How to deal with public health emergencies? In the next three years, Henan will improve seven systems to protect peace and health.
Recently, the General Office of the People’s Government of Henan Province issued the "Three-year Action Plan for the Construction of Public Health System in Henan Province" (hereinafter referred to as the "Action Plan"), clarifying the main objectives and key tasks of the construction of public health system in the province. Our province will focus on filling shortcomings, plugging loopholes, strengths and weaknesses, and promoting advantages, and make overall efforts to strengthen the construction of public health system, enhance the capacity of public health services, and comprehensively safeguard people’s life safety and health.
Goal: to improve the seven systems by 2025, covering prevention, treatment and control.
The Action Plan proposes that by 2025, an emergency command system, a monitoring and early warning system, an emergency rescue system and an emergency material support system that can effectively respond to major epidemics and public health emergencies will be basically established, and the emergency response capacity of public health emergencies will be significantly improved; We will improve the prevention and control system, chronic disease prevention and control system and support and guarantee system that can fully meet the public health service needs, significantly enhance the fairness, accessibility and quality service supply capacity of public health services, and effectively protect people’s life safety and health.
What is the significance of improving the construction of public health system? Report to the 20th CPC National Congress of the Party pointed out: "Improve the public health system, improve the ability of early detection of major epidemics, strengthen the prevention and treatment system of major epidemics and the construction of emergency response capabilities, and effectively curb the spread of major infectious diseases."
"There are still some shortcomings and weak links in the construction of public health system in our province, according to the needs of public health security and the people’s higher expectations for a better life. In order to speed up the construction of a strong public health system and promote the construction of healthy Henan with high quality, this Action Plan has been studied and formulated. " The relevant person in charge of the Provincial Health and Wellness Committee said.
Building a strong, effective and complete public health system is a social system engineering. Generally speaking, the 30 key tasks in seven aspects of the Action Plan can be divided into three major aspects: prevention, treatment and control.
Prevention: emergency command+monitoring and early warning to realize early detection, early reporting and early warning.
The Action Plan points out that it is necessary to improve the emergency command system and establish and improve the graded emergency response mechanism for public health emergencies. Specifically, it is necessary to establish an emergency command and dispatch platform for public health emergencies in the province. Upgrade and transform the integrated epidemic prevention and control management platform in Henan Province, and build emergency command centers for public health emergencies at the provincial, city and county levels. Strengthen the construction of health emergency team. Accelerate the construction of the national emergency medical rescue team in the First Affiliated Hospital of Zhengzhou University, and improve the emergency response capability. Relying on municipal and county-level medical institutions, each county (city, district) will build a grass-roots backpack medical emergency team.
What is the backpack medical emergency team? Guo Yanhong, director of the Medical Emergency Department of the National Health and Wellness Commission, introduced at the press conference in National Health Commission on July 3 that backpacking is a case and a shoulder, in which medical materials, information and communication and corresponding support equipment are prepared in advance, and medical emergency teams can arrive at the front line with ambulances for medical treatment. At the same time, for some places with complex terrain, they can also arrive at the scene without relying on mechanized vehicles.
The Action Plan also proposes to improve the monitoring and early warning system for infectious diseases and public health emergencies, improve the monitoring and early warning mechanism triggered by multiple points, and realize early detection, early reporting and early warning. Relying on disease prevention and control institutions, we will establish monitoring and early warning centers for infectious diseases and public health emergencies at the provincial, city and county levels, enhance the ability of early monitoring and early warning, real-time analysis and centralized judgment, and realize multi-channel and intelligent multi-point trigger monitoring and early warning.
Treatment: emergency treatment+chronic disease prevention and treatment to provide all-round and full-cycle health services.
Improve the ability of severe treatment, strengthen the prevention and control of chronic diseases in the whole cycle of prevention, treatment, management and rehabilitation … The Action Plan proposes to improve the emergency treatment system and the chronic disease prevention and control system.
To improve the emergency treatment system, it is necessary to improve the pre-hospital medical first aid ability. Improve the pre-hospital medical emergency service system based on the "120" emergency command center and the first-aid station, and promote the seamless connection between the pre-hospital medical emergency network and the in-hospital emergency. The relevant person in charge of the Provincial Health and Wellness Committee said that "efforts should be made to strengthen the construction of pre-hospital first aid system, improve the scientific, standardized, standardized, intelligent and informational level of pre-hospital first aid, and strive to improve the efficiency of emergency first aid capacity and get through the’ last mile’ of life first aid".
Henan is a big province of traditional Chinese medicine, so it is necessary to play the role of traditional Chinese medicine in improving the emergency treatment system. The Action Plan proposes to speed up the construction of a national TCM disease prevention and control base and set up a TCM disease prevention and control team relying on the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, and requires that all TCM hospitals above the second level should set up infectious diseases departments and be equipped with at least one TCM practitioner.
The Action Plan clearly stipulates that the construction of emergency medical rescue bases should be strengthened, the construction of national emergency medical rescue bases in the First Affiliated Hospital of Zhengzhou University should be accelerated, and five provincial emergency medical rescue bases should be built in Anyang, Luoyang, Shangqiu, Xinyang and Nanyang, relying on hospitals with strong comprehensive strength.
According to the survey data in 2022, the number of deaths in Henan Province exceeds 600,000 every year, and more than 90% of the deaths are caused by chronic diseases. In this regard, the Action Plan proposes to improve the chronic disease prevention and control system and continuously reduce the premature mortality rate of major chronic diseases. Strengthen the construction of national and provincial demonstration zones for comprehensive prevention and control of chronic diseases, and the coverage rate will reach 20% and 50% respectively by 2025. Strengthen the integration of medical care and prevention, improve the integration ability of medical care and prevention in the management of chronic diseases in urban and rural communities, and provide all-round and full-cycle health services of "active prevention before illness, scientific management after illness, and uninterrupted follow-up service".
Control: prevention and control+guarantee to consolidate the "foundation" of public health construction
Improve the prevention and control system. Strengthen the construction of disease prevention and control institutions and professional public health institutions, popularize the concept of healthy living, strengthen the construction of provincial disease prevention and control centers, and actively strive for national regional public health centers. Strengthen the capacity building of health services for women and children and the elderly. By 2025, each provincial city, county (city, district) and Jiyuan Demonstration Zone will have a standardized maternal and child health care institution organized by the government. At the same time, it is necessary to strengthen the construction of a healthy environment, carry out in-depth actions to prevent and control air, water and soil pollution, actively promote the integration of national health into all policies, and expand the pilot scope of the health impact assessment system to five provinces and municipalities by 2025.
Improve the emergency material support system. The Action Plan clearly states that it is necessary to establish a scientific, complete and coordinated emergency material supply system at the provincial, municipal and county levels to effectively ensure the supply of emergency materials in major public health emergencies. Improve the reserve capacity of the provincial strategic and emergency material reserve and regional material reserve centers such as Zhengzhou, Luoyang, Pingdingshan, Shangqiu and Hebi.
The Action Plan proposes to improve the support system, integrate talents, science and technology, information resources, build a platform for scientific and technological innovation, and build a provincial academy of preventive medicine based on the Provincial Center for Disease Control and Prevention.
It is understood that at present, Henan Province is setting up a chief expert system, encouraging senior experts with rich experience in scientific research and business management to be full-time "chief public health experts", assisting government departments to deal with various public health risk events, and will also provide talent protection for the construction of public health system.
At the same time, improve digital governance capabilities and build and improve provincial and municipal national health information platforms; Integrate all kinds of vertical public health information systems at all levels, and by the end of 2025, basically build a relatively complete national health information standard system.
The relevant person in charge of the Provincial Health and Wellness Committee said that building a strong public health system is an inevitable requirement for safeguarding and maintaining people’s health, an urgent need for safeguarding national security and social stability, and an inherent requirement for improving national governance capacity. The Action Plan will vigorously promote the construction of the public health system, weave a tight "protective net" and build a solid "separation wall" to comprehensively safeguard people’s life safety and health. (Text/Li Lianfan picture is Dahe. com data map)