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Anti-slow disease everyone should keep the "health door"
2017-02-18
Health newspaper
Advocate citizens "three minus three health"
China Center for Disease Control and Prevention of chronic diseases prevention and community health director Wu Jing introduced the "plan" proposed "to reduce premature death due to major chronic diseases," the core goal of the World Health Organization "2013-2020 prevention and control The Global Plan of Action for Noncommunicable Diseases is consistent with the development goals of the United Nations 2030 sustainable development agenda. Around the core objectives, "planning" set up 16 major quantitative indicators, the main purpose is to make the core objectives of the specific work process can be measured, measurable, can be assessed.
Wu Jing said, "planning" from the perspective of chronic disease prevention and control stressed the current two key work.
First, the comprehensive prevention and control of chronic disease prevention and control demonstration area, through the establishment of a sound government-led, departmental collaboration, mobilization of society, all the participation of chronic disease prevention and control work mechanism to mobilize more social resources into the field of chronic disease prevention and control. "Planning" proposed that in 2025, the national comprehensive prevention and control of chronic diseases demonstration area coverage from the current 9.3% to 20%.
Second, the healthy lifestyle of the whole people, the main advocate "everyone is their health first responsibility" concept, and through a healthy supportive environment, promote appropriate tools and appropriate technology to help people improve their health knowledge and skills.
"National health lifestyle action since the start of 2007 has been 10 years." Wu Jing said that from the beginning of the second phase of 2017 put forward the "three minus three health" mainly special action. "Three reduction" is "salt reduction and sugar reduction", "three health" is "healthy mouth, healthy weight, healthy bones." The proposal of "three reduction and three health" is not only to consolidate the achievements of the first stage, but also to further deepen the connotation of action through the form of special action on the basis of the first stage of activities, and to focus on the experience gained in the first stage Better effect. "Planning" proposed that by 2025, the national health lifestyle action county (district) coverage increased from 80.9% to 95%.
Fecal occult blood test to enter the community
In the high-risk population early diagnosis and treatment, the "plan" proposed the full implementation of the 35-year-old crowd above the first diagnosis of blood pressure, found that hypertensive patients and high-risk groups, timely intervention guidance. It is noteworthy that the "planning" also requires community health service centers and township hospitals in addition to the gradual provision of blood glucose, blood lipid testing, oral prevention and health care, but also to provide simple pulmonary function test and fecal occult blood test, which is my first proposed In the primary health care institutions to provide fecal occult blood examination.
"This is mainly for the early screening of colorectal cancer." National Cancer Center Professor Wei Wenjiang explained that the current incidence of colorectal cancer in China is about 25/10 million, and showed an upward trend in the incidence of cancer in China ranked fourth , And fecal occult blood is typical of early colorectal cancer. "Fecal occult blood check is simple, good screening effect, in the primary health care institutions also have the feasibility, so it will be included in the physical examination content.
"Planning" will be pulmonary function tests and bone mineral density test items into the general population over 40 years of age, which made it clear that by 2020 and 2025, 40 years of age residents of lung function detection rate from the current 7.1% were raised to 15 % And 25%.
Wang Chen, president of Sino-Japanese Friendship Hospital, said that China's chronic obstructive pulmonary disease misdiagnosis and missed more than 2/3, in some areas even up to 80%, in addition to the lack of attention, the primary health care institutions lung cancer detection rate is also an important reason One of the most able to achieve blood pressure, blood glucose screening of primary health care institutions are not equipped with standardized lung function testing equipment, and the determination of lung function is the most important diagnosis of chronic obstructive pulmonary disease, the only way to be tested only According to the correct password at the mouth of the mouth for breathing, breathing a simple operation, you can basically accurate screening of chronic obstructive pulmonary disease. In the current routine physical examination, many have no lung function check, "planning" release will undoubtedly play a role in solving this problem.
Tobacco control is a long way to go
The 16 quantified indicators proposed by the Plan include that by 2020 and 2025, the daily per capita daily intake of salt is reduced by 10% and 15% from the current 10.5%, respectively. The smoking rate of people over 15 years of age is from the current 27.7% were reduced to 25% and 20% respectively.
Jiang Yuan, deputy director of the China Tobacco Control Office of the Center for Disease Control and Prevention, said the "plan" proposed low target, neighboring Singapore and the Hong Kong Special Administrative Region over 15 years of age smoking rates are close to 10%, the average adult adult smoking rate in 2014 20.5%; on the other hand, Jiang Yuan said that the current tobacco control policy, even 20% of this goal is also facing great challenges. China CDC published in 2016 results show that from 2010 to 2015, China's population over the age of 15 smoking rate decreased by only 0.4%, but the number of smokers increased by 15 million, smokers daily average increase in smoking. "Smoking rate is also reduced by 1.1% after one year and a half after the implementation of the" Tobacco Control Ordinance for Public Places in Beijing ", which is known as the most stringent control of smoke in the history, so the national level is expected to fall by 2.7% in three years. It is believed that the failure to implement the WHO Framework Convention on Tobacco Control. "We should enact the National Regulations on Tobacco Control in Public Places as soon as possible, print pictured health warnings on cigarettes, ban tobacco advertisements, promotions and sponsorships, raise cigarette rates and implement tax linkage.
Reporters noted that in accordance with the "planning" goal, in 2025 China's daily daily intake of salt than the current decline of 15%, but still up to 9 grams, far more than the current residents of our dietary guidelines made 6 grams and the World Health Organization Of 5 grams. Relevant experts said that changes in behavioral patterns are not overnight, "planning" also take into account these factors, and accordingly developed a reasonable and feasible objectives and implementation of the program.
In addition, 16 quantitative indicators suggest that by 2020 and 2025, China's overall cancer 5-year survival rate increased by 5% and 10%. "Wei Wenjiang that is one of China's cancer burden has a dual feature: both developed countries with high incidence of lung cancer, breast cancer, but also high incidence of developing countries, gastric cancer, esophageal cancer, etc., Prevention and treatment is more difficult; Second, screening and early diagnosis and treatment and other preventive measures to cover the crowd is limited, the early case of low diagnostic rate "Clinical standardized treatment is not enough to promote the application of the main reason." Wei Wenjiang said that the lack of standardized treatment results in poor prognosis of patients, a direct impact on the 5-year survival rate.
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