Summary of the work of the Health Bureau to prevent and control the H1N1 influenza
After the outbreak of influenza A (H1N1) in the international arena, the xx County Health Bureau is highly responsible for the life and health of the people, so as to arrange early, early training, early preparation, and early implementation of preventive and control measures. The main work and next work arrangements starting on April 28 are reported as follows:
First, convene meetings at various levels, comprehensive arrangements
1. At the meeting of the heads of medical and health units held on April 28, the information on the global swine flu epidemic situation and the “Swine flu prevention and control question and answer” issued by the Chinese Center for Disease Control and Prevention were issued in the bureau, requiring all medical and health units to be closely Pay attention to the epidemic and carry out the study of prevention and control knowledge.
2. On the afternoon of April 29, after the municipal government held the special meeting on prevention and control of swine flu, the county public health committee held a meeting of the responsible persons of the member units and county-level medical and health units overnight, and the deputy magistrate of the county government xx put forward requirements for prevention and control work. The director of the County Health Bureau informed the situation of the epidemic and conveyed the spirit of the relevant instructions of the Party Central Committee, the State Council, and the provincial and municipal party committees and governments, and made arrangements for the prevention and control of the county. The meeting requested relevant departments and townships to take immediate action to prevent and control people from contracting swine flu as a current key task. In order to be highly responsible to the people, establish a joint prevention and control mechanism, strengthen urban and rural patriotic health, and do a good job in health education. We will conscientiously implement various prevention and control measures to prevent the spread and spread of the epidemic and ensure the health and safety of the people.
3. On the morning of April 30, the Ministry of Health held a video teleconference on the training of the XX version of the human swine flu diagnosis and treatment program; at 4 pm on May 1, the Ministry of Health held a video conference on the prevention and control of swine flu in the national health system; On May 6, the Ministry of Health held a video conference on the prevention and control of influenza A h1n1 flu; at 8 pm on May 11, the Ministry of Health held an emergency video conference on the prevention and control of influenza A H1N1 in the national health system. The county health bureaus carefully organized and watched in time, and made special arrangements for the prevention and control of medical and health units in the county after the meeting.
4. On the morning of May 7, the County Health Bureau held a meeting on the prevention and control of influenza A h1n1 flu. After listening to the report of the prevention and control work and inspection and supervision of the relevant departments of the relevant departments, the county CDC, the county health supervision center, the xx director put forward eight requirements for further prevention and control work: First, it is necessary to check that they have mastered their studies. Second, it is necessary to check how the training work is carried out; the third is to strengthen the inspection and supervision of medical institutions; the fourth is to prepare for the worst treatment of patients; the fifth is to do the reserve work of necessary medical supplies; Do a good job of checking and filling out the written materials; seventh, we must do a good job of organizing and filing relevant files; eighth, we must strengthen communication and coordination with relevant departments and strengthen joint prevention and control.
5. On the afternoon of May 10, the County Health Bureau held a township hospital to further strengthen the prevention and control work of the H1N1 flu. The participants included the leaders of the bureau, the staff of the relevant departments of the bureau, and the dean of the township hospitals. Director xx put forward eight requirements for the township hospitals to further improve the prevention and control of influenza A h1n1: first, ideologically attach great importance to it; second, training and learning should be strengthened; third, technical operations should strengthen drills and be skilled. Fourth, it is highly vigilant against fever respiratory diseases. The medical history should be detailed. It is necessary to distinguish the severity of the patient's condition. Severe colds and unexplained pneumonia should be given special attention. Fifth, it is necessary to strengthen the control of nosocomial infections. Education and visits, extensive prevention knowledge promotion, let the public understand that the H1n1 flu can be prevented, controllable, treatable, eliminate panic and maintain social stability; seventh, strengthen supervision and inspection, form prevention and control; Good documentation and related work. At the meeting, the deputy director of the department arranged the prevention and control work from the perspective of business.
Second, implement countermeasures and prepare for each
1. Establish a leadership organization and clarify duties and tasks. On April 30, the County Health Bureau clearly established and established the Leading Group for the prevention and control of influenza A1 h1n1 in the health system of xx County. It has a medical treatment team, a monitoring and epidemic disposal team, a news and publicity group, an inspection and supervision team, and a material security team. The medical treatment expert group and the stream mitigation expert group have also been established in the bureau. Leading organizations and expert groups have also been established in each of the subordinate medical and health units. At the same time, work responsibilities are also clarified.
2. Improve prevention and control plans and clarify prevention and control requirements. On April 30th, the bureau issued the "Scheduled Emergency Response Plan for Human Swine Influenza in the xx County Health System" and the "Emergency Notice on Preparing for the Medical Treatment of Swine Flu". The following requirements were clearly defined: First, good medical care Personnel training, strengthening related symptom monitoring, requires cases of influenza-like cases and acute respiratory infections from countries and regions infected with swine flu in two weeks, and the monitoring of cases with typical flu symptoms or unexplained pneumonia among medical personnel. Second, it is required to standardize pre-examination, diagnose and diagnose fever, and prevent infection in hospitals. Village-level community health service stations continue to stop treating patients with fever. The third is to adhere to the principle of local fixed-point treatment, standardize the process of transshipment, and designate the county People's Hospital Meixi Branch as a designated hospital for human swine influenza. The patient circulation program is strictly determined according to the requirements of the higher-level health administrative department.
3. Grasp the training work and carry out technical exercises. The Ministry of Health issued the Ministry of Health's "Treatment and Treatment Program for Human Swine Influenza", "Technical Guidelines for Prevention and Control of Swine Influenza", "A H1N1 Influenza Treatment Program", and "H1n1 Influenza Case Transfer Work Program" for system-wide medical staff. Study training. On the afternoon of May 9, an expert group training meeting was held in the bureau. All medical and health units have carried out the training of medical personnel as required. The County CDC actively dispatched staff to train staff in other departments and provide relevant training materials. On April 30th, the Party Working Committee of the County Organs organized the departments of the county-level organs to watch the 18th “Class of Modern Distance Education for Party Members and Cadres”. On the afternoon of May 11, the County People's Hospital organized a self-protection technical exercise for medical personnel. The county CDC conducted a practical drill after the occurrence of the case on May 13.
4, standardize the development of fever clinics, reserve emergency supplies. The county-level medical units standardized the pre-examination and triage, and effectively performed the fever respiratory tract clinic. The County People's Hospital further improved the function of the quarantine area, and there were independent pharmacies, examination rooms and radiology examination rooms. Seriously implement the reserve work of the H1N1 influenza prevention and control materials. On the basis of the original reserve materials, the County CDC responded to the H1N1 flu epidemic, according to the xx province emergency materials and equipment standards, overcoming the financial difficulties and invested 150,000 yuan, and added n95 masks, protective clothing, hands-free disinfectant, and three Equipment and materials such as chlorine effervescent tablets, ultra-low volume sprayers, and special vehicles are deployed for emergency treatment. The county-level hospitals also carried out material and drug reserves in accordance with the requirements. On May 12, the County Health Bureau decided to allocate 100,000 yuan for special prevention and control subsidies for county-level medical and health units to purchase protective equipment and preventive medicines.
5. Do a good job in supervision and inspection to promote the implementation of the work. On April 30, May 4, and May 7, the County Health Bureau organized professional personnel to supervise and inspect the preparations for the prevention and control of influenza A in county-level hospitals, health centers, and private medical institutions, and to check related work requirements. And standards, comprehensive inspection of the implementation of various work. According to the Provincial Health Department's "Standards for the examination of fever in the medical institutions of xx provinces", the county-level units inspected were scored one by one, and found that there were problems. The written rectification opinions were submitted in writing, and the implementation was promptly implemented. On the morning of May 9, the afternoon of May 11, and the 12th of May, the medical units of our county also accepted the supervision and inspection by the inspection team of the Municipal Health Bureau and the Provincial Health Department. In addition, we also actively carry out health education, made special publicity on county TV stations and xx daily newspapers, and publicized publicity prevention knowledge through the Internet and other forms. More than 7,000 posters have been printed and distributed to medical institutions and schools. .
Third, there are problems and problems in the next step: First, learning and training needs to be deepened, and there is still an imbalance in the control of prevention and treatment knowledge among medical personnel. In particular, medical staff in primary medical units must strengthen their study. Second, the standardization construction and operation of pre-examination, diagnosis, and isolation of the observation room need to be strengthened. Third, the process of diagnosis and treatment of suspected and confirmed cases needs to be further clarified by the higher authorities. At present, the Ministry of Health stipulates that the municipal government is responsible for the treatment, while the provincial government requires all counties to determine the designated hospitals, and there are also designated hospitals that require negative pressure wards and negative pressure ambulances. Provisions. This has led to the inability of county-level hospitals to treat suspected and confirmed cases. Fourth, insufficient funding subsidies and insufficient material reserves. Fifth, the department needs to strengthen coordination and coordination. Once there are close contacts in the county, it is necessary to have the ability to isolate it.
The next step: First, study and training should be further strengthened; second, the prevention and control preparation work of medical and health institutions should be more standardized; third, supervision and inspection work should be more stringent; fourth, the need to save and eliminate material reserves should be more adequate; It is necessary to do a good job in dealing with close contacts and the emergence of imported cases; the sixth is to strengthen joint prevention and control with all relevant departments.
First, convene meetings at various levels, comprehensive arrangements
1. At the meeting of the heads of medical and health units held on April 28, the information on the global swine flu epidemic situation and the “Swine flu prevention and control question and answer” issued by the Chinese Center for Disease Control and Prevention were issued in the bureau, requiring all medical and health units to be closely Pay attention to the epidemic and carry out the study of prevention and control knowledge.
2. On the afternoon of April 29, after the municipal government held the special meeting on prevention and control of swine flu, the county public health committee held a meeting of the responsible persons of the member units and county-level medical and health units overnight, and the deputy magistrate of the county government xx put forward requirements for prevention and control work. The director of the County Health Bureau informed the situation of the epidemic and conveyed the spirit of the relevant instructions of the Party Central Committee, the State Council, and the provincial and municipal party committees and governments, and made arrangements for the prevention and control of the county. The meeting requested relevant departments and townships to take immediate action to prevent and control people from contracting swine flu as a current key task. In order to be highly responsible to the people, establish a joint prevention and control mechanism, strengthen urban and rural patriotic health, and do a good job in health education. We will conscientiously implement various prevention and control measures to prevent the spread and spread of the epidemic and ensure the health and safety of the people.
3. On the morning of April 30, the Ministry of Health held a video teleconference on the training of the XX version of the human swine flu diagnosis and treatment program; at 4 pm on May 1, the Ministry of Health held a video conference on the prevention and control of swine flu in the national health system; On May 6, the Ministry of Health held a video conference on the prevention and control of influenza A h1n1 flu; at 8 pm on May 11, the Ministry of Health held an emergency video conference on the prevention and control of influenza A H1N1 in the national health system. The county health bureaus carefully organized and watched in time, and made special arrangements for the prevention and control of medical and health units in the county after the meeting.
4. On the morning of May 7, the County Health Bureau held a meeting on the prevention and control of influenza A h1n1 flu. After listening to the report of the prevention and control work and inspection and supervision of the relevant departments of the relevant departments, the county CDC, the county health supervision center, the xx director put forward eight requirements for further prevention and control work: First, it is necessary to check that they have mastered their studies. Second, it is necessary to check how the training work is carried out; the third is to strengthen the inspection and supervision of medical institutions; the fourth is to prepare for the worst treatment of patients; the fifth is to do the reserve work of necessary medical supplies; Do a good job of checking and filling out the written materials; seventh, we must do a good job of organizing and filing relevant files; eighth, we must strengthen communication and coordination with relevant departments and strengthen joint prevention and control.
5. On the afternoon of May 10, the County Health Bureau held a township hospital to further strengthen the prevention and control work of the H1N1 flu. The participants included the leaders of the bureau, the staff of the relevant departments of the bureau, and the dean of the township hospitals. Director xx put forward eight requirements for the township hospitals to further improve the prevention and control of influenza A h1n1: first, ideologically attach great importance to it; second, training and learning should be strengthened; third, technical operations should strengthen drills and be skilled. Fourth, it is highly vigilant against fever respiratory diseases. The medical history should be detailed. It is necessary to distinguish the severity of the patient's condition. Severe colds and unexplained pneumonia should be given special attention. Fifth, it is necessary to strengthen the control of nosocomial infections. Education and visits, extensive prevention knowledge promotion, let the public understand that the H1n1 flu can be prevented, controllable, treatable, eliminate panic and maintain social stability; seventh, strengthen supervision and inspection, form prevention and control; Good documentation and related work. At the meeting, the deputy director of the department arranged the prevention and control work from the perspective of business.
Second, implement countermeasures and prepare for each
1. Establish a leadership organization and clarify duties and tasks. On April 30, the County Health Bureau clearly established and established the Leading Group for the prevention and control of influenza A1 h1n1 in the health system of xx County. It has a medical treatment team, a monitoring and epidemic disposal team, a news and publicity group, an inspection and supervision team, and a material security team. The medical treatment expert group and the stream mitigation expert group have also been established in the bureau. Leading organizations and expert groups have also been established in each of the subordinate medical and health units. At the same time, work responsibilities are also clarified.
2. Improve prevention and control plans and clarify prevention and control requirements. On April 30th, the bureau issued the "Scheduled Emergency Response Plan for Human Swine Influenza in the xx County Health System" and the "Emergency Notice on Preparing for the Medical Treatment of Swine Flu". The following requirements were clearly defined: First, good medical care Personnel training, strengthening related symptom monitoring, requires cases of influenza-like cases and acute respiratory infections from countries and regions infected with swine flu in two weeks, and the monitoring of cases with typical flu symptoms or unexplained pneumonia among medical personnel. Second, it is required to standardize pre-examination, diagnose and diagnose fever, and prevent infection in hospitals. Village-level community health service stations continue to stop treating patients with fever. The third is to adhere to the principle of local fixed-point treatment, standardize the process of transshipment, and designate the county People's Hospital Meixi Branch as a designated hospital for human swine influenza. The patient circulation program is strictly determined according to the requirements of the higher-level health administrative department.
3. Grasp the training work and carry out technical exercises. The Ministry of Health issued the Ministry of Health's "Treatment and Treatment Program for Human Swine Influenza", "Technical Guidelines for Prevention and Control of Swine Influenza", "A H1N1 Influenza Treatment Program", and "H1n1 Influenza Case Transfer Work Program" for system-wide medical staff. Study training. On the afternoon of May 9, an expert group training meeting was held in the bureau. All medical and health units have carried out the training of medical personnel as required. The County CDC actively dispatched staff to train staff in other departments and provide relevant training materials. On April 30th, the Party Working Committee of the County Organs organized the departments of the county-level organs to watch the 18th “Class of Modern Distance Education for Party Members and Cadres”. On the afternoon of May 11, the County People's Hospital organized a self-protection technical exercise for medical personnel. The county CDC conducted a practical drill after the occurrence of the case on May 13.
4, standardize the development of fever clinics, reserve emergency supplies. The county-level medical units standardized the pre-examination and triage, and effectively performed the fever respiratory tract clinic. The County People's Hospital further improved the function of the quarantine area, and there were independent pharmacies, examination rooms and radiology examination rooms. Seriously implement the reserve work of the H1N1 influenza prevention and control materials. On the basis of the original reserve materials, the County CDC responded to the H1N1 flu epidemic, according to the xx province emergency materials and equipment standards, overcoming the financial difficulties and invested 150,000 yuan, and added n95 masks, protective clothing, hands-free disinfectant, and three Equipment and materials such as chlorine effervescent tablets, ultra-low volume sprayers, and special vehicles are deployed for emergency treatment. The county-level hospitals also carried out material and drug reserves in accordance with the requirements. On May 12, the County Health Bureau decided to allocate 100,000 yuan for special prevention and control subsidies for county-level medical and health units to purchase protective equipment and preventive medicines.
5. Do a good job in supervision and inspection to promote the implementation of the work. On April 30, May 4, and May 7, the County Health Bureau organized professional personnel to supervise and inspect the preparations for the prevention and control of influenza A in county-level hospitals, health centers, and private medical institutions, and to check related work requirements. And standards, comprehensive inspection of the implementation of various work. According to the Provincial Health Department's "Standards for the examination of fever in the medical institutions of xx provinces", the county-level units inspected were scored one by one, and found that there were problems. The written rectification opinions were submitted in writing, and the implementation was promptly implemented. On the morning of May 9, the afternoon of May 11, and the 12th of May, the medical units of our county also accepted the supervision and inspection by the inspection team of the Municipal Health Bureau and the Provincial Health Department. In addition, we also actively carry out health education, made special publicity on county TV stations and xx daily newspapers, and publicized publicity prevention knowledge through the Internet and other forms. More than 7,000 posters have been printed and distributed to medical institutions and schools. .
Third, there are problems and problems in the next step: First, learning and training needs to be deepened, and there is still an imbalance in the control of prevention and treatment knowledge among medical personnel. In particular, medical staff in primary medical units must strengthen their study. Second, the standardization construction and operation of pre-examination, diagnosis, and isolation of the observation room need to be strengthened. Third, the process of diagnosis and treatment of suspected and confirmed cases needs to be further clarified by the higher authorities. At present, the Ministry of Health stipulates that the municipal government is responsible for the treatment, while the provincial government requires all counties to determine the designated hospitals, and there are also designated hospitals that require negative pressure wards and negative pressure ambulances. Provisions. This has led to the inability of county-level hospitals to treat suspected and confirmed cases. Fourth, insufficient funding subsidies and insufficient material reserves. Fifth, the department needs to strengthen coordination and coordination. Once there are close contacts in the county, it is necessary to have the ability to isolate it.
The next step: First, study and training should be further strengthened; second, the prevention and control preparation work of medical and health institutions should be more standardized; third, supervision and inspection work should be more stringent; fourth, the need to save and eliminate material reserves should be more adequate; It is necessary to do a good job in dealing with close contacts and the emergence of imported cases; the sixth is to strengthen joint prevention and control with all relevant departments.
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