In order to conscientiously implement the spirit of the city and county health work conference and do a good job in the county's disease control work in 20 10, according to the arrangement of the Health Bureau, a county-wide disease control business work and children's vaccination information system input training meeting was held today, aiming at solving your understanding of public health work, focusing on deploying the work in 20 10, and studying and solving the difficulties and problems that restrict the disease control work. How to comprehensively and solidly promote the rapid and healthy development of disease control and provide the most basic public health services for the people of the county is of great significance for accelerating the implementation of scientific development and actively optimizing the good service environment. At the meeting, Director Zhang made arrangements for this year's key work, with clear thinking and specific tasks. We should base ourselves on reality, sum up experience, face up to problems, conscientiously implement them, and go all out to do a good job in disease prevention and control that benefits the health of the people in the county. According to the arrangement of the meeting, I will make some suggestions on strengthening the disease control work in the county, hoping to attract everyone's attention. 1. Raise awareness, clarify tasks, and earnestly enhance the sense of responsibility for disease control. As a basic public health work that embodies people's livelihood projects and benefits people's health in the county, social benefits outweigh economic benefits. Implementing disease control and minimizing the harm caused by various diseases to the people's health in the county is an unshirkable and important function of medical units and medical staff at all levels, and it is also a cause of doing good deeds and having a clear conscience. In 2009, with the support of the county party committee, the government and the Health Bureau, the county issued work objectives and tasks around the cities and counties, and relied on the development advantages of national input in disease control projects, and various disease control work achieved good results. First, there were 2,326 cases of Class B and Class C infectious diseases 18, and the reported incidence rate was 58.65,438+05%/100000, all of which were investigated and dealt with according to regulations; Second, the prevention and control of hand, foot and mouth disease was seriously carried out, with 774 cases reported throughout the year, and no serious cases and deaths occurred; Third, emergency measures for influenza A and sudden outbreaks were put in place, and 8 cases of influenza A were reported throughout the year. Actively respond to and handle three seasonal influenza and mumps epidemics in the school, and all emergencies are reported and handled according to national norms; Fourth, pay close attention to immunization planning and expand immunization vaccination, implement polio immunization, and make significant progress in the county's immunization planning and implementation of hepatitis B vaccine projects; Fifth, steadily push forward the implementation of tuberculosis control projects. There were 153 smear-positive patients in the county, and 403 smear-positive patients were diagnosed, which kept the high detection rate and high cure rate of tuberculosis patients. Sixth, the central government's subsidies for the implementation of immunization programs have increased year by year, and a total of more than 254,000 yuan of various vaccination subsidies have been allocated throughout the year, which has strongly supported the enthusiasm of village-level vaccinators for disease control; Seventh, the publicity of AIDS prevention and health education has achieved remarkable results, and the publicity coverage has been expanded year by year. Various posters and billboards have been used for a long time and achieved good results, which have been generally affirmed and praised by the masses and provinces and cities; Eighth, actively organize and carry out skills training, professional quality, management ability and service level training for disease control personnel at all levels in counties and villages. While summing up our achievements, we should also see the problems and shortcomings in our current work. Last year, we conducted many supervision and inspections, and at the end of the year, we organized an evaluation. Judging from the supervision and evaluation, the progress of disease control in various medical units is extremely uneven and has good aspects. In particular, some deans attach great importance to public health management, put all measures of disease control and management in place, pay attention to hands-on and brains, and often go to villages and households. Rural basic management has achieved remarkable results, but there are still some unsatisfactory aspects. Some hospitals do not pay enough attention to the implementation of disease control, and their work is not solid. First, insufficient attention has been paid to public health management in terms of ideological understanding and practical actions. Dean only pays attention to medical management, pays attention to economic benefits, relaxes the supervision of disease control in colleges and villages, and some even find various excuses to shirk their work. Health centers do not grasp the function of personnel system strongly enough, and only rely on salary to "wait, rely on and push" seriously, only make oral reports and fail to implement actual operations, resulting in confusion and blank of township-level software management data, disconnection between village-level and township-level data, a mountain of vaccines, neglect of village-level vaccination, and falsification and distortion of reported vaccination data, which are serious problems in management. This problem has seriously affected the promotion and improvement of public health work in our county in recent years, especially in some projects, which has affected our image in the humanistic environment, and our superiors have confidence in our work ability; Second, there are great management loopholes in the implementation of expanded immunization and intensified immunization. It is very common for children to miss cards, miss seeds, delay seeds and strengthen immunization, especially since the implementation of the expanded immunization for children under 15 and the missed inoculation of hepatitis B vaccine, the vaccination work in some hospitals has been stagnant for many times, and the needles of hepatitis B vaccination projects are unclear. Vaccines are distributed to the village level, without asking questions, just muddling along on vaccination reports. As a result, the vaccination rate has dropped significantly, especially the hepatitis B vaccination for children aged 14 ~ 15, which was implemented last year. Some units send vaccinations to rural doctors intentionally or unintentionally, regardless of the target at school, which is a serious shirking work and shirking responsibility. This kind of work attitude and management thinking is the biggest obstacle that seriously affects the current and future work development, and it is the reflection of the work attitude and work ability of a unit leader; Third, the township-level network direct reporting work is abnormal, the network direct reporting rate is low, the report of infectious diseases is not timely, and there are phenomena of omission, omission and concealment. Even some hospitals, resident schools and villages have infectious diseases reported by local schools and the masses to the county or to the CDC, and migrant workers only know that infectious diseases have occurred within their jurisdiction after verification, which is incompatible with the current requirements of "management institutions are at the grassroots level, disease control institutions are in hospitals, and health education is at home". Fourth, the work skills and service levels of village officials are uneven, the quality requirements of basic operation and safety vaccination skills cannot be guaranteed, and management services cannot keep up with the requirements of modern work; Fifth, all kinds of monitoring reports can not be reported in time with good quality and quantity, especially in rural areas, township charts can not be reported in time, software construction materials are not perfect over the years, and children's information management network is slow to enter reports, which affects our county's reputation in the city's work; Sixth, the transfer payment of various vaccination subsidies by the central government has not been put in place, and illegal acts intercepted or distributed by some hospitals have been repeatedly banned. In the year-end assessment, rural doctors complained a lot, and their negative emotions and work enthusiasm were not high, which led to the ineffective implementation of village-level immunization planning and affected the improvement of immunization coverage rate. At the same time, some vaccination units have been charging expanded immunization fees, even more than in the past, and the masses have repeatedly reported the fees, which has caused adverse effects. The above-mentioned problems have constituted a major weak link that restricts the disease control work in the future, and must be highly valued by all the deans and professionals present here and carefully studied and solved. In recent years, the Party and the government have attached great importance to public health work, increased investment, implemented full wages at the grassroots level, and allocated vaccination fees to implement per capita public health funds 15 yuan. This year, in the comprehensive reform of the primary health care system in the province, the subsidy standard for village doctors was determined to be 6,000 yuan per village, and subsidies were given according to the assessment results of village doctors completing basic public health services. Everyone should think about it. Many preferential policies given by the state are aimed at doing a good job in public health and buying everyone's services to the people. We should not treat disease control as a nuisance, but should implement it as a cause. Since you have undertaken this work, you should do it with conscience and goodwill, and don't cause irreparable losses to a family because of your own negligence or inaction, otherwise you will be condemned by your conscience. Our health system is not only an administrative department, but also a public institution. The three major businesses of the health system are clinical medicine, preventive medicine and public health. Clinical medicine is characterized by one-to-one, which is a single-player and management mode for medical workers and an additive management mode. The working mode is passive medical practice and sitting in the classroom to practice medicine. The characteristics of preventive medicine and public health are batch by batch, which is the chorus of our health workers. The management mode is subtraction management, relying on the input of central finance and health projects. The way of working is to take the initiative to serve and go deep into the grassroots. The goal of clinical medicine and preventive medicine is to control diseases, and the goal of public health is group health. Huangdi Neijing said that "saints don't cure diseases, but they don't cure diseases", that is to say, treating diseases with medicine, treating diseases with traditional Chinese medicine and treating diseases with medicine is a line, which has both intersections and regional issues. The biggest purpose of promoting health and saving lives is how to keep healthy and improve the quality of life. Therefore, it is necessary to further understand the importance of the current disease control work, strengthen management and detailed measures in this year's work, do a good job of implementation in thought and action, and earnestly enhance the sense of responsibility and mission in doing a good job in disease control. Second, highlight the key points, strengthen the foundation, and do a good job in 20 10 disease control. 20 10 is the first year of comprehensively deepening the five reforms of the medical and health system. The Opinions of the Central Committee of the State Council on Deepening the Reform of the Medical and Health System puts forward that a public health system with clear division of labor, information exchange, resource sharing, coordination and perfection should be established. The task of disease control is very heavy. Therefore, in accordance with the spirit of the city and county work conference, with the goal of promoting the equalization of basic public health services, we should "strengthen one construction, highlight two key points, achieve two breakthroughs, implement five major projects and implement four measures" and make every effort to ensure the implementation of various disease control objectives and tasks in 20 10. 1. Focus on strengthening the capacity building of three-tier network services. Three-level network construction is the basis of public health work. Judging from last year's assessment, most village doctors in our disease control and management work have a strong sense of responsibility and have carried out their tasks well, but the service management function played by township ties is not in place. This year, we should strengthen management, change ideas and strengthen the construction of public health system in accordance with the general idea of "management institutions go to the grassroots, disease control institutions go to hospitals, and health education goes to families". Further clarify the responsibilities and tasks of health service institutions at all levels, strengthen the construction of public health functions at the county and village levels, give full play to the role of township hospitals in public health management, change passive work into active work, lower the focus of disease control, move forward, go deep into towns, villages and households to fully grasp the status quo of disease control, implement the system and responsibility system measures, especially further standardize epidemic situation reports and disease information reports. It is necessary to establish the general concept that all employees in the hospital should attach importance to public health and everyone should bear public health. We should combine the activities of optimizing the development environment with shaping a good image, thoroughly improve our service environment, and do what the masses trust most. Through solid efforts, Xihe and the health industry have made new progress, and all the work objectives and tasks assigned by superiors can be successfully implemented. 2 focus on the prevention and treatment of infectious diseases and expanded immunization. The prevention and control of infectious diseases is one of the core functions of public health work in China, and it must be done well with a high sense of responsibility. First, continue to carry out the prevention and control of influenza A (H 1N 1) and hand-foot-mouth disease (HFMD), and do a good job of influenza A (H 109,1/KLOC-0) in a scientific and orderly manner in accordance with the requirements of the Notice on Prevention and Control Guidelines for Towns, Organs and Institutions. At the same time, we should be highly sensitive to infectious diseases and sudden outbreaks such as hand, foot and mouth disease, cholera, hepatitis A and dysentery. Take preventive measures as early as possible in spring and summer, find signs of suspicious major epidemics, and actively do emergency treatment while implementing the "four early" principle to prevent the spread of the epidemic; Second, we should focus on strengthening the implementation of prevention and control measures for infectious diseases in schools and other people. Health centers urge specialized cadres and village doctors to regularly check and supervise the implementation of various infectious disease system measures in schools, and implement school entrance vaccination certificate inspection and replanting measures to prevent infectious diseases from happening in schools. In the implementation of the national immunization program, we should constantly improve the basic management of children's immunization. First, we should do a good job in all kinds of vaccination work in accordance with the Code for Vaccination Work, fill in the relevant information of software data management, and do a good job in online newspapers and bimonthly reports. And connect with the opened information management system for children's vaccination to ensure that the uploaded data is true and accurate, and strive to build a certificate, build a book, and the vaccination rate will reach over 95% in the village; Third, we should pay more attention to the cold chain operation, ensure that the bimonthly operation of 1 time is completed on time, distribute the planned vaccine operation to the village level with good quality and quantity, improve the vaccine storage system, and ensure the quality of safe vaccination service; The third is to open an information management system for children's vaccination. Children's vaccination information system is an important guarantee to improve the timeliness and authenticity of vaccination. This work is also the theme of our meeting and training. Tomorrow morning, we will give practical training to the professional or information personnel of each unit. The crux of the problem is that our dean should attach great importance to it, vigorously support professional or information personnel, standardize and do a good job in the implementation of this work, and improve modern computer office. To understand the importance of online communication, we should learn to give full play to the initiative of human brain and computer. The higher authorities requested that the system be opened from last year, but some hospitals in our county have not been opened so far. In the first half of this year, according to the requirements of children's information management, it is necessary to open the network to enter reports as soon as possible and collect and upload information every month. This is a principle set by the Health Bureau. It is necessary to gradually transition to professional work and integrate information personnel. At the end of the year, improve the entry rate of vaccination information for children in towns and villages. Fourth, fully promote the implementation of the Measles Elimination Action Plan, organize the implementation of measles vaccine intensive immunization activities in the county, strengthen the monitoring of measles and polio, and conscientiously do a good job in monitoring vaccine-related diseases, so as to find 1 case and report 1 case. 3. Give full play to the function of public health, and make breakthroughs in improving disease surveillance reports and achieving the goal of equalization of public health services. First, improve the accuracy and timeliness of daily direct reporting of infectious diseases. Infectious disease monitoring report is an effective means to grasp the occurrence, development and dynamic changes of diseases, and plays a vital role in taking decisive measures to control the epidemic situation. Since the implementation of network direct reporting, county direct reporting is not ideal, and the omission of infectious diseases is serious. Very few towns and villages have not reported infectious diseases 1 case for one year. I think this year should completely change this passive situation, from passive monitoring to active monitoring, and strengthen the ability of information collection management and application. The dean should pay attention to and solve the hardware facilities to make the computer special. Clinicians should have a sense of responsibility, be responsible for the first visit, standardize the registration of related projects, fill in infectious disease report cards, perform basic functions professionally, and collect and enter infectious disease report cards in time; Second, in order to achieve the goal of public health equalization, we should focus on the comprehensive prevention and treatment of key chronic diseases such as hypertension, diabetes, cardiovascular and cerebrovascular diseases, tumors and mental diseases. Actively carry out health education activities with a healthy lifestyle as the basic content, standardize the establishment of chronic disease files for residents and villagers, promote standardized treatment of chronic diseases, attach importance to health management of high-risk groups, and promote the prevention and control of key injuries among children and the elderly. And complete the sorting of disease spectrum and the analysis of infectious diseases. At the same time, according to the requirements of this Municipality, we will carry out post-disaster psychological intervention assistance projects. 4. Seize the opportunity of the country to increase disease control projects, conscientiously implement the control of tuberculosis, AIDS, hepatitis B and major public health special disease control projects, and achieve the work objectives set by the project. First, do a good job in the implementation of tuberculosis projects to ensure that the task of finding and treating tuberculosis patients is completed this year. All medical units continue to do a good job in the five important links of discovery, reporting, referral, treatment and management of tuberculosis patients, standardize the supervision and management of patients' treatment, and township village doctors should specifically urge patients to take medicines and take medicines, and track and manage patients to ensure that the "five rates" are improved; Second, we must implement the AIDS project. Although our county only reported 1 AIDS death, the incidence of AIDS in neighboring counties is increasing year by year. Coupled with the recent economic prosperity and large population mobility, the prevention and control situation is not optimistic. At this stage, it is mainly to carry out beauty care intervention in public entertainment places and high-risk groups to prevent high-risk groups and foreigners from contracting AIDS. Grassroots health centers should focus on AIDS health education for returning migrant workers, post posters and leaflets in places where people are concentrated, and actively mobilize high-risk groups of migrant workers, resident beauty salons and other places to screen in county hospitals and CDC; Third, continue to do a solid job in improving the timely vaccination rate of hepatitis B vaccine for newborns and children under 15, mainly to do the basic work of hepatitis B control projects, standardize the timely vaccination of newborns born in medical institutions and newborns born at home within the jurisdiction, and comprehensively improve the timely vaccination rate of newborns. It is necessary to complete the hepatitis B vaccination for children under 15 implemented last year according to procedures, and do a good job of injection connection to ensure the quality and effect of vaccination projects. 5 vigorously promote the implementation of the four measures of publicity, supervision, training and assessment to ensure that the work is in place. First, we must conscientiously implement health publicity and education measures and strive to create an atmosphere in which the masses consciously participate in disease prevention awareness. Health promotion is the first condition to ensure the effective implementation of public health. Medical units at all levels should, in accordance with the principle of combining specific work with health education, make full use of various effective propaganda means, widely publicize the common sense of disease prevention and control to residents and villagers in their respective jurisdictions, enhance the people's awareness of self-prevention, create a relaxed and harmonious service environment for carrying out various work within their respective jurisdictions, and further promote the development of specific work; Second, we must do a good job in the implementation of supervision and inspection measures. This year, the county will strengthen the supervision and inspection of medical units at least six times according to the requirements of hospital disease control. In the supervision and inspection, it is necessary to find and solve existing problems in time, provide various technical guidance services in time, and ensure that the assigned disease control objectives and tasks are implemented; Third, do a good job in the skills training of village-level disease control professionals, completely change the problems of low working skills and poor working ability in the past, fundamentally improve the ability of village-level personnel to standardize operations, and comprehensively promote the improvement of public health services and comprehensive disease prevention and control capabilities; The fourth is to implement the year-end performance appraisal measures to ensure that the subsidy funds allocated by the higher authorities are in place. This year, various provinces and cities held meetings to fully implement the performance appraisal system. According to the tasks determined at the beginning of the year, we should refine the work indicators of townships and villages, implement the management target responsibility system, carry out year-end performance appraisal, and cash in various subsidies. At the same time, the task of disease control at the township level should be decomposed into villages and implemented in every post and individual. Good village doctors will give spiritual and material rewards to fully mobilize their subjective initiative, enthusiasm and creativity in practical work and make them better serve the people. Through the implementation of the above measures, a comprehensive disease prevention and control pattern of "administrative organization, disease control guidance, active monitoring, high-risk intervention, combination of prevention and control, health management, standardized operation and whole-process monitoring" will be gradually formed, and efforts will be made to create a new situation in public health work in the county. Comrades: The task of disease prevention and control this year is arduous and the responsibility is great. We should see achievements, strengthen confidence, see pressure and meet challenges. I hope everyone will agree, Qi Xin will make concerted efforts, strengthen measures, be pragmatic, explore and innovate, carry out educational activities to optimize the development environment and shape a good image, and comprehensively promote the completion of various tasks of disease control in our county with excellent work style. Thank you all