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.

Gentle Cell Jun: It turns out that emotions can be so real.

Text | Cat-loving novelist

"Jin Roumei, what the hell are you doing? You have no ambition, but you haven’t enjoyed your life and lived well. "

It is said that this drama is about "talking about the most realistic love in a fairy tale way".

This metaphor is so appropriate.

It seems that day after day, most people are still making rational and emotional plans for the future. Sometimes we think that this is our own decision, but in fact, there are a bunch of decision makers who are as important as your decision.

I seem to see the truth of the existence of "cell" from it, which is the lovely story expounded in "Gentle Cell King".

It’s been a long time since there was such a cured and decompressed love drama.

I have the honor to talk with you today.

one

"There is no fate, it’s just our choice."

The first time I saw this drama, I went to Kim Go Eun, the heroine.

Judging from her previous film and television dramas, I know that her choice will not be bad. She reached the peak when she debuted. At the age of 21, she won the Best Newcomer Award in eight film awards ceremonies, including the 33rd Korea Qinglong Film Award and the 49th Korea Film Bell Award.

She has high taste in choosing scripts, and the quality of movies and TV plays is guaranteed.

Let’s look at this drama, which is adapted from the popular website of the same name and has 3 billion hits in Korea. This film is different from the ordinary drama. It is not a simple real person to interpret the plot of comics, but takes the form of combining animation with real people. This is the first attempt in a Korean drama, and this adaptation of the live-action version not only did not overturn, but also satisfied the original party, and its reputation rose steadily. In addition, the actor’s acting skills were excellent: Kim Go Eun’s pretty short hair style with bangs on his eyebrows was almost similar to the comic characters, which perfectly interpreted the image of an ordinary social animal with a girl’s heart.

A good drama requires the blessing of the production team and the scriptwriter. Song Zaizhen, the writer of two works with more than 8 points, Alhambra Palace and W- Two Worlds, participated in the production. While restoring the cartoon, the director paid tribute to Interstellar’s five-dimensional space, and the sense of the picture suddenly increased. Compared with the lovely popular science of the Japanese version of Work Cell mentioned frequently before, Gentle Cell Jun let us "discover" the real emotions in ourselves for no reason.

This drama shows the social life of ordinary people, and also lets us know that we are different.

The first season ended at the end of last month. At present, Douban scored 8.5, and the second season has been renewed. It is planned to be broadcast in the first half of next year.

two

"I am obviously in love, but I still feel lonely occasionally."

Going back to the drama itself and putting aside various external factors, the drama itself with this theme is very popular.

Looking around, no matter whether it is domestic or overseas dramas, they can’t escape the dog’s blood-stained plot performance. What the audience discusses is more star acting, and they care little about what the plot is going to be.

In the original cartoon, there are three boyfriends in the heroine’s gentle setting, which is different from the inherent hero setting of traditional Korean dramas. There is only one protagonist in Gentle Cell Jun, that is, gentle oneself.

Her cell monarchs take her as the center, and her mood is also influenced by the cell monarchs. Tell the most common and realistic love in the form of the most dreamy fairy tale.

It is difficult for a romantic drama to tell a relationship in this way, and it did.

In the soft cells, they almost perform their duties, and they are indispensable.

When Ruanmei works hard, rational cells drive everyone to help and exert themselves; She is hungry, hungry cells are irritable, and she wants to eat everything. She began to pay attention to her personal image, and every day she dressed up with fashion cells to control it; Suddenly, Roumei had some shy thoughts caused by excessive secretion of estrogen, which must be the pot of sinister cells.

They are the source of joys and sorrows in our lives. Just like Roumei, we will cry and laugh, and we will be angry when we meet our predecessors. In the invisible cell castle, we will also encounter earthquakes, landslides and volcanic eruptions through these experiences. In the face of rival in love, people will be flustered and dissatisfied. Rational and perceptual cells hold their own words, which affects the gentle judgment.

Seeing this, everyone will definitely mention Inside Out with the same theme, but completely different from it, "Gentle Cell Jun" is feminine and cells, not just talking about the hero’s cells.

Roumei keeps an invisible and transparent dialogue with these cells at all times. When Roumei doesn’t know it, the cells give Roumei the most firm and long-term companionship, the warmest and sincere care.

Like a friend, like a family member, like a comrade-in-arms, to support a gentle life.

What I am most worth mentioning is the gentle love thread of this drama, the "gourd" that was hung high by love cells when Ruanmei began to fall in love. In fact, the animation part is more like a lollipop.

This candy affects every move of’ Cell Castle’. Roumei and Xiao Xiong begin to fall in love, and the castle is full of joy and sweetness. As we spend more time together, contradictions gradually emerge.

From the beginning, the dissatisfaction of perceptual cells with Xiao Xiong turned into the protest of all cells, and everyone began to ravage it crazily and throw sandbags at it. But it didn’t move. It didn’t change at all.

"Because love is deep, it will never crack."Cells think so, but in real love, many a mickle makes a mickle. No matter how deep the love is, it can’t resist the consumed love and patience. When this candy is really opened, it suddenly says "Break up".

Then there is really something wrong with this relationship. Back to the reality of the plot line, there are many points that Roumei cares about hidden around Xiao Xiong. It seems that so many things have happened, and Roumei was the last one to be informed, and she lost her sense of participation in this relationship.

Cell Jun also knows that when Ruanmei falls in love with Xiao Xiong, she is not the first, but no matter what happens, Xiao Xiong always puts herself first. This is the difference between two people, which is followed by no communication and no treatment, which is slowly shelved and finally broke up.

three

"There is no hero! There is only one protagonist in this place! "

The ending of the first season seems to be very sad, and the director seems to be deliberately arranging it. The beginning and end of their love affair are all in the same scene, with a beautiful picture and a silent one.

Roumei has been adapting to the reality that the other party has left for a long time. Different from the brokenhearted three years ago, she began to accept the fact, and the love cells didn’t sleep as long as they did three years ago.

The story focuses on the reality, and it seems that it is difficult for us to come out in the face of lovelorn love, just as the line says, "Why is it two people’s business to be together, and breaking up becomes one person to say it." Roumei took off the photo of Xiao Xiong in front of her desk, and when she passed by the place where she had been together, her footsteps would get heavier. Looking back on their sweet past, she would also think of the reasons for the split feelings and what it was.

Xiao Xiong’s self-centeredness, lack of attention to femininity, will not stand on her side for her consideration.

Not much to say, she thought she didn’t say, since the other party loves herself, why can’t she arrange a restaurant she likes?

So later, everything returned to the original point, and Ruanmei began a person’s life again.

In the picture of the story, it seems that it is no different from before, but in the end, this relationship is to let Roumei pull herself back to the first place and recognize that in life,I am the only hero.

There are so many dramas, and the core reason why this film is out of the circle is that the story itself fits the life of normal people.

It not only talks about love, but also provides some necessary survival skills for ordinary people in love: how to repel green tea, how to deal with contradictions, how to grow and how to make progress. I can see myself from the characters in the play, not grandiose and close to reality.

I have experienced her experience and felt her feelings.

Struggling in the workplace, maybe doing something you don’t like; I often work overtime, wishing my brain could turn faster; In order to buy shoes with clothes and choose bags for shoes, I spent too much and regretted it. I can’t sleep and always think, and my emotions come along the night; I know that eating too much supper will make me fat, but I still can’t help but open the refrigerator.

It’s rare for a love drama to be so real. It’s a bit of life, and it’s all reflected in the drama. It’s light, free and easy, and the picture feels closely following the rhythm of the plot. I want to brush it again quickly.

Then I look forward to the second season of "Gentle Cell Jun" next year, and I will make up the comics!

?

Emergency stop payment! Once the verification code is issued, 340,000 yuan will be gone.

Cctv news(Reporter Li Wenxue, reporter Gao Peng) On November 14th, a woman in Jiamusi City, Heilongjiang Province was defrauded by a liar posing as a public security inspector, and more than 340,000 yuan in her bank card was almost transferred to the other party. At the last moment, the police of Xiangyang Branch of Jiamusi City Public Security Bureau dissuaded and stopped it in time, so that it avoided heavy losses.

At 20 o’clock on November 14th, Ms. Wang went to Xilin Police Station of Xiangyang Public Security Bureau for help. According to Ms. Wang, at about 17 o’clock that day, a staff member who claimed to be a public security organ in Shanghai called to inform him that his identity card had been stolen by a fraud gang for fraud, and he needed to cooperate with the investigation and was equipped with an electronic confidentiality agreement.

The swindler asked Ms. Wang to use her mobile phone to download the mobile app sent by the other party, and then asked Ms. Wang to provide a bank card account number and password, and at the same time transferred all the funds in the remaining bank cards to the bank card, and asked Ms. Wang to keep it confidential and not allow outsiders to intervene. Ms. Wang listened to the other party and transferred the remaining funds in the bank card totaling more than 340,000 yuan to the bank card provided to the other party, and informed the other party of the bank card account number and password. Subsequently, the other party asked Ms. Wang to untie the bank card and ask for a verification password.
    At this time, Ms. Wang realized that she might be cheated and immediately went to the Xilin police station of Xiangyang Public Security Bureau for help. After being dissuaded by the police in time, Ms. Wang canceled the bank card unbinding verification code to be sent soon, and with the help of the police, frozen the bank card funds, so that the funds in the bank card could not be transferred out.
    Police tips:Public security organs will never use telephone to investigate and deal with so-called suspected crimes, bank card overdrafts and other issues, and there is no so-called "safe account". Don’t believe anyone who asks for bank transfer or remittance of deposits by phone or SMS, or claims to conduct fund review.

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

Spend money to eat prefabricated dishes in restaurants, who became a big injustice?

Titanium media note:This article comes from WeChat WeChat official account Netease Digital Reading (ID: datablog163), by Su Wanshui, authorized by Titanium Media.

After Luo Min, the originator of campus loan, invited Jerry and Fu Seoul to bring prefabricated dishes, the prefabricated dishes caused a new round of controversy. In mid-September, in the "Oriental Selection" live broadcast room, the founder of Zhigang think tank shouted that "prepared dishes are pig and dog food".

Prefabricated dishes, a term that has a sense of existence in this year’s public opinion field, refer to semi-finished dishes that are prepared in advance and can be eaten simply by heating or frying later.

Precast dishes have been blown to the air, and "kitchen black holes" have found "spring" for cooking, but some people have a slight complaint — — This kind of fast food, which runs counter to the traditional eating habit of focusing on freshness, will eventually make Chinese food lose its soul and change the taste buds of Chinese.

When consumers feel that life is surrounded by something, capital with a keen sense of smell must have swarmed, just like prefabricated dishes.

There is no doubt that in the past two years, the industry of prefabricated vegetables has really caught fire. According to NCBD data, in 2021, the scale of the prefabricated vegetable industry will exceed 300 billion [1], and even some institutions predict that it will be a trillion-dollar track [2].

Among the players in the pre-cooked food track, whether they are cooking home-cooked dishes, focusing on vegetables, focusing on seafood, western food or hot pot and other special dishes, or even doing supply chain, they are all favored by investment institutions.

According to our statistics, from 2021 to the first half of 2022, there were at least 56 investment and financing events of prefabricated vegetables, accounting for 17% of the 334 public financing events in the catering industry during the period [3] [4].

Among them, tens of millions of levels of financing are the mainstay, but there are also billions of dollars in business. For example, in March of this year, Lu Zhengyao, who left Ruixing, participated in the establishment of the Tip of the Tongue Hero, and received 1.6 billion Series B financing [5].

In January of this year, the Tip of the Tongue Hero was officially launched, claiming that it would open 5,000 stores this year. Although there were only over 400 stores in July, people from all walks of life always paid close attention to whether the Tip of the Tongue Hero could become a lucky star in the catering industry [6].

According to the statistics of China Chain Store & Franchise Association, the amount of financing flowing into the prefabricated vegetable industry in the past year and a half can account for 10% of the financing amount of the catering industry [7]. "Prefabricated dishes" can also be compared with "meta-universe" and "carbon neutral", and together with them, it will become the most concerned track for investment institutions in the first half of 2022 [8].

Capital is willing to invest, and provincial policies are also overweight. Under such a good environment, there are more players on the track, and the start-ups, transformations and cross-border competitions are on the same field. By April 2021, Weizhixiang was listed, and the "first stock of prepared vegetables" in A shares successfully ran out.

In the year of 2021, Weizhixiang achieved revenue of 765 million yuan, up 23% year-on-year, and at the same time, 133 million net profit was returned to the mother, up 6% year-on-year [9].

Making prefabricated dishes can really make money. In fact, Weizhixiang, whose market is concentrated in East China, has achieved double growth in revenue and net profit in recent years. In the first half of 2022, the operating income of Weizhixiang reached 378 million yuan, and the net profit returned to the mother increased by 14.58% year-on-year.

Like the tip of the tongue hero, Weizhixiang also focuses on retail channels. In the first half of 2022, there were 1,522 franchise stores and 645 cooperative dealers nationwide [10].

If you often go to the vegetable market, you may be familiar with Weizhixiang, because the retail channels of Weizhixiang are mostly distributed in various vegetable markets and farmers’ markets. It is in the vegetable market that the founders Xia Jing and his wife observed the pain points of office workers’ trouble in washing vegetables and made their fortune [11].

But at the same time, Wei Zhixiang is also trying to walk on two legs, expanding the business of wholesale and direct sales to catering enterprises, and selling half of the dishes to hotels, restaurants, etc. In the first half of 2022, the revenue of wholesale channels accounted for 26.35% [12].

This is because consumers’ buying habits of prefabricated dishes are still in the training stage, but the use of prefabricated dishes in restaurants has already matured.

In recent years, prefabricated dishes have caught fire, and many people have also appeared in their homes. But in fact, prefabricated dishes have already "invaded" chain restaurants.

"28 separation" is the actual situation of this industry — — The ratio of B-end market to C-end market is about 8:2. According to China Chain Store & Franchise Association, at present, more than 85% of the sales channels of prefabricated vegetables are concentrated in B-end [7].

In other words, most of the prepared dishes flow to the central kitchen of the restaurant, and after being processed by the central kitchen, the prepared dishes in the form of semi-finished products continue to be delivered to various stores and finally delivered to the diners’ tables.

In 2020, 68.3% of the chain catering brands with more than 10 stores are already using the central kitchen [13].

In the survey of China Chain Store & Franchise Association, the proportion of prepared food in some head Chinese fast food companies can be close to 100%, such as Kungfu, while the proportion of prepared meals in Xibei Youmian Village and Xiaonanguo has reached more than 85% [7].

Moreover, compared with in-house food, take-away food is the growth soil of prefabricated dishes, and meals can be served simply by stir-frying, so merchants can not worry about overtime. The braised pork rice or pickled fish you ordered for lunch is probably a heated frozen fast food.

Pre-cooked dishes, a standardized product, are a perfect match with chain restaurants that pursue scale and take-away industries that pursue timeliness. The chain rate of restaurants in China is increasing, and the proportion of online take-out industry in the catering industry will reach 21.4% in 2021.

It can be predicted that as chain restaurants and takeout become more and more common, diners will be more likely to eat prefabricated dishes.

Why are prefabricated dishes so popular with chain restaurants? The reason is that prefabricated dishes can help them achieve "reducing costs and increasing efficiency".

Through the central kitchen, we can ensure the uniformity of products and reduce the risk of quality control, and the speed of eating will be accelerated, and we can entertain more guests in fixed business hours, and the revenue will naturally increase.

On the other hand, using prefabricated dishes, the kitchen in the back of the store heats it up and simply stirs it, which eliminates the need for chefs to operate, and the required manpower is also reduced, which greatly saves labor costs.

According to the calculation of China Chain Store & Franchise Association, the labor cost of restaurants will be reduced from 22% to 10% before and after using prefabricated dishes. Although the cost of raw materials will increase to some extent, the overall profit will still increase.

If it is a takeaway, the kitchen area can be further reduced and the rent cost can be lowered.

High rent and high labor are two big problems in the catering industry, both of which are solved by prefabricated dishes.

No wonder jian li, the founder of Xin Spicy Road and the chairman of Xinliangji, published bold opinions on his short video account that "in the next 10 years, 90% of chefs will be killed by prepared dishes" and "in the next 10 years, 90% of restaurants must use prepared dishes" [14].

Under the domination of assembly line production, the role of Chinese chefs has indeed been greatly reduced. If the taste is good, the power will be vested in the preparers of prefabricated dishes, and only a small number of chefs can get this "honor", while a large number of ordinary cooks know how to turn on and off the fire.

China Newsweek once reported that a 45-year-old skilled chef lost his job because his owner chose a new location in a shopping mall that restricted the use of open flames. "It may only take two minutes to heat up the prefabricated material package in 5 yuan and sell it in 25 yuan. From this point of view, the boss really doesn’t need to raise me again "[15].

Catering enterprises reduce costs and increase efficiency, but consumers are not willing — — Isn’t it the original intention of us to go to the restaurant all the way to eat the fresh and hot dishes cooked by the chef, even if there are occasional flaws?

The taste of the prepared dishes is mostly the same, and diners eat too much, and they slowly taste the clues.

In the first half of this year, "the use of prefabricated dishes in take-out and in-house meals without telling customers" became a widely complained problem, and the China Consumers Association criticized it by name, pointing out that it damaged consumers’ right to know and choose [16].

In August this year, CCTV’s Tianxia Finance reported that over 80% of chain restaurants in Guangzhou use prefabricated dishes [17], while in Shanghai, the users of prefabricated dishes even include Michelin restaurants [18].

After hearing this, a group of gourmets were thunderstruck, and related topics on social media were filled with their anger and disappointment.

The hottest controversy is that "prefabricated dishes unify the taste of restaurants". As prefabricated dishes continue to "invade" restaurants, different restaurants taste the same and have no pot gas.

Some people accuse restaurants of eating too ugly, and consumers pay the price of fried food. As a result, they get cheap fast food on the heating line, which is obviously unacceptable to consumers.

Indeed, if you go out for a meal, you can’t eat fresh ingredients and the chef’s unique skills. Anyone feels that he is a "big injustice". To suffer such a crime, it is better to order takeout or make instant noodles by himself.

When it comes to family use scenarios, solitary people who have "one person to eat" are too lazy to cook or young couples who "support their feet" want to eat some new tricks, and they may not be able to make cheap, delicious and relatively healthy meals with the help of prefabricated dishes.

They are not cheap — — Over 70% of consumers will choose to buy pre-cooked dishes above 21 yuan, and more than 14% will spend more than 40 yuan.

And they may not be so healthy — — A 258-gram prefabricated dish contains more than 2600 mg of sodium, which is too high [19].

Of course, these security risks may be solved with the improvement of industry norms, and the categories and tastes of high, medium and low-end markets will be richer and the prices will be more reasonable.

The emergence of prefabricated vegetables is the product of market demand, and the pace of life in modern society is fast. It is really convenient for many "workers" who don’t have enough time to wash vegetables, chop meat and marinate for seasoning.

However, it has always been lamented that when one day, the family kitchen is deeply invaded and the catering industry is heading for assembly line production in an all-round way, private and fresh delicacies will decline, and the "mother’s taste" will be nowhere to be found. The non-standardized and attractive Chinese food has also been eroded by industrial civilization.

No one hopes that the next "eat drink man woman" will not have the eighteen martial arts of steaming, frying, boiling, stewing and stewing, which are pleasing to the eye of Lao Zhu, but only the fancy way of tearing the packaging bag of prefabricated vegetables; Or the next "Gourmet" doesn’t have golden wisps of Buddha clothes, roasted geese in Gankun, and ecstasy rice, but only pre-made barbecued pork rice with heating time in place.

References:

  • [1] Dining Collection. (2021). 2021— 2022 China Prefabricated Vegetable Industry Development Report.
  • [2] Ai Media Consulting. (2022). Research Report on the Development Trend of China Prefabricated Vegetable Industry in 2022.
  • [3] Dining Collection. (2022). 2021— Investment and Financing Report of China Catering Industry in 2022.
  • [4] Dining Collection. (2022). Panoramic development report of China catering industry in 2022. Retrieved 15 September 2022 from https://www.foodaily.com/articles/28152..
  • [5] Gao Huichao. (2022). Trillion prefabricated dishes ③ | Prefabricated dishes usher in a high-light moment, and in the future, enterprises will pay more attention to "basic skills. Retrieved15 September 2022 from http://www.21jingji.com/article/20220915/Herald/A0114D2B4959E192B4E38"
  • [6] Liang Pan. (2022). The first store closed, the franchisee was exposed to losses, and the tip of the tongue hero failed to cut into the prefabricated dishes? . Red Meal Industry Research Institute. Retrieved 15 September 2022 from https://mp.weixin.qq.com/s/2Jc_ZIBAr7Y2VxFGIHpaSA.
  • [7] China Chain Store & Franchise Association. (2022). 2022 China Chain Restaurant Industry Report.
  • [8] China Investment Research Institute. (2022). VC/PE report for the first half of 2022.
  • [9] Taste knows fragrance. (2022). 2021 Annual Report.
  • [10] Open source securities. (2022). Weizhixiang: The epidemic situation is slightly disturbed and the multi-channel layout has great potential — — — Company information update report.
  • [11] Zhang Qi. (2022). In-depth analysis of "the first stock of prefabricated vegetables": starting from selling vegetables, the annual revenue has exceeded 700 million yuan. Red Food Industry Research Institute. Retrieved 3 October 2022 from https://mp.weixin.qq.com/s/_sPZzyOM0ZiSA5wJUDFhQg..
  • [12] Taste knows fragrance. (2022). Announcement of main operating data for the first half of 2022.
  • [13] China Hotel Association. (2021). China catering industry annual report.
  • [14] jian li. (2022). Within 10 years, catering prefabrication is bound to be a trend. Tik Tok. Retrieved 3 October 2022 from https://v.douyin.com/6wpr6yc/..
  • [15] Hu Kefei. (2022). Chefs disappear in the kitchen. China Newsweek. Retrieved 15 September 2022 from http://www.inewsweek.cn/viewpoint/2022-01-10/14884.shtml..
  • [16] China Consumers Association. (2022). Analysis of complaints received by the National Consumers Association in the first half of 2022. China Quality News Network. Retrieved15 September 2022 from https://www.cqn.com.cn/ms/content/2022-08/03/content _ 8847697.htm.
  • [17] CCTV. (2022). Guangzhou, Guangdong: The proportion of prefabricated dishes used in chain restaurants is over 80%. Retrieved 15 September 2022 from http://tv.cctv.com/2022/08/05/Videjn1unhd39K281WKNK6J220805.shtml. 。
  • [18] Shanghai Legal News. (2022). Looking for "pot gas" in the restaurant, even the Michelin restaurant is full of prefabricated dishes? Retrieved 15 September 2022 from https://mp.weixin.qq.com/s? __biz=MzA5MzUwOTYzNQ==&mid=2649783388&idx=4&sn=6880b45d382ef1f20b7f354a2df03f3b.
  • [19] CCTV. (2022). Yunnan: Precast dishes go to the table, and doctors warn against excessive sodium. Retrieved 15 September 2022 from https://tv.cctv.com/2022/09/05/Videllwoofjcigwiy 3UV7H5n220905.shtml. 。

Plastic sisterhood! Look at the feud between Angela Zhang and Christine.

Angela Zhang; Angela Chang


1905 movie network news  Did you get hit by a melon provided by Angela Zhang this afternoon?


Christine, Angela Zhang

It is said that the feud between Angela Zhang and Christine has a long history, which may date back to 8 years ago. …


At that time, Angela Zhang and Christine, both of whom belonged to Fumao Record Company, were still related to each other. Christine was a fellow teacher and sister of Angela Zhang, but Angela Zhang got ahead.

111.jpg

Christine; Fan Fan

You know, Christine has always been Fumao’s "own daughter". In 2000, she debuted with the album "Fan Fan’s World", and with the rhythm of an album almost every year, she also won her place with her distinctive timbre and the appearance of an oxygen beauty. In 2006, she also challenged to be a variety show host. Although her hosting skills were lacking, the style of silly elder sister was also considered by the outside world as her "truth" and "simplicity" and became an example of high-quality idols at that time.

Angela Zhang; Angela Chang


However, Angela Zhang was not favored at the beginning of her debut, but with her wonderful performance in many idol dramas, the sweet and lovely Angela Zhang gained a lot of popularity and became the queen of idol dramas at that time. The songs performed in the play are also very popular, such as "Lost Beauty" and "Invisible Wings" … After that, many records and idol dramas made Angela Zhang quickly popular on both sides of the strait.

"if things" MV


In 2005, in order to "kiss his daughter" Christine, Fumao tied Angela Zhang and Christine, who were in the limelight, and a song "What If" was born. Later, under the arrangement of the company, the cooperation between the two people broke out frequently, which made this "plastic sisterhood" warm up.

Angela Zhang Christine’s early intimate photo.


But at that time, it seemed that the two were really like sisters, and their feelings were very good. No matter what the occasion, Angela Zhang takes Christine with him, and almost all the guests in each concert are Christine.

Christine (left)Claire Kuo (middle) Angela Zhang (right)


Under the fermentation of "sisterhood", Christine’s popularity has also been improved. Fumao seems to have enjoyed the benefits, and won the popularity of Claire Kuo through the influence of Angela Zhang and Christine.


However, during this period, there were rumors from time to time that Angela Zhang and Christine did not agree because of the "dispute of one elder sister".


Until 2008, Angela Zhang stopped work due to a heart attack and went back to Canada to recuperate. Later, Zhang’s mother broke the affair, and the mother and daughter broke the news that they had turned against each other and abandoned their foster care. During this period, Zhang’s mother also took all Angela Zhang’s savings, which was even more exciting than the dog blood drama.

Angela Zhang’s mother-daughter dispute farce


In the end, Angela Zhang held a press conference to announce that the fate of mother and daughter had ended, but Angela Zhang’s career was affected and plummeted.

Christine avoided the Angela Zhang incident.


When Angela Zhang experienced various changes, the so-called "good sister" Christine not only avoided Angela Zhang, but also poached Angela Zhang’s assistant Lv Danshui. The company also added fuel to the fire and caused a contract dispute.

The two were embarrassed on the same stage in 2010.


In 2010, although they sang the familiar melody again on the same stage, they were embarrassed to overflow the screen.

Christine isLv danshui is unfair.


In 2011, Angela Zhang and Fumao officially terminated their contract, and Christine sent a message for Lu Danshui, the assistant of her husband Chen Jianzhou, insinuating that Angela Zhang was not good to his assistant in Weibo. Although Angela Zhang also fought back, it did not arouse much splash because of the loss of popularity.

Angela Zhang responded.


The tables have turned, and 2015 is like being "lowered" for Christine, which is also the beginning of the collapse of Christine.

Christine is on the small S program.


Christine military parade basks in the baby to recruit black.


After giving birth, Christine was scolded by Xiao S when she was in Kangxi. She and Wu Peici formed a small team to crowd out herself and Da S, which made netizens feel that she was hypocritical and fickle. After digging a grave, she actually tore up the black history of Wu Peici, Christine, and the feud with Angela Zhang. In the same year, Christine also recruited a large amount of Bosnia and Herzegovina powder because she made a blog in the military parade. Afterwards, she responded, and everyone who saw it had to worry about her double business.

Record the same program


And when everyone thought that it was impossible for them to be on the same stage again, last year’s program "Masked Singers Will Guess" let them be on the same stage again. Although there was no confrontation, it was full of gunpowder.

Full of gunpowder


In September 2017, after the broadcast of the program, Angela Zhang wrote: "Everyone should have intimate friends, and the hypocritical world will get sick if it stays for a long time." Many netizens thought this was an allusion to Christine, but Angela Zhang quickly retorted that he was just expressing his feelings and didn’t target anyone. It was also after Angela Zhang made this wave of refutation that the fighting temporarily subsided for a while.

Angela Zhang responded.


It was also the wonderful performance of Angela Zhang in the program that made her return to everyone’s sight after years of silence, and accumulated popularity and popularity for the return. Bazaar Charity Night also seemed to unblock her hot search system.

Angela Zhang; Angela Chang


Recently, Angela Zhang’s wonderful performance in "The Singer" is also remarkable, and her own story sung in the program has caused netizens to dig up her old feud with Christine, so that Weibo in Christine has been cursing.

Weibo, Christine


User message


Christine also posted a blog suspected of responding to netizens’ claims: "With you, my mother is not afraid of anything." But it backfired, and was angered by netizens not to use children as a shield.


Mr. and Mrs. Chen Jianzhou Christine

The war of abuse that lasted for many days summoned Chen Jianzhou to the end, and there was also a hot search for [Chen Jianzhou’s domineering wife] yesterday.

Chen Jianzhou fabo


In the early morning of March 1, he showed a video of his wife Christine’s concert in Weibo and expressed his deep feelings: "I love your kindness and uncontested personality … and I like that even if you are wronged or even maliciously slandered, you never say bad words!"

Netizen left a message insulting.


However, it was abused by netizens, and Chen Jianzhou even launched a "battle" with netizens in his comments.

Chen Jianzhou calls for rejection of cyber violence


And from the early morning to the evening, I am not only busy protecting my wife, but also calling for "rejecting cyber violence."

Christine Weibo lower control review


Also in Christine’s Weibo comment area for control and evaluation maintenance.


Angela Zhang updateMeaningful, Weibo

Just at noon today, when the hot search cooled down, Angela Zhang sent out a meaningful Weibo, which caused a hot discussion among netizens: "Black and white dogs don’t scream for attention. Shh ~ Mom went to work and will come back to see you soon."

Angela Zhang sun-dried dog


The people who eat melons found that this Weibo is not simple … This is a … sun-dried dog. …


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

Bulletin of the Ministry of Education on the investigation and handling of illustrations in primary school mathematics textbooks of People’s Education Publishing House

  CCTV News:According to the website of the Ministry of Education, in May 2022, the illustration of the eleventh set of primary school mathematics textbooks by People’s Education Publishing House (hereinafter referred to as People’s Education Press) was widely concerned by the society. The leading party group of the Ministry of Education attached great importance to it, and set up an investigation and disposal working group headed by the leading comrades of the leading party group and deputy heads by two members of the leading party group. By interviewing relevant personnel, reading original materials, listening to the opinions of experts in mathematics, ideological politics and art, and soliciting the opinions of front-line mathematics and art teachers, it conducted a serious investigation and verification. The relevant information is hereby notified as follows:

  After investigation, there are three main problems in textbook illustrations. First, it is not beautiful and upward, and there is a gap with the fundamental requirements of Lide Shuren. The overall painting style does not conform to the aesthetic habits of the public, and some illustrations are ugly and have poor mental outlook, which does not properly reflect the sunny and upward image of children in China. Second, it is not serious and standardized, and some illustrations even have errors. There are too many illustrations, some of which have low professional standards, and some illustrations have scientific and normative problems. Third, it is not meticulous and accurate, and some illustrations are easy to be misunderstood. Some illustrations are sketchy, some lines are poorly drawn and elements are improperly selected, and the proportion of pictures is not harmonious. At the same time, it is also found that some illustrations of problems spread on the Internet are not illustrations of primary school mathematics textbooks of People’s Education Society, and relevant departments have included them in comprehensive investigation and rectification.

  After investigation, the People’s Education Society, as a textbook compilation unit, did not fully and thoroughly implement the relevant decision-making arrangements of the central government, and did not fully understand the educational function of illustrations in textbooks. The selection system of illustrators was not perfect and standardized, the implementation of the system of three examinations and three schools in textbooks was not strict, the internal error correction system was not perfect, readers’ opinions were not taken seriously, and the problems existing in illustrations were not carefully investigated and rectified in time. When organizing experts to carry out textbook review, the Textbook Bureau of the Ministry of Education lacked guidance and supervision, and did not supervise the investigation and rectification of textbook problems.

  After investigation, it is not found that there is a problem of economic benefit transmission between the relevant personnel of PEP, the illustrator Wu Yong and the general consultant of the overall design art of teaching materials Lv Jingren.

  依据《中国共产党问责条例》《中国共产党纪律处分条例》《中华人民共和国公职人员政务处分法》等有关规定,对有关单位及27名失职失责人员进行严肃追责问责,具体如下:

  责令人民教育出版社党委整改,并予以通报批评;给予人民教育出版社党委书记、社长黄强党内严重警告、记大过处分;给予总编辑、时任党委书记郭戈党内严重警告、记大过处分,免职处理;给予分管负责人党内严重警告、记大过处分,免职处理;给予小学数学编辑室主要负责人党内严重警告、记过处分,免职处理;给予其他17人相应纪律处分和组织处理。责令教育部教材局整改,并予以通报批评;给予局长田慧生党内警告、记过处分;给予分管负责人等5名相关人员相应纪律处分和组织处理。

  对插图作者、设计人员作出相应处理,不再聘请吴勇、封面设计吕旻、吕敬人及其工作室从事国家教材设计、插图绘制等相关工作。

  衷心感谢社会各界对教材工作的关心、批评与监督。教育部将坚持和加强党对教材工作的全面领导,不断健全完善并严格执行教材编制、审查、使用、维护、监管各环节相关制度,确保教材建设始终坚持正确政治方向和价值取向,切实打造培根铸魂、启智增慧、适应时代要求的精品教材。  

He ‘nan Province Co-ordinates the Press Conference on Prevention and Control of Infection in Covid-19

  Conference video

  At 10: 00 on January 9, 2023, the Information Office of the Provincial Government held a press conference on the prevention and control of Covid-19 infection in Henan Province.

  Release content: Introduce and interpret the specific situation of implementing the "Class B and B Management" measures for novel coronavirus infection around "protecting health, preventing severe illness, strengthening treatment and providing excellent service", and answer the questions concerned by the media.

  Published by:

  Kanquancheng Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Party Secretary and Director of the Provincial Health and Wellness Committee

  Yao Yanling first-class inspector of the Provincial Department of Industry and Information Technology

  Member and Deputy Director of the Party Group of Meng Lingwu Provincial Civil Affairs Department

  Liu Baocang, deputy director of the Agricultural Office of the Provincial Party Committee, member of the Party Group and deputy director of the Provincial Department of Agriculture and Rural Affairs.

  Second-level inspector of the Department of Transportation of Cuimei Province

  Director of Hao Yibin Provincial Center for Disease Control and Prevention

  Ping Ping, Deputy Director of Propaganda Department of Provincial Party Committee and Director of Information Office of Provincial Government

  Ladies and gentlemen, friends from the media,

  Hello everyone! Welcome to the press conference held by the Information Office of Henan Provincial People’s Government.

  At present, the epidemic prevention and control of COVID-19 in China has entered a new stage. Since January 8, 2023, novel coronavirus infection has been treated with "Class B and B management". Facing the new situation and new tasks, the provincial party committee and the provincial government attach great importance to it, emphasizing the need to thoroughly implement the important instructions of the important speech of the Supreme Leader General Secretary on epidemic prevention and control, adhere to the people first, put life first, and make every effort to do a good job in epidemic prevention and control in the new stage in accordance with the requirements of "keeping health, preventing severe diseases, strengthening treatment and providing excellent services" and fully safeguard the health and safety of the people. In order to let everyone fully understand the relevant work, today, we held a press conference here, focusing on introducing and interpreting the overall situation of Covid-19’s prevention and control of infection, and answering media concerns.

  First of all, let me introduce the publisher who attended today’s press conference:

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Mr. Kan Quancheng, Party Secretary and Director of the Provincial Health and Wellness Committee;

  Mr. Yao Yanling, first-class inspector of the Provincial Department of Industry and Information Technology;

  Mr. Meng Lingwu, member of the Party Group and Deputy Director of the Provincial Civil Affairs Department;

  Mr. Liu Baocang, deputy director of the Agricultural Office of the Provincial Party Committee, member of the Party Group and deputy director of the Provincial Department of Agriculture and Rural Affairs;

  Ms. Cui Mei, the second inspector of the Provincial Department of Transportation;

  Mr. Hao Yibin, Director of the Provincial Center for Disease Control and Prevention.

  Next, please give Mr. Kan Quancheng a briefing.

Kan

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Secretary of the Party Group and Director of the Provincial Health and Wellness Committee.

  Dear media friends:

  Hello everyone! Since the outbreak of the COVID-19 epidemic, under the strong leadership of the CPC Central Committee with the Supreme Leader as the core, the provincial party committee and government have always adhered to the principle of putting people first and life first, resolutely implemented the major requirements of "preventing the epidemic, stabilizing the economy and ensuring safe development", United and led the whole province to effectively coordinate the epidemic prevention and control and economic and social development, and optimized the prevention and control measures and improved the prevention and control capabilities in light of the epidemic development situation in different periods and stages. It has formed a series of effective prevention and control policy systems, firmly grasped the initiative in the fight against the epidemic, protected people’s lives and health to the greatest extent, and minimized the impact of the epidemic on economic and social development.

  According to the unified arrangements of the CPC Central Committee and the State Council, since January 8, 2023, novel coronavirus infection has been adjusted from "Class B A tube" to "Class B tube". For the prevention and control of the epidemic in the new stage, the provincial party committee and the provincial government attach great importance to it and plan it as early as possible. Secretary Lou Yangsheng has given instructions for many times, made a special judgment and consultation, and clearly put forward the work requirements of "protecting health, preventing severe diseases, strengthening treatment and providing excellent services", and studied and formulated a series of prevention and control measures for optimization and adjustment; Governor Wang Kai made many field investigations and video scheduling, and made work arrangements. The provincial epidemic prevention and control headquarters issued the "Implementation Measures for Implementing the" Class B and B Management "of novel coronavirus Infection", so as to guide the demand for medical treatment in an orderly manner, fully protect the people’s demand for medical treatment, and ensure the overall social stability. The main work is as follows:

  First, adjust and optimize the command system. According to the development of the situation and the change of tasks, the provincial epidemic prevention and control headquarters has adjusted its organizational structure to "one running nine special classes": the provincial health and wellness commission undertakes the daily work of the provincial prevention and control office, and implements daily research and scheduling and weekly monitoring and analysis; Set up nine special classes for medical treatment, medical materials supply, rural areas, monitoring and judgment, transportation, education, civil affairs, women and children, and safety and stability, implement special personnel to take charge of it, and link joint prevention and control to play the roles of medical care, supply, smoothness, stability, security and demand. Adhere to the "provincial overall planning, city dispatching, county and township implementation", implement the regional coordination mechanism in the province, and connect with the provincial guidance group, further improving the working mechanism of overall planning and up-and-down linkage in the province.

  Second, closely monitor the epidemic situation. According to the community monitoring data, as of January 6, 2023, the infection rate in Covid-19 was 89.0%, including 89.1% in urban areas and 88.9% in rural areas. At this stage, the most prevalent strain is Omicron BA.5.2 mutant. From the data of fever clinic, the number of patients reached a peak on December 19th, 2022, and then showed a continuous downward trend. According to the comprehensive judgment, our province has successfully passed the peak of the epidemic and achieved a smooth and orderly transition. It is estimated that by the end of this month, the number of new infections per day will remain at a low level.

  Third, do a good job in classified medical treatment. The first is to grasp the first diagnosis. All the 942 hospitals above the second level in the province have fever clinics, and all the 2556 township hospitals and community health service centers have fever clinics (outpatient clinics), so that they should be set up and open all the time, and receive consultations 24 hours a day to ensure that the people can get medical treatment in time when they are nearby. The second is to grasp the treatment. Hospitals above the second level open all campuses, wards, wards, and treat patients with Covid-19 infection, so as to collect all the receivables and cure them. Improve the linkage mechanism between outpatient and emergency departments and wards, and give priority to high-risk patients. As of January 7, the utilization rate of beds in hospitals above the second level in the province was 94.95%, and the utilization rate of critically ill beds was 82.35%. There was no serious medical run. The third is to grasp the emergency department. Establish a graded response mechanism of emergency command center, and take measures such as reforming the command and dispatch system, expanding lines, adding dispatching seats, increasing the reserve of dispatchers, and classifying emergency calls to ensure the smooth flow of emergency service hotline. The answering rate of emergency calls in 10 seconds in the province is 98.6%, and the leaving rate in 3 minutes is 99.5%. The fourth is to grasp security. Give full play to the role of Internet hospitals, conduct online consultation, send medicines free of charge, and provide convenience services through multiple channels to meet the needs of the masses. In the case of increasing infection and decreasing flow of people, we have actively organized party and government organs, enterprises and institutions to donate blood for free, and the blood reserve for clinical use has reached 7 days.

  Fourth, efforts should be made to strengthen health services in rural areas. According to the deployment of the video dispatching meeting of the provincial party Committee on rural epidemic prevention and control, we will earnestly achieve "five full coverage". First, the fever clinic is fully covered in rural areas. All community and rural medical and health institutions accept patients with fever, accounting for more than 90% of the patients. The second is the full coverage of symptomatic treatment drugs. Explore the promotion of drug distribution directly to the countryside, and dynamically reserve Chinese medicine, antipyretic and cough-relieving drugs, antigen detection kits in township hospitals and village clinics to ensure the right medicine and standardized medication. The third is the full coverage of the door-to-door consultation of special people. Implement grid management, find out the health status of the elderly, pregnant women, left-behind children and other groups with basic diseases, and provide health monitoring, medication guidance, antigen testing and other services through telephone, video and offline follow-up to ensure that care and warmth are sent to the hearts of the masses. The fourth is the security coverage of the third-level hospital. Delineate the scope of responsibility of tertiary general hospitals (including traditional Chinese medicine hospitals), implement lump-sum responsibility, clarify and smooth the green channel for referral, and treat severe and critical patients. 425 secondary and tertiary hospitals provide counterpart support to township health centers, and 6,390 doctors are assisted by stationing or visiting clinics to guide the medical treatment and classified health services of township health centers on the spot. Fifth, the patriotic health campaign covers all urban and rural areas. Innovatively carry out the "one science popularization and six actions", further promote urban and rural environmental sanitation management, guide the broad masses of people to enhance their awareness of protection, develop good hygiene habits, build a healthy defense line, and be the first person responsible for their own health. The health literacy level of residents in the province has reached 29.37%.

  At present, with the approach of the Spring Festival, the flow of people has increased, and the number of returnees has increased. The prevention and control of epidemic situation should continue to be strengthened. We will thoroughly implement the decision-making arrangements of the provincial party Committee and the provincial government, fully implement the overall plan of "Class B and Class B Management", resolutely stick to the bottom line of medical treatment, earnestly safeguard people’s health and safety, and provide a strong health guarantee for the province’s economic and social development.

  Let me introduce these first, thank you!

  Ping Ping, Deputy Director of Propaganda Department of Provincial Party Committee and Director of Information Office of Provincial Government

  Thank you, Director Kan, for your detailed release! Next, please ask the reporter friends to ask questions. As a rule, please inform the news organizations you represent before asking questions.

  People’s Daily People’s Daily reporter

  As mentioned in the release just now, at this stage, we should focus on "protecting health, preventing severe illness, strengthening treatment and providing excellent service". What specific measures have Henan taken to expand medical treatment resources and strengthen medical treatment? Thank you.

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Secretary of the Party Group and Director of the Provincial Health and Wellness Committee.

  Thank you for your concern about the medical treatment of Covid-19 infection. The focus of epidemic prevention and control in the new stage lies in medical treatment. Although the current peak of infection has passed, it is still at the peak of severe treatment. The Provincial Health and Wellness Committee co-ordinates the medical treatment resources in the province, highlights the "three key points" (namely, rural areas, pension and social welfare institutions, and elderly people with serious basic diseases), and goes all out to do a good job in medical treatment to ensure a smooth transition of epidemic prevention and control.

  First, do everything possible to expand critically ill beds. Hospitals above the second level in the province tap the internal potential, and adopt measures such as strengthening the establishment of new wards, emergency addition of respiratory wards, emergency extra beds in various wards, and transformation of ordinary wards into severe wards to expand the total beds and intensive care beds. From December 10, 2022 to January 7, 2023, the total number of beds in hospitals above the second level in the province increased from 393,301 to 545,119, and the number of ICU beds increased from 13,635 to 21,771, which provided a strong guarantee for medical treatment.

  Second, many channels purchase much-needed equipment. The provincial government urgently allocated 600 million yuan for medical institutions to expand critically ill beds and purchase urgently needed equipment by means of awards instead of subsidies. There CRRT 7,750 original invasive ventilators, 1,166 new ones and 1,932 new ones, 4,585 original noninvasive ventilators, 674 new ones and 1,141 new ones, 71,592 original monitors, 3,612 new ones and 4,649 new ones, and 2,645 original high-flow oxygen inhalers, 1,000 new ones and 1,765 new ones.

  Third, systematic and efficient training of medical staff. Organized provincial experts in critical care medicine, respiratory medicine, emergency medicine, pediatrics, neonatal intensive care, clinical nutrition and rehabilitation medicine to produce 59 special training courses with a cumulative duration of 1,727 minutes, and conducted online training through the platform of medical and health newspapers and Henan appointment registration platform. After training, medical staff from other departments in medical institutions supported respiratory department, infectious department and intensive care department, and the number of medical staff in intensive care increased from 26,134 to 33,171.

  The fourth is to coordinate and treat critically ill patients. According to the principle of zoning, all localities and cities delimit the scope of responsibility for each tertiary general hospital, which is responsible for treating the elderly patients with Covid-19 infection. At the same time, a special class for dispatching critically ill patients was set up to grasp the daily medical conditions, inpatients, critically ill patients and other data of medical institutions above the second level in the jurisdiction in real time, and accurately dispatch the hospitalization and transfer of critically ill patients to ensure that all receivables are collected and all should be cured.

  The fifth is to comprehensively carry out guidance and consultation. Seventeen medical treatment guidance groups were set up, and 68 provincial experts were organized to go to various places, and went deep into 59 counties, 104 medical institutions above the second level, 64 county-level hospitals, 82 township hospitals and community health service centers, 77 village clinics, 30 pharmacies, 31 nursing homes and social welfare institutions, and 3 municipal emergency medical rescue command centers, focusing on the treatment of critically ill patients. Establish a provincial expert consultation mechanism, arrange provincial experts in critical illness, respiratory, traditional Chinese medicine and other related disciplines to rotate in groups, provide remote consultation services online, give technical guidance to the treatment of complex critical cases at the grassroots level, and improve the standardized and homogeneous treatment level of severe patients.

  Sixth, give full play to the role of traditional Chinese medicine. A 93-member expert group on TCM treatment was set up to optimize the TCM treatment plan, improve the treatment process, and strengthen the province’s TCM treatment guidance and coordinated intensive consultation between Chinese and Western medicine. At the same time, we have done a good job in the treatment of Chinese medicine at the grassroots level. At present, we have completed 150,000 online trainings on Chinese medicine treatment. We will promote the storage of major Chinese medicines in various places, encourage hospitals to develop Chinese medicine preparations, and promote 76 Chinese medicine preparations throughout the province to fully protect the people’s demand for Chinese medicine services. thank you

  Xinhua news agency reporter

  Drugs for treatment in COVID-19 have always been a common concern and an important link in epidemic prevention and control. It is understood that the first domestically produced COVID-19 oral drug, Azvudine, was independently developed by Henan enterprises and its production base is in Henan. In the face of the current contradiction between supply and demand of drugs, how can Henan do a good job in ensuring the production of Azif tablets? thank you

Yao

  Yao Yanling, first-class inspector of the Provincial Department of Industry and Information Technology

  Thank you for your question. After the approval of the application for registration of azvudine tablets to increase the treatment indications in COVID-19, whether the drug can meet the national market demand under the current situation of epidemic prevention and control has become a common concern of the public. Azvudine tablet is the first domestic oral small molecule Covid-19 pneumonia drug officially approved for marketing. It was jointly developed by the research team of Professor Chang Junbiao, a Henan scientist, and Henan Real Biotechnology Co., Ltd., and completed the phase III clinical trial against Covid-19 in May 2022, and was approved for conditional marketing by National Medical Products Administration on July 25th. The production of this drug involves two main links: bulk drug and preparation tabletting. Among them, the raw material medicine is produced by Xinxiang Pharmaceutical, and the preparation tablet has now formed a large-scale production base consisting of Pingdingshan production base, Peking Union Medical College and China Resources Shuanghe, and has distributed 8.53 million copies of azithromycin tablets, with an inventory of 2.07 million copies.

  The provincial party committee and government attach great importance to the production guarantee work of Azfuding. Lou Yangsheng, secretary of the provincial party committee, and Wang Kai, governor of Azfuding, have listened to the work reports and made instructions for many times, and put forward clear requirements. Before the drug went on the market, our province set up the Azvudine production guarantee special class led by the provincial government, with the participation of the provincial department of industry and information technology, the provincial health and wellness commission, the provincial food and drug administration and other relevant departments and bureaus, and the Pingdingshan municipal government and Xinxiang municipal government, and carried out the whole process and whole chain scheduling around the marketing permission, production preparation, factor deployment, expansion plan, etc., so as to help and coordinate and solve the difficulties and problems encountered by Xinxiang Pharmaceutical, a real biological and Azvudine raw material drug manufacturer. After the promulgation of the "New Ten Articles" for national epidemic prevention and control, the Provincial Department of Industry and Information Technology presided over a dispatch meeting for key enterprises such as Real Biology and Xinxiang Pharmaceutical to mobilize enterprises to increase production and supply, prompting them to cope with the peak of drug use. On December 16, they organized a factory-based working group to enter the factory to provide services, comprehensively solve various problems encountered by enterprises, and help enterprises reach full production as soon as possible.

  In the face of the current shortage of azvudine tablets, Real Bio has started full-load production 24 hours a day, without stopping work on holidays. With the strong support of the Provincial Health and Health Commission and the provincial drug supervision department, the existing three manufacturers have fully expanded their production and increased production, and on this basis, two new production bases of preparation tablets, such as Xinxiang Changle Pharmaceutical, have been added, and the production capacity of finished preparations has been comprehensively improved. It is estimated that the daily output will be close to 1.5 million in the second half of this month, which can basically meet the needs of severe treatment. Xinxiang Pharmaceutical Factory has a certain stock of raw materials. By the end of January, it can continue to supply 783kg of raw materials (21.92 million finished products can be produced), which can meet the needs of five finished pharmaceutical factories for tablet pressing. It is estimated that the stable production will exceed 1500kg per month by February (42 million finished preparations can be produced).

  In the next step, we will strengthen cooperation with health departments, drug supervision departments, Pingdingshan Municipal Government and Xinxiang Municipal Government according to the deployment of the joint prevention and control mechanism of the provincial party committee, the provincial government and the State Council, relying on the special class of production guarantee for the key drug azifudine, and jointly solve related problems such as raw material supply and approval for capacity expansion. At the same time, relying on the in-factory service working group of the Ministry of Industry and Information Technology, we will strengthen the research and dispatch, provide capital, employment and other factors for production enterprises, help enterprises complete production tasks with good quality and quantity, ensure the stable supply of finished drugs and raw materials of azithromycin tablets, and contribute to building a barrier for epidemic prevention and control and protecting people’s health. Thank you!

  Henan Daily reporter

  The elderly are the key protection targets in epidemic prevention and control. What measures have been taken by the Provincial Health and Wellness Committee for the elderly population? Thank you.

  Director of the Office of the Provincial Epidemic Prevention and Control Headquarters, Secretary of the Party Group and Director of the Provincial Health and Wellness Committee.

  Thank you for your question. We always adhere to the people first and life first, and regard the elderly as the key protection object of epidemic prevention and control from beginning to end. After the epidemic prevention and control has entered a new stage, it is mainly to promote the "gateway forward", strengthen health management services by classification and grading, and protect people’s health and life safety to the greatest extent.

  The first is to find out the base. To conduct a comprehensive survey on the health status of the elderly over 65 years old, and divide them into three categories, namely, high-risk population, medium-risk population and low-risk population, which are marked as red, yellow and green respectively, according to the factors such as their combined basic diseases and vaccination. As of January 7th, 12,834,200 people have been investigated in the province, including 1,007,900 high-risk people, accounting for 7.85%. There are 2,450,700 people at middle risk, accounting for 19.10%; The low-risk population is 9,375,600, accounting for 73.05%.

  The second is to speed up vaccination. Take measures such as mobile vaccination vehicles entering the community, entering the old-age care institutions, and going to the countryside to enter the village to accelerate the vaccination of the elderly. As of January 7th, 13,720,200 people aged 60-79 in the whole province had been vaccinated, with a vaccination rate of 98.49%, and 10,806,300 people had been strengthened with a vaccination rate of 93.58%. People over 80 years old were vaccinated with 1,549,800 people in the whole process, with a vaccination rate of 93.25%, and 908,200 people were strengthened with a vaccination rate of 80.27%, which is at the leading level in the country.

  The third is to strengthen health management. Relying on the 32,000 family doctors and 110,000 village doctors in the province, the high-risk population was followed up three times a week and the middle-risk population was followed up twice a week by means of telephone, WeChat, video and home visit. Follow-up health monitoring, medication guidance and consulting services for key populations, implement early intervention and strengthen early identification. Once the symptoms related to COVID-19’s infection are found, they should be referred to the doctor immediately to prevent serious illness.

  The fourth is graded medical treatment. Township hospitals and community health service centers are generally able to carry out oxygen therapy services. Zhengzhou, Luoyang, Nanyang, Zhoukou, Luohe, Hebi and other places have transformed some nucleic acid huts into fever clinics to facilitate residents to seek medical treatment nearby. At the same time, relying on the medical community to do a good job of grading diagnosis and treatment, and establish a referral and transfer mechanism for critically ill patients. For elderly patients with severe tendency, they are directly referred to a general hospital at or above the second level.

  In the next step, we will continue to take the elderly as the focus of epidemic prevention and control, adhere to the principle of "early detection, early identification, early intervention and early referral", give full play to the role of comprehensive management of grassroots organizations and professional services of grassroots medical and health institutions, further strengthen the health management and medical service guarantee of key populations, and strive to maintain health, prevent serious illness and reduce illness and death. Thank you.

  China news service reporter

  We know that the old-age care institutions, social welfare institutions and children’s welfare institutions are all elderly people, children and disabled people, and they belong to high-risk susceptible groups. I would like to know how the civil affairs departments arrange the deployment of epidemic prevention and control in these special places. Thank you.

first month of a season

  Meng Lingwu, member and deputy director of the Provincial Civil Affairs Department.

  Thank you for your concern for these special groups. There are 4,069 old-age care institutions (including social welfare institutions) and 36 children’s welfare institutions managed by the civil affairs departments of the province, including 138,000 elderly people and 3,624 children. Since the release of the "New Ten Articles" of the epidemic prevention and control policy, we have focused on strengthening the closed-loop management of "one old and one small" institutions, ensuring medical treatment and medication, and accelerating vaccination. The "one old and one small" institutions are relatively less affected by society, and the epidemic prevention and control situation is stable. There are four main measures taken:

  The first is to comprehensively arrange deployment. Three-level special classes have been set up in the province, and civil affairs classes for epidemic prevention and control have been set up at the provincial level. At the city and county levels, special working groups led by government leaders in charge of civil affairs, and responsible comrades of civil affairs, health care, disease control and other units have been set up. The civil affairs system has set up a special class for "daily dispatch", issued nine guiding opinions, and clarified various measures such as medical security and vaccination. Dispatch and deploy regularly, and put forward 13 measures. The implementation of departmental leadership package supervision, daily scheduling since New Year’s day.

  The second is strict closed-loop management. Specially, the work measures after the "second-class and second-class management" in the old-age care institutions were optimized and adjusted, and the workflow of changing shifts of staff, newly admitted elderly people and returning to the institutions after medical treatment was refined. For example, institutions with conditions are encouraged to provide accommodation, and staff members live in old-age care institutions. For those who really need to rotate their posts, the shift-changing staff will be changed at least 14 days, and the shift-changing staff will provide negative proof of antigen test (or nucleic acid test) twice within 48 hours before taking up their posts. At the same time, strictly implement physical and environmental protection measures to reduce risks from management.

  The third is to refine the safeguard measures. Strengthen requirements for key links such as medical security, drug security and vaccination. In terms of medical security, it is clearly required that each old-age care institution should dock with a designated hospital at or above the second level, and establish a transshipment mechanism to directly refer the elderly at high risk in the old-age care institution to a tertiary general hospital once they are infected. At present, all institutions have established docking mechanisms and comprehensively improved emergency plans. In terms of material security, it is clearly required to treat the epidemic prevention medical materials of old-age care institutions and social welfare institutions as medical institutions and give priority to protection; Free distribution of antigens to the elderly at a frequency of not less than twice a week. The province has solved 868,000 pieces of medicines and materials for "one old and one small" institutions. In terms of vaccination, we take daily reports and send reminders to speed up the progress. The vaccination rate of the elderly without contraindications in the old-age care institutions in the province reached 97%, and the whole vaccination rate was 88.6%. Among them, the vaccination rate under 80 years old is 99.8%, and the whole vaccination rate is 93.3%.

  The fourth is to actively solve problems. This year, we allocated 17.78 million yuan from the welfare lottery public welfare fund to purchase equipment subsidies such as epidemic prevention materials for old-age care institutions. All localities can purchase epidemic prevention equipment such as automatic thermometers, ultraviolet sterilizers and spray sterilizers, and epidemic prevention materials such as protective clothing, goggles and N95 masks. Together with eight departments, including finance, we have issued supporting policies to promote the recovery and development of the aged care service industry, and put forward 10 supporting measures, such as issuing temporary relief subsidies and reducing deferred rent. Jiaozuo, Kaifeng, Hebi and other cities distributed health kits, antigens, protective clothing and other materials to the old-age care institutions to help alleviate the difficulties of epidemic prevention.

  After the "Class B Management", the "one old and one small" institutions will face the risk of infection in contact with the society. As the Spring Festival approaches, the prevention and control of epidemic situation in old-age care institutions in rural areas still needs attention. In the next step, the Provincial Department of Civil Affairs will attach great importance to the work of "early detection, early identification, early intervention and early referral" of infected persons in "one old and one small" institutions, effectively bring the old-age care institutions into the relevant working mechanism of "moving forward", coordinate the health and disease control departments to support the old-age care institutions to do a good job in prevention and emergency response, urge and guide the old-age care institutions to conscientiously implement relevant measures, and strengthen the dynamic service and "gateway" for key people in rural old-age care institutions. Thank you.

  Henan TV reporter

  The prevention and control of rural epidemic situation has always attracted everyone’s attention. We know that in order to do a good job in epidemic prevention and control in rural areas, our province has set up a special class for epidemic prevention and control in rural areas. I would like to know what work is mainly carried out to strengthen epidemic prevention and control and health services in rural areas at present and in the future. Thank you.

a state in the Zhou Dynasty

  Liu Baocang, deputy director of the Provincial Agricultural Office, member of the party group and deputy director of the Provincial Department of Agriculture and Rural Affairs.

  Thank you for your attention to our work. Our province attaches great importance to the prevention and control of epidemic situation in rural areas, and has established a special class for epidemic prevention and control in rural areas, which is responsible for the implementation of work responsibilities, the coordination of epidemic prevention policies, and the mobilization of grassroots organizations.

  First, establish a five-level secretary to grasp the prevention and control mechanism of rural epidemic situation. Conscientiously implement the requirements of epidemic prevention and control in rural areas throughout the country, make overall planning in the province, dispatch in the city, implement in counties and villages, compact responsibilities at different levels, and do a good job in the current epidemic prevention and control in rural areas. At present, cities and counties have established special classes for epidemic prevention and control in rural areas, which work under the epidemic prevention and control command at the same level to promote the implementation of key tasks. Give full play to the role of the village party organization as a fighting fortress and the vanguard and exemplary role of party member, and weave a "safety net" for epidemic prevention and control by using grid management, refined service and information support.

  Two, the development of rural epidemic prevention and control work guide. Guide rural areas to do a good job in epidemic prevention and control and health services during the Spring Festival, strengthen daily health services around "protecting health, preventing severe diseases, strengthening treatment and providing excellent services", orderly channel the demand for diagnosis and treatment, guide the masses to make the first visit at the grassroots level, highlight the management of key populations, the prevention and control of epidemic diseases in key institutions, and the treatment of severe patients, do a good job in ensuring people’s medication, improve epidemic prevention and control measures in rural areas, strengthen the implementation of prevention and control responsibilities, and accelerate the construction of health defense lines for rural permanent residents and returnees.

  Third, strengthen the information dispatch of key rural populations. Establish an information system, dispatch the work data of health care, civil affairs, people’s society, disabled persons’ Federation and other departments, and do a good job in information collection and entry, so as to provide a basis for judging the epidemic situation and solving practical problems. At present, the special classes at the city and county levels have mainly carried out the dispatch of 20 indicators, such as the number of elderly people aged 60 and over in rural areas, the number of elderly people aged 65 and over with basic diseases, the number of disabled people, the number of blood oxygen monitoring equipment in village clinics and the number of people vaccinated in Covid-19.

  Fourth, do a good job in publicity services for rural personnel before and after the Spring Festival. Use a variety of publicity methods to publicize epidemic prevention and control policies and personal prevention and control knowledge. Promote scientific and rational understanding of Covid-19 and vaccination, and guide vaccination. Actively advocate the new style of festival civilization, and conduct public activities and dinners in an orderly manner. Strengthen the service management of rural gatherings, temple fairs, weddings and funerals and other gathering activities. Continue to carry out village cleaning operations, focus on toilet revolution and garbage and sewage treatment, do a good job in sanitation, epidemic prevention, disinfection and general cleaning, and create a clean and tidy holiday environment in the countryside.

  In the next step, we will conscientiously implement the arrangements of the provincial party committee and the provincial government, strengthen coordination and linkage, refine work measures, pay close attention to the implementation of tasks, and safeguard the health of farmers and the normal production and living order in rural areas to the greatest extent. Thank you.

  Dahe daily reporter

  Recently, many relatives and friends around me have been "Yang Kang". It is said that there is still the possibility of reinfection after "Yang Kang". How to protect after "Yang Kang", try to avoid reinfection, and how to distinguish between "Yang Rehabilitation" and reinfection? In addition, the Spring Festival holiday is coming, and Spring Festival travel rush has already begun. What should you pay attention to when you return home and travel during the Spring Festival? Thank you.

a surname

  Hao Yibin, Director of the Provincial Center for Disease Control and Prevention

  Thank you for your question. Compared with other mutants before, Omicron mutant has enhanced its spreading ability and immune escape ability, but according to epidemiological research and clinical observation, the probability of Covid-19 reinfection within 3-6 months after "Yangkang" is relatively low. At the same time, according to the gene sequencing of local cases carried out in our province since December, the results show that BA.5.2 branch accounts for 94.5%, BF.7 branch accounts for 4.4%, and BA.5.2.20 branch accounts for 1.1%. At present, BA.5.2 is still the dominant strain in our province, and no new mutant has been found yet, so it is unlikely to infect the same mutant again in a short time.

  The best way to prevent reinfection is still to implement personal protective measures, including wearing masks, paying attention to hand hygiene, frequent ventilation and vaccination. Especially after the rehabilitation of the elderly and children, try to reduce gathering, ensure good hygiene habits, and strengthen nutrition through reasonable diet; After 6 months, "Yangkang" actively inoculated with COVID-19 vaccine to strengthen the immune barrier, which can reduce the risk of reinfection.

  How to distinguish "relapse" from reinfection. "Re-positive" usually occurs within 2-3 weeks after negative conversion, and patients usually have no obvious clinical symptoms, mainly because the residual virus nucleic acid fragments in the body are positive and generally not contagious; Reinfection usually occurs within several months to one year after the first infection, which is equivalent to a new infection, usually with clinical symptoms, and the viral nucleic acid load is high and infectious. "Fuyang" patients do not need further treatment, just pay attention to rest, reasonable diet and nutrition. Patients with reinfection, such as symptoms, need to undergo standardized treatment again, and strictly do personal protection and self-isolation, pay attention to the protection of family members and colleagues, and reduce the risk of epidemic spread.

  The Spring Festival, our traditional festival, is coming soon. This year is the first Spring Festival after the epidemic prevention and control has entered a new stage, and the people are full of expectations. Compared with previous years, with the continuous optimization of prevention and control measures and the accelerated release of cross-regional personnel mobility, coupled with the concentrated release of travel needs accumulated by the people in the past three years, such as returning home for the New Year, visiting relatives and friends, and sightseeing, it is expected that the personnel mobility during Spring Festival travel rush will increase substantially. In order to further reduce the risk of epidemic spread, it is suggested that everyone must continue to implement personal protection, carry out self-health monitoring, and be the first person responsible for their own health during the Spring Festival. In particular, take the initiative to avoid traveling with symptoms, such as fever, sore throat, cough and other symptoms, it is recommended to carry out antigen or nucleic acid testing in time. After confirming the infection, please do not take public transport or participate in gathering activities. At the same time, it is also suggested that the elderly with basic diseases, pregnant women and children should minimize travel and reduce the risk of infection for themselves and their families. thank you

  Ping Ping, Deputy Director of Propaganda Department of Provincial Party Committee and Director of Information Office of Provincial Government

  Thank you publishers! Time, that’s all for today’s on-site questions. If journalists and friends have other concerns, they can contact the relevant publishing units for an interview after the press conference.

  Media friends, the decision of the CPC Central Committee to optimize and adjust epidemic prevention and control measures is a major decision made on the basis of overall planning and comprehensive judgment. The implementation of "Class B Management" is an adjustment of prevention and control strategy based on a comprehensive assessment of virus variation, epidemic situation and China’s prevention and control work. It is an initiative to seek truth from facts and optimize and improve prevention and control measures according to the situation, and it is also to continuously improve the scientific, accurate and effective prevention and control work. Through today’s press conference, we also saw the efforts and achievements made by our province to do a good job in medical treatment and other work to ensure a smooth transition of epidemic prevention and control. Here, I hope that all news media will thoroughly publicize and report the effectiveness of our province’s measures to coordinate the prevention and control of epidemic situation in the new stage, do a good job in policy interpretation, increase popular science propaganda, guide the public to consciously strengthen and do a good job in personal protection, be the first responsible person of their own health, firmly believe in overcoming the epidemic situation, and vigorously create a good public opinion atmosphere to ensure smooth and orderly adjustment, people’s safety and health, and social harmony and stability!

  That’s all for today’s press conference. Thank you publishers! Thank you, journalists and friends! Goodbye.

Gold, how long can you be crazy?

Text | market value observation Xiao Li flying knife

Editor | Xiao Shimei

Recently, the international gold price is witnessing history every day, and the current price once exceeded $2,380 per ounce.

Under the skyrocketing price of gold, ETFs tracking the spot price of gold also ushered in brilliant performance. Among them, the gold ETF Huaxia (518850) rose nearly 16% in more than one month, which was more than 50% higher than the low point in March 2021, which caused great concern in the market. In the eyes of many professional organizations, this round of gold bull market is far from over.

【 cycle cycle 】

Historically, the price of gold has experienced many rounds of bull-bear cycles.

After the Great Depression in 1929-1933, most developed economies abandoned the gold standard and implemented the paper money system. As a functions of money, gold has been greatly weakened, and the price of gold is facing revaluation, which has soared by more than 70% in just a few years. This is the first time that people have witnessed the power of gold.

Since then, the international gold price was tepid, and it was not until 1970-1980 that the second super bull market was ushered in, with a cumulative increase of 430%.

In 1971, Nixon brazenly announced the suspension of the exchange of dollars into gold, the Bretton Woods system collapsed and the value of gold was revalued again. In addition, after the decoupling of the US dollar from gold, the US fiscal and monetary policies were like wild horses, which eventually led to a round of hyperinflation, which also drove the current round of gold prices to rise sharply to some extent.

Subsequently, gold ushered in a 20-year super bear market. During this period, gold continued to depreciate, in sharp contrast to the rising prices of major economies around the world. Among them, American prices soared by 500%.

In 2000, before the bursting of the Internet bubble in the United States, the global stock market was extremely enthusiastic, and gold was at the end of the bear market cycle, gradually bottoming out and opening the road to rebound.

From 2006 to 2008, there was a super bubble in the American real estate market, and the price of gold continued to rise to a high of $1,000. Since then, with the collapse of Lehman Brothers, the subprime mortgage crisis has swept the world. As a major asset, gold has also fallen more than 20% following the stock market and bond market in just a few months.

In November 2008, the United States officially launched the QE policy, and large-scale over-issuance of money saved finance and economy from fire and water. The European Central Bank also implemented quantitative easing policy and expanded its balance sheet rapidly. The huge amount of liquidity continuously depressed the market interest rate and entered the zero interest rate range in December 2011. In the same period, the Bank of Japan’s QE and QQE policies came out.

The global mainstream currencies flooded, the real interest rate of the US dollar fell, and gold rose all the way to 2011, with the highest exceeding $1,900 per ounce.

▲COMEX gold main futures price chart, source: Chocie

After this bull market, gold ushered in a bear market for nearly seven years. The price of gold once dropped from a high level to $1,045 per ounce in 2015, with a cumulative decline of 46%. After that, it oscillated at the bottom for several years and started a new bull market cycle in October 2018.

From the perspective of historical deduction, once the gold price enters the bull market or bear market cycle, the trend will not end soon, and the duration can often last for more than 10 years. If this gold bull market follows the historical laws, it is a good choice to invest in gold-themed index funds such as gold ETF Huaxia (518850).

"Different bull market"

As we all know, gold has three attributes, including finance, hedging and commodities.

Financial attributes are mainly priced by two major indicators, one is inflation expectation and the other is nominal interest rate. To put it simply, gold has been used as a "hard currency" against inflation over the years-inflation has gone up, and gold tends to rise; Deflation, gold tends to fall. Nominal interest rate generally regards the yield of 10-year US bonds as opportunity cost. When the nominal interest rate goes down, gold tends to go up, and vice versa.

The combination of two factors, that is, the real interest rate (nominal interest rate-inflation expectation), is one of the important logics that determine the long-term trend of gold prices.

Hedging is the most important attribute of short-term fluctuation of gold, but it can’t support the performance of gold price in the medium and long term. Commodity attributes are weaker than the first two, because the demand for gold consumption (such as gold ornaments) is relatively stable and the supply is relatively stable, which often has little impact on the price of gold.

Then, since October 2018, why has a sharp bull market broken out in gold? How is this different from previous cycles?

From October 2018 to the end of 2022, there was a relatively obvious negative correlation between gold and the real interest rate as a whole, which was not very different from the past big cycle.

▲ US real interest rate VS gold futures price trend, source: m square

At the end of 2018, the Federal Reserve entered the end of the interest rate hike cycle since 2015, and then cut interest rates three times in 2019. In 2020, when the COVID-19 epidemic crisis hit, the Federal Reserve quickly lowered the federal benchmark interest rate to zero, and its balance sheet expanded by $5 trillion. Massive currency liquidity flooded into the market, the real interest rate fell sharply, and gold as a whole showed a continuous upward trend.

Since the end of 2022, the real interest rate in the United States has fluctuated and risen, but gold has continued to strengthen. Recently, the macro data of non-agricultural employment and inflation in the United States have performed strongly, indicating that the economic fundamentals are strong, and the yield of 10-year US bonds has also rebounded to above 4.4%, driving the real interest rate to rise, but gold is still unmoved and crazy.

From the real interest rate in the past big cycle, the main pricing factors can no longer effectively explain the surge in the second stage of this gold bull market. The main reason is that the crazy purchase of gold by global central banks has become another important factor leading the trend of gold prices.

In 2022, global central banks bought 1,082 tons of gold, a significant increase compared with the previous 450 tons, setting a record high. In 2023, the net purchase again was 1,037.4 tons, which continued to maintain a high level, close to 20% of the annual gold supply. Among them, the biggest buyer originated from the Bank of China.

▲ The central bank’s demand for gold purchases has increased rapidly. Source: Zeping Macro

As of March, 2024, the gold reserve of the Bank of China was 72.74 million ounces, up 160,000 ounces from the previous month. It is worth noting that this is the 17th consecutive month that the Bank of China has increased its holdings by 10.1 million ounces, or about 286 tons. According to the current gold price, the increase in holdings exceeds 170 billion yuan.

Since March, gold has continued to skyrocket, which has stimulated the rapid increase of global non-commercial long positions in gold for speculative profits and the relative decline of short positions. This undoubtedly exacerbated the soaring price of gold with a very steep slope.

From the short-term and medium-term perspective, the Fed will enter the interest rate reduction cycle for several years in the future, and the high interest rate of US bonds will have a large downside in the future. From a long-term perspective, due to distrust of the sovereign currency of the US dollar, central banks around the world systematically increase their holdings of gold, which will drive the upward trend of gold prices.

Long and short period resonance, the future gold market is still expected.

[investment at the right time]

Since the gold price in the afternoon is expected, it will be a good choice to vote for gold. You know, gold is the only legal and compliant global allocation asset that most people in China have access to.

In addition to buying physical gold, a more convenient way to invest in gold is to use ETF for layout. For example, the latest scale of gold ETF Huaxia (518850) is over 400 million yuan, with good liquidity, and it has recorded nearly 50% return performance in the past three years, which deserves special attention.

Of course, participating in the gold market can also focus on outstanding A-share gold listed companies.

Specifically, the middle and upper reaches of the gold industry chain are mainly engaged in gold mining and smelting, with Zijin Mining and Shandong Gold as the leading companies, while the downstream is mainly engaged in the production and sales of gold jewelry, with Lao Fengxiang and Zhou Dasheng as the leading companies.

The leading enterprises in the upstream resources are relatively more profitable, especially Zijin Mining, which has a market value of over 440 billion. Its gross profit margin increased from 8.5% in 2015 to 15.8% in 2023, and its net interest rate increased from 1.8% in the same period to 9%.

Zijin Mining’s gold business scale is undoubtedly the largest in China. In terms of reserves, it will reach 1,191 tons in 2022 (gold resources will reach 3,117 tons), far exceeding the 507 tons and 417 tons of Zhongjin Gold and Shandong Gold. In addition to the gold business, Zijin Mining also mines non-ferrous metals such as copper and zinc, and its output ranks among the top in the world.

These businesses have experienced explosive growth in the past few years. From 2005 to 2023, the revenue expanded from 3.07 billion yuan to 293.4 billion yuan, with a compound annual growth rate of 29%. The net profit of returning to the mother increased from 700 million yuan to 21.1 billion yuan, with a compound annual growth rate of 21%.

One of the core competitiveness driving the continuous growth of performance stems from low cost. On the one hand, Zijin Mining has mining technology that its peers don’t have, or can’t reach, to realize the benefit of mining low-grade mines. On the other hand, Zijin Mining is good at using the cycle and purchasing mineral resources at low prices against the trend.

In addition, Zhongjin Gold and Shandong Gold are not bad in operation, but their cyclical properties are stronger than Zijin Mining, and their share prices generally fluctuate with the gold price.

Lao Fengxiang, the core leader in the downstream of the gold industry chain, is also a super bull stock. Although the level of gross profit and net profit is very low, which is not much different from that of most manufacturing companies, fortunately, the business scale continues to expand, which also drives its profits to continue to grow.

Lao Fengxiang’s good growth stems from the bonus of China’s gold jewelry industry. According to Euromonitor, the market size of the industry was 815.9 billion yuan at the end of 2022, and it will reach 942.9 billion yuan in 2025, with a compound annual growth rate of 7.8%. In addition, from the perspective of per capita jewelry consumption, China’s jewelry consumption is US$ 82, which is lower than US$ 693 in Hongkong, China, US$ 309 in Singapore and US$ 250, and there is still much room for growth in the future.

In China’s jewelry market, the consumption of gold products is significantly higher, accounting for 58.3% in 2021 and above 60% in many years. In the global market, the largest market segment is diamond jewelry, accounting for 47%, followed by gold, accounting for 42%. It can be seen that the leading enterprises specializing in gold jewelry in China will benefit more.

In short, from the historical dimension and driving logic, this round of gold bull market may be far from complete. In this uncertain era, the allocation of gold-related assets should be a relatively certain choice.