CDC Annual Work Summary
Under the guidance of the Municipal Health Bureau, the disease prevention and control work of xx County is committed to protecting the health of the people and doing its best to prevent and control the disease. In particular, health emergency, prevention and treatment of sexually transmitted diseases, prevention and control of key infectious diseases, direct reporting of infectious diseases, public health report management, health education and health promotion, we are putting a lot of effort into the prominent position. Grasp and do all kinds of prevention and control work in a down-to-earth manner. Let's make a brief report on these aspects.
I. Health emergency work Health emergency work is an important task that affects people's life safety and social stability. It is an important part of health work. The CDC also bears particularly important responsibilities in health emergency work. In order to do a good job in health emergency work, we attach great importance to ideologically, in accordance with the requirements of the health bureaus, establish an emergency leadership team and formulate relevant regulations. We will do a good job in the relevant operations and make relevant business preparations one by one. As a particularly important task, health emergency is placed in a prominent position to catch. An emergency leadership team and an emergency mobile team led by the head of the center were set up to establish prevention and treatment plans for type A h1n1, rabies, avian influenza, hand, foot and mouth disease, cholera, etc., and various personnel, equipment, materials, and disinfectants were prepared. Prepare and actively respond to various events.
A flu vaccination situation: On January 14, XX, the second batch of influenza A vaccination was 26,500, the third batch of 27,700, and the fourth batch of 36,500 were completed before March 15. The fifth batch of 5,500 people completed the vaccination before May 20.
In order to enhance our business ability and familiarize ourselves with the identification capabilities of infectious diseases and unexplained diseases, we have continuously sent staff to participate in provincial and municipal seminars. After the comrades who participated in the study came back, they used the learning machine to communicate to the staff of the whole center. Township public security personnel conduct centralized training.
II. Prevention and Control of Key Infectious Diseases The AIDS Prevention and Control Center has a special sex department and 4 staff members. As a comprehensive AIDS Integrated Demonstration Zone and the Children's Foundation AIDS Care Project County, according to the requirements of the project work, At that time, the work plan for the new year demonstration area and the UNICEF project and the summary of the previous year's work were formulated and reported. On the other hand, the cooperation with the members of the Anti-Committee Committee has been strengthened, and the following work has been carried out this year:
1. To publicize the knowledge of AIDS prevention and control, use the science and technology sanitation to the countryside, 6.26 World Anti-Drug Day and other festivals to carry out publicity, to the entertainment venues to carry out high-risk group propaganda and other flexible and diverse ways to publicize and educate, and xx County Women's Federation, League Committee, The Education Bureau cooperated to teach AIDS prevention and control knowledge in schools and communities, and cooperated with the Women's Federation and the Public Security Bureau to conduct anti-AIDS lectures, so that the majority of women and public security police received a good education.
On March 18th, more than 35,000 pieces of various materials were distributed in activities such as “Science, Technology, Culture and Health”. More than 10,000 copies of the information were distributed in the “6.26” World Drug Control Day publicity campaign, and 315 custodial personnel in the new office were educated on AIDS prevention and control knowledge. On April 9th, XX, 145 rural doctors in the county were trained in basic knowledge and policy on AIDS prevention; 113 people in charge of medical institutions in the county, epidemic doctors, obstetricians and gynecologists and inspectors were prevented. AIDS mother-to-child transmission, occupational exposure protection, laboratory testing technical training. Screening for AIDS and syphilis as a pre-natal check-up project, 5,723 pregnant women were screened from January to August, and 1 positive pregnant woman was found.
On May 7th, XX, a total of 27 people in the clinical, laboratory, and epidemiological surveys of the county direct units were trained in “screening hiv in current TB patients”.
2. Do a good job in AIDS surveillance reports and follow-up. We attach great importance to early detection of AIDS-infected and AIDS patients so that they can receive timely counseling and help to overcome psychological burdens, correct bad behaviors, avoid infecting others and retaliate against society, and reduce more The misfortunes have happened. A preliminary screening laboratory and a hiv consultation room were set up. A special person was responsible for the epidemic report and consultation follow-up work. A total of 380 volunteer consultations were conducted throughout the year, and 4 positive cases were found. Detected AIDS antibodies were detected in 315 detainees of the county detention center, the detection rate reached 100%, no positive cases were found; 17 non-HIV antibody positive partners/fixed partners and children with HIV antibody detection for HIV/AIDS patients, 17 3 cases were found to be positive.
3. Conducting high-risk behavior interventions We have conducted knowledge of STD and AIDS prevention and policy training for owners of entertainment venues. Completed the work of two laborers, maternal and child block, voluntary counseling and other groups of people to irrigate a total of 51,846 person-times, and monitored 100 blood donors in the xx county single plasma station.
A free condom is provided for 100% of the condom needs of hiv infected people. Train peer education and outreach services in the dark crowd, promote the use of condoms, and provide free condoms for high-risk groups.
4. For the 66 patients with HIV infection and patients who can be followed up, 25 patients survived and continued to receive free antiviral drugs. Two people with infected tuberculosis and 2 patients who had been diagnosed with tuberculosis were treated. A cd4 test was performed on 34 infected individuals and patients. An epidemiological survey was conducted on 33 newly-discovered HIV/AIDS patients, and the case follow-up form was completed. The proportion of completed flow adjustment was 100%.
Four people were infected and self-rescued, one of whom went to work in the field, one of them was planted at home, one was at home for processing, and one was planted at home.
There are 15 AIDS orphans in the county, of which 8 are receiving various types of funding, and another 7 are unable to receive funding for various reasons.
The number of tuberculosis control was 5,212 person-times, 573 person-times of tuberculosis antibody test, and the coverage rate of prevention and treatment strategy was 100%. A total of 566 patients with pulmonary tuberculosis were found, including 335 new patients with smear-positive pulmonary tuberculosis, 18 patients with smear-positive tuberculosis, and 213 patients with smear-negative tuberculosis. The TB network reported 776 people, referred to 376 people, referred to 326 people, tracked 53 people, and tracked 34 people. The referral rate was 100%, the referral rate was 86.7%, and the follow-up rate was 60%. The initial rate of smear-positive patients was over 80%. The referral rate and patient system management rate exceeded 85%, and the reported rate exceeded 95%.
The fifth epidemiological survey of tuberculosis in the country was drawn to Xuema Village of Huilong County in xx County. Our center carefully planned according to the national unified plan. From May 20th, a total of 1,320 epidemiological surveys were conducted among residents of Xunzhong Village. The on-site flow adjustment work was completed on time on June 10, and the province has passed the acceptance test.
Prevention and treatment of intestinal infectious diseases strengthen the prevention and treatment of intestinal infectious diseases with cholera as the focus, and monitor the epidemic situation. Since April, a total of 15 hospital sewage has been monitored. Vibrio cholerae was not detected.
Conduct supervision on the establishment of intestinal outpatient clinics in various medical institutions. Check the situation of the intestine clinics opened by various medical institutions one by one, and promptly correct the situation that some health centers are only listed without the corresponding facilities and equipment, and timely warning, to control the epidemic in the bud.
Hand, foot and mouth disease prevention and control timely printing and distribution of leaflets for extensive publicity, strengthen the knowledge and prevention of hand, foot and mouth disease prevention and control, and enhance the public awareness of self-prevention. The CDC dispatched professionals to promptly guide the kindergartens to conduct morning inspections and disinfection work. Each case was controlled according to the Guidelines for Prevention and Control of Hand, Foot and Mouth Disease. No outbreaks and epidemics occurred.
Leprosy prevention and treatment In May this year, physical examination, follow-up and family health examinations were performed on leprosy patients of Jiexing, Yongtai and Huanglu. No new leprosy patients have been found this year.
Malaria prevention and treatment work to consolidate the results of malaria, prevent imported malaria cases and second-generation cases. In January and May of this year, the county health bureau issued two documents, requiring county-level medical institutions to strengthen the management of imported malaria. In February, Xie Yangjun, a villager from Nanhua Town, returned from work in Africa and developed symptoms of malaria. He was diagnosed as vivax malaria by the People's Hospital of the County. The Center for Disease Control and Prevention was treated with chlorine and borquer eight-day therapy. After testing, no Plasmodium was found in the peripheral blood. The County CDC conducts epidemiological investigations, family environmental disinfection, and health education for patients and their families. In April, the patient was followed up again and blood was checked, and no Plasmodium was found.
"4.26 Malaria Prevention Day", the county CDC printed 20,000 copies of malaria prevention and treatment materials, distributed to various medical institutions; carried out on-site publicity; at the same time issued 80 "out-of-person anti-malaria" publicity posters to medical institutions painting.
The prevention and treatment of iodine deficiency disease is in accordance with the State Notice of the County-level Assessment and Assessment Program for the Elimination of Iodine Deficiency Disorders and the xx Provincial Office of the People's Government on the Prevention and Treatment of Key Diseases in the Province of xx. In XX, the province achieved the elimination of iodine deficiency disorders at the county level. Target requirements. On March 25th, training was provided to public health personnel in medical institutions. Formulated an iodized salt monitoring program for 288 households in Northeast Town, Jiexing Town, Huilong Town, Nanhua Town, Shuanglong Town, Huilong Town, Cangshan Town, Jijin Town, Fengdian Town, and 36 villages. Monitoring and sampling were carried out, 286 were qualified, and the pass rate was 99.3%. Data and monitoring reports were uploaded on time.
On May 15th, the company cooperated with the salt industry company to carry out the “Iodine Prevention and Deficiency Day” publicity campaign, and distributed 80 environmental protection bags, 100 aprons, and 500 public health education books. “Scientific salt and good health” 300 pages, issued 200 charts of "the whole society participates in the continuous elimination of iodine deficiency disorders".
The corresponding work plans and requirements were formulated and issued for the prevention and treatment of chronic diseases. A total of 20,000 copies of knowledge on prevention and treatment of hypertension and knowledge of diabetes prevention and treatment were distributed to community service centers and township health centers.
Rabies prevention and control From January to August this year, our center issued a total of 8200 rabies vaccines. Two patients with canine injuries have been ill with no rabies vaccine.
Third, infectious disease information report management work infectious disease information reporting work is an important means of infectious disease control, not only can monitor the occurrence of the epidemic or possible situation, but also through analysis of timely warning, in order to take necessary countermeasures to effectively control the emergence of the epidemic Spread to reduce the harm caused by infectious diseases to the people. All the township xx county medical institutions in the county have established a network system for epidemic situation, and most reporting units can report cases in time. Our center has a special person in charge of the epidemic report management work, keep abreast of the county's epidemic situation, and timely check cards and timely warning. At the same time, it also carried out investigations on the quality of the epidemic and the quality of the epidemic report, and timely corrected the phenomenon that the infectious disease report was not timely and the report was misreported.
IV. Immunization planning work In order to improve the business skills of grassroots vaccination personnel, 126 people from township public health and health personnel were trained intensively. The professionals went deep into the township defense and protection departments and station inoculation points, and patrolled business supervision 120 times. In the supervision work, the problems were pointed out, the written rectification opinions were put forward, and various forms of repeated publicity were used to raise the awareness of parents' active participation and promote the smooth development of the work.
Strengthen the management of cold chain equipment in townships, towns, and inoculation points. A total of 48 freezers were distributed to 45 townships, Chengnan Chengbei Community and Longxing Branch of the county, and 15 freezers were distributed to some townships to maintain the normal cold chain system. Run to ensure vaccine titer.
The vaccination rate was investigated in 45 townships in the county. Each township randomly selected 7 school-age children. A total of 315 school-age children were selected and 313 were built. The card-building rate was 99.36%. BCG qualified vaccination was 312 people, the vaccination rate was 99.05%; the polio vaccine was qualified to inoculate 314 people, the vaccination rate was 98.68%; the 303 people were inoculated in the whole process, the vaccination rate was 99.36%; the measles vaccine qualified 300 people, the vaccination rate was 95.23%; Four seedlings were inoculated with 295 people, and the inoculation rate was 93.65%; B liver vaccine was immunized by 314 people, and the inoculation rate was 98.68%; B liver vaccine was inoculated in time for a total of 315 people, and 296 people were inoculated in time. The timely inoculation rate of B liver vaccine was 93.96%. .
The immunization rate of children with the original immunization program vaccine was increased; the inoculation rate of paralysis or leprosy was 91.00%; the inoculation rate was 88.00%. The inoculation rate of polio sugar pills was 90.50%; the rate of white broken two joints was 65.00%.
Expand the national immunization program vaccination situation; a group of meningococcal vaccination rate 42.00%; JE vaccine 1 year old group vaccination rate 93.00%; 2 year old group vaccination rate 78.00%; A liver vaccination rate 89.00%; a + c cerebral 3 The age group vaccination rate was 91.00%; the 6 year old group vaccination rate was 72.00%.
Strengthening the management of related infectious diseases and active retrieval of afp cases This year, afp monitoring was conducted three times afp monthly for afp monitoring points. Four cases were found to be suspected of afp reports, all of which were investigated as required within 48 hours, and 2 qualified samples were collected. 1 case in Chengdu and Mianyang.
Ma Miaoqiang, B liver replanting measles vaccine to strengthen immunization work, has completed the task in full, the county's vaccination rate reached 96.75%, B liver vaccine re-planting work has also been fully completed, the county's vaccination rate exceeded 95%.
The construction of the Children's Immunization Management Information System is based on the requirements of the Children's Information Management System. 45 townships and towns throughout the county conduct information system management for children born after January 1, XX.
V. Health education and health promotion We will carry out publicity activities such as the World Tuberculosis Prevention and Control Day, the vaccination day, and the iodine deficiency prevention day. According to the requirements of basic public health services, more than 6 kinds of CDs will be produced for each medical and health unit, and five kinds of AIDS prevention and control core information and citizen health literacy brochures and readings will be distributed to all medical and health units.
In close cooperation with the Bureau of Technical Supervision and the Safety Supervision Bureau, the number of physical examinations of practitioners was 1755 in January-May. 159 meals were monitored. Monitoring 229 pieces of drinking water.
Sixth, health monitoring, work environment, sanitation
1. Drinking water hygiene monitoring To strengthen the monitoring of urban and rural drinking water hygiene in our county, improve the drinking water health and safety monitoring network to prevent the occurrence and prevalence of water-borne infectious diseases. According to the National Aiwei Office “Technical Plan for Rural Water Improvement and Toilet Improvement Project in XX--Water Quality Sanitation Monitoring Technology Program for Rural Drinking Water Safety Project”, “XX Rural Water Drinking Monitoring Program in XX Province” and “Xinshi Urban and Rural Drinking Water Health Safety Monitoring” The Network Work Plan and the xx County XX Urban and Rural Drinking Water Health and Safety Monitoring Implementation Plan, the Center for the 39 rural safety project water quality monitoring points newly established in XX and the 50 provincial and municipal drinking waters identified in the past The water quality monitoring points of the monitoring network carried out the sampling and investigation of water quality monitoring during the dry season and the wet season.
Water source survey
From May to May, on-site investigations were carried out on the water source types, water intake methods, water quality treatment conditions, drinking population and drinking water quality status of 89 drinking water monitoring points in the county.
Drinking water monitoring project work
At the end of May, the sampling, data entry and data review of drinking water quality monitoring for urban and rural areas in the XX annual dry season were completed. From July to August, the national rural drinking water safety project in the flood season and the water sampling of the rural drinking water monitoring points were completed. Inspection work is currently underway for data network direct reporting and review. During the dry season, 136 water samples were monitored and 91 were qualified, with a pass rate of 66.91%. 96 water samples were monitored during the wet season, 42 were qualified, and the pass rate was 43.75%. Write summary and analysis materials in time, and put forward opinions and suggestions on existing problems.
Entrusted to test the County CDC to obtain the qualification for measurement certification at the end of XX, continuously improve the detection capacity and level, cooperate with the County Water Affairs Bureau to do water quality monitoring of rural drinking water safety projects, and provide commissioned testing services for enterprises, institutions and individuals, commissioned testing 105 pieces of water.
Emergency detection
On August 14th, Shiquan Township, Gudian Township and Jifeng Town of our county were flooded with heavy rain, causing natural disasters such as floods and landslides. The infrastructure and crops suffered severe damage. After the disaster occurred, our center promptly confronted the three. The water consumption facilities in townships were damaged, drinking water, environmental pollution, etc., and the health and epidemic prevention work was carried out in a targeted manner.
As of August, 56 water samples from 29 waterworks, water supply stations, and terminal water were tested, technical guidance was given to unqualified water supply units, and suggestions for rectification were proposed. Hygienic investigations were conducted for all waterworks and water supply stations. And to guide the disinfection, the water supply has been restored to the present; disinfection drugs are distributed to 1032 households with artificially-prepared wells polluted by floods, and the local doctors have guided the drinking water disinfection, and have basically resumed drinking; the environmental disinfection of the flooded farm houses Guidance; Issue more than 10,000 copies of "Knowledge Prevention Knowledge during Flood Disasters", XX0 copies of "Health and Disease Prevention Knowledge", and "More than 5,000 Emergency Disinfection Methods after Disasters".
8.14 After the flood, through surveillance, there was no outbreak of intestinal infectious diseases and public health emergencies.
2. Indoor air hygiene In order to understand and master the indoor air quality of our county's residence and provide health inspection services for residents, our center is preparing various equipment and technologies for indoor air hygiene monitoring.
occupational health
1. Occupational Health Technical Service and Occupational Health Examination Qualifications The CDC attaches great importance to the occupational health technical service qualification certification work, convened a special meeting for research and deployment, established the Occupational Health Technical Service Qualification Certification Leading Group, and purchased a number of laboratories and occupations. The health on-site monitoring instrument has developed and operated a quality management system in accordance with the requirements. It passed the occupational health technical service and occupational health inspection agency qualification certificate in January XX, which indicates that the center has provided occupational health technical services to the society. And the ability and qualifications of occupational health checks. We believe that the acquisition of the two qualifications has earnestly implemented the "Occupational Disease Prevention and Control Law" in our county, creating preconditions for the legal, legal and orderly implementation of occupational health technical services, which will protect the health and related rights of our workers and avoid them. The occurrence of mass occupational diseases promotes the harmonious, sustained and healthy development of the county economy, and has a positive and far-reaching impact!
2. Occupational health monitoring To strengthen the special treatment of dust and high-toxic substances in our county and the occupational health work of enterprises, the CDC conducted joint law enforcement inspections with the security supervision, labor, trade unions and other departments, and cooperated with the county safety supervision bureau on April 22nd. The occupational health supervision and management work conferences of all enterprises in the county were held, and the occupational health monitoring and health monitoring of each enterprise were fully deployed and clearly required.
From January to August, more than 1,000 occupational health examinations of enterprise workers were completed, 1 case of suspected occupational diseases, 23 cases of occupational contraindications, and the suggestion of workers with occupational contraindications to transfer to the original job.
3. Monitoring of occupational hazards At present, the monitoring of occupational hazards in the workplace of Deyang Donghui Chemical Co., Ltd. is completed, and 49 monitoring points for noise, ammonia, hydrogen sulfide, carbon monoxide and high temperature are detected, 44 are qualified, and the pass rate of monitoring points is 89.80%. . Suggested written rectifications were made for the unqualified monitoring points. The monitoring of occupational hazards in the remaining enterprises will be carried out after October.
Radiation hygiene
1. Radiation Protection Monitoring According to the laws and regulations of the Law on Prevention and Control of Occupational Diseases and the Regulations on the Administration of Radiology and Treatment, our center has carried out health protection monitoring on the radiation room of 15 medical institutions. Among them, there are 12 that meet the radiation protection requirements. Written rectification suggestions were issued for those that did not meet the requirements for radiological protection.
2. Occupational health monitoring
A quarterly personal exposure dose was monitored for radiation workers in the county, and 62 people returned the dose components. The center forwarded the notice of the xx city CDC on the medical examination of the radiation workers in XX, and clarified the time and requirements of the medical examination.
Disinfection and sanitation is to conscientiously implement the "Disinfection Management Measures", "Six Province Disinfection Management Regulations" and other laws and regulations, strengthen the disinfection and sanitation management of medical institutions and child care institutions, and prevent and control the outbreak of infectious diseases. From January to August, a total of 232 samples were tested. , 230 qualified, the pass rate is 99.14%.
safety of food
From January to August, a total of 159 meals were monitored; 288 pieces of iodized salt were used, and 286 were qualified; 15 foods and external environment were monitored by cholera.
Seven, health inspection
From January to August of XX, under the guidance of the central leadership and the superior disease control center, our department actively studied various norms and national standards and actively carried out inspection work. The work is as follows:
1. Food hygiene inspection: 159 meals were monitored, 102 were qualified, and the pass rate was 64.2%.
2. Environmental sanitation inspection: 343 drinking water.
3. Disinfection monitoring: 232 medical disinfectants, 230 qualified, the pass rate is 99.1%.
4. Preventive health checkup: 2172 person-times of physical examinations in food and public places in the county, 1000 routine blood tests, 1000 routine urine tests, 1475 liver function of tuberculosis patients, and 796 person-times of kidney function tests.
5, tuberculosis examination: 5,212 person-times, 573 person-times of tuberculosis antibody test. Successfully completed the task of sputum smear and sputum culture in the fifth epidemiological survey of tuberculosis nationwide.
6, AIDS detection: completed two laborers, maternal and child block, voluntary counseling, tuberculosis patients and other groups of people, hiv-ab screening 620 people, xx county single plasma station paid blood source monitoring 100.
7. Special monitoring work: 288 pieces of iodized salt monitoring were completed, 286 were qualified, and the pass rate was 99.3%. 15 cases of the second disease monitoring.
8. Completed 71 pieces of sanitary supervision and inspection.
9. Actively participated in the quality control of rural drinking water quality monitoring organized by the National Affair Commission, and achieved excellent results.
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