Cui Li, health and Family Planning Commission: the emergency response capacity of grass-roots health needs to be improved urgently

Source: on March 21, 2016, after the discovery of the first imported case of yellow fever in China recently, two new imported cases of yellow fever were added in Beijing on March 19 However, after the confirmation of the first imported Zika case in China not long ago, the 12 imported cases found so far have been treated in time and effectively With the arrival of spring, the temperature rises day by day, and the risk of mosquito borne diseases such as Zika, dengue, yellow fever increases day by day At present, what measures have been taken to prevent the disease? In case of the above epidemic, does China have the ability to strictly control the proliferation risk? In this regard, the reporter interviewed Cui Li, deputy director of the national health and Family Planning Commission It is very important to guide the public to participate in prevention and control scientifically Recently, Zika virus has attracted wide attention of the international community In May 2015, the first case of Zika virus local infection occurred in Brazil Since then, Zika virus epidemic has continued to spread and spread in American countries At present, there are 36 countries and regions with local transmission cases, especially in Brazil and other countries with high epidemic situation, small head deformity and other neurological diseases have also occurred In fact, 18 departments, including the national health and Family Planning Commission, have started the joint prevention and control mechanism long before the first Zika case in China "For this potential imported epidemic, we must take measures such as epidemic monitoring, port prevention and control, medical treatment, patriotic health campaign, health tips, publicity and education." Cui Li said that after the first Zika case was confirmed, China CDC developed a nucleic acid detection reagent for Zika virus in a short time, providing an important technical support for epidemic prevention and control Immediately, the national health and Family Planning Commission formulated and printed the epidemic emergency plan, prevention and control plan and diagnosis and treatment plan, and timely deployed the epidemic prevention and response work So what are the key measures to prevent mosquito borne diseases such as Zika, dengue and yellow fever? "Mosquito control is the key measure to cut off the transmission route and prevent mosquito borne diseases, and it is very important to guide the public to participate in epidemic prevention and control scientifically." Cui Li stressed that for seven provinces with high prevalence of mosquito borne infectious diseases, such as Guangdong, Yunnan, Guangxi and Hainan, it is necessary to increase funds and personnel investment to ensure the improvement of the vector biological monitoring network In accordance with the requirements of the dengue vector Aedes monitoring guide, we should carry out vector Aedes monitoring in all high-risk counties and districts of our province (districts and cities), so as to provide technical support for scientific measures against mosquitoes At the same time, other provinces in the country should carry out centralized mosquito control before the active season of mosquitoes according to the local climate characteristics To prevent the risk of epidemic spread, we need everyone to participate in it Cui Li believes that compared with SARS in 2003, the timely release of the first Zika case and the first yellow fever case in China, as well as the active voice and answer questions of experts and medical workers, make the public correctly understand the epidemic situation and improve the public's active awareness of participating in the prevention and control of the epidemic Not only that, in the past 13 years, China's health emergency system has developed from scratch, and the health emergency capacity has grown from weak to strong Cui Li introduced that, for example, the world's largest network direct reporting system for infectious diseases and public health emergencies has been established; the public health risk assessment system for emergencies has been established; the health emergency pathogen laboratory network has been established; the early detection, early reporting, early diagnosis and early disposal of public health emergencies have been realized, ensuring the effectiveness of all kinds of public health emergencies Yes It is understood that in addition to the prevention and control of public health emergencies, health emergency work also includes emergency medical rescue This kind of rescue is after the occurrence of natural disasters, accident disasters and social security events, the health and family planning departments focus on medical and health resources to carry out the work of casualty treatment, psychological crisis intervention, health epidemic prevention, health impact monitoring and evaluation At present, 37 The national health emergency team has many functions, such as emergency medical rescue, prevention and control of infectious diseases, disposal of poisoning events and nuclear radiation events At the same time, the emergency response mechanism has been established, which can quickly mobilize resources, simultaneously implement measures such as psychological crisis intervention, health epidemic prevention, health impact monitoring and evaluation, minimize death and disability, and gradually form the whole chain of emergencies , the whole process and all-round emergency medical rescue mode Although great progress has been made, Cui Li admitted that the health emergency response work in China is still on a "climbing slope" At this stage, there are some shortcomings, mainly reflected in the weakness of infrastructure construction and the urgent need to improve the health emergency response capacity; the overall level is still far from the developed countries, and the standardization, institutionalization and scientific management level needs to be improved; the construction of management and technology specialization needs to be improved, and the pace of informatization, coordination and internationalization needs to be accelerated "Among them, the relatively weak capacity of health emergency response at the grass-roots level is a prominent problem." Cui Li believes that as a key front-line force in the detection and disposal of public health emergencies, there is a general lack of knowledge and ability of health emergency professionals, and even a lack of health emergency training, drill, equipment, reserve and disposal funds in some grass-roots areas, which affects the timely detection, identification and disposal of public health emergencies at the grass-roots level In this regard, Cui Li believes that it is necessary to promote the standardized construction of health emergency in time, focus on strengthening the standardization of plan formulation, team management and technical operation, and strengthen the health emergency force at the grass-roots level In addition, we should strengthen the construction of health emergency discipline, support health emergency education and scientific research, and strengthen the training of health emergency management personnel and professional technical backbone At the same time, she stressed that we should actively encourage health emergency work to enter the "five in" activities of enterprises, communities, schools, rural areas and families, so as to improve the people's self rescue and mutual rescue skills and literacy in emergencies.