Watch out for the public health and meet an urgent need " Take precautions against fatigue "

Watch out for the public health and meet an urgent need " Take precautions against fatigue "
Jie WeiSince the 2003, at all levels Party Committee, government put forth effort, strengthen, meet an urgent need the intersection of system and construction, public health emergency ability been improved a lot. Prevent and cure with first type the intersection of H1N1 and the intersection of influenza and the intersection of epidemic situation and the intersection of prevention and control and situation watching from nearly one the intersection of period and regional the intersection of brothers and the intersection of mouth and disease, the emergency operation of the hygiene has not formed science, steady, high-efficient long-efficiency mechanism yet, make policy and lack proving, prediction scheme divorcing from actual combat, coordinating incompletely horizontally, problem of ensuring the terms to lag behind etc. and remain as before. Especially there are officers that are asked the lessons drawn from others' mistakes of the responsibility during SARS, it is apt to exceed the proper limits in righting a wrong in reality - -For avoid, bear responsibility, would rather pass can't as. Performance goal, dealing with the rank, measure intensity to presume a bit high, have broken away from the realistic condition of the basic unit, efficiency and result influencing the hygiene to meet an urgent need.There are much technological measures but operability not every strong hygiene emergency preplans, technological schemes are worked out by provincial and the above organization of health authority more, find out about the situation at the basic level incompletely sometimes. Or lay particular stress on the technological factor, the guarantee condition needed to implementing the technological measure is ignored to some extent, lack macroscopical visual field, meet an urgent need, regard simple technical work and the intersection of hygiene and " matter in home " of system as hygiene ,The longitudinal one " Since I pressurize " Much, the horizontal high level is coordinated little, whether the technological measure could be implemented, is mainly tried to support to ensure the condition by oneself by the basic unit, have increased tedious intensity and uncertainty of coordinating the result of coordinating the work. And the basic unit lacks essential comprehensive talents, most emergent organizations of the government at the basic level are also taken charge of by layman, carry out meeting with meeting basically, by transmit file, implement file, have no ability, rise to the rational aspect things of the actual need. Though one layer of requirements " Combine each reality " Make operational prediction scheme, but because of technology, restriction of talent, at city level to rely mainly on shining and transferring to prediction schemes of higher authorities more while being following, implement the condition and does not possess more, can only rely on and have ready conditions to adopt " make changes according to specific conditions " in fact The method, or rely on the experience to guide and meet an urgent need and handle, prediction scheme and actual combat become two covers, act on and give a great discount. The expert has the same problem with the technical training to instruct. For example expert require some the intersection of place and medical worker meet, examine the intersection of brothers and the intersection of mouth and disease, must sterilize hands after the infant each time, but generate heat in peak period of epidemic situation in this place and the doctor of the bleb clinic meets and examines nearly 80 infants every day, sterilize each time, the doctor's hand is difficult to bear, and certainly will reduce the efficiency of making a diagnosis, make a large number of infants go to a doctor in time. Finally, the medical worker at the basic level adopts and wears the emulsion glove, examines " indigenous method " changed Have solved this problem.There are much file report forms but the pool is not strong The present public health organ " Top-heavy " The phenomenon is very outstanding. Disease it prevents and cotrols offices to be whether the intersection of Ministry of Public Health and whom establishment count most set up the organization inside, in addition, Policy and Regulations Department, hygiene meet an urgent need in office and sanitary control office, the strength accounts for nearly 1/3 of the total number of establishment of Ministry of Public Health, basically there are corresponding fitting organizations too to reach the province grade. But is undertaking the following departments at city level of a large number of actual tasks, more a public health department undertakes the functions of all above-mentioned organizations. Once a plurality of function organizations of higher authorities' coordinate uncompletely, it is easy to form the mountain of documents and sea of meetings, each department acting on its own and pressure checked to the basic unit repeatedly, it makes the basic unit at a loss as to what to do that it is incompatible even to lack the communication, order. For example to the same kind of disease, two offices of higher authorities have stipulated different diagnostic programs respectively, cause the basic unit to carry out the confusion on. One province sends out the association check the official letter of a person who keeps in close touch transprovincially, situation to receive other provinces know person who should keep in close touch accept, concentrate medical science on observe in province this already just feedback. In the report form design, pursue " attend to each and every aspect of a matter " too But does not consider the endurance of the basic unit, the same one works but need to make a report on more than ten kinds of very much the same report forms sometimes, and must report to a plurality of function offices of higher level one by one.Arrange muchly but pertinence is not strong Some places are still adopted " One to one " Handle on mode,there are high to take place or it prevents and controls that situation is nervous, no one of leading groups, several expert panels and a teams emergent will be established correspondingly on infectious diseases a certain, issue a series of file, lack the scientific mechanism of coping with shifting events by sticking to a fundamental principle. Successively established basically the same public health of two names, members to meet an urgent need in the leading group in two months in some place, distinguish that only lies in the public health event happen suddenly to being relying mainly on person's bird flu in one, the public health event happens suddenly to being relying mainly on first type H1N1 influenza in another one. In fact most only have leading group that can not play a too great role to work, meet the question or depend on " Matter and a coordination " . A lot of files only do the general principle to require, can not propose the pertinence measure to the problem badly in need of solution of the basic unit. Some place deal with one practical problem, consult existing file find according to indeterminate, having asked two grades of responsible institutions for instructions promptly, the reply received was " doing according to the regulation " unexpectedly . Some are in order to cater to leading the subjective will, propose similar " stops the death case " without scientific appraisal ,etc. impractical goal,reserve enough by execution time promptly even some demand to appear in the newspaper by summarizing, report form, have made mistakes but imputed the reason to the basic unit " Implement and do one's best " .China's disease accused of the chief expert of central epidemiology once the light especially pointed out, what should overcome at present to first type H1N1 influenza " takes precautions against that tired " . The Ministry of Health should improve prevention and control science and systematicness of strategies even more as the core force that is prevented and controlled, as give advice in order to decision of government and healthy bodyguard of person, depend on the scientific reply mechanism, prevent tired out war-weariness of basic unit from, win, resist first type the intersection of H1N1 and influenza, tackle, happen suddenly public health event final to win.With the enhancement of health consciousness, people pay more and more attention to with the life closely bound up health problem, such as the food security, medical treatment is ensured, medical information,etc., healthy life should be from understanding information begins!More excellent health information please enter:News channel
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