The TB prevention and control measures for the administration of revisions will take effect on March 24, 2013

The ministry of health of the People's Republic of China: www.moh.gov.cn

        For preventing and controlling the spread of TB and popular, safeguard human health and public health security, according to the law of the People's Republic of China on the prevention and control of infectious diseases and relevant laws and regulations, the ministry of health on 1991, the TB prevention and control measures for the administration (hereinafter referred to as the "method") was revised, and will take effect on March 24, 2013. About the questions:

        A, what is the background of the revised "method", and what is the significance?

        TB is a serious harm human health and chronic respiratory infectious diseases of public health security. Our country is one of 22 high TB burden countries around the world. In order to strengthen TB control work in China, the implementation of the "method" issued by the ministry of health in 1991. Around for more than 20 years, earnestly implement the "method", effectively promote the tuberculosis control work in China. However, in recent years, tuberculosis prevention and control of the situation of our country, the policy environment, job requirements, etc. Great changes have taken place, "method" has not been able to meet the needs of the prevention and control work, mainly displays in several aspects: one is the TB epidemic situation is still grim, multi-drug resistant TB harms growing at the same time, the next few years may occur predominantly bacteria resistant TB epidemic situation. Tuberculosis (TB) control strategy is more emphasis on improving the quality of basic work such as short-range steering chemotherapy, pay attention to deal with multidrug-resistant TB and TB/HIV infection new challenges, this also is consistent with the prevention and control of the global strategic adjustment. 2 it is to adapt to the requirements of prevention and control work under the new situation, our country TB prevention and control of service system constantly improve, has initially formed tuberculosis fixed-point medical institutions and grassroots medical and health institution and the institution of disease prevention and control of division of labor cooperation control combined with the new situation. "Method" stress in CDC system as the main body of the prevention and control mode is gradually changing. 3 it is the revised "infectious diseases prevention law" in China, and introduced the laboratory biological safety management, medical and health institutions of the infection control work of multiple regulatory rules, for prevention and control of infectious diseases, including tuberculosis (TB), put forward many new requirements. Therefore, revision of the methods is very necessary.

        Began in late 2010, the ministry of health launched, according to in accordance with the law, the science is clear power and responsibility, the principle of people-oriented, the "method" was revised.

        Of "method", "TB" refers to what is the scope?

        "Method" in the TB tuberculosis, especially, do not include extrapulmonary tuberculosis. In our country, annual report of tuberculosis incidence of around 1 million cases, the incidence and the death toll has always been among the forefront of b class infectious diseases. Tuberculosis patients and infected large, spread through the respiratory tract is easy to cause the spread and cause serious harm to social and public health security.

        Three, "method" to relevant organizations are doing the responsibility of the rules?

        The revised "method" has been clear about the administrative department of health and TB prevention and control institutions at all levels of responsibility. One is the ministry of health is responsible for the national tuberculosis control and supervision and management work, the local health administrative department at or above the county level responsible for the jurisdiction of TB prevention and control and supervision and management work. 2 it is to assist the health administrative departments to carry out the plan of institution of disease prevention and control of management and assessment work; The TB epidemic information collection, analysis, monitoring, timely and accurate reporting, reporting and related information; To carry out epidemiological investigations and epidemic disposal work; Specification management organization carries out the tuberculosis patients during treatment; Organize TB or suspected TB patients and close contacts of track work and so on. Three is TB fixed-point medical institutions responsible for TB diagnosis and treatment, to carry out the treatment during the period of follow-up inspections; Responsible for tuberculosis patients report, registration information input; Inspection on close contacts of patients with infectious tuberculosis; Health education on patients and their family members. Four is TB medical establishment that decide a dot to specify with functional departments and personnel responsible for the TB epidemic situation report; Responsible for TB patients and suspected patients of referral work; Tuberculosis (TB) prevention and control training and health education work. Fifth, grassroots medical and health organization is responsible for the supervision management of pulmonary tuberculosis patients during treatment at home; Responsible for the referral, and symptomatic patients with tuberculosis or suspected tuberculosis close contacts; And the area residents to carry out tuberculosis prevention knowledge propaganda.

        Four, the methods for prevention of tuberculosis which explicitly made?

        A tuberculosis (TB) prevention and control knowledge to the public is required to carry out health education and propaganda. Two is the rules of school-age children standard BCG vaccination work. Three is to require medical and health institutions to focus on a health check-up and preventive health examination, to do a good job of screening for tuberculosis. Four is prescribed medical and health institutions and tuberculosis (TB) laboratory and related personnel, shall abide by the rules and take measures to prevent the iatrogenic infection and spread. Five is clear about the tuberculosis epidemic constitute a public health emergency event, control measures should be taken.

        Five, "method" detect, report and registration for the patient which made the rules?

        Is required at various levels and medical institutions of tuberculosis suspicious symptoms in check in time, to the discovery of confirmed and suspected TB epidemic reporting and referral according to regulations. 2 it is grassroots health institutions to assist at the county level in respect to the referral of institution of disease prevention and control of TB patients or suspected patients to track; Three is TB medical establishment that decide a dot of TB diagnosis, treatment and management registration, close contacts of patients with infectious pulmonary tuberculosis for tuberculosis (TB) screening; Four is the tuberculosis epidemic, reporting and released in accordance with the relevant provisions of the "law on the prevention and control of infectious diseases.

        Six, the methods for diagnosis and treatment of patients with what made the rules?

        TB the medical establishment that decide a dot is clear should set reasonable treatment for tuberculosis patients, provide standardized treatment services. Tuberculosis medical establishment that decide a dot above the level of district-constituted municipalities should treatment for multi-drug resistant pulmonary tuberculosis patients, and provide treatment specification. 2 it is requirements of disease prevention and control institution shall timely grasp information about tuberculosis patients, supervise the medical and health institutions within their respective jurisdictions implement the treatment and management of tuberculosis patients. 3 it is explicitly specified by the administrative department of public health medical institutions shall work in accordance with the relevant specification for TB/HIV dual infection in patients with tuberculosis and anti-hiv treatment, follow-up and review of the management. Four is the floating population of tuberculosis patients in local administrator, with local residents also medical services.

        Related links: the tuberculosis (TB) prevention and control measures for the administration of