Code of Practice for Health Supervision of Infectious Disease Prevention and Control
Chapter I General Principles
Article 1 In order to protect public health and standardize the work of health supervision of infectious disease prevention and control, this code is formulated in accordance with the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases of the Chinese People's Republic of China*** and the relevant statutes and regulations.
Second Article The health supervision of infectious disease prevention and control referred to in this specification refers to the local health planning and health administrative departments at or above the county level and their comprehensive supervision and law enforcement agencies in accordance with the laws and regulations related to infectious disease prevention and control of infectious diseases in health care institutions to supervise and enforce the activities of prevention and control of infectious diseases.
The health care institutions referred to in this specification include medical institutions, disease prevention and control institutions and blood collection institutions.
Article 3 The local health planning and administrative departments at or above the county level are responsible for infectious disease prevention and control of health supervision capacity building, safeguard staffing, reasonable allocation of work equipment, and work funds into budget management.
Article 4 The local health planning administrative departments at or above the county level and their comprehensive supervision and law enforcement agencies in carrying out health supervision of infectious disease prevention and control, the application of this specification.
Chapter II Supervision Responsibilities and Requirements
Article 5 Provincial health and family planning administrative departments and their integrated supervision and law enforcement agencies Responsibilities:
(1) To formulate the province's (districts and municipalities) infectious disease prevention and control of hygiene and sanitation supervision work planning, annual plans, as well as the corresponding work system; based on the infectious disease prevention and control of hygiene and sanitation supervision to determine the annual focus of the supervision work;
(b) organization and implementation of the province's (districts and municipalities) infectious disease prevention and control of health supervision and related training; lower level of infectious disease prevention and control of health supervision work guidance, supervision;
(c) organization and coordination, supervision and investigation of infectious disease prevention and control of major violations of the law under the jurisdiction of the case;
(d) assume the task of the national health supervision of sampling, organization and implementation of sampling within the jurisdiction of the health supervision;
(E) responsible for the province (district, city) infectious disease prevention and control of health supervision information management and data aggregation, verification, analysis and reporting;
(F) undertake the higher authorities designated or assigned by the infectious disease prevention and control of health supervision tasks.
Article VI municipal and county-level health planning and administrative departments and their integrated supervision and law enforcement agencies Responsibilities:
(1) according to the province (district, city) infectious disease prevention and control of health supervision work planning, annual plan, combined with the actuality of the development of infectious disease prevention and control of health supervision plan within the jurisdiction, clear focus on the supervision of the content and the organization of the implementation;
(2) the organization and implementation of the jurisdiction of the Infectious disease prevention and control of health supervision training;
(C) organization to carry out the jurisdiction of medical and health institutions, preventive vaccination, infectious disease outbreaks, infectious disease outbreak control measures, disinfection and isolation system implementation, medical waste disposal and pathogenic microorganisms laboratory biosafety management and other infectious diseases prevention and control of routine health supervision;
(D) organization of infectious disease prevention and control of investigation and handling of cases of violations;
(D) organization of infectious disease prevention and control of Illegal cases;
(E) responsible for the jurisdiction of infectious disease prevention and control of health supervision information summary, verification, analysis and reporting;
(F) municipalities with districts in the county level of infectious disease prevention and control of health supervision to guide, supervise;
(VII) to undertake the higher authorities designated or assigned by the infectious disease prevention and control of health supervision tasks.
Article VII provincial and municipal comprehensive supervision and law enforcement agencies should be clear specific section (office), responsible for infectious disease prevention and control of health supervision; county-level comprehensive supervision and law enforcement agencies should be responsible for infectious disease prevention and control of supervision of the section or designate specialists to engage in the prevention and control of infectious diseases and hygienic supervision work.
Article VIII before the implementation of on-site health supervision, supervisors should be clear about infectious disease prevention and control of health supervision tasks, methods, requirements, check the safety protection equipment, good safety protection.
Article IX implementation of on-site health supervision, found violations, shall collect evidence according to law; in the case of evidence may be lost or difficult to obtain in the future, it shall be taken in accordance with the law to preserve evidence.
Article X above the county level local comprehensive supervision and law enforcement agencies shall establish health supervision of infectious disease prevention and control files, to master the basic situation of medical and health institutions within the jurisdiction and the prevention and treatment of infectious diseases.
Chapter III Health Supervision Content and Methods
Section I Health Supervision of Preventive Vaccination
Article 11 Health Supervision of Disease Control and Prevention Institutions and Vaccination Units for Preventive Vaccination:
(1) Qualification of Vaccination Units and Personnel;
(2) Public Announcement of Vaccine in Vaccination Units and Informing of Vaccination (Inquiries);
(C) the receipt, purchase, distribution, supply, use of vaccine registration and reporting;
(D) the treatment and reporting of abnormal reactions to vaccinations or suspected abnormal reactions to vaccinations;
(E) disease prevention and control agencies to carry out vaccination-related publicity, training, technical guidance and other work.
Article XII supervision and inspection of disease prevention and control institutions, vaccination units for preventive vaccination, the main methods are as follows:
(a) access to the vaccination unit of the medical institution practice license, after the county-level health planning and administrative departments designated as a proof of the documents, the staff's professional training and assessment of the qualified information on preventive vaccination;
(b) verification of the vaccination unit to receive The first type of vaccine or purchase of the second type of vaccine records, vaccination registration, reporting records, as well as the completion of the national immunization program after the completion of the remaining first type of vaccine reporting records;
(C) check the vaccination unit of medical and health personnel in the implementation of the vaccination before the vaccine, the vaccinee or his or her guardian to inform, questioning the record; access to the implementation of the preventive vaccination medical and health personnel to fill out the vaccination records;
(d) check the vaccination unit in its vaccination premises in a prominent position to publicize the varieties of the first type of vaccine and the method of vaccination;
(e) check the township-level medical and health institutions to undertake preventive vaccination of village medical and health institutions to distribute the first type of vaccine records;
(f) check the vaccine purchase, distribution, supply records of the disease prevention and control institutions, verification of the retention period of the records;
(h) check the records of the vaccines, distribution and supply of the disease prevention and control institutions, verification of the records (vii) to inspect the records and materials of the disease prevention and control institutions in carrying out vaccination-related publicity, training, technical guidance and other work;
(viii) to inspect the supporting documents that the disease prevention and control institutions and vaccination units have requested from the vaccine manufacturers and vaccine wholesalers for receiving or purchasing vaccines, and to verify the retention period of the documents;
(ix) to inspect the records of the disease prevention and control institutions and vaccination units on the distribution of the first type of vaccines; and Preventive control institutions, vaccination units of abnormal reactions to preventive vaccination or suspected abnormal reactions to preventive vaccination treatment and reporting records.
Section II Health Supervision of Infectious Disease Outbreak Reporting
Article 13 Health Supervision of Infectious Disease Outbreak Reporting:
(1) Establishment of the management organization and system of infectious disease outbreak reporting;
(2) fulfillment of the reporting of infectious disease outbreaks, day-to-day management, and quality control according to the law;
(3) timely review of infectious disease outbreak reporting by the disease control institutions within the jurisdiction;
(4) review of the records of the disease control institutions on the treatment and reporting of abnormal reactions to vaccination or suspected abnormal reactions to vaccination. Institutions timely review and confirmation of information on infectious disease outbreaks under their jurisdiction, and carry out analysis, investigation and verification of outbreaks;
(d) the fulfillment by disease prevention and control agencies of their duties to notify relevant departments of information on infectious disease outbreaks in accordance with the law.
Article 14 Supervision and inspection of disease prevention and control institutions of infectious disease outbreak reporting, the main methods are as follows:
(1) Check the documents and information on setting up the management department of epidemic reporting or clarifying the division of responsibilities for epidemic reporting management, verifying the management department of epidemic reporting and the full-time epidemic reporting personnel, and checking the management system of infectious disease outbreak reporting;
(2) Check the Infectious disease epidemic reporting and audit records, various types of routine epidemic analysis reports and other textual information, verification of the setting of epidemic duty, consulting telephone number; verification of the receipt of no network direct reporting conditions responsible for reporting units to report infectious disease report card, the situation of network direct reporting;
(c) access to the notification system of infectious disease outbreaks, and ports, airports, railroads, disease control and prevention agencies as well as the state border health Quarantine authorities notify each other of Category A infectious disease outbreak records; and animal epidemic prevention agencies notify each other of human and animal **** infectious disease outbreaks occurring between animals and humans and related information records; (d) check the operation of infectious disease outbreak network direct reporting equipment, outbreak reporting personnel on-site demonstration of infectious disease reporting, review and confirmation, checking the weight of the situation;
(e) access to the reporting of infectious disease outbreaks and Other records related to the situation.
Article 15 Supervision and inspection of medical institutions of infectious disease outbreak reporting, the main methods are as follows:
(1) Check the documents and information on setting up the management department of epidemic reporting or clarifying the division of responsibilities for epidemic reporting management, and verifying the full-time epidemic reporting personnel; check the management system of infectious disease reporting, which should include diagnosis of infectious diseases, registration, reporting, rapid feedback of abnormal information, self-examination, etc. The system should also be reviewed by the medical institutions of infectious disease reporting management. The system should include the diagnosis of infectious diseases, registration, reporting, rapid feedback of abnormal information, self-examination and other aspects.
(b) Check the original registration of diagnosis and treatment (including outpatient logs, hospital entry and exit registration, test and imaging positive results), infectious disease report card, infectious disease network direct reporting information, and other information, to verify that it is not in accordance with the provisions of the report on infectious disease outbreaks, or concealment, misreporting, delayed reporting of infectious disease outbreaks report;
(c) Check the records of the management of the internal self-examination of the reporting of infectious disease outbreaks and related information;
(d) Check the records of the management of the internal self-examination of infectious disease outbreaks and related information. information;
(d) access to regular organization of clinicians, new staff to carry out professional training and assessment of infectious disease reporting management information;
(e) check the network of infectious disease outbreaks of direct reporting of special equipment and the operation of the full-time outbreak reporting staff demonstration of the network of direct reporting of infectious diseases operation;
(f) for the network of direct reporting of the conditions of the county below the health care institutions. Check the infectious disease report registration records.
Article 16 When supervising and inspecting the reporting of infectious disease epidemics in blood collection and supply institutions, the following methods shall be adopted:
(1) checking the management system of infectious disease epidemic reporting;
(2) checking the registration of the two initial positive results of the HIV antibody test and the registry of blood donors or plasma supply staff, and verifying the reporting of the initial positive results of the HIV screening and confirmation of the delivery of the test;
(3) checking the registration records of the blood collection and supply institutions; and
(c) For institutions that have set up a direct reporting system for epidemics, check the operation of the direct reporting system for epidemics, and check the operation of the direct reporting system for epidemics of infectious diseases;
(d) For institutions that don't have the conditions for direct reporting, check the records of registration of reports of infectious diseases.
Section III Health Supervision of Infectious Disease Epidemic Control
Article 17 Health Supervision of Infectious Disease Epidemic Control in Medical Institutions:
(1) Establishment of the system of pre-screening and triage of infectious diseases and its implementation; checking the implementation of protective measures for healthcare personnel and patients;
(2) Setting up and operation of Infectious Disease Departments and Triage Points;
(3) Checking the operation of the network reporting system of infectious diseases. (b) the establishment and operation of infectious disease departments or triage points;
(c) the provision of medical treatment for patients with infectious diseases and suspected infectious diseases in accordance with the regulations when infectious disease outbreaks are detected;
(d) the implementation of disinfecting and isolating measures; and the disinfection and treatment of sewage, filth, premises and articles contaminated by infectious disease pathogens.
Article 18 When supervising and inspecting the control of infectious disease outbreaks in medical institutions, the following methods shall be adopted:
(1) Checking the management documents such as the pre-screening and triage system for infectious diseases and the emergency response plan;
(2) Examining the setting up of the infectious disease section or triage point and the implementation of the pre-screening and triage;
(3) Checking the implementation of protective measures for the healthcare personnel and patients; and
(4) Checking the implementation of disinfection and isolation measures; and disinfection of sewage contaminated by the pathogen and the premises and articles. (C) check medical and health personnel, patients, the implementation of protective measures;
(D) check the patients with infectious diseases, suspected infectious diseases patients to provide medical services;
(E) check the patients with legally infectious diseases or suspected infectious diseases to take isolation and control measures of the premises, facilities and equipment, as well as the use of records. Check the places contaminated by infectious disease pathogens, items and medical waste disinfection or harmless disposal records.
Article 19 of the disease prevention and control agencies to control infectious disease outbreaks of health supervision:
(a) the performance of infectious disease monitoring duties in accordance with law;
(b) the discovery of infectious disease outbreaks, according to the principle of territorial management and timely adoption of infectious disease control measures.
Article 20 When supervising and inspecting the control of infectious disease outbreaks in disease prevention and control institutions, the following methods shall be adopted:
(1) Consulting the system of infectious disease surveillance, the plan and work program of infectious disease surveillance within the jurisdiction, the data of collecting, analyzing and reporting the information of infectious disease surveillance, as well as the data of predicting the occurrence of infectious diseases and the trend of their epidemiology;
(2) Consulting the Infectious disease outbreak investigation and disposal of technical programs or plans, as well as infectious disease outbreak investigation and treatment records, reports;
(c) access to epidemiological investigation of infectious disease outbreaks work records and information, as well as infected sites, infected areas of sanitary treatment records.
Section IV Health Supervision of the Implementation of the Disinfection and Isolation System
Article 21 Health Supervision of the Implementation of the Disinfection and Isolation System:
(1) Establishment of the disinfection management organization, system, and its implementation;
(2) health care personnel to receive training in disinfection techniques, mastery of disinfection knowledge, implementation of the disinfection and isolation system;
(C) the disinfection and sterilization of medical supplies and instruments;
(D) the implementation of disinfection and sterilization effect testing;
(E) disinfection product purchase, inspection and acceptance, use and management;
(F) the implementation of disinfection and isolation measures for patients with infectious diseases and suspected infectious diseases.
Article 22 When supervising and inspecting the implementation of disinfection and isolation system, the following methods shall be adopted:
(1) Checking the documents of disinfection management organization setup, disinfection management system, work plan and inspection records;
(2) Checking the records of disinfection technology training for staff; asking questions to the relevant staff about the knowledge of disinfection and isolation on the spot; checking the disinfection of the relevant staff Isolation system implementation;
(c) access to disinfection and sterilization effect test records or test reports, check the test results failed rectification records. If necessary, on-site sampling to monitor the effect of disinfection and sterilization;
(d) access to disinfection product purchase inspection and acceptance records; check disinfection products related documents, date of use and expiration date;
(e) inspection of the relevant departments in medical institutions (focusing on fever clinics, intestinal clinics, and infectious diseases, etc.) to implement the disinfection technical specifications, standards and regulations;
(vi) inspecting the places, facilities and measures for isolating patients with infectious diseases and patients suspected of having infectious diseases.
Section V Health Supervision of Medical Waste Disposal
Article 23 Health Supervision of Medical Waste Disposal:
(1) the establishment and implementation of medical waste management organizations, systems, emergency response programs;
(2) engaged in the classification of medical waste collection, transportation, temporary storage, disposal of staff and management personnel occupational hygiene Safety protection and training;
(C) the classification of medical waste collection, transportation, registration;
(D) the temporary storage of medical waste;
(E) the disposal of medical waste, sewage;
(F) the implementation of centralized medical waste disposal of medical and health institutions and qualified centralized disposal of medical waste unit signed contracts The situation; do not have the conditions of centralized disposal of medical waste medical institutions in accordance with the requirements of the relevant departments to dispose of their own medical waste.
Article 24 When supervising and inspecting the disposal of medical waste, the following methods shall be adopted:
(1) Checking the documents and information on setting up medical waste management and monitoring departments or full-time (part-time) personnel and job responsibilities, and verifying the monitoring departments and management personnel;
(2) Checking the responsibility system of medical waste management, the regulations on the classification and collection of medical wastes, the handover and registration of medical wastes and emergency programs;
(3) Reviewing the medical waste management system, the regulations on the collection, handover and registration of medical wastes As well as emergency programs;
(3) Check the staff and management personnel engaged in the collection, transportation, temporary storage and disposal of medical waste classification, professional and technical training in relevant laws, safety protection and emergency treatment and other knowledge information;
(4) Check the occupational health and safety protection equipment of staff and management personnel engaged in the collection, transportation, temporary storage and disposal of medical waste classification, check the health examination records, and check the occupational health and safety protection equipment of staff and management personnel. (d) Check the occupational health and safety protection equipment of the staff and management personnel engaged in the collection, transportation and temporary storage and disposal of medical waste, and check the records of health examination;
(e) Check the register of medical waste, and check whether the collection point of medical waste is in accordance with the provisions of the "Catalog of Classification of Medical Waste" and whether the medical waste is collected using special packaging or containers for the classification of medical waste, and check the instructions on the methods of collection of medical waste classification and warning signs;
(f) Check the means of transportation of medical waste, special packaging or Containers, temporary storage locations and conditions, verification of medical waste delivery routes;
(g) check the use of medical waste delivery tools disinfection, cleaning locations and conditions;
(h) check the centralized disposal of medical waste unit qualification, hazardous waste transfer joint bill and other information; check the conditions of centralized disposal of medical waste does not have medical and health institutions dispose of medical waste on their own Facilities, methods and record information;
(ix) check the sewage, infectious disease patients or suspected infectious disease patients excreta disinfection of equipment and facilities and their operation and maintenance; access to disinfection treatment records and monitoring records.
Section VI pathogenic microorganisms laboratory biosafety management of health supervision
Article 25 of the pathogenic microorganisms laboratory biosafety management of health supervision:
(a) one or two pathogenic microorganisms laboratory for the record; three or four pathogenic microorganisms laboratory to carry out experimental activities on highly pathogenic pathogenic microorganisms qualifications;
(b) the training of personnel engaged in experimental activities;
(c) the training of personnel engaged in experimental activities. (B) the training, assessment and licensing of personnel engaged in experimental activities;
(C) the development and implementation of management systems, emergency plans;
(D) the implementation of experimental activities;
(E) the establishment and preservation of experimental files;
(F) the collection, transportation and storage of bacteria (viruses) and samples.
Article 26 Supervision and inspection of pathogenic microorganisms laboratory bacteria (virulent) strains and samples collection, transportation and experimental activities and other management, the main methods are as follows:
(a) check the first and second level laboratories of the filing of the proof of laboratory, and the third level and fourth level laboratories, "Highly Pathogenic Pathogenic Microorganisms Laboratory Qualification Certificate";
(b) check the lab staff
(iii) verify the laboratory's records of destroying pathogenic microorganism strains (viruses) and samples in situ or delivering them to storage institutions for safekeeping;
(iv) check the configuration of the corresponding equipment for laboratories of Level II and above;
(v) check the experimental files; verify the retention period of the laboratory files of experimental activities related to highly pathogenic microorganisms;
(vi) verify the retention period of the experimental files of the laboratory activities related to highly pathogenic microorganisms (F) check the approval documents for engaging in experimental activities with certain highly pathogenic pathogenic microorganisms or suspected highly pathogenic pathogenic microorganisms; check the documents proving that the laboratory can use new technologies and methods to engage in experimental activities with highly pathogenic pathogenic microorganisms; check the qualification documents for engaging in experimental activities with pathogenic microorganisms that have not yet been discovered or declared eliminated in China (g) Check the safety and security system of highly pathogenic pathogenic microorganisms laboratory; check the biohazard labeling and biosafety laboratory level marking in the third and fourth level laboratories in a conspicuous position, as well as the availability of protective equipment for personnel entering the laboratory;
(h) Check the registration and results of the experimental activities related to highly pathogenic pathogenic microorganisms or suspected highly pathogenic pathogens. Microorganisms related to the registration of experimental activities and results of the report records; check whether in the same laboratory in the same independent safety zone at the same time engaged in two or more highly pathogenic pathogenic microorganisms related to experimental activities;
(ix) access to highly pathogenic pathogenic microorganisms laboratory infection emergency response plan and to the location of the provincial health planning and administrative departments for the record of the information;
(j) access to laboratory staff with highly pathogenic pathogenic microorganisms infection, laboratory leakage of highly pathogenic pathogenic microorganisms report, disposal records;
(k) access to highly pathogenic pathogenic microorganisms samples from the source, the collection process and method of record;
(l) access to transportation of highly pathogenic microorganisms strains (viruses) or samples of the approval documents; access to the Highly pathogenic pathogenic microorganisms strains (viruses) and samples in the transportation process of theft, robbery, loss, leakage of the report records.
Article 27 When supervising and inspecting the management of storage of strains and samples of highly pathogenic microorganisms in storage institutions, the following methods shall be adopted:
(1) checking the qualification certificates of the storage institutions;
(2) checking the safety storage system, the records on the entry and exit of strains and samples of highly pathogenic microorganisms and the registration and issuance of the certificate of reception; and (C) check the registration of highly pathogenic pathogenic microorganisms (virulent) strains and samples provided to the laboratory, verification of the laboratory to engage in highly pathogenic pathogenic microorganisms submitted to the approval of experimental activities; check the highly pathogenic pathogenic microorganisms (virulent) strains and samples set up a special library or a special cabinet for separate storage;
(D) check the highly pathogenic pathogenic microorganisms (virulent) strains and samples;
(D) check the highly pathogenic pathogenic microorganisms (virulent) strains and samples submitted to the laboratory and the laboratory to engage in experimental activities. Pathogenic microorganisms strains (viruses) and samples stored in the process of theft, robbery, loss, leakage of the report records.
Chapter IV Information Management
Article 28 The administrative departments of health and family planning at all levels shall strengthen the construction of health supervision information system for the prevention and control of infectious diseases, organize and analyze the information on the prevention and control of infectious diseases under the jurisdiction of the health supervision, and provide the basis for the formulation of policies related to the prevention and control of infectious diseases.
Article 29 The comprehensive supervision and law enforcement agencies at all levels shall regularly summarize and analyze information on health supervision of infectious disease prevention and control, and report to the same level of health and family planning administrative departments and higher-level comprehensive supervision and law enforcement agencies.
Comprehensive supervision and law enforcement agencies at all levels shall set up full-time (part-time) staff responsible for the jurisdiction of infectious disease prevention and control of health supervision information collection, reporting tasks, timely and accurate reporting of supervision and inspection-related information.
Chapter V Supervision of the situation
Article 30 The local health and family planning administrative departments at or above the county level and their comprehensive supervision and law enforcement agencies to carry out health supervision of infectious disease prevention and control, the inspection should be timely feedback to the inspected unit, the results of supervision and inspection and medical institutions of malpractice scores, verification and level assessment and other management work is linked. Problems, should be issued health supervision opinion; the existence of illegal behavior, should be investigated and dealt with according to law; suspected of committing a crime, should be promptly transferred to the local public security organs.
Article 31 of the bacteria (venom) species preservation organization is not in accordance with the provisions of the laboratory sent bacteria (venom) species and samples stored, or not in accordance with the provisions of the bacteria (venom) species and samples, above the county level of the local health administrative department shall promptly report to the next level.
Article 32 For major cases of infectious disease prevention and control of illegal cases, the local health and family planning administrative departments at or above the county level shall promptly report to the higher-level health and family planning administrative departments.
Chapter VI Supplementary Provisions
Article 33 The relevant laws, regulations and rules shall be applied to the sanitary supervision of infectious disease prevention and control involving sterilized products, drinking water, schools and public ****places.
The hygienic supervision of infectious disease prevention and control of centralized medical waste disposal units, scientific research institutions and other relevant units shall be implemented with reference to these norms.
Article 34 of infectious disease outbreaks, epidemics, above the county level, the local health planning administrative departments and their comprehensive supervision and law enforcement agencies shall focus on health care institutions infectious disease outbreaks report, epidemic control measures, such as supervision and inspection.
Article 35 These norms shall be implemented from the date of publication. The former Ministry of Health issued on September 17, 2010 "infectious disease prevention and control of routine health supervision work norms" (Wei supervision issued [2010] No. 82) shall be repealed at the same time.