The general office of the state council on printing and distributing the national tuberculosis prevention plan (2011-2015) of the notice

The health ministry www.moh.gov.cn 2011-12-08 of the People's Republic of China

Countries do hair [2011] no. 53

        All provinces, autonomous regions, and municipalities directly under the central government, the state council ministries, all the departments directly under:

        The "national tuberculosis prevention plan (2011-2015)" has been agreed under the state council, hereby printed and distributed to you, please earnest implementation.

        The general office of the state council

        ○ 2 November 17, one

        The national tuberculosis prevention plan (2011-2015)

        For the planning of the national TB control work, effectively stop TB pop, protecting the people's health, according to China's present situation and the prevention and control of tuberculosis cases, formulate the planning.

        A, prevent and control the status quo

        TB is a serious harm people's health of the respiratory infection, is listed as one of the major infectious disease in our country. Our government has always attaches great importance to TB control work, carried out a series of three national tuberculosis control ten years planning. Especially since 2001, the full implementation of the modern TB control strategy, and the people's governments at various levels actively perform their duties, constantly increasing investment, achieved remarkable results, and China growth momentum tuberculosis cases get effectively. 10 years, was found on the treatment of patients with tuberculosis and 8.29 million cases, of which 4.5 million patients with tuberculosis smear positive case, to avoid the more than 4000 healthy people affected n/med tuberculosis bacterium. In 2010 the national tuberculosis rates drop to smear positive case of 66/10, 61% down from 2000, duly realized our country government to the international society of commitment tuberculosis control progress goal, realize the ahead of the United Nations millennium development goals of TB control index.

        At the same time, our country TB control work is also facing many new problems and challenges. Our country still is the 22 tuberculosis high burden one of the countries, the world health organization evaluation, at present our country TB years the number of about 1.3 million, accounting for 14% of the number of global disease, second in the world. In recent years, China's annual report of tuberculosis has about 1 million, always among the forefront of a b class infectious diseases; Many drug resistant tuberculosis harm has come to the fore, every year, the number of new cases of about 120000, over the next several years to antibiotic resistant bacteria may occur mainly of tuberculosis popularity trend; N/med tuberculosis bacterium/AIDS virus infection were double the number continues to increase, prevention and control work to be strengthened; The Midwest, rural areas to TB control the grim situation. But China's current TB control service system and control ability can't meet the new situation of the prevention and control of need, prevention infrastructure construction lags behind, the basic control power is weak, the floating population patients increased difficulties of management, the public's awareness of the harm of TB insufficient, control the task is still arduous and the need to long-term unremitting efforts.

        Second, guiding principle and control goals

        (1) guiding principle. By scientific development view and his princes, and follow the deepening the reform of medical care system in the target and requirement, adhere to the people-oriented, prevention, prevention, prevention and cure, according to law with scientific control. To improve the government leadership, department, the whole society to participate moved the TB control mechanism. Adjust measures to local conditions, classification guidance, steadily, and full implementation of China's TB control strategy.

        (2) control goals. Further reduce tuberculosis, illness, and death, and reduce the burden of disease tuberculosis, improving people's health and promote economic development and social harmony and stability.

        -national tuberculosis patients found and treatment management toll to 4 million;

        -national new smear positive case cure rate of tuberculosis patients to stay above 85%;

        Smear positive case close contact with tuberculosis patients-the screening rate above 95%;

        -report tuberculosis patients and suspected tuberculosis patients' overall DaoWeiLv above 90%;

        -by the county (city) to fight n/med tuberculosis fixed unit dose compound preparation using coverage reached 100%;

        -more than 80% of TB in sputum cultures laboratory at the county level, 100% of the class the tuberculosis in laboratory of drug sensitive test, 100% of the provincial TB laboratory strains in rapid appraisal;

        -cross area to flow of tuberculosis patients worded reached 90%, the success of the floating population tuberculosis patient treatment rates at 80%;

        --to city (prefecture) for units in more resistant tuberculosis diagnosis and treatment drug coverage rate 50%, more than the suspected drug resistant TB screening rate reached 60%;

        -AIDS virus infection of TB screening rate reached 90%, health ministry determined the HIV/AIDS epidemic county (city) patients with tuberculosis of the AIDS virus screening rate reached 70%;

        -tuberculosis prevention and control core information awareness reached 85%.

        Three, prevention measures

        (1) strengthening the work dynamics, patients with early detection. Medical institutions at various levels and to carry out the tuberculosis patients or suspected patients report and referral system. The medical institutions according to relevant state regulations for tuberculosis the sputum smear suspicious provide free, chest X-ray diagnosis service etc. Encourage the application of new technology, new methods, improve patients found that level. Health, education, all public security and judicial administrative, civil affairs, the Red Cross and other departments and units must strengthen cooperation, targeted for tuberculosis in close contact with the, AIDS virus infection, custody the crowd and other risk groups and the elderly, students, floating population and key crowd of TB screening and early found that patients with tuberculosis.

        (2) to standardize the patient management, improve the therapeutic level. Implementation of the diagnosis and treatment of patients with tuberculosis free and management policy, the medical institution shall implements standardization of TB treatment, complimentary one line anti-tuberculosis drug treatment and follow-up inspection and to regulate the auxiliary examinations and carry out adjuvant treatment to reduce the patients' medical expense burden. Strengthen the treatment of patients with management, promote the treatment for exploration management techniques and methods. Regulate the use of n/med tuberculosis medicaments, gradually extending to the use of n/med tuberculosis fixed dose compound preparation, improve treatment adherence. Implement TB infection control work system, strengthen the protection of health workers.

        (3) expand more resistant tuberculosis diagnosis and treatment drug coverage, contain drug-resistant bacteria spread. All will more than the prevention and control of tuberculosis resistance medicine into local tuberculosis prevention plan. According to the relevant provisions of the state, the county level tuberculosis the medical institutions shall be responsible for the work in sputum cultures or recommend more resistant to the drug tuberculosis suspicious described above the medical institutions for the diagnosis; Prefecture or provincial the medical institutions shall be responsible for the resistance to suspicious to test, as well as to the diagnosis of tuberculosis patients more resistance medicine hospital treatment, after discharge review and registration follow-up report; Basic medical and health institutions shall be responsible for the medical establishment of formulated in accordance with the treatment program for after discharge more resistant TB medicine treatment management; Prefecture and county level of institution of disease prevention and control is responsible for the prevention and control of drug resistance to many on supervision of tuberculosis, develop health education and evaluation. Actively promote rapid diagnostic methods, shorten the resistance to the diagnosis of tuberculosis patients drug more time.

        (4) strengthen the patient flow management, perfect crime prevention and control system. The various localities should do the floating population of patients with tuberculosis found, registration, referral, receiving and management work, make full use of tuberculosis designed report system, implement cross area to patients with tuberculosis management mechanism. Strengthen the floating population and detained the crowd TB patients Dec. management, simulating the floating population and the (that) is not in jail after this region of domain tuberculosis patients in cross area to management. Strengthen coordination department, to poor floating population provide patients with tuberculosis care and assistance. Active exploration for urban floating population of the prevention and control of such as tuberculosis beneficial practice and experience, and constantly improve the floating population to TB control policy.

        (5) strengthen the dual infection prevention and control, reduce the patients died. The relevant medical and health institutions should strengthen cooperation and common develop AIDS virus infection/n/med tuberculosis bacterium double the diagnosis and treatment of infections, management and epidemic monitoring work. For all the AIDS virus infection and provide the patients with tuberculosis screening service. In the ministry of the HIV/AIDS epidemic to determine county (city), to provide the patients with tuberculosis HIV screening service. For the AIDS virus infection/n/med tuberculosis bacterium double to provide in time the treatment and care of patients, to improve the quality of life of patients.

        (6) strengthen the propaganda education, popularize knowledge of prevention and control. Adhere to the education of public welfare propaganda tuberculosis, propaganda education into the related to tuberculosis work arrangement, in a planned way, targeted to develop the propaganda education work. The relevant departments, social organizations and news media to give full play to their respective advantages, continuous improvement and innovation methods, actively promotes the prevention and control of TB control knowledge and, strengthen the propaganda education of the actual effect, create supportive of the prevention and control of TB social atmosphere.

        (7) strengthen the scientific research, and to provide technical support. Health, science and technology, education and other departments to further strengthen TB control scientific research work, make full use of science and technology major special project, carry out TB key pathogenesis, popular risk factors, new diagnostic technology, new drugs and new vaccines and other areas of research work. To establish a new technology, new methods of assessment and verify work system, and promote appropriate techniques and methods. Promote basic research and applied research closely, accelerate the transformation of scientific and technological achievements, to improve the level and TB control to provide a powerful technical support.

        (8) to strengthen international exchanges, expanding international cooperation. Further strengthen and relevant countries and international organizations to exchange and the cooperation, push to get the technology, capital, and other aspects of the support. Absorption, reference and promotion of international advanced tuberculosis prevention and control technology and successful experience, actively participate in TB control international cooperation to implementation of the stop TB strategy.

        Four, security measures

        (1) strengthen leadership, a sound management mechanism. Local people's governments at all levels should further improve TB control work of importance and long-term understanding, to the health of the people in a highly responsible attitude, to strengthen the organization leadership for TB control work. Will this region TB control work into the national economic and social development plan, included in the target management examination content. According to the planned targets, combined with the local actual, formulate local TB control plan and annual implementation plan. To establish a defense work but connected controlling mechanism, clear department division of labor, the collaborative do prevention and control work.

        (2) clear departments responsibility, strengthen control cooperation. The health department is responsible for this area of the supervision and administration of the TB control work, treat it into the public health development program, as the key to control the disease. According to the basic construction development and reform department classification management principle, strengthen TB control agencies responsible for capacity building. Industry and information department responsible for perfect related industrial policies, support enterprise speeding up the technical renovation, enhance anti-tuberculosis drug manufacturing supply capacity. According to the financial department of the TB control need, the level of economic development and financial capacity, reasonable arrangement of subsidy funds and strengthen supervision of funds. Education department responsible for school strengthen TB control propaganda of knowledge education, in the department of health school under the guidance of the implement TB control work. Science and technology department responsible for the coordination and health department, to advance science and technology major projects in scientific research project on TB control research support. The public security bureau and the judicial administrative departments shall be responsible for the department of health under the guidance of the prison, the labor camp, detention, custody of the place such as by regulators and drug rehabilitation places of the rehabilitation persons to carry out tuberculosis examination and treatment. The civil affairs department is responsible for the increase of poor TB patients relief efforts, according to the rules, will meet the conditions of the poor patients with tuberculosis into low, and provide medical treatment. Human resources social security, health department is responsible for according to the regulations will TB patients into medical insurance limits, pay the expenses related to diagnosis and treatment. The food and drug administration department responsible for strengthening the drug against tuberculosis examination and approval and supervision, to ensure the quality of anti-tuberculosis drugs. Radio and television departments responsible for TB control work in the public welfare propaganda, promote the TB control knowledge. The Red Cross and other social organizations to poor TB provide humanitarian aid, develop health education and humane care activities.

        (3) clear organization duty, improve the service system. The various localities should strengthen provincial, city and county level 3 TB prevention network construction, and gradually build the medical institutions, basic medical and health institutions, a clear division of institution of disease prevention and control, coordination control service system. Medical institutions at various levels and responsible for TB epidemic situation report, and the referral to the local health department designated the medical establishment, the medical establishment is responsible for patients with tuberculosis diagnosis, treatment and registration. In principle, each county (city) shall determine at least 1 home the medical institutions responsible for diagnosis and treatment for tuberculosis patients generally; According to the provincial health department of the local prefecture, regional health planning and TB control work needs, make the medical establishment more medicine diagnosis and treatment for tuberculosis resistance difficult and complicated, serious TB, and should first consideration with clinical diagnosis, local qualification of tuberculosis prevention, tuberculosis specialist hospital contagion courtyard, and have the ability of infectious diseases were patients with comprehensive hospital. Basic medical and health institutions shall be responsible for the referral, help track tuberculosis patients, and according to the medical agency to develop treatments, the treatment of patients with tuberculosis of local on supervision management. Of institution of disease prevention and control in the health department responsible for the organization carries out under the leadership of the TB control planning and management, and epidemic monitoring and disposal, laboratory quality control, prevent and control technical guidance, education, performance evaluation of the propaganda work.

        (4) security expenditure, and the effective integration of resources. People's governments at all levels should further improve "the government invested primarily responsible for such multi-canal financing, classification," the funds investment mechanism, and will be included in the TB control funds budget. The central government to continue to increase support to the difficult areas, local governments should also gradually to increase the investment of TB control work, continue to ensuring patients found, treatment management, epidemic monitoring, training, supervision, propaganda education and the implementation of prevention and control measures, improve the basic medical researchers found that patients with management and incentive mechanism. Increase of tuberculosis of the construction of the medical establishment investment, to the medical institution shall bear TB control task of reasonable compensation, guarantee the high quality of tuberculosis diagnosis and treatment to complete the task. With the laboratory construction of biological safety standard laboratory tests of tuberculosis, to carry out the relevant working funds, and gradually make provincial, municipal and county level respectively in the laboratory with rapid detection of n/med tuberculosis bacterium, antimicrobial susceptibility test and sputum cultures ability. Mobilization and guide the social from all walks of life for TB control work provide support, make overall arrangements for the prevention and control of international and domestic resources. Strengthen capital management, and use of funds to the supervision and inspection of the situation, and improve the efficiency in the use of funds.

        (5) perfect the security policy, reduce burden of patients. In carrying out the current national tuberculosis around free diagnosis and treatment on the basis of the policy, but according to the actual local appropriately expanded diagnosis and treatment fee reduction projects. Health, finance, human resources such as social security department to make public health special and basic medical treatment to ensure a system to convergence, carry out the public health tuberculosis control project, the public health does not belong to pay limits of TB patients medical expenses, in accordance with the basic medical insurance system of the relevant provisions of the payment. Combined with the state's basic drugs directory adjustment, and gradually increase the second line of TB drugs species. The civil administration, the department of health and the Red Cross to poverty and tuberculosis patients given medical treatment and life assistance, help reduce the burden of patients.

        (6) strengthen the team building, improve the prevention and control ability. People's governments at all levels should strengthen TB control of the building, the reasonable configuration control personnel. The medical institutions and of institution of disease prevention and control are to set up special departments and personnel responsible for TB control work. Will the medical institutions tuberculosis lab into the national tuberculosis laboratory network management, and constantly improve the quality of laboratory work. Strengthen TB control personnel at various levels of training, and comprehensively enhance the professional technical ability. Strengthening academic leaders and innovative talents, and actively introduce advanced talents, improve TB control ability in China. Establishing incentive mechanism, improve including tuberculosis control personnel of full-time, health and anti-epidemic allowance system, improve the personnel the allowances, arouse the enthusiasm of the prevention and control of personnel, stable control team.

        (7) security production supply, regulating the drug management. Expand domestic anti-tuberculosis fixed dose compound preparation production supply, speed up the second line of anti-tuberculosis drugs localization process. Strengthen TB drug production, circulation and use of the supervision and administration of the link, to ensure the quality of drugs. To import anti-tuberculosis drugs according to the regulation enjoy preferential tax.

        Five, monitoring and evaluation

        Local people's governments at all levels should according to this plan, will work objectives and tasks to a specific department decomposition layers, carry out the responsibilities of the job. Health departments should jointly with the development and reform, the financial department and the prevention and control of this area each year check, found that the problem solves promptly, ensure the satisfactory completion of the plan definite objectives and tasks. The health ministry, national development and reform commission, the ministry of finance or periodically over the plan for inspection and bulletin, and in 2015 the organization carries out the evaluation, the results shall be submitted to the state council.