General office of the national health and family planning commission of the occupational disease prevention law "and other laws and regulations to carry out the situation of supervision and inspection

The national health and family planning commission of the People's Republic of China

The 2016-12-07

Countries who do supervision letter [2016] no. 1301

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps bureau of health, the centers for disease control and prevention, supervision center:

July 3, 2016, by organizations across the country to carry out the "law on the prevention and control of occupational diseases, the radioisotope and ray devices safety and protection ordinance (hereinafter referred to as the" one law rules ") and related regulations to carry out the situation of supervision and inspection. Is presently as follows about the briefing:

A, organize implementation

Deployed in accordance with the unified by the provinces, autonomous regions and municipalities and xinjiang production and construction corps earnestly carry out the family planning administrative department of public health laws and regulations on the supervision and inspection work. Family planning administrative department of public health at all levels of its own role and situation has carried on the check list, and check all the occupational disease diagnosis, occupational disease identification, radiological health technical service institutions, examined 1971 occupational health examination institutions and 12357 in accordance with the practice situation of radiological diagnosis and treatment institutions, and to submit the work summary. 6 - July, 2016 by the tianjin, shanxi, zhejiang, fujian, shaanxi, gansu, qinghai, 7 provinces (municipalities) was carried out to supervise inspection, in-depth 13 cities, 91 16 counties on-site inspection agencies and units, 57 times symposium was held, to carry out the situation and existing problems. Know the situation around in the summary analysis to submit the materials and inspection, on the basis of summarizing the national as well as the law on the prevention and control of occupational diseases law implementation.

Second, the main results

(a) laws and regulations system gradually perfect, more powerful safeguard measures. Around the National People's Congress, the government attaches great importance to and actively promote local legislation and regulations and standards system (repair) order, parts will be the occupational-disease-prevention work into the local national economy and social development plan. Examination showed that there are 30 provinces, autonomous regions and municipalities directly under the family planning administrative department of health issued 219 related documents, 25 provinces (autonomous regions and municipalities) government issued in the name of the occupational disease prevention and treatment planning. Under the joint efforts of the governments at all levels, departments, occupational disease prevention and control work throughout the country gradually realized laws, rule-based, basic did it planning first, scientific prevention and control.

(2) continued to strengthen institutional construction, more perfect service network. One is the occupational disease prevention and control institution building continues to strengthen. By the end of 2015, a total of 3497 occupational health examination institutions, the occupational disease diagnosis mechanism, 580 (in 2009 increased by 92.9% and 92.9% respectively), appraisal agencies 315, basically realize the occupational health examination institutions covered county, occupational disease diagnosis and appraisal agencies covered cities and goals. Second, the radiation medical services continuously strengthen. By the end of 2015, the national total of radiological diagnosis and treatment work of medical institutions (hereinafter referred to as radiation therapy), 56663, 580 radiological technology services (including CDC 379, accounting for 65.3%). For nearly three years, the total radiation therapy 1.24 billion throughout the country.

(3) the effective monitoring and evaluation, work results fully display. One is the effective implementation of the monitoring project, gradually expanding coverage. Since 2009, gradually establish a nationwide pneumoconiosis, occupational poisoning and occupational radiation disease focus on occupational disease monitoring sentinel, strengthen occupational health risk assessment, by the end of 2015, focus on the occupational disease surveillance realizing a complete coverage of cities; In the national medical radiation protection monitoring work, radiological diagnosis and treatment of medical institutions management quality improve year by year, including radiation staff occupational health examination rate increased from 60.1% to 60.1%, personal dose monitoring rate increased from 59.6% to 59.6%. 2 it is report system constantly improve, the quality gradually improved. Successively established occupational diseases and occupational health information monitoring system, the national radiation health information platform, and radiation to the staff occupational health management system, information network for monitoring is realized.

(4) more perfect supervision system, law enforcement efficiency improved significantly. One is first, always adhere to the talent team construction. Build system of chief supervisor, training a large number of occupational health, radiation health supervisors, provides strong support for occupational disease prevention and control work throughout the country. Second, supervision strength increasing, law enforcement efficiency improved significantly. From 2012 to 2015, the national dealt with radiological violation cases and 4212 cases of occupational health, fine of $31.862 million.

(5) continuous in-depth publicity activities, work pattern basic formation. One is constantly updated propaganda way. In order to improve the pertinence and effectiveness propaganda education, pay attention to the workplace occupational health education, strengthen the principal to unit of choose and employ persons, the occupational health management personnel and workers of the occupational disease prevention and control knowledge and protection skills training, strengthen the consciousness of the rule of law, unit of choose and employ persons protection consciousness, improve ability of occupational disease prevention workers. Ways around innovation, and vigorously carry out occupational health promotion, start the pilot, the employer's occupational health promotion construction is beneficial to the occupational health work environment, expand the occupational health management connotation, gradually to "health enterprise" as the important content of the construction of the "healthy city". 2 it is anti rightist pattern basic formation. Through for many years, the sustained health education and propaganda, strengthen the sense of the protection unit of choose and employ persons and laborer, greatly improving the public to "the law on the prevention and control of occupational diseases and occupational disease prevention and control of knowledge know degrees, gradually formed a government organization, department, coordinate, the whole society to participate in the occupational disease prevention work work pattern.

Three, the existence question

(a) still need to strengthen the department coordination, responsibility consciousness remains to be improved. One is the collaboration mechanism has not yet been fully established. Zhejiang, henan, gansu province three provinces and 98 cities and 1685 counties have not set up department joint conference system for the prevention and control of occupational diseases, communication and coordination between departments in a timely and smooth enough, not form a joint effort. Second, the main responsibility to carry out the insufficient. Part of the occupational health examination, radiation therapy, radiation health technical service institutions of main body responsibility consciousness is not strong, business ability and self management level needs to be improved. In selectiving examination 1971 occupational health examination institutions, 11.2% of the technical report is not standard; Part of radiological technology service report is issued by the applicable standard error, the problems such as nonstandard original record.

Has to be increased, (2) the investment level of job needs to be promoted. It is still need to increase investment. After investigation, liaoning, jiangxi, across the country have, gansu, ningxia and other four provinces (area) and 162 cities and 2209 counties do not have the occupational disease prevention and control work special funds, serious shortages of financial investment at all levels, especially the occupational disease prevention and control at the county level, the lack of professional and technical personnel; With the accelerating process of industrialization, the factors influencing the laborers' health markedly increased, occupational health examination and occupational-disease diagnosis, assessment, treatment, task deepening, the existing conditions is difficult to meet the needs of the occupational disease prevention and control work. Radiological health technical service supply and demand imbalance, radiological health technical service institutions in less developed areas construction lag, lack of equipment, the aging, unable to meet the demand of radiological diagnosis and treatment technology development, radiological protection work there is a big security hidden danger. The second is to improve service level. Some occupational health examination institutions and radiological health technical service institutions legal consciousness, especially some private institutions have low malignant competition, work is not standard, seriously has affected the quality of service.

(3) information construction relative lag, communication mechanism has not yet been established. One is the informationization construction relative lag, work needs to speed up the pace. The occupational disease prevention and control of information construction lag, the data is not unified and standardized, part of the institution of occupational disease report quality is not high. Secondly, the communication mechanism has not yet been established, the department between information island. Relevant departments have not yet set up the mechanism of information unicom, unable to realize occupational disease hazard information, unit of choose and employ persons laborer inductrial injury of occupational health information and the security information such as data exchange and sharing of information.

(4) supervision strength relatively weak, still need to increase law enforcement. One is the personnel shortage, difficult to meet the demand of work. The national supervision and law enforcement agencies at the provincial level there are 13 no independent occupational health supervision, 14 radiation health supervision, no independent more supervision personnel at the grass-roots level and supervision task "upside down" phenomenon, is difficult to meet the job requirements. The second is lack of professional knowledge, law enforcement ability needs to improve. Occupational health, radiation health supervision of professional and technical, a considerable number of first-line supervision staff personnel lacking professional background, problems of occupational health, radiation health violation dare not, not, supervision and law enforcement capabilities to be improved.

Fourth, the next step of work requirements

Around the family planning administrative department of public health (1) according to the national health and family planning commission office about carrying out < > of occupational disease prevention law and the management of radioactive occupational hazard supervision of medical institutions notice (the hair [2016] 38) who do supervision requirements, carefully organize and supervise the relevant institutions to strengthen learning, accurate understanding of the legal regulations, make the law on the prevention and control of occupational diseases related responsibilities of implementation.

Around (2) to further improve the system of joint conference for department, strengthen the department coordination, organization to carry out joint inspection and supervision hierarchy, eliminate regulatory gaps and blind spots. The family planning administrative department of public health at all levels should further clarify the internal responsibilities as soon as possible, clear division of labor, establish and improve the mechanism of internal communication and cohesion. Strengthening prevention and control institutions main body responsibility consciousness, to promote the prevention and control measures implemented, to obtain actual effect.

Around (3) to strengthen the communication and coordination with local finance and other related departments, actively for local government and relevant departments, to strengthen the construction of supervision team and occupational disease prevention and control institutions and improve the funds safeguard mechanism. Around the guide and encourage active exploration, first try for occupational disease prevention and control institutions incentive policies and measures. In view of the "one law rules" within their respective jurisdictions implement does not reach the designated position of the specific issues, careful analysis, clear division of labor, to carry out the responsibility, to urge the rectification in place in time. Found in violation of law and of supervision and inspection, to investigate in accordance with the law.

Around (4) to implement the national health and family planning commission, public sector "on further strengthening health's opinions on family planning comprehensive supervision and administrative law enforcement supervision who (countries sent [2015] 2015) spirit, together with the local public, such as human resources social security departments, implemented as soon as possible the opinion, integration of the family planning administrative law enforcement of health resources, strengthen family planning of health supervision and law enforcement team, enrich the occupational health, radiation health supervision/law-enforcement. Transformation law enforcement idea, strengthen the service consciousness, to carry out the send method, the standard form such as stable cross door, strengthen relevant institutions and personnel's main body responsibility consciousness, practice consciousness in accordance with the law, safeguard the health rights and interests of the people.

General office of national health and family planning commission

On December 2, 2016