Chinese official side issues the action plan Launch the work of dispelling malaria in an all-round way

Chinese official side issues the action plan Launch the work of dispelling malaria in an all-round way
Electricity of May 26 of www.chinanews.com is according to the news of website of Ministry of Public Health, 13 departments such as Ministry of Public Health jointly printed and distributed a few days ago <>,Require all parts, every department to combine reality, implement conscientiously, guarantee to reach the goal of dispelling the malaria in the whole country by 2020. The full text follows: China dispels the malaria action plan (2010-2020 years) Malaria is the healthy and life security of endangering the people of our country seriously, influences the important parasitic disease of social economic development. Since the establishment of China, under the great attention of the governments at all levels, the malaria prevention and control of our country has made the prominent effect. The intersection of malaria and number of the infected reduce several tens of thousands by the end of the 1990s from 24 million more than of will it be will it be the beginning the seventies the 20th century, the range of prevailing area shrinks greatly, besides two provinces in Yunnan, Hainan, the other areas have already dispelled the malignant malaria. After the 2000, our country some area appear epidemic situation rebound, with implementation of " national malaria prevent and cure planning 2006-2015 year ", the central and local governments at all levels have strengthened support to prevention and control of malaria and input, the momentum of making the epidemic situation of some areas rebound is contained effectively. At present, prevailing province (autonomous region of 24 pieces of malaria of the whole country, municipality directly under the Central Government) China, 95% of the counties are (municipal or district) The malaria morbidity has already been dropped to under 1/10000, has only had 87 (municipal or district) counties The malaria morbidity exceeds 1/10000. In order to ensure the broad masses of the people to be healthy conscientiously, promote economy to develop with society in harmony, what is the high-level meeting of the development goal is put forward to respond to the United Nations in millennium eliminates the proposal of malaria in the whole world, our government determines to launch the work of dispelling the malaria in an all-round way in 2010, most areas will dispel malaria by 2015, reach the goal of dispelling the malaria in the whole country by 2020. In order to define task and measure, implement department's duty, specially make an action plan. Carry out the policy of putting prevention first, preventing and curing scientifically, the principle implementing suiting measures to local conditions, guidance to different types of areas in first, guidelines; Adhere to the working mechanism of leaders of governments at all levels, department's cooperation, the whole communal participation; Strengthen international cooperation and exchanges, improve scientific and technological level constantly, utilize domestic, all kinds of resources outside fully, guarantee the smooth realization that every project marks. Classify the malaria epidemic situation report according to 2006-2008 year, is divided into the following four kinds by county the whole country in second, malaria prevailing area. A kind of county: There is here and is infected with the case in 3, and the morbidity is greater than or equal to 1/10000 of the counties. Class II county: There is here and is infected with the case in 3, and the morbidity is smaller than 1/10000 of the counties at least one year. Three kinds of counties: There is no popular county infected with the case report here in 3. Four kinds of counties: It is not the malaria prevailing area. Third, goal (1) Total goal. By 2015, the whole country is except Yunnan some border areas, there is no here and is infected with the malaria case in the other areas; By 2020, reach the goal of dispelling the malaria in the whole country. (2) Stage goal. 1.All three kinds of counties, by 2015, reach the goal of dispelling the malaria. 2.All class II counties and except a kind of county of Yunnan some border areas, by 2015, there is not here that is infected with the malaria case; By 2018, reach the goal of dispelling the malaria. 3.A kind of county of Yunnan border area, by 2015, the malaria morbidity drops to below 1/10000; By 2017, there is not here that is infected with the malaria case; By 2020, reach the goal of dispelling the malaria. (3) Working index. Realize the following indexes by 2012: 1. Skills training. (1)Province, districts and cities, the controlling organization of prevention from suffering from the diseases at county level and one, the relevant personnel of health clinics in towns and townships of two, three kinds of counties has accepted the malaria preventive treatment knowledge skill and training proportion of dispelling the malaria job requirements are above 95%. (2)Province, districts and cities, at county level with one, the relevant department clinician of the clinic of one grade of medical organizations of township of the class II county has accepted malaria is diagnosed, have treated training of knowledge and laboratory inspection personnel to accept proportion of examining skills training of one slice of mirrors of plasmodium's blood is above 95%. (3)Class�� or Class II county at village level and three the intersection of township and grades of the intersection of medical organization and relevant clinician of county accept malaria it prevents and cures the proportion trained in ABC to be above 95%. (4)The staff members of health quarantine have accepted the proportions of preventive treatment knowledge of malaria and skills training are above 95%. 2.Patient's plasmodium's blood is examined to generate heat. (1)The proportion that every province, prefecture-level general hospitals and controlling organizations of prevention from suffering from the diseases can examine plasmodium's blood is up to 100%; The proportion that the general hospitals of one, two, three kinds of counties and controlling organization of the prevention from suffering from the diseases can examine plasmodium's blood is up to 100%; One grade of proportions that medical organization can examine plasmodium's blood in the township of the Class�� or Class II county is up to 90%. (2)The Class�� or Class II county regards villages and towns as the unit " Three is hot " Patient (diagnose as malaria, suspected malaria and unidentified reason generate heat patient while being clinical) The total number that the annual plasmodium's blood examines is not lower than 2% and 1% of the numbers of people of area under one's jurisdiction separately; Three kinds of counties " Three is hot " The total number that patient's annual plasmodium's blood examines is not lower than 2�� of the numbers of people of area under one's jurisdiction. Malaria propagates the season blood and examines 80% that the number of people is not lower than the annual blood and examine the total number of person. (3)The measuring rate of case laboratory of malaria is up to 100%, make a definite diagnosis of the proportion and is up to 75% in the laboratory. (4)Until external the intersection of malaria and whom person who prevail enter a country generate heat patient carry on the intersection of malaria and proportion consulted to sift up to 100% since entry and exit inspection and quarantine bureau. 3.Case report, treatment and case are investigated. The reporting rate is up to 100% in 24 hours after diagnosing, the therapeutic rate of case norm of malaria is up to 100%, the investigating rate of individual case of epidemiology is up to 100%. 4.Handle in the epidemic place. The handling rate in the epidemic place of a kind of county is up to 50%, the class II county is up to 70%, three kinds of counties are up to 100%. 5.Media defends making. Malaria propagates season, long-efficiency mosquito net, soaking the mosquito net, screen window of the screen door of the residents of Class�� or Class II county,etc. protects the coverage rate of facilities and is up to 80%. 6.Health education. (1)The knowing rate of preventive treatment knowledge of malaria of resident of Class�� or Class II county is up to 70%, the knowing rate of preventive treatment knowledge of malaria of students in middle and primary schools is up to 75%; The border port and knowing rate of preventive treatment knowledge of relevant staff member's malaria of health quarantine are up to 90%. (2)The proportion of putting malaria preventive treatment knowledge publicity materials in places such as the entry and exit port, international traveling hygiene health center,etc. is up to 90%. Realize the following indexes by 2015: 1. Skills training. (1)Province Districts and cities, the controlling organization of prevention from suffering from the diseases at county level and one, the relevant personnel of health clinics in towns and townships of two, three kinds of counties has accepted the malaria preventive treatment knowledge skill and training proportion of dispelling the malaria job requirements are up to 100%. (2)Province, districts and cities, at county level with one, the relevant department clinician of the clinic of one grade of medical organizations of township of the class II county has accepted malaria is diagnosed, have treated training of knowledge and laboratory inspection personnel to accept proportion of examining skills training of one slice of mirrors of plasmodium's blood is up to 100%. (3)Class�� or Class II county at village level and three the intersection of township and grades of the intersection of medical organization and relevant clinician of county accept malaria prevent and cure the proportion trained in ABC up to 100%. (4)The staff members of health quarantine have accepted the proportions of preventive treatment knowledge of malaria and skills training are up to 100%. 2.Patient's plasmodium's blood is examined to generate heat. (1)The proportion that every province, prefecture-level general hospitals and controlling organizations of prevention from suffering from the diseases can examine plasmodium's blood keeps 100%; The proportion that the general hospitals of one, two, three kinds of counties and controlling organization of the prevention from suffering from the diseases can examine plasmodium's blood keeps 100%; One grade of proportions that medical organization can examine plasmodium's blood in the township of the Class�� or Class II county is up to 100%. (2)The Class�� or Class II county regards villages and towns as the unit " Three is hot " The total number that patient's annual plasmodium's blood examines is not lower than 1% of the numbers of people of area under one's jurisdiction and 2�� separately; Three kinds of counties " Three is hot " The total number that patient's annual plasmodium's blood examines is keep not lower than 2�� of the numbers of people of area under one's jurisdictioning. Malaria propagates the season blood and examines 80% that the number of people is not lower than the annual blood and examine the total number of person. (3)Make a definite diagnosis of the proportion and is up to 100% in the malaria case laboratory. (4)Until external the intersection of malaria and whom person who prevail enter a country generate heat patient carry on the intersection of malaria and proportion consulted to sift keep 100% since entry and exit inspection and quarantine bureau. 3.Case report, treatment and case are investigated. Report rate keep 100%, malaria case norm getting therapeutic to keep 100% in the 24 hour diagnose, the investigating rate of individual case of epidemiology keeps 100%. 4.Handle in the epidemic place. The handling rate in the epidemic place is up to 100%. 5.Media defends making. Malaria propagates season, long-efficiency mosquito net, soaking the mosquito net, screen window of the screen door of the residents of Class�� or Class II county,etc. protects the coverage rate of facilities and is up to 90%. 6.Health education. (1)The knowing rate of preventive treatment knowledge of malaria of resident of Class�� or Class II county is up to 80%, the knowing rate of preventive treatment knowledge of malaria of students in middle and primary schools is up to 85%; The border port and knowing rate of preventive treatment knowledge of relevant staff member's malaria of health quarantine are up to 100%. (2)The proportion of putting malaria preventive treatment knowledge publicity materials in places such as the entry and exit port, international traveling hygiene health center,etc. is up to 100%. Realize the following indexes by 2020: 1. Dispel and examine authorizing. 100% of the malaria prevails in the county and finishes dispelling malaria to examine and authorize. 2.Diagnose in the suspected malaria patient's laboratory. (1)The medical health organ above county level of the county and controlling organization of prevention from suffering from the diseases prevail originally to possess plasmodium's blood and examine facility and ability. (2)All suspected malaria patients get plasmodium's blood of laboratory to examine. (3)Epidemiology can't confirm the malaria case which is infected with the source gets the gene of the national-level laboratory and traces to the source to appraise. Fourth, prevent and cure the tactics and a kind of county of measure and strengthen and infect the source to control and defend making the measure with media, lower malaria and have illness coming on. The class II county removes malaria and infects the source, block malaria and spread in the locality. Three kinds of counties strengthen and monitor and input the case to handle, prevent then send and spread. Four kinds of counties do a good job of the handling of input case. All parts can be according to preventing and curing the process and the change of the situation prevails, adjust and prevent and cure the tactics in right time. (1) Strengthen and infect control of source and management. 1.Find the malaria patient in time. All types of medical health organ should be right " Three is hot " The patient examines, or diagnose fast that tries one (RDT) one slice of mirrors of plasmodium's blood Assist and measure. RDT person who measures masculine gender, must gather and keep the blood slice for reference. 2.The norm treats the malaria patient. All types of medical health organ should " resist the malaria medicine using priciple and scheme of using medicine " and paying and treating to the malaria patient finding it according to what Ministry of Public Health issued. Should supervise and guide and take medicine to all malaria patients in the whole journey. 3.Strengthen the malaria epidemic situation report. All types of medical health organ patient should until " whether the People's Republic of China infectious disease prevent and cure law " and " the information of infectious disease report the standardard management " to malaria that find Regulation report malaria case. 4.The case is verified. The controlling organization of prevention from suffering from the diseases at county level should carry on one slice of mirrors of plasmodium's blood to examine, verify to all malaria cases of the straight newspaper of network immediately, and finish the epidemiology case to investigate within 3 workdays. To the prior year county where the malaria morbidity dropped to below 1/100,000, all malaria cases reported to the network by the controlling organization of the provincial prevention from suffering from the diseases carry on aetiology confirming and genetic analysis in the laboratory. 5.Handle in the epidemic place. The malaria case appears and have natural villages or residential areas (epidemic place) that propagate the condition ,Organize by controlling organization of prevention from suffering from the diseases at county level, launch case search for, to have person of history generated heat gather blood specimen carry on plasmodium blood slices of mirror examine and RDT find in the last 2 week, take corresponding media to defend making the measure to all households in the epidemic place at the same time, release malaria and prevent and cure publicity materials, information of offering consultation of malaria service. 6.One stops to effect a radical cure. Propagating one at malaria and stopping, the tertian malaria patient resisted to recur and treat to prior year. (2) Strengthen media and defend making. 1.Prevent the mosquito from killing mosquitoes. Malaria propagates season, all parts should combine patriotic public health campaign and new rural construction, pay environmental reconstruction and administration, reduce mosquitoes to multiply in the place, reduce mosquito's density. Held up in spraying dealing with measures such as the mosquito net,etc. with the insecticide in taking the insecticide room in the epidemic place. 2.Strengthen the personal protection. Malaria travels season, recommend the residents of prevailing area and use and drive and avoid safeguard procedures such as the pharmaceutical, mosquito smudge, mosquito net, screen window on the screen door,etc., reduce people's mosquito and keep in touch. (3) Strengthen the health education. 1.Strengthen masses' media propagation and education. News medias such as newspaper, broadcast, TV, Internet,etc. should combine " National malaria day " The activity, take the various forms, propagate preventive treatment knowledge of malaria and country and dispel the malaria policy extensively, improve resident's self-protection consciousness and participate in the enthusiasm that malaria prevents and cures and dispels the work. 2.Strengthen inward and outward personnel's health education. The entry and exit inspection and quarantine bureau will set up facilities such as the propaganda column or electronic large screen of the public service advertisement,etc. in the entry and exit port, put malaria in passenger's passway of entry and exit and prevent and cure publicity materials, launch the preventive treatment knowledge propaganda of malaria. The tourism department should point in Ministry of Health Lead, organize the malaria preventive treatment knowledge to leader, guides and visitor to train. 3.Strengthen the health education of the students in middle and primary schools. The education department should dispose and arrange the health education of the middle and primary schools, the controlling organization of the prevention from suffering from the diseases should strengthen the guidance of the health education of the middle and primary schools. The Class�� or Class II county is middle, the primary school should be under the guidance of controlling organization of the prevention from suffering from the diseases, combine the health education lesson or theme class meeting and move about, launch malaria and prevent and cure the health education, and pass " Small hands lead big hands " Way in family infiltration knowledges relevant. 4.Strengthen community's propagation and education. In the Class�� or Class II county, organized by controlling organization of the local prevention from suffering from the diseases in the unit concerned and waited in the hall in every hospital, places such as community health Center, health clinics in towns and townships, village clinic, large-scale project building site,etc., set up malaria preventive treatment knowledge propaganda column, upgrade the content regularly. It suits the local nationality to work out? Does americium let Nao's pile stunned man � of the third constellations faint to herd rarely? (4) Malaria which strengthens floating population is prevented and cured. 1.Set up and amplify information and notify the system. Hygiene, quality testing,etc. department getting more domestic to be more release in the public regularly, outside there last state and relevant information is malaria. According to unified plan of Ministry of Health in tourism department,it is fixed or it release domestic irregularly in tourist, outside there last state and relevant information is malaria. Fixed exchanges information between the departments. 2.Strengthen inward and outward personnel's malaria and protect the work. Entry and exit inspection and quarantine bureau should person propagate the preventive treatment knowledge of malaria and offer consultation service to leaving the country, until external the intersection of malaria and whom prevailing area enter a country generate heat the patient sifts and looks into malaria since, report the malaria epidemic situation; Cooperate and do a good job of inward and outward personnel's malaria case to follow the trail of, provide the case information of malaria for related departments in time. Departments such as travel, commercial affair,etc. should require the unit concerned, cooperate with the Ministry of Health to launch propaganda and training of inward and outward personnel's malaria preventive treatment knowledge; Cooperate and offer the information and assistance about personnel to do the work of correlated withing well. 3.Do a good job of the malaria prevention and control of domestic floating population. In malaria is prevailing area the unit which implements the large-scale construction project, should offer essential malaria to constructors and protect the articles, and cooperate with the controlling organization of the local prevention from suffering from the diseases to do the prevention and control of malaria well. Manage the possession in malaria case of floating population, the case inputs, outputs the controlling organization of prevention from suffering from the diseases of ground and should link up relevant information in time each other. Public security men, Ministry of Health should cooperate closely, do a good job of the malaria case of floating population to follow the trail of, the key crowd sifts checking and communication of relevant information. (5) Improve malaria and monitor and measure the network. 1.Strengthen malaria and confirm the ability construction of the laboratory. Determine and trace to the source in the laboratory that Center for Disease Prevention and Control of China is responsible for carrying on the case; Every provincial the intersection of prevention from suffering from the diseases and controlling organization responsible for morbidity drop to carry on aetiology confirming and genetic test by 1/100,000 following malaria case of county to prior year; The controlling organization of prevention from suffering from the diseases at county level is responsible for checking blood slice of the malaria patients of all network reports, spot check to generate heat the intersection of patient and negative the intersection of blood and block at least 5%. Should carry on skill examining and quality control regularly in the laboratory at all levels, guarantee the network normal running of the laboratory. 2.Dispel the monitoring of the malaria area. Reach, dispel area of goal and prevail province, should continue, launch relevant the intersection of medical worker and malaria treat technical training already, strengthen the case to the personnel of coming from malaria prevailingly area to monitor especially, prevent the occurrence of secondary disease example. Fifth, policy and guarantee (1) Strengthen the government leader, perfect the mechanism of management. Set up the system of coordination committee of the department, led by related departments of Ministry of Public Health, all relevant ministries and commissions (office) Participating in, malaria work after responsible for dispellinging, and make and last coordination matters policies relevant at course. The people's governments at all levels should list dispelling the malaria work in this regional economy and social development plan, include in the examination content of management by objectives of the government, define the duty task, strengthen organization and coordination, improve the policies and measures, solve the outstanding problem, guarantee to work in place. Key province (district) Should set up and dispel the malaria job leading group, strengthen the leadership, make planning, implement the task. The other areas set up corresponding leading the coordinating mechanism according to local reality. The military system dispels the malaria work to organize according to the military management system, dispels the malaria work program to implement with the people's government of guard station synchronously. The malaria prevention and control of the active service army of police, public security men is according to the principle of possession management, led unifiedly by the local government. (2) Define department's duty, strengthen the measure to implement. Every department wants close cooperation, each performs its own functions, do well and dispel the malaria work together. Under the leadership of unity of the State Council, Ministry of Public Health coordinates the related departments and discusses and makes and dispels malaria working policy, policy, planning and measure, responsible for synthesizing and coordinating the work. Development and reform, financial department are responsible for dispelling the relevant content of the work of malaria to list in national economy and social development plan, arrange for malaria to prevent and cure and dispel special funds, and strengthen the fund to supervise. Entry and exit inspection and quarantine, departments such as public security men, travel, commercial affair,etc. cooperate with the Ministry of Health to do a good job of relevant inward and outward personnel's malaria health education, case to monitor and enter and leave the border and prevent disease to manage, information of relating to communicating in the Ministry of Health in time. The department of broadcasting and TV runs diversified forms of malaria preventive treatment knowledge to propagate. The education department is responsible for launching malaria preventive treatment knowledge propagation and education the middle and primary schools. The scientific and technological department prevents and cures malaria and dispels the scientific research project to list in the national plan of science and technology. Industry and information-based department are responsible for organizing and coordinating the production supply against malaria medicines, reagent. Ministry of Public Health of General Logistics Department responsible for managing with supervision in the organization that the military system dispel malaria, works. (3) According to the laws and regulations, launch the work of dispelling malaria. Every area, prevent and cure the law in infectious disease in the People's Republic of China that all related departments should carry out conscientiously " ", " the regulations of meeting an urgent need of the public health event happen suddenly ", " hygiene Quarantine Law of the People's Republic of China of territory of the People's Republic of China ", " the emergency preplan of the public health event happens suddenly in the country ", " malaria sudden outbreak of epidemic disease emergency processing prediction scheme ", laws and regulations and relevant technological schemes of " public health event and epidemic situation of infectious disease happen suddenly and monitoring information and reporting management " etc., launch the work of dispelling malaria in accordance with the law, scientifically. (4) Strengthen the building of contingent, improve the engineering level. Every province, districts and cities, county will set up, perfect malaria and prevent and cure the professional team. One county and the intersection of task and relatively in weight class II county, disease at county level prevents and cotrols the special department of organization structuring and allocates capable personnel, special messengers are responsible for the malaria prevention and control in the health clinics in towns and townships. Other class II county and three county, at county level the intersection of prevention from suffering from the diseases and controlling organization allocate and prevent and cure full-time malaria that task suitable for, prevent and cure professional personnel, special messengers are responsible for the malaria prevention and control in the health clinics in towns and townships. Launch the professional technical training by stages, in batches step by step, guarantee the training result The fruit, improve personnel's professional skill. (5) Increase financial input, raise the fund in many ways. According to the principle born in grades, the intensity prevails and dispel the actual conditions of malaria according to local malaria in the local people's governments at all levels, will dispel the necessary funds of malaria to include in the financial budget. The malaria prevention and control to the poverty-stricken area of state revenue is supported. Meanwhile, should mobilize and strive for the social strength of various fields and offer fund and goods and materials to support to dispel the malaria work extensively. (6) Launch scientific research, offer the technological guarantee. Support to dispel the research work of key technology in malaria through channels such as the national plan of science and technology,etc., organize interdisciplinary jointly tackling key problems, study malaria and transmit dynamics, plasmodium resisting monitoring, tertian malaria and radically treat and develop new and effective fast diagnosis reagent, etiology and follow the trail of the technology of tracing to the source etc.. (7) Strengthen international exchange and cooperation. Launch international exchange and cooperation actively, introduce and popularize and apply advanced applicable technology, and fully utilize project support malaria of international subsidy such as the global fund to dispel and take action. Establish and step the cooperation mechanism of prevention and control of malaria of frontier, speed up the steps of controlling and dispelling malaria in the border area of our country. Sixth, supervise and inspect and examine and assess (1) Target responsibility system and responsibility investigation. All parts should combine reality and make implementation plan and scheme of this area according to the request of this action plan. All relevant areas should decompose performance goal and task ring upon ring, sign the liability statement of the goal. To the one that has not realized performance goal, should investigate the administrative responsibility about person liable. (2) Supervise and inspect. All parts want the foundation " Science, quantification, at random " Principle,it is which make detailed supervision and inspection scheme, through launching regularly with checking oneself, spotting check irregular to combine together, examine and appraise working content and implementing effect synthetically. Feedback the situation supervised and inspected to the unit checked in time. Ministry of Public Health will not organize the inspections, circulars of the implementation of the plan of all relevant regional actions regularly together with the related departments. (3) Examine and assess. Each prevail in the province (autonomous region, municipality directly under the Central Government) To reaching the county of the phased goal (municipal or district)ly Organize examining and assessing in time, and malaria that finished this province in 2020 is dispelled prove, work.

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