Measles in Guangxi is low year after year to take place to explore secrets

Measles in Guangxi is low year after year to take place to explore secrets
Staff reporter Meng QingPu
The Guangxi Zhuang Autonomous Region that has 50 million people, it was once the high taking place area of measles in history. But in the whole country in recent years when the intersection of measles and morbidity rebound to 10/10 Wan, the intersection of measles and morbidity of Guangxi maintain 2/10 about Wan at for 5 years in succession. From January of this year to the end of October, only report 113 cases of measles in Guangxi, reduce by 874 compared with the same period of last year, measles report morbidity less than 0.3/10 Wan, approach, dispel the goal by 1/100 measles of Wan. As the western minority area, where is the secret that measles in Guangxi has illness coming on and drops continuously?
Become large-scale" Mop up " It is " installment "
Measles is a kind of acute infectious disease endangering children's health seriously. Ministry of Public Health immunity plan, accuse of house Zhuo, Deputy Director of centre, with analyze, think by the intersection of expert and the intersection of consultative committee and committee member, the intersection of Guangxi and disease, there are many, many in outlying poverty-stricken areas ethnic minorities, population density is great, the level of education is low, low developed, the hygiene is invested few, the inconvenient, cold chain result of traffic is bad, it is a high important reason to take place of epidemic situation of measles in Guangxi in the past. In addition, limited by economic factor, the government is unable to afford the unified strengthening necessary vaccine of immunity, syringe and inoculating the expenses to the doorstep of this autonomous region; Divide slice, strengthen immune the first part and the concluding paragraph, can't take into account, lead to the fact the epidemic situation to be difficult to force down.
Since 1998, the Guangxi Zhuang Autonomous Region disease accuse of the intersection of centre and expert panel innovate, adopt, prevail peak interval law to high to endanger county, make, predict, screen with the part strengthening immune tactics, force down the whole the intersection of autonomous region and 110 counties progressively ' District) Measles epidemic situation.
The expert regards county as the unit, the prevailing situations of measles of about 50 years carry on detailed analysis, chase county, screen, find out, prevail interval, prevail that year peak expire and two interval appear county that break out break out as measles high to endanger the county yet at the specified date; Strengthen immune vaccine deliverability according to the whole autonomous region, elect about 25 to endanger the county high every year, send out prewarning to these counties at the beginning of the year, and 2- 3 months before it is popular to come ng, to high to endanger the intersection of county and 8 months old - 14 year old children, carry on the intersection of measles and part strengthen immunity, mixed with geography or adjacent specific county bring into, in order to reach the effect in flakes.
This kind of method has been broken overallly and large-scaly " Mop up " Routine,make by fixed position removing not predicting for epidemic disease sources possible with endangering high, with high to endanger by county " whether zero store " for the that the key break-throughses Gain the immune protective screen in the whole autonomous region to set up " Exactly fetch " ,Achieve the obvious result. 1999 - 2003, Guangxi the intersection of measles and morbidity drop 2/10 ten thousand - 3/10 Wan to by 8/10 of the original Wans 13/10 Wan; 2006 - 2008, the whole country much province appear measles break out, rebound peak, and Guangxi control in 2/10 Wan steadily still.
While adopting the new tactics, it is (municipal or district) in 110 counties that disease accuses of personnel to the whole autonomous region every 10 days Measles has illness coming on the epidemic situation is followed once. Once find one county ' Municipal or district) There is measles case of more than 2 examples, make a phone call to the leader of this county immediately after verification, propose taking the measure of prevention and control in time. Then, send measles in the autonomous region to prevent and control professional personnel to rush towards on-the-spotly, the treatment in time, thus put out the epidemic situation at embryonic stage.
According to calculating, after 2002, number breaks out to reduce by about 50 every year than before this in the epidemic situation of measles in Guangxi, reduce by 48,000 together, lighten by more than 59 million yuan of social financial burden.
Give a caution to and stabilize and prevent disease and ensure the system
The whole anti-epidemic stations of 80% of the cities, counties of autonomous region had independently originally immune planning departments were amalgamated to other departments to 2001, disease accused of the network to break routedly, the seriously insufficient severe situation of the fund input, one put out immune planning yellow card system that year in Guangxi, pay attention to in government, the intersection of department and management and the intersection of business and performance, make comprehensive the intersection of quality evaluation and scheme, and assess the immune planning of every county with this scheme. To poor county and lower than, give a caution to by of poor counties, limit and rectify and improve and follow and monitor completely in 3 years. In the past 9 years, there are 48 (municipal or district) counties in the whole autonomous region Planned to be given a caution to by the immunity. Among them, 45 counties are (municipal or district) After rectifying and improving in an all-round way, remove the intersection of yellow card and cap, but also immune planning walk in the whole the intersection of autonomous region and forefront.
(leave and rotate the 2nd) (have and connect the 1st)
In 2007, the epidemic situation of measles takes place to break out in An county in Guangxi, given a caution to. Wei ShaoShi, county magistrate of this county, assumes command in person, takes charge of the immunity severely and plans and prevents and controls the measles work. Each township defends assuaring the group allocates 7 12 and defends protecting personnel, the energetical support that the government offers from financial resources, return to the cadres of Cheng County, township of the responsibility and plan to indentify the immunity as the most important thing of the work. In less than one year, remove the yellow card cap in An county. From the beginning of this year, this county has not presented the measles case.
The Zhuo 's, with thinking, the aposematic mechanism of yellow card forces the governments at all levels to be serious, make immune the intersection of organization and establishment of planning, strength, salary ensure, work house and apparatus formulate receive unprecedented attention. The data reveal, this autonomous region " yellow card " The cold chain funds of the county doubled in the previous year more than the aposematic mechanism of yellow card; Disease at county level accuses of the proportion of salary county in full of the centre to increase from 60.9% to 89.7%, the health clinics in towns and townships defend protecting the salary proportion in full of the group to increase from 39.1% to 88.6%. Overwhelming majority at county level government allocate disease in the county and accuse of centre's and health clinics in towns and townships defending protecting group's strength according to 1 population standard of Wan, allocate disease in the county and accuse of the immunity of centre and plan department personnel according to 1/100000 of the standards of people.
Catch " 4 key personages "
Plan experts to go to the county to survey and study in immunity of this autonomous region, after the secretary of county Party committee learns, must find time to arrange to meet with the expert while fully engaged, " have a chat about the thing that the country expands immunity after planning " . This is something new that a reporter caught while interviewing in Guangxi a few days ago.
"In Guangxi, especially in county first class eyes of leaders of the Party and the government, vaccine inoculation is not the minor matter definitely. " The Zhuo 's tells reporters together. In recent years, he himself had successively gone to 40 counties in this autonomous region to give lessons. The secretaries of county Party committee of many counties, county magistrate find time to hear, if the secretaries of county Party committee of many counties, county magistrate hear he gives lessons, and benefit a great deal after reflecting that listens to the teacher.
What does expert of provincial capital tell county magistrates? The Zhuo 's is with calling it " Train pointedly " . First, teach the national behaviors, ideas of crisis management of immune planning to local leading cadre and relevant staff members. " whether preventive inoculation play fine, relevant infectious disease sooner or later can break out, near influencing people's livelihood, stability, economy a series of issue " . Second, must follow " First all the time of inoculation free " With " defend assuaring the group can't be seperated from independence of health clinics in towns and townships " Two major principles, none of can be dispensed with technical support, administration support two major pillars. Management of daring " 4 key personages " ,Namely the county magistrate, chief of health bureau, disease responsible for immune planning accuse of centre director's and immunity planning department's section chief. " who does not all rightly, call him by name in the lesson " ,Improve the consciousness of its responsibility. Fourth, plan to organize skills such as implementing, technological innovation and guidance,etc. in immunity.
It is a immune planning management important means to supervise and guide and check. According to the incomplete statistics, in 2008, governments at all levels and health authority leader of the Guangxi Zhuang Autonomous Region will supervise and guide the number of times to increase to the administration of immune planning by 140% compared with the previous year, the leader of health authority supervises and guides the number of times to increase by 87%, disease accuses of centre director's supervising and guiding the number of times to increase by 39.3%, plan the head of the department and supervise and guide the number of times to increase by 38.1%, plan professional personnel and supervise and guide the number of times to increase by 59.3% in immunity in immunity.
The reporter visits finding in some villages and towns of Guangxi, the commune hospital defends assuaring the group still regards village as the unit, look into to leak, mend the wall on materials such as card effect and morbidity,etc. while planning the regular immunity, it administer population, at card number, last condition the conditions,etc. is very clear.
"This is mainly in order to be alarmed oneself. " With say, supervise and guide, control and alarm, combine oneself higher authorities, make every city, county launch one carpet type check, leak, reseed half a year while being every family Zhuo, "every floating population appearing in this area under one's jurisdiction, no matter weather lives in the Third Five-Year Plan Period, have children outside the state plan, all the responsibility of area under one's jurisdiction, all want one not to reseed Measles Vaccine leaking. " It is reported, this autonomous region has already stopped floating population leaking the card and leaking one kind of phenomena at present.
Short commentary
Prevent and cure and can achieve the actual effect scientifically
Our country has already promised to international community in 2012 to dispel measles. When the time comes, the intersection of measles and morbidity of our country want, control until 1/100 Wan following. At present, national measles about 10/10 Wan in morbidity, goal disparity more close from dispel measles.
Dispel measles under the the intersection of situation and large background severe in the whole country, it is high to endanger, predict, prevent from, break out, give a caution to, urge, catch up with and cultivate the sustainable measure that the idea pressurizes voluntarily for Guangxi to implement, make the measles epidemic situation with meaning of the wind vane keep well below the level of the national average line year after year, really noticeable.
Scrutinize Guangxi to practise, it is a bit more most light to prevent and cure scientifically. " the thin leg runs, gall the mouth " in old epidemic prevention Spirit getting more indispensable no doubt at eras new,until " whether four seedling last five disease " Turn into " 12 seedlings defend the 15th disease " Today,is it scientific to depend on means,might difficult to be finish by arduous tasks so. Meanwhile, if leave the thinking prevented and cured scientifically, can only choose to meet an urgent need to strengthen the immunity by a large scale in the key crowd. Although this kind of method can become effective rapidly, " mop up on a large scale " The cost is enormous, if the developing countries like ours use repeatedly, may demand the enormous cost. Moreover, can only accept the efficiency for the moment in this way, it is difficult to obtain long-term stability. How raise, prevent and cure competence is common to defend an important link of system in the construction scientifically in the intersection of epidemic prevention and department, its importance is not second to building construction of hardware such as the building, adding the apparatus definitely.
Another one that Guangxi practise it sees some to be management their, such as immune the intersection of planning and the intersection of yellow card and mechanism, catch " key personages " When. However, it can be practicable that the same method does not change a place and imitate. The region of our country is broad, the social economic condition difference is enormous. All parts must rely on the thinking of Guangxi, find out the suitable local real method according to one's own situation, can achieve the actual effect.
It is an arduous task to dispel measles, need organic integration of technology and management. In the same way, control various epidemic situations, such a thinking can be drawn lessons from too.
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