The first county-level CDC bureau

In the first half of this year, Hunan, a number of local CDC bureau has been established:

2022 June 8 morning, Guidong County (Chenzhou City, Hunan Province) Bureau of Disease Control and Prevention officially listed, Chenzhou City, Hunan Province, the first listing of the establishment of the District and County CDC Bureau;

May 29, Longhui County (Shaoyang City, Hunan Province) Bureau of Disease Control and Prevention was officially established;

May 26th. Xinhua County (Loudi City, Hunan Province) Bureau of Disease Control and Prevention in the county health bureau office building held a ceremony.

And in February this year, Yiyang City, Hunan Province, the CDC Bureau was established, becoming the country's first municipal CDC Bureau.

Obviously, Hunan is the most "rapid" action, without saying a word on the beginning of the action, a number of municipal, district and county CDC Bureau was established in the province, and these first to eat crabs, in the end, will become "martyrs" or "pioneers". "Pioneer", may still be an unknown.

In the epidemic prevention and control "dynamic zero" under the guidance of the general policy, the epidemic prevention and control into a more tangled moment, how to do "early detection" is the focus of everyone **** with the focus of attention, and this arduous task is clearly at all levels of disease prevention and control organizations. The head of the disease control organization, and therefore, the local CDC bureau to become a point of concern.

The successive establishment of district and county CDC bureaus

Compared to Hunan, other provinces are obviously relatively conservative action.

As a pioneer in health care reform, Fujian should be the first to "state" that it will actively promote the reform of the disease control system.

On May 24, 2021, Fujian Province issued the "views on further deepening the reform of the medical and health system," making it clear that it will rely on the same level of health departments to set up municipal and county-level disease prevention and control bureaus. This "decision" was made less than a month before the appointment of the leadership of the National Bureau of Disease Control and Prevention. 2021 August, Fujian Province, Fujian Provincial Bureau of Disease Control and Prevention (preparatory) in Fuzhou, the first provincial CDC bureau for the first listing of the National Bureau of Disease Control and Prevention. However, the word "chips" has not been removed from the word "Fujian".

Although in July 2021, the Hebei Provincial Government Office issued the "Hebei Province to deepen the reform of the medical and health system in 2021 key tasks" has also mentioned: "the formation of the Hebei Provincial Bureau of Disease Control and Prevention, rationalize the institutional mechanism, clarify the function and position, and enhance the early monitoring and early warning, risk assessment and research, on-site epidemiological investigations, inspection and testing, emergency response capabilities. and other capabilities." However, we did not see the Hebei Provincial Bureau of Disease Control and Prevention reform information.

Similar to Hebei, there is also Shaanxi Province. 2022 April 25, "Shaanxi Province" 14th Five-Year "Health Care Development Plan" issued. The plan decided to build a strong public **** health service system, the formation of the provincial Bureau of Disease Control and Prevention, in the provincial CDC plus Shaanxi Academy of Preventive Medicine brand. Integration of municipal and county CDC and health supervision (station) responsibilities, re-establishment of municipal and county-level CDC, retaining health supervision (station) brand. However, Shaanxi this arrangement is in the "planning" in the proposed, according to common sense, there is still a distance from the implementation of the landing.

So, these sporadic successive establishment of provincial, municipal and county CDC Bureau will become the National CDC "branch"? What responsibilities should be assumed after the listing? It is indeed difficult to guess. Because, for a huge disease prevention and control system construction, the few children's leaves I am afraid that is very scarce, and not a system of CDC I am afraid that they will encounter too many problems, and this feeling is like an "orphan" or "outcasts" as well.

The NCDC was established more than a year, the local CDC is still on the road

April 28, 2021, the Ministry of Human Resources and Social Security issued a news release: the appointment of Wang Hesheng as director of the National Bureau of Disease Control and Prevention, Chang Jile, Shen Hongbing, Sun Yang for the National Bureau of Disease Control and Prevention of the deputy director.

On May 13, the National Bureau of Disease Control and Prevention officially opened.

Clearly, the National Bureau of Disease Control and Prevention is subordinate to the National Health Commission management of vice-ministerial-level institutions, will be responsible for the development of infectious disease prevention and control and public **** health supervision policy, guidance for the construction of disease prevention and control system, planning and guidance for the construction of epidemic monitoring and early warning system, guidance for the construction of CDC scientific research system, the supervision and management of public **** health supervision and management, prevention and treatment of infectious diseases and supervision of the five major functions.

2022 February, the National Bureau of Disease Control and Prevention "three" program out.

Nine major responsibilities of the National Disease Control and Prevention Bureau:

(a) Organization of the development of infectious disease prevention and control and public **** health supervision of the draft laws and regulations, policies, planning, standards, responsible for the construction of disease prevention and control network and work system.

(2) leadership of local disease prevention and control institutions at all levels of operational work, the development of supervision, inspection and assessment and evaluation methods and organize the implementation. Review of the provincial Bureau of Disease Control and Prevention of monitoring and early warning and other planning plans and emergency plans, guidance to carry out monitoring and early warning, immunization planning and quarantine prevention and control and other related work, the establishment of up and down the linkage of the division of labor and coordination mechanism.

(C) the development and organization of the implementation of national immunization programs and serious health hazards of public **** health interventions, is responsible for the supervision and management of vaccination, the organization of the development of quarantine, monitoring the directory of infectious diseases, and put forward proposals for adjusting the types of statutory infectious diseases.

(d) integrated planning and supervision of infectious diseases and other medical institutions and supervision of disease prevention and control work, guidance for the establishment of disease prevention and control of the supervisor system, the development of disease prevention and control system team building guidelines and policies and organization and implementation.

(e) planning and guiding the construction of infectious disease outbreak monitoring and early warning system, organizing and carrying out out outbreak monitoring, risk assessment and release of outbreak information, establish and improve cross-sectoral, cross-regional outbreak information notification and **** enjoy the mechanism.

(F) is responsible for infectious disease outbreak response related work, organizing epidemiological investigations, testing, emergency response, etc., the development of emergency response plan and organization of exercises, guidance on disease prevention and control system emergency response system and capacity building, is responsible for emergency response teams, volunteer team building, proposed infectious disease outbreak response to the demand for emergency supplies and distribution of views.

(VII) coordinates the guidance of disease prevention and control of scientific research system, the formulation of disease prevention and control of scientific and technological development planning and related policies and organization and implementation. To carry out international exchanges and cooperation in the field of disease prevention and control, and participate in the development of relevant international standards, norms, guidelines.

(h) is responsible for communicable disease prevention and control, environmental health, school health, public **** place health, drinking water health supervision and management and occupational health, radiation health supervision, according to law, the organization to investigate and deal with major violations, and improve the comprehensive health supervision system.

(IX) to complete the Party Central Committee, the State Council assigned other tasks.

The National Disease Control and Prevention Bureau is independent of the vice-ministerial level, focusing on epidemic prevention, "small" health, the most striking of the nine duties is to plan and guide the construction of infectious disease outbreak monitoring and early warning system, organization to carry out out outbreak monitoring, risk assessment and release of outbreak information, the establishment of cross-departmental, cross-regional outbreak information notification and **** enjoyment of the mechanism, As well as the development of infectious disease medical institutions and supervise the implementation.

In addition, it also includes: the National Bureau of Disease Control and Prevention should strengthen the operational leadership of disease prevention and control organizations at all levels and work together to establish and improve the disease prevention and control system and network to provide strong protection for the maintenance of people's health. Adhere to the prevention of the gate forward, improve multi-channel monitoring and early warning mechanism, the establishment of intelligent early warning multi-point triggering mechanism, to promote the public **** health services and medical services, efficient synergies, seamless integration, improve the public **** health major risk assessment, research and decision-making mechanism, improve the assessment of the sensitivity and accuracy of monitoring. Optimize the allocation of resources, improve the operational mechanism, adhere to the law, prevention and control, the implementation of early detection, early reporting, early isolation, early treatment requirements, to promote the construction of regular management and emergency management of the dynamic convergence of the grass-roots governance mechanism, strengthen the scientific research support system, improve the decision-making and consulting system, to achieve the dynamic prevention and control, scientific prevention and control, precision prevention and control.

But the actual work process still seems to have a lot of overlapping responsibilities with the National Health Commission. Perhaps it is based on this, the CDC reform next step may not be easy, and its promotion in the local estimate will be difficult to walk.