10 ministries and commissions jointly issued a document: accelerate the registration and approval of new anticancer drugs at home and abroad, and promote the simultaneous listing of new drugs at home and abroad

People's governments of all provinces, autonomous regions and municipalities directly under the central government, ministries and commissions under the State Council, and organizations directly under the State Council: In order to implement the decision-making and deployment of the Party Central Committee and the State Council, and in accordance with the requirements of the opinions of the State Council on the implementation of Health China action, to implement cancer prevention and control action and effectively maintain the health of the people, 10 departments including the national health and Health Commission jointly formulated the health China action cancer prevention and control implementation plan (2019-2022) With the approval of the State Council, it is hereby printed and distributed to you Please implement it carefully National Health and Health Commission, national development and Reform Commission, Ministry of education, Ministry of science and technology, Ministry of finance, Ministry of ecological environment, state medical insurance bureau, State Administration of traditional Chinese medicine, State Food and drug administration, Poverty Alleviation Office of the State Council, September 20, 2019 (form of information disclosure: active disclosure) Health China action - cancer prevention and control implementation plan (2019-2022) cancer prevention and control work is an important part of Health China action In order to implement the decision-making and deployment of the Party Central Committee and the State Council, implement the requirements of the opinions of the State Council on the implementation of Health China action (GF [2019] No 13), and further carry out cancer prevention and control work, this plan is hereby formulated 1、 General requirements (1) guiding ideology Guided by Xi Jinping's socialist ideology with China's characteristics in the new era, we should fully implement the spirit of the nineteen and third Plenary Session of the party's nineteen and second plenary sessions, adhere to the people centered development thought, firmly establish the concept of big health and great health, adhere to prevention, combine prevention and control, and integrate policies, innovate institutional mechanisms and working modes, popularize health knowledge, and mobilize the masses to participate in cancer Disease prevention and treatment: we will deploy to strengthen cancer prevention and screening, early diagnosis and treatment, and scientific research, focus on cancer prevention and treatment difficulties, focus on advantageous forces to make key breakthroughs in key links such as pathogenesis, prevention and control technology, resource allocation, policy guarantee, effectively reduce the harm caused by cancer, and lay an important foundation for improving the health and well-being of the masses and building a healthy China （2） Main objectives By 2022, the cancer prevention and control system was further improved, and the comprehensive progress in prevention and control of risk factors has been made The level of cancer screening, early diagnosis and early treatment and standardized diagnosis and treatment has been significantly improved The incidence rate and mortality trend of cancer has been curbed The overall 5 year survival rate of cancer has increased by 3 percentage points over 2015, and the disease burden of patients has been effectively controlled Two, the implementation of risk factors control action, reduce the risk of cancer (three) to carry out the national health promotion We will build an authoritative platform for the dissemination of science popularization information, and organize professional institutions to compile and publish core information and knowledge points for cancer prevention and control We will further organize and carry out publicity activities such as the National Cancer Prevention and control publicity week, take cancer prevention and control knowledge as an important health education content of schools, medical and health institutions, communities, pension institutions, and strengthen publicity and education on cancer prevention and control for rural residents By 2022, the awareness rate of core knowledge of cancer prevention and treatment will reach more than 70% We will promote the national healthy lifestyle action focusing on "three reduction and three health care", and guide the public to carry out self-health management in a scientific way To strengthen the education of adolescent health knowledge and behavior Actively promote the construction of smoke-free environment, and strive to reduce tobacco consumption by strengthening the health hazard warning effect of cigarette packaging logo, price regulation, limiting tobacco advertising and other means (led by the national health and Health Commission, with the cooperation of relevant departments) (IV) promote relevant vaccination It is encouraged to gradually carry out hepatitis B vaccination among the population with high risk of adult hepatitis B virus infection in areas where conditions permit We should strengthen the scientific publicity of human papillomavirus (HPV) vaccination and promote the vaccination of people of appropriate age Speed up the review and approval process of domestic HPV vaccine and improve the accessibility of HPV vaccine Through price negotiation, centralized procurement and other ways, to promote the HPV vaccine supply enterprises to set reasonable prices, and explore various channels to guarantee the vaccination of people of appropriate age in poor areas (the national health and Health Commission and the State Food and drug administration are respectively responsible for) (V) strengthening environmental and health work We will strengthen water ecological protection and ensure the safety of drinking water Ensure the soil environment safety of agricultural land and construction land Promote the use of clean fuels, and prohibit the use of projects with unqualified indoor environmental quality acceptance Strengthen the monitoring and evaluation of environmental health impacts such as drinking water, air and soil closely related to people's health, study and establish environmental and health investigation and risk assessment system, and promote environmental health risk management We will deepen the Patriotic Health Campaign and promote comprehensive improvement of urban and rural environmental health (led by the Ministry of ecological environment and the national health and Health Commission, with the cooperation of relevant departments) (VI) promote the work of cancer prevention and anti-cancer in the workplace Carry out the construction of healthy enterprises and create a healthy and safe workplace environment Develop cancer prevention and cancer prevention guidelines in the workplace The employer shall be responsible for the regular detection, evaluation and individual protection management of carcinogenic occupational hazards in the workplace, and arrange the occupational health examination for the workers exposed to the occupational hazards according to laws and regulations, so as to ensure the health of the occupational population in an all-round way (led by the national health and Health Commission, with the cooperation of all relevant departments) 3 Implement the action of improving cancer prevention and control capacity, improve the prevention and control service system (7) promote the balanced layout of high-level cancer prevention and control institutions We will strengthen the capacity-building of the National Cancer Center and give full play to its technical support role With the National Cancer Center as the leader, the National Cancer Prevention and control network will be built Relying on the regional medical center, 1-2 leading institutions in cancer prevention, treatment, teaching, scientific research and other fields will be selected in 7 areas, including Northeast, north, central, East, South, northwest and southwest, to promote the construction of regional cancer medical center Relying on the existing resources, all localities should build provincial cancer prevention and control centers, and promote the establishment of cancer specific disease prevention and control institutions at Prefecture and city levels Through the project of improving the ability of diagnosis and treatment of difficult diseases, the construction of key specialties, and the counterpart support of urban and rural hospitals, the ability of central and western regions and grass-roots units will be improved, and the construction of tumor specialties in county-level hospitals will be strengthened We will encourage specialized tumor hospitals with strong expertise to build branches or sub centers in areas where cancer patients leave more provinces, and improve the overall cancer prevention and control capacity of areas with insufficient resources in a relatively short period of time by exporting talents, technologies, brands, management, etc (led by the National Health Commission and coordinated by the national development and Reform Commission) (VIII) strengthen the responsibilities of cancer prevention and control institutions The regional cancer prevention and control center is responsible for the construction of regional cancer prevention and control capacity and the overall coordination of technical work, through technical support, talent assistance and other forms, to promote the overall level of cancer prevention and control in the region The provincial cancer prevention and control center is responsible for establishing the provincial cancer prevention and control cooperation network, exploring and promoting appropriate prevention and control technology and service mode, and carrying out the cancer prevention and control work with complex problems and high-tech requirements Qualified secondary and above hospitals are equipped with oncology department, which has the general diagnosis and treatment ability to carry out cancer screening and common multiple cancer species Disease prevention and control institutions at all levels are responsible for cancer risk factors monitoring, epidemiological investigation, population intervention, information management, etc We will encourage the establishment of medical consortia and other forms of cancer specialist consortia Improve the ability of all kinds of medical and health institutions at all levels in publicity and education, health consultation and guidance, screening of high-risk groups, health management, etc (in the charge of the national health and Health Commission) 4 Implement cancer information-based actions, improve the cancer registration system (9) improve the cancer registration and reporting system Tumor registration centers at all levels shall be responsible for the organization and implementation of tumor registration in their respective areas, and all kinds of medical and health institutions at all levels shall perform the responsibilities of tumor registration and reporting By 2022, cancer registration will be implemented in all counties and regions, and national and provincial cancer registration annual reports will be issued (the national health and Health Commission and the State Administration of traditional Chinese medicine are respectively responsible for) (x) improving the quality of tumor registration data We will establish a tumor registration and reporting information system, quality control standards and evaluation system, and improve reporting efficiency and quality By 2022, the number of registries included in the National Cancer Registration annual report will not be less than 850 (led by the National Health Commission and coordinated by the national development and Reform Commission) (XI) promote the sharing and utilization of information resources Strengthen the docking and exchange of tumor registration information system, cause of death monitoring, electronic medical records and other databases, gradually realize the sharing of resources and information among departments, promote the application research of big data, and improve the ability of survival analysis and disease and death trend prediction Standardize information management, protect patient privacy and information security (the national health and Health Commission, the national development and Reform Commission, the National Health Insurance Bureau and the science and technology department are respectively responsible for) fifthly, implement the promotion action of early diagnosis and early treatment, strengthen the long-term mechanism of screening (XII) formulate the guidelines for early diagnosis and early treatment of key cancers For the key cancers with high incidence rate, relatively mature screening methods and technical schemes, such as gastric cancer, esophageal cancer, colorectal cancer, cervical cancer, breast cancer and lung cancer, we have formulated a unified standardized screening and early diagnosis and treatment technical guide, which is widely applied in the whole country (in charge of the National Health Commission) (XIII) accelerate the promotion of early cancer screening and early diagnosis and treatment Local governments have gradually expanded the coverage of screening and early diagnosis and treatment for cancers with high incidence, good cost-effectiveness of early treatment and simple and easy screening methods Pilot the construction of early cancer screening and early diagnosis and treatment capacity improvement project Support county-level hospitals to build "cancer screening and early diagnosis and treatment center", and carry out opportunistic screening of esophageal cancer and gastric cancer in pilot areas We should strengthen the continuity of screening and follow-up diagnosis and treatment, timely refer the screened cancer patients to relevant medical institutions, and improve the effect of screening and early diagnosis and treatment By 2022, the early diagnosis rate of key cancer species in high incidence areas will be more than 55%, and the coverage rate of "two cancers" screening counties and districts for rural school-age women will be more than 80% (led by the national health and Health Commission and coordinated by the national development and Reform Commission and the Ministry of Finance) (XIV) improve the long-term mechanism of cancer screening Relying on the construction of hierarchical diagnosis and treatment system, optimize the management mode of cancer screening Primary medical and health institutions gradually provide cancer risk assessment services to make residents aware of their own cancer risk To guide the high-risk population to receive regular physical examination for cancer prevention, strengthen the follow-up management of suspected cases, and carry out early intervention for early cancer or precancerous lesions We will strengthen the standardized management of physical examination for cancer prevention and build a number of chronic disease health management demonstration institutions with cancer prevention and control as their characteristics (in charge of the national health and Health Commission) VI to implement the standardized action of cancer diagnosis and treatment, improve the management service level (15) to strengthen the standardized management of diagnosis and treatment Revise the diagnosis and treatment norms, guidelines and clinical pathways of tumor diseases We will strengthen the management of clinical application of anti-tumor drugs, guide medical institutions to negotiate the allocation and use of anti-cancer drugs, improve drug use guidelines, and establish a prescription review and result publicity system Do a good job of rehabilitation guidance, pain management, long-term care, nutrition and psychological support We will promote the construction of standardized cancer pain treatment demonstration wards and the pilot work of hospice care Efforts were made to reduce cancer-related premature mortality By 2022, the overall 5-year survival rate of cancer was 3 percentage points higher than that in 2015 (in charge of the National Health Commission) (XVI) improve the quality control system of diagnosis and treatment Relying on the provincial medical quality control center of tumor specialty, through the systematic collection, analysis and feedback of quality information related to tumor diagnosis and treatment, the relevant indicators of tumor diagnosis and treatment quality are continuously monitored to promote the continuous improvement of tumor diagnosis and treatment quality To establish a national monitoring network for clinical application of antineoplastic drugs and to carry out cancer drug use