Speech by the Director of the Centers for Disease Control and Prevention at the CDC Conference

In order to conscientiously implement the spirit of the city and county health work conference and do a good job in the county's disease control work in 2010, according to the arrangements of the Health Bureau, the county's disease control business work and child vaccination information system entry will be held today. The purpose of the training meeting is to solve the problem of your understanding of public health work, focus on arranging the work for 2010, study and solve the difficulties and problems that affect the disease control work, and how to comprehensively and solidly promote the rapid and good development of the disease control work. , providing the most basic public health services to the people of the county, which is of great significance for accelerating the implementation of scientific development and actively optimizing a good service environment. During the meeting, Director Zhang has arranged the key tasks for this year, with clear ideas and specific tasks. We must base ourselves on reality, sum up experience, face up to problems, conscientiously implement them, and do our best to do a good job in disease prevention and control that benefits the health of the people in the county. The following is According to the meeting schedule, I will make some comments on strengthening the county's disease control work, hoping to attract everyone's attention. 1. Raise awareness, clarify tasks, and effectively enhance the sense of responsibility for disease control work. Disease control work is a basic public health work that embodies people's livelihood projects and benefits the health of the people in the county. Social benefits are greater than economic benefits. Implement disease control work well. Minimizing the harm caused by various diseases to the health of the people in the county is an important duty of medical units and medical personnel at all levels. It is also a cause of good deeds and good conscience. In the implementation of disease control work in 2009, with the attention and support of the county party committee, government and health bureau, the county set work goals and tasks based on the city and county. Relying on the development advantages of the state's investment in disease control projects, various disease control work has achieved great results. Better results. First, 2,326 cases of 18 types of B and C infectious diseases were directly reported online throughout the year, with a reported incidence rate of 58.15/100,000, all of which were investigated and handled in accordance with regulations; second, hand, foot and mouth disease prevention and control work was seriously carried out, and reports were reported throughout the year There were 774 cases, with no severe cases or deaths. Third, emergency response measures for influenza A and sudden epidemics were implemented, with 8 cases of influenza A reported throughout the year. Actively responded to and dealt with 3 seasonal influenza and mumps epidemics in schools, and emergencies were reported and handled in accordance with national standards; fourth, we paid close attention to the immunization plan and expanded immunization vaccination work, and implemented enhanced polio immunization. Significant progress has been made in the implementation of the immunization program and the hepatitis B vaccine project; fifthly, the implementation of the tuberculosis control project has been steadily advanced. 153 smear-positive patients were found and 403 smear-positive and smear-negative patients were diagnosed in the county, maintaining a high detection rate and cure of pulmonary tuberculosis patients. Sixth, the central government's subsidies for the implementation of the immunization program have increased year by year, with a total of more than 254,000 yuan allocated for various vaccination subsidies throughout the year, which has strongly supported the enthusiasm of village-level vaccinators to do a good job in disease control; seventh, AIDS prevention and health education and publicity The work has achieved obvious results, and the coverage of publicity has expanded year by year. Various posters and billboards have been used for a long time, and their good effects have been generally recognized and praised by the masses, provinces and cities; eighth, they have actively organized and carried out skills training for disease control personnel at all levels in counties and villages. Professional quality, management capabilities, and service levels have improved significantly.

While summarizing the achievements, we should also be clearly aware of the problems and deficiencies existing in the current work. Last year, we carried out multiple supervision and inspections, and organized an assessment at the end of the year. From the supervision and assessment, we can see the progress of disease control work in each medical unit. It is extremely unbalanced, but there are good aspects. In particular, some directors attach great importance to public health management, and various disease control and management measures are implemented in place. Professional officers and village doctors work hard, use their brains, go to the village, and go out frequently. We have done a solid job in basic management at the village level and have achieved significant results. However, there are still unsatisfactory aspects. Some health centers do not pay enough attention to the implementation of disease control work, and their work is not solid. First, the public ***Health management work is not paid enough attention to in terms of ideological understanding and practical actions. The dean only pays attention to medical management and economic benefits, and relaxes the supervision of professional staff and village-level disease control work. Some even find various excuses to shirk the work. , the health center did not grasp the function of personnel management well enough and deeply enough, resulting in a serious mentality of "waiting, relying, and pushing" to only get paid and not do the work. The work was only done well in verbal reports, but the actual implementation was poor. The result is confusion and blankness in township-level software management data, disconnection between village-level and township-level data, accumulation of vaccines, unattended vaccination at the village level, and falsification and distortion of reported vaccination data. This is management dereliction of duty and a serious problem. , this problem has seriously affected the advancement and improvement of public health work in our county for several years, especially the loss of opportunities in winning some projects, affecting the image of the humanistic environment, and causing superiors to trust our work ability; The second is to expand immunization. There are huge management loopholes in the implementation of strengthened immunization. It is extremely common for children to miss cards, miss vaccinations, delay vaccinations, and not receive enhanced immunization, especially in the expanded immunization and hepatitis B vaccine check-up and re-vaccination projects for children under 15 years old. Since its implementation, there have been many supervision and inspections on the vaccination work of some health centers that have stalled. The hepatitis B vaccination program has unclear connections. The vaccine is distributed to the village level without asking questions. It is just a matter of filling out the vaccination report in writing, which results in a low vaccination rate. A major landslide has occurred, especially in the hepatitis B vaccination program for children under 15 years old that was implemented last year. There are big problems in the hepatitis B vaccination work for children aged 14 to 15 years old. Some units intentionally or unintentionally distribute vaccines to rural doctors for vaccination, without considering that the targets are in schools. This is a serious shirk of work and shirking of responsibilities. Such work attitudes and management ideas are the biggest factors that will seriously affect the current and future work development. Resistance is a reflection of the work attitude and work ability of a unit leader; third, the township-level direct reporting network is not functioning properly, the network direct reporting smoothness rate is low, infectious disease reporting is not timely, and there are omissions, non-reporting, and unverified reports. There are even cases where infectious diseases occur in schools or village communities where health centers are located. After local schools and people report them to the county or the Centers for Disease Control and Prevention, it is only when the transfer personnel go to verify that they know that an infectious disease has occurred within their jurisdiction. This is different from the current " Management agencies go down to the grassroots level, disease control agencies enter hospitals, and health education enters homes." The requirements are incompatible with the requirements, and the sensitivity of epidemic monitoring reports is lost; fourth, the work skills and service levels of village-level personnel are uneven, and basic operations and safe injections and vaccinations are inconsistent. Skills and quality requirements cannot be guaranteed, and management services cannot keep up with modern work requirements; fifth, various monitoring reports cannot be reported in a timely manner with high quality and quantity, especially the rural two-level calculation and exemption reports are not submitted in a timely manner as required, and the township-level charts are not posted on the wall in a timely manner , the software construction data over the years are incomplete, and the children's information management network entry report is slow, which affects the reputation of our county in the city's work; Sixth, the central transfer payment of various vaccination subsidy funds is not implemented in place, and some health centers withhold or disburse Violations of regulations have been repeatedly banned. Rural doctors complained during the year-end assessment, and their negative emotions and low enthusiasm for work have led to poor implementation of the village-level immunization plan. Direct reporting has affected the increase in immunization rates. At the same time, some vaccination units have continued to expand vaccinations. The charges for vaccination are even higher than in the past. People have repeatedly reported the charging situation, which has caused adverse effects. The above-mentioned existing problems have constituted a major weak link that will restrict future disease control work. They must be paid great attention by the deans and specialists present and must be carefully studied and solved.

2. Focus on the two key points of infectious disease prevention and control and the expanded immunization program. The prevention and control of infectious diseases is one of our core functions in public health work. We must do a good job in the prevention and control of various infectious diseases with a high sense of responsibility. First, continue to carry out the prevention and control of influenza A (H1N1) and hand, foot and mouth disease. We must follow the requirements of the notice on the prevention and control of influenza A (H1N1) and hand, foot and mouth disease forwarded by Gan Weiming Dian (2009) No. 109 and 111 to townships, government agencies and institutions, and scientifically and orderly do a good job in the prevention and control of influenza A within the jurisdiction. Influenza A (H1N1) prevention and control efforts prevent widespread epidemics. At the same time, we must be highly sensitive to infectious diseases and sudden epidemics such as hand, foot and mouth disease, cholera, hepatitis A, and dysentery in spring and summer, take preventive measures as early as possible, detect signs of suspected major epidemics, and adhere to the "four early" principles. At the same time, we must actively carry out emergency response work to prevent the spread of the epidemic; secondly, we must focus on strengthening the implementation of infectious disease prevention and control measures in schools and other groups. The health center supervises specialists and village doctors to regularly go to schools to inspect and supervise various infectious disease system measures. Implementation status: Implement school entrance vaccination certificate inspection and re-vaccination measures to strictly prevent the occurrence of infectious diseases in schools. In implementing the key tasks of the national immunization plan, we must continue to improve the basic management of childhood immunization. First, we must carry out various vaccinations in a solid manner in accordance with the "Preventive Vaccination Work Standards", fill in relevant information for software data management, and prepare online and bimonthly reports. It is also connected with the opened child vaccination information management system to ensure that the uploaded data is true and accurate, and strives to establish certificates, registrations and vaccination rates of more than 95% on a village basis; thirdly, we must further pay attention to the cold chain operation and ensure bimonthly operation on time Once, the planned vaccine operation will be distributed to the village level while ensuring quality and quantity, and the vaccine storage and withdrawal system will be improved to ensure the quality of safe vaccination services; third, the children's vaccination information management system will be opened. The children's vaccination information system is to improve It is an important guarantee for the timeliness and authenticity of vaccination. This work is also the theme of our training meeting. Tomorrow morning, we will conduct hands-on practical training for the professionals or information personnel of each unit. The key to the problem is that our dean must attach great importance to it. Strongly support professionals or information personnel, standardize and grasp the implementation of this work, improve awareness of the importance of modern computer office and online communication, learn to use the initiative of the human brain, and learn the initiative of computers, superiors The system was required to be opened last year, but some health centers in our county have not yet opened it. In the first half of this year, the network entry and reporting work must be started as soon as possible in accordance with the requirements of children's information management, and the information is summarized and uploaded month by month. The people appointed by each unit must not be changed casually. This is a principle set by the Health Bureau. It is necessary to gradually transition to specialized personnel and integrate information personnel. By the end of the year, the entry rate and completeness rate of children's vaccination information on a township basis will reach more than 90%; fourth, we will fully promote the "Measles Elimination Action Plan" To implement, organize and implement county-wide measles vaccine enhanced immunization activities. At the same time, we must strengthen the monitoring of measles and polio, carefully monitor vaccine-related diseases, and ensure that every case found is reported. 3. Give full play to public health functions and make breakthroughs in improving disease surveillance reporting and achieving the goal of equalizing public health services. The first is to improve the accuracy and timeliness of daily direct online reporting of infectious diseases. Infectious disease surveillance reports are an effective way to understand the occurrence, development and dynamic changes of diseases, and play a vital role in taking decisive measures to control epidemic outbreaks. Since the implementation of online direct reporting, direct reporting in our county has been far from ideal. The underreporting of infectious disease reports has been relatively high. Very few towns have not reported a single case of infectious disease in a year. I think this passive situation must be completely changed this year. Passive monitoring should be the main focus, and we should shift to active monitoring to strengthen information collection, management and application capabilities. The dean should pay attention to it, solve the hardware facilities, and ensure that the computer machine is dedicated.

Clinicians must be responsible, responsible for the first diagnosis, standardize registration of relevant items, and fill in infectious disease report cards. Specialists must perform basic functions, collect and enter infectious disease report cards in a timely manner; second, in order to achieve the goal of equal public health In terms of implementation, it is necessary to combine the health examinations of New Rural Cooperative Medical Care residents and villagers, focus on the comprehensive prevention and treatment of key chronic diseases such as hypertension, diabetes, cardiovascular and cerebrovascular diseases, tumors, and mental diseases in the jurisdiction, and actively carry out healthy lifestyles as the basic content Health education activities, standardize the establishment of chronic disease files for residents and villagers, promote standardized treatment of chronic diseases, pay attention to the health management of high-risk groups, promote the prevention and control of key injuries for children and the elderly, and strive to achieve the task of achieving a management rate of 60% for key chronic diseases. And complete the sorting of disease spectrum and analysis of infectious diseases. At the same time, we will carry out the implementation of post-disaster psychological intervention and assistance projects in accordance with city requirements. 4. Seize the opportunity of the country to increase disease control projects, conscientiously implement tuberculosis, AIDS, hepatitis B control and major public health special disease control projects, and achieve the project goals. First, we will do a good job in implementing the tuberculosis project to ensure that the task of detecting and treating tuberculosis patients this year is completed. All medical units continue to do a good job in the five important links of discovery, reporting, referral, treatment, and management of tuberculosis patients, and standardize the supervision and management of treating patients. Village doctors at the township level should go to the village to specifically supervise patients to take medicines, and follow up Manage patients to ensure that the "five rates" are increased; the second is to implement the AIDS project. Although our county only reports one fatal AIDS case, the incidence of AIDS in neighboring counties has been increasing year by year. Coupled with the economic prosperity in recent years, there has been a large population flow. , the prevention and control situation is not optimistic. At this stage, we are mainly focusing on intervention in public entertainment venues and high-risk groups in beauty and health care to prevent high-risk groups and outsiders from contracting AIDS. Primary health centers should focus on migrant workers returning home. In terms of AIDS health publicity and education for personnel, posters and leaflets should be posted in places where people gather, and high-risk groups such as migrant workers and resident beauty salons should be actively mobilized to undergo screening at county hospitals and CDCs; third, we should continue to do a solid job To improve the timely vaccination rate of neonatal hepatitis B vaccine and the hepatitis B vaccination program for children under 15 years old, it is mainly to do a good job in the basic work of the hepatitis B control project, and to standardize the timely first vaccination of newborns born in medical institutions within the jurisdiction and the first dose of newborns born at home. The vaccination of children under 15 years old last year should be completed in accordance with the procedures, and the connection between each injection should be done to ensure the quality of the vaccination project and effectively reduce the incidence of hepatitis B. 5. Strongly promote the implementation of the four measures of publicity, supervision, training, and assessment to ensure that the work is in place. First, we must conscientiously implement health publicity and education measures and strive to create an atmosphere in which the masses consciously participate in disease prevention awareness. Health promotion is the primary condition for ensuring the effective implementation of public health. Medical units at all levels should follow the principle of combining specific work with health education, make full use of various effective publicity methods, widely publicize general disease prevention and treatment knowledge to residents and villagers in the jurisdiction, enhance the public's awareness of self-prevention, and provide support for the development of various programs within their jurisdiction. Work to build a relaxed and harmonious service environment, thereby promoting the development of specific work; second, we must do a good job in the implementation of supervision and inspection measures. This year, the county level will increase supervision and inspection of medical units no less than 6 times in accordance with the requirements for disease control and hospital-related work. During the supervision and inspection, existing problems must be discovered and solved in a timely manner, and various technical guidance services must be provided in a timely manner to ensure The assigned disease control targets and tasks have been implemented; thirdly, we must do a good job in skill training for village-level disease control professionals. We must completely change the previous problems of low work skills and weak work ability, and fundamentally improve the standardized operations of village-level personnel. work capabilities, and comprehensively promote the improvement of public health services and comprehensive disease prevention and control capabilities; fourth, implement year-end performance appraisal measures to ensure that various subsidy funds allocated by superiors are in place.

This year, provincial and municipal meetings called for the comprehensive implementation of the performance appraisal system. We must refine the indicators for township- and village-level work in accordance with the work tasks determined at the beginning of the year, implement a management target responsibility system, and carry out year-end performance appraisals to fulfill various tasks. At the same time, the township level should decompose the disease control tasks involved to the villages and implement them for each position and individual. Good village doctors should be given spiritual and material rewards to fully mobilize their subjective initiative, enthusiasm and enthusiasm in actual work. Creativity enables them to better provide the most basic public health services to the broad masses of the people. Through the implementation of the above measures, we must gradually form a comprehensive disease prevention and control pattern of "administrative organization, disease control guidance, active surveillance, high-risk intervention, combination of prevention and treatment, health management, standardized operations, and full monitoring", and strive to create a county-wide public health system *New situation in health work. Comrades: This year's disease prevention and control work has arduous tasks and heavy responsibilities. We must see the achievements and strengthen our confidence, but we must also see the pressure and cope with the challenges. I hope that everyone will be consistent, work together, strengthen measures, seek truth and pragmatism, pioneer and innovate, and comprehensively promote the completion of various tasks of disease control in our county by carrying out educational activities to optimize the development environment and create a good image with an excellent work style. . Thank you everyone