public health events, disasters and accidents.

6. Focus on the rural areas and strengthen the basic construction of primary health care prevention and health care. Continue to implement the “three constructions” of rural medical institutions with housing construction and basic equipment support, and strive to achieve the popularization of the new three pieces of diagnostic first aid equipment in township hospitals within 5 years; Machines, ventilators, ECG defibrillators, anesthesia machines, urine, biochemical analyzers and other equipment in the central hospitals.

7. Establish an advanced and fast information network for early warning reports of outbreaks and emergencies. On the basis of the current county-level epidemic situation to achieve direct network reporting, increase investment, strive to achieve office automation in the county's medical and health units within five years, and achieve computer networking, to build a complete and functional health management information network. Road, providing an advanced and fast information network platform for public health incident warning and command processing.

In short, in the future work, we will further increase support and implementation of prevention and treatment of public health emergencies, especially infectious diseases, increase publicity, strengthen law enforcement supervision, earnestly sum up experience and solve problems in a timely manner. The practical difficulties and problems in the grassroots work ensure the smooth implementation of the Emergency Regulations on Public Health Emergencies in our county, ensure the health and safety of the people, and ensure the rapid development of the county's economic and social undertakings.

If the above report is inappropriate, please ask the leaders and experts to criticize and correct.