Members Focus On Public Health Issues And Suggest Improving The Emergency System For Peacetime And Wartime Integration.

As China enters the stage of epidemic prevention and control, how to improve the public health system and improve the ability and level of dealing with major public health emergencies has become the focus of attention of the NPC and CPPCC members this year. This year's government work report also made clear that we should strengthen the construction of public health system.

According to CCTV's secretariat from the three session of the thirteen National People's Congress, when the decision was made by the presidium of the general assembly, the deadline for the motion was 12 May 25th. The Secretariat of the conference received a total of 506 motions. Among them, the number of representative motions to strengthen public health legal system is about 1/4 of the total number of bills.

Recently, combing the economic news reporters in twenty-first Century, they found that these motions and proposals mainly involve improving the legislation of major public health events, building a sound prevention and control system for epidemic prevention information network, combining peace and war, and enhancing emergency capabilities of local governments and medical institutions at various levels.

Prior to the thirteen session of the CPPCC National Committee, the three session of the first "members of the channel", the CPPCC Standing Committee, vice president of the Chinese Academy of engineering, Wang Chen, President of the Chinese Academy of Medical Sciences, also said that after this epidemic, we should learn from the pain and strengthen the construction of public health system. On the eve of the national two sessions, Zhang Wei, deputy director of the National People's Congress, deputy director of the 93 Committee of the Jiangxi Provincial Committee and the First Affiliated Hospital of Nanchang University, proposed the establishment of a public health clinical center to build a prevention and control system for "peacetime and wartime integration".

    At the same time, in the Symposium of the "voice responsibility" medical and health field in 2020, the NPC and CPPCC members discussed the problem of the lack of public health infrastructure in China and the single mode of emergency application materials. The NPC deputy and director of China Medical Equipment Co., Ltd. put forward a three-dimensional prevention and control system for public health emergencies in Qingming City, and considered the Peace War knot as a whole. The dual needs of the two systems can achieve the multilevel reserve mode of emergency application materials.

Construction of prevention and control system for peacetime and wartime integration

    In May 20th, one day before the opening of the national two sessions, the national development and Reform Commission issued the "public health prevention and control capacity building plan" (hereinafter referred to as the "plan"), and clearly stated that "adhering to the combination of peacetime and wartime" should not only meet the needs of rapid response, centralized treatment and material support during the wartime, but also fully consider the duty and operation cost of peacetime, and promote public health and disease. Reform and development of disease prevention and control system.

At the two sessions this year, "public health" is a hot topic of concern for delegates and members. Many representatives of the non-medical sector also put forward motions and proposals on how to improve the public health system.

    For example, Shen Napeng, member of the CPPCC National Committee and global executive partner of Sequoia Capital, said in the proposal that at present, there are four major bottlenecks in the national infectious disease emergency system, such as lack of investment in human infection, serious brain drain, inadequate preparedness for hospital prevention and control, weak technical capability, insufficient medical and public health emergency reserves, weak conversion from peacetime to war, and insufficient information transmission in epidemic prevention and control. Broken.

Shen Napeng suggested that we should reposition the Department of infectious diseases in the medical system at a strategic height, enhance the ability to prevent and respond to the disease as a whole, and actively use scientific and technological means to enhance the ability to prevent the disease in hospitals. We should establish a rigorous and pragmatic mechanism for converting the infectious diseases to a tough war, and use big data technology to establish a data sharing network for distributed infectious disease reports based on hospitals and CDC.

Zhu Tongyu, vice chairman of the CPPCC National Committee, deputy director of the Shanghai Municipal Committee of the Shanghai Municipal Committee of the people's Republic of China and director of the public health clinical center of Shanghai, and vice president of Zhongshan Hospital Affiliated to Fudan University, told the economic news reporters at the above symposium that we have exposed many shortcomings in the new crown pneumonia outbreak, especially in the treatment area, for example, some large cities with a population of more than ten million scale are not true. Just like the public health clinical center.

Zhu Tongyu also exemplified the performance of the Shanghai public health clinical center in the epidemic. "In 2003, Shanghai established a public health clinical center, which was put into operation in 2004, and has five hundred mu of land, which also played a relatively large role in the epidemic. In terms of patient treatment, no major three grade general hospital was disturbed in the center of Shanghai. Basically, 96% of all patients were admitted to our hospital. Only 4% of the children were admitted to the pediatric hospital.

In this regard, Zhu Tongyu suggested that the layout of national emergency medicine or strategic reserve center should be arranged in all major cities of the country, especially in cities with a population above 10 million scale. Usually this center can be a general general hospital. The one thousand to two thousand beds comprehensive hospital can survive on its own and expand rapidly to five thousand beds in wartime. "We can lay out two thousand to three thousand beds of underground combat readiness hospitals under the ground; we can lift cars on the ground and upgrade beds on the ground, like Israeli underground hospitals."

In response to this "peacetime and wartime" hospital, Zhu Tongyu said that he needed three attributes. First of all, he had super maneuverability and could expand to several thousand beds in a few hours and a few days. This could provide two courtesy preparation time for the large three grade general hospitals in the city center.

In addition, it also has the function of scientific center. It needs strategic reserve materials and scientific research ability, can quickly crack pathogens, and can do something in vaccine research and development, drug development and so on. It can quickly crack pathogens, and can do something in vaccine research and development.

Finally, we need to have super comprehensive ability. Infectious diseases hospital is not simply a treatment of infectious diseases. From the experience of the new crown pneumonia epidemic, we need to have a very strong comprehensive ability. For example, our hospital usually has four ECMO units and two temporary purchases, which makes ECMO related treatment technology available in our hospital. "

Establishment of comprehensive system for emergency material storage and allocation

Zhongshan Hospital Affiliated to Fudan University in the new crown pneumonia epidemic, emergency medical equipment and other supplies are adequate, but not all medical institutions have adequate preparation.

    Yu Qingming, chairman of the National People's Congress and chairman of China Medical Instrument Co., pointed out to the twenty-first Century economic report reporter the problems exposed in the epidemic, such as the lack of public health infrastructure reserve space, the single mode of emergency application materials processing in China, and the frequency, characteristics and the occurrence of public health emergencies and natural disasters in terms of economic development, population structure, epidemiology, and The degree of analysis is not suitable.

In addition, the standards, approvals and quantities of material reserves at all levels are not uniform. The first stage is unclear, and there is no comprehensive treatment system combining capital, production capacity, technology and information.

    At the same time, emergency supplies allocation is not systematic and timely. The application of masks and protective clothing is a special commodity. According to the management of medical devices, problems such as shortage of resources, slow production, slow production capacity, slow transportation and so on in the face of sudden demand and Spring Festival holidays are rapidly highlighted. The linkage allocation of land reserve varieties is effective and complementary.

In Qingming also pointed out that in this outbreak, there are also problems such as low efficiency of emergency logistics management, insufficient command of emergency logistics and low level of information management. "The production of raw materials, equipment and production enterprises across the province distribution, during the epidemic period, blocking roads and other means of control, resulting in regional logistics is not smooth, logistics costs increased, the means are complex, time limit is poor."

For this reason, many suggestions were put forward in Qingming, such as the establishment of a three-dimensional prevention and control system for public health emergencies, that is, joint development and transformation, labor and trust, Wei Jian, market, public security, transportation, agriculture and other relevant departments, as well as key provinces, key institutions and enterprises, to establish a public system with strong command, clear responsibility and rapid response.

  "Taking into consideration the dual needs of peacetime and wartime integration, building a strategic reserve system for emergency application materials, and implementing the dynamic adjustment mechanism of the conventional reserve and strategic reserve mobile reserve, ensuring the daily demand for disease prevention, maintaining the rational flow of medical materials, avoiding the waste of resources, and rapidly responding to the national emergency command, and realizing the multi-level reserve module for emergency application materials. We should set up a multi-mode reserve for basic information, such as material, capital and production capacity, and improve the standards of varieties, specifications, quantity, time and so on. We should establish a corresponding system. Yu Qingming pointed out.

    At the same time, Qingming also suggested the establishment of emergency supplies command supply chain platform and emergency communication support system. With the current high-tech foundation, we can guarantee the realization of a win-win situation, and establish emergency material management institutions and professional teams, establish emergency logistics command centers with centralized powers and responsibilities, and designate large domestic enterprises with complete distribution to carry out emergency reunification. Distribution, unified management, adequate control, risk monitoring and intensified drilling.

Establishing a social psychological crisis intervention mechanism

In addition to making up the short board for prevention and control, emergency supplies storage and deployment, the deputies also believe that the corresponding social psychological crisis intervention mechanism should be established in major public emergencies.

Ge Junbo, member of the CPPCC National Committee and academician of the Chinese Academy of Sciences, proposed strengthening the social psychological crisis intervention mechanism for major public emergencies, including epidemic and disaster situations.

Social psychology is a manifestation of social consciousness, reflecting people's general feelings and understanding of social phenomena. Since the outbreak of the epidemic, due to the rapid spread of the epidemic, the whole society is not ready at the beginning, the shortage of medical resources, all kinds of information coming from all over the world, causing panic to the general public, facing the epidemic, conducting public opinion guidance, emotional counseling, and strengthening science popularization education, I feel very important. Ge Junbo pointed out.

For this reason, Ge Junbo suggested putting the prevention and control of major public health emergencies in the first place, establishing an authoritative source of information, enhancing public awareness of environmental hygiene as a breakthrough point, establishing a good psychological behavior barrier, and taking social resources as fresh contents to enhance public confidence in fighting diseases. "The government should be well prepared for psychological intervention, which will enable us to improve our ability to intervene in major epidemics at the public level."

Ma Shaobin, the National People's Congress and the two squad leader of China and South Korea (Wuhan) refinery and petroleum refinery, also presented a proposal to strengthen publicity and education and establish and improve the mechanism of social psychological intervention at the two national meetings this year.

Ma said that this year's new crown pneumonia epidemic has caused anxiety, panic, even disappointment, anger and other negative emotions to the public in different areas. These emotions have increased with the development of the epidemic, exposing the shortcomings and shortcomings of China's major public health emergency management system.

He believes that mental health determines physical health and mental health is also the cornerstone of social stability. We should strengthen publicity and education on public health emergencies so that the public can understand the real situation in time and grasp effective precautions against knowledge and means so as to avoid panic. Psychological crisis intervention can not be carried out after the accident, should be synchronized with the emergency plan, and according to the actual situation of change, synchronous adjustment.

Ma also suggested that we should popularize the knowledge of emergency mental health in many ways and ways, improve the public's ability to deal with public health emergencies, guide the public to establish a correct concept of health, eliminate unnecessary panic and reduce self harm caused by psychological imbalance.

Ma said that the establishment and improvement of a social psychological intervention mechanism for public health emergencies is an important means to deal with the crisis and to control the situation as soon as possible. Psychological assistance and intervention can reduce the degree of acute stress reaction. Early psychological intervention for those more serious victims can prevent or reduce the incidence of long-term psychological injury and psychological disorder. Psychological treatment for those who have long term serious mental disorders can relieve their pain level and help them adapt to the social and working environment. Therefore, it is very necessary to provide psychological assistance and intervention to victims in an organized and systematic way when public health emergencies happen and occur.

Zhou Songbo, the National People's Congress and village doctor of Diao Si Village, Diao Wu Town, Zhuozhou, also suggested that psychological intervention and rescue should be included in the overall plan to deal with major public health emergencies. We should establish a sound psychological counseling and crisis intervention and rescue system for major public health emergencies, and timely conduct psychological counseling and emotional appeasement to the public.

"We need to integrate all kinds of existing mental health service resources, establish and improve mental health service expert libraries and volunteer teams, and rationally divide their service centers according to their professional fields, carry out mental health services at different levels and channels, and form a professional resultant force." The representative of Zhou Songbo said that we should classify and classify the recipients, and put forward corresponding psychological assistance strategies in combination with the psychological needs of different groups at different stages. (Editor: Xu Xu)

(author: Southern finance and Economics National two sessions report group Zhu Ping)