Define the level for the individual clinic in Zhalantun
Define the level for the individual clinic in Zhalantun
It is reported ' The reporter grows the flame bright) In classifying and managing to approve the ceremony in the individual clinic of the market of Zhalantun of Inner Mongolia Autonomous Region that was held a few days ago, 12 individual clinics have obtained the first batch of " A grade clinics " Honor. Zhalantun makes and issues the individual clinic to classify and manage the implementing scheme, manages the grade to the individual clinic, classify and appraise 78 individual clinic operation behaviors according to seeking unity of standard, confirm " A grade clinic " finally 12, " B grade clinic " 56, " C grade clinic " 10 families. Evaluating the rank will regard as and confirm the important basis which supervises frequency and annual check-up, among them, refuse to accept and check to not joining and classifying and managing the clinic evaluated, has evaluated and ordered to rectify and improve within a definite time period for the individual clinic of C grade for 2 years in succession, the ones that rectified and improved uncompletely postponed check-up, ones that do not rectify and improve yet, revoke its " operation licence of medical organization " in accordance with the law.
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Monday, April 30, 2012
Ill high-incidence season of mouths of brothers Prevent and cure the home guide to a disease of brothers in traditional Chinese medicine
Ill high-incidence season of mouths of brothers Prevent and cure the home guide to a disease of brothers in traditional Chinese medicine
Ill high-incidence season of mouths of brothers Prevent and cure the home guide to a disease of brothers in traditional Chinese medicine
Traditional Chinese medicine prevent and cure the intersection of brothers and the intersection of mouth and the intersection of disease and home the intersection of mouth and the intersection of disease and the intersection of high-incidence season and death, brothers of guide, translate time and let numerous child's parents fall into panically, brothers the intersection of mouth and disease spread too fast, must strengthen, prevent and cure, traditional Chinese medicine prevent and cure brothers mouth disease home guide very much practical, according to past prevention and cure result, the effect is very prominent. My national champion's the intersection of foot and mouth disease epidemic situation enters high-incidence season ahead of time this year, it is very severe that the epidemic situation prevents and controls the situation. To report the intersection of brothers and the intersection of mouth and the intersection of disease and 427278 of case to totally already by will it be this year May 4, rise and exceed 40% compared with the same period of last year, among them 260 die, rise by 142.99% compared with the same period of last year, 5454 serious disease cases, rise by 66% compared with the same period of last year. It adds up to the case to be more than 190,000 according to the intersection of brothers and the intersection of mouth and disease that Ministry of Public Health release April, 2119 serious diseases among them, 94 cases of death. Only less than one month, report case and death case data doubled. Brothers' mouth disease is the common infectious disease caused by many kinds of intestinal virus, mostly take place in summer and autumn festival, the baby under the age of 3 is ill and in the majority, can the collective happens in the nursery or kindergarten to prevail frequently. Called " The mouths of brothers are ill " ,Because of will present chicken-pox kind -like bleb at hand, the intersection of foot and skin and oral cavity mucous membrane have illness coming on. Clinical symptom: It is acute infectious disease caused by intestinal virus that the mouths of brothers are ill, clinical in order to generate heat, bleb of position such as hands, the foot, oral cavity and rectum are the characteristic. Disease this take place on the intersection of infant and pre-school children and period more, section to have illness coming on peak with summer and autumn. Prognosis is mostly good, a few can erupt myocarditis, lung edema, aseptic meninx encephalitis,etc. simultaneously, even cause the death. Infect the source: Brothers patient and recessive the infeted in source in infection, mouth of disease. The circulation way of this disease is various, in order to keep in close touch and propagate as the main fact through the crowd. The virus can pass the saliva, have hand of bleb liquid, excrement and urine,etc. pollution, towel, handkerchief, tooth cup, toy, tableware, milk and bed clothes, underwear,etc. cause mediate contact not to be travelled; The virus in patient's throat secretion and saliva can travel through the droplets; The source of water substantially as contacting and is polluted by the virus, can also be infected by water; Clinic cross infection and the intersection of oral cavity and apparatus sterilize not up to standard to cause reason that spread one of also. Crowd generally exchange the sense in causing the intestinal virus of brothers' mouth disease, can get immunity after infecting. Lack and protect strength alternately because of the antibody after not infecting of different disease prototypes, so, the crowd can be infected with and had illness coming on repeatedly, most of adults have already been infected with and got the corresponding antibody through recessiveness, so brothers preschool child mainly in patient, mouth of disease, particularly with less than or equal to 3 year old age group, most high morbidity have. Diagnose the main point: There are brothers' mouth diseases to contact the history in 1- 2 weeks before the onset. Many to get up disease, 1- 2 day before not having illness coming on or have illness coming on, present, generate heat at the same time, can accompany, have a headache, cough, flow tears, receive difference, nausea, vomit, let out the intersection of person who rush down and disease suddenly. The higher the general body temperature is, the longer the course of disease is, then the condition is the more serious. Main clinical manifestation is oral cavity and hand foot bleb. Check and find the peripheral blood leucocyte normal or on the low side in total number in the laboratory, lymphocytes and the monocyte relatively increase. Should check in order to diagnose clearly aetiology when there are conditions. Prevent dialectically: When brothers' mouth disease prevails, children should pay attention to washing hands hardworkingly, avoiding getting to the public place which the crowd gathers; Occupy place, should ventilate more, shine clothing while being hardworking; The diet is light, avoid eating pungently, greasily; Parents should pay attention to the personal hygiene too. Traditional Chinese medicine prescription: To the prescriptions of children of different physique: The prescription one: Honeysuckle 12g, white chrysanthemum 6g, board blue root 9g, leaf 6g of the bamboo. Water is fried the clothes, a pharmaceutical every day, small quantity is obeyed frequently. Suitable for healthy children usually. The prescription two: Radix Astragali 12g, windproof 6g, fry rhizome of large-headed atractylodes 6g, flea to stop 6g. Water is fried the clothes, a pharmaceutical every day, small quantity is obeyed frequently. Suitable for weak susceptible persons usually. (Note: The prescription dosage of traditional Chinese medicine of this guide is suitable for children of 3- 6 years old; The infant and pre-school children within 3 years old can take in decrement; The can add ing amount is taken over 6 person)
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Ill high-incidence season of mouths of brothers Prevent and cure the home guide to a disease of brothers in traditional Chinese medicine
Traditional Chinese medicine prevent and cure the intersection of brothers and the intersection of mouth and the intersection of disease and home the intersection of mouth and the intersection of disease and the intersection of high-incidence season and death, brothers of guide, translate time and let numerous child's parents fall into panically, brothers the intersection of mouth and disease spread too fast, must strengthen, prevent and cure, traditional Chinese medicine prevent and cure brothers mouth disease home guide very much practical, according to past prevention and cure result, the effect is very prominent. My national champion's the intersection of foot and mouth disease epidemic situation enters high-incidence season ahead of time this year, it is very severe that the epidemic situation prevents and controls the situation. To report the intersection of brothers and the intersection of mouth and the intersection of disease and 427278 of case to totally already by will it be this year May 4, rise and exceed 40% compared with the same period of last year, among them 260 die, rise by 142.99% compared with the same period of last year, 5454 serious disease cases, rise by 66% compared with the same period of last year. It adds up to the case to be more than 190,000 according to the intersection of brothers and the intersection of mouth and disease that Ministry of Public Health release April, 2119 serious diseases among them, 94 cases of death. Only less than one month, report case and death case data doubled. Brothers' mouth disease is the common infectious disease caused by many kinds of intestinal virus, mostly take place in summer and autumn festival, the baby under the age of 3 is ill and in the majority, can the collective happens in the nursery or kindergarten to prevail frequently. Called " The mouths of brothers are ill " ,Because of will present chicken-pox kind -like bleb at hand, the intersection of foot and skin and oral cavity mucous membrane have illness coming on. Clinical symptom: It is acute infectious disease caused by intestinal virus that the mouths of brothers are ill, clinical in order to generate heat, bleb of position such as hands, the foot, oral cavity and rectum are the characteristic. Disease this take place on the intersection of infant and pre-school children and period more, section to have illness coming on peak with summer and autumn. Prognosis is mostly good, a few can erupt myocarditis, lung edema, aseptic meninx encephalitis,etc. simultaneously, even cause the death. Infect the source: Brothers patient and recessive the infeted in source in infection, mouth of disease. The circulation way of this disease is various, in order to keep in close touch and propagate as the main fact through the crowd. The virus can pass the saliva, have hand of bleb liquid, excrement and urine,etc. pollution, towel, handkerchief, tooth cup, toy, tableware, milk and bed clothes, underwear,etc. cause mediate contact not to be travelled; The virus in patient's throat secretion and saliva can travel through the droplets; The source of water substantially as contacting and is polluted by the virus, can also be infected by water; Clinic cross infection and the intersection of oral cavity and apparatus sterilize not up to standard to cause reason that spread one of also. Crowd generally exchange the sense in causing the intestinal virus of brothers' mouth disease, can get immunity after infecting. Lack and protect strength alternately because of the antibody after not infecting of different disease prototypes, so, the crowd can be infected with and had illness coming on repeatedly, most of adults have already been infected with and got the corresponding antibody through recessiveness, so brothers preschool child mainly in patient, mouth of disease, particularly with less than or equal to 3 year old age group, most high morbidity have. Diagnose the main point: There are brothers' mouth diseases to contact the history in 1- 2 weeks before the onset. Many to get up disease, 1- 2 day before not having illness coming on or have illness coming on, present, generate heat at the same time, can accompany, have a headache, cough, flow tears, receive difference, nausea, vomit, let out the intersection of person who rush down and disease suddenly. The higher the general body temperature is, the longer the course of disease is, then the condition is the more serious. Main clinical manifestation is oral cavity and hand foot bleb. Check and find the peripheral blood leucocyte normal or on the low side in total number in the laboratory, lymphocytes and the monocyte relatively increase. Should check in order to diagnose clearly aetiology when there are conditions. Prevent dialectically: When brothers' mouth disease prevails, children should pay attention to washing hands hardworkingly, avoiding getting to the public place which the crowd gathers; Occupy place, should ventilate more, shine clothing while being hardworking; The diet is light, avoid eating pungently, greasily; Parents should pay attention to the personal hygiene too. Traditional Chinese medicine prescription: To the prescriptions of children of different physique: The prescription one: Honeysuckle 12g, white chrysanthemum 6g, board blue root 9g, leaf 6g of the bamboo. Water is fried the clothes, a pharmaceutical every day, small quantity is obeyed frequently. Suitable for healthy children usually. The prescription two: Radix Astragali 12g, windproof 6g, fry rhizome of large-headed atractylodes 6g, flea to stop 6g. Water is fried the clothes, a pharmaceutical every day, small quantity is obeyed frequently. Suitable for weak susceptible persons usually. (Note: The prescription dosage of traditional Chinese medicine of this guide is suitable for children of 3- 6 years old; The infant and pre-school children within 3 years old can take in decrement; The can add ing amount is taken over 6 person)
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The ill high-incidence season of mouths of brothers will come
The ill high-incidence season of mouths of brothers will come
The ill high-incidence season of mouths of brothers will come
It is reported ' The intersection of reporter and Zheng dexterous) Ministry of Public Health office give notice, say our country enter brothers, disease high to take place season mouth have already at present a few days ago, count by national the intersection of brothers and the intersection of mouth and the intersection of disease and case of report, serious disease case count and death toll rise fast, it is very severe to prevent and cure the situation. All parts should implement every prevention measure conscientiously, further do brothers' mouth ill prevention and control well. The notice requires, the communication and coordination of the department that the health authorities at all levels should be close and educate, propagate,etc., strengthen and supervise and guide checking and comprehensive assessment. Diseases at all levels accuse of organization's doing the aetiology monitoring well conscientiously, arrange for the special messenger to monitor the information of ill epidemic situation of mouths of brothers in the area under one's jurisdiction dynamically, find the great epidemic situation is reported in time. The medical organization should fulfil brothers' port disease to find and report to the duty conscientiously, the conditional medical organization wants the development laboratory to measure actively. The notice emphasizes, should improve the early recognition capability of the serious disease case, do a good job of medical treatment. Concentrate on accepting the serious disease case for medical treatment to the fixed general hospital possessing the serious disease to treat and cure ability or section hospital of the children, reduce the case fatality rate. Give full play to and make a diagnosis the function of expert panel, get deeply to the heavier area of the epidemic situation to make a round of visits and train, guide the locality and launch the work of medical treatment. Give full play to the role of ill coordinated cooperation of mouths of brothers, launch the coordinated cooperation through holding a consultation in technical training, serious disease case. Implement the medical funds sageguard measure of a disease of brothers conscientiously, try hard not to allow infants not to get and treat and cure in time because of expense question.
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The ill high-incidence season of mouths of brothers will come
It is reported ' The intersection of reporter and Zheng dexterous) Ministry of Public Health office give notice, say our country enter brothers, disease high to take place season mouth have already at present a few days ago, count by national the intersection of brothers and the intersection of mouth and the intersection of disease and case of report, serious disease case count and death toll rise fast, it is very severe to prevent and cure the situation. All parts should implement every prevention measure conscientiously, further do brothers' mouth ill prevention and control well. The notice requires, the communication and coordination of the department that the health authorities at all levels should be close and educate, propagate,etc., strengthen and supervise and guide checking and comprehensive assessment. Diseases at all levels accuse of organization's doing the aetiology monitoring well conscientiously, arrange for the special messenger to monitor the information of ill epidemic situation of mouths of brothers in the area under one's jurisdiction dynamically, find the great epidemic situation is reported in time. The medical organization should fulfil brothers' port disease to find and report to the duty conscientiously, the conditional medical organization wants the development laboratory to measure actively. The notice emphasizes, should improve the early recognition capability of the serious disease case, do a good job of medical treatment. Concentrate on accepting the serious disease case for medical treatment to the fixed general hospital possessing the serious disease to treat and cure ability or section hospital of the children, reduce the case fatality rate. Give full play to and make a diagnosis the function of expert panel, get deeply to the heavier area of the epidemic situation to make a round of visits and train, guide the locality and launch the work of medical treatment. Give full play to the role of ill coordinated cooperation of mouths of brothers, launch the coordinated cooperation through holding a consultation in technical training, serious disease case. Implement the medical funds sageguard measure of a disease of brothers conscientiously, try hard not to allow infants not to get and treat and cure in time because of expense question.
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Brothers the intersection of mouth and disease prevent and control take play " The combination blow "
Brothers the intersection of mouth and disease prevent and control, take, play " The combination blow "
Brothers the intersection of mouth and disease prevent and control, take, play " The combination blow "
It is reported ' Monarch of reporter Chen Lin the intersection of Li Wei and better reporter Yang LiYong) On July 13, the intersection of national brothers and the intersection of mouth and disease prevents and controls the on-the-spot meeting to hold in Zhengzhou of Henan Province. Yin Li, Vice Minister of Ministry of Public Health, attends the meeting and speaks. He requires the national hygiene system to strengthen working endeavour, improves the prevention measure, it is easy to prevent and cure to hit" The combination blow " ,Reduce morbidity and case fatality rate, guarantee the prevention and control achieves tangible results. Yin Li requires, first should strengthen several commonly and defend the measure, makes great efforts to reduce the morbidity. Want and the close cooperation of local education department, strengthen the epidemic situation to the school, nurseries and kindergartens organization to monitor, supervise and implement the working system of examining, patrolling, absent from duty and registering etc. in the morning. Want, pay close attention to the fact children's epidemic situation monitor, prevent the epidemic situation of the school rebounds after starting a new term from in the floating population especially. Set up the department and link the mechanism, is disposed to the work in the basic unit before the end of July, concentrate on developing the activity of assaulting and renovating once, create the good social environment for launching brothers' mouth ill prevention and control. Second, strengthen the serious disease case to monitor and treat and cure. Strengthen and infect management in the courtyard, prevent the epidemic situation from spreading outside the courtyard. The ones that should strengthen to the basic unit support the vocal imitation skill, improve the serious disease of medical organization at the basic level and discern, change the place of examination and standardize administration ability. Strive for finance of the local government's support actively, strengthen the infrastructure construction of fixed hospital, improve the condition, promote and treat and cure ability. Third, strengthen and supervise and guide the inspection, guarantee every prevention and control measure achieves tangible results. Ministry of Public Health will supervise and guide the inspection to epidemic situation and serious disease, area of occuring frequently of death case in the near future, go on supervising and guiding, check to the training project which the basic unit prevent and cure person, guarantee the relevant prevention measure is put in place solidly. Come from the whole country 14 provinces ' Municipality directly under the Central Government) Department of public health ( Office) In charge of the drawing room ' Office) Long and disease accuse of, cured policy, agricultural defending, patriotic hygiene, disease and accused of relevant leaders of department such as the centre and participated in the meeting.
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Brothers the intersection of mouth and disease prevent and control, take, play " The combination blow "
It is reported ' Monarch of reporter Chen Lin the intersection of Li Wei and better reporter Yang LiYong) On July 13, the intersection of national brothers and the intersection of mouth and disease prevents and controls the on-the-spot meeting to hold in Zhengzhou of Henan Province. Yin Li, Vice Minister of Ministry of Public Health, attends the meeting and speaks. He requires the national hygiene system to strengthen working endeavour, improves the prevention measure, it is easy to prevent and cure to hit" The combination blow " ,Reduce morbidity and case fatality rate, guarantee the prevention and control achieves tangible results. Yin Li requires, first should strengthen several commonly and defend the measure, makes great efforts to reduce the morbidity. Want and the close cooperation of local education department, strengthen the epidemic situation to the school, nurseries and kindergartens organization to monitor, supervise and implement the working system of examining, patrolling, absent from duty and registering etc. in the morning. Want, pay close attention to the fact children's epidemic situation monitor, prevent the epidemic situation of the school rebounds after starting a new term from in the floating population especially. Set up the department and link the mechanism, is disposed to the work in the basic unit before the end of July, concentrate on developing the activity of assaulting and renovating once, create the good social environment for launching brothers' mouth ill prevention and control. Second, strengthen the serious disease case to monitor and treat and cure. Strengthen and infect management in the courtyard, prevent the epidemic situation from spreading outside the courtyard. The ones that should strengthen to the basic unit support the vocal imitation skill, improve the serious disease of medical organization at the basic level and discern, change the place of examination and standardize administration ability. Strive for finance of the local government's support actively, strengthen the infrastructure construction of fixed hospital, improve the condition, promote and treat and cure ability. Third, strengthen and supervise and guide the inspection, guarantee every prevention and control measure achieves tangible results. Ministry of Public Health will supervise and guide the inspection to epidemic situation and serious disease, area of occuring frequently of death case in the near future, go on supervising and guiding, check to the training project which the basic unit prevent and cure person, guarantee the relevant prevention measure is put in place solidly. Come from the whole country 14 provinces ' Municipality directly under the Central Government) Department of public health ( Office) In charge of the drawing room ' Office) Long and disease accuse of, cured policy, agricultural defending, patriotic hygiene, disease and accused of relevant leaders of department such as the centre and participated in the meeting.
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The sturdy grounding in basic skills is used
The sturdy grounding in basic skills is used
The sturdy grounding in basic skills is used
China aids the roof beam of medical team of Timor Leste and revitalizes in September of 2008 of country, I will join and help the third batch of medical teams in Timor Leste upon instruction, the two -year long beginning aids living outside. Timor Leste is a very small country, go through several flames of war, is seen everywhere in the dilapidated walls. Capital's emperor's strength city can not find out at all from the appearance of the city it is the capital on the seashore near the equator, like a piece of domestic villages and towns. The hospital is all one-storey houses, infect the inpatient area, serious disease to guard the inpatient area, woman of inpatient area, VIP and produce the inpatient area, inpatient area of pediatrics, emergency call inpatient area, and administrative area and radiating, examine, dispensary, clinic every subject and acupuncture and moxibustion massage area. The people here quite worship the acupuncture and moxibustion of Chinese medicine. There are more cataract patients here. The patient goes to the hospital to register first, and then go to the ophthalmology consulting room to go to a doctor. Get it filled after I check, diagnose, finish recording and prescription of the case history, the nurse explains the usage according to the doctor's order. If want the operation, is registered the time of making an appointment by the nurse. This course is free of charge to locals, and foreigners will pay 20 dollars in the registration office soon. If should include the medical ward in hospital. The operation makes an appointment it generally all take more than one month. It is ophthalmology operation day every Monday, in the three afternoons, other time are the clinic. Only there are two operating rooms in the whole institute, I just do the minor operation in the clinic. Operation patient come hospital day, go home by oneself while being postoperative, time clinic check in the last few days, take ophthalmic medicine. There are patients in need of infusion of small quantity ' Postoperative tumour under socket of the eye, the intersection of eyeball and traumatism break postoperative) Accept for medical treatment in the medical ward. There are relatively more ophthalmology patients, Japan's clinic amount is 20- 50 persons. The local operation apparatus is very simple and crude, the aseptic idea is relatively backward too. The whole institute is only an oculist of my, although go to work from every Monday to Friday at present, in fact it is in waiting to pay a home visit state in 24 hours of every day. Fortunately there is sturdy grounding in basic skills acquainted at home in training, deal with ophthalmology medical treatment these complicated situations still have few pressure. When just been here and do the cataract operation of first, open the operation to wrap up after appearing on the stage, the apparatus is only a handful of micro- form tooth tweezers, and already curved 90 degrees on one side. Only there is the only handful of blood vessel pincers in the bag. Fortunately the tunnel knife loves health, work well very much. Plant in this bag into the tweezers and close and can not close, have to revise on one temporarily. It is at all unable to use that the membrane of bag is cut, it is overdone one to just meet this example, front bag can only cut replacing to deal with with the cornea. After overcoming all sorts of difficulties, finished the cataract operation of first smoothly at last. The second is a tumour in the socket of the eye, I show resourcefulness in an emergency, turn the micro- tweezers around to strip and use, also finished this operation smoothly. While taking out stitches and leaving hospital in 9 days, a hole of location of this patient is played and shifts inside and returned to the straight location, eyesight is returned to 1.0 while leaving hospital from the first 0.6 skills. In the job of nearly two months, several times are all that four or five sets of cataract operation is finished within two and a half hours, there is not a complication. There was one that day only baby of 21 days was in hospital, red swelling of right eyeball was outstanding. I suspect it is the eye socket honeycomb that organizes inflammation, call their intravenous antibiotic, check the leucocyte, protect the cornea. The next morning, two doctors led the infant to look for me to say, it was tumour, not inflammation, it is of no use to use antibiotic. It is not tumour that I insist on. The infant is just 3 weeks, covet swollenly to stress that is just less than one week in right, and red swelling is outstanding and very serious, should consider inflammation in the eye socket first, secondly consider tumour. Must check the leucocyte first, ask the nose department to hold a consultation if necessary, exclude from sifting sinus inflammation (because have no CT) . At 6:30 in the afternoon, I go to the neonatal ward to hold a consultation again, an Australian surgeon has been already there. I see infant right eyeball dash for ward like lose lantern that go out of cry and scream, then I enter needle by lower dome with empty needle, take yellowish-white suppuration out to come. This has just proved my diagnosis is accurate, then determine the operation is guided. Our mostly spending in the bedroom after coming off duty, read, watch TV. The wireless network here is exerted a tremendous influence by the weather, it is very difficult to open the webpage. It is not the enjoyment to go window-shopping here, should only do shopping to force to go shopping. The trade needn't be weighed, sell according to the piece already divided. There are few local vegetables varieties, fish and vegetables are all very expensive. We feel the biggest difficulty is the language obstacle. The hospital worker's language has English, Portuguese, Spanish, Germany's language once, Indonesian,etc.. The local patient speaks Germany's language once mostly, so need a nurse to translate nearby while working. Army of the United Nations accredited here by a plurality of countries keeps order, the army and police ready for an emergency are seen everywhere. The locality because it is hot, in addition, the sewage disposal system in the town lags behind, there are more mosquitoes. Check the blood in the hospital, it is necessary that malaria is checked. Infectious diseases are basically all tuberculosis. This aids it with time for our medical worker outside, finish a political task with medical technology, as to this I am full of confidence. This column is by The Department of International Cooperation of Ministry of Public Health Centre of international exchange and cooperation of Ministry of Public Health Do jointly
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The sturdy grounding in basic skills is used
China aids the roof beam of medical team of Timor Leste and revitalizes in September of 2008 of country, I will join and help the third batch of medical teams in Timor Leste upon instruction, the two -year long beginning aids living outside. Timor Leste is a very small country, go through several flames of war, is seen everywhere in the dilapidated walls. Capital's emperor's strength city can not find out at all from the appearance of the city it is the capital on the seashore near the equator, like a piece of domestic villages and towns. The hospital is all one-storey houses, infect the inpatient area, serious disease to guard the inpatient area, woman of inpatient area, VIP and produce the inpatient area, inpatient area of pediatrics, emergency call inpatient area, and administrative area and radiating, examine, dispensary, clinic every subject and acupuncture and moxibustion massage area. The people here quite worship the acupuncture and moxibustion of Chinese medicine. There are more cataract patients here. The patient goes to the hospital to register first, and then go to the ophthalmology consulting room to go to a doctor. Get it filled after I check, diagnose, finish recording and prescription of the case history, the nurse explains the usage according to the doctor's order. If want the operation, is registered the time of making an appointment by the nurse. This course is free of charge to locals, and foreigners will pay 20 dollars in the registration office soon. If should include the medical ward in hospital. The operation makes an appointment it generally all take more than one month. It is ophthalmology operation day every Monday, in the three afternoons, other time are the clinic. Only there are two operating rooms in the whole institute, I just do the minor operation in the clinic. Operation patient come hospital day, go home by oneself while being postoperative, time clinic check in the last few days, take ophthalmic medicine. There are patients in need of infusion of small quantity ' Postoperative tumour under socket of the eye, the intersection of eyeball and traumatism break postoperative) Accept for medical treatment in the medical ward. There are relatively more ophthalmology patients, Japan's clinic amount is 20- 50 persons. The local operation apparatus is very simple and crude, the aseptic idea is relatively backward too. The whole institute is only an oculist of my, although go to work from every Monday to Friday at present, in fact it is in waiting to pay a home visit state in 24 hours of every day. Fortunately there is sturdy grounding in basic skills acquainted at home in training, deal with ophthalmology medical treatment these complicated situations still have few pressure. When just been here and do the cataract operation of first, open the operation to wrap up after appearing on the stage, the apparatus is only a handful of micro- form tooth tweezers, and already curved 90 degrees on one side. Only there is the only handful of blood vessel pincers in the bag. Fortunately the tunnel knife loves health, work well very much. Plant in this bag into the tweezers and close and can not close, have to revise on one temporarily. It is at all unable to use that the membrane of bag is cut, it is overdone one to just meet this example, front bag can only cut replacing to deal with with the cornea. After overcoming all sorts of difficulties, finished the cataract operation of first smoothly at last. The second is a tumour in the socket of the eye, I show resourcefulness in an emergency, turn the micro- tweezers around to strip and use, also finished this operation smoothly. While taking out stitches and leaving hospital in 9 days, a hole of location of this patient is played and shifts inside and returned to the straight location, eyesight is returned to 1.0 while leaving hospital from the first 0.6 skills. In the job of nearly two months, several times are all that four or five sets of cataract operation is finished within two and a half hours, there is not a complication. There was one that day only baby of 21 days was in hospital, red swelling of right eyeball was outstanding. I suspect it is the eye socket honeycomb that organizes inflammation, call their intravenous antibiotic, check the leucocyte, protect the cornea. The next morning, two doctors led the infant to look for me to say, it was tumour, not inflammation, it is of no use to use antibiotic. It is not tumour that I insist on. The infant is just 3 weeks, covet swollenly to stress that is just less than one week in right, and red swelling is outstanding and very serious, should consider inflammation in the eye socket first, secondly consider tumour. Must check the leucocyte first, ask the nose department to hold a consultation if necessary, exclude from sifting sinus inflammation (because have no CT) . At 6:30 in the afternoon, I go to the neonatal ward to hold a consultation again, an Australian surgeon has been already there. I see infant right eyeball dash for ward like lose lantern that go out of cry and scream, then I enter needle by lower dome with empty needle, take yellowish-white suppuration out to come. This has just proved my diagnosis is accurate, then determine the operation is guided. Our mostly spending in the bedroom after coming off duty, read, watch TV. The wireless network here is exerted a tremendous influence by the weather, it is very difficult to open the webpage. It is not the enjoyment to go window-shopping here, should only do shopping to force to go shopping. The trade needn't be weighed, sell according to the piece already divided. There are few local vegetables varieties, fish and vegetables are all very expensive. We feel the biggest difficulty is the language obstacle. The hospital worker's language has English, Portuguese, Spanish, Germany's language once, Indonesian,etc.. The local patient speaks Germany's language once mostly, so need a nurse to translate nearby while working. Army of the United Nations accredited here by a plurality of countries keeps order, the army and police ready for an emergency are seen everywhere. The locality because it is hot, in addition, the sewage disposal system in the town lags behind, there are more mosquitoes. Check the blood in the hospital, it is necessary that malaria is checked. Infectious diseases are basically all tuberculosis. This aids it with time for our medical worker outside, finish a political task with medical technology, as to this I am full of confidence. This column is by The Department of International Cooperation of Ministry of Public Health Centre of international exchange and cooperation of Ministry of Public Health Do jointly
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Hand tumour has illness coming on and obviously rises
Hand tumour has illness coming on and obviously rises
Hand tumour has illness coming on and obviously rises
It is reported ' Reporter Wang XueFei) Beijing accumulated hand surgery of puddle hospital to discover a few days ago, since from the year 1959 till now, got the hand tumour patients in all parts of the country of treatment of this department showed a tendency to increase, especially the growth rate in most recent 10 years is more obvious, should cause the attention of the surgical clinician of hand. It is introduced, tumour of limb every position is possible to happen on the hand, include various bon tissues, soft tissue tumour and a kind of tumour and a kind of illness, and benign tumour and a kind of tumour and a kind of illness take the overwhelming majority. Beijing accumulate the intersection of puddle and the intersection of hospital and the intersection of hand and the intersection of surgery and the intersection of pure, Tian GuangLei Li,etc. and doctor discover through the reviewing, though the morbidity of malignant tumour of hand is relatively low, clinical statistics in most recent 10 years reveal it has obvious ascendant trend, especially malignant the intersection of melanin and tumour ' Such as the fingernail makes malignant melanin tumour) More obvious with having one kind of sarcomatous ascendant trends of cover. Li Chun, Tian GuangLei,etc. accumulate all impatients' materials since from the year 1959 till now in 50 years of hand surgery of puddle hospital to review and analyze Beijing, the result indicates, the gender of the hand tumour patient is distributed and slightly exceeded men for women, but without significance difference on time, it is not obvious that age is changed. In tumour classification, from the sixties of last century to the eighties, benign tumour was common with hemangioma, slippery membrane tumour, lipoma and tendon sheath big and small afterbirth tumour, malignant tumour is the most common with slippery membrane sarcoma; From later stage of the 1990s of last century to 2007, benign tumour of hand was the most common with the hemangioma and big and small afterbirth tumour of the tendon sheath, especially tendon sheath big and small the intersection of afterbirth and the intersection of tumour and incidence rise obviously, maos of detailed hemangioma and the intersection of blood vessel and case, ball of tumour obviously increase too, it is the most common malignant tumour of hand at present to have cover one kind of sarcomas.
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Hand tumour has illness coming on and obviously rises
It is reported ' Reporter Wang XueFei) Beijing accumulated hand surgery of puddle hospital to discover a few days ago, since from the year 1959 till now, got the hand tumour patients in all parts of the country of treatment of this department showed a tendency to increase, especially the growth rate in most recent 10 years is more obvious, should cause the attention of the surgical clinician of hand. It is introduced, tumour of limb every position is possible to happen on the hand, include various bon tissues, soft tissue tumour and a kind of tumour and a kind of illness, and benign tumour and a kind of tumour and a kind of illness take the overwhelming majority. Beijing accumulate the intersection of puddle and the intersection of hospital and the intersection of hand and the intersection of surgery and the intersection of pure, Tian GuangLei Li,etc. and doctor discover through the reviewing, though the morbidity of malignant tumour of hand is relatively low, clinical statistics in most recent 10 years reveal it has obvious ascendant trend, especially malignant the intersection of melanin and tumour ' Such as the fingernail makes malignant melanin tumour) More obvious with having one kind of sarcomatous ascendant trends of cover. Li Chun, Tian GuangLei,etc. accumulate all impatients' materials since from the year 1959 till now in 50 years of hand surgery of puddle hospital to review and analyze Beijing, the result indicates, the gender of the hand tumour patient is distributed and slightly exceeded men for women, but without significance difference on time, it is not obvious that age is changed. In tumour classification, from the sixties of last century to the eighties, benign tumour was common with hemangioma, slippery membrane tumour, lipoma and tendon sheath big and small afterbirth tumour, malignant tumour is the most common with slippery membrane sarcoma; From later stage of the 1990s of last century to 2007, benign tumour of hand was the most common with the hemangioma and big and small afterbirth tumour of the tendon sheath, especially tendon sheath big and small the intersection of afterbirth and the intersection of tumour and incidence rise obviously, maos of detailed hemangioma and the intersection of blood vessel and case, ball of tumour obviously increase too, it is the most common malignant tumour of hand at present to have cover one kind of sarcomas.
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The ill high-incidence season of mouths of brothers will come The child appears rash wants to seek medical advice in time
The ill high-incidence season of mouths of brothers will come The child appears rash wants to seek medical advice in time
The ill high-incidence season of mouths of brothers will come The child appears rash wants to seek medical advice in time
The intersection of brothers and the intersection of mouth and the intersection of disease and high-incidence season of this year come soon, some the intersection of people and the intersection of rival and the intersection of foot and the intersection of mouth and disease know insufficiently at present, have some the intersection of crowd and the intersection of rival and the intersection of foot and the intersection of mouth and disease feel frightened even. Individual infants are isolated besides crowd, this has caused some parents' great worries too. Changchun infects (tuberculosis) Disease hospital infect the intersection of head of the department and Chun Wu, say this come from people rival foot understanding, mouth of disease enough to cause. The scientific attitude is: Brothers' mouth disease can be defended, can be cured, controllable, not terrible. Director Wu Chun says, it is acute infectious disease caused by intestinal virus that mouths of brothers are ill, the infant under the age of 3 have illness coming on to see more, are mainly shown as spot papule and bleb of positions such as hands, the foot, mouth, oral cavity,etc., some are ill to generate heat, only a few patients can present meningitis, encephalitis, lung edema, lung and bleed, circulate the obstacle etc., most more serious conditions are caused by virus of Model EV71 in the intestinal virus. At present, as to the thing that it is defended full of ideas that the mouths of brothers are ill, manage measure, and most infants have been all cured within short time. Remind citizens find child generate heat produce rash, must go to the specialized hospital to diagnose and treat as soon as possible at the same time. Head of the department Wu Chun, is engaged as the medical association of Changchun and defend branch's managing director, technological connoisseur's storehouse member of Changchun malpractice of consumptive disease now, have won the first " Medal of the May Fourth Movement that Changchun is young " , multiple honors such as the advanced individual of emergency operation of Municipal Health Bureau in Changchun. Good at curing various infective diseases, especially the diagnosis, differentiation, with having abundant clinical experiences to treat the respect in brothers' mouth disease, measles, hepatopathy, AIDS, tuberculosis. (reporter Li Jing / report)
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The ill high-incidence season of mouths of brothers will come The child appears rash wants to seek medical advice in time
The intersection of brothers and the intersection of mouth and the intersection of disease and high-incidence season of this year come soon, some the intersection of people and the intersection of rival and the intersection of foot and the intersection of mouth and disease know insufficiently at present, have some the intersection of crowd and the intersection of rival and the intersection of foot and the intersection of mouth and disease feel frightened even. Individual infants are isolated besides crowd, this has caused some parents' great worries too. Changchun infects (tuberculosis) Disease hospital infect the intersection of head of the department and Chun Wu, say this come from people rival foot understanding, mouth of disease enough to cause. The scientific attitude is: Brothers' mouth disease can be defended, can be cured, controllable, not terrible. Director Wu Chun says, it is acute infectious disease caused by intestinal virus that mouths of brothers are ill, the infant under the age of 3 have illness coming on to see more, are mainly shown as spot papule and bleb of positions such as hands, the foot, mouth, oral cavity,etc., some are ill to generate heat, only a few patients can present meningitis, encephalitis, lung edema, lung and bleed, circulate the obstacle etc., most more serious conditions are caused by virus of Model EV71 in the intestinal virus. At present, as to the thing that it is defended full of ideas that the mouths of brothers are ill, manage measure, and most infants have been all cured within short time. Remind citizens find child generate heat produce rash, must go to the specialized hospital to diagnose and treat as soon as possible at the same time. Head of the department Wu Chun, is engaged as the medical association of Changchun and defend branch's managing director, technological connoisseur's storehouse member of Changchun malpractice of consumptive disease now, have won the first " Medal of the May Fourth Movement that Changchun is young " , multiple honors such as the advanced individual of emergency operation of Municipal Health Bureau in Changchun. Good at curing various infective diseases, especially the diagnosis, differentiation, with having abundant clinical experiences to treat the respect in brothers' mouth disease, measles, hepatopathy, AIDS, tuberculosis. (reporter Li Jing / report)
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A mouthful of disease recessiveness of brothers is infected more Vaccine is researched and developed extremely urgently
A mouthful of disease, recessiveness of brothers is infected more Vaccine is researched and developed extremely urgently
Brothers' mouth disease, recessiveness is infected more Vaccine is researched and developed extremely urgently
"Had too in the past, but the heaviest in history this year. " The department of public health of the Guangxi Zhuang Autonomous Region controls Lin GuiXin, division chief of place to describe the ill epidemic situation of mouths of brothers in Guangxi of this year like this. The data which Ministry of Public Health released revealed, by April 11, report to a more than 190,000 cases of brothers totally in the whole country this year not long ago, have risen by 38% compared with the same period of last year. Among them, 2119 in weight diseases, 94 cases of death. The morbidity of 10 provinces such as Guangdong, Henan, Guangxi, Zhejiang counts and accounts for nearly 80% of the national total number. At present, 14 provinces report the case with death, 27 Guangxi, 23 Hunan, 9 Henan, three provinces occupy the top three. At present, with the development of epidemic situation, these figures are still increasing constantly. Why not do prevention work well ahead of time? In the face of doubt this, relevant expert say this the intersection of Guangxi and the intersection of mouth and the intersection of disease and new characteristic epidemic situation appear, brothers of area, cause because of this year. "Cause the etiology of brothers' mouth disease to have 20 multi-type commonly, among them the most common type is Ke Sa strange A16 and EV71. From aetiology, EV71 becomes pathogen of an advantage of this year. EV71 has two characteristics: Infective and strong and virulence is strong, apt to cause some to value disease and death. " The virus department's section chief Tan Yi of Center for Disease Prevention and Control in the Guangxi Zhuang Autonomous Region says, the mouth disease of brothers caused by EV71 does not have typical symptom on one hand, a lot of infants have not demonstrated rash, easy to leak and examine misdiagnosing; On the other hand behind the virus invades the human body, from generating heat to have disease and die very fast, "ones that do not say in the morning in two or three days, sometimes yet well, if does not rescue in time, not all right in the afternoon. " Yi Tan introduce brothers the intersection of mouth and disease another pieces of characteristic whom recessiveness infect numerous in proportion, the adult does not have clinical manifestation after infecting, in this case, he may infect the source to pass to the child as one. And ill the infeted's recessiveness of most mouths of brothers is infected with light disease case, only less than 0. 1% serious the intersection of disease and case, this to cause the intersection of brothers and the intersection of mouth and main reason that disease send out highly at present, area of Guangxi. In addition general domestic brothers summer and autumn in prevailing peak, mouth of disease, and the intersection of Guangxi and brothers move in front of the prevailing peak, mouth of disease this year, began since March. "The virus is all over the place in the nature, and the climate of Guangxi is made warm more moistly, it is impossible for you to want to block, we want to prevent it by a kind of better method, vaccine is that one is chosen first. " Lin Gui think newly, in 2008, our country will classify brothers' mouth disease as class-C infection after being ill formally, the epidemic situation is changing constantly, getting heavier year by year, " you do not make a decision to study vaccine now, may be to the child's health, life, too safe to responsible for. " It is early at news briefing held in Ministry of Public Health of last March, Deputy Director of Chinese Center for Disease Prevention and Control Yang WeiZhong expresses, directing against EV71 virus, under very large financial resources support of the Ministry of Science and Technology, Ministry of Public Health, organize relevant experts to research and develop vaccine as soon as possible. However, up till now, still have no news that relevant vaccine emerges. Many people hold the suspicious attitude to security and dependability of vaccine, but Lin Gui firmly believes newly vaccine is very effective. He says, there were ten or twenty infants because of the death of encephalitis B every year in Guangxi in the past, forty or fifty people died in 1999 when at most, but after vaccine was developed out, encephalitis B has not been already enough to become harmful in Guangxi now. "Some people, because of individual difference, present, react to vaccine, sense of responsibility better in some place play vaccine too, hit vaccine by mistake or hit the position by mistake, it is inevitable to present some accidents, but we can't deny to vaccine totally. " Lin Gui's new statement, the research and development of vaccine can not be accomplished overnight, needing the country to make a decision to inject capital into to do, " I advise the Ministry of Finance to take the money to research and develop this, can't give to a company, or an operating unit goes to do. "
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Brothers' mouth disease, recessiveness is infected more Vaccine is researched and developed extremely urgently
"Had too in the past, but the heaviest in history this year. " The department of public health of the Guangxi Zhuang Autonomous Region controls Lin GuiXin, division chief of place to describe the ill epidemic situation of mouths of brothers in Guangxi of this year like this. The data which Ministry of Public Health released revealed, by April 11, report to a more than 190,000 cases of brothers totally in the whole country this year not long ago, have risen by 38% compared with the same period of last year. Among them, 2119 in weight diseases, 94 cases of death. The morbidity of 10 provinces such as Guangdong, Henan, Guangxi, Zhejiang counts and accounts for nearly 80% of the national total number. At present, 14 provinces report the case with death, 27 Guangxi, 23 Hunan, 9 Henan, three provinces occupy the top three. At present, with the development of epidemic situation, these figures are still increasing constantly. Why not do prevention work well ahead of time? In the face of doubt this, relevant expert say this the intersection of Guangxi and the intersection of mouth and the intersection of disease and new characteristic epidemic situation appear, brothers of area, cause because of this year. "Cause the etiology of brothers' mouth disease to have 20 multi-type commonly, among them the most common type is Ke Sa strange A16 and EV71. From aetiology, EV71 becomes pathogen of an advantage of this year. EV71 has two characteristics: Infective and strong and virulence is strong, apt to cause some to value disease and death. " The virus department's section chief Tan Yi of Center for Disease Prevention and Control in the Guangxi Zhuang Autonomous Region says, the mouth disease of brothers caused by EV71 does not have typical symptom on one hand, a lot of infants have not demonstrated rash, easy to leak and examine misdiagnosing; On the other hand behind the virus invades the human body, from generating heat to have disease and die very fast, "ones that do not say in the morning in two or three days, sometimes yet well, if does not rescue in time, not all right in the afternoon. " Yi Tan introduce brothers the intersection of mouth and disease another pieces of characteristic whom recessiveness infect numerous in proportion, the adult does not have clinical manifestation after infecting, in this case, he may infect the source to pass to the child as one. And ill the infeted's recessiveness of most mouths of brothers is infected with light disease case, only less than 0. 1% serious the intersection of disease and case, this to cause the intersection of brothers and the intersection of mouth and main reason that disease send out highly at present, area of Guangxi. In addition general domestic brothers summer and autumn in prevailing peak, mouth of disease, and the intersection of Guangxi and brothers move in front of the prevailing peak, mouth of disease this year, began since March. "The virus is all over the place in the nature, and the climate of Guangxi is made warm more moistly, it is impossible for you to want to block, we want to prevent it by a kind of better method, vaccine is that one is chosen first. " Lin Gui think newly, in 2008, our country will classify brothers' mouth disease as class-C infection after being ill formally, the epidemic situation is changing constantly, getting heavier year by year, " you do not make a decision to study vaccine now, may be to the child's health, life, too safe to responsible for. " It is early at news briefing held in Ministry of Public Health of last March, Deputy Director of Chinese Center for Disease Prevention and Control Yang WeiZhong expresses, directing against EV71 virus, under very large financial resources support of the Ministry of Science and Technology, Ministry of Public Health, organize relevant experts to research and develop vaccine as soon as possible. However, up till now, still have no news that relevant vaccine emerges. Many people hold the suspicious attitude to security and dependability of vaccine, but Lin Gui firmly believes newly vaccine is very effective. He says, there were ten or twenty infants because of the death of encephalitis B every year in Guangxi in the past, forty or fifty people died in 1999 when at most, but after vaccine was developed out, encephalitis B has not been already enough to become harmful in Guangxi now. "Some people, because of individual difference, present, react to vaccine, sense of responsibility better in some place play vaccine too, hit vaccine by mistake or hit the position by mistake, it is inevitable to present some accidents, but we can't deny to vaccine totally. " Lin Gui's new statement, the research and development of vaccine can not be accomplished overnight, needing the country to make a decision to inject capital into to do, " I advise the Ministry of Finance to take the money to research and develop this, can't give to a company, or an operating unit goes to do. "
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The mouths of brothers are ill to prevent and control wanting to build four level coordinated cooperation systems
The mouths of brothers are ill to prevent and control wanting to build four level coordinated cooperation systems
The mouths of brothers are ill to prevent and control wanting to build four level coordinated cooperation systems
It is reported ' Reporter Wang LeMin) Yin Li, Vice Minister of Ministry of Public Health, points out in the national brothers' mouth disease that was held a few days ago waits for spring and summer at the prevention and control video-and teleconference of infectious disease, the intersection of brothers and the intersection of mouth and disease is prevented and controlled and move in front of the pass, will set up the coordinated cooperation systems of 4 levels, treat and cure the work and put the serious disease case on the outstanding position, reduce the case fatality rate effectively. Yin Li says, brothers' port disease prevents and controls and wants to transfer pass forward to the basic unit, further improve the basic unit and treat ability, make finding early well, early report, diagnosing early, treating early conscientiously. Serious disease and critical disease case were wanted according to centralized patient, centralized expert, centralized resource, concentrated on treating and curing " Four is centralized " The principle, include the fixed hospital with stronger comprehensive strength to treat and cure in time. Li Yin say, want, set up 4 the intersection of coordinated cooperation and system of level, make great efforts, improve the intersection of brothers and the intersection of mouth and the intersection of disease and whole the intersection of medical treatment and ability. Set up the border coordinated cooperation system of the province, form of holding a consultation by technical training, serious disease and critical disease case etc., launch the border coordinated cooperation work of the province; Set up coordinated cooperation system and mechanism among different areas inside the province, will raise medical resource utilization efficiencies; Set up the coordinated cooperation system among the large-scale comprehensive medical organization and medical organization at the basic level, fully utilize the high-quality medical resources of the large-scale general hospital, strengthen the guidance of the medical organization at the basic level; Set up coordinated cooperation among different specialities in the courtyard, strengthen the training of the medical worker of the relevant speciality inside the hospital, can treat the department and carry on the work in coordination with a disease of brothers if necessary. Yin Li points out, all parts should strengthen the guidance of serious disease and critical disease case medical treatment, standardize the seriously ill disease case of mouths of brothers and change the place of examination, hold a consultation and the expert sends the system. The medical organization that do not possess serious disease and the critical disease case treated and cured the terms, should be under guaranteeing the safe prerequisite of medical treatment, change the place of examination in weight disease and critical disease case to the fixed hospital in time; Is not suitable for while changing the place of examination, local health authorities should organize experts to treat and cure actively in situ. It is reported, Ministry of Public Health will further substantiate the clinical strength of expert panel of a disease of ministerial brothers, strengthen the guidance of the seriously ill disease case medical treatment job of mouths of brothers of place, will also accuse of professional personnel's launching the long-range technical training to medical treatment, disease, Ministry of Public Health revised <>Will print and distribute all parts recently.
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The mouths of brothers are ill to prevent and control wanting to build four level coordinated cooperation systems
It is reported ' Reporter Wang LeMin) Yin Li, Vice Minister of Ministry of Public Health, points out in the national brothers' mouth disease that was held a few days ago waits for spring and summer at the prevention and control video-and teleconference of infectious disease, the intersection of brothers and the intersection of mouth and disease is prevented and controlled and move in front of the pass, will set up the coordinated cooperation systems of 4 levels, treat and cure the work and put the serious disease case on the outstanding position, reduce the case fatality rate effectively. Yin Li says, brothers' port disease prevents and controls and wants to transfer pass forward to the basic unit, further improve the basic unit and treat ability, make finding early well, early report, diagnosing early, treating early conscientiously. Serious disease and critical disease case were wanted according to centralized patient, centralized expert, centralized resource, concentrated on treating and curing " Four is centralized " The principle, include the fixed hospital with stronger comprehensive strength to treat and cure in time. Li Yin say, want, set up 4 the intersection of coordinated cooperation and system of level, make great efforts, improve the intersection of brothers and the intersection of mouth and the intersection of disease and whole the intersection of medical treatment and ability. Set up the border coordinated cooperation system of the province, form of holding a consultation by technical training, serious disease and critical disease case etc., launch the border coordinated cooperation work of the province; Set up coordinated cooperation system and mechanism among different areas inside the province, will raise medical resource utilization efficiencies; Set up the coordinated cooperation system among the large-scale comprehensive medical organization and medical organization at the basic level, fully utilize the high-quality medical resources of the large-scale general hospital, strengthen the guidance of the medical organization at the basic level; Set up coordinated cooperation among different specialities in the courtyard, strengthen the training of the medical worker of the relevant speciality inside the hospital, can treat the department and carry on the work in coordination with a disease of brothers if necessary. Yin Li points out, all parts should strengthen the guidance of serious disease and critical disease case medical treatment, standardize the seriously ill disease case of mouths of brothers and change the place of examination, hold a consultation and the expert sends the system. The medical organization that do not possess serious disease and the critical disease case treated and cured the terms, should be under guaranteeing the safe prerequisite of medical treatment, change the place of examination in weight disease and critical disease case to the fixed hospital in time; Is not suitable for while changing the place of examination, local health authorities should organize experts to treat and cure actively in situ. It is reported, Ministry of Public Health will further substantiate the clinical strength of expert panel of a disease of ministerial brothers, strengthen the guidance of the seriously ill disease case medical treatment job of mouths of brothers of place, will also accuse of professional personnel's launching the long-range technical training to medical treatment, disease, Ministry of Public Health revised <
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Brothers' mouth disease prevents the whole attack strategy of treatment
Brothers' mouth disease prevents the whole attack strategy of treatment
Brothers' mouth disease prevents the whole attack strategy of treatment
Brief content: Since the first ten days of March, Fuyang the intersection of city and several hospital accept for medical treatment in order to generate heat the intersection of companion and oral cavity, hand, foot, buttock rash as the disease patient of the main fact successively, a few is damaged with brains, hearts, lungs seriously. 2.The virus in patient's throat secretion and saliva can pass the air (the droplets) Spread, so keep in touch with the sick infant at short ranging can cause and infect. Since the first ten days of March, Fuyang the intersection of city and several hospital accept for medical treatment in order to generate heat the intersection of companion and oral cavity, hand, foot, buttock rash as the disease patient of the main fact successively, a few is damaged with brains, hearts, lungs seriously. On March 27, the first infant dies; On March 29, report the situation to disease of Fuyang Municipal Health Bureau, city to accuse of the centre in the People's Hospital, Fuyang; On March 31, Fuyang Municipal Health Bureau reports to the department of public health of Anhui Province. On April 15, the department of public health of Anhui Province requires assistance to Ministry of Public Health. First batch of epidemiology which Ministry of Public Health sends, reaching Fuyang clinically, examine experts on April 16, by April 23, confirm this disease as the intestinal virus EV71 and infect finally. The term is understood: Intestinal virus EV71 infective disease and intestinal virus EV71 are one kind of the people intestinal virus, abbreviate EV71 as, cause the intersection of children and the intersection of brothers and the intersection of mouth and ill, viral angina often, the serious disease infant can present for lung edema, encephalitis,etc., referred to as the intestinal virus EV71 being infected with disease. Who are apt to suffer from this kind of disease? The infant and pre-school children under the age of three occur frequently, the adult can also be infected with. Environmental sanitation, food hygiene are bad, the bad personal hygienic habit is apt to have illness coming on. Most case conditions are relatively light, can cure. A few patients can present encephalitis and encephalomyelitis, lung edema, circulatory failure,etc., can jeopardize the life when being serious. Onset characteristic: Age bracket generally partial and light, most large the intersection of patient and 11 year old, a minimum one just 1 about year old, among them 2-3 year old in the majority; Secondly, the onset area disperses, and mainly in the rural area. What season is aptest to happen for this kind of disease? This disease can happen all the year round, common to April - September. Through what route does this disease spread? 1.It is an important circulation way that the crowd keeps in close touch, children cause the infection through contacting hand, towel, handkerchief, tooth cup, toy, tableware, milk having and bed clothes, underwear,etc. polluted by the virus. 2.The virus in patient's throat secretion and saliva can pass the air (the droplets) Spread, so keep in touch with the sick infant at short ranging can cause and infect. 3.Water, food that drink or ingestion is polluted by the virus, can also infect. Which behave this kind of disease begin to have? After the infant is infected with the intestinal virus EV71, in order to generate heat to get up more the disease, generally for about 38 ��. Some patient have, cough, shed tears and slobber, similar to symptom of upper airway infection in early days, some children are sick and vomiting etc. and reacting. Begin to present rash after generating heat for 1- 2 days, usually appear on brothers, buttock, or present mucomembranous bleb of the oral cavity. Some infants do not generate heat, is only shown as hand, foot, buttock rash or bleb angina, the condition is relatively light. Most infant body temperature drop within one week and rash disappear, the condition resumes. If the child presents symptom of generating heat, having rash etc., what shall parents do? Find the child has a fever, has rash,etc. symptom, go to the regular hospital to go to a doctor as soon as possible. The child should delay going to kindergarten and school behind being ill, avoid passing to others, prevent being infected with other diseases again. Propose, decide whether to stay in hospital hospital treatment or not according to the doctor. The infant's family should use soap, antiseptic to sterilize the items in everyday use, toy, diaper, have to the milk, tableware boiling disinfection. Infant excrement and urine and other excrement can be sterilized with disinfectant or bleaching powder; Tan by the sun the clothing by the sunshine, keep ventilating and taking a breath in the room. How does the family prevent this kind of disease? Spring and summer is that the intestinal virus infects the season apt to happen, should pay attention to the environment, food hygiene and personal hygiene. Do not drink the unboiled water, does not eat the raw and cold food, and then wash hands before a meal, keep indoor airiness. Try not to take infant and pre-school children to crowd's intensive place. Mother nursing should have a bath hardworkingly, change the clothes hardworkingly, should wash the nipple before breast-feeding. How do the kindergarten, nursery prevent this kind of disease? Children's collective livelihood such as the nurseries and kindergartens organization, place of study, should do a good job of the physical examination among the morning, find that there are generating heat, child of the rashes, should require parents to take child to the hospital to go to a doctor immediately, report to the relevant department at the same time. The infant should have a rest at home, it is unsuitable to continue going to school. After finding that there are generating heat, child of the rashes, should sterilize toy, bed clothes, desk chair,etc. immediately; Do the disinfecting of dining room, bathroom, classroom,etc. well at the same time. Keep playgrounds such as classroom and bedroom,etc. ventilating and taking a breath. Find nurse, teacher, other staff member have, generate heat the intersection of companion and rash, should delay working immediately. How does the primary school prevent this kind of disease? A: The primary school should do a good job of the physical examination among the morning of every day. Find that there are generating heat, child of the rashes, should require parents to bring to the hospital and go to a doctor immediately, report to the relevant department at the same time. Ill students should not continue going to school, should have a rest in home. After the school teacher finds that there are generating heat, student of the rashes, should sterilize bed clothes, desk chair, sports apparatus,etc. immediately; Do classroom, bedroom, dining room, toilet,etc. well to disinfect at the same time. Keep playgrounds such as classroom and bedroom,etc. ventilating and taking a breath. Why is the child apter to be infected with this kind of virus? The intestinal virus EV71 infects the articles mainly polluted through the saliva, bleb liquid, excrement and urine to keep in close touch and travel, children and adult may all be infected with, the children under the age of 5 occur frequently, it induces the disease to send that the bad, personal hygienic habit of environmental sanitation is bad, cause the intersection of children and the intersection of brothers and the intersection of mouth and ill, viral angina often, the serious disease infant can present lung edema, encephalitis,etc., most case conditions are relatively light, can cure. May present a serious disease patient in every a thousand patients, a few patients will present complications such as myocarditis, aseptic meningitis and lung edema,etc., jeopardize the life when being serious. Why such large-scale epidemic situation appears in Fuyang? Grow tall, turn on flame, analyze to this Anhui Province the intersection of department of public health and Room that is thought: The reason why such large-scale epidemic situation appears in Fuyang, one because the population in the north area of Anhui is comparatively intensive, flowability is greater at the same time; Second, the basic conditions of hygiene of these areas are very bad, it is apt to be infected with the virus. "It is early to present greater mortality, the main reason one has illness coming on urgently, when a lot of children send to the hospital, serious symptom of already damaging the brain edema, internal organs function etc.; Second, the cause of disease is difficult to fix. " But a view thinks, there is ill epidemic situation of mouths of brothers every year before this, especially serious this year, the conjecture is that the virus appears Some variation,not prevent and increase treatment difficult. Concept that can't be obscured It is by the people intestinal virus 71 type (EV71) that the intestinal virus EV71 type is infected Cause? Arm > Nao Zhyuan tired �� Qiu is quarried now Tao �� cave manages �� swollenly and moving to and fro to deceive. The chaff �E V71 of �� is infected with the infant and shown as bleb angina, the serious disease patient presents viral encephalitis, viral cerebrospinal membrane inflammation, lung edema, lung to bleed etc.. The mouths of brothers are ill (Hand-foot-mouthdisease, HFMD) Infected the clinical disease group caused by the intestinal virus, have various in clinical manifestation characteristics, most cases are relatively light in clinical manifestation, regard rash or bleb of positions such as generating heat and hand, foot, oral cavity,etc. as the main characteristic. A few cases damage, cause symptoms such as encephalitis, myocarditis, lung edema, relaxing paralysis,etc. the respiratory system, central nervous system, specific serious disease and infant's condition are quick in progress, cause the death. Initiate the intersection of brothers and intestinal virus, mouth of disease have 20 multi-type, including strange virus Sa Ke getting 71 type in group, intestinal virus in A. The intestinal virus EV71 type infects and is mainly shown as the mouths of brothers are ill, but can also be shown as other diseases, brothers the intersection of mouth and disease can infect, cause by intestinal the intersection of virus and EV71 type, too can infect, cause by Ke Sa strange the intersection of group,etc. and other intestinal virus, A of virus, there are the two, I, have in me, you, it is not the one-to-one relation. But according to the domestic and foreign materials, compared with the situation that mouths of brothers that other intestinal virus cause are ill, take place serious the intersection of disease and large percentage that is infect by intestinal the intersection of virus and 71 type disease caused to infect with, the case fatality rate is relatively high too, the case case fatality rate of serious disease can be up to 10%-25%. Because intestinal the intersection of virus and EV71 type infect clinical manifestation to be various, lack the simple and convenient, swift diagnostic method on being clinical, so the diagnosis that the intestinal virus EV71 type infects is difficult.
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Brothers' mouth disease prevents the whole attack strategy of treatment
Brief content: Since the first ten days of March, Fuyang the intersection of city and several hospital accept for medical treatment in order to generate heat the intersection of companion and oral cavity, hand, foot, buttock rash as the disease patient of the main fact successively, a few is damaged with brains, hearts, lungs seriously. 2.The virus in patient's throat secretion and saliva can pass the air (the droplets) Spread, so keep in touch with the sick infant at short ranging can cause and infect. Since the first ten days of March, Fuyang the intersection of city and several hospital accept for medical treatment in order to generate heat the intersection of companion and oral cavity, hand, foot, buttock rash as the disease patient of the main fact successively, a few is damaged with brains, hearts, lungs seriously. On March 27, the first infant dies; On March 29, report the situation to disease of Fuyang Municipal Health Bureau, city to accuse of the centre in the People's Hospital, Fuyang; On March 31, Fuyang Municipal Health Bureau reports to the department of public health of Anhui Province. On April 15, the department of public health of Anhui Province requires assistance to Ministry of Public Health. First batch of epidemiology which Ministry of Public Health sends, reaching Fuyang clinically, examine experts on April 16, by April 23, confirm this disease as the intestinal virus EV71 and infect finally. The term is understood: Intestinal virus EV71 infective disease and intestinal virus EV71 are one kind of the people intestinal virus, abbreviate EV71 as, cause the intersection of children and the intersection of brothers and the intersection of mouth and ill, viral angina often, the serious disease infant can present for lung edema, encephalitis,etc., referred to as the intestinal virus EV71 being infected with disease. Who are apt to suffer from this kind of disease? The infant and pre-school children under the age of three occur frequently, the adult can also be infected with. Environmental sanitation, food hygiene are bad, the bad personal hygienic habit is apt to have illness coming on. Most case conditions are relatively light, can cure. A few patients can present encephalitis and encephalomyelitis, lung edema, circulatory failure,etc., can jeopardize the life when being serious. Onset characteristic: Age bracket generally partial and light, most large the intersection of patient and 11 year old, a minimum one just 1 about year old, among them 2-3 year old in the majority; Secondly, the onset area disperses, and mainly in the rural area. What season is aptest to happen for this kind of disease? This disease can happen all the year round, common to April - September. Through what route does this disease spread? 1.It is an important circulation way that the crowd keeps in close touch, children cause the infection through contacting hand, towel, handkerchief, tooth cup, toy, tableware, milk having and bed clothes, underwear,etc. polluted by the virus. 2.The virus in patient's throat secretion and saliva can pass the air (the droplets) Spread, so keep in touch with the sick infant at short ranging can cause and infect. 3.Water, food that drink or ingestion is polluted by the virus, can also infect. Which behave this kind of disease begin to have? After the infant is infected with the intestinal virus EV71, in order to generate heat to get up more the disease, generally for about 38 ��. Some patient have, cough, shed tears and slobber, similar to symptom of upper airway infection in early days, some children are sick and vomiting etc. and reacting. Begin to present rash after generating heat for 1- 2 days, usually appear on brothers, buttock, or present mucomembranous bleb of the oral cavity. Some infants do not generate heat, is only shown as hand, foot, buttock rash or bleb angina, the condition is relatively light. Most infant body temperature drop within one week and rash disappear, the condition resumes. If the child presents symptom of generating heat, having rash etc., what shall parents do? Find the child has a fever, has rash,etc. symptom, go to the regular hospital to go to a doctor as soon as possible. The child should delay going to kindergarten and school behind being ill, avoid passing to others, prevent being infected with other diseases again. Propose, decide whether to stay in hospital hospital treatment or not according to the doctor. The infant's family should use soap, antiseptic to sterilize the items in everyday use, toy, diaper, have to the milk, tableware boiling disinfection. Infant excrement and urine and other excrement can be sterilized with disinfectant or bleaching powder; Tan by the sun the clothing by the sunshine, keep ventilating and taking a breath in the room. How does the family prevent this kind of disease? Spring and summer is that the intestinal virus infects the season apt to happen, should pay attention to the environment, food hygiene and personal hygiene. Do not drink the unboiled water, does not eat the raw and cold food, and then wash hands before a meal, keep indoor airiness. Try not to take infant and pre-school children to crowd's intensive place. Mother nursing should have a bath hardworkingly, change the clothes hardworkingly, should wash the nipple before breast-feeding. How do the kindergarten, nursery prevent this kind of disease? Children's collective livelihood such as the nurseries and kindergartens organization, place of study, should do a good job of the physical examination among the morning, find that there are generating heat, child of the rashes, should require parents to take child to the hospital to go to a doctor immediately, report to the relevant department at the same time. The infant should have a rest at home, it is unsuitable to continue going to school. After finding that there are generating heat, child of the rashes, should sterilize toy, bed clothes, desk chair,etc. immediately; Do the disinfecting of dining room, bathroom, classroom,etc. well at the same time. Keep playgrounds such as classroom and bedroom,etc. ventilating and taking a breath. Find nurse, teacher, other staff member have, generate heat the intersection of companion and rash, should delay working immediately. How does the primary school prevent this kind of disease? A: The primary school should do a good job of the physical examination among the morning of every day. Find that there are generating heat, child of the rashes, should require parents to bring to the hospital and go to a doctor immediately, report to the relevant department at the same time. Ill students should not continue going to school, should have a rest in home. After the school teacher finds that there are generating heat, student of the rashes, should sterilize bed clothes, desk chair, sports apparatus,etc. immediately; Do classroom, bedroom, dining room, toilet,etc. well to disinfect at the same time. Keep playgrounds such as classroom and bedroom,etc. ventilating and taking a breath. Why is the child apter to be infected with this kind of virus? The intestinal virus EV71 infects the articles mainly polluted through the saliva, bleb liquid, excrement and urine to keep in close touch and travel, children and adult may all be infected with, the children under the age of 5 occur frequently, it induces the disease to send that the bad, personal hygienic habit of environmental sanitation is bad, cause the intersection of children and the intersection of brothers and the intersection of mouth and ill, viral angina often, the serious disease infant can present lung edema, encephalitis,etc., most case conditions are relatively light, can cure. May present a serious disease patient in every a thousand patients, a few patients will present complications such as myocarditis, aseptic meningitis and lung edema,etc., jeopardize the life when being serious. Why such large-scale epidemic situation appears in Fuyang? Grow tall, turn on flame, analyze to this Anhui Province the intersection of department of public health and Room that is thought: The reason why such large-scale epidemic situation appears in Fuyang, one because the population in the north area of Anhui is comparatively intensive, flowability is greater at the same time; Second, the basic conditions of hygiene of these areas are very bad, it is apt to be infected with the virus. "It is early to present greater mortality, the main reason one has illness coming on urgently, when a lot of children send to the hospital, serious symptom of already damaging the brain edema, internal organs function etc.; Second, the cause of disease is difficult to fix. " But a view thinks, there is ill epidemic situation of mouths of brothers every year before this, especially serious this year, the conjecture is that the virus appears Some variation,not prevent and increase treatment difficult. Concept that can't be obscured It is by the people intestinal virus 71 type (EV71) that the intestinal virus EV71 type is infected Cause? Arm > Nao Zhyuan tired �� Qiu is quarried now Tao �� cave manages �� swollenly and moving to and fro to deceive. The chaff �E V71 of �� is infected with the infant and shown as bleb angina, the serious disease patient presents viral encephalitis, viral cerebrospinal membrane inflammation, lung edema, lung to bleed etc.. The mouths of brothers are ill (Hand-foot-mouthdisease, HFMD) Infected the clinical disease group caused by the intestinal virus, have various in clinical manifestation characteristics, most cases are relatively light in clinical manifestation, regard rash or bleb of positions such as generating heat and hand, foot, oral cavity,etc. as the main characteristic. A few cases damage, cause symptoms such as encephalitis, myocarditis, lung edema, relaxing paralysis,etc. the respiratory system, central nervous system, specific serious disease and infant's condition are quick in progress, cause the death. Initiate the intersection of brothers and intestinal virus, mouth of disease have 20 multi-type, including strange virus Sa Ke getting 71 type in group, intestinal virus in A. The intestinal virus EV71 type infects and is mainly shown as the mouths of brothers are ill, but can also be shown as other diseases, brothers the intersection of mouth and disease can infect, cause by intestinal the intersection of virus and EV71 type, too can infect, cause by Ke Sa strange the intersection of group,etc. and other intestinal virus, A of virus, there are the two, I, have in me, you, it is not the one-to-one relation. But according to the domestic and foreign materials, compared with the situation that mouths of brothers that other intestinal virus cause are ill, take place serious the intersection of disease and large percentage that is infect by intestinal the intersection of virus and 71 type disease caused to infect with, the case fatality rate is relatively high too, the case case fatality rate of serious disease can be up to 10%-25%. Because intestinal the intersection of virus and EV71 type infect clinical manifestation to be various, lack the simple and convenient, swift diagnostic method on being clinical, so the diagnosis that the intestinal virus EV71 type infects is difficult.
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Advance and deepen every task of the medical reform to implement solidly
Advance and deepen every task of the medical reform to implement solidly
Advance and deepen every task of the medical reform to implement solidly
It is reported ' Reporter Yang JieSong) Point out at studying and practising the activity and guiding work summary and commendatory meeting in the health care unit at the basic level that secretary of the leading Party members' group of Ministry of Public Health, Vice Minister Zhang Mao held on February 25, national hygiene system leading party members' groups at all levels and vast party members and cadres want to redouble one's efforts, further consolidate and expand and study and practise the activity achievement, advance the implementation which deepens every task of the medical reform solidly. Study and practise the achievement in order to consolidate, Zhang Mao requires, further strengthens the sense of urgency, sense of calling and sense of duty which promote scientific development of the hygiene industry. National hygiene system leading party members' groups at all levels and vast party members and cadres want to enhance confidence, emancipate the mind, probe boldly, gram is difficult that assault fortified position, with the arranging of national hygiene working conference of 2010 at the request of the State Council, make great efforts to advance the implementation which deepens every key task of the medical reform. Further promote and implement measure of every rectification and improvement. The health authorities at all levels should produce the guidance function conscientiously, insist on linking, about interdynamic from head to foot, strengthen and link up the coordination, supervise and instruct the health care unit at the basic level to strengthen the organization leadership, define responsibility, guarantee the implementation in an all-round way of the measure of rectification and improvement, let the people fully experience that study and practise the positive change that the activity brings. The health authorities at all levels should pay close attention to the Party building work with unit health care at the basic level, establish firmly " In charge of trade's stressing the Party building " Thought. Guide the Party organization with unit health care at the basic level and strengthen self-building conscientiously, give full play to the role of fighting bastion of the Party organization at the basic level and the exemplary vanguard role of the masses of Party members. It is reported, at time when the third batch is studied and practised to move about, 54,300 health care units at the basic level, 22,000 Party organizations at the basic level, 257,300 Communists participate in and study and practise the scientific development view activity thoroughly in the whole country. Ministry of Public Health and units at various levels study and practise the guidance group of the activity and propagate and popularize 4352 unit models, 5701 personal models together, have fully shown the hygiene system studies and practises the styles and features and achievements of the activity, have fully played a that the model guides role. Through studying and practising the activity, the health care workers at the basic level generally receive deep education, the organizational building at the basic level is strengthened to some extent, the people experience conscientiously that study and practise the change that the activity brings. The statistics show, the national health care unit at the basic level solves 57751 outstanding problems together, do something concrete for masses and do 106730 good things; Abrogate all kinds of more than 22000 systems, revise and improve all kinds of more than 53000 pieces of rules and regulations, issue all kinds of more than 39000 pieces of rules and regulations newly.
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Advance and deepen every task of the medical reform to implement solidly
It is reported ' Reporter Yang JieSong) Point out at studying and practising the activity and guiding work summary and commendatory meeting in the health care unit at the basic level that secretary of the leading Party members' group of Ministry of Public Health, Vice Minister Zhang Mao held on February 25, national hygiene system leading party members' groups at all levels and vast party members and cadres want to redouble one's efforts, further consolidate and expand and study and practise the activity achievement, advance the implementation which deepens every task of the medical reform solidly. Study and practise the achievement in order to consolidate, Zhang Mao requires, further strengthens the sense of urgency, sense of calling and sense of duty which promote scientific development of the hygiene industry. National hygiene system leading party members' groups at all levels and vast party members and cadres want to enhance confidence, emancipate the mind, probe boldly, gram is difficult that assault fortified position, with the arranging of national hygiene working conference of 2010 at the request of the State Council, make great efforts to advance the implementation which deepens every key task of the medical reform. Further promote and implement measure of every rectification and improvement. The health authorities at all levels should produce the guidance function conscientiously, insist on linking, about interdynamic from head to foot, strengthen and link up the coordination, supervise and instruct the health care unit at the basic level to strengthen the organization leadership, define responsibility, guarantee the implementation in an all-round way of the measure of rectification and improvement, let the people fully experience that study and practise the positive change that the activity brings. The health authorities at all levels should pay close attention to the Party building work with unit health care at the basic level, establish firmly " In charge of trade's stressing the Party building " Thought. Guide the Party organization with unit health care at the basic level and strengthen self-building conscientiously, give full play to the role of fighting bastion of the Party organization at the basic level and the exemplary vanguard role of the masses of Party members. It is reported, at time when the third batch is studied and practised to move about, 54,300 health care units at the basic level, 22,000 Party organizations at the basic level, 257,300 Communists participate in and study and practise the scientific development view activity thoroughly in the whole country. Ministry of Public Health and units at various levels study and practise the guidance group of the activity and propagate and popularize 4352 unit models, 5701 personal models together, have fully shown the hygiene system studies and practises the styles and features and achievements of the activity, have fully played a that the model guides role. Through studying and practising the activity, the health care workers at the basic level generally receive deep education, the organizational building at the basic level is strengthened to some extent, the people experience conscientiously that study and practise the change that the activity brings. The statistics show, the national health care unit at the basic level solves 57751 outstanding problems together, do something concrete for masses and do 106730 good things; Abrogate all kinds of more than 22000 systems, revise and improve all kinds of more than 53000 pieces of rules and regulations, issue all kinds of more than 39000 pieces of rules and regulations newly.
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A disease prevention and control of brothers is a long-term task
A disease prevention and control of brothers is a long-term task
A disease prevention and control of brothers is a long-term task
Brothers' mouth disease seems to be spreading in Shandong, Henan and other places with more swift and more violent tendency this year, and wide to it receives medias, public questions to be, at the basic level Ministry of Health conceal, fail to report again at the the intersection of mouth and the intersection of disease and these issue in brothers, why the past two years brothers' mouth disease will patronize every year, where the slip has happened? The ones that hold in Beijing on April 1 " Able to bear many medicines / able to bear tuberculosis of medicine and bear the national ministerial meeting high extensively " At the news briefing, Chen Zhu, minister of Ministry of Public Health, says while answering a media questions in Hong Kong: "Everybody pays close attention to the port disease epidemic situation of the brothers of some areas and reports the situation recently, the reason why we analyze now is because of the horizontal question of diagnosis of the Ministry of Health at the basic level, there is a problem not complete of a system either. Ministry of Public Health has held two national video-and teleconferences, emphasizes that must report in time, and turn this thing into the responsibility of local Ministry of Health and government, set up and ask the responsibility system. " Zhu Chen national the intersection of brothers and the intersection of mouth and group leader of leading group of prevention and control of disease too. Basic unit diagnose competence remain, raise brothers mouth disease to endanger children, the intersection of infant and pre-school children and healthy one important infectious disease, the case that Ministry of Public Health reports this year still takes children 5 years old and under as the core, accounts for 93.96%; In the case made a definite diagnosis of in laboratory, the intestinal virus EV71 type accounts for 75%. Cause brothers Ke Sa strange the intersection of virus and A16 type in a common one most in disease in mouth, in addition Ke Sa strange the intersection of virus and other one or intestinal virus EV71 type of A can also cause brothers' mouth disease. There are two areas, including the civil rights of Henan and pool of Shandong He by the focus fully this time, Ministry of Public Health has already sent the work group to these two areas. According to the introduction of director of Ministry of Public Health information office Deng HaiHua: "Work group find brothers the intersection of mouth and disease prevent and cure store in a great deal of problems in the intersection of civil rights and county. For example the county people's hospital is confused in management, it is unstandard to make a diagnosis and give treatment; Some the intersection of county and the intersection of township and grades of doctor lack vocational training, fail, grasp the intersection of brothers and standard of making a diagnosis, mouth of disease; This county requires ' three experts assert and report the case ' that does not accord with the ill actual conditions that make a diagnosis of mouths of brothers either. And the above-mentioned problem may all cause and fail to report. " The biological researcher of research institute of the etiology of the Chinese Academy of Medical Sciences has strange money to say when being interviewed by " scientific Times " before this: "In the laboratory, existing apparatus and technology can detect the intestinal virus EV71 type, 6- can publish the result in 8 hours. But brothers' mouth disease mainly depends on clinical diagnosis, it is impossible each hospital, each patient measure the laboratory. " It is its characteristic that the intestinal virus EV71 type infects clinical manifestation variously, from having light disease cases such as recessiveness infecting, common brothers' port disease and angina of symptom,etc., get neuron lung edema and breathe in weight disease infant such as being depleted, even die. Diagnose the intestinal virus EV71 type infect and mainly rely on the virus nuclear acid to measure and separate and train with the virus at present, at present, condition is not launched in the hospital at the basic level of our country and Center for Disease Prevention and Control, it adds some to be in weight to have typical the intersection of brothers and the intersection of mouth and disease behave at the case clinical disease, so the serious disease case is often difficult to diagnose clearly on the initial stage of breaking out in epidemic situation, often diagnosed as pneumonia. There are only epidemiology investigation of combining the case, clinical manifestation, especially measure the result in the laboratory, may diagnose clearly. "The reason why we analyze now, or because the horizontal question of diagnosis of the Ministry of Health at the basic level. " Chen Zhu says. " recently, East Asia including China that the intestinal virus EV71 type began to be popular, it is turned from A16 type into a EV71 type progressively that one mainly prevails, the intestinal virus EV71 type not merely can cause rash, especially can cause the damage of the central nervous system, and then cause the damage of other important life internal organs. " Chen Zhu says. Since 2007, EV71 began to wreak havoc in China, would once break out in Fuyang of Anhui in 2008, later spread to a lot of provinces rapidly. And the epidemic situation comes more violently, and come earlier than former years this year. Chen Zhu says: "In fact already the epidemic situation appears in the Bo state by Fuyang of Anhui in January, in Henan in February, break out sharply in Shandong recently. " In view of world, Bulgarian, Hungarian that EV71 was infected in the middle period of the seventies of the 20th century break out in succession, infect, lead to the fact Bulgaria 149 people, cause with central nervous system for main EV71 of characteristic paralysedly while being prevailing, 44 people die. On later stage of 1990s, EV71 began to spread in East Asia. Our country found this disease, a plurality of provinces (market) later in Shanghai since 1981 Area have, have illness coming on report every year. According to information that Ministry of Public Health announces on March 28, by March 26, besides Tibet, the whole country 30 provinces have brothers' mouth case take place this year, report 41846 cases together, 18 cases of death, the ill epidemic situation ascendant trend of national mouths of brothers is fierce at present, the whole country increases and reports about 3000 every day. "Ministry of Public Health has already fully estimated to the epidemic situation. Brothers' mouth disease has already been listed in legal infectious disease in 2008, will list in the straight newspaper system of the network, we emphasize that can't report by mistake, can't fail to report, let alone conceal. " Chen Zhu says. "Brothers' mouth disease is different from SARS, if the public can know relevant prevention knowledge, and take the apt measure, the serious epidemic situation will not take place, it is unnecessary to be panic. " Jin Qi says. Chen Zhu says: "Set up meanwhile to infant and pre-school children and screen the system, can recognise the children of each of trouble and brothers' mouth disease, especially recognise the serious disease infant, and should recognise in early days. Set up fixed hospital, set up children's serious disease to guard the ward PICU inside the fixed hospital, the fact proves, this reduces the means of very effective mortality. " "In fact include in East Asia Taiwan and Singapore,etc. a lot of countries and regions in our country are spreading. However, have not prevented and cured brothers mouth disease vaccine yet at present, and diagnose the means needs promoting. We have already fixed up the scientific research task in this respect. The prevention and control at brothers' mouth disease should strengthen scientific and technical innovation constantly in the middle, this is a long-term task. " Chen Zhu says. Ministry of Public Health expect, brothers the intersection of mouth and disease epidemic situation reach, have illness coming on peak from May to July.
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A disease prevention and control of brothers is a long-term task
Brothers' mouth disease seems to be spreading in Shandong, Henan and other places with more swift and more violent tendency this year, and wide to it receives medias, public questions to be, at the basic level Ministry of Health conceal, fail to report again at the the intersection of mouth and the intersection of disease and these issue in brothers, why the past two years brothers' mouth disease will patronize every year, where the slip has happened? The ones that hold in Beijing on April 1 " Able to bear many medicines / able to bear tuberculosis of medicine and bear the national ministerial meeting high extensively " At the news briefing, Chen Zhu, minister of Ministry of Public Health, says while answering a media questions in Hong Kong: "Everybody pays close attention to the port disease epidemic situation of the brothers of some areas and reports the situation recently, the reason why we analyze now is because of the horizontal question of diagnosis of the Ministry of Health at the basic level, there is a problem not complete of a system either. Ministry of Public Health has held two national video-and teleconferences, emphasizes that must report in time, and turn this thing into the responsibility of local Ministry of Health and government, set up and ask the responsibility system. " Zhu Chen national the intersection of brothers and the intersection of mouth and group leader of leading group of prevention and control of disease too. Basic unit diagnose competence remain, raise brothers mouth disease to endanger children, the intersection of infant and pre-school children and healthy one important infectious disease, the case that Ministry of Public Health reports this year still takes children 5 years old and under as the core, accounts for 93.96%; In the case made a definite diagnosis of in laboratory, the intestinal virus EV71 type accounts for 75%. Cause brothers Ke Sa strange the intersection of virus and A16 type in a common one most in disease in mouth, in addition Ke Sa strange the intersection of virus and other one or intestinal virus EV71 type of A can also cause brothers' mouth disease. There are two areas, including the civil rights of Henan and pool of Shandong He by the focus fully this time, Ministry of Public Health has already sent the work group to these two areas. According to the introduction of director of Ministry of Public Health information office Deng HaiHua: "Work group find brothers the intersection of mouth and disease prevent and cure store in a great deal of problems in the intersection of civil rights and county. For example the county people's hospital is confused in management, it is unstandard to make a diagnosis and give treatment; Some the intersection of county and the intersection of township and grades of doctor lack vocational training, fail, grasp the intersection of brothers and standard of making a diagnosis, mouth of disease; This county requires ' three experts assert and report the case ' that does not accord with the ill actual conditions that make a diagnosis of mouths of brothers either. And the above-mentioned problem may all cause and fail to report. " The biological researcher of research institute of the etiology of the Chinese Academy of Medical Sciences has strange money to say when being interviewed by " scientific Times " before this: "In the laboratory, existing apparatus and technology can detect the intestinal virus EV71 type, 6- can publish the result in 8 hours. But brothers' mouth disease mainly depends on clinical diagnosis, it is impossible each hospital, each patient measure the laboratory. " It is its characteristic that the intestinal virus EV71 type infects clinical manifestation variously, from having light disease cases such as recessiveness infecting, common brothers' port disease and angina of symptom,etc., get neuron lung edema and breathe in weight disease infant such as being depleted, even die. Diagnose the intestinal virus EV71 type infect and mainly rely on the virus nuclear acid to measure and separate and train with the virus at present, at present, condition is not launched in the hospital at the basic level of our country and Center for Disease Prevention and Control, it adds some to be in weight to have typical the intersection of brothers and the intersection of mouth and disease behave at the case clinical disease, so the serious disease case is often difficult to diagnose clearly on the initial stage of breaking out in epidemic situation, often diagnosed as pneumonia. There are only epidemiology investigation of combining the case, clinical manifestation, especially measure the result in the laboratory, may diagnose clearly. "The reason why we analyze now, or because the horizontal question of diagnosis of the Ministry of Health at the basic level. " Chen Zhu says. " recently, East Asia including China that the intestinal virus EV71 type began to be popular, it is turned from A16 type into a EV71 type progressively that one mainly prevails, the intestinal virus EV71 type not merely can cause rash, especially can cause the damage of the central nervous system, and then cause the damage of other important life internal organs. " Chen Zhu says. Since 2007, EV71 began to wreak havoc in China, would once break out in Fuyang of Anhui in 2008, later spread to a lot of provinces rapidly. And the epidemic situation comes more violently, and come earlier than former years this year. Chen Zhu says: "In fact already the epidemic situation appears in the Bo state by Fuyang of Anhui in January, in Henan in February, break out sharply in Shandong recently. " In view of world, Bulgarian, Hungarian that EV71 was infected in the middle period of the seventies of the 20th century break out in succession, infect, lead to the fact Bulgaria 149 people, cause with central nervous system for main EV71 of characteristic paralysedly while being prevailing, 44 people die. On later stage of 1990s, EV71 began to spread in East Asia. Our country found this disease, a plurality of provinces (market) later in Shanghai since 1981 Area have, have illness coming on report every year. According to information that Ministry of Public Health announces on March 28, by March 26, besides Tibet, the whole country 30 provinces have brothers' mouth case take place this year, report 41846 cases together, 18 cases of death, the ill epidemic situation ascendant trend of national mouths of brothers is fierce at present, the whole country increases and reports about 3000 every day. "Ministry of Public Health has already fully estimated to the epidemic situation. Brothers' mouth disease has already been listed in legal infectious disease in 2008, will list in the straight newspaper system of the network, we emphasize that can't report by mistake, can't fail to report, let alone conceal. " Chen Zhu says. "Brothers' mouth disease is different from SARS, if the public can know relevant prevention knowledge, and take the apt measure, the serious epidemic situation will not take place, it is unnecessary to be panic. " Jin Qi says. Chen Zhu says: "Set up meanwhile to infant and pre-school children and screen the system, can recognise the children of each of trouble and brothers' mouth disease, especially recognise the serious disease infant, and should recognise in early days. Set up fixed hospital, set up children's serious disease to guard the ward PICU inside the fixed hospital, the fact proves, this reduces the means of very effective mortality. " "In fact include in East Asia Taiwan and Singapore,etc. a lot of countries and regions in our country are spreading. However, have not prevented and cured brothers mouth disease vaccine yet at present, and diagnose the means needs promoting. We have already fixed up the scientific research task in this respect. The prevention and control at brothers' mouth disease should strengthen scientific and technical innovation constantly in the middle, this is a long-term task. " Chen Zhu says. Ministry of Public Health expect, brothers the intersection of mouth and disease epidemic situation reach, have illness coming on peak from May to July.
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It is prevented and cured clearly that the mouths of brothers are ill " Six are strengthened "
It is prevented and cured clearly that the mouths of brothers are ill " Six are strengthened "
It is prevented and cured clearly that the mouths of brothers are ill " Six are strengthened "
It is reported ' The intersection of reporter and Zheng dexterous) To the mouth disease epidemic situation of the brothers who rose continuously recently, on May 13, Ministry of Public Health held the video-and teleconference of national hygiene system brothers' mouth disease prevention and control, the rival mobilizes and disposes again again in foot mouth disease prevention and control. Chen Zhu, minister of Ministry of Public Health, has proposed at the meeting clearly " Six are strengthened " Specifically requirement. Chen Zhu says, first should strengthen the ill preventive treatment knowledge of mouths of brothers of rural hygiene technical staff at the basic level to train, improve it and prevent and cure ability conscientiously. Train in rotation to all rural hygiene technical staff at the basic level in the whole country once in the near future, and guarantee it accords with the mouth disease of brothers of the rural reality of work at the basic level and prevents and cures the simple and easy manual that everyone has a copy. Second should strengthen the serious disease case to treat and cure and work, value the disease case and concentrating on treating and curing, make great efforts to reduce the case fatality rate. Implement the coordinated cooperation of 4 levels, namely the border coordinated cooperation of province, coordinated cooperation among different specialities in coordinated cooperation, hospital among coordinated cooperation, large-scale comprehensive medical organization and medical organization at the basic level among different areas inside the province. Third should strengthen the epidemic situation in the key place to control. Launch the patriotic public health campaign thoroughly, strengthen the renovation of environmental sanitation, strong chemical school, epidemic situation control measure of the nurseries and kindergartens mechanism and medical organization. Four will strengthen the epidemic situation and monitor the report, especially measure in gathering venereal disease example and serious disease and aetiology of the death case, the situation prevails to know brothers' mouth disease epidemic situation trends and etiology in time, adjust the measure of relevant prevention and control in right time. Five will strengthen the work of health education. TV and broadcast, newspaper,etc. various media want rolling to sow, sell the intersection of foot and the intersection of mouth and disease preventive treatment knowledge every day; School want, hold the intersection of brothers and the intersection of mouth and the intersection of disease and the intersection of preventive treatment knowledge and lecture, release letter to parents,etc.; Medical health organ and community in the basic unit should release brothers' port disease preventive treatment knowledge to propagate only for the residents in the area under one's jurisdiction, accomplish a part of each household; Do the correct guide of media's public opinion well, make sure the information of epidemic situation is prompt, open, transparent. Six want, strengthen efforts of scientific research and key research project tackling further, accelerate the intersection of brothers and the intersection of mouth and disease diagnose reagent, vaccine, therapeutic the intersection of medicine and the intersection of person who research and develop and practicability study, prevent and cure and offer strong science and technology support for a disease of brothers. Accuse of Deputy Bureau Director of office Xiao DongLou's introduction according to disease of Ministry of Public Health, present national brothers' mouth disease has illness coming on and goes up continuously, but have illness coming on this year the highest peak has not come yet, onset peak period will also last 2 months - 3 months. It is reported since the will it be March this year, Ministry of Public Health send disease accuse of in succession and clinical expert hurry to brothers, disease high to take place the province mouth have, instruct the epidemic situation to prevent and control and treat and cure with the case live, has specially held the meeting and disposed prevention and control in April. In the near future, Ministry of Public Health will also organize experts to get and treat and cure the more weak area of strength, carry on technical support and guidance.
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It is prevented and cured clearly that the mouths of brothers are ill " Six are strengthened "
It is reported ' The intersection of reporter and Zheng dexterous) To the mouth disease epidemic situation of the brothers who rose continuously recently, on May 13, Ministry of Public Health held the video-and teleconference of national hygiene system brothers' mouth disease prevention and control, the rival mobilizes and disposes again again in foot mouth disease prevention and control. Chen Zhu, minister of Ministry of Public Health, has proposed at the meeting clearly " Six are strengthened " Specifically requirement. Chen Zhu says, first should strengthen the ill preventive treatment knowledge of mouths of brothers of rural hygiene technical staff at the basic level to train, improve it and prevent and cure ability conscientiously. Train in rotation to all rural hygiene technical staff at the basic level in the whole country once in the near future, and guarantee it accords with the mouth disease of brothers of the rural reality of work at the basic level and prevents and cures the simple and easy manual that everyone has a copy. Second should strengthen the serious disease case to treat and cure and work, value the disease case and concentrating on treating and curing, make great efforts to reduce the case fatality rate. Implement the coordinated cooperation of 4 levels, namely the border coordinated cooperation of province, coordinated cooperation among different specialities in coordinated cooperation, hospital among coordinated cooperation, large-scale comprehensive medical organization and medical organization at the basic level among different areas inside the province. Third should strengthen the epidemic situation in the key place to control. Launch the patriotic public health campaign thoroughly, strengthen the renovation of environmental sanitation, strong chemical school, epidemic situation control measure of the nurseries and kindergartens mechanism and medical organization. Four will strengthen the epidemic situation and monitor the report, especially measure in gathering venereal disease example and serious disease and aetiology of the death case, the situation prevails to know brothers' mouth disease epidemic situation trends and etiology in time, adjust the measure of relevant prevention and control in right time. Five will strengthen the work of health education. TV and broadcast, newspaper,etc. various media want rolling to sow, sell the intersection of foot and the intersection of mouth and disease preventive treatment knowledge every day; School want, hold the intersection of brothers and the intersection of mouth and the intersection of disease and the intersection of preventive treatment knowledge and lecture, release letter to parents,etc.; Medical health organ and community in the basic unit should release brothers' port disease preventive treatment knowledge to propagate only for the residents in the area under one's jurisdiction, accomplish a part of each household; Do the correct guide of media's public opinion well, make sure the information of epidemic situation is prompt, open, transparent. Six want, strengthen efforts of scientific research and key research project tackling further, accelerate the intersection of brothers and the intersection of mouth and disease diagnose reagent, vaccine, therapeutic the intersection of medicine and the intersection of person who research and develop and practicability study, prevent and cure and offer strong science and technology support for a disease of brothers. Accuse of Deputy Bureau Director of office Xiao DongLou's introduction according to disease of Ministry of Public Health, present national brothers' mouth disease has illness coming on and goes up continuously, but have illness coming on this year the highest peak has not come yet, onset peak period will also last 2 months - 3 months. It is reported since the will it be March this year, Ministry of Public Health send disease accuse of in succession and clinical expert hurry to brothers, disease high to take place the province mouth have, instruct the epidemic situation to prevent and control and treat and cure with the case live, has specially held the meeting and disposed prevention and control in April. In the near future, Ministry of Public Health will also organize experts to get and treat and cure the more weak area of strength, carry on technical support and guidance.
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Hand fracture should ease pain to treat as soon as possible
Hand fracture should ease pain to treat as soon as possible
Hand fracture should ease pain to treat as soon as possible
It is reported ' Reporter good Jiang Tan's weather one) Patient should pay and ease pain and treat hand fracture in time after implementing the affected part fixedly, in order to help the patient to begin the painless activity as soon as possible, recover and train, resume the hand function. Academic annual meeting and national the intersection of hand and bone and joint damage at the thematic seminar on the sixth in the intersection of Chinese Medical Association and the intersection of hand and the intersection of surgery and the intersection of branch and North China that July 4 hold, the subsidiary hand surgery of Huashan hospital of Fudan University put to the trouble of the outstanding professor to propose this view. In the treatment of hand fracture, the heavy fixed, light treatment that recovers inclines to be comparatively common. Some patient though the intersection of fracture and can heal, because is too fixed to move for a long time, cause and point the joint strong and straight, the hand function is damaged, injuring hands becomes the unique skill. Moreover, because of pain, patient's difficult exercise by recovering voluntarily, most patients begin to do exercises in hand activity after 4 weeks. As to this, put to the trouble of the outstanding professor to think, adopt right amount of anesthetics to ease pain to treat, help the patient to begin to recover and train as soon as possible, is favorable to the recovery of the hand function. The anesthetic use of the rational dosage, and there is no anxiety of the addiction into. He introduce, ease pain to treat and become regular treatment means in institute these while being postoperative, the result is good. Patient recover exercise on beginning in postoperative 3 day, practise for twice every day. Half an hour before each exercise, patients will accept and ease pain the treatment. Initiative activity to organize by international authority in the Switzerland fixing research associationing to fix, deal with put forward, treat one of the principles while being four major in the fracture, help the patient to begin the painless activity as soon as possible.
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Hand fracture should ease pain to treat as soon as possible
It is reported ' Reporter good Jiang Tan's weather one) Patient should pay and ease pain and treat hand fracture in time after implementing the affected part fixedly, in order to help the patient to begin the painless activity as soon as possible, recover and train, resume the hand function. Academic annual meeting and national the intersection of hand and bone and joint damage at the thematic seminar on the sixth in the intersection of Chinese Medical Association and the intersection of hand and the intersection of surgery and the intersection of branch and North China that July 4 hold, the subsidiary hand surgery of Huashan hospital of Fudan University put to the trouble of the outstanding professor to propose this view. In the treatment of hand fracture, the heavy fixed, light treatment that recovers inclines to be comparatively common. Some patient though the intersection of fracture and can heal, because is too fixed to move for a long time, cause and point the joint strong and straight, the hand function is damaged, injuring hands becomes the unique skill. Moreover, because of pain, patient's difficult exercise by recovering voluntarily, most patients begin to do exercises in hand activity after 4 weeks. As to this, put to the trouble of the outstanding professor to think, adopt right amount of anesthetics to ease pain to treat, help the patient to begin to recover and train as soon as possible, is favorable to the recovery of the hand function. The anesthetic use of the rational dosage, and there is no anxiety of the addiction into. He introduce, ease pain to treat and become regular treatment means in institute these while being postoperative, the result is good. Patient recover exercise on beginning in postoperative 3 day, practise for twice every day. Half an hour before each exercise, patients will accept and ease pain the treatment. Initiative activity to organize by international authority in the Switzerland fixing research associationing to fix, deal with put forward, treat one of the principles while being four major in the fracture, help the patient to begin the painless activity as soon as possible.
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Zhalantun analyses and explains and changes the place of examination bidirectionally " It turns difficult to leave "
Zhalantun analyses and explains and changes the place of examination bidirectionally " It turns difficult to leave "
Zhalantun analyses and explains and changes the place of examination bidirectionally " It turns difficult to leave "
It is reported ' The reporter gives birth to the bright reporter of flame Yang Juan) A few days ago, 3 second hospital in Zhalantun of Inner Mongolia Autonomous Region signed with 24 medical organizations at the basic level the agreement of changing the place of examination bidirectionally respectively, start, change the place of examination mechanism bidirectionally in an all-round way, to" down, turn difficult " The question, has made forcing and favourable measure. It is it at all levels medical organization to require Zhalantun city strictly last patient voluntary, making a diagnosis and giving treatment, changing the place of examination, resource-sharing nearby in grades and " Have not sewn " The principle of management, through signing the agreement of changing the place of examination bidirectionally and establishing fitting coordination relation, implement the policy of changing the place of examination bidirectionally. To the patient while changing the place of examination bidirectionally " It turns difficult to leave " Question,this city put out by measure on 3 item: First, require second hospital to accelerate the number of times of the turnover of the sick bed, average in hospital the sun should control within 10 days; Second, patient of shutting newly and agriculturally to playing transferring to, adopt and settle account to exempt in one pair of lines in the medical organization at the basic level, expenses confirm by stage wiping out methods such as the proportion,etc. totally according to of higher level hospital and at the basic level medical organization, encourage, recover one and light disease patient go to the medical organization at the basic level to seek medical advice voluntarily; Third, the system of changing the place of examination bidirectionally includes in the goal of medical organization and examines, award or punish the mechanism through implementing, promote and change the place of examination the implementation of the system bidirectionally.
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Zhalantun analyses and explains and changes the place of examination bidirectionally " It turns difficult to leave "
It is reported ' The reporter gives birth to the bright reporter of flame Yang Juan) A few days ago, 3 second hospital in Zhalantun of Inner Mongolia Autonomous Region signed with 24 medical organizations at the basic level the agreement of changing the place of examination bidirectionally respectively, start, change the place of examination mechanism bidirectionally in an all-round way, to" down, turn difficult " The question, has made forcing and favourable measure. It is it at all levels medical organization to require Zhalantun city strictly last patient voluntary, making a diagnosis and giving treatment, changing the place of examination, resource-sharing nearby in grades and " Have not sewn " The principle of management, through signing the agreement of changing the place of examination bidirectionally and establishing fitting coordination relation, implement the policy of changing the place of examination bidirectionally. To the patient while changing the place of examination bidirectionally " It turns difficult to leave " Question,this city put out by measure on 3 item: First, require second hospital to accelerate the number of times of the turnover of the sick bed, average in hospital the sun should control within 10 days; Second, patient of shutting newly and agriculturally to playing transferring to, adopt and settle account to exempt in one pair of lines in the medical organization at the basic level, expenses confirm by stage wiping out methods such as the proportion,etc. totally according to of higher level hospital and at the basic level medical organization, encourage, recover one and light disease patient go to the medical organization at the basic level to seek medical advice voluntarily; Third, the system of changing the place of examination bidirectionally includes in the goal of medical organization and examines, award or punish the mechanism through implementing, promote and change the place of examination the implementation of the system bidirectionally.
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Finish curing and changing to the affair solidly Let the masses enjoy more material benefit
Finish curing and changing to the affair solidly Let the masses enjoy more material benefit
Finish curing and changing to the affair solidly Let the masses enjoy more material benefit
It is reported ' Reporter Yang JieSong) In the morning of June 3, Ministry of Public Health holds and studies and carries out the spiritual video-and teleconference of the General Secretary Hu Jintao's important speech. Secretary of the leading Party members' group of Ministry of Public Health, Vice Minister Zhang Mao has transmitted the General Secretary Hu Jintao's speech spirit in the 20th collective study of the Political Bureau of the Central Committee of the Chinese Communist Party. Chen Zhu, minister of Ministry of Public Health, requires the national hygiene system to study conscientiously, carry out the General Secretary Hu Jintao's important speech spirit thoroughly, work hard to complete every reform task, promote the medical hygiene industry to develop in a healthy way. Chen Zhu says, on May 28, the 17th Political Bureau of the Central Committee of the Chinese Communist Party studied collectively for the 20th time on the question of the development trend of the medical and health of the world and system reform of medical and health of our country, the General Secretary Hu Jintao is in charge of studying and delivering important speech. This was continued 2006 the 16th Political Bureau of the Central Committee of the Chinese Communist Party held the 35th collective study, study the special topic, has reflected the great attention to medical hygiene industry of the Central Party Committee in hygiene reform and development of medicine of seeking medical advice again. Chen Zhu is required, first, study conscientiously, understand the General Secretary Hu Jintao's important speech spirit deeply, integrate thought and knowledge with the General Secretary Hu Jintao's important speech spirit, unify and dispose, lay the solid thought foundation in order to do a good job of hygiene in an all-round way to the great decision central goverment on medical reform. Take outstanding actual effect, finish medicine to change to the affair this year while being solid. Strengthen the organization leadership conscientiously according to the relevant requirements for the responsibility contract of the medical reform of this year, thinning job placement. Still should notice that researches and solves the new situation appearing in the reform, new problem in time at the same time, study the countermeasure in time, guarantee to reform the result, let the people enjoy the material benefit that the reform brings more. Third, inspire enthusiasm, do a good job of every hygiene thoroughly in an all-round way. At present, hygiene work there is greater disparity from requirement and expectation of the people of Party and government, must meet the difficulty, do public health, medical care, medical treatment ensuring, food medicines well to supervise and work with several hygiene such as traditional Chinese medicine with all strength. There should be resolution of struggling for a long time, through making great efforts, change the situation that the hygiene industry lag behind in socio-economic development progressively. Fourth, want, strengthen the intersection of hygiene and building of contingent, build the whole society, support situation that hygiene work. The national hygiene system should excavate thoroughly and propagate the meritorious deeds that medical and health personnel are conscientious and meticulous in work, dedicate unselfishly, heal the wounded, rescue the dying actively, carry forward Bethune's spirit in a more cost-effective manner, build the good public opinion atmosphere, makes great efforts to construct the relationship between doctors and patients with harmonious health, create more favorable environment and condition for development of medical hygiene industry. The masses of medical and health personnel should be by noble medical ethics and atmosphere, consummate service skill and fruitful working in a down-to-earth manner, gain the understanding, support of the whole society and respect. The meeting is presided over by Liu Qian, Vice Minister of Ministry of Public Health, Central Commission for Discipline Inspection of the CPC stays Li Xi, leader of discipline inspection group of Ministry of Public Health,etc. attends the main meeting-place meeting.
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Finish curing and changing to the affair solidly Let the masses enjoy more material benefit
It is reported ' Reporter Yang JieSong) In the morning of June 3, Ministry of Public Health holds and studies and carries out the spiritual video-and teleconference of the General Secretary Hu Jintao's important speech. Secretary of the leading Party members' group of Ministry of Public Health, Vice Minister Zhang Mao has transmitted the General Secretary Hu Jintao's speech spirit in the 20th collective study of the Political Bureau of the Central Committee of the Chinese Communist Party. Chen Zhu, minister of Ministry of Public Health, requires the national hygiene system to study conscientiously, carry out the General Secretary Hu Jintao's important speech spirit thoroughly, work hard to complete every reform task, promote the medical hygiene industry to develop in a healthy way. Chen Zhu says, on May 28, the 17th Political Bureau of the Central Committee of the Chinese Communist Party studied collectively for the 20th time on the question of the development trend of the medical and health of the world and system reform of medical and health of our country, the General Secretary Hu Jintao is in charge of studying and delivering important speech. This was continued 2006 the 16th Political Bureau of the Central Committee of the Chinese Communist Party held the 35th collective study, study the special topic, has reflected the great attention to medical hygiene industry of the Central Party Committee in hygiene reform and development of medicine of seeking medical advice again. Chen Zhu is required, first, study conscientiously, understand the General Secretary Hu Jintao's important speech spirit deeply, integrate thought and knowledge with the General Secretary Hu Jintao's important speech spirit, unify and dispose, lay the solid thought foundation in order to do a good job of hygiene in an all-round way to the great decision central goverment on medical reform. Take outstanding actual effect, finish medicine to change to the affair this year while being solid. Strengthen the organization leadership conscientiously according to the relevant requirements for the responsibility contract of the medical reform of this year, thinning job placement. Still should notice that researches and solves the new situation appearing in the reform, new problem in time at the same time, study the countermeasure in time, guarantee to reform the result, let the people enjoy the material benefit that the reform brings more. Third, inspire enthusiasm, do a good job of every hygiene thoroughly in an all-round way. At present, hygiene work there is greater disparity from requirement and expectation of the people of Party and government, must meet the difficulty, do public health, medical care, medical treatment ensuring, food medicines well to supervise and work with several hygiene such as traditional Chinese medicine with all strength. There should be resolution of struggling for a long time, through making great efforts, change the situation that the hygiene industry lag behind in socio-economic development progressively. Fourth, want, strengthen the intersection of hygiene and building of contingent, build the whole society, support situation that hygiene work. The national hygiene system should excavate thoroughly and propagate the meritorious deeds that medical and health personnel are conscientious and meticulous in work, dedicate unselfishly, heal the wounded, rescue the dying actively, carry forward Bethune's spirit in a more cost-effective manner, build the good public opinion atmosphere, makes great efforts to construct the relationship between doctors and patients with harmonious health, create more favorable environment and condition for development of medical hygiene industry. The masses of medical and health personnel should be by noble medical ethics and atmosphere, consummate service skill and fruitful working in a down-to-earth manner, gain the understanding, support of the whole society and respect. The meeting is presided over by Liu Qian, Vice Minister of Ministry of Public Health, Central Commission for Discipline Inspection of the CPC stays Li Xi, leader of discipline inspection group of Ministry of Public Health,etc. attends the main meeting-place meeting.
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Brothers the intersection of mouth and disease prevent and cotrol the guide ' 2008 version)
Brothers the intersection of mouth and disease prevent and cotrol the guide ' 2008 version)
Brothers the intersection of mouth and disease prevent and cotrol the guide ' 2008 version)
The mouths of brothers are ill (Hand-foot-mouth disease, HFMD) It is a common infectious disease caused by many kinds of intestinal virus, rely mainly on the fact that infant and pre-school children have illness coming on. Most patients have slight symptom, regard rash or bleb of positions such as generating heat and hand, foot, oral cavity,etc. as the main characteristic. A few patients can erupt aseptic meningitis, encephalitis, acute relaxing paralysis, airway infection and myocarditis,etc. simultaneously, specific serious disease and infant's condition are sharp in progress, the death incident. Children and adult do not have illness coming on more after infecting, but can propagate the virus. Cause the ill intestinal virus of mouths of brothers to include the intestinal virus 71 type ( EV71) With strange virus (CoxA) Sa Ke, group of A, , but angstrom is viral (Echo) Some serum type. It causes the large percentage of the serious disease case that EV71 is infected with. The intestinal virus is infective and strong, apt to cause breaking out or popular. For instruct all parts do the intersection of brothers and prevention and control, mouth of disease well, make a guide. First, purpose( One) Guide the epidemic situation report that the medical organization, controlling organization of prevention from suffering from the diseases launch the intestinal virosis and monitor; (2) Guide the controlling organization of the prevention from suffering from the diseases and launch epidemiology to investigate that measures with the laboratory; (3) Guide the controlling organization of the prevention from suffering from the diseases, medical organization and prevent and meet an urgent need and handle with the epidemic situation the public. It is mainly the strange virus (Coxasckie virus) of Ke Sa that small RNA virus department, intestinal virus belong to that 2, aetiology cause brothers' mouth disease Group 16, 4, 5, 7, 9, 10 type A, group 2, 5, 13 type B; But virus (ECHO viruses) of angstrom With the intestinal virus 71 type ( EV71) ,Among them the EV71 and Cox Al6 type is the most common. Intestinal virus suitable for, survive and travel under wet hot environment, to ether, go the intersection of chlorine and the intersection of gallbladder and the intersection of sour salt,etc. and insensitivity, 75% of the alcohol and 5% of the lysol also can't deactivate it, but to the ultraviolet ray and dry and sensitive. Various oxidant (potassium permanganate, bleaching powder,etc.) , the formaldehyde, iodine tincture can deactivate the virus both. The virus can be deactivated rapidly at 50 ��, but the price cation environment of the 1mol density two can improve the resistance that the virus deactivates to heat, the virus can survive for one year at 4 ��, can be kept at - 20 �� for a long time, the virus can survive for a long time in the other environment. Third, epidemiology ( One) It is global infectious disease that overview brothers' mouth disease prevails, there are prevailing reports of this disease in most areas of the world. This disease of New Zealand's first report of 1957. Isolated the strange virus of Ke Sa in 1958, proposed a disease of brothers to name in 1959. The pathogen of the disease of the intersection of brothers that find in early days and mouth is mainly Cox A16 type, EV71 in 1969 is first affirmation in U.S.A.. EV71 was infected and infected with and replaced and presented with Cox A16 hereafter, became main pathogen of brothers' port disease. In middle period of the seventies of the 20th century, EV71 taking central nervous system as main clinical feature breaks out in succession popularly in Bulgaria, Hungary, Bulgaria reported 750 cases in 1975, among them 149 people caused paralysedly, 44 persons died. Britain take place caused by Cox A16 the intersection of brothers and the intersection of mouth and disease break out together, patient 1-4 year old infant and pre-school children mostly 1994, most patients have relatively light symptom. The epidemiology data since 1963 of Britain reveal, the prevailing interval of of mouths of brothers was 2-3. On later stage of 1990s, EV71 prevailed in East Asia at the beginning. Malaysia happened mainly the mouths of brothers caused by EV71 prevailed in 1997, 2628 people had illness coming on in April - August, there is patient's death of 29 examples in April - June. A disease of first report of Shanghai in 1981 in our country, hereafter, there is a disease report in 10 odd provinces such as Beijing, Hebei, Tianjin, Fujian, Jilin, Shandong, Hubei, Qinghai and Guangdong. The mouth disease of brothers that caused Cox A16 takes place to break out in Tianjin in 1983, more than 7 000 cases took place among May - October. After it is distributed that low-level in 2, broke out again in 1986. The intersection of Wuhan and institute of viruses isolate EV71 in patient, mouth of brothers, 1995, the intersection of Shenzhen and health and epidemic prevention station isolate EV71 from disease of brothers mouth patient in the sample too 1998. In 1998, EV71 takes place and was infected brothers mouth disease and bleb angina caused and prevailed in Taiwan of our country, monitor the sentry post and click and report 129106 cases together. 405 patients of serious disease happened altogether that year, 78 cases of death, were mostly infants under the age of 5. And myocarditis that complication including encephalitis, aseptic meningitis, lung edema or lung of the serious disease case bleeds, acute and collapses from physical exhaustion. A disease of brothers does not have obvious provincialism prevailingly. Can have illness coming on throughout the year, see more with summer and autumn, the morbidity in winter is comparatively rare. Disease this prevail, can take place kindergarten and nursery infect with family gathering phenomenonning of having illness coming on collectively. Intestinal virus infective and strong and recessiveness infect proportion to be large propagating route to be complicated travelling fast, can cause more broad prevalence within short time, the epidemic situation controls the difficulty to be great. (2) Infect source and spread route people intestinal the intersection of virus and only host, patient and recessive the infeted the intersection of infection and source of disease this. The intestinal virus mainly can also be contacted patient's skin, mucomembranous bubble rash liquid to infect through excrement - mouth and/or respiratory tract droplet transmission. It is still indeterminate whether to can transmit through water or food or not. In several days before the onset, the department that swallows the infeted can detect the virus with the excrement and urine, it is the strongest to be infective in one week after usually in order to have illness coming on. Patient excrement and urine, liquid of bleb and respiratory tract secretion and hand polluted, towel, handkerchief, tooth cup, toy, tableware, milk have, bed clothes, underwear and medical apparatus,etc. can cause copies of disease not to be travelled. Apt perceptual people generally exchange the sense to the intestinal virus, dominant infection and recessiveness can get specific immunity after infecting, duration yet indeterminate. There is no immunity of crossing in various of the virus. Every age group can infect, have illness coming on, with less than or equal to 3 year old age group, most high morbidity have. Fourth, case define (1) The getting acute disease of clinical diagnosed case, generate heat, the palm or foot palm presents spot papule and bleb, the buttock or knee can also present rash. There is inflammation nature blush around rash, there are less blister and inner liquid; It appear oral cavity mucous membrane scattered in bleb,there are obviously on pain. Some infant can with cough, shed symptoms such as tears, losing the appetite, nausea, vomiting and headache,etc.. Serious disease case: 1. Have the intersection of brothers and patient of clinical manifestation, mouth of disease, at the same time with the intersection of skin and bursts of contraction, encephalitis, acute the intersection of slowness and paralysis, the intersection of heart and lungs and depleted, lung edema,etc.. 2. The intersection of brothers and the intersection of mouth and disease prevails the infant and pre-school children of district although have no mouth disease models of brothers to behave, have, generate heat the intersection of companion and the intersection of skin and bursts of contraction, encephalitis, acute the intersection of slowness and paralysis, the intersection of heart and lungs and depleted, lung edema,etc. (2) Diagnosed case clinical diagnosis disease in the laboratory The example accords with one of the following conditions to get the diagnosed case 1 of the laboratory. The virus is separated swallowing the swab or throat lotion, separate the intestinal virus in tissue samples such as excrement and urine or anus swab, cerebrospinal fluid (CSF) or bleb liquid, and brain, lung, spleen, lymph node,etc.. 2. Serology examines the specific IgM antibody in patient serum positively, whether or acute one has rising of more than 4 times with convalescent serum IgG antibody. 3. The nuclear acid is examined Since patient serum, cerebrospinal fluid (CSF), swallow the swab or throat lotion, excrement and urine or the intersection of anus and swab, cerebrospinal fluid (CSF) or the intersection of bleb and the intersection of liquid and brain, lung, spleen, lymph node,etc. and the intersection of organization and sample,etc. measure in the sample to etiology nuclear acid five, epidemic situation report ' One) Since May 2, 2008, the mouths of brothers are ill to include in class-C infectious disease to manage. All types of medical organization want until " whether the People's Republic of China legal infectious disease prevent and cure law " relevant regulations of " the intersection of infectious disease and message report the standardard management to ", report the ill case of mouths of brothers according with the above-mentioned case and defining. (2) While reporting content and method find the ill patient of mouths of brothers, should be in " the legal infectious disease in the People's Republic of China report the " in " of card Other legal management and monitoring infectious disease especially " Make a report on this disease in the column. The medical organization offering directly the network should carry on the straight newspaper of network during 24 hours. The medical organization that the unexecuted network offers directly should send and send infectious disease to report the card within 24 hours. Report the case is divided " The clinical diagnosed case " With " diagnosed case of the laboratory " Two kinds. If is a diagnosed case of the laboratory, should be reporting the card " remarks " Mark out intestinal virus getting concrete to leave, until case should in " remarks " also for serious disease in the fence China marks out " Serious disease " . (3) When some areas or collective unit happens popularly or gets rich quick, according to " regulations of meeting an urgent need that the public health event happens suddenly ", " happen suddenly public the intersection of health event and emergency preplan while being national ", " public health event and epidemic situation of infectious disease happens suddenly and monitor information and report management " and relevant regulations, the information report of the public health event happens suddenly in time. (4) Report information analysis and feedback the controlling organizations of prevention from suffering from the diseases at all levels to report to the epidemic situation information is verified step by step. Controlling organization should have a look around and analyze the monitoring data the district level prevention from suffering from the diseases of the county every day, raising or case presents gathering distribution or the death case appears to find abnormality, should verify and report to the health authorities at the same level and the controlling organization of prevention from suffering from the diseases of higher level in time. The controlling organizations of prevention from suffering from the diseases at all levels should accuse of organization's and medical organization's feedbacking the epidemic situation and analyzing information to subordinate disease in time. Sixth, the intersection of epidemiology and investigation find brothers the intersection of mouth and disease report case count increase obviously and case present distribution, serious the intersection of disease and the intersection of case and large percentage of gathering etc. or appear death at the case, should organize investigating epidemiology. The main purpose to investigate: First, gather the relevant sample, measure the laboratory, define the etiology and appraise the dividing type; Second, it is clinical since it collect materials,in order to lasting pathogenic, virulence of viruses getting more intestinals different, due to disease types clinical and treat and cure,etc.; Expound popular time / circulation way and dangerous factor,etc. that infect that break out this, in order to make the prevention control measure of pertinence; Fourth, appraise the tactics of different prevention and control and validity of the measure. Scheme and questionnaire should be according to investigating purposes are different and is specially designed that epidemiology is investigated. Seventh, laboratory find ' One) Disease high to send season in the intersection of brothers and mouth, every the intersection of province and disease accuse of centre want, organize, launch the intersection of rival and the intersection of foot and the intersection of mouth and the intersection of disease and laboratory of case monitor. Happen in the prevailing province of a disease and gather 5-10 patients' sample to measure at least every week. The sample gathers and keeps technical requirement and sample to inspect by ready samples and see attachment 1 and attachment 2 only. See attachment 3 by sample detection method. If there are serious disease cases, should try hard to gather the sample and measure in the laboratory in disease case to all again. Should gather some samples of case and measure the etiology if the epidemic situation breaks out. Area that measures ability can not send the sample to conditional disease to accuse of the central lab to measure. The relevant information that should pay attention to collecting the case while gathering the sample, fill in the case questionnaire and see attachment 4. (2) Report and the intersection of feedback and every province to measure result finish the intersection of case and the intersection of case and questionnaire that laboratory measure and measure, fruit an overview of already province this Friday while being every ' Attachment 5) Electronic edition last China disease accuse of centre disease control and emergency processing office and virosis spine laboratories gray. After China's disease accuses of centre's reporting the result and paying gathering to analyze to all parts, accuse of centre's feedbacking to every province disease. Contact details: Telephone (fax) 010-63025413,010-63047379,010-83163681 E-mail: cdcjkccb@163.com zhangyong75@sina.com seven, preventing from brothers' mouth disease of control measure and propagating the route more, infant and pre-school children and children generally exchange the sense. It is keys of preventing a disease from dyeing to do individuals of children, hygiene of the family and nurseries and kindergartens organization well. (1) Personal precautionary measures 1. Want, use soap or wash the intersection of hand and liquid,etc., wash hands for children after being before a meal back going out, don't let children drink the unboiled water, eat the raw and cold food, avoid contacting ill children; 2. The watcher should wash hands before contacting children, after changing the diaper, dealing with the excrement and urine for the child, and deal carefully with the filth; 3. Feeding bottle, nipple that infant and pre-school children used should fully wash in front and at the back of using; 4. Unsuitable to take children to the crowd to be gathered, public place bad in airiness during this disease is prevailing, pay attention to, keep the intersection of family and environmental sanitation, room want, ventilate frequently, shine clothing while being hardworking; 5. Children should go to the medical organization to go to a doctor in time when presenting relevant symptom. The intersection of house and children of treatment, don't contact other children, parents want clothes in infant to go on, dry in air or sterilize in time, disinfect the infant excrement and urine in time; It is light disease infant needn't in hospital,should treatment at home, have a rest,in order to reducing by cross infection. (2) Unit in collective control measures 1 of prevention such as nurseries and kindergartens organization and primary school,etc.. The prevailing season of this disease, it is ventilated that places such as classroom and dormitory,etc. should keep good; 2. Wash and sterilize articles such as the toy, personal sanitary ware, tableware,etc. every day; 3. Go on, clean or sterilize, work ' Especially clean the toilet) When, staff members should wear gloves. Should wash hands immediately after the cleaning; 4. Polish and sterilize surfaces of object such as the door handle, balustrade, tabletop,etc. every day; 5. Educate and instruct children how to get used to washing hands correctly; 6. Examine in the morning every day, find suspiciously that suffers from childhood, should take and send the measure examined the infant, had a rest at home off in time; Disinfect the articles that the infant use immediately; 7. When the infant increases, should report to hygiene and education department in time. Control need can determine, take the intersection of nurseries and kindergartens and organization or primary school have a holiday measure as education and Ministry of Health according to epidemic situation. (3) Control measure 1 of prevention of the medical organization. When disease prevails, The hospital should assign to and examine the preexamination, and open up the consulting room (the platform) specially Answer and examine suspected mouth patients of brothers, guide and generate heat to appear the rash infant to the special consulting room (platform) Go to a doctor, the area of waiting and going to a doctor etc. should increase and sterilize the frequency clean, should adopt the clean way of the wet type while cleaning in the room; 2. The medical worker should wash hands or sterilize both hands conscientiously after making a diagnosis, attending to every patient; 3. Non- disposable instrument, article,etc. used want to polish and sterilize to make a diagnosis, attend to patient's course; 4. Should not accept the infant that other non- intestinal virus infected for medical treatment in the same ward. The serious disease infant should isolate for treatment alone; 5. Must continue using sick bed and desk chair,etc. facility and article in hospital that the infant has used after sterilizing; 6. Secretion and excrement and urine and article polluted of the infant's respiratory tract need to disinfect; 7. The medical organization finds mouth patients of brothers and increases or when the intestinal virus is infected with the relevant death case, accuse of organization's report to local health authorities and diseases immediately. Attachment 1. The sample gathers and keeps the technical requirement and has a guide look of Table 2. Brothers mouth disease and case sample inspect by ready samples and register Table 3. Measure the scheme 4 in the ill laboratory of mouths of brothers. Investigate Table 5 in ill case of mouths of brothers. Brothers' mouth disease and clinical sample measure and fruit report form 6. The correct one washes the hand method 7. The intestinal virus sterilizes the method
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Brothers the intersection of mouth and disease prevent and cotrol the guide ' 2008 version)
The mouths of brothers are ill (Hand-foot-mouth disease, HFMD) It is a common infectious disease caused by many kinds of intestinal virus, rely mainly on the fact that infant and pre-school children have illness coming on. Most patients have slight symptom, regard rash or bleb of positions such as generating heat and hand, foot, oral cavity,etc. as the main characteristic. A few patients can erupt aseptic meningitis, encephalitis, acute relaxing paralysis, airway infection and myocarditis,etc. simultaneously, specific serious disease and infant's condition are sharp in progress, the death incident. Children and adult do not have illness coming on more after infecting, but can propagate the virus. Cause the ill intestinal virus of mouths of brothers to include the intestinal virus 71 type ( EV71) With strange virus (CoxA) Sa Ke, group of A, , but angstrom is viral (Echo) Some serum type. It causes the large percentage of the serious disease case that EV71 is infected with. The intestinal virus is infective and strong, apt to cause breaking out or popular. For instruct all parts do the intersection of brothers and prevention and control, mouth of disease well, make a guide. First, purpose( One) Guide the epidemic situation report that the medical organization, controlling organization of prevention from suffering from the diseases launch the intestinal virosis and monitor; (2) Guide the controlling organization of the prevention from suffering from the diseases and launch epidemiology to investigate that measures with the laboratory; (3) Guide the controlling organization of the prevention from suffering from the diseases, medical organization and prevent and meet an urgent need and handle with the epidemic situation the public. It is mainly the strange virus (Coxasckie virus) of Ke Sa that small RNA virus department, intestinal virus belong to that 2, aetiology cause brothers' mouth disease Group 16, 4, 5, 7, 9, 10 type A, group 2, 5, 13 type B; But virus (ECHO viruses) of angstrom With the intestinal virus 71 type ( EV71) ,Among them the EV71 and Cox Al6 type is the most common. Intestinal virus suitable for, survive and travel under wet hot environment, to ether, go the intersection of chlorine and the intersection of gallbladder and the intersection of sour salt,etc. and insensitivity, 75% of the alcohol and 5% of the lysol also can't deactivate it, but to the ultraviolet ray and dry and sensitive. Various oxidant (potassium permanganate, bleaching powder,etc.) , the formaldehyde, iodine tincture can deactivate the virus both. The virus can be deactivated rapidly at 50 ��, but the price cation environment of the 1mol density two can improve the resistance that the virus deactivates to heat, the virus can survive for one year at 4 ��, can be kept at - 20 �� for a long time, the virus can survive for a long time in the other environment. Third, epidemiology ( One) It is global infectious disease that overview brothers' mouth disease prevails, there are prevailing reports of this disease in most areas of the world. This disease of New Zealand's first report of 1957. Isolated the strange virus of Ke Sa in 1958, proposed a disease of brothers to name in 1959. The pathogen of the disease of the intersection of brothers that find in early days and mouth is mainly Cox A16 type, EV71 in 1969 is first affirmation in U.S.A.. EV71 was infected and infected with and replaced and presented with Cox A16 hereafter, became main pathogen of brothers' port disease. In middle period of the seventies of the 20th century, EV71 taking central nervous system as main clinical feature breaks out in succession popularly in Bulgaria, Hungary, Bulgaria reported 750 cases in 1975, among them 149 people caused paralysedly, 44 persons died. Britain take place caused by Cox A16 the intersection of brothers and the intersection of mouth and disease break out together, patient 1-4 year old infant and pre-school children mostly 1994, most patients have relatively light symptom. The epidemiology data since 1963 of Britain reveal, the prevailing interval of of mouths of brothers was 2-3. On later stage of 1990s, EV71 prevailed in East Asia at the beginning. Malaysia happened mainly the mouths of brothers caused by EV71 prevailed in 1997, 2628 people had illness coming on in April - August, there is patient's death of 29 examples in April - June. A disease of first report of Shanghai in 1981 in our country, hereafter, there is a disease report in 10 odd provinces such as Beijing, Hebei, Tianjin, Fujian, Jilin, Shandong, Hubei, Qinghai and Guangdong. The mouth disease of brothers that caused Cox A16 takes place to break out in Tianjin in 1983, more than 7 000 cases took place among May - October. After it is distributed that low-level in 2, broke out again in 1986. The intersection of Wuhan and institute of viruses isolate EV71 in patient, mouth of brothers, 1995, the intersection of Shenzhen and health and epidemic prevention station isolate EV71 from disease of brothers mouth patient in the sample too 1998. In 1998, EV71 takes place and was infected brothers mouth disease and bleb angina caused and prevailed in Taiwan of our country, monitor the sentry post and click and report 129106 cases together. 405 patients of serious disease happened altogether that year, 78 cases of death, were mostly infants under the age of 5. And myocarditis that complication including encephalitis, aseptic meningitis, lung edema or lung of the serious disease case bleeds, acute and collapses from physical exhaustion. A disease of brothers does not have obvious provincialism prevailingly. Can have illness coming on throughout the year, see more with summer and autumn, the morbidity in winter is comparatively rare. Disease this prevail, can take place kindergarten and nursery infect with family gathering phenomenonning of having illness coming on collectively. Intestinal virus infective and strong and recessiveness infect proportion to be large propagating route to be complicated travelling fast, can cause more broad prevalence within short time, the epidemic situation controls the difficulty to be great. (2) Infect source and spread route people intestinal the intersection of virus and only host, patient and recessive the infeted the intersection of infection and source of disease this. The intestinal virus mainly can also be contacted patient's skin, mucomembranous bubble rash liquid to infect through excrement - mouth and/or respiratory tract droplet transmission. It is still indeterminate whether to can transmit through water or food or not. In several days before the onset, the department that swallows the infeted can detect the virus with the excrement and urine, it is the strongest to be infective in one week after usually in order to have illness coming on. Patient excrement and urine, liquid of bleb and respiratory tract secretion and hand polluted, towel, handkerchief, tooth cup, toy, tableware, milk have, bed clothes, underwear and medical apparatus,etc. can cause copies of disease not to be travelled. Apt perceptual people generally exchange the sense to the intestinal virus, dominant infection and recessiveness can get specific immunity after infecting, duration yet indeterminate. There is no immunity of crossing in various of the virus. Every age group can infect, have illness coming on, with less than or equal to 3 year old age group, most high morbidity have. Fourth, case define (1) The getting acute disease of clinical diagnosed case, generate heat, the palm or foot palm presents spot papule and bleb, the buttock or knee can also present rash. There is inflammation nature blush around rash, there are less blister and inner liquid; It appear oral cavity mucous membrane scattered in bleb,there are obviously on pain. Some infant can with cough, shed symptoms such as tears, losing the appetite, nausea, vomiting and headache,etc.. Serious disease case: 1. Have the intersection of brothers and patient of clinical manifestation, mouth of disease, at the same time with the intersection of skin and bursts of contraction, encephalitis, acute the intersection of slowness and paralysis, the intersection of heart and lungs and depleted, lung edema,etc.. 2. The intersection of brothers and the intersection of mouth and disease prevails the infant and pre-school children of district although have no mouth disease models of brothers to behave, have, generate heat the intersection of companion and the intersection of skin and bursts of contraction, encephalitis, acute the intersection of slowness and paralysis, the intersection of heart and lungs and depleted, lung edema,etc. (2) Diagnosed case clinical diagnosis disease in the laboratory The example accords with one of the following conditions to get the diagnosed case 1 of the laboratory. The virus is separated swallowing the swab or throat lotion, separate the intestinal virus in tissue samples such as excrement and urine or anus swab, cerebrospinal fluid (CSF) or bleb liquid, and brain, lung, spleen, lymph node,etc.. 2. Serology examines the specific IgM antibody in patient serum positively, whether or acute one has rising of more than 4 times with convalescent serum IgG antibody. 3. The nuclear acid is examined Since patient serum, cerebrospinal fluid (CSF), swallow the swab or throat lotion, excrement and urine or the intersection of anus and swab, cerebrospinal fluid (CSF) or the intersection of bleb and the intersection of liquid and brain, lung, spleen, lymph node,etc. and the intersection of organization and sample,etc. measure in the sample to etiology nuclear acid five, epidemic situation report ' One) Since May 2, 2008, the mouths of brothers are ill to include in class-C infectious disease to manage. All types of medical organization want until " whether the People's Republic of China legal infectious disease prevent and cure law " relevant regulations of " the intersection of infectious disease and message report the standardard management to ", report the ill case of mouths of brothers according with the above-mentioned case and defining. (2) While reporting content and method find the ill patient of mouths of brothers, should be in " the legal infectious disease in the People's Republic of China report the " in " of card Other legal management and monitoring infectious disease especially " Make a report on this disease in the column. The medical organization offering directly the network should carry on the straight newspaper of network during 24 hours. The medical organization that the unexecuted network offers directly should send and send infectious disease to report the card within 24 hours. Report the case is divided " The clinical diagnosed case " With " diagnosed case of the laboratory " Two kinds. If is a diagnosed case of the laboratory, should be reporting the card " remarks " Mark out intestinal virus getting concrete to leave, until case should in " remarks " also for serious disease in the fence China marks out " Serious disease " . (3) When some areas or collective unit happens popularly or gets rich quick, according to " regulations of meeting an urgent need that the public health event happens suddenly ", " happen suddenly public the intersection of health event and emergency preplan while being national ", " public health event and epidemic situation of infectious disease happens suddenly and monitor information and report management " and relevant regulations, the information report of the public health event happens suddenly in time. (4) Report information analysis and feedback the controlling organizations of prevention from suffering from the diseases at all levels to report to the epidemic situation information is verified step by step. Controlling organization should have a look around and analyze the monitoring data the district level prevention from suffering from the diseases of the county every day, raising or case presents gathering distribution or the death case appears to find abnormality, should verify and report to the health authorities at the same level and the controlling organization of prevention from suffering from the diseases of higher level in time. The controlling organizations of prevention from suffering from the diseases at all levels should accuse of organization's and medical organization's feedbacking the epidemic situation and analyzing information to subordinate disease in time. Sixth, the intersection of epidemiology and investigation find brothers the intersection of mouth and disease report case count increase obviously and case present distribution, serious the intersection of disease and the intersection of case and large percentage of gathering etc. or appear death at the case, should organize investigating epidemiology. The main purpose to investigate: First, gather the relevant sample, measure the laboratory, define the etiology and appraise the dividing type; Second, it is clinical since it collect materials,in order to lasting pathogenic, virulence of viruses getting more intestinals different, due to disease types clinical and treat and cure,etc.; Expound popular time / circulation way and dangerous factor,etc. that infect that break out this, in order to make the prevention control measure of pertinence; Fourth, appraise the tactics of different prevention and control and validity of the measure. Scheme and questionnaire should be according to investigating purposes are different and is specially designed that epidemiology is investigated. Seventh, laboratory find ' One) Disease high to send season in the intersection of brothers and mouth, every the intersection of province and disease accuse of centre want, organize, launch the intersection of rival and the intersection of foot and the intersection of mouth and the intersection of disease and laboratory of case monitor. Happen in the prevailing province of a disease and gather 5-10 patients' sample to measure at least every week. The sample gathers and keeps technical requirement and sample to inspect by ready samples and see attachment 1 and attachment 2 only. See attachment 3 by sample detection method. If there are serious disease cases, should try hard to gather the sample and measure in the laboratory in disease case to all again. Should gather some samples of case and measure the etiology if the epidemic situation breaks out. Area that measures ability can not send the sample to conditional disease to accuse of the central lab to measure. The relevant information that should pay attention to collecting the case while gathering the sample, fill in the case questionnaire and see attachment 4. (2) Report and the intersection of feedback and every province to measure result finish the intersection of case and the intersection of case and questionnaire that laboratory measure and measure, fruit an overview of already province this Friday while being every ' Attachment 5) Electronic edition last China disease accuse of centre disease control and emergency processing office and virosis spine laboratories gray. After China's disease accuses of centre's reporting the result and paying gathering to analyze to all parts, accuse of centre's feedbacking to every province disease. Contact details: Telephone (fax) 010-63025413,010-63047379,010-83163681 E-mail: cdcjkccb@163.com zhangyong75@sina.com seven, preventing from brothers' mouth disease of control measure and propagating the route more, infant and pre-school children and children generally exchange the sense. It is keys of preventing a disease from dyeing to do individuals of children, hygiene of the family and nurseries and kindergartens organization well. (1) Personal precautionary measures 1. Want, use soap or wash the intersection of hand and liquid,etc., wash hands for children after being before a meal back going out, don't let children drink the unboiled water, eat the raw and cold food, avoid contacting ill children; 2. The watcher should wash hands before contacting children, after changing the diaper, dealing with the excrement and urine for the child, and deal carefully with the filth; 3. Feeding bottle, nipple that infant and pre-school children used should fully wash in front and at the back of using; 4. Unsuitable to take children to the crowd to be gathered, public place bad in airiness during this disease is prevailing, pay attention to, keep the intersection of family and environmental sanitation, room want, ventilate frequently, shine clothing while being hardworking; 5. Children should go to the medical organization to go to a doctor in time when presenting relevant symptom. The intersection of house and children of treatment, don't contact other children, parents want clothes in infant to go on, dry in air or sterilize in time, disinfect the infant excrement and urine in time; It is light disease infant needn't in hospital,should treatment at home, have a rest,in order to reducing by cross infection. (2) Unit in collective control measures 1 of prevention such as nurseries and kindergartens organization and primary school,etc.. The prevailing season of this disease, it is ventilated that places such as classroom and dormitory,etc. should keep good; 2. Wash and sterilize articles such as the toy, personal sanitary ware, tableware,etc. every day; 3. Go on, clean or sterilize, work ' Especially clean the toilet) When, staff members should wear gloves. Should wash hands immediately after the cleaning; 4. Polish and sterilize surfaces of object such as the door handle, balustrade, tabletop,etc. every day; 5. Educate and instruct children how to get used to washing hands correctly; 6. Examine in the morning every day, find suspiciously that suffers from childhood, should take and send the measure examined the infant, had a rest at home off in time; Disinfect the articles that the infant use immediately; 7. When the infant increases, should report to hygiene and education department in time. Control need can determine, take the intersection of nurseries and kindergartens and organization or primary school have a holiday measure as education and Ministry of Health according to epidemic situation. (3) Control measure 1 of prevention of the medical organization. When disease prevails, The hospital should assign to and examine the preexamination, and open up the consulting room (the platform) specially Answer and examine suspected mouth patients of brothers, guide and generate heat to appear the rash infant to the special consulting room (platform) Go to a doctor, the area of waiting and going to a doctor etc. should increase and sterilize the frequency clean, should adopt the clean way of the wet type while cleaning in the room; 2. The medical worker should wash hands or sterilize both hands conscientiously after making a diagnosis, attending to every patient; 3. Non- disposable instrument, article,etc. used want to polish and sterilize to make a diagnosis, attend to patient's course; 4. Should not accept the infant that other non- intestinal virus infected for medical treatment in the same ward. The serious disease infant should isolate for treatment alone; 5. Must continue using sick bed and desk chair,etc. facility and article in hospital that the infant has used after sterilizing; 6. Secretion and excrement and urine and article polluted of the infant's respiratory tract need to disinfect; 7. The medical organization finds mouth patients of brothers and increases or when the intestinal virus is infected with the relevant death case, accuse of organization's report to local health authorities and diseases immediately. Attachment 1. The sample gathers and keeps the technical requirement and has a guide look of Table 2. Brothers mouth disease and case sample inspect by ready samples and register Table 3. Measure the scheme 4 in the ill laboratory of mouths of brothers. Investigate Table 5 in ill case of mouths of brothers. Brothers' mouth disease and clinical sample measure and fruit report form 6. The correct one washes the hand method 7. The intestinal virus sterilizes the method
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The hand is fractured why accept the gynaecology and examine the fee
The hand is fractured, why accept the gynaecology and examine the fee
The hand is fractured, why accept the gynaecology and examine the fee
Yesterday, a price inspection result announced by responsible institution, made people shocking. From June 8, province price, hygiene,etc. seven department unite to Nan Su, in the Su and Su Bei launches the service price thorough examination of the medical and health. By the look of situation that the work superintends and checks, all parts of the whole province have already checked 400 medical organizations at all levels in urban and rural areas, find the question breaking laws and violating discipline of more than 50 prices, involve waiting in many hospitals in the healthcare hospital for women children of Nanjing. The sore spot one: Many hospitals charge and save and check unhealthy tendencies and malpractices to do to one to participate in and check personages and tell reporters beyond the standard, intravenous infusion, transfuse blood, administrate oxygen, urine analyze, determine and the intersection of emergency case and the intersection of berth and fee, ward add the intersection of bed and fee, attend to fee,etc., some hospitals charge higher than the limited one in the province, and some two first hospitals charge according to the standard of the first, second and third stealthily, the patient is ignorant. Among them, it is very outstanding to charge the rate of exceeding the price markup. Person who collect blood, ease pain pump, catheter after medical apparatus and some medicines are criticized to the hospital, the hospital has exceeded the fixed price markup. Some hospitals charge repeatedly, or make a fuss about continuing on the project already cancelled, hold a consultation in the courtyard, support oneself project charge, take advantage of, organize health consultation, intercollegiate the intersection of person who hold a consultation and outandout " create income " . A few hospitals still get a lift to charge without authorization, the urine appears to analyze that puts up and charges the sediment fee of the urine, the gastroscope treatment takes and charges and checks the fee, the infusion takes and charges and adds fee of bottle. The sore spot two: With pharmacist's medicine enterprise " Separated but still in each other's thoughts " After our province implements medicines and calls for bid in unison, some hospitals are still thinking of a plan. Wheel this check, find some hospital organize medicines bid and purchase and confirm behind medicines call for bid price in government, produce and manage enterprise, conclude, lower than medicines, call for bid bid of the price privately with medicines without authorization, sell medicines to patient actually, call for bid price along add the fixed difference rate and fix a price for according to medicines still, make profit from it. Although some hospital carry out medicines, call for bid price, produce and manage enterprise, conclude the intersection of cash and returning and medicines, give the agreement with medicines privately, and violate the regulation to take into one's own possession, has not made concessions to patients. "These secret strokes, in practice bore the policy gap, let the expenses for medicine of the all right low price be kept at the so-called reasonable high position. " A comrade of Ministry of Health is without mincing words. The sore spot three: Arbitrary charge go against accepted conventions to impatient especially in need of operation patient very much sometimes, examine and collect and examine the fee hepatitis B, third liver, venereal disease and AIDS; One hospital has collected the vaginal secretion to examine the fee to the patient of phalanx fracture of a hand palm baffledly After enumerating and excessively treating the example that is even ridiculous treatment specifically, province Price Bureau checks Lin Jing, Deputy Bureau Director of branch office, and says, some hospitals violate the normal and medical price regulation of medical treatment seriously. He emphasizes, the goal of medical and health service price thorough examination of our province is to check the medical organizations at all levels in an all-round way this year, it is up to 100% to check the surface. July, national inspection group go to our province for the second round, check directly also, our province start, check up the work directly by second batch of provinces too. To the question already checked out, the related departments of the province will deal with strictly. Does it have on earth to radically treat the prescription of arbitrary charge of the hospital? Nanjing Municipal Health Bureau cures the relevant persons in charge of policy to think, manage the arbitrary charge of the hospital, depend on the technological means. For example Beijing Chaoyang hospital implements the management of the electronic case, the doctor adopts some therapeutic method for patients, what is the charge, the patient accessible to the network at any time inquires, the responsible institution controls at any time, totally open and clear. And then for example Ministry of Public Health is popularizing the management of clinical route implemented in a more cost-effective manner at present, also it is to be to contain medical arbitrary charge for methods fine,what diseases according to what method treatments, should make what to check, the patient is very clear after seeing. Strengthened management by the responsible institution two times, often check the charging act of the medical organization, can prevent trouble before it happens. Certainly the most basic method is to move from system " The operation " ,Change the current situation that the finance is invested insufficiently, the medical organization raises medicine by medicine at present, let the public hospital come back public beneficially, the haphazard charging act of medical treatment could be contained fundamentally. The reporter notices too, on one hand the phenomenon of arbitrary charge still " disturbs citizens " in various degree ,On the other hand it is that Jiangsu is seeking in order to manage arbitrary charge " Solve medicines " . At the beginning of June, the monitoring center of the price of municipal Price Bureau of Suzhou gathered and announced the medical expenses standards of services of 9 medical service organizations in the urban area, expenses standards such as 63 regular medical care, medical examination treatment, medical treatment examining, regular treatment, community's hygiene and prevention and health care project,etc. are announced in the network, let citizens know what's what while seeing the doctor. Gathering the medical service organization announced this time has a superfine hospital of the first, second and third, also there are community's hospitals. In gathering some medical care paying prices announced this time, charge partly according to the hospital grade and determination of doctor's post and rank, different grade posts and ranks have different expenses standards. For example, in the registration fee standard announced, one and class II hospital do not exceed 0.8 yuan charging each time, three kinds of hospitals do not exceed 1 yuan; The ones that announce make a diagnosis in the fee standard, the expert of clinical medicine who enjoys government's special subsidy treatment examines and checks and accepts the fee of 14 yuan each time, the chief physician examines and checks and accepts the fee of 9 yuan, associate professor of treatment examines and checks and accepts the fee of 6 yuan. The public opinion thinks here, the making the medical care expenses further transparent of this measure, easy citizens carry on supervision to medical care. The intersection of staff reporter and week quiet gentle second high mountain Merit Li Yang that Li is second
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The hand is fractured, why accept the gynaecology and examine the fee
Yesterday, a price inspection result announced by responsible institution, made people shocking. From June 8, province price, hygiene,etc. seven department unite to Nan Su, in the Su and Su Bei launches the service price thorough examination of the medical and health. By the look of situation that the work superintends and checks, all parts of the whole province have already checked 400 medical organizations at all levels in urban and rural areas, find the question breaking laws and violating discipline of more than 50 prices, involve waiting in many hospitals in the healthcare hospital for women children of Nanjing. The sore spot one: Many hospitals charge and save and check unhealthy tendencies and malpractices to do to one to participate in and check personages and tell reporters beyond the standard, intravenous infusion, transfuse blood, administrate oxygen, urine analyze, determine and the intersection of emergency case and the intersection of berth and fee, ward add the intersection of bed and fee, attend to fee,etc., some hospitals charge higher than the limited one in the province, and some two first hospitals charge according to the standard of the first, second and third stealthily, the patient is ignorant. Among them, it is very outstanding to charge the rate of exceeding the price markup. Person who collect blood, ease pain pump, catheter after medical apparatus and some medicines are criticized to the hospital, the hospital has exceeded the fixed price markup. Some hospitals charge repeatedly, or make a fuss about continuing on the project already cancelled, hold a consultation in the courtyard, support oneself project charge, take advantage of, organize health consultation, intercollegiate the intersection of person who hold a consultation and outandout " create income " . A few hospitals still get a lift to charge without authorization, the urine appears to analyze that puts up and charges the sediment fee of the urine, the gastroscope treatment takes and charges and checks the fee, the infusion takes and charges and adds fee of bottle. The sore spot two: With pharmacist's medicine enterprise " Separated but still in each other's thoughts " After our province implements medicines and calls for bid in unison, some hospitals are still thinking of a plan. Wheel this check, find some hospital organize medicines bid and purchase and confirm behind medicines call for bid price in government, produce and manage enterprise, conclude, lower than medicines, call for bid bid of the price privately with medicines without authorization, sell medicines to patient actually, call for bid price along add the fixed difference rate and fix a price for according to medicines still, make profit from it. Although some hospital carry out medicines, call for bid price, produce and manage enterprise, conclude the intersection of cash and returning and medicines, give the agreement with medicines privately, and violate the regulation to take into one's own possession, has not made concessions to patients. "These secret strokes, in practice bore the policy gap, let the expenses for medicine of the all right low price be kept at the so-called reasonable high position. " A comrade of Ministry of Health is without mincing words. The sore spot three: Arbitrary charge go against accepted conventions to impatient especially in need of operation patient very much sometimes, examine and collect and examine the fee hepatitis B, third liver, venereal disease and AIDS; One hospital has collected the vaginal secretion to examine the fee to the patient of phalanx fracture of a hand palm baffledly After enumerating and excessively treating the example that is even ridiculous treatment specifically, province Price Bureau checks Lin Jing, Deputy Bureau Director of branch office, and says, some hospitals violate the normal and medical price regulation of medical treatment seriously. He emphasizes, the goal of medical and health service price thorough examination of our province is to check the medical organizations at all levels in an all-round way this year, it is up to 100% to check the surface. July, national inspection group go to our province for the second round, check directly also, our province start, check up the work directly by second batch of provinces too. To the question already checked out, the related departments of the province will deal with strictly. Does it have on earth to radically treat the prescription of arbitrary charge of the hospital? Nanjing Municipal Health Bureau cures the relevant persons in charge of policy to think, manage the arbitrary charge of the hospital, depend on the technological means. For example Beijing Chaoyang hospital implements the management of the electronic case, the doctor adopts some therapeutic method for patients, what is the charge, the patient accessible to the network at any time inquires, the responsible institution controls at any time, totally open and clear. And then for example Ministry of Public Health is popularizing the management of clinical route implemented in a more cost-effective manner at present, also it is to be to contain medical arbitrary charge for methods fine,what diseases according to what method treatments, should make what to check, the patient is very clear after seeing. Strengthened management by the responsible institution two times, often check the charging act of the medical organization, can prevent trouble before it happens. Certainly the most basic method is to move from system " The operation " ,Change the current situation that the finance is invested insufficiently, the medical organization raises medicine by medicine at present, let the public hospital come back public beneficially, the haphazard charging act of medical treatment could be contained fundamentally. The reporter notices too, on one hand the phenomenon of arbitrary charge still " disturbs citizens " in various degree ,On the other hand it is that Jiangsu is seeking in order to manage arbitrary charge " Solve medicines " . At the beginning of June, the monitoring center of the price of municipal Price Bureau of Suzhou gathered and announced the medical expenses standards of services of 9 medical service organizations in the urban area, expenses standards such as 63 regular medical care, medical examination treatment, medical treatment examining, regular treatment, community's hygiene and prevention and health care project,etc. are announced in the network, let citizens know what's what while seeing the doctor. Gathering the medical service organization announced this time has a superfine hospital of the first, second and third, also there are community's hospitals. In gathering some medical care paying prices announced this time, charge partly according to the hospital grade and determination of doctor's post and rank, different grade posts and ranks have different expenses standards. For example, in the registration fee standard announced, one and class II hospital do not exceed 0.8 yuan charging each time, three kinds of hospitals do not exceed 1 yuan; The ones that announce make a diagnosis in the fee standard, the expert of clinical medicine who enjoys government's special subsidy treatment examines and checks and accepts the fee of 14 yuan each time, the chief physician examines and checks and accepts the fee of 9 yuan, associate professor of treatment examines and checks and accepts the fee of 6 yuan. The public opinion thinks here, the making the medical care expenses further transparent of this measure, easy citizens carry on supervision to medical care. The intersection of staff reporter and week quiet gentle second high mountain Merit Li Yang that Li is second
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