龚震宇, 刘钦梅. 新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇[J]. 疾病监测, 2021, 36(8): 756-761. DOI: 10.3784/jbjc.202107030382
引用本文: 龚震宇, 刘钦梅. 新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇[J]. 疾病监测, 2021, 36(8): 756-761. DOI: 10.3784/jbjc.202107030382
Gong Zhenyu, Liu Qinmei. Discussion on the construction of disease prevention and control system in the post-COVID-19 epidemic era[J]. Disease Surveillance, 2021, 36(8): 756-761. DOI: 10.3784/jbjc.202107030382
Citation: Gong Zhenyu, Liu Qinmei. Discussion on the construction of disease prevention and control system in the post-COVID-19 epidemic era[J]. Disease Surveillance, 2021, 36(8): 756-761. DOI: 10.3784/jbjc.202107030382

新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇

Discussion on the construction of disease prevention and control system in the post-COVID-19 epidemic era

  • 摘要: 为了总结新型冠状病毒肺炎(新冠肺炎)等突发公共卫生事件应对的经验和教训,本文分析了我国公共卫生体系对人民健康的贡献,回顾了疾病预防控制体系建立、发展、转型和改革完善等历史进程,分析了疾病预防控制体系目前存在的困难和问题,尤其是公共卫生应急管理体系的薄弱环节,并提出下一步改革的建议。 目前,新老传染病的混合流行给公共卫生体系提出了新的巨大挑战,疾病预防控制机构存在经费投入保障不足、职能定位职责边界不清、“医”“防”割裂严重、公共卫生人才总量不足、待遇保障水平较低、网底薄弱、基层队伍老化、急性传染病防治削弱等一系列困难和挑战。 因此,必须牢记党全心全意为人民谋健康的百年初心,重视预防为主,加强疾病预防控制体系建设,从体制机制上解决疾控机构急性传染病防制职能弱项,加大对急性突发传染病防制的投入,完善监测预警,提高现场流行病学调查能力,补上消毒和病媒生物防制能力的弱项,加快推行医防整合,提高疾控机构承担公共健康应急工作的能力。

     

    Abstract: In order to summarize the experience and lessons of the disease prevention and control system in dealing with COVID-19 and other public health emergencies, the weak links of the public health emergency management system were found. This paper analyzes the contribution of the public health system to people's health, reviews the historical process of the establishment, development, impact, transformation and reform of the disease prevention and control system, analyzes the difficulties and problems existing in the disease prevention and control system, and puts forward the next reform suggestions. At present, the mixed epidemic of new and old infectious diseases poses new and huge challenges to the public health system. There are a series of difficulties and challenges in disease prevention and control institutions, such as insufficient funding, unclear functions and responsibilities, serious separation of “medical” and “prevention”, insufficient total number of public health personnel, low level of treatment guarantee, weak network, aging team, and weakened prevention and control of acute infectious diseases. Therefore, we must keep in mind the Chinese communist party’s original heart of wholeheartedly striving for the people's health, attach importance to prevention first, strengthen the construction of disease prevention and control system, solve the weakness of acute infectious disease prevention and control function of CDC institutions from the institutional mechanism, increase the investment in infectious disease prevention and control of CDC institutions, improve the monitoring and early warning, improve the field epidemiological investigation ability, make up for the weakness of disinfection and vector control, speed up the implementation of medical prevention integration, and improve the ability of disease control institutions to undertake emergency public health work.

     

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