Contents of the 2012 Infectious Disease Prevention Work Plan

1. Hospital infectious disease information reporting and management work

We must focus on standardizing the reporting management procedures for infectious diseases and public health emergencies, and pay close attention to the implementation of various rules and regulations. Increase the use of epidemic information, strengthen epidemic prediction and early warning, and provide timely, accurate and scientific decision-making basis for disease prevention and control in our town.

1. Attach great importance to the direct reporting of infectious diseases and public health emergencies online, implement various systems, strengthen the sense of responsibility, and ensure the normal operation of the direct reporting network. Each online direct reporting unit must provide on-site guidance on online direct reporting technology to improve the quality of online direct reporting work. Promote online direct reporting monthly reporting rate to 100.

2. Regularly analyze the epidemic situation, fully grasp the epidemic situation in the jurisdiction, review the outpatient logs every day, and implement a double-filling system for the outpatient logs on the 5th, 15th, and 25th of each month. Regularly evaluate the quality of epidemic information reporting by medical and health institutions within the jurisdiction, including the timeliness, accuracy, completeness, and heavy reporting of reports.

3. Strengthen the prediction and early warning of infectious disease epidemics, regularly and timely write forecasts and submit them to the Municipal Center for Disease Control and Prevention and the County Health Bureau, and make full use of the infectious disease epidemic network direct reporting system to conduct information on infectious disease information. Real-time monitoring, by browsing report cards, actively searches for the clustering of reported cases, and promptly detects potential outbreaks of infectious diseases, especially when case clustering occurs in time, space, etc., real-time warnings must be issued. Browse the online direct reporting early warning system once a day, and verify the existence of early warning information. If there is an outbreak, prevention and control measures must be taken quickly to prevent the spread of the epidemic, and the results must be fed back to the Municipal Center for Disease Control and Prevention. Efforts should be made to ensure that the completion rate of infectious disease surveillance reaches 100%; outbreaks and sporadic epidemics are handled in a standardized manner, and the outbreak investigation rate reaches 100%.

4. Continue to guide medical and health institutions at all levels in the jurisdiction to standardize outpatient registration, check infectious disease epidemic information, fill in infectious disease report cards, and direct online reporting of infectious disease epidemics, and clarify the infectious disease epidemic reporting process, Ensure the coherence of infectious disease epidemic reporting work in relevant departments of medical and health institutions, ensure that epidemic reporting is timely, scientific, and accurate, and eliminate late reporting, concealment, and underreporting. Promote the coverage of epidemic reporting and supervision to 100; no infectious diseases are underreported in medical institutions. At the same time, we strictly follow the requirements of the "National Investigation Plan for Underreporting of Infectious Disease Epidemics" and conduct an investigation on underreporting of infectious disease epidemics in medical and health institutions every year to assess the current status of infectious disease epidemic reporting in the jurisdiction, and report the investigation results to the Municipal Center for Disease Control in a timely manner.

5. Infectious disease epidemic management personnel must go online to review the cards reported by direct reporting units at least twice a day. In addition to reviewing the cards in a timely manner in accordance with the requirements of the "Working Standards for the Management of Infectious Disease Information Reporting", there are also requirements Report cards before 15:00 every day must be reviewed before 15:00. Report cards diagnosed before 15:00 every day at the online direct reporting points of medical and health institutions must be reported directly online on the same day. The epidemic direct reporting point must verify and correct suspected cases in a timely manner; cards with logic errors must be verified and corrected in a timely manner; after the daily card review is completed, the cards that have been confirmed from the beginning to the current day shall be checked for duplication; and the epidemic network direct reporting shall be checked daily System bulletin board, make arrangements, deployment and implementation of relevant work requirements from superiors, and keep work records; export the infectious disease report cards and statistical reports in the "Disease Surveillance Information Report Management System" every month and save them in the form of electronic documents .

6. After receiving information reports on public health emergencies within the scope of responsibility, the information must be reviewed immediately. Those with confirmed information should report directly online within 2 hours. Among them, the event-related information level can only be selected as unclassified. At the same time as direct reporting online, we should immediately report information related to public health emergencies to the county health bureau and county CDC, and cooperate with the county CDC to report the reported information before the second working day of direct reporting online. Public health emergencies will be classified and confirmed, and the classification will be revised through the online direct reporting system within 2 hours after classification.

7. In accordance with the requirements of the "Implementation Plan for Monitoring Death Cases in Medical Institutions at County and Above County (Trial)", gradually monitor deaths.

2. Prevention and control of infectious diseases

(1) Prevention and control of respiratory infectious diseases such as human avian influenza

1. It is necessary to strengthen the control of medical institutions within the jurisdiction In the management of fever clinics, we should pay close attention to the dynamic situation of patients with respiratory fever, supervise and inspect the respiratory fever clinics in the jurisdiction to register patients, and improve the quality of monitoring work.

2. Medical and health institutions strictly follow the requirements of the "National Surveillance, Investigation and Management Plan for Cases of Pneumonia of Unknown Causes" issued by the Ministry of Health to monitor, investigate and manage cases of pneumonia of unknown cause. It is necessary to provide training on the diagnosis, treatment, prevention and control, epidemiological investigation and other relevant knowledge of major infectious diseases such as SARS and human infection with highly pathogenic avian influenza, so as to improve the awareness and diagnosis and treatment capabilities of early detection of patients. Once a case of pneumonia of unknown cause is discovered, the hospital should organize expert consultation within 12 hours. If the diagnosis is still unclear, it should be reported directly online immediately.

3. Continue to carry out surveillance of respiratory infectious diseases, and promptly understand the occurrence and epidemic characteristics of influenza-like cases in the population, so as to take corresponding prevention and control measures to control the outbreak or epidemic of influenza or influenza-like cases.

4. Strengthen collaboration with the education system, guide schools and child care institutions at all levels to establish symptom monitoring systems for respiratory infectious diseases such as influenza, chickenpox, scarlet fever, and implement morning check-up and absence registration systems . Once there are clusters of related symptoms such as fever, cough, rash, etc. in schools and daycare institutions, epidemiological investigation and treatment should be carried out immediately. After the epidemic is confirmed, schools should be guided to disinfect and manage close contacts, and vaccinations should be carried out if necessary. If there are standards for reporting information related to emergencies, the first report, progress report and closing report of the event must be carried out according to regulations through the "Public Health Emergency Report Management Information System".

5. Carry out immunization in a timely manner and protect key groups. All vaccination clinics must fully understand the importance of vaccination against influenza, chickenpox, pneumonia, measles, mumps and other vaccinations, and actively organize, publicize and mobilize the public to fully understand the importance of vaccination and voluntarily vaccinate. Improve the protection rate of key groups.

(2) Acute enteric infectious diseases

We must attach great importance to the prevention and control of acute enteric infectious diseases in our county, further strengthen leadership, clarify responsibilities, and make unified arrangements to strictly prevent cholera, The occurrence of acute intestinal infectious disease outbreaks such as hand, foot and mouth disease.

1. Each village clinic must strengthen its work responsibilities, assign a dedicated person to be responsible for the prevention and control of intestinal infectious diseases, improve various emergency plans for acute intestinal infectious diseases, and streamline the work process of intestinal infectious diseases. It is necessary to establish and improve the emergency mobile team for intestinal infectious diseases, and conduct mobile team training and drills to improve the emergency response capabilities of the emergency mobile team. At the same time, it is necessary to equip necessary medical equipment, transportation, personal protective equipment and other material reserves to effectively prepare for acute Preparations for emergency response to intestinal infectious diseases.

2. Strengthen the monitoring of diarrheal disease clinics

Strengthen the supervision and management of diarrheal disease clinics and dedicated desks. The diarrheal disease clinics will implement independent areas. From May 1, 2012 to The clinic will be open 24 hours a day on October 31st. It is necessary to strengthen the training of all staff in medical institutions and conscientiously implement the pre-examination and triage system. Patients with diarrhea symptoms must first go to diarrheal disease outpatient clinics for screening and treatment to ensure timely detection and isolation of patients with acute intestinal infectious diseases. Diarrheal disease outpatient medical and laboratory personnel must be proficient in diarrhea disease diagnosis, treatment, rescue, inspection, epidemic reporting, and rescue knowledge, and carefully register diarrhea patients in a special treatment book, so that "any diarrhea must be reported, and any diarrhea must be investigated." If there is diarrhea, it must be treated, and if there is diarrhea, it must be repaid." There must be no omissions. The rapid diagnosis rate of cholera in county-level diarrheal disease clinics must reach 100. Suspicious specimens must be sealed by inspectors or diarrheal disease clinic medical staff as required. After detailed registration of basic information, they must be sent to the Municipal Center for Disease Control and Prevention for identification in a timely manner.

3. Strengthen epidemic reporting and strictly handle epidemic situations

Each village clinic and undergraduate department must conscientiously implement the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases" and detect cholera, etc. Patients or suspected patients with intestinal infectious diseases should report to the county health bureau and county disease prevention and control center step by step as quickly as possible. Cholera patients or suspected patients should submit the strains for identification as soon as possible.

Cholera epidemics must be handled in a timely manner in accordance with the specific requirements of the Ministry of Health's Cholera Prevention and Control Manual. The focus of its work is to quickly delineate epidemic points and epidemic areas, strictly isolate and thoroughly treat patients and carriers, quickly eliminate flies, thoroughly disinfect drinking water and the external environment, and collect and test stool from close contacts and patients with current diarrhea in epidemic areas. Take preventive medicine and improve environmental and food hygiene.

5. Carefully monitor and control hand, foot and mouth disease, acute hemorrhagic conjunctivitis, dysentery, typhoid fever, etc.

Medical and health institutions should strengthen the prevention and control of hand, foot and mouth disease, acute hemorrhagic conjunctivitis, dysentery, and typhoid fever. In order to prevent and treat conjunctivitis, dysentery, typhoid fever, etc., all staff are trained to conduct pre-screening, triage, diagnosis and treatment of infectious diseases. Mild cases are mainly treated with outpatient symptomatic treatment. Severe cases should be quickly transferred to higher-level medical institutions for hospitalization and treatment, and specimens should be collected and submitted for examination. It is necessary to strengthen the monitoring and management of other infectious diseases, understand the epidemic situation, and improve the ability to deal with infectious diarrhea outbreaks.

6. Health education

It is necessary to carry out extensive publicity and education, using radio, leaflets, blackboards, slogans and other forms to vigorously publicize the "Infectious Disease Prevention and Control Law" and the "Food Hygiene Law" 》 and knowledge on the prevention and treatment of acute intestinal infectious diseases to improve the people's disease prevention ability and self-care awareness; each diarrheal disease clinic should frequently carry out publicity on hygiene knowledge on the prevention of intestinal infectious diseases from May to October. It is necessary to print and distribute leaflets on the prevention of intestinal infectious diseases, and do a good job in health education for key groups on the prevention of acute intestinal infectious diseases such as cholera and hand, foot and mouth disease.

(3) Natural foci of diseases

1. Rabies prevention and control work

(1) Our hospital follows the "Regulations on Setting up Clinics for Rabies Exposure Treatment (Trial)" " and "Xunyang County Centers for Disease Control and Prevention Rabies Surveillance Plan" and other requirements, strengthen technical guidance for rabies exposure and treatment clinics of medical institutions in the jurisdiction, and timely grasp the number of exposures and treatment situations. The rabies clinic of each village health office must document the outpatient registration status of rabies exposed persons in the previous month before the 5th of each month. At the same time, the exposure and treatment status of the previous month shall be summarized, stamped with the official seal of the unit, and reported to Ganxi Central Health Center.

(2) Dispose of suspected rabies injuries in a scientific and effective manner to curb the rabies epidemic; when suspected dog injuries are discovered, report them immediately to the County Health Bureau and the County Center for Disease Control and Prevention, investigate the relevant situation, and organize personnel Exposed personnel will be treated accordingly based on the degree of exposure.

2. Japanese encephalitis prevention and control work

(1) Carry out extensive health publicity, take disease prevention measures during the epidemic season, educate the public to detect suspicious symptoms and seek medical treatment in time to avoid delay in treatment.

(2) Strengthen Japanese encephalitis vaccination to protect key groups.

(3) Strengthen professional training, strengthen training in medical institutions, promptly detect and refer patients, and resolutely avoid delays in treatment. It is necessary to strengthen epidemic reporting, prevent under-reporting and late reporting, conduct epidemiological investigations on individual cases, and control the morbidity and mortality rates; when an epidemic is discovered, it must be investigated and dealt with as soon as possible. When outbreaks and fatal cases are discovered, investigation and handling must be carried out immediately, and investigation and handling reports must be submitted in a timely manner.

3. Leptospirosis prevention and control work

(1) Carry out extensive publicity before the epidemic season to increase the public’s (especially farmers) awareness of the disease prevention knowledge, Educate the public to seek medical treatment promptly when detecting suspicious symptoms to avoid delays in treatment.

(2) Strengthen vaccination to protect key groups.

(3) Strengthen professional training in medical institutions, improve the level of medical staff’s diagnosis and treatment of this disease, promptly detect and refer patients, and resolutely avoid delays in treatment. It is necessary to strengthen epidemic reporting, prevent under-reporting and late reporting, conduct epidemiological investigations on individual cases, control the incidence rate, and reduce mortality; when an epidemic is discovered, it must be investigated and dealt with as soon as possible. When outbreaks and fatal cases are discovered, investigation and handling must be carried out immediately, and investigation and handling reports must be submitted in a timely manner.

(4) Infectious disease inspection and testing work

In accordance with the inspection and testing work requirements for various infectious diseases, in order to do a good job in the prevention and control of infectious diseases, timely obtain testing support from infectious disease laboratories, To provide a basis for the prevention and control of infectious diseases, each village clinic must cooperate with Ganxi Central Health Center to collect laboratory samples for severe cases of influenza A (H1N1) and hand, foot and mouth disease, and to collect laboratory samples for measles, Japanese encephalitis, leptospirosis, etc. Blood samples must be collected for high-incidence infectious diseases in our county.

3. Construction of emergency response mechanism

1. Organize training on key infectious disease prevention and control, and continue to strengthen grassroots response capabilities through a level-by-level training mechanism;

2. Carry out emergency response drills for respiratory and intestinal infectious diseases, improve emergency response capabilities for major epidemics and infectious disease outbreaks, prepare protective materials and logistical support, timely forecast and early warning, standardize handling, and effectively control infectious disease outbreaks .

IV. Infectious disease prevention and control supervision work

We will conscientiously perform the work function of “carrying out technical guidance, supervision, evaluation and training for medical institutions” and strengthen technical guidance and supervision of medical and health institutions. Professional training, and incorporate various infectious disease prevention and control tasks into the regular supervision of medical and health institutions, conduct work supervision at least once a quarter, discover and solve problems, and issue notifications in a timely manner to promote the smooth development of infectious disease prevention and control work.

Ganxi Central Health Center

February 2, 2012