Ma Xiaowei: Five measures to improve China's public health and emergency response system

The Information Office of the State Council issued the White Paper on "China Action against the outbreak ofNew Crown Pneumonia" on Sunday, June 7, 2020, and held a press conference at 10 a.mon the same day, inviting Xu Lin, Vice Minister of the Central Propaganda Department, Director of the Information Office of the State Council, Wang Zhigang, Director of the National Health AndIng Commission, Ma Xiaowei, Vice Foreign Minister Ma Zhaoxu, Chinese Academy of Engineering, Vice President of the Chinese Academy of Medicine, and Wang Chen, President of the Chinese Academy of Medical Sciencespress conference, Japan's Asahi Shimbun issue is related to the Chinese CDC, the specific problem is: Premier Li Keqiang in the two sessions of the "Government Work Report" mentioned that in the epidemic prevention and control of public health, emergencymanagement, etc., exposed a lot of weak links, Zhong Nanshan academician also said in February that the CDC CDC status is too low, there should be a certain administrative power, on this aspect of the short board, how will you improve in the future?, Ma Xiaowei, director of the National Health and Health Commission, replied: "
the outbreak of xinguan pneumonia is the fastest spread since the founding of New China, theinfectionthe widest range, the most difficult to control a major public health emergency, is a crisis in China, but also a big test, but also a test of China's medical and health development reform results." Under the strong leadership of the CPC Central Committee and the State Council, and with the joint efforts of the people of the whole country, we have made strategic achievements in epidemic prevention and control in about three months, effectively turning the situation around and protecting people's lives and healthThe practice in the struggle of epidemic prevention has proved that China's medical and health system and public health emergency emergency system are generally effective, but in the struggle also exposed some problems and short boardson the afternoon of June 2, General Secretary Xi Jinping convened a symposium of experts and scholars to emphasize that we should build a strong public health service system to protect people's lives and healthThe National Health and Health Commission, together with the relevant departments, will make more efforts to rationalize institutional mechanisms, clarify functional positioning, strengthen early warning capabilities, improve the quality of personnel and improve input mechanismsIn general, it is necessary to strengthen the construction of public health system and public health emergency system in these aspects: is to further improve the public health investment mechanism, improve the basic conditions for disease prevention control, and further implement and improve public health service projects the second is to improve functional positioning, in the national, provincial, municipal, county four-level disease prevention control system, further strengthen the ability of prevention and control of acute infectious diseases and emergency disposal, clear the national CDC, provincial CDC, municipal CDC, county-level CDC their respective functional positioning, the national CDC to solve scientific research and development, laboratory testing, business guidance and pathogen analysis Such as the ability of "one-hammer tone", the provincial CDC should strengthen the role of regional prevention and control work guidance, supervision, quality assessment and personnel training, municipal and county-level CDC should further strengthen on-site epidemiological investigation and daily supervision and monitoring of the spectrum of regional infectious diseases, and the county-level CDC and community medical institutions should strengthen the foundation of management and prevention and control, and build a solid foundation for prevention and prevention at the grass-roots level So we should clarify the four-level CDC's respective functions, straighten out the institutional relationship, and form a up-and-down coordination mechanism the third is to innovate the mechanism of combining medical prevention and control, to put the system of disease prevention and control in our country and the system of medical treatment, in the mechanism to open up, to achieve personnel access, information, resources Because we all know that the sick is to go to the hospital, found in the hospital, reported illness in the hospital, the CDC system must be closely integrated with the hospital, we will be in the system innovation, in the mechanism of security, in the management of personnel, the prevention and control of the combination of the real landing This is a short board, it should be said that we have a long-term existence of this one prevention and control of the combination is not close enough, some work should have room for further improvement fourth is to optimize the monitoring system and strengthen the early warning capacity The core of the "Four Mornings" is early detection, the control of major infectious diseases early detection is the key, so early warning, in addition to the 2003 SARS after the establishment of the network outbreak reporting system, there are now public health emergencies administrative reports Next, we will further strengthen and improve both systems For example, the establishment of public opinion monitoring system, medical personnel reporting system, scientific research and discovery reports of diversified information collection channels, the establishment of intelligent early warning multiple trigger mechanism, improve emergency plans, classification and formation of health emergency teams, improve the ability to detect, report, early warning and respond to major public health events Five is to strengthen the construction of the personnel, stimulate the vitality of personnel, focus on the training of pathogen testing, on-site epidemiological investigation, laboratory testing, outbreak situation research and analysis and other aspects of professional training, so that we on the daily monitoring of major infectious diseases, emergency warning, on-site investigation, situation research and adjustment process efficiency and level to further improve, so that we in this regard to a level At the same time in the sound of public health, personnel training, access, use, treatment, evaluation and incentive mechanism to have some new policies, we see reports that China's prevention and control system of talent in the past there have been some losses, so in terms of personnel training and treatment we should further improve So that our team can usually play a role in day-to-day monitoring and management, in the war to be able to get on, able to effectively respond to major public health emergencies and so on, there is a great progress and improvement source: