Friday, April 27, 2012

Why experience the mouths of brothers are ill " Make a definite diagnosis of " Difficult problem

Why experience the mouths of brothers are ill " Make a definite diagnosis of " Difficult problem
Why experience the mouths of brothers are ill " Make a definite diagnosis of " Difficult problem
Staff reporter Cao Zheng As a kind of child common infectious disease caused by many kinds of intestinal virus, the prevailing law previously of disease of mouth according to brothers, it usually starts in spring, the case obviously increases in April - May, have illness coming on and form the peak in May - July. Unexpectedly, mid-March of this year begin, brothers' mouth disease epidemic situation breaks out in Shandong, Henan two province juncture areas. The one that upset people is, some counties, cities slip seriously in preventing and curing epidemic disease etc.. March 18, the intersection of investigation and news that Central People's Broadcasting Station broadcast claim the intersection of Henan Province and the intersection of civil rights and by way of making the fake in case history county, conceal the intersection of brothers and the intersection of mouth and actual number of the infected of disease, and two infants die of " suspected brothers' mouth disease " at least . March 24, Central People's Broadcasting Station broadcast report again, claim Ministry of Public Health work group confirm two Hu WenYan of and a half year old die of brothers' mouth disease formally, Henan Province " There is not a disease of brothers to die no case " Statement break. On March 24, the city of pool of Shandong He is queried to conceal or fail to report the epidemic situation by the media too. On March 25, are guiding the expert panel of Ministry of Public Health prevented and cured in the civil rights county and transferring strength and rushing towards city of pool of He temporarily. On the same day evening, He pool Municipal Health Bureau avows to the reporter of branch of Xinhua News Agency Shandong, since the 8 - 23 of March, 6 infants die in the locality. The subsequently open epidemic situation figure of department of public health of Shandong indicate, pool of He becomes the most serious area of epidemic situation inside the province of Shandong at present. On March 27, Deng HaiHua, press spokesman of Ministry of Public Health, announces the second investigation result of investigation group of Ministry of Public Health: Henan the intersection of civil rights and county, Shandong the intersection of He and the intersection of pool and city prevention and control really defective, perhaps there is a case that is failed to report. The epidemic situation was broken out ahead of time but not mastered by the straight newspaper system of the epidemic situation, one of its main reasons was that difficult to make a definite diagnosis of in the basic unit mouths of brothers were ill unexpectedly. Find, the diagnostic standard of an ordinary pediatrics common disease is alienation because of all sorts of factors in the basic unit through the investigation reporter, among them the reason is worth thinking deeply about. The ones that make a definite diagnosis of the system " Dogmatism " On March 27, the department of public health of Shandong sends out " notice on strengthening ill epidemic situation of mouths of brothers and reporting management " on its official site. " the notice " require at all levels medical organization want strictly until " whether infectious disease prevent and cure law " inside the province, " the information of infectious disease is reported to the standardard management " and Ministry of Public Health <>Relevant for regulation,to lasting brothers last case the cases of the diagnostic standards mouth disease clinical diagnosis and laboratory, want, carry on the intersection of network and report in time, can't have of any kind to conceal, fail to report. The intersection of Henan Province and department of public health send out similar file too, notify, require all types of medical organization medical worker inside the province, finish clinical diagnosis and differential diagnosis of the intersection of brothers and the intersection of mouth and disease and treat, work conscientiously, distinguish ordinary case and serious disease case. Two issue of file these, mean two province exist before this " whether 3 the intersection of people and the above-mentioned expert can make a definite diagnosis of " Way quilt forbid. It is reported, civil rights county and He pool city with serious epidemic situation, the need " more than 3 experts " exists in various degree The method that is made a definite diagnosis of together before the case appears in the newspaper, and this is apt to cause one of the main reasons failed to report. Should say, the definite diagnosis of brothers' mouth disease has a set of complicated systems in Henan, Shandong. An epidemic prevention worker at the basic level in Henan tells reporter, local regulation, the first class medical organizations of village and town have not diagnosed the power of brothers' mouth disease independently, can only appear in the newspaper suspected case, take within 3 day holding a consultation according to expert opinion go on correcting, county the intersection of district and first class medical organization must have 3 clinicians make a definite diagnosis of the intersection of brothers and the intersection of mouth and disease after holding a consultation. He says, because oneself was unable to understand to this mechanism reflected upwards last year, but not received higher authorities' reply. Reporter's investigation find, while making a diagnosis and giving treatment at brothers' mouth disease, " the expert holds a consultation and confirms " Requirement at 2008 Anhui Province only then for Fuyang epidemic situation. While preventing and curing the course in the epidemic situation, every fixed hospital of Fuyang has adopted the clinic to consult about the system, after the preexamination is divided and examines, 3 doctors still coming from infecting department, dept. of dermatology, pediatrics in the consulting room hold a consultation, arrange checking and avoid having other patients similar to symptom to drift along and start with the infeted of foot port carefully. Ministry of Public Health stayed in the expert panel of Fuyang and affirmed this method, and popularized in the surrounding area at that time. All parts mostly drew lessons from this method while making a disease of brothers and preventing and curing the scheme hereafter. The reporter finds through investigating and verifying in many ways, besides Henan, Shandong, many cities and counties of provinces such as Anhui, Liaoning, Hunan, Guangdong, Hebei,etc., require many experts to hold a consultation and can be made a definite diagnosis of on mouth case reporting systems of brothers in 2008. The relevant persons in charge of Ministry of Public Health explain to the reporter, the system issued at that time in Fuyang has particular backgrounds, namely after breaking out in epidemic situation, Fuyang has already appointed the fixed hospital to treat, villages and towns and first class medical organization of village can't accept the ill patient of mouths of brothers for medical treatment. In a situation that the ability of medical organization possesses, strengthen the clinic and arrange and check that can avoid cross infection and excessive medical treatment, will not influence the report of the epidemic situation either at the same time. But the health clinics in towns and townships in the basic unit, do not possess the expert resources like this at all, if it is unrealistic to imitate such a regulation mechanically thoroughly. Such institutional diagnosis " The high threshold " ,Have no doubt improved the security of the case of appearing in the newspaper, has also increased the risk failed to report. At the basic level doctor ability still can't and according to the introduction of expert of Center for Disease Prevention and Control of Chinese accrediting pool of He in Ministry of Public Health, in 2008, the country has already issued <>, and <>. Unless these file, it have each pediatrics and doctor of department of infection of qualification,can clinical diagnosis most of the cases. Because brothers' mouth disease carries on clinical diagnosis through symptom, even the doctors and rural doctors of the health clinics in towns and townships can generate heat according to the infant, there is a red rash in positions such as the hand, foot, mouth,etc., judge the case. To the intersection of stone and the intersection of will and strong and speech, the difficulty a bit large task. He takes up a job as a doctor for more than 10 years, 50 years old now, the civil rights of Henan Province county finishes collecting to the rural doctor of the village. In China prevents and cotrols the system framework, this strong kind of rural doctor of stone will is a job on the bottom, undertaking the important mission of controlling and appearing in the newspaper infectious disease and condition. As the rural doctor, the stone will is strong to also undertake the epidemic prevention task. "Whooping cough, diphtheritis and tetanus, measles, Bacillus Calmette-Guerin, sugar-pill The vaccine meets with single moon and inoculates in turn. " ZhiQiang Shi say infectious disease that must appear in the newspaper divide into A, B, third 3, class-A infectious disease such as plague and cholera, report to the epidemic prevention burst of commune hospital of town in 6 hours; Class-B infectious disease and measure the class-C infectious disease in the area, report the epidemic situation in 12 hours. Hands Foot disease once is listed in the class-C infectious disease list by Ministry of Public Health on May 2, 2008, belong to infectious disease of the legal report. And the speech to that the stone will is strong, such strange strange disease has never been seen, but spoke of once in a while while chatting with the counterpart. To that the stone will is strong such a rural doctor, the most infectious disease knowledge capitals from health clinics in towns and townships are trained. But the disease even the intersection of health clinics in towns and townships and first class doctor know more either. The intersection of village and the intersection of town and the intersection of commune hospital and the intersection of epidemic prevention and gangs of the intersection of section chief and HuiCang Niu Cheng say, initial, everybody think brothers mouth disease pig's foot-and-mouth disease, will not appear on people, by February 22 this year, the county government starts the urgent prediction scheme, let us report to the epidemic situation, we know this kind of disease. The expert of infectious disease department from Beijing Temple of Earth hospital says, a disease report of brothers " threshold " Reducing,about doctors rural's ability which doesn't put forward higher requirement. "The implementation of any system needs to possess the precondition and contributing. " He says, " if the rural doctor does not possess the clinical knowledge of the relevant disease and diagnose ability, this reporting system is to perform practically no function. " Though escape under the pressure is queried to conceal by the media and the work is slipped, but reporter's investigation finds, different from a great deal of conjectures of external world, before this epidemic situation breaks out, prevent and cure and pay preparing to brothers' port disease in two places of civil rights and He pool. As far back as February 26, civil rights county hold the intersection of brothers and the intersection of mouth and county magistrate of prevention and control of disease, can work, have proposed " Guarantee the case dies to take place in the same way in the whole county " Requirement,it is a series of without being launched if you can't propagate, arrange, check, if you can't sterilize, work, brothers mouth disease last organization county people's hospital by fixed position, from March 1, to wipe out all the intersection of treatment and cure and expense in that health clinics in towns and townships go to a doctor under the age of 5 infant. He the intersection of pool and hygiene of city work, receive affirmation of Shandong even more. When the epidemic situation breaks out in Fuyang in 2008, as the area boarded by Anhui Province of epidemic-stricken area, disease of city of pool of He accuses of personnel's upper and lower efforts, has realized " case that zero dies " of this city . In February of this year, the health clinics in towns and townships of city of pool of He also disposed as the computer of the straight newspaper of legal infectious disease specially, make the straight newspaper system of infectious disease extend to the villages and towns directly. At the beginning of March, the municipal government of pool of He holds the whole city and prevents and controls the ill working conference of mouths of brothers, every county (district) In charge of leader, chief of health bureau, county (district) where the hygiene work The director, disease accuse of the centre director etc. and participate in this meeting. At this meeting, relevant persons in charge propose: "Guarantee the intersection of mouth and disease, brothers of our city, break out, prevail, take place critical patient, avoid the intersection of death and case. " "Because the intersection of brothers and the intersection of mouth and disease prevent and cure successful experience 2008, let leader to very much optimistic even this year. " A person in charge of the hygiene system of civil rights county says, have not " expected the epidemic situation changes, it is possible to be will be very flurried. " "A goal dying can be regarded as a bright expectation, but can't be regarded as the rigid working index. " The expert from infectious disease department of Beijing Temple of Earth hospital think, though brothers' mouth disease can be defended controllably, but original meaning their to prevent and control scientific law according to infectious disease, can prevent to a certain extent, treat correctly in time, will seldom cause serious consequences such as the death,etc.. But mankind still can't control the intersection of brothers and the intersection of mouth and disease, wait for to break out prevailing law infectious disease totally the present stage, can't totally avoid the death case temporarily. So, this kind of formulation in the localities is not scientific. This kind is " paid attention to " Have become local health care workers' pressure to a certain extent. One guides the expert of Ministry of Public Health who treats and cures the work in pool of He, accompany leaders when one county hospital inspects, the intersection of pediatrics and director of institute this come over, inquire want, make a definite diagnosis of the intersection of brothers and the intersection of mouth and disease, hand and foot, mouth want, appear red rash or hand, foot or mouth appear red can rash? The expert does not know whether to laugh and cry in the face of this question, have to reply the other side: "Are not you a pediatrics director? Will not disease, such pediatrics common disease of brothers be judged? " Exchange privately, that pediatrics director explains, will in fact diagnose, but afraid in the heart, do not dare to make the decision, is afraid of some mistakes out. Disease of this Ministry of Public Health accuses of expert's thinking, if administrative strength pays close attention to the medical result excessively, the behavior of making a diagnosis and giving treatment of the interference, in addition raise the threshold of medical diagnosis on epidemic disease artificially, will make the epidemic disease prevention deviate from the scientific orbit finally, and it is due and transparent to lose. Will it be the end March, Ministry of Public Health disease prevent and cotrol the intersection of office and infectious disease, prevent and cure QingHua He, division chief of place, rush towards the intersection of civil rights and county and the intersection of He and the intersection of pool and city successively. To a locality each time, person in charge to be found the local government must explain and publicise him: It is different from occupational disease that infectious disease breaks out, the former can be regarded as " natural disaster " under a lot of situations ,The latter is " The man-made calamity " . As the intersection of China and class-C the intersection of brothers and the intersection of mouth and disease of infectious disease, the intersection of spread and roller chain its, break out law to be so far unable to know at all, it is the same worldwide. Often this disease breaks out too, certain amounts of death cases appear too in the developed country. "This kind of disease breaks out in some place, might not prove that prevent epidemic to do one's best at ordinary times in this place. I make this clear, the local too large pressure that don't give. " He says: "The government should follow the scientific law and handle affairs. Must understand what thing should be done, what shouldn't do while facing the epidemic situation. " The intersection of mouth and disease, brothers of view, take off, go out of the intersection of basic unit and medical the intersection of system and soft rib in front of the epidemic situation, trace, fail to report, conceal responsibility but also investigate responsibility, no doubt essential, but the disordered state of the prevention from suffering from the diseases and service system of the public health at the basic level thereby reflected, worth reviewing. Henan, the intersection of Shandong and the intersection of He and the intersection of pool and the intersection of city and the intersection of Juan and city at the beginning of breaking out in epidemic situation, stipulate, must have 3 associate professor of treatment or 3 - the intersection of 5 and expert make a definite diagnosis of and just charge brothers a mouth disease, there are not so many experts at all in the poor village that concentrates in the epidemic situation on. In this case, the question already paid attention to is not still paid attention to the consciousness aspect of the service system of the public health, even some relevant regulations paid attention to in embodiment have become the main factor not appearing in the newspaper exactly. Brothers' mouth disease is listed in the class-C infectious disease list on May 2, 2008, belong to infectious disease of the legal report. Moreover, according to reporting the procedure, two epidemic situations appear in the same natural village in one week, can deem the assembling has illness coming on, such as having three examples, in order to break out popularly. Stipulate that clear, fall in the realistic situation, unusually become in disorder, the ones that exposed the prevention from suffering from the diseases and service system of the public health of going to a grassroots level of linguistic context of legal system are unordered. Perhaps, the last value of the life is to evoke society's profound introspection, the life passing in the face of the unidentified reason, the prevention from suffering from the diseases and service system of the public health should really enter the condition reviewed again. Select and edit it from " The Beijing News " author of March 25: Wang YanMing doctor conceals in a society behind brothers' mouth disease epidemic situation, can't lie most, it is a doctor. The doctor lies, Cause the patient to delay curing, the consequence will be too ghastly to contemplate. However, as the doctor once a certain experience " sneaks the rule " ,While forcing them to have to conceal, they will make the thing of violating medical ethics too. A few days ago, reporters found, the county people's hospital of civil rights of Henan was suspected of being involved in the case history and make the fake, conceal the ill epidemic situation of mouths of brothers. As to doctor, only clarify the disease, could suit the remedy to the case. And generally speaking, without ambient pressure, the doctor will not conceal patient's condition under the normal situation. That is what reason causes some doctors to conceal the epidemic situation on earth, who exerts pressure behind their back? It is deduced that from similar incident in the past, some only local officers have this ability and " motive " . Reach this epidemic situation specifically, among them perhaps there is a controllable factor of some impersonal forces, that is to say, the responsibility of the officers at the basic level is not too great, needn't conceal at all. But first response of their has been chosen to conceal. This kind of officialdom " The collective is unconscious " ,It is in fact necessary to go into more seriously. But just as the foregoing, the epidemic situation concerns the human life. Announce to the external world, the higher the transparency is, help those children to be treated and cured in time only in time. It is not enough to or treat and cure, can also collect the forces of a force saved, a country for the local doctor. But once concealed and unreported, the external world knows nothing, will be very at one's wit's end. So, if this kind of concealment causes the serious consequence, persons who conceal must get the law is punished severely. Select and edit it from author of " Times of Chongqing " of March 19: LiangChen Min prevent and cure the intersection of brothers and the intersection of mouth and disease, need society join forces, lie in how difficult disease that treat is it by the intersection of brothers and terrible, mouth of disease, and lie in it has very strong infection. Now, the Ministry of Health at all levels of all parts is disposing the measure of prevention and control actively, launch relevant prevention and control actively. Over these several months, as at the basic level medical worker, I have several different the intersection of rank and the intersection of brothers and the intersection of mouth and disease that department print and distribute prevent and cure the guide at hand, also accepted the education of this prevention and cure of disease. But the author thinks, prevent and control such infective disease, the medical worker should no doubt contribute, but should pay attention to giving play to the role of social people too. For a long time, have a kind of soft rib on managing in the hygiene in our society, the systems of medical organization of the hygiene and social interdynamic ways of people do not work seriously. Often people can't like to step and walk into the hospital to look for a doctor unless falling ill, let the doctor's main purpose lie in curing disease and finishing as soon as possible. As to medical organization, often display and trend towards profit very strong side too, like, spend on not offering charging very strong disease treatment service attention and energy only, like, take time and energy until the public offer disease free preventative medical health organ of the service always few. Just because of this, in at the intersection of brothers and the intersection of mouth and disease prevent and control, I think government Ministry of Health throw at the medical organization especially energy now, should not neglect the interdynamic education of medical propaganda and education of health to people either. Only establish the social prevention and control of an interdynamic way, will just really decrease and prevail the social risk that infectious disease brings, let us obtain one kind more safely, more reliable, more rational hygienic conditions. Particularly, or this will be meaning the realization of the following relevant content. First of all, the government can consider that regard family as the unit to some areas at the basic level, print and distribute the editions of people free " The guide that brothers prevent and cure the intersection of mouth and disease " And send the medical expert to go down to the grass-roots units regularly, it is the local people that bring more public beneficial disease knowledge consultation and lecture, to promote people's understanding of disease. Secondly, seeing that brothers' mouth disease is a kind of intestinal virus infective disease, and mainly prevail in the rural area, the food in these areas and source of water should get prompt quality to monitor and control effectively. World Health Organization has released a view, has utilized the existing precautionary measures to reduce global disease and bear up to 70% better, the government really sends foot strength only on the medical care of public health, build a firm comprehensive social hygiene and protect the network ahead of time, could provide for a rainy day, tackle ill all sorts of threats that bring when some popular diseases of mouths of brothers faced at present positively and calmly. Select and edit it from author of " The Southern City " of March 28: Handsome the intersection of civil rights and case Wu expose public health a great deal of, it is reported while being enough, March 18, the intersection of Henan Province and the intersection of civil rights and because of reveal media " the intersection of brothers and the intersection of mouth and disease conceal the incident " county Cause the extensive concern of the society. Organized expert panel's going by the department of public health of Ministry of Public Health and Henan Province to think after the investigation of civil rights county, there are a great deal of problems in preventing and curing brothers' mouth disease and working in the civil rights county. A few days ago, the county Party committee of the civil rights county, county government aggravated to the incident punishment about direct person in charge. In fact, this case in the civil rights county has reflected the problem existing in the service system of the public health, especially in the countryside. At national two Conferences held not long ago, the member of the CPPCC National Committee of the health care circle proposed, the hygiene at the basic level, epidemic prevention worker, because of lacking the funds, the work lacks enthusiasm, disease defends accusing of even not so good as in the past. The member of the CPPCC National Committee Wu Ming, Chen XingSheng propose, the rural doctor with qualification is deficient at present, only 1.8% have qualification in 930,000 village doctors, there are only 15 graduates in one market and 110 rural commune hospitals. Then a bigger question mark is, how to promote level and condition of disease prevention and control of the basic unit systematically, step by step, ensure and improve life and working state of the medical worker? SARS Incident expose, it goes out of the intersection of China and a great deal of of public health to be insufficient such as mechanism arrange and ability insufficient blockading news, it conceals epidemic situations, tactics to be improper already. Especially a deep one is preventing insufficiently for the lesson, " puts prevention first " that is emphasized for many years Hygiene working enough when implementing basic principle,to disease being fund input, staff training that infectious disease prevent especially, it is not enough for and the technology, house, apparatus, equipping,etc. to pay close attention to, cause the system of prevention from suffering from the diseases of the countryside to be very weak, the brain drain is serious. This brothers' mouth disease that the civil rights of Henan county presents conceals the ill number of people, diagnoses the incident of inaccurate, few art of composition of treatment, it is the epitome of rural prevention from suffering from the diseases and service state of the public health, need to cause the different fields to pay close attention to. Prevent the similar incident and happen once again, will need the governments at all levels and various professional organizations related to public health service, draw this straight question mark together. Select and edit it from " The Beijing News " on March 23 Tired staff reporter Cao Zheng that on-the-spot in the whole people's difficult to resolve to mobilize countryside Busy rural doctor is 7 on March 31, in a village of township of Shandong Cao County the Zheng 's is still very quiet. Sky float get up fragmentary light rain, Tang Jian (assumed name) But already gone out early, did not go home until evening. He is medicine of township of this village, since the ill epidemic situation of mouths of brothers broke out, epidemic prevention has become him Centre point of the life work. This day morning, Tang Jian is busy phoning home town, because quick lime and disinfectant will be used up soon, must let people send up at once. Disinfectant that he only sprays every day of now, need about 4 barrels. All disinfection utensils and medicinal liquid, are all bought by the government and released free. Accuse of what the centre sends at county disease " Sterilize the method manual " Have, lists 10 items closely and numerously and sterilizes the method, nearly contain every aspect of daily life of villager's basic necessities of life. If not because of this, at 30 past 7 every day, Tang Jian will open the big loudspeaker of the village committee on time, relay infectious disease of the radio station of city of pool of He and prevent the lecture; At 9 o'clock, go to nearby several natural village to measure the body temperature for the child under the age of 5 by motorcycle, then report to epidemic prevention worker of the commune hospital in the township and plan to go to the village committee or health clinics in towns and townships to have a meeting at any time, learn to understand the latest gist of a document, instructions from the higher level and measure of prevention and control. Cao County has a population of 1,500,000. In order to control the epidemic situation, Cao County has mobilized more than 2200 medical treatment and hygiene epidemic prevention worker at the basic level to garrison in the countryside. In addition, the staff members of the governments at all levels, medical organization are all in the state to be ordered at any time, the staff members having the government at a higher level in the village, town, county are stationed, the cadre living in the village pays a return visit to all infants two times a day, know the relevant situation. Exquisite hygiene state break out in brothers' port disease epidemic situation area to the east from the west this time in view of map so, except that the intersection of Henan and Jiaozhuo partial to north corner, in regions of line of Gansu-Qinghai Railway other odd district, mainly distributed in the east of Henan Province, western Shandong area, centre in Lankao, the Qi 's of Kaifeng of Henan Province, places such as the civil rights of Shangqiu, He pool of Sui county, Ningling and Shandong,etc.. And this sack type area is just the intersection of four provinces in Henan Province Anhui Su Shandong. The the intersection of brothers and the intersection of mouth and the intersection of disease and epidemic situation break out, expose local the intersection of countryside and very much abominable hygiene state too. More than 10 villages and towns are boarded by Henan in Cao County, from another high taking place area of this epidemic situation - -The civil rights county needs only the drive of more than one hour. At the end of March, the village of two counties seems to both turn into a look, " launches the patriotic public health campaign in a more cost-effective manner " is hung at the gateway of the village Scrolls red,hygiene it is at all levels the prevention and control command posts of medical organization establish already, the streets and toilets of all villages and small towns are sprinkled white lime densely. But in dispatching villagers' brothers mouth disease to prevent wanting some, for example " clear up the excrement and urine and rubbish " , " removing the weeds and mud " , " the toilet sterilizes and kills the mosquitos and flies " , " poultry's domestic animal should house " , " the domestic water needs to be clean " Wait for the clause, if want 100% to realize, seem to countryside of the present stage it is still " task that it is impossible to finish " . "The people's hygienic habit has not been so exquisite yet in the village, this can not be solved in short term. " Medicine of a township is said. The countryside of the area in pool of He, every household has all built magnificent gate and courtyard wall, but incidental and rubbish have been piled on the road and by the ditch. In the clinic of a village, reporters saw the gate and stuck and propagated the slogans, hang up and propagate banners, and a pond of dark water sends out the bad smell in the small pond nearby. On February 2, 2008, the whole country will like defending and once releasing " Decision on further putting the focal point of work to the countryside to launch patriotic public health campaign thoroughly ", among them propose being " be set about doing the treatment of the domestic rubbish well from each link such as environmental health facilities, cleaning system, rubbish of keeping a public place clean to collect and transport dealing with. Organize rural residents to do the sanitation and hygiene of the own and public area well, level the village way, dredge the irrigation canals and ditches, remove the rubbish and white to pollute " . Obviously, if you want to meet requirements for the such one, it is only far from enough according to sport type hygiene a few times. Invest lacking March 30 such as regret insufficient, the intersection of village and the intersection of township and the intersection of commune hospital and president Zheng fit full of trees to become, wait new arrival of apparatus anxious, this is a new fellow footing a bill and acquiring in commune hospital, expect it can attract more patients to diagnose the illness. The commune hospital of the Zheng 's township just moved into the new office building several years ago. Build the three light the intersection of uncompleted building and 800,000, government invest 300,000, a left one grant by commune hospital loan to solve. Having implemented fortunately newly and agriculturally after shutting, the commune hospital can guarantee the business income of more than 1 million yuan every year, but except paying one's debt, paying out wages, there is not much left. Defend, protect, work, fit full of trees to become, sigh repeatedly too: "There is no money! " It is insufficient to put into, lead to the fact the public health work in the rural hygiene system has been unable to develop all the time. Epidemic prevention doctor Liu BaoNi who collects commune hospital in the township Ni of this county tells reporters, there are 6 personnel responsible for epidemic prevention of commune hospital who he locates, can only by inoculate class II vaccine or other project, earn salary at ordinary times, one per capita each can only bring more than 500 yuan month. Tang Jian actually has some complaint to the overwork too: "It is special period now, the work that should be done is certainly dry. But in so many years, are all such voluntary labour each time, do not know when to get support from above. " He says, these of his are arduous have never brought the corresponding recompense. Township what of medicine upset reporter unavoidably, once the epidemic situation alarm is relieved, only depend on whether the health epidemic prevention system that the administrative decree maintains could continue turning round? Will everything which concerns the rural hygiene return the former state?


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