Notice of the People’s Government of Yunnan Province on Printing and Distributing the Plan of Medical and Health Service System in Yunnan Province during the 14th Five-Year Plan.

State and municipal people’s governments, provincial committees, offices, departments and bureaus:

The "14 th Five-Year Plan" of medical and health service system in Yunnan Province is hereby printed and distributed to you, please implement it carefully.

Yunnan Provincial People’s Government

September 15, 2022

(This piece is publicly released)

Planning of Medical and Health Service System in Yunnan Province during the Tenth Five-Year Plan

In order to further optimize the allocation of medical and health resources in the province, effectively improve the fairness and accessibility of medical and health services, and enhance the ability of all-round life-cycle health services and the level of prevention and treatment of major epidemics, according to the national "14 th Five-Year Plan" medical and health service system plan and the outline of the 14 th Five-Year Plan for National Economic and Social Development in Yunnan Province and the long-term goal for the year 2035, the outline of "Healthy Yunnan 2030" and the development plan of health undertakings in Yunnan Province during the 14 th Five-Year Plan

I. Planning background

(A) Development status

During the "Thirteenth Five-Year Plan" period, under the strong leadership of the provincial party committee and the provincial government, our province has continuously deepened the reform of the medical and health system, steadily promoted the construction of a healthy Yunnan, implemented major projects such as the improvement of the ability to treat major infectious diseases and the core competence of disease control institutions, the three-year action plan for the development of health undertakings, and the "seven special actions" for patriotic health. The medical and health service system has been further improved, the service capacity has been significantly improved, and the health level of the people has been continuously improved.

By the end of 2020, there were 26,626 medical and health institutions in the province, including 1,445 hospitals, 24,592 grass-roots medical and health institutions, 532 professional public health institutions and 57 other medical and health institutions. There are 106 tertiary hospitals in the hospital, including 54 tertiary hospitals; There are 470 secondary hospitals, including 196 secondary hospitals. There are 458,900 health workers and 325,200 beds. There are 6.89 beds in medical and health institutions, 2.6 licensed (assistant) doctors and 3.67 registered nurses per thousand people; There are 2.01 general practitioners and 7.5 professional public health personnel per 10,000 population. The construction projects of three national regional medical centers for cardiovascular disease, respiratory disease and tumor have landed in Yunnan, and 30 provincial clinical medical centers and 115 sub-centers have been built, and 16 provinces and cities in the province have achieved full coverage of 3A general hospitals. The number of county-level general hospitals reaching the national basic standards has achieved a historic leap from "0" to "122", and 40 county-level general hospitals have reached the national recommended standards, with the growth rate ranking third in the country. The number of tertiary hospitals in county general hospitals has increased from "0" to "22". 42 counties in the province are listed as the first batch of pilot projects for the construction of close county medical community in China. In 2020, it was selected as a pilot province for the construction of national community hospitals. 73.3% families can reach the nearest medical point within 15 minutes, and the rate of seeing a doctor in the county reaches 91.39%. The proportion of Chinese medicine clinical departments in public general hospitals above the second level is 90%.The setting rate of "Chinese medicine hall" in township hospitals and community health service centers reached 99.35% and 81.4% respectively. The total number of medical and health institutions was 271 million, of which hospitals accounted for 40.13% and primary medical and health institutions accounted for 55.32%. There were 9,704,900 hospitalizations, of which 79.74% were hospitals and 16.68% were primary medical and health institutions. The utilization rate of beds in medical and health institutions is 70.79%, including 77.46% in hospitals, and the average length of stay in hospitals is 8.74 days. The reported incidence of Class A and B infectious diseases has been lower than the national average for 17 consecutive years, achieving the goal of eliminating malaria historically. The completion rates of county-level rescue centers for chest pain, stroke, trauma, critical pregnant women and critical newborns reached 93%, 85%, 80%, 91.47% and 89.92% respectively, ranking among the top in the country. The maternal mortality rate and infant mortality rate dropped to 12.42/100,000 and 4.73‰ respectively, which was better than the national average. The average life expectancy in the province has increased from 69.54 years in 2010 to 74.02 years in 2020, with an average annual increase of 0.45 years, the highest increase in the country. The proportion of personal health expenditure in total health expenditure decreased to 27.07%, which was better than the national average. With practical actions, the Supreme Leader’s General Secretary’s requirements for Yunnan to be a gatekeeper and take responsibility for the country have withstood the continuous impact and severe test of the imported COVID-19 epidemic, and firmly held the bottom line of keeping it secret and preventing a large-scale epidemic.

(B) Opportunities and challenges

The CPC Central Committee with the Supreme Leader as the core has always put people’s life safety and physical health first. The 19th National Congress of the Communist Party of China made a major decision of "implementing the strategy of healthy China", which promoted the maintenance of people’s health to the national strategic level. The Fifth Plenary Session of the 19th CPC Central Committee clearly put forward the grand goal of basically realizing socialist modernization and building a healthy China by 2035. The basic position and important supporting role of health in the historical process of "two hundred years" are increasingly prominent. Our province is in the critical stage of building a demonstration zone of national unity and progress, a vanguard of ecological civilization construction, and a radiation center facing South Asia and Southeast Asia. The multi-level and diversified health needs of the people will be further stimulated, creating a broader space for the development of health care. The rapid development of new technologies such as artificial intelligence and the fifth generation mobile communication (5G) provides scientific and technological support for optimizing health services and management.

At present, the global epidemic situation in COVID-19 is still in a state of pandemic, and the situation of border epidemic prevention and control in our province is still complicated and changeable. It is urgent to build a strong public health system and enhance the overall ability to deal with public health emergencies. In the face of the sharp increase in the demand for high-quality health services, the further aging of the population and the changes in the disease spectrum, the task of ensuring the health of the whole people in an all-round and full-cycle manner is even more arduous. Problems such as insufficient total quality medical and health resources, uneven distribution and insufficient integration still exist in our province. The number of licensed (assistant) doctors per thousand population and the number of general practitioners per 10,000 population are lower than the national average, and the grassroots capacity is relatively weak and resources are idle. The supply of medical and health services for key groups such as "one old and one small" is insufficient. The cooperation mechanism between various medical and health institutions is not perfect, the level of personnel, technology, equipment, data and information sharing is not high, the integration of medical care and prevention is not sufficient, and the pattern of complementary cooperation between Chinese and Western medicine has not yet formed.

Second, the overall requirements

(A) the guiding ideology

Adhere to the guidance of the Supreme Leader’s Socialism with Chinese characteristics Thought in the new era, thoroughly implement the spirit of the 19th National Congress of the Communist Party of China and the previous plenary sessions of the 19th National Congress, implement the important exposition of the Supreme Leader’s General Secretary on health and health work and inspect the spirit of Yunnan’s important speech, conscientiously implement the decision-making arrangements of the provincial party committee and government, adhere to the general tone of striving for progress while maintaining stability, comprehensively implement the new development concept, thoroughly implement the health and health work policy in the new era, and accelerate the construction of a strong public health system. We will promote the construction of an integrated medical and health service system covering the whole life cycle and the whole health process, and promote the change of development mode from treating diseases to focusing on people’s health, the change of service system from increasing scale and quantity to improving quality and efficiency, and the change of resource allocation from focusing on material factors to paying more attention to talent and technical factors, so as to make the people enjoy a higher level of health services.

(2) Basic principles

Overall planning and system integration. Coordinate the allocation of regional and urban and rural resources, coordinate prevention, treatment, rehabilitation and health promotion, adhere to both Chinese and western medicine, and improve overall efficiency. Combined with population structure and distribution, disease spectrum and other factors, the allocation standards of medical and health resources are formulated by classification.

Demand-oriented, improving quality and expanding capacity. Based on the reality of border areas, ethnic groups and mountainous areas, and guided by major health problems, we will expand the supply of resources, optimize the structural layout, and improve the allocation efficiency. Accelerate the expansion of high-quality medical and health resources and regional balanced layout, narrow the gap in resource allocation and service level among regions, urban and rural areas and people, and consolidate the grassroots foundation.

Coordination of medical care and prevention, and combination of emergency and emergency. Give priority to prevention, combine prevention with treatment, and establish a long-term mechanism of cooperation between medicine and prevention. Based on the usual needs and the need to ensure the prevention and control of major epidemics, we will improve the ability to combine emergency with emergency and quickly switch, and maintain public health safety.

Government-led, diversified participation. Adhere to the public welfare of basic medical and health undertakings, strengthen the responsibility of government investment guarantee, management and supervision, and increase the construction of public medical and health institutions. Give play to the role of market mechanism, encourage and guide social forces to set up medical and health institutions according to law to meet the multi-level and diversified health needs of the people.

Reform and innovation, strengthen support. Continue to deepen the reform of the medical and health system, pay attention to the systematic integration of medical and health resources allocation with policies such as finance, medical insurance and human resources, and give play to the leading and supporting role of talents, science and technology and informatization.

(3) Development goals

By 2025, an integrated medical and health service system will be basically established, which is compatible with the national economic and social high-quality development goals of our province, and compatible with the positioning of China’s radiation center for South Asia and Southeast Asia, with urban and rural planning, complementary functions, regional coordination, high quality and high efficiency. The ability to prevent and treat major epidemics and respond to public health emergencies has been significantly improved, public hospitals have further achieved high-quality development, and the level of medical services has been significantly improved. Grassroots units generally have the ability of first diagnosis and triage and health "gatekeeper", a distinctive Chinese medicine service system has been initially established, the health service ability focusing on "one old and one young" has been significantly enhanced, the basic public health service ability has been significantly improved, and the people’s health level and satisfaction have been continuously improved.

Third, the system structure and resource allocation

Medical and health resources mainly include institutions, beds, manpower, equipment, technology, information and data. Optimize the layout of medical and health resources in the province, make overall planning and balanced layout at the provincial, state and municipal levels, and improve cross-regional service and support capabilities; County-level and grassroots medical and health resources are rationally distributed according to the size of permanent population and service radius.

(1) Institutions

The province’s medical and health service system takes hospitals, grass-roots medical and health institutions and professional public health institutions as the main body, supplemented by new health care service institutions for the elderly, infants and other special groups, and provides life-cycle and health-care services for the whole population, such as disease prevention, treatment, rehabilitation and health promotion.

1. the hospital. Divided into public hospitals and non-public hospitals. Public hospitals are divided into government-run hospitals (divided into provincial hospitals, state-run hospitals and county-run hospitals according to the level of organization) and other public hospitals. Non-public hospitals are an effective way to meet people’s multi-level and diversified medical service needs.

At the provincial, prefecture and county levels, medical institutions at corresponding levels should be set up reasonably according to the number of permanent residents, service scope, workload and other factors in the administrative area, and according to the planning and requirements for the establishment of medical institutions. Guide qualified social medical institutions to develop into large-scale medical groups with high level, high technology content and brand.

2. Primary medical and health institutions. Including township hospitals and community health service centers, community health service stations (points), village clinics, clinics, outpatient departments, etc., to play the role of "double network bottom" for basic medical and public health services.

Grassroots medical and health institutions mainly undertake basic public health services such as preventive health care, health education, disease management, diagnosis and treatment of common diseases and frequently-occurring diseases, and rehabilitation, nursing and hospice care services for some diseases. They receive referrals from hospitals and refer patients beyond their own service capacity to hospitals. Every township should run a government-run health center, every subdistrict office or every 30,000-100,000 residents should set up a community health service center, and reasonably set up community health service stations and village clinics.

3. Professional public health institutions. In principle, it is sponsored by the government, mainly including disease prevention and control institutions, maternal and child health care institutions, emergency centers (stations), blood stations, and specialized disease prevention and control institutions. It mainly provides public health services such as prevention and control of infectious diseases, chronic non-communicable diseases, occupational diseases and endemic diseases, health education, maternal and child health care, pre-hospital first aid, blood collection and supply, and mental health. Scientifically set up disease prevention and control institutions at the provincial, prefecture and county levels. Reasonable establishment of maternal and child health care institutions. With the provincial emergency center as the leader, improve the pre-hospital emergency network at the provincial, prefecture, county and township levels. Set up Yunnan Kunming Blood Center in Kunming, set up a central blood station in the places where the people’s governments of other 15 states and cities are located, and set up at least one fixed blood collection point in each county, city and district. Each state, city, county and district shall set up specialized disease prevention and control institutions as needed.

4. Other institutions. It mainly includes independent institutions and continuous service institutions.

(2) Beds

1. Moderately control the bed size. Moderately and reasonably allocate the overall size of beds in provincial, prefecture and county public hospitals, moderately adjust the allocation of beds in high-level and high-quality public hospitals, and guide high-quality medical resources to standardize the setting of branch areas in areas with relatively weak resources. Determine the number and structure of beds reasonably according to the utilization rate of beds at the grass-roots level. By 2025, the expected index of the number of beds in medical and health institutions per thousand people in the province is 7.5 (including 6.2 beds in hospitals and 1.3 beds in primary medical and health institutions such as township hospitals and community health service centers). Among the hospital beds, there are 4.4 public hospitals (including 0.85 Chinese medicine hospitals) and 1.8 non-public hospitals.

2. Optimize the bed structure. Moderately control the growth of treatment beds, and give priority to the shortage areas such as infectious diseases, severe diseases, pediatrics, rehabilitation, mental illness and senile diseases. Combined with bed utilization rate, average length of stay, bed-to-doctor ratio, doctor-to-patient ratio and bed-to-person (health personnel) ratio, moderately control the bed growth rate in Baoshan, Chuxiong, Pu ‘er, Dehong, Nujiang and Diqing; Guide the stable development of beds in Kunming, Zhaotong, Qujing, Honghe and Lijiang; Support Yuxi, Wenshan, Xishuangbanna, Dali and lincang to increase beds reasonably.

3. Improve the quality of bed use. Encourage medical institutions to break the resource management mode with departments as the unit and implement overall deployment of beds in the whole hospital. The utilization rate of beds in public general hospitals is less than 75%, and the average length of stay is more than 9 days. No more beds will be added. Promote tertiary hospitals to pay more attention to the diagnosis and treatment of critical and difficult diseases, gradually reduce the proportion of primary and secondary operations, improve the proportion of appointment referral and daytime operations, and improve the efficiency of bed units.

(3) Manpower

1. Adapt to the changes of disease spectrum and expand the supply of high-quality medical and health services, and guide the rational allocation of medical staff. Guide Zhaotong City, Qujing City, Baoshan City, Honghe Prefecture, Wenshan Prefecture, Pu ‘er City, Xishuangbanna Prefecture, Dehong Prefecture, Nujiang Prefecture, Diqing Prefecture and lincang to increase the growth rate of practicing (assistant) doctors; Zhaotong City, Qujing City, Pu ‘er City, Dehong Prefecture, Lijiang City, Nujiang Prefecture and Diqing Prefecture have increased the growth rate of registered nurses; Kunming, Zhaotong, Qujing, Honghe, Dehong and lincang increased the growth rate of general practitioners.

2. Reasonably improve the allocation standard of public health personnel. In principle, the personnel of disease prevention and control institutions shall be approved according to the proportion of 1.75 people per 10,000 population, and the proportion of professional and technical personnel in the total establishment shall not be less than 85%, and the proportion of health technical personnel in the total establishment shall not be less than 70%. Every 10,000 population is equipped with 1-1.5 health supervisors and 1 health worker in maternal and child health care institutions. Health education institutions, emergency centers (stations), blood collection and supply institutions and other professional public health institutions rationally allocate human resources according to the service population, workload and tasks. In principle, the proportion of professional and technical posts in health education institutions is not less than 80% of the total number of posts, and there are not less than 2 full-time (part-time) staff engaged in health education in various medical and health institutions at all levels. The number of public health personnel in primary medical and health institutions shall not be less than 25% of the number of professional and technical personnel. Community health service centers, township hospitals and medical institutions above the second level are all equipped with at least one public health physician. Promote the transformation of rural doctors into practicing (assistant) doctors. Technical support institutions for occupational disease prevention and control shall be equipped with professional and technical personnel in occupational health, radiation health, testing and inspection, engineering technology, clinical medicine, etc. as required.

3. Improve the allocation of human resources in medical institutions. Reasonably set up posts for different categories of personnel such as doctors, nurses, medicine, technology and management. Hospitals undertaking clinical teaching, teaching practice, supporting grass-roots units, medical research and other tasks, national regional medical centers and provincial high-level hospitals may appropriately increase their staffing. According to national regulations and standards, strengthen the staffing of medical institutions. Strengthen the allocation of general practitioners in township hospitals and community health service institutions.

4. Strengthen the supply of talents in short supply. Increase the proportion of practicing (assistant) doctors in public health, and strengthen the construction of talent teams in the fields of psychiatry, rehabilitation, general practice, severe illness, emergency, anesthesia, stomatology, pediatrics, neonatology, child care, obstetrics, imaging, pathology, geriatrics, occupational health and so on. By 2025, the number of practicing (assistant) doctors and registered nurses in psychiatry per 100,000 population in the province will reach 4 and 8.68 respectively.

(4) Equipment

1. Configuration of medical equipment. Adhere to the sharing of resources and ladder configuration, plan the allocation quantity and layout of large-scale medical equipment in a province as a unit, and guide medical institutions to rationally allocate appropriate equipment. We will implement the reform requirements such as the notification and commitment system for the allocation of Class B large medical equipment by social hospitals and the filing system for the allocation of Class B large medical equipment by social hospitals in the free trade pilot zone.

2. Public health prevention and treatment equipment configuration. According to the needs of ensuring public health safety and referring to relevant national standards, facilities and equipment such as laboratory testing, large-scale rescue, emergency and informatization of professional public health institutions will be configured and updated. Strengthen the equipment configuration of extracorporeal membrane oxygenation (ECMO), mobile CT, polymerase chain reaction (PCR) instrument, mobile operating room, negative pressure ambulance and other medical institutions that undertake the task of treating major infectious diseases and emergency medical rescue.

(5) Technology

1. Promote the development and application of medical technology. Improve the filing management system for clinical application of medical technology, and implement classified and graded management for clinical application of medical technology. Focusing on the people’s medical service needs and major and difficult diseases, we will expand the methods of diagnosis and treatment, improve the medical technical ability and diagnosis and treatment effect, and form a technological advantage. On the basis of ensuring the safety of patients, we encourage the development of cutting-edge technology projects with specialist characteristics and core competitiveness. Strengthen the innovation of clinical diagnosis and treatment technology, applied research and transformation and popularization of results. Strengthen the clinical application evaluation, quality control and management of medical technology.

According to the disease spectrum of residents in our province and the situation of patients seeking medical treatment in different places, we should consider the foundation of specialty construction and population development trend as a whole, focus on serious illness and stay in the province, strive for national key clinical specialty construction projects, implement the construction of upgrading and expanding provincial high-level medical institutions, the construction of provincial clinical medical centers and provincial key specialties, and reduce the rate of patients’ transfer outside the province; Focus on solving common diseases in States, cities, counties and districts, comprehensively improve the core specialty abilities of cardiovascular and cerebrovascular diseases, respiratory diseases, metabolic diseases, pediatrics, mental diseases and infectious diseases, and improve the specialized service system covering common diseases, frequently-occurring diseases and infectious diseases of residents.

2. Strengthen discipline cooperation. Promote multidisciplinary joint diagnosis and treatment for tumors, complicated diseases and chronic diseases. Encourage professional and technical personnel such as anesthesia, medical examination, medical imaging, pathology, pharmacy, rehabilitation medicine and psychiatry to be included in the multidisciplinary diagnosis and treatment team, explore the development model of comprehensive disciplines such as heart center, nerve center and tumor center, and improve the comprehensive diagnosis and treatment level of diseases. Encourage medical institutions to set up service coordinators to provide guidance, assistance and follow-up management in patient referral.

(VI) Information and data

Taking the provincial national health information platform as the hub, we will highlight unified data collection, unified use of standards, unified interface formulation, unified application integration and unified resource management, and realize cross-institution, cross-level, cross-regional and cross-departmental interconnection, business collaboration and data sharing of health information, and fully release the potential of big data to support health services and industry governance. Gradually realize the sharing and mutual recognition of electronic medical records, inspection results and medical images among medical institutions. Promote the integration of information systems between medical institutions in the medical community and primary medical and health institutions. Improve the public health service information system. Accelerate the integration of information systems such as electronic health records, family doctors signing contracts, maternal and child health, occupational health, and rehabilitation of the disabled. Promote data integration and business collaboration in public health and medical services. Strengthen the construction of network security.

Fourth, accelerate the construction of a strong public health system

We will strengthen the construction of a public health system with provincial, prefecture and county disease prevention and control institutions and various specialized disease prevention and control institutions as the backbone, medical institutions as the support, and grassroots medical and health institutions as the net, and strengthen the combination of prevention and treatment and the coordination of medical prevention and treatment.

(1) Reform and improve the disease prevention and control system.

1. Focus on responsibilities and enhance core competence. Promote the reform of disease prevention and control system according to the national deployment, and improve the facilities and equipment conditions of disease prevention and control institutions. Strengthen core competencies such as monitoring and early warning, risk assessment, epidemiological investigation and disposal, inspection and testing, emergency response and comprehensive intervention. Accelerate the construction of provincial centers for disease control and prevention-regional centers for disease control and prevention, and strive to build a national regional public health center. Promote the upgrading of laboratory instruments and equipment and the building of biosafety protection capacity in state and municipal centers for disease control and prevention. County, city and district disease prevention and control institutions focus on improving laboratory testing, on-site epidemiological investigation, epidemic situation judgment and on-site emergency response capabilities, and 25 border county and city disease prevention and control centers have upgraded laboratory core capabilities to state-level standards.

2. Promote coordination between medical care and prevention, and improve the efficiency of prevention and control. Public medical institutions set up public health departments and other departments directly engaged in disease prevention and control, and incorporated them into the prevention and control network of infectious diseases and chronic diseases in the territory and the network management of health education promotion. Strengthen the capacity building of infection prevention and control in medical institutions.

Establish and improve the linkage mechanism between disease prevention and control institutions and hospitals, other professional public health institutions, grassroots medical and health institutions and towns (streets). Strengthen the technical guidance, supervision and assessment of disease prevention and control institutions for disease prevention and control in medical institutions. Explore the establishment of disease control supervisor system, and set up full-time and part-time disease control supervisors in hospitals and primary medical and health institutions. Explore the participation of professionals in disease prevention and control institutions in the work of medical complexes.

Taking the management of diseases such as hypertension, diabetes, tuberculosis and severe mental disorders as the breakthrough point, we will train 1-2 compound backbone talents with medical, prevention and management abilities for each township health center, explore equipping grassroots medical and health institutions with intelligent health management equipment, set up scientific fitness clinics in qualified grassroots medical and health institutions, and improve the ability of combining prevention and treatment at the grassroots level.

(two) improve the monitoring and early warning and emergency response system.

1. Improve the monitoring, early warning and emergency response mechanism for infectious diseases and public health emergencies. With disease prevention and control institutions as the main body, hospitals and primary medical and health institutions as the sentinel, supported by information technology and big data technology, a monitoring and early warning mechanism is established to realize early detection, early reporting, early isolation and early disposal of infectious diseases and public health emergencies. Improve the five-level information reporting network of provinces, prefectures, counties, townships and villages. Strive to establish joint workstations or laboratories for infectious disease surveillance with neighboring countries. Improve the information release mechanism of public health emergencies.

2. Improve the ability of emergency response and rapid disposal. Construction of provincial public health emergency command center, unified dispatch and command of the province’s public health emergency disposal work. Strengthen the emergency command system of infectious diseases and public health emergencies at the city and county levels in Quanzhou. Improve the graded emergency response mechanism for infectious diseases and public health emergencies. Improve the health emergency plan system at all levels, strengthen mutual connection, and carry out regular drills to ensure efficient operation. Establish an emergency team and emergency response mechanism for cross-border public health emergencies.

(three) improve the epidemic situation of infectious diseases and major public health emergencies treatment system.

1. Improve the medical treatment system for infectious diseases. We will improve the medical treatment network for infectious diseases at the provincial, prefecture, county and township levels, strengthen the construction of infectious disease hospitals and specialized institutions for the prevention and treatment of infectious diseases, and improve the comprehensive treatment ability of infectious diseases and the diagnosis and disposal ability of new and recurrent infectious diseases. By 2025, each state and city will have a standardized infectious disease hospital (hospital area), and one infectious disease hospital (hospital area) will be set up in Xuanwei City, Zhenxiong County, Huize County and Guangnan County respectively. Other counties, cities and districts will rely on public general hospitals to plan and construct relatively independent infectious disease wards, and set up negative pressure wards (wards) and intensive care units as required.

2. Build a provincial-level major epidemic treatment base. Relying on the Provincial First People’s Hospital, the First Affiliated Hospital of Kunming Medical University and the Second Affiliated Hospital of Kunming Medical University, three major epidemic treatment bases will be built. As the diagnosis and treatment center, technical guidance center and remote consultation center of the province, the bases will undertake the centralized treatment of critically ill patients in the province, and respond quickly when major epidemics occur, effectively improving the cure rate of critically ill patients and reducing the mortality rate.

3. Strengthen the emergency medical rescue system. Strengthen the construction of emergency medical rescue institutions and emergency rescue teams, build a three-level rescue system at the provincial, prefecture and county levels, and realize the three-dimensional integration of water, land and air and the integration of Chinese and Western medicine. Accelerate the construction of national emergency medical rescue base. Establish regional emergency medical rescue centers in Zhaotong City, Honghe Prefecture, Pu ‘er City, Dali Prefecture, Lijiang City and other States and cities, and other States, cities, counties and districts make overall arrangements to build emergency medical rescue sites. Promote the construction of aviation and water emergency medical rescue system. Emergency departments are set up in general hospitals above the second level to strengthen the effective connection between pre-hospital medical emergency and in-hospital emergency.

Five, accelerate the construction of high-quality medical service system.

We will build a high-level public hospital network based on national regional medical centers and provincial key hospitals, with state-run hospitals as the backbone and county-run hospitals as the foundation. Promote the expansion and sinking of provincial key hospitals, support state, city and county hospitals to improve their comprehensive service capabilities, and promote the high-quality development of the province’s medical service system.

(A) the construction of medical services highland

1. Pay close attention to the construction of national regional medical centers. We will build national regional medical centers for cardiovascular diseases, respiratory diseases and tumors, strive for more national regional medical centers for trauma and neurology, and build a highland of regional medical services integrating high-level clinical diagnosis and treatment centers, high-level clinical scientific research innovation platforms and high-level talent training bases. On the basis of building national regional medical centers, we will promote the construction of provincial regional medical centers, promote the rapid improvement of the overall medical level in our province, and strive to basically solve critical and difficult diseases in the province.

2. Accelerate the improvement of the capacity of provincial hospitals. Focusing on diseases with high mortality rate and high external transfer rate in the province, we will speed up the construction of provincial clinical medical centers, implement the "excellent training project", support provincial-run hospitals to strengthen the construction of characteristic specialties, platform specialties and weak specialties, enhance the provincial diagnosis and treatment capacity, and reduce cross-provincial medical treatment.

(2) Accelerate the improvement of the medical service capacity of state-run hospitals.

Support and guide the export of high-quality medical resources inside and outside the province to States and cities, support the cooperation between States and cities and domestic high-level medical colleges, accelerate the construction of provincial clinical medical center sub-centers and national key clinical specialties and provincial key clinical specialties, build regional centers with strong leading and radiation-driven functions, and significantly narrow the gap between the diagnosis and treatment level of key diseases and provincial capital cities. Piloting the construction of compact urban medical groups. By 2025, at least one tertiary public general hospital in each of the 14 states and cities will meet the basic standard requirements of the medical service capability guidelines for tertiary general hospitals.

(3) Consolidate and improve the comprehensive capacity of county-level hospitals.

Relying on county-level hospitals to build "five centers" for clinical services and "five centers" for emergency treatment. We will comprehensively promote the construction of a compact county medical community, and set up "five centers" for sharing county medical resources and "five centers" for high-quality management of county medical communities. Support some public hospitals in border counties and cities to moderately increase their bid and expand their capacity. Improve the service capacity of provincial and county-level public hospitals in Zhaotong City, Qujing City, Chuxiong Prefecture, Wenshan Prefecture, Lijiang City, Diqing Prefecture and other cities, and reduce the rate of visits outside the provincial counties.

(4) Continuously improve the comprehensive service capacity of primary medical and health institutions.

We will promote the improvement of the comprehensive service capacity of primary medical and health institutions, optimize the functions of basic medical and public health services, and build a network for the prevention and control of normalized epidemics at the grassroots level. Promote some township center hospitals with large service population, large scale and strong service capacity to gradually reach the service capacity of secondary hospitals on the basis of meeting the national service capacity recommendation standards. Guide the general township hospitals to do a good job in emergency first aid and daily diagnosis and treatment of common diseases, focus on building 1-2 high-quality characteristic departments, and expand and improve service functions. Accelerate the expansion of specialized medical services such as rehabilitation, pediatrics, and dentistry to meet the needs of the people for medical services and diversified health services. Strengthen the construction of community health service centers, improve the level of basic public health services and comprehensive service capabilities such as diagnosis, treatment, nursing, rehabilitation treatment and rehabilitation training for common and frequently-occurring diseases. Support mature community health service centers and township hospitals to establish community hospitals.

(5) Guide the coordinated development of non-public medical institutions.

Standardize and guide social forces to set up independent medical institutions, strengthen standardized management and quality control, and improve the level of homogenization. Encourage the large-scale and brand development of medical services in society. Support non-public medical institutions to cooperate with public hospitals in medical business, discipline construction and personnel training, and join urban medical groups, close county medical communities, specialist alliances and telemedicine networks. Social hospitals will be integrated into the prevention and control of infectious diseases and the medical treatment system for public health emergencies according to law.

Six, strengthen the construction of traditional Chinese medicine (ethnic medicine) service system.

We will improve the service system of traditional Chinese medicine, with provincial hospitals of traditional Chinese medicine as the leader, hospitals of traditional Chinese medicine at all levels and departments of other medical institutions as the backbone, and grass-roots medical and health institutions as the foundation, integrating prevention, health care, disease treatment and rehabilitation.

(A) improve the medical service system of traditional Chinese medicine

We will strengthen the construction of provincial-level Chinese medicine hospitals, and state and municipal Chinese medicine hospitals will meet the construction standards of tertiary Chinese medicine hospitals, and the county-level public Chinese medicine medical institutions will be fully covered. Relying on the Provincial Hospital of Traditional Chinese Medicine, we will build a provincial ethnic medical hospital and strengthen the construction of medical systems for Dai, Yi and Tibetan ethnic groups. Accelerate the upgrading and capacity expansion project of county-level Chinese medicine hospitals. Support medical institutions at all levels to build a famous yiguang and a Chinese Medicine Hall. Strengthen the construction of Chinese medicine departments in general hospitals, specialized hospitals, maternal and child health hospitals and other institutions, and strengthen the allocation of Chinese medicine doctors in clinical departments. Promote the full coverage of the construction of "Chinese Medicine Museum" in township hospitals and community health service centers. Support social forces to set up Chinese medicine medical institutions.

(B) to enhance the ability of Chinese medicine services

Support provincial hospitals of traditional Chinese medicine to build high-level hospitals, support the construction of key hospitals with characteristics of traditional Chinese medicine in cities and prefectures, implement the plan of improving the quality of county-level hospitals of traditional Chinese medicine, implement the project of cultivating advantages with characteristics of traditional Chinese medicine, strengthen the construction of five provincial clinical medical centers of traditional Chinese medicine and 32 sub-centers of cities and prefectures, and implement the construction of key clinical disciplines of traditional Chinese medicine at the provincial level. Do well and strengthen the traditional advantages of traditional Chinese medicine specialties such as bone injury, anorectal diseases, pediatrics, dermatology, gynecology, acupuncture, massage, tumor, cardiovascular and cerebrovascular diseases, lung diseases, spleen and stomach diseases, nephropathy, peripheral vascular diseases, and support the construction of key specialties of ethnic medicine such as Dai, Yi and Tibetan. Support the construction of TCM specialist alliance, and improve the development level of homogenization of specialties (disciplines). Promote the implementation of the "prevention of disease" project of traditional Chinese medicine, expand the service connotation, and explore the establishment of a number of standardized prevention and treatment departments.

(3) Promoting the coordinated development of Chinese and Western medicine

Strengthen the work of traditional Chinese medicine in general hospitals and maternal and child health care institutions, continuously improve the clinical cooperation mechanism between Chinese and Western medicine, incorporate Chinese medicine into the multidisciplinary consultation system, and organize collaborative research on major and difficult diseases, emerging infectious diseases and chronic diseases. Strive for state support to build 1-3 "flagship" hospitals, build a number of "flagship" departments, build a number of provincial-level collaborative bases of Chinese and Western medicine, and screen and launch a number of collaborative clinical diagnosis and treatment programs of Chinese and Western medicine.

(D) to enhance the ability of Chinese medicine disease prevention and control.

Relying on the provincial hospital of traditional Chinese medicine, we will build a national TCM epidemic prevention base and a national TCM emergency medical team. Relying on universities and enterprises to establish a basic research and industrial innovation platform for the prevention and treatment of epidemics in traditional Chinese medicine. Promote the establishment of fever clinics in tertiary Chinese medicine hospitals and conditional secondary Chinese medicine hospitals, and strengthen the construction of weak departments such as infectious diseases, critical care medicine (emergency department) and pulmonary diseases, and convertible infectious diseases and intensive care units in Chinese medicine hospitals.

Building a scientific research support platform for Chinese medicine to deal with public health emergencies. Increase the research and development of new drugs and preparations for medical institutions to prevent and treat major infectious diseases with traditional Chinese medicine. We will build a team of experts in emergency treatment of traditional Chinese medicine at the provincial, prefecture and city levels, and formulate and improve a number of Chinese medicine prevention and control programs for major infectious diseases.

Seven, improve the all-round and full-cycle health service system.

Focusing on the whole life cycle and the whole process of health, focusing on "one old and one young", we will speed up the improvement of maternal and child health, elderly health, occupational health, mental health and blood supply security service systems, fill the shortcomings in health education, rehabilitation medical care, long-term care for the elderly and hospice care, establish and improve the policy standard system and service supply system for infants under 3 years old, and comprehensively improve the all-round and full-cycle health service capacity.

(A) the development of universal care service system

Gradually establish and improve the policy standards and service supply system to promote the development of infant care services, carry out various forms of infant care services, and gradually meet the needs of the people for infant care services. Support and promote infant care services, strengthen support and guidance for family infant care, strengthen the functional connection between community infant care service facilities and public service facilities, and give full play to comprehensive benefits. Guide social forces to organize inclusive infant care service institutions. Encourage employers to provide welfare infant care services, support kindergartens to set up nursery classes, expand the supply of infant care services, and build a number of pilot infant care services with demonstration and driving effects.

(B) optimize the maternal and child health service system

1. Improve the maternal and child health service network. Improve the maternal and child health service network with maternal and child health institutions as the backbone, general hospitals and specialized hospitals as the support, and basic medical and health institutions as the foundation, promote the combination of health care and clinic, and enhance the supply capacity of maternal and child health services. Support the construction of the new hospital of the Provincial Maternal and Child Health Hospital (Provincial Women and Children Hospital) and strive to build a regional maternal and child health radiation center for South Asia and Southeast Asia. Take state and county-level maternal and child health hospitals as the main body of construction, and strive to reach the standard level of third-level maternal and child health hospitals by 2025; More than 60% of county-level maternal and child health hospitals meet the standards of secondary maternal and child health hospitals.

2. Provincial, state and municipal centers for the treatment of critically ill pregnant women and newborns should be upgraded. Relying on comprehensive hospitals with strong comprehensive treatment capacity and maternity and child care hospitals with outstanding obstetrics and pediatrics strength, and establishing multidisciplinary diagnosis and treatment cooperation mechanisms with other medical institutions, we will build and improve the treatment capacity of 20 provincial-level treatment centers for critically ill pregnant women and critically ill newborns; At least one rescue center for critically ill pregnant women and one rescue center for critically ill newborns should be set up at the state, city and county levels.

3. Improve the birth defect prevention network. Improve the prevention and control system of birth defects covering urban and rural residents and the whole process of birth. One or two provincial prenatal diagnosis centers have been set up at the provincial level, and 60% of the states and cities have at least one prenatal diagnosis institution. Pre-marital health care, pre-pregnancy health care, prenatal screening, neonatal genetic and metabolic diseases screening, neonatal hearing impairment screening and neonatal congenital heart disease screening are widely carried out in counties, cities and districts. Strengthen the role of grassroots medical and health institutions in the publicity and mobilization of birth defect prevention and health education.

4. Improve the children’s health service network. Promote the construction of provincial pediatric projects, focusing on improving the ability of children to treat diseases such as respiration, nerves, blood and tumors. States and cities with large populations should set up children’s hospitals or children’s medical centers in general hospitals. At least one hospital in each county, city and district has an independent pediatrics department. By 2025, there will be 0.87 pediatric practicing (assistant) doctors and 2.5 beds for every thousand children in the province. Strengthen the construction of primary child health care service network.

(3) Strengthening the health service system for the elderly

1. Improve the geriatric medical service network. With general hospitals and geriatric hospitals with geriatric departments as the main body, and basic medical and health institutions, nursing institutions and hospice care institutions as the basis, we will improve the four-level health service network for the elderly at the provincial, prefecture, county and township levels, provide the trinity of "prevention, treatment and care" and promote the transformation of health service for the elderly from a disease-centered single-disease model to a health-centered multi-disease co-treatment model. Improve the ability of geriatric medical services in primary health care institutions and promote the extension of geriatric health services to communities and families.

2. Deepen the combination of medical care and nursing. Reasonable layout of continuous medical institutions and pension institutions, improve the cooperation mechanism between medical and health institutions and pension service institutions. Promote the construction of provincial geriatric hospitals. Accelerate the construction of friendly medical institutions for the elderly. Carry out the demonstration work of combining medical care with nursing care.

3. Strengthen long-term care and hospice care services. Increase the supply of long-term care service resources, and establish and improve the elderly care network based on institutions, communities and homes. Relying on qualified nursing homes (centers, stations), community health service centers, township hospitals and other medical and health institutions to set up family beds, community day care centers and "call centers." Promote the synchronous setting and supporting construction of nursing stations, community pension service facilities and elderly care service institutions. We will steadily expand the trial of hospice care. Strive to build a provincial-level hospice training base. Build a standardized hospice ward in each county, city and district of the national hospice pilot state and city, and set up hospice beds in qualified township hospitals (community health service centers). Support social forces to standardize hospice care services.

(D) Improve the technical support system for occupational health.

Gradually establish a technical support network for occupational disease monitoring and evaluation at the provincial, prefecture and county levels. Improve the supporting capabilities of occupational diseases and occupational hazard factors monitoring, occupational health risk assessment, statistics and investigation and analysis of occupational disease prevention and control, occupational health examination, occupational disease reporting and emergency response in the province.

Through independent construction or joint construction of "consortium" and other forms, the technical guidance center and research base of occupational disease hazard engineering protection in Yunnan Province will be built. Establish a technical support platform for engineering protection against occupational hazards in line with the characteristics of major industries in our province.

Relying on occupational disease specialist hospitals and general hospitals, we will build a technical support network for occupational disease diagnosis and treatment at the provincial, prefecture and county levels, and extend it to key towns (streets). Relying on qualified state, city and county general hospitals (general hospital occupational disease specialist), carry out occupational disease diagnosis, treatment and rehabilitation. In towns (streets) where pneumoconiosis patients are concentrated, pneumoconiosis rehabilitation stations (points) are established relying on primary medical and health institutions. Support relevant professional organizations to participate in the technical support network for occupational disease prevention and control. Set up full-time and part-time occupational disease prevention supervisors in primary medical and health institutions.

(5) Improve the health education system.

Improve the health education network composed of health education professional institutions, health education service bases, various medical and health institutions and health education functional departments of organs, schools, communities, enterprises and institutions, so as to provide strong system support for health promotion. Promote the construction of health education departments in hospitals, professional public health institutions and grassroots medical and health institutions at all levels, and improve the health education service capacity of medical and health institutions. Mobilize more social forces such as institutions, schools, communities, enterprises and institutions, and health industry associations to participate in the popularization of health knowledge.

(six) improve the mental health and mental health service system.

We will improve the mental health and mental health service system with mental health prevention and control centers at all levels, psychiatric departments of specialized mental hospitals and general hospitals as the main body, grassroots medical and health institutions and psychiatric rehabilitation institutions as the support, and disease prevention and control institutions and social and psychological service institutions as the supplements, so as to provide people with mental health and mental illness prevention, intervention, treatment and rehabilitation services.

1. Improve mental health service capacity. Strive to build a national clinical medical research sub-center in the field of mental illness. Encourage psychiatric hospitals to form or participate in the construction of specialist alliances. Encourage qualified psychiatrists to set up full-time or part-time psychiatric clinics. Township hospitals and community health service centers (stations) should set up psychiatric (psychological) clinics to improve the ability of grassroots mental (psychological) health services. Improve the community rehabilitation system for mental disorders supported by mental health professional institutions, community rehabilitation institutions, social organizations and families. Encourage social forces to hold non-profit psychiatric hospitals and open psychiatric clinics in areas with weak resources for psychiatric medical services.

2. Establish a social mental health service network covering urban and rural areas. Relying on the provincial mental health center and the conditional mental specialist hospitals or psychiatric departments of general hospitals in various states and cities, a public health emergency psychological rescue center will be established, and a psychological rescue team for public emergencies at the provincial, state and county levels will be established. Strengthen the mental health service capacity of medical and health institutions. Relying on urban and rural community comprehensive service facilities or grass-roots comprehensive management centers, standardize the setting of psychological counseling (counseling) rooms or social studios (stations), and equip psychological counselors or social workers. Support the cultivation of professional and standardized psychological counseling and counseling institutions and undertake mental health services.

(7) Strengthening the rehabilitation medical service system.

Improve the rehabilitation medical service network based on rehabilitation departments and rehabilitation hospitals in general hospitals and basic medical and health institutions. The rehabilitation department of tertiary hospitals and tertiary rehabilitation hospitals focus on providing rehabilitation medical services for patients with critical and complicated diseases, and undertake tasks such as rehabilitation medical technology, scientific research and teaching, discipline construction, department management, personnel training, and the transformation, popularization and application of research results in the region. The rehabilitation departments of secondary hospitals, secondary rehabilitation hospitals, rehabilitation medical centers and primary medical and health institutions focus on providing rehabilitation medical services for patients with definite diagnosis, stable condition or long-term rehabilitation. Encourage the development of community and home rehabilitation medical services based on grassroots medical and health institutions.

Support the transformation and reconstruction of some primary and secondary hospitals in areas rich in medical resources into rehabilitation hospitals. Strengthen the supply of rehabilitation medical services for the elderly, and maternal and child health care institutions and children’s hospitals have the ability to provide rehabilitation services for women and children. Strengthen the rehabilitation infrastructure construction and equipment configuration of primary medical and health institutions, and encourage qualified primary medical and health institutions to set up or increase beds to provide rehabilitation medical services according to demand. Implement the Chinese medicine rehabilitation service capacity improvement plan. Support qualified medical institutions to strengthen cooperation with professional rehabilitation institutions for the disabled and improve the level of rehabilitation. Support and guide social forces to organize large-scale and chained rehabilitation medical centers. Strengthen the construction of rehabilitation medical service talents. By 2025, there will be 8 rehabilitation doctors and 12 rehabilitation therapists per 100,000 population in the province.

(eight) optimize the blood collection and supply service system.

Construct a blood collection and supply service system with reasonable layout and efficient operation. Promote the standardization and standardization of blood centers in Kunming, Yunnan Province and blood centers in 15 prefectures and cities, and standardize the setting of apheresis plasma stations in accordance with the Planning for the Setting of Apheresis Plasma Stations in Yunnan Province (Yunwei Yifa [2021] No.27). By 2025, the service capacity of blood stations at all levels will be significantly improved.

Eight, strengthen the support system

(1) Deepening reform in key areas.

Adhere to and strengthen the Party’s overall leadership over public hospitals, and strengthen innovation in system, technology, mode and management of public hospitals. Optimize the performance evaluation of public hospitals, establish and improve the comprehensive performance evaluation system of compact county medical community (compact city medical group) with health as the center, strengthen the application of evaluation results, and promote the high-quality development of public hospitals.

Learn and popularize Sanming’s medical reform experience, and increase the joint efforts of medical care, medical insurance and pharmaceutical reform. We will steadily and orderly promote the reform of medical service prices and implement the dynamic adjustment mechanism of medical service prices. Improve the price policy and medical insurance payment policy for Chinese medicine services and "Internet+medical services". Improve the medical insurance payment policy for medical treatment of major epidemics, and establish and improve the mutual aid guarantee mechanism for employees’ medical insurance clinics. We will implement a multi-compound medical insurance payment method based on disease payment, and improve the payment method and settlement management mechanism of medical insurance funds that adapt to the development of medical services.

We will implement the centralized drug procurement organized by the state, improve the supporting incentive and restraint mechanism for centralized drug procurement, implement the policy of retaining the balance of medical insurance funds, and give priority to the use of drugs selected in centralized drug procurement. Establish and improve the linkage management mechanism of drugs such as urban medical associations and county medical associations. Continue to consolidate and improve the basic drug system, and promote medical institutions at all levels to gradually form a "1+X" medication model dominated by basic drugs. Select and build a provincial clinical pharmacy center to speed up the "standardization, standardization, institutionalization, informationization and homogenization" of pharmaceutical services in the province. We will improve the linkage mechanism of consultation on drug supply security in short supply, and improve the monitoring, early warning and grading response system for drug shortage at the provincial, prefecture and county levels. Strengthen the construction of drug use monitoring system. The application scope of drug use monitoring basically covers secondary and above public medical institutions, and extends to more than 80% of grassroots public medical institutions. Establish and improve the assessment mechanism for rational drug use in medical institutions. By 2023, the assessment coverage of secondary medical institutions will be achieved, and the assessment coverage rate of primary medical and health institutions will reach more than 50% and increase year by year. Promote the pilot work of clinical comprehensive evaluation of drugs.

(B) to strengthen the construction of talent team

Fully implement the "Thirty Measures to Promote the Development of Health Talents in Yunnan Province". Improve the talent evaluation and professional title evaluation mechanism that meets the characteristics of the medical and health industry. Continue to strengthen the training of practicing (assistant) doctors. Promote the access system for public health doctors, implement the system of public health chief experts, explore giving public health doctors the right to prescribe, and promote the pilot program of standardized training for public health doctors. Improve the standardized training system for residents and implement the "two equal treatments". Promote the pilot of standardized training for specialists, and coordinate the implementation of assistant general practitioner training. We will continue to carry out free training of rural order-oriented medical students, do a good job in employment placement and performance management of oriented medical students, strengthen the training of professionals in short supply at the grassroots level, and continue to carry out education for upgrading the academic qualifications of grassroots personnel. Strengthen continuing medical education. Strengthen the training of international medical and health personnel, build a training base for medical and health personnel in South Asia and Southeast Asia, train a group of international talents who know their major and can speak foreign languages, and train suitable health management and professional and technical personnel for neighboring countries. Strengthen the training of talents with Chinese medicine characteristics, implement the provincial-level training program for outstanding clinical talents of Chinese medicine, promote the establishment of a three-level teacher-training system at the provincial, prefecture and county levels, build a group of famous and old Chinese medicine experts’ inheritance studios, and cultivate a group of traditional Chinese medicine talents; Promote the establishment of the system of western learning, and train a group of high-level talents of integrated traditional Chinese and western medicine and general practitioners who can provide integrated traditional Chinese and western medicine services.

(3) Strengthening scientific research and innovation

Combined with the forefront of international development, according to the demand and development trend of medical and health services in the province, we will support interdisciplinary integration and innovate in the fields of major disease prevention and treatment, drug abstinence, plateau dermatosis, geriatrics, cross-border public health issues, ecological civilization construction and health that affect the health level of our province.

Improve the layout of medical research bases, focus on solving major health problems, strengthen cooperation with universities and research institutions, and strengthen the construction of compound innovation teams. Strengthen inter-agency, inter-departmental and interdisciplinary cooperation, improve the evaluation and transformation system of scientific and technological achievements, and strive for 1-2 provincial high-level hospitals or professional public health institutions to enter the national clinical medical research center or collaborative innovation network.

Accelerate the construction of scientific research innovation platforms, key laboratories, engineering centers, provincial clinical medical research centers (sub-centers), national clinical medical centers (sub-centers) and academician expert workstations. Strengthen the construction of national clinical research base of traditional Chinese medicine and traditional Chinese medicine inheritance and innovation center.

Nine, improve the planning implementation mechanism

(A) to strengthen organizational leadership

We will comprehensively strengthen Party building in medical and health institutions, and implement the Party’s leadership in all fields and all aspects of health care reform and development. Strengthen the government’s responsibility, and put the formulation and implementation of the medical and health service system planning into the important agenda of the government’s work and the task requirements of building a healthy Yunnan. The provincial people’s government is responsible for formulating provincial plans, refining the bed allocation standards to States and cities, clarifying the layout of provincial high-level hospitals and regional disease prevention and control centers, and incorporating them into the regional health planning of the state and city where they are located. The people’s governments of prefectures and cities are responsible for studying and formulating regional health plans and organizing their implementation, focusing on planning hospitals and professional public health institutions at or below the prefecture level, and refining the bed allocation standards to counties, cities and districts. County, city and district people’s governments are responsible for the formulation and implementation of the county medical and health service system planning, and timely connect with the relevant departments of the state and city.

(2) Strengthen departmental coordination

Institutions, development and reform, education, science and technology, finance, human resources and social security, natural resources, health, medical security and other departments should conscientiously perform their duties, strengthen policy coordination, and make overall plans to promote the implementation of the medical and health service system. The organization department shall implement the staffing of public medical and health institutions in accordance with relevant regulations and standards; The development and reform department should carry out capital construction management and implement capital construction investment for new (expanded) construction projects according to the medical and health service system planning; The financial department should implement relevant funds in accordance with the government’s health investment policy; Natural resources departments should make overall consideration of the development needs of medical and health institutions in the land and space planning, rationally arrange the layout of land use, and give priority to ensuring the land use of non-profit medical and health institutions within the scope permitted by laws and regulations; The health department should take the lead in adjusting the planning according to the procedures as needed; Medical security departments should work together to promote the reform of medical service price and payment system; Other relevant departments should carry out their duties and jointly promote the planning and implementation of the medical and health service system.

(3) Strengthen investment guarantee

Establish a stable investment mechanism for the construction of medical and health service system. Expenditure on the development and construction of professional public health institutions, such as capital construction, equipment purchase, discipline construction and personnel training, shall be fully arranged by governments at all levels according to the needs of public health development; Personnel funds, public funds and business funds are fully arranged in the government budget according to personnel standards, funding standards, service task completion and assessment; Improve the funding guarantee mechanism for public health services in medical and health institutions. Establish a long-term financial input mechanism for emergency reserves of infectious diseases and public health emergencies, and incorporate them into the government’s regular budget arrangements. Implement the government’s responsibility to invest in public hospitals that meet the regional health planning, and implement the investment tilt policy for traditional Chinese medicine hospitals and specialized hospitals such as infectious diseases and mental diseases. Comprehensively strengthen the government’s investment guarantee for primary medical and health institutions. Explore ways to strengthen financial support for the development of childcare services through institutional operating subsidies, family childcare subsidies, and government procurement.

(D) Mobilizing social participation

Combined with the implementation of township (street) power and responsibility list system, strengthen and clarify the power and responsibility of township (street) public health management, village (neighborhood) committees promote the construction of public health committees. The school set up a health department (clinic) in accordance with the regulations, equipped with full-time and part-time health technicians, and implemented the physical examination of freshmen and the screening of key diseases for teachers and students. The employer shall do a good job in the prevention and control of diseases among employees. Improve the linkage mechanism between disease prevention and control departments and urban and rural communities, and build a grass-roots governance mechanism that dynamically connects normal management and emergency management. Strengthen the construction of patriotic health organizations, guarantee the establishment of institutions, functional allocation and staffing, improve the patriotic health work network at all levels, and clarify the full-time and part-time patriotic health workers in towns (streets), villages (communities), organs, enterprises and institutions. Improve the social health education network and mobilize social forces to participate in the popularization of health knowledge.

(5) Strengthen monitoring and evaluation.

The health department should take the lead in establishing a monitoring and evaluation mechanism for the planning of medical and health service system and the efficiency of resource allocation, set up a special working group, organize the dynamic evaluation of the implementation progress and effect of the planning of medical and health service system, carry out the mid-term and final evaluation of the planning on schedule, accept social supervision, find and solve problems in the implementation of the planning in time, and ensure the smooth completion of all objectives and tasks.

Look at the iron flower and appreciate the romance that is not left behind.

20240219_659b0479af76eaebe300458a3b3c8d91.jpg

20240219_9f06c5238d902675d1b7c4fbccd48e82.jpg

  Scan the QR code to watch related videos. Shooting: Zhang Caiyun Production: Zhang Qi

  What is the flavor of the year on the trip? It’s a "Happy New Year" from the intersection of different dialects, a warm-hearted move from strangers, a sea of fireworks in the streets and lanes, and an authentic annual custom experience …
  During the Spring Festival, my family and I drove back to our hometown of Xinzhou, and after visiting relatives and friends, we started a short trip to the ancient city of Xinzhou. During the journey, we were busy in the crowd, sensing the changes in our hometown and the temperature of our hometown people, and harvesting the long-lost flavor of the year.
  Local cars are polite to foreign cars.
  Showing "Shanxi temperature" between advance and retreat
  As a well-known scenic spot in Shanxi, the passenger flow of Xinzhou ancient city during the Spring Festival holiday surged, and the demand for accommodation, catering and parking lots was in short supply, which not only tested the reception capacity of the ancient city, but also tested the hospitality of local people.
  February 13th, the fourth day of the first lunar month. At about 17 o’clock, the reporter drove to the ancient city of Xinzhou and went to the parking lot at the south gate of the ancient city. The vehicles had already queued up. "You see, girl, there are so many foreign cars. The ancient city of Zhangzhou is really famous in the country. " Father said proudly. Sure enough, nearly half of the vehicles in the queue are foreign licenses, including many vehicles from Shaanxi, Henan, Beijing, Shandong, Jiangsu, Zhejiang and Sichuan.
  The short-term influx of traffic in the evening is very dense. Although the parking lot has entered the state of "one person is hard to find" several times, the parking of vehicles has always been orderly. When I turned around, a scene of local cars giving way to foreign cars was being staged.
  "Well, there are two parking spaces there. You stop first, and then we’ll find a parking space." Seeing that there were two parking spaces vacant ahead, Mr. Peng, who was driving a Xinzhou license car, warmly greeted the owners of Su-brand and Beijing-brand vehicles next to him, and drove the car into the parking space that was hard to wait for. The owners of the two foreign license plates were very touched and thanked them again and again. Mr. Peng’s eyes narrowed and he smiled. "You’re welcome. Happy New Year! Welcome to Zhangzhou! " "Happy New Year! Happy New Year! " This response from you to me seems to be like visiting relatives in the New Year. It is kind, natural, simple and warm.
  "It is normal to be crowded in the New Year, but it is not easy for many foreigners to visit the ancient city of Xinzhou. Some of them may still have a tight schedule. If you stop early, you can play for a while, visit the ancient city, see the night view, taste the food and feel our New Year atmosphere in Xinzhou." After stopping the car, I had a short conversation with Mr. Peng, and the hearty and honest Shanxi people flowed between their words. "Far away are guests! We locals don’t care about this short time. Let’s play less today and come back another day. "
  Courtesy to foreign cars, far away are guests, "Shanxi temperature" is highlighted here. This scene reminds me of a sentence: the beauty of adults can make us beautiful together. Isn’t this between the advance and retreat of parking a true portrayal of Shanxi people’s minds and patterns? Isn’t it one of the "most beautiful scenery" on the way for tourists to travel to Shanxi?
  The performance of playing while the iron is hot is bursting with popularity.
  Brilliant Interpretation of "Chinese Romance"
  "There are thousands of trees in the east wind night, and the stars are like rain." This is a vivid description of the scene of beating iron flowers by Xin Qiji, a poet in the Southern Song Dynasty. Playing while the iron is hot is the oldest fireworks in China, and it is also a Millennium legacy. During the Spring Festival, the fireworks show in Xinzhou Ancient City attracted many tourists to watch, and people felt the authentic China Year among the sparks.
  Walking into the ancient city of Xinzhou, passing through the brightly lit and crowded streets and ascending the stairs along the winding and secluded path, you come to the "stage" where the iron is spent-the tall and magnificent Yishige in the West Garden of the ancient city. As the time approached 19: 30, more and more people gathered in your Excellency Yishi. The scene was crowded and lively, and the tourist team could not see the end at a glance. Some people pick up their children and hold them high above their heads to seize the visual "commanding heights"; Some people stand on tiptoe, craning their necks to look at them; Some people are walking around with their mobile phones, looking for the best shooting spot … Everyone is waiting for this "different fireworks" in different postures.
  Tie Hua is a folk cultural performance skill discovered by China ancient craftsmen in the process of casting utensils. It began in the Northern Song Dynasty and flourished in the Ming and Qing Dynasties, and has a history of more than a thousand years. While the iron is hot, flowers are mostly spread in the middle and lower reaches of the Yellow River, and Shanxi is one of the popular areas.
  At 19: 30, accompanied by the music, the professional florist threw the molten iron at 1600℃ into the air. As the florist struck the molten iron in the air hard, thousands of sparks were scattered instantly, and it dripped down from Yishige like a waterfall, which was shocking and beautiful. In the next 15 minutes, the spectacular scene of colorful, flaming trees and silver flowers continued. One iron flower rose into the sky, and another one followed, and the rods were connected, as dazzling as the goddess scattered flowers and Venus flashing, which was amazing. "Wow!" Whenever a wave of iron flowers blooms in the night sky, people around them scream in unison.
  "Lights in Shanxi, thousands of years. In this Chinese-style romance full of sparks, it seems that I have seen a glorious and splendid historical river and a prosperous chapter of thousands of years of lights. " Friends from the same industry shared this shocking performance in the circle of friends. I believe that this is his taste of the year, and it is also the common taste of many people; This is his voice, and it is also the common voice of many people.

Shanxi Evening News reporter Zhang Caiyun

Brake failure is mostly caused by wear, leakage or insufficient air pressure, so regular inspection and maintenance are needed to prevent it.

When I stepped on the brakes, I found that the brakes were useless, the speed of the car did not decrease at all, and the brake failure was very dangerous. What is the cause of the brake failure? How should we avoid it? Many times, brake failure is actually a precursor.

First, if the brake suddenly hardens, it is likely that the vacuum booster pump fails to work, so it is necessary to check whether the vacuum booster pump is damaged or falls off.

Second, the brake suddenly becomes soft and treads like cotton. This situation may be caused by brake oil leakage due to brake oil pipe damage.

Third, when stepping on the brake, the pedal is soft and hard, and the strength is big and small. It may be that the brake oil enters water or air, and the brake oil should be removed or replaced in time. It may also be that the vacuum booster pump is aging or damaged.

Fourth, the steering wheel wobbles when you step on the brakes. This situation may be uneven grinding and excessive runout, so it is necessary to replace the brake disc in time.

Fifth, when you step on the brakes, the steering wheel deviates. This is because the brakes on one side are not working or the braking force is getting smaller. Check the brake calipers in time.

If you think it’s useful, remember to like it and pay attention to it. Braking is no small matter. If these things happen to your car, you must check it in time and don’t take any chances.

A wide range of rain and snow officially opened today! | Early warning

This wave of large-scale rain, snow and freezing weather before the Spring Festival opens today! This large-scale freezing rain and snow weather has a wide range of influences, a large amount of accumulated rain and snow, a long duration and a large freezing rain area, which is the strongest in winter since 2009 and is extreme. ▼

Accumulated rain and snow are heavy and snow is thick. The snowfall in Shaanxi, south-central Shanxi, southern Hebei, Henan, Shandong, Hubei, northern and eastern Chongqing, eastern Liaoning, eastern Jilin and other places can reach 10 ~ 25 mm, and the local area exceeds 30 mm; The newly added snow in northern and eastern Chongqing, northwestern Hubei, southern Henan, central and northern Shandong, eastern Liaoning and other places can reach 10-20 cm, and the local area can exceed 25 cm.

Freezing rain covers a wide range of provinces. From 1st to 4th, there were freezing rains in southern Shandong, southern Henan, central and western Hubei, northern Anhui, northern Jiangsu, northwestern Hunan, eastern Guizhou and other places. The total area affected by freezing rain was 430,000 square kilometers, with the largest impact area and the largest number of provinces since 2009.

The phase transition between rain and snow is complicated. After the process began, there was sleet or rain turning to snow in southwestern Shaanxi, southwestern Shanxi, Henan, southern Shandong, central and northern Jiangsu, central and northern Anhui, Hubei, northern Hunan and other places. On the afternoon of January 31, Shaanxi and Shanxi turned to snow; On the night of the 31 ST, snow turned in northern Henan and southern Shandong; On the afternoon of February 1, most of the above areas turned to snow.

The process lasts for a long time. The duration of the rain and snow process is 6 days, and the duration of rain and snow in Shaanxi, Shanxi, Shandong, Henan, Jiangsu, Anhui and other places is 4-5 days. The rainy weather in some areas in the middle and lower reaches of the Yangtze River can reach 6 days, and the duration of the process is also the longest since 2009.

Break the extreme value of the same period in many places. The cumulative precipitation in some areas such as southwestern Shaanxi, southwestern Shanxi, southern Hebei, Henan, Shandong, Jiangsu, Anhui, Hubei, northern Chongqing, northwestern Jiangxi, and northern Hunan will approach or exceed the historical extreme value in the same period.

The Central Meteorological Observatory issued a blue warning of blizzard at 06: 00 on January 31st: It is estimated that there will be heavy snow in parts of central and northern Shaanxi, central and southern Shanxi, southwestern Hebei, central and northern Henan, southern Shandong and northern Jiangsu from 08: 00 on January 31st to 08: 00 on February 1st, among which there will be heavy snow (10-11 mm) in parts of central Shaanxi, southwestern Shanxi and western Henan. The depth of newly added snow in some areas above is 2 ~ 4 cm, and the local area can reach more than 5 cm. In addition, there are moderate to heavy rains in parts of Shanghai, southern Jiangsu, northern Zhejiang, southern Anhui, northwestern Jiangxi, central and eastern Hubei, western and northern Hunan, and northeastern Guizhou, and heavy rains (50-60 mm) in parts of southern Anhui, northeastern Hunan, and northwestern Jiangxi. ▼

△ National heavy snowfall forecast map and national precipitation forecast map. (08: 00 on January 31st-08: 00 on February 1st)

In addition, the Central Meteorological Observatory continued to issue a yellow fog warning at 06: 00 on January 31: It is predicted that there will be heavy fog in the western waters of the central and southern Yellow Sea, the western waters of the East China Sea, the Taiwan Province Strait, the northern waters of Beibu Gulf, the Qiongzhou Strait, the southern coastal waters of Shandong Peninsula, the coastal waters of Jiangsu, the waters near the Yangtze River estuary and Hangzhou Bay, the coastal waters of Zhejiang, the coastal waters of northern Fujian and the coastal waters of Guangdong from day to night on January 31, with visibility less than 1 km. In addition, from the morning of January 31 to the morning, there were foggy weather in parts of southern Hebei, western Shandong and southern Peninsula, northern Anhui, most of Jiangsu, eastern Zhejiang, northern Fujian, southern Hunan, northwestern Jiangxi, south-central Guizhou and south-central Guangxi. Among them, some areas in southwestern Shandong, eastern Jiangsu, eastern Zhejiang and northwestern Jiangxi had dense fog with visibility less than 500 meters, and local visibility was less than 200 meters.

△ National fog forecast map. (08: 00-14: 00 on January 31)

This process coincides with the peak of Spring Festival travel rush’s return home, and the freezing rain and snow will have a heavy impact on Spring Festival travel rush’s travel. Snow, ice and low visibility on roads in the rain and snow will easily lead to traffic jams or accidents on expressways. ▼

△ Expressway Traffic Meteorological Disaster Risk Forecast Chart (January 31-February 5, 2024)

The Traffic Management Bureau of the Ministry of Public Security reminds the vast number of returnees-

When traveling by car, you should know the origin, destination and weather forecast and warning along the way in advance, as well as the road information released by public security traffic control, transportation, emergency management and other departments, and make a good route planning. At the same time, in view of rain, snow, fog, freezing and other weather, drivers are requested to know the corresponding safe driving knowledge in advance to ensure driving safety!

Driving safely in snowy days ▼

Driving safely in rainy days ▼

Safe driving in foggy days ▼

Safe driving on ice and snow roads ▼

Original title: "A wide range of rain and snow officially opened today! | Early Warning

Read the original text

A 25-year-old boy has no heart for 555 days: artificial heart maintains life to change heart.

  In the past 18 months, few people have noticed that Stan Larkin is a man without a heart.

  This 25-year-old black guy has a thick body, likes to hang out with his younger brother and always takes his three young children to the park to play. He looks like a normal man.

  The only special thing is that he always carries a gray backpack and never leaves his body for 24 hours. Go out, carry your bag on your back, even if you sit down for a haircut, put it at your feet.

  Two pipes came out from the corner of the backpack, penetrated into Larkin’s clothes, buried under his ribs and connected to his "heart". As early as 2014, Larkin’s heart was removed and replaced by a Total Artificial Heart made by Syncardia Systems, Inc The backpack is filled with a portable driving device that provides power for it.

  To put it simply, this backpack and all-artificial heart system maintain Larkin’s life.

  It was not until May 9th that he transplanted a donor’s heart at the frankl Cardiovascular Center of the University of Michigan that he finally unloaded the backpack.

  Cynthia’s total artificial heart handed out the baton, successfully ending its 555-day term.  

  "Many people may be afraid of using artificial hearts, and what I want to tell you is that you need to overcome this fear because it will help you." Before leaving the hospital, Larkin described this journey as a "roller coaster" when sharing his experiences with the public at a media meeting. He feels that he can recover quickly after surgery, thanks to the escort of the total artificial heart while waiting for the transplant.

  "I feel like I can jog now." The man who just changed his heart two weeks ago said with a smile.

  A machine will become my heart, think about it, a machine.

  Larkin never thought that a man could live without a heart, let alone this happened to himself.

  He hesitated for half a month before agreeing to the doctor’s treatment plan to install a total artificial heart for him. "A machine is going to be my heart," he said with an incredible expression. "Think about it, a machine!"

  But he had to accept the machine. At the age of 16, Larkin went into shock on the basketball court without warning. Soon, he was diagnosed with arrhythmogenic right ventricular cardiomyopathy.

  In human body, the heart promotes blood circulation throughout the body through the relaxation and contraction of atrium and ventricle. Larkin’s disease will make the myocardium of the right ventricle be replaced by progressive fibrous adipose tissue, which will cause the right ventricle to expand and not contract normally, which will lead to arrhythmia and even sudden death.

  "The best choice for him is to receive a heart transplant." Jonathan Gaft, Larkin’s attending doctor and frankl Cardiovascular Center of the University of Michigan, said, "But at the same time, we feel that his condition is changing very fast, and he may not wait for the day when his matching donor heart arrives."

  According to Billy Coen, director of the Technology and Innovation Center of Texas Heart Association, some patients with advanced heart failure often have to wait for months or even years to get a suitable heart source. Because the heart is too weak, key organs including kidneys and liver are likely to fail in the process. Without some forms of support such as artificial heart, many patients will die while waiting. According to the data provided by the American Organ Acquisition and Transplantation Network (OPTN), 49% of people on the waiting list for heart transplantation have to wait for one year or more.

  Larkin’s situation is getting worse. After developing from right ventricular dysplasia to total heart failure with bilateral ventricular involvement, his left and right ventricles could not effectively collect and pump blood. He was so weak that he could hardly get into the car by himself.

  Prior to this, the doctor implanted an automatic cardioverter defibrillator for him. When necessary, it will send electrical pulses to "activate" the regular operation of the heart. However, after the illness worsened, this commonly used cardiac auxiliary equipment was not enough to maintain Larkin’s life.

  In November 2014, after a series of physiological tests, the doctor decided to remove Larkin’s heart and implant a Cynthia artificial heart to replace the original left and right ventricles and four valves.

  This new "heart" is a pneumatic bicentric pump. After connecting with Larkin’s atrium, aorta and pulmonary artery, it began to perform its duties. As a mechanical heart, it can pump 9.5 liters of oxygenated blood per minute, which is beyond the ability of ordinary healthy heart and close to the level of athletes.

  There is no sensor or engine in Larkin’s body. Through two pipes, the electric external driver transmits oxygen and creates vacuum, controls the synthetic material membrane separating air and blood in the ventricle of the total artificial heart, and pumps blood to the whole body.

  "Tick-tock … … Tick-tock … …” This machine has accompanied his life all day. With each accurately calibrated compressed oxygen pulse, the driving equipment in the backpack makes a strong, stable and rhythmic sound, which sounds like a fast horse galloping through the hard road.

  A few weeks later, Larkin, who was used to the noise, finally fell asleep with it. "It kept me alive," he said. "That’s it ‘ The sound of heartbeat ’ 。”

  Larkin is challenging the limits of this equipment.

  Two days before Christmas in 2014, Larkin walked out of the hospital with his family and became the first person in Michigan to leave the hospital with a total artificial heart.

  "Although there is a backpack connected to my body, it’s like a real heart," Larkin joked. "It feels like I’m going to school with a backpack full of books on my back."

  Like every ordinary person celebrating Christmas, he went shopping in the shopping center, went to church to participate in activities, and accomplished something he had been longing for for for a long time — — Picked up the basketball with the device that kept him alive.

  Gaft, the attending physician, took a deep breath when he saw the pictures of him dribbling.

  "This artificial heart is not designed for playing street basketball," Gaft said. "Larkin is really challenging the limits of this equipment." 

  Hu Shengshou, academician of China Academy of Engineering and president of Fuwai Hospital, introduced in an article that artificial heart broadly includes ventricular assist devices and total artificial heart, in which ventricular assist devices are mainly left ventricular assist devices. 

  It has been 80 years since the Soviet scientist De Mihov transplanted the artificial heart into dogs in 1937. In 1969, American doctor Cooley completed the first successful total artificial heart transplant in Texas Institute of Medicine, and assisted the patient with a total artificial heart for 64 hours before the heart transplant.

  In China, the related blood pumps being developed by Tianjin TEDA Cardiovascular Hospital, Beijing anzhen hospital and Suzhou University are still in the animal experimental stage. There is no breakthrough report on the development of total artificial heart in China.

  Cynthia total artificial heart is recognized as the most successful of more than 10 kinds of total artificial heart devices that have been published so far. Ten years ago, it was approved by the US Food and Drug Administration (FDA) as an auxiliary treatment before heart transplantation. It is also the only total artificial heart certified by the United States, Canada and Europe for clinical application.

  Although Larkin, who came home with Cynthia’s artificial heart, can’t move completely freely, for example, the electric drive device connected to him prevents him from standing under the shower, picking up children or carrying them around his neck as usual, all this is very rare.

  When the total artificial heart was just implanted, two pipes drilled from Larkin’s left rib were connected to a driving device called "Blue Giant".

  It weighs 188 kilograms and looks like a washing machine. This means that Larkin can only be tethered to the hospital by this cumbersome machine until it takes the doctor months or even years to find a matching heart donor for him.

  Fortunately, in June of that year, this small and portable all-artificial heart drive device newly developed by Syncadia Systems was approved by the US Food and Drug Administration. Larkin’s "washing machine" was replaced by a "backpack", so he no longer had to be trapped in the hospital. 

  "When eligible patients become stable, they can switch to portable drives," the production company said. "It provides patients with a wider range of activities and allows them to return to their families and communities to wait for a matching donor heart." It is powered by two lithium-ion batteries and can be recharged with a standard power socket or an adapter of a car.

  This equipment, weighing about 6 kilograms, was named "Freedom".

  In order to permanently replace the human heart, it has to overcome many technical difficulties.

  It seems that Larkin is doing well with a total artificial heart. At home, he doesn’t need more treatment, as long as he eats a low-sodium diet and takes blood-thinning drugs to keep healthy. Of course, as a person with a total artificial heart, he has to be like a robot and can’t leave the power supply for too long — — The lithium battery in the equipment is enough to run for 3 hours.

  However, total artificial heart is only used as an alternative transitional treatment before heart transplantation, and it can not be maintained for a long time. Cynthia’s total artificial heart, which is at the forefront of the industry, is also starting the clinical trial of permanent artificial heart transplantation.

  Academician Hu Shengshou introduced that although heart transplantation is the best treatment for many patients with end-stage heart failure who can’t be treated by drugs or surgery, it is still the goal pursued by the medical community for many years to use artificial heart instead of natural heart because of the limitation of heart source and the fact that heart transplantation is not suitable for patients under 40 years old.

  Although the current research is more and more advanced, in order to permanently replace the human heart, the total artificial heart has to overcome many technical difficulties. For example, as an artificial mechanical device, it does not have the self-repairing function of human heart, and it is impossible to stably simulate the heart beating more than 100,000 times a day for a long time without wear.

  "Larkin is still waiting for a heart transplant, and we hope to transplant him as soon as there is a suitable donor. During this period, he can return to health in some normal life at home, and when the opportunity comes, he will be transplanted in the best condition. " Dr Jonathan Gaft said.

  In order to serve the heart of this substitute, Larkin’s family took over most of the work of the nurse. The mother, who was afraid of touching two pipes at first, was used to often changing the bandage covering the entrance of the pipe for her son.

  "We have to be careful so that he won’t get infected," she said. "Now, I’m a professional."

  After 555 days of being accompanied by Cynthia’s total artificial heart and "freedom" drive equipment, Larkin finally got a heart from a donor.

  Now, in his chest, a fresh human heart is beating steadily.

  This is the third heart he experienced, which made him feel "reborn". "You can stop worrying about small things and do many things that you once thought you could never do again."

  Including hugging his three children again.

  "They will attack me," the father showed a spoiled smile. "They can’t wait for a long time. They will hang in front of my neck, jump on my back and ride on my neck. In short, they will run around me. " China Youth Daily Zhongqing Online Reporter Chen Yinan

Service upgrade! "Warm Home" has become a warm home for truck drivers.

"Tired, have a rest."

In Chengdu Qingbaijiang Micro-products Liandahai Industrial Park, truck driver Ye Qinghua took advantage of the cargo gap and walked into the 24-hour "rest station". The temperature in the station is suitable, and the facilities and equipment are readily available. Ye Qinghua opened the refrigerator, took out a bottle of frozen mineral water and gulped it down. "It’s very convenient here. The canteen next door also provides meals of 2 meats, 2 vegetarian dishes and 1 soup. You can eat them for free by scanning the code."

Qingbaijiang is the seat of Chengdu International Railway Port, and the trains between China and Europe (Chengdu and Chongqing) are galloping, attracting many modern logistics enterprises to settle down and simultaneously expanding the group of truck drivers. As one of the busiest logistics industrial parks in Chengdu, Dahai ranks first in the city in terms of storage capacity, distribution capacity and truck flow. Every day, thousands of trucks loaded with goods come in and out from here, transporting tens of thousands of tons of goods between Chengdu and other cities.

The "rest station" in Chengdu Qingbaijiang Dahai Industrial Park. Photo courtesy of Dahai Industrial Park

In view of the characteristics of large mobility and scattered aggregation of truck drivers. In 2022, Dahai Industrial Park opened the "Rongouyi Warm Heart House", which provided one-stop services such as parking and maintenance to meet the needs of truck drivers who want to "drink hot water, eat hot meals, take a hot bath and sleep well". Last year, combined with the business model of truck drivers in the park, Dahai Industrial Park launched several "rest stops", with air conditioners, televisions, water dispensers, recliners, books and newspapers, which further upgraded the service model of "Warm Heart Home". According to Li Lianglun, director of Chengdu Dahai Comprehensive Management Department, after the launch of the "rest station", truck drivers use the station service more than a thousand times a month.

The "rest post" has perfect internal functions and facilities. Photo courtesy of Dahai Industrial Park

Since 2021, Sichuan has explored a new path of high-quality development of the industry with "wheel party building", and innovated to create an upgraded version of the driver’s home-the "warm-hearted home" for truck drivers. At present, 26 related points have been built. According to the person in charge of the Sichuan Provincial Department of Transportation, the "Warm Home" is laid out along highways, ordinary national and provincial roads, logistics parks and inland ports in the province. According to the plan, 37 "Warm Home" points will be built in Sichuan before 2025, realizing full coverage of the main freight logistics channels in the province. On the basis of broadening the points, more considerate services are also being launched.

Jintang Service Area of Chengde South Expressway has established the first "warm-hearted home" for truck drivers in the province. In the "warm-hearted home", the laundry and drying area, shower area and kitchen area are well-equipped, providing drivers and passengers with services such as bringing their own bedding to stay at the minimum of one yuan, and the "one meat and two vegetables" box lunch sold in the service area is at the minimum of ten yuan, striving for convenience and practicality.

"This is the warm home of our truck driver."

"The space is clean, the service is good, the bath is very comfortable, and the mood of the sports car is good."

……

On the register of "Warm Heart House", the truck driver expressed his affirmation of this service through a series of real messages.

On this basis, in 2023, the Jintang service area of Chengde South Expressway launched the Warm Heart Health Service Station, which opened up a safe, healthy and green rescue channel to provide health promotion, emergency rescue and safety guarantee to the drivers and passengers in the past service areas.

Warm Heart Health Service Station is equipped with automatic external defibrillator (AED), sphygmomanometer and standing medicine box. Jintang Service Area, in conjunction with county transportation department and health department, has opened a medical green rescue channel nearby and provided a special telephone for green rescue. In case of emergency, the service area staff can contact the local hospital ambulance personnel and quickly link to medical resources, so that the drivers and passengers who are in urgent need of treatment can get the most timely and fastest medical treatment.

Warm heart health service station in Jintang service area of Chengde South Expressway. Photo courtesy of service area

In January of this year, Ms. Wang, a driver and passenger, was sent to the post station by her friends because she was flustered, short of breath and weak. In the post station, the staff gave Ms. Wang a simple care and contacted the hospital through the emergency phone. It took only 14 minutes. The ambulance arrived at the post station and transferred Ms. Wang to the hospital for treatment.

"The service station is committed to rapid discovery, timely treatment and effective treatment of patients, and provides a safe and healthy travel service experience for drivers and passengers in all directions." According to Yue Dongxue, director of Jintang Service Area of Chengde South Expressway, in the early stage, they conducted emergency rescue skills training to improve the self-help and mutual rescue ability of the service area in response to emergencies and accidental injuries. It is convenient for rapid discovery, timely treatment and effective treatment of patients. "Provide a safe and healthy travel service experience for drivers and passengers in all directions." She said.

Overseas media pay attention to the US "self-slapping" and widely forward international critical articles.

  CCTV News:On July 25 th, the "International Sharp Review" of the Central Radio and Television General Station broadcasted the title "Who is the White House in a hurry to send checks to farmers?" The article was reprinted and published by many overseas media.

  On July 25th and 26th, Germany’s "German-Chinese Report" website, Spain’s Global Iberian Media Client, Italy’s RADIOWE website (facebook, twitter), Portugal’s Lisbon Rainbow Radio website (facebook), Brazil’s Sao Paulo World Radio and Television website (facebook), Brazil’s Rio Headline Radio and Television website (facebook), Brazil’s Romantic Radio website, Brazil’s Business Observer website, Many overseas media, such as Ururau newspaper website, Indian Daily Morning News website, Turkish Economic Observation Network, Chinese PT portal, Chinese headline APP, Portuguese New Newspaper APP(facebook, twitter), European Union Chinese website, West Africa online website, Africa Times website, Greek China website, Japanese Chinese business website and so on, have forwarded them one after another. On 26th, Hong Kong Ta Kung Pao and Wen Wei Po published this article. The main reports are as follows:

  US President Trump said on Tuesday that he would provide an agricultural subsidy of up to $12 billion to help American farmers tide over the growing trade war between the United States and China, the European Union and other countries.

  Prior to this, one of the reasons why the United States provoked trade wars with many trading partners was that their products exported to the United States had so-called government subsidies. Now, the White House has also begun to issue subsidies. Isn’t this hitting yourself in the face? ! Trump’s move once again proves that economists have always warned the White House, that is, "there is only a double loss in the trade war, and there is no winner." 

  The essence of trade is win-win, whether it is cooperation or competition. However, this US administration seems to be paranoid and firmly believes that trade is a zero-sum game. Obviously, I bought bread to fill my stomach, and I have to accuse the bread seller of being a winner and a loser. This logic is too twisted!

  The White House’s use of taxpayers’ huge funds as agricultural subsidies is the inevitable result of its imposition of punitive tariffs on goods from global trading partners, which eventually leads to retaliation from many parties. Among them, the American agricultural economic belt is one of the key targets of retaliatory measures by various countries. Those American farmers are precisely the victims of Trump’s trade war, and they are swallowing the consequences of the irrational and outrageous tariff policy of the White House.

  As the world’s largest exporter of agricultural products, the export of agricultural products in the United States reached a record high in 2017, with a trade surplus of $21.3 billion. Since the trade war, trading partners including EU, Canadian, Mexican and China have been forced to impose retaliatory tariffs on agricultural products originating from the United States. The USDA estimates that these countermeasures will cause about $11 billion in losses to American agricultural products.

  The United States has always accused other countries of subsidy policies, saying that this practice violates the provisions of the WTO. Now, the White House has picked up taxpayers’ money and done what it has always been illegal in its own eyes. In a sense, this is also a set of votes for the mid-term elections in November this year. This sanctimonious double standard is overbearing: "Only I can set fire, but you can’t light a lamp".

  However, can the White House check really solve its problem? As Blake Horst, director of the Missouri Department of Agriculture, said, unless the White House policy changes, the pressure on American agriculture will continue. Short-term or temporary remedial measures cannot solve the substantive problems. Brian Kuhl, executive director of Farmers for Free Trade, believes that American farmers need contracts instead of subsidies, and with contracts, they can make plans for the future with peace of mind.

  Previously, Trump believed that the trade war would be beneficial to the US, and the trade war would be easy to fight and win. Today’s results show that things are not as simple as he thought. This is because the US government’s subsidies to agriculture will inevitably bring out a series of related problems. Alaska Senator Lisa Mokowski is asking: What about manufacturing? Energy field? What about oil and gas industry? What is the standard of subsidy or not?

  The New York Times pointed out in the editorial that those manufacturers who need to pay high prices for steel and aluminum because of the trade war need subsidies? Do workers who are unemployed because Harley-Davidson motorcycles transfer production lines need subsidies? Do producers of bourbon affected by the trade war need subsidies?

  If the United States continues to subsidize other industries affected by the trade war, then the Trump administration will face many challenges, on the one hand, the problem of money bags, on the other hand, the legitimacy of subsidies. As for the legality of the latest US$ 12 billion subsidy, it is estimated that many countries will submit it to the WTO for adjudication.

  In fact, the White House is very clear about how to solve the situation. Republican Senator Ben Sass said that a trade war is like cutting farmers’ legs, and then the White House plan is to give them a pair of pure gold crutches worth $12 billion. "The government’s tariffs and relief will not make the United States great again, but will come again in 1929 (the Great Depression)."

  Senator rand paul tweeted: "Tariffs are equivalent to increasing taxes on American consumers and producers. If tariffs punish farmers, then the answer is not welfare, but the abolition of tariffs. "

  Analysts pointed out that the United States continued the tariff war by granting subsidies to farmers. On the one hand, it reflected its double standards and "two-faced" approach in international trade, which showed the hypocrisy and hegemony of the United States. On the other hand, it also reflected the Don Quixote-style approach of the United States, which not only created a lot of uncertainty for other countries, but also endangered the global multilateral trading system and brought serious chaos to its own country.

  A number of overseas media forwarded international critical articles:

The German "German-Chinese Report" website was forwarded on July 25, 2018

  Spain Universal Iberian Media Client forwarded on July 25, 2018

  Italian RADIOWE website (facebook, Twitter) forwarded on July 25, 2018.

  Portugal Lisbon Rainbow Radio website (Facebook) forwarded on July 25, 2018.

  Brazilian "Business Observer" website forwarded on July 25, 2018

  India’s "Daily Morning News" website was forwarded on July 25, 2018

  Forward by Turkish Economic Observer Network on July 25, 2018

  Portuguese news APP(facebook, Twitter) forwarded on July 26, 2018.

  Hong Kong Ta Kung Pao was published on July 26, 2018

  Hong Kong Wen Wei Po was published on July 26, 2018.

Notice of the General Office of the Ministry of Industry and Information Technology on the recommendation of the list of green manufacturing in 2022

Departments in charge of industry and information technology of all provinces, autonomous regions, municipalities directly under the Central Government, cities under separate state planning and Xinjiang Production and Construction Corps:

In order to implement the 14th Five-Year Plan for Industrial Green Development and the peak carbon dioxide emissions Implementation Plan for Industrial Fields, continuously improve the green manufacturing system, promote industrial green development, and help peak carbon dioxide emissions to be carbon neutral in industrial fields, we are now organizing to recommend the list of green manufacturing in 2022. The relevant matters are notified as follows:

First, the 2022 green manufacturing list recommended work requirements

Please follow the clear recommendation procedures in the Notice of the General Office of the Ministry of Industry and Information Technology on Developing Green Manufacturing System (No.586 [2016] of the Ministry of Industry and Information Technology, hereinafter referred to as the Notice), and organize local enterprises (including central enterprises, the same below) and parks to carry out declaration work and select and determine green factories and green design products in the region. Encourage all localities to establish and improve the local green manufacturing benchmarking mechanism, publish the provincial green manufacturing list, and give priority to the enterprises or parks included in the list.

In the past three years, it is not allowed to declare the list of green manufacturing in any of the following circumstances: it has not been operating normally; Accidents such as security (including network security and data security), quality and environmental pollution, and illegal acts such as tax evasion occur (subject to "Credit China" and "National Enterprise Credit Information Publicity System"); Being dynamically adjusted out of the green manufacturing list; Being found to have serious problems in the relevant inspection work of the State Council and relevant departments; Being included in the list of industrial energy conservation supervision and rectification and failing to complete the rectification as required; The person who is untrustworthy is executed, etc.

(1) Green factories

Please refer to the General Rules for Green Factory Evaluation (GB/T36132-2018) to carry out self-evaluation and third-party evaluation. If the industry standard for green factory evaluation has been published (which can be viewed on the website of the Department of Energy Conservation and Comprehensive Utilization of the Ministry of Industry and Information Technology), self-evaluation and third-party evaluation shall be conducted according to the requirements of the industry standard. The number of applications in each region will be determined according to factors such as the number of industrial enterprises above designated size.

In order to give play to the leading role of green factories in energy saving and carbon reduction, the energy efficiency level of key energy-consuming industries should, in principle, reach or exceed the Benchmark Level and Benchmark Level of Energy Efficiency in Key Areas of High Energy-consuming Industries (2021 Edition) (No.1609 of Development and Reform Industry [2021]) and Benchmark Level and Benchmark Level in Key Areas of Clean and Efficient Utilization of Coal (2022 Edition) (No.559 of Development and Reform Operation [2022]). Industries that do not specify the benchmark value of energy efficiency should, in principle, meet or exceed the advanced value of the corresponding national energy consumption quota standards. In addition, the recommended green factories in each region should be benchmarked against the existing green manufacturing level indicators, and the main indicators such as energy efficiency level should be better than the existing green factories in the same region.

(B) Green design products

Please visit the website of Energy Conservation and Comprehensive Utilization Department of the Ministry of Industry and Information Technology for the recommended range and standards of green design products this year, and check them in the "List of Green Design Product Standards". The products to be applied are only those with standards specified in the list. According to the specific requirements of the standard, prepare the self-evaluation report of green design products.

(3) Green industrial parks

All regions should organize industrial parks with good industrial foundation, perfect infrastructure and high level of green manufacturing to declare, and carry out self-evaluation and third-party evaluation with reference to the relevant requirements of green park evaluation in the Notice. The recommended green industrial parks are provincial-level and above industrial parks with product manufacturing and energy supply as the main functions, industrial added value accounting for more than 50%, legal boundaries and scope, and unified management institutions. The pilot units of national low-carbon industrial parks are encouraged to carry out the construction of green industrial parks. In principle, no more than three green industrial parks are recommended in each region.

(D) Green supply chain management enterprises

All regions should organize chain owners with great industry influence, strong operating strength, complete industrial chain, good foundation of green supply chain management and leading role in the industrial chain to declare, and carry out self-evaluation and third-party evaluation with reference to the relevant requirements of green supply chain evaluation in the Notice. For three industries, such as electronic appliances, machinery and automobiles, self-evaluation and third-party evaluation are conducted according to the "Evaluation Index System for Green Supply Chain Management Enterprises" (which can be viewed on the website of the Department of Energy Conservation and Comprehensive Utilization of the Ministry of Industry and Information Technology).

Please submit the electronic version of the application materials (Annexes 1-5) to the Ministry of Industry and Information Technology (Department of Energy Conservation and Comprehensive Utilization) through the Industrial Energy Conservation and Green Development Management Platform (https://green.miit.gov.cn) before October 31, 2022.

Second, the dynamic management requirements of green manufacturing list

All regions are requested to strengthen the follow-up guidance and dynamic management of green manufacturing list enterprises or parks, establish a regular reporting mechanism for key indicators of green manufacturing level, organize green manufacturing list enterprises or parks to fill in the dynamic management table of green manufacturing every year (Annex 6-9), and review the key indicators specified in the dynamic management table. If the key indicators of green manufacturing level do not meet the requirements of green manufacturing evaluation, organize on-site evaluation, put forward dynamic adjustment opinions and report them to our department, which will adjust the list after comprehensive evaluation. Accidents such as security (including network security and data security), quality and environmental pollution, and tax evasion (subject to "Credit China" and "National Enterprise Credit Information Publicity System") should be reported to our department in a timely manner, and our department will remove them from the list.

Please pass the electronic version of the first six green manufacturing list dynamic management forms through the industrial energy saving and green development management platform (https://green.miit.

Gov.cn) submitted to the Ministry of Industry and Information Technology (Department of Energy Conservation and Comprehensive Utilization).

Third, the third party evaluation agencies related requirements

Third-party evaluation institutions shall carry out their work in accordance with the Reference Procedure for Evaluation of Green Manufacturing System (No.564 [2017] of the Ministry of Industry and Information Technology), be responsible for the authenticity and accuracy of the contents and results of the evaluation report, maintain independence from the self-evaluation activities of the applicant, and do not participate in the preparation of the self-evaluation report. Evaluation institutions that have been verified to be fraudulent or deliberately conceal the problems of the evaluated party in the evaluation process will be blacklisted and their evaluation results will not be accepted within three years.

Third-party organizations that carry out evaluation work related to green manufacturing system shall meet the following basic conditions:

(1) Enterprises, institutions, trade associations, etc. registered within the territory of People’s Republic of China (PRC) and having independent legal personality, having the experience and ability to carry out relevant evaluation;

(2) Having a fixed office space and working conditions for evaluation, and having a sound financial management system;

(3) There shall be no less than 10 full-time personnel with intermediate professional titles or above engaged in green assessment, including no less than 5 senior professional titles in energy, environment, ecology, low carbon and life cycle assessment;

(4) The personnel of the evaluation institution shall abide by the national laws, regulations and evaluation procedures, and be familiar with the policies and standards related to green manufacturing;

(five) have the ability to carry out the evaluation of green factories, green industrial parks, green supply chains and other fields, and lead or participate in the evaluation, demonstration and evaluation of green manufacturing or scientific research projects at or above the provincial level in the past five years, or formulate national and industrial standards and policies related to green manufacturing.

The third-party evaluation of green manufacturing system is carried out by the reporting enterprise or the evaluation institution independently entrusted by the park. In order to improve the evaluation quality, this batch of green manufacturing system evaluation projects (including green factories, green industrial parks and green supply chain management enterprises) carried out by the evaluation institutions of the same legal person (including enterprises and institutions associated with them) shall not exceed 15 in total, and our department will disclose the passing rate of evaluation work carried out by third-party evaluation institutions.

Third-party organizations involved in the evaluation of green manufacturing should submit the electronic version of "Annual Work Report of Evaluation Organizations" (Annex 10) to the Ministry of Industry and Information Technology (Department of Energy Conservation and Comprehensive Utilization) through the industrial energy conservation and green development management platform (https://green.miit.gov.cn) before October 31, 2022.

Fourth, other requirements

All regions should do a good job in summarizing and recommending typical experiences. Our department will organize to publicize the advanced experience and typical practices of units with obvious green characteristics and outstanding results, and give full play to the benchmarking effect. Encourage green manufacturing list units to continuously carry out green and low-carbon upgrading, publish green development or sustainable development reports, publicize advanced experiences and typical practices of green manufacturing, make green development commitments, fulfill social responsibilities, and accept public supervision.

Contact person and telephone number: Wang Chengbo 0-68205340

Attachment: 1. Summary table recommended by provincial industrial and information departments. wps

?#xa0; ?#xa0; ?#xa0; 2. Green factory self-evaluation report and third-party evaluation report. wps

?#xa0; ?#xa0; ?#xa0; 3. Green design product self-evaluation report. wps

?#xa0; ?#xa0; ?#xa0; 4. Green industrial park self-evaluation report and third-party evaluation report. wps

?#xa0; ?#xa0; ?#xa0; 5. Green supply chain management enterprise self-evaluation report and third-party evaluation report. wps

?#xa0; ?#xa0; ?#xa0; 6. Green factory dynamic management table. doc

?#xa0; ?#xa0; ?#xa0; 7. Green design product dynamic management table. doc

?#xa0; ?#xa0; ?#xa0; 8. Green industrial park dynamic management table. doc

?#xa0; ?#xa0; ?#xa0; 9. Green supply chain management enterprise dynamic management table. doc

?#xa0; ?#xa0; 0. Annual work report of the evaluation institution. doc

General Office of Ministry of Industry and Information Technology

September 16, 2022

How to prevent the high incidence of influenza? The CDC has a reminder!

All-media reporter Ruan Lu Intern Lu Qun Correspondent Wang Yijun

At present, the weather is getting colder and the temperature difference between day and night is large, which is in the high incidence season of influenza.

Huang Li, deputy director of the Institute of Infectious Disease Prevention and Control of the State Center for Disease Control and Prevention, and Li Fuqiang, an expert on planned immunization, warmly reminded that to prevent seasonal high-incidence respiratory infectious diseases such as influenza, we should make preparations in advance, raise awareness of disease prevention and strengthen health protection.

What is the flu?

Influenza (hereinafter referred to as "influenza") is an acute respiratory infectious disease caused by influenza virus, which is harmful to human health. It can be divided into four types: A, B, C and D. Seasonal influenza viruses include subtype A H3N2, subtype A H1N1 (pdm09), strain B Victoria and strain B Yamagata.

According to Huang Li, the flu mainly manifests as fever, headache, general malaise and other symptoms, and the body temperature can reach 39~40 degrees Celsius. Children’s fever is usually higher than that of adults, and the symptoms may include chills, chills, aching muscles and joints all over the body, fatigue, accompanied by loss of appetite, etc., as well as sore throat, cough, nasal congestion, runny nose, retrosternal discomfort, facial flushing, conjunctival congestion and so on.

Influenza is mainly spread by droplets such as sneezing and coughing. Influenza virus survives in the air for about half an hour. It can be infected by direct or indirect contact with oral cavity, nasal cavity, eyes and other mucous membranes, and it can also be infected by touching articles infected by the virus. In crowded, closed and poorly ventilated places, influenza may also spread in the form of aerosol.

People are generally susceptible to influenza virus, and most of them are self-limited. Some patients will have complications, which can develop to severe illness or even death. The elderly over 65 years old, children under 5 years old, especially children under 2 years old, pregnant women and patients with basic diseases are high-risk groups of influenza and need special attention.

Huang Li reminded that maintaining good personal hygiene habits is an important means to prevent respiratory infectious diseases such as influenza. For example, wash your hands frequently, keep indoor ventilation, try to avoid going to crowded places, have a balanced diet, exercise, and minimize rubbing your eyes, nose and mouth when you are in public places. You should also pay attention to regular work and rest, balanced nutrition, avoid overwork, and maintain your immunity. It is best to wear a mask when you go to a medical institution for medical treatment.

"In addition, the most effective means to prevent influenza is to inject influenza vaccine, especially for key populations. Annual influenza vaccination can significantly reduce the risk of influenza and serious complications." Huang Li said.

It is recommended to vaccinate against influenza in time.

According to Li Fuqiang, according to the Technical Guide for Vaccination of Influenza Vaccine in China (2023-2024) recently issued by the China Center for Disease Control and Prevention, annual vaccination with influenza vaccine is an effective means to prevent influenza, which can effectively reduce the risk of influenza and serious complications among the vaccinators. Suggest ≥ People who are 6 months old and have no vaccination contraindications should be vaccinated against influenza, especially the following key groups are recommended to give priority to vaccination:

1 medical personnel, including clinical rescue personnel, public health personnel, health and quarantine personnel, etc.;

2. Participants and security personnel in large-scale activities;

3. Vulnerable people and employees in old-age care institutions, long-term care institutions, welfare homes and other crowd gathering places;

4. People in key places, such as kindergartens, teachers and students in primary and secondary schools, and detainees and staff in prison institutions;

Family members and caregivers of infants under 5.6 months old and pregnant women;

6. Other people at high risk of influenza, including elderly people aged 60 and above, children aged 6 months to 5 years, and patients with chronic diseases.

Usually, antibodies with protective level can be produced after 2~4 weeks of influenza vaccination, and it is best to complete the vaccination before the peak of influenza epidemic in autumn and winter. In the same influenza epidemic season, people who have completed the whole vaccination according to the vaccination procedures do not need to be vaccinated again.

Li Fuqiang introduced that influenza vaccine is a non-immunization program vaccine, and residents can be informed, voluntary and self-funded. At present, influenza vaccines used in China are mainly divided into two categories: inactivated influenza virus vaccine and live attenuated influenza virus vaccine. The influenza vaccines approved for marketing in China include trivalent inactivated vaccine (IIV3), trivalent inactivated vaccine (LAIV3) and tetravalent inactivated vaccine (IIV4), all of which can effectively prevent influenza virus infection. Residents can choose one influenza vaccine by themselves. At present, there are sufficient reserves of influenza vaccine in vaccination clinics all over the state.

Because influenza virus is easy to mutate, it is necessary to get flu vaccine every year. Like many other vaccines, influenza vaccination does not necessarily mean that you will not get the flu, but it can alleviate the symptoms after getting the flu, significantly reduce the risk of developing into a serious illness, and avoid developing into a serious illness and death.

Experts from the State Center for Disease Control and Prevention reminded that residents who care for their health can get the flu vaccine as soon as possible, especially those who have children, pregnant women, the elderly and other key personnel at home, and should take the initiative to vaccinate the whole family as soon as possible to build a family immune barrier to protect themselves and their families from the flu. You can go to the nearest community health service center (community health service station), the vaccination clinic of township hospitals and the health department of the hospital for vaccination. You can also make an online appointment through WeChat WeChat official account of Hubei Provincial Center for Disease Control and Prevention, and make an appointment in advance for the vaccination clinic and vaccination time, which is more time-saving and convenient.

How do students and parents take precautions?

The flu is coming, how can students and parents prevent it? Huang Li suggested that personal protection is the most important, and ventilation and disinfection should not be forgotten.

Students and parents need to do personal protection, wear masks, wash their hands frequently, pay attention to cough etiquette, try to avoid going to crowded places and avoid close contact with people with respiratory symptoms. If family members have respiratory symptoms, they should rest at home, observe their health, go to work and attend classes without illness, and wear masks when they are in close contact.

Children’s three meals a day need balanced nutrition, appropriately increase high-quality protein such as meat, eggs and milk, and eat more fruits rich in vitamin C. Ensure the length of children’s sleep, and adequate sleep has a positive impact on enhancing physical fitness. Primary school students should sleep 10 hours a day, junior high school students 9 hours and senior high school students 8 hours.

Always ventilate your home and keep the environment clean. Open the window for ventilation 2~3 times a day, with no less than 30 minutes each time. If it is inconvenient to open the window for ventilation, mechanical ventilation can be carried out with the help of an exhaust fan. After patients appear in the family, the surfaces of environmental objects contacted by patients can be disinfected with chlorine-containing disinfectant containing 250 mg/liter of available chlorine, or wiped with disinfectant wipes, and the surfaces of small items can be wiped with 75% alcohol.

Huang Li stressed that in addition, students and parents should be vaccinated as soon as possible. For high-risk groups such as young children who have not been vaccinated with influenza, vaccination as soon as the influenza vaccine is available can play a good preventive and protective role.

How do schools and kindergartens prevent it?

Li Fuqiang suggested that schools and kindergartens should do a good job in health monitoring, strengthen ventilation and disinfection, and build a strong immune defense line during the high-incidence season of influenza.

Schools and kindergartens should strengthen morning and afternoon inspections and full-day observation. Strengthen the registration system of absence due to illness, grasp the reasons of students’ absence, and find and report early. When influenza cases occur, patients should be allowed to rest at home to reduce the spread of the disease.

Schools should take advantage of students’ recess, physical education class, after school and other periods to strengthen classroom ventilation, so as to keep the classroom air circulating and fresh. Every morning, noon and evening, windows should be opened for ventilation, and the ventilation time should not be less than 30 minutes each time. Every day after school, the key places in the classroom should be cleaned and disinfected regularly. Nursery institutions should clean and disinfect students’ toys and other items every day.

Schools should publicize influenza prevention knowledge to teachers and students through radio, LED screens, blackboard newspapers, billboards, leaflets and lectures, do a good job in health education, help teachers and students develop good personal habits such as washing hands frequently, wearing masks and coughing etiquette, and improve their self-prevention ability. In addition, during the epidemic of respiratory infectious diseases such as influenza, schools should try to reduce or avoid large-scale gatherings and other collective activities to reduce the risk of transmission.

Guangzhou disease control: the level of influenza activity has obviously increased, and influenza A and B viruses are common.

  At present, the temperature in winter is changeable, cold and hot, and respiratory infectious diseases such as influenza enter the high-incidence season.

  According to the press conference of the National Health and Wellness Committee, at present, with the continuous winter in various places, respiratory diseases have entered a period of high incidence. Monitoring shows that influenza is the main infectious disease of respiratory tract recently. In addition, there are rhinovirus, mycoplasma pneumoniae, respiratory syncytial virus, adenovirus and so on.

  Recent monitoring in Guangzhou shows that acute respiratory infectious diseases mainly caused by influenza and mycoplasma pneumoniae are active, and respiratory infections caused by rhinovirus, adenovirus, respiratory syncytial virus and other common respiratory pathogens are intertwined. In particular, the level of influenza activity has increased significantly. At present, influenza A (H3N2 subtype) and influenza B (Victoria strain) are prevalent at the same time, and influenza is gradually entering the winter epidemic period.

  How to judge which pathogen is infected? Influenza, mycoplasma pneumoniae and respiratory syncytial virus infection will all have symptoms such as cough and fever. How to distinguish them?

  flu

  Influenza is an acute respiratory infectious disease caused by influenza virus. Influenza patients and recessive infected people are the main sources of influenza infection, and the transmission route is mainly droplet transmission, but also through direct or indirect contact with mucous membranes such as mouth, nose and eyes.

  The incubation period is 1-4 days, and the acute onset is mainly manifested as fever (high fever can occur in some cases, reaching 39-40℃), cough, sore throat, headache, myalgia and general malaise, and there may be symptoms such as chills, chills, aches and pains in muscles and joints all over the body, fatigue and loss of appetite. Some patients may be accompanied by vomiting, abdominal pain and diarrhea, which are more common in children.

  Influenza patients generally have a good prognosis. After 3-4 days of onset, their body temperature gradually subsides and their systemic symptoms improve. However, children, the elderly, people with basic diseases, obese people and pregnant women are prone to develop into severe diseases after infection, so they should be treated promptly.

  Vaccination with influenza vaccine can effectively reduce infection, even if it is infected, it can also reduce the incidence, and even if it is infected, it can also reduce the severity of the disease.

  Mycoplasma pneumoniae

  Mycoplasma pneumoniae is the smallest known microorganism that can live independently between bacteria and viruses. It is mainly transmitted by droplets and direct contact, and the population is generally susceptible, especially in children and adolescents over 5 years old. Usually, when the seasons change, for example, when summer turns to autumn or autumn turns to winter, there may be local and short-lived clustering epidemics.

  The incubation period is 2-3 weeks, and the main symptoms are similar to those of most respiratory diseases, with fever and cough as the main symptoms. Generally, the cough is severe, and it may last for 1-2 weeks after the fever has gone down. After children are infected with mycoplasma, most of them show upper respiratory tract infection, a small number of them are lower respiratory tract infection (possibly bronchitis or pneumonia), and a small number of them may develop into severe mycoplasma pneumonia.

  Generally speaking, after mycoplasma infection, there will be no repeated infection in a short period of time (1-2 months). It should be noted that if the symptoms of infection recur, it is often that the last mycoplasma pneumoniae infection did not heal, and the local lesions were not completely removed and secondary infection occurred.

  At present, there is no vaccine to prevent mycoplasma pneumoniae infection. If you have fever accompanied by severe cough, you should see a doctor in time, find out the cause as soon as possible, standardize the treatment, and avoid using drugs blindly.

  Respiratory syncytial virus

  Respiratory syncytial virus is a common and highly contagious RNA virus. Spread through droplets and close contact, or spread through contaminated hands and surfaces.

  The incubation period is usually 2-8 days, and detoxification can last for 1-3 weeks. Patients often have upper respiratory symptoms after infection, and the typical symptoms of children infected with syncytial virus are fever, cough, stuffy nose and runny nose. The typical symptoms of adult infection are very similar to the common cold, such as low-grade fever, cough, stuffy nose and runny nose.

  Most patients’ symptoms will disappear spontaneously within 1-2 weeks, and a small number can develop into lower respiratory tract infection (i.e. bronchiolitis or pneumonia), which is more common in young infants. Clinical symptoms include cough and wheezing.

  At present, there are no syncytial virus vaccines and special therapeutic drugs on the market in China. Syncytial virus can be repeatedly infected and easily spread at home, and infection can be prevented by strengthening personal protection and other measures.

  Rhinovirus

  Rhinovirus is one of the main pathogens causing the common cold. Mainly through direct contact and droplet transmission; Infants, the elderly and immunocompromised people are susceptible to rhinovirus.

  The incubation period is 2-5 days, and the clinical manifestations are mainly runny nose, sneezing, throat discomfort, nasal congestion, cough, mild sore throat, low or slightly elevated body temperature, often accompanied by sinusitis and otitis media. Although rhinovirus infection can gain immunity, it lasts for a short time, so people can be infected with rhinovirus repeatedly.

  At present, there is no specific prevention and treatment method. The patient’s condition is generally self-limited, with mild symptoms and can be cured in a week or so.

  adenovirus

  Adenovirus is not a new virus, it is a common virus that causes respiratory infection in children, and it is the main cause of community-acquired pneumonia in children. It can spread through droplets, close contact and fecal-oral route, and can also spread through water. Babies over 6 months old, school-age children and immunocompromised people are the high-risk groups of adenovirus infection.

  The course of disease is usually 5-7 days, but the symptoms may last for up to 2 weeks, which may be complicated with bacterial infection. Symptoms vary according to the affected parts, and may include: fever, sore throat, runny nose, cough, earache, conjunctivitis (also known as "red eye"), diarrhea and hoarseness.

  Adenovirus infection is mostly self-limited and supportive treatment is adopted. Antiviral therapy is usually only used for severe adenovirus disease, and most of these patients have impaired immune function.

  At present, there is no adenovirus vaccine in China, and the prevention of adenovirus infection mainly focuses on hygiene, especially hand hygiene.

  How to scientifically prevent respiratory diseases in daily life?

  1. Wash your hands frequently. Wash your hands with soap or hand sanitizer and flowing water. Cover your mouth and nose with a handkerchief or paper towel when sneezing or coughing to avoid polluting your hands and the surrounding environment.

  2. More ventilation. Keep the indoor air circulating, and generally ventilate 2-3 times a day at home in winter for about 30 minutes each time.

  3. gather less. During the epidemic of infectious diseases in winter and spring, try not to go to crowded places and avoid contact with patients with respiratory diseases. It is recommended to wear masks when you need to go.

  4. Drink plenty of boiled water. Keep the nasal mucosa moist, effectively resist the invasion of viruses, and also facilitate the excretion of toxins in the body and purify the environment in the body.

  5. Eat a balanced diet and exercise properly to enhance your physical fitness (outdoor activities should be reduced in foggy days).

  6. Vaccinate. Vaccine is an effective means to prevent related infectious diseases. For infectious diseases such as influenza, chickenpox and mumps, susceptible people can be prevented by vaccination in advance.

  7. Once infected with infectious diseases in winter and spring, patients should take hospitalization or rest at home according to their illness and doctor’s advice, and avoid participating in group activities and entering public places during this period. Resume daily activities such as going to school and going to work after it is not contagious.

  Source: "Guangzhou CDC I Health" WeChat WeChat official account