Criteria for evaluating a country’s health status

National Sanitary City Standards

1. Management of Patriotic Health Organizations

1. The municipal government implements the "Decision of the State Council on Strengthening Patriotic Health Work" and will Health work shall be included in the overall national economic development plan. Municipal and district government leaders are personally responsible for patriotic health work, and each committee member and department of the Patriotic Health Association has a clear division of labor and the implementation of responsibilities.

2． Municipal and district governments have included patriotic health work in their agenda, and the work has been planned, deployed, inspected and summarized.

3. The Municipal and District Patriotic Health Associations are well-organized, with the organization, staffing, personnel, funds, and task implementation of the Patriotic Health Office, and have working conditions suitable for the work tasks, and can organize and coordinate the completion of various committee departments. Various patriotic health work tasks. Subdistrict offices and neighborhood committees have full-time (part-time) patriotic health staff.

4. The city’s patriotic health work has long-term plans and annual plans, and work tasks are implemented.

5. Regularly carry out various forms of health inspection and evaluation activities.

6． There are laws and regulations on patriotic health management in this city.

Special inspection targets:

Municipal and district sanitation offices, municipal sanitation committee departments, street offices, neighborhood committees, etc.

2. Health Education

l. The municipal health education institution is sound, with personnel, equipment, funds and tasks implemented, and can better perform the duties of the business and technical guidance center.

2． Health education courses are offered in all primary and secondary schools. According to the "School Health Education Evaluation Plan", the school's self-evaluation score is ≥85 points, and the total score of 5 items including "class opening rate" is not less than 95% of the self-evaluation score. Technical secondary schools, secondary vocational schools and general colleges and universities carry out various forms of health education.

3. Health education columns are set up in outpatient departments and inpatient wards of hospitals at all levels to provide various forms of health education to patients and their relatives. The awareness rate of relevant health knowledge among inpatients is ≥75.

4. Actively carry out health education efforts in communities and workplaces. The awareness rate of residents' basic health knowledge is ≥70%, the residents' health behavior formation rate is ≥60%, the occupational health and female workers' health knowledge training rate is ≥95%, and the awareness rate is ≥80%.

5. Mass media actively carry out health education. Municipal newspapers, radio stations, and television stations have health education columns to guide public opinion and supervise news and public opinion on the activities to create a national sanitary city.

6. There are laws and regulations promulgated by the Municipal People's Congress or the Municipal Government prohibiting smoking in public places, and tobacco control work is carried out in accordance with the law. There are no tobacco advertisements in urban built-up areas.

7. Health education columns should be set up in major public places, including promotional content and materials on tobacco control and prevention of AIDS and sexually transmitted diseases.

Spot inspection targets:

Municipal health education centers, schools, hospitals, neighborhood committees, enterprises and institutions, public places, news units, etc.

3. City appearance and environmental sanitation

1. Earnestly implement relevant national city appearance and sanitation management regulations, and formulate rules and regulations suitable for the city's city appearance and sanitation supervision and management. The city appearance and sanitation institutions are sound and sanitation funds are fully implemented. There are medium and long-term plans for the harmless treatment of urban waste and feces, and the technology files for waste and feces treatment are complete (including documents such as disposal site construction project approval, project feasibility study, environmental impact assessment, health monitoring and operation management).

2. The integrity rate of sanitation facilities and equipment is ≥98%. Regular cleaning, disinfection and keeping the surrounding area clean and free of flies are achieved. The cleaning and cleaning rate reaches 100%. Cleaning is done at night and cleaning is done during the day. The quality is good, among which the mechanized cleaning rate in the urban area is not less than 10%; the garbage containers in the urban area are closed, the garbage collection and transportation are airtight (no spillage, no dripping), regular collection and transportation, daily cleaning, and a clearance rate of 100%. Feces should be removed in a timely manner, the transport vehicles should be clean and sealed, and the transport should not pollute the roads.

3. The construction and management of garbage and feces treatment plants (plants) should comply with the "Technical Standards for Sanitary Landfill of Urban Domestic Waste", "Hygienic Standards for Harmless Feces", "Design Code for Urban Feces Treatment Plants (Factories)", and "Agricultural Control Standards for Urban Garbage". It has been included in current standards such as the "Control Standards for Pollution Control of Domestic Waste Landfills". The harmless treatment rate of urban garbage is ≥80% (disposal method: sanitary landfill, high-temperature composting, incineration or comprehensive garbage treatment). The harmless treatment rate of urban feces is ≥70% (processing methods: anaerobic digestion, three-compartment septic tanks, sealed storage tanks, mixed high-temperature composting of garbage and feces, and centralized feces treatment plants). Actively carry out garbage classification and collection, garbage reduction and comprehensive utilization of resources.

4. Public toilets shall be constructed and managed in accordance with the requirements of the "Urban Public Toilet Planning and Design Standards" and the "Urban Public Toilet Hygiene Standards". Public toilets are reasonably laid out, sufficient in number, and well managed. Among them, bus terminals, tourist attractions, bustling streets, key areas and large buses. Public toilets set up around *** places should not be lower than Category II standards, and the proportion of Category II or above public toilets in the entire city should be no less than 10%; in cities north of 35 degrees north latitude and before, the penetration rate of flush public toilets is ≥30% and ≥30%, respectively. 70%.

5. The city appearance and environment are clean and tidy, the streets are smooth, the ditches are smooth, there are no sewage pits, no broken walls, no exposed garbage, no random construction, random piles, random stalls, random hanging of clothes, and random writing The phenomenon of graffiti and spitting; the implementation of the "Three Guarantees" environmental sanitation responsibility system in front of the units along the street; reasonable installation of slogans, advertisements, house numbers, and door plaques along the street, with standardized and complete patterns; the balconies of the buildings facing the street are clean and closed; and actively promote lighting Lighting project, telecommunications lines along the street are less exposed; there are no sanitary blind spots in the city, and there are no illegal livestock and poultry raising.

6. The city is well greened and beautified, with a green coverage rate of ≥30% in built-up areas, a per capita green space area of ??≥5 square meters, urban streets with flowers, grass, and street trees, basically eliminating exposed ground, and an appropriate amount of street greening and beautification attractions on main streets, and a city has been built. Batch garden style units.

7. Standardize the management of the market and implement the health system. Products are brought back to the market, stalls are arranged neatly, and employees manage their own hygiene well; there are full-time and part-time sanitation management and cleaning staff, water supply and drainage facilities are complete, sanitation facilities are complete, and there are public toilets and garbage stations that meet sanitary requirements; food business The stalls strictly abide by the relevant provisions of the Food Hygiene Law. It is strictly prohibited to operate without a license or occupying the road.

8． The construction site management organization is sound and the health system is implemented. Isolation guardrails (height not less than 1.8 meters) are set up at the construction site, the construction site is clean, and materials are stacked neatly; there are no spills or leaks during vehicle transportation; the staff canteen meets health requirements; the temporary toilets set up at the construction site are always kept clean.

Spot inspection targets:

Main and secondary arterial roads, small streets and alleys, garbage stations, public toilets, markets, construction sites, urban-rural fringes, garbage and feces disposal sites, etc.

IV. Environmental Protection

1. Annual daily average of total suspended particles in the atmosphere (TIP), northern cities <0.350 mg/cubic meter, southern cities ≤0.250 mg /cubic meter.

Within the urban built-up area (the area of ??the built-up area shall be subject to the city statistical bulletin), monitoring shall be carried out according to the monitoring points recognized by the national or provincial environmental protection administrative department, with no less than 56 throughout the year. Effective daily average. Except for cities with regulations, the monitoring results of general urban clean control points will not be included in the calculation of the city's average.

2． The compliance rate of drinking water source water quality is ≥95%.

The urban environmental monitoring department or the health and epidemic prevention department conducts regular monitoring of water sources, 6 times a year, and every other month, monitoring 14 indicators. Indicators that are not monitored every other month and are not monitored will be counted as substandard. The sum of the water withdrawals from the monitored water sources should account for more than 80% of the total urban water withdrawals.

3. The average regional environmental noise is ≤58 decibels.

Within the urban built-up area, standardized monitoring shall be carried out at monitoring points recognized by the national or provincial environmental protection administrative departments.

4. The smoke control area coverage rate is ≥90%.

Based on the results of random testing and acceptance by the superior environmental protection administrative department of the founding city and approval by the local people's government.

5. The compliance rate of industrial wastewater discharge reaches 100%.

Based on the calculation of pollution load, the wastewater discharge of industrial enterprises accounting for more than 80% of the total pollution load is included in the assessment scope.

6. The comprehensive utilization rate of industrial solid waste is ≥80.

Calculated based on the solid waste generation and comprehensive utilization provided by environmental statistics.

7. Urban domestic sewage treatment rate ≥3O.

The first-level processing is calculated based on 8O of the actual processing volume, and the second-level processing is calculated based on the actual processing volume. The part of the secondary treatment effluent quality that does not meet the standard or the treatment volume exceeds the designed treatment capacity will be converted into primary treatment. The best practical technology sewage treatment device must provide the device model and regular monitoring reports of inlet and outlet water quality. If the effluent does not meet the secondary treatment effluent quality requirements, it will be converted into primary treatment.

8. Environmental protection investment index ≥1.5.

Environmental protection investment is calculated according to the statistical scope defined by the State Environmental Protection Administration, and does not include ecological protection, operation of industrial pollution prevention and control facilities and factory relocation costs. It does not include municipal projects and roads. Indirect investments such as water conservancy, flood control, and drinking water projects.

9. No major environmental pollution or damage accidents have occurred in the past two years.

Two years before the assessment, a major environmental pollution and damage accident occurred in Zhu due to local pollution sources. Extremely large pollution accidents refer to deaths, poisoning of more than 10 people, suspension of drinking water sources, large-scale crop failure or significant reduction of agricultural and sideline products, etc. The certificate shall be provided by the provincial environmental protection administrative department.

5. Hygiene in public places and drinking water

(1) Hygiene in public places

1. Conscientiously implement the State Council's "Public * **The Regulations on Health Management of Places has plans, inspections, health supervision, monitoring and technical guidance specifications, and complete information.

2. The business unit should have a valid health license, a sound health management system, and full-time (part-time) health management personnel. Employees can take up their posts after undergoing physical examination, training, and obtaining health certificates and health knowledge training certificates. The transfer rate of employees due to the “five diseases” reached 100.

3. The indoor and outdoor environment is clean and tidy, and the health indicators meet the relevant national standards.

The hotel should have a dedicated disinfection room and cleaning and disinfection facilities, with dedicated management and standardized operations. When cleaning and disinfecting guest bathrooms, related supplies should be kept away from contamination with each other. Bedding covers, pillowcases (towels), sheets and other bedding must be changed for each guest, and long-term guests will be changed every Monday. In hotels without guest bathrooms, each bed should be equipped with a washbasin and footbasin with different markings that can be easily distinguished. The air conditioner filter or fan in the room should be clean and dust-free.

Barbering and beauty workers should wear work clothes when operating, and wear masks when cleaning their faces. Hairdressing knives and beard brushes should be disinfected promptly after use. Towels should be changed for each customer and disinfected. The hair perming area is equipped with mechanical Ventilation device.

Smoking should be prohibited in theaters, the interval between each show should be no less than 30 minutes, and auditoriums with more than 800 seats should have mechanical ventilation or air conditioning devices. Tea sets and face towels in dance halls should be cleaned and disinfected as required, and replaced twice after each guest. It is strictly prohibited to use ultraviolet lamps with sterilizing wavelengths, talcum powder and aerosols harmful to the health of the audience during business hours. Food and beverages produced and sold should comply with hygienic requirements.

Public bathrooms and swimming areas should have signs prohibiting people with skin diseases and infectious diseases from entering and fishing. Swimming pools should have a system for checking swimmers' health certificates, and swimsuits are not allowed to be rented or loaned. The water in the swimming pool meets the hygienic standards and should be equipped with changing clothes, a forced pass-through foot-immersion disinfection pool, a foam bath and a toilet. Public baths are equipped with disinfection facilities, and public tea sets, towels, slippers, and bedding are cleaned and disinfected upon request.

The sanitation of airports, stations and ports should comply with the requirements of national and industry sanitation standards.

(2) Hygiene of drinking water

1. The water source of the waterworks should be equipped with health protection signs, the protection distance should meet the health standards, and there should be no pollution sources within the protection range. The water quality of the factory water meets the hygienic standards. A comprehensive analysis of the water quality is carried out as required every time, and the data is complete.

Secondary water supply facilities are cleaned and disinfected regularly every year, and measures are in place to ensure water quality safety and prevent secondary pollution. The water quality meets sanitary requirements, and there are cleaning and disinfection records and water quality inspection reports.

3. Personnel directly engaged in water supply at the water plant must hold valid medical certificates.

4. The health and epidemic prevention department shall supervise and manage water plants and secondary water supply facilities as required, and the relevant information shall be complete.

Spot inspection targets:

Health supervision agencies, public places (including airports, stations, ports), water plants, and secondary water supply facilities.

6. Food Hygiene

1. Conscientiously implement the "Food Hygiene Law of the People's Republic of China", with plans, inspections, health supervision, monitoring and technical guidance specifications in place, The information is complete.

2. Food production and operation units should have a valid health license, a sound health management system, and full-time (part-time) health management personnel. Employees can take up their posts after undergoing physical examination, training, and obtaining health certificates and health knowledge training certificates. The transfer rate for the "five diseases" of hostages in the industry reached 100.

3. When food production and operation units produce and sell food, they should separate raw and cooked food, separate payment for goods, have fly-proof, dust-proof, rodent-proof, and moisture-proof facilities, and clean, disinfect and clean tableware and food containers. The equipment and facilities are complete, the configuration and layout are reasonable, and they meet the health requirements. There should be a meat and cold room for making cold dishes. The cold and meat room should have dedicated rooms, dedicated personnel, dedicated tools, dedicated refrigeration, and dedicated disinfection, and staff should insist on changing clothes twice.

4. The area and proportion of the dining room and kitchen of the restaurant should comply with the regulations of the national or provincial and municipal health administration departments. Equipment and facilities such as food preservation, tableware container storage, and processing tool cleaning meet hygiene requirements. The disinfection room, food and meat room, rough processing room, warehouse, toilet and garbage collection and storage facilities are reasonably laid out and meet the hygienic requirements.

5. Street food stalls should be set up in a centralized manner and managed in a unified manner. Unlicensed and road-occupying operations are strictly prohibited. Directly imported food must not be prepared in the open. The food sold should have dust-proof and fly-proof facilities, and tableware should be strictly in accordance with the requirements. Clean and disinfect.

6. Food production enterprises should produce food in accordance with the requirements of relevant food hygiene special or general specifications. They should have sound operating procedures and have an inspection room. Products must pass the hygienic quality inspection before leaving the factory. Relevant inspection data complete.

7. There are measures to prevent food poisoning. Food poisoning in the city is on a downward trend. The rate of identifying the causes of food poisoning is increasing year by year. In recent years, no major food poisoning or major food-borne diseases have occurred.

8. The labels on the packaged food sold meet the requirements, and no expired food is sold.

Spot inspection targets:

Health supervision agencies, hotels, restaurants, non-staple food stores, food stores, food stalls, meat, cold drinks, pastry processing plants, schools, government agencies, and hospital canteens.

7. Prevention and Control of Infectious Diseases

1. Conscientiously implement the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases", with plans, inspections, and relevant supporting regulations. The relevant information is complete.

2. Assign infectious disease management supervisors in accordance with regulations and carry out supervision and management work in accordance with the law.

3. Medical institutions should have preventive health care organizations or full-time personnel, and should have sound nosocomial infection control, epidemic registration and reporting systems. Establish and improve outpatient diaries, open intestinal clinics, and set up publicity boards for preventing infectious diseases and health education.

4. There were no outbreaks of Class A or B infectious diseases, no cases of poliomyelitis, and no outbreaks of infectious diseases and deaths caused by nosocomial infections.

5. The city has a sound epidemic reporting network, and the underreporting rate of notifiable infectious diseases in medical institutions is less than 2.

6. Planned immunization implements a weekly outpatient system; the full vaccination rate of children's planned immunization single vaccine, four vaccines and hepatitis B vaccine reaches 95%; the immunization vaccination is standardized and the safe injection rate is 100%; there are management measures for planned immunization of the floating population , the card-creation and certificate-creation rate for migrant children with a residence period of more than 3 months reached 95%.

7. Establish blood (plasma) collection and supply institutions in accordance with the regulations of the health administrative department of the State Council, and work in compliance with regulatory requirements.

8. Supervise and manage the production and sales of disinfectants, equipment, and disposable medical and sanitary products in accordance with relevant laws and regulations.

Special inspection targets:

Infectious disease supervision agencies and medical institutions.

8. The four pests are eliminated in the city

1. The city, district, and street have full-time (part-time) personnel to eliminate the four pests. Each department has a clear division of labor, responsibilities are implemented, and work funds are available. ensure.

2. In the work of eradicating the four pests, we adhere to the comprehensive prevention and control policy focusing on environmental governance, improve various environmental governance measures, and effectively control the breeding grounds of the four pests. In chemical prevention and control, we should pay attention to the scientific and rational use of drugs, and do not use drugs banned by the state.

3. The information on the four pest eradication work is complete, and the supervision and monitoring data are reliable, which can fully reflect the progress of daily work.

4. Three items of rodent control, mosquito control, fly control, and cockroach control have met the standards set by the National Patriotic Association. The other item shall not exceed three times the national standard.

Spot inspection objects:

Rodent control:

(1) Key units (referring to farmers’ markets, hotels, restaurants, restaurants, non-staple food stores, and food processing plants , breweries, slaughterhouses, grain depots, grain stores, hospitals, etc., the same below), general units (referring to institutions, schools, department stores, etc., the same below) and indoor rat traces in residential buildings.

(2) Anti-rodent facilities on doors, windows, sewers, vents, etc. in key places of key units (such as kitchens, warehouses, etc.).

(3) Rat traces in external environments such as construction sites, garbage collection stations, parks, green spaces, along rivers and lakes, on both sides of railways, in unit courtyards, and residential areas.

Mosquito eradication:

(4) The breeding situation of mosquito larvae (pupae) in various water storage containers and stagnant water indoors and in residential areas, enterprises and institutions.

(5) The climbing situation of mosquito larvae (pupae) in water-filled containers in special places such as sewer outlets, waste products, tires, tank storage areas, and construction sites.

(6) The breeding situation of mosquito larvae (pupae) in different types of water bodies such as lakes, rivers, ditches, and pools.

Flies extermination:

(7) The number of indoor adult flies in key units and general units and the anti-fly facilities in key places (such as food operation rooms, cold meat rooms, delicatessen cabinets, etc.).

(8) The breeding situation of fly larvae (pupae) in indoor and outdoor domestic garbage containers in the above units.

(9) The breeding situation of flies in the external environment.

Cockroach extermination:

(10) Number of cockroach adults, nymphs and oothecae indoors in key units, general units and residential buildings.

(11) The number of cockroach adults, nymphs and oothecae in basements, heating ditches, sewers, etc. of the above units and places.

(12) Check for cockroach traces (empty ootheca, cockroach corpses, etc.) at the same time.

9. Health in units and residential areas

1. General requirements

(1) Have a health organization and management system, and carry out regular health inspections Education and health inspection and evaluation activities.

(2) The environment is clean and tidy, the courtyards are green and beautified, the roads are hardened, the pavement is smooth, the sewers are unobstructed, the sanitation facilities are complete, the toilets meet the sanitary requirements, there is a dedicated person responsible for cleaning, and domestic garbage is collected every day.

(3) The indoor sanitary condition is good, the corridors are clean and tidy, there is no messy piles of graffiti, and the doors and windows are not damaged.

(4) Actively carry out activities to eliminate the four pests and implement prevention and control measures.

(5) There are no illegal buildings in the unit courtyard and residential areas, and vehicles are neatly placed.

2. Unit hygiene

(1) There are no-smoking signs in the conference room and public tea sets and disinfection facilities.

(2) The staff canteen has a valid hygiene license, and all facilities and utensils meet hygiene requirements. Employees take up their posts after passing the physical examination and training. They must master relevant health knowledge and maintain good personal hygiene.

3. Hygiene in residential areas

Food and commercial service facilities are reasonably set up, their operation meets hygiene requirements, and there is no random stall setting.

Spot inspection targets:

Governments, military units, factories, schools, and residential areas.

10. Opinion poll

According to the attached table, 80 local residents and 20 passing tourists were randomly interviewed, and the satisfaction rate reached over 90%.

Satisfaction rate = Satisfied number of visitors × 100

Total number of visits

Attachment: ( ) City health status evaluation form content local residents and past visitors

Satisfied Unsatisfied Satisfied Unsatisfied

1. Municipal Environmental Sanitation

2. Greening and Beautification

3. Sanitation of Shopping and Entertainment Places

4. Public toilet hygiene

5. Catering industry hygiene

6. Hotel hygiene

7. Airport, station and port hygiene

Note: Among the above items 1-7, one inquiry for each item is counted as one person-time.