Part I General
I. Purpose
In order to timely, efficient, and proper handling of public **** health emergencies occurring in our town, effective response and timely control of the people's health hazards caused by sudden public **** health emergencies, and to do a good job in medical care, to avoid and minimize casualties. Prevent the further spread of the situation, protect the lives and health of the general public, and maintain social security and social stability. According to the "Chinese people's *** and the State Law on Prevention and Control of Infectious Diseases" and its implementation measures, "Chinese people's *** and the State Food Sanitation Law", "Chinese people's *** and the State Law on Prevention and Control of Occupational Diseases" and other laws, rules and regulations, hereby formulate this plan.
Two, the scope of application
This plan applies to all public **** health emergencies occurring within the scope of the town of prevention and control work.
Three, the basic principles
(a) prevention first
Strengthen the monitoring and prevention of public **** health emergencies, timely detection and elimination of hidden dangers, and take effective measures to prevent and reduce the occurrence of public **** health emergencies.
(ii) rapid response
Timely detection and reporting of possible hidden public **** health emergencies, the establishment of a rapid channel for information dissemination, as far as possible in the shortest possible time to activate the early warning mechanism.
(3) Categorized guidance
Based on the types of public **** health emergencies, major infectious disease outbreaks, mass unexplained diseases, major food and occupational poisoning and other serious impact on the public health of the event differentiated treatment, in order to achieve the best results.
(4) Timely handling
In the event of a public **** health emergency, timely measures are taken to save the victims, so as to be fast, efficient and timely, and to minimize the adverse consequences of the hazards.
(E) territorial management
In the event of a public **** health emergency in our town, the town's public **** health emergency leading organization has the right to the jurisdiction of the town of a variety of response to a public **** health emergency resources for the unified deployment.
Part II Emergency Response System Construction
I. Duties of administrative agencies, command agencies and related departments
(A) Duties of governmental agencies
1, the town government: organizing and leading the control of public **** health emergencies within the jurisdiction of the town; organizing and leading the implementation of public **** health emergencies by departments, units and the general public within the jurisdiction of the town. Disposal measures.
2, the village, community: organization and implementation of village, community jurisdiction within the public **** health emergency prevention and control measures; to carry out public **** health emergency prevention and control of knowledge propaganda.
(2) command structure composition
1, the establishment of Donggong town public **** health emergency command, the main leader of the government as commander-in-chief, the leader in charge of deputy commander-in-chief, propaganda, discipline inspection, health center, police station, finance, broadcasting station, school, safety and security office, health care and villages (communities) and other relevant departments responsible for the members;
2, the health center Set up a command center, responsible for the public **** health emergencies expert committee to analyze the recommendations, judgment, decide whether to start the early warning mechanism, and approved by the town government.
3 emergency response command center daily work by the health hospital public **** health section is specifically responsible for. After the emergency plan for public **** health emergencies is activated, all relevant departments and personnel must enter the emergency state in accordance with the division of responsibilities specified in the emergency plan.
(C) the command organization responsibilities
1), implement the CPC Central Committee, the State Council and provincial, municipal and district on the prevention of public **** health emergencies and emergency response decision-making and deployment; unified command and coordination of the town's prevention of public **** health emergencies and emergency response work.
2), verify the work plan, analysis, research, determine the degree of harm of public **** health emergencies, put forward emergency response measures; organization and coordination of member departments (units), with the villages and communities to carry out public **** health emergencies prevention and control work.
3), the villages, communities, all relevant departments of public **** health emergency prevention and emergency response work to guide, check and supervise.
4), study, deal with other major matters related to public **** health emergencies prevention and emergency disposal work.
(C) the relevant departments
1) health center: responsible for the development of the prevention and control of public **** health emergencies of the various technical programs, and keep abreast of the event; responsible for the formation of health management, epidemiology, clinical medicine, testing and inspection of experts composed of experts in the advisory group; the formation of the formation of, and training in, epidemiology, clinical medicine, laboratory testing, health surveillance The emergency mobile team and medical emergency team composed of epidemiology, clinical medicine, laboratory testing, sanitary supervision, environmental disinfection and other professional and technical personnel, to implement the rescue and treatment measures for the victims, to do a good job in the epidemiological investigation of infectious disease patients, close contact with the medical observation and laboratory testing; the incident site for health disposal, put forward the control measures of public **** health emergencies as well as supervise the implementation of the measures; to carry out health education, protection of susceptible populations to prevent the spread of the epidemic; to coordinate the government departments and agencies to prevent the spread of the epidemic. Epidemic spread; coordination of all relevant government departments, villages and communities to carry out emergency response, to ensure that under the unified command of the town government, so that the health prevention and medical rescue work carried out in an efficient and orderly manner. If necessary, to the district government to the epidemic area to take emergency control measures of the epidemic.
2) police station: to assist the health and related departments to block the suspicious area in a timely manner, is responsible for doing a good job of the epidemic point, the epidemic area site blockade of the public security management; improve traffic guidance, to ensure that the epidemic deal with the vehicle, the personnel to quickly arrive at the infected area; isolation of the patient's treatment, the close contacts do not cooperate with medical observation, is responsible for the adoption of mandatory isolation measures.
3) Finance: to ensure that the town's response to public **** health emergencies work required funds, the implementation of the emergency supplies earmarked for the victims of emergencies and emergency treatment costs and be able to get in place in full and on time.
4) publicity group: accurate and timely release of information on public **** health emergencies and the town of public **** health emergencies prevention and control measures to facilitate media interviews, to ensure social transparency; responsible for doing a good job of publicity of knowledge of disease prevention, improve the ability of the masses to self-prevention.
5) Commission for Discipline Inspection: responsible for the work in the public **** health emergencies do not fulfill their duties, there is dereliction of duty, malfeasance, indiscipline of the party leadership cadres, state civil servants and other personnel appointed by the state administrative organs to investigate and deal with.
6) logistics group: responsible for the relevant departments, villages, communities, coordination, communication; to assist the publicity and other departments to do a good job of external news reporting and publicity; to ensure that the town emergency emergency materials reserves and supply; with the relevant departments to grasp the rectification of the market order; supervise the town departments of the implementation of the work of public **** sanitation emergencies; to ensure that residents of the normal supply of daily necessities.
7) education: responsible for the town's education system of public **** health emergencies, do a good job in schools, child care institutions of health education; responsible for the good and the implementation of the relevant emergencies in the school of preventive and control measures.
8) industry and commerce: the implementation of the central, provincial, municipal, district issued by the price of public **** health emergencies related to the various price interventions and emergency interventions; is responsible for the supervision and management of the market price of public **** health emergencies and the supervision and management of the market price monitoring of medicines and related commodities, and strict control of price rises, and supervision and inspection of the implementation of the market price policy, and severely investigating and dealing with All kinds of price violations.
9) urban construction: responsible for the town's garbage, feces pollution control, with the patriotic health movement, improve the level of environmental hygiene; guidance and organization of the town's sanitation system to strengthen the disinfection and prevention of sanitation facilities and equipment.
10) civil affairs: to assist in the pacification of community residents; responsible for difficult areas, the lives of people in need and medical assistance.
13) Safety Supervision Office: in accordance with the law on the implementation of production and management units related to production safety laws, regulations and national standards or industry standards to supervise and inspect; on the inspection of hidden dangers of accidents found in a timely manner ordered to remove.
Two, health professional emergency disposal work network
The town health hospital to form the Donggong town emergency disposal work network of public **** health emergencies, the specific responsibilities are as follows:
(a) villages
under the leadership of the town government, according to the health hospital arrangements, coordination of all relevant departments and medical institutions within the jurisdiction, the implementation of the various measures to prevent disease and carry out supervision. Grasp the dynamics of the epidemic in this jurisdiction and report to the town government and the health center; make the necessary technical and material preparations for disease prevention; guide the development of environmental disinfection and personal protection; assist the higher units to implement preventive and control measures, and do a good job on-site treatment; and rely on the community to carry out health education for the residents.
(2) Center for Disease Control and Prevention
Determine the monitoring points, set up a monitoring network, timely grasp, analyze and report on the dynamics of the epidemic, and put forward prevention and treatment countermeasures; guide the development of epidemiological investigations, undertake laboratory testing tasks; responsible for the scene of public **** health emergencies, guiding the villages (communities) to do a good job of dealing with outbreaks; to the villages (communities) and villages of the health clinic, Individual clinic personnel to carry out business training, guidance and supervision.
Supervise the implementation of the jurisdiction of the monitoring point and the relevant units to do a good job of monitoring health emergencies, timely reporting of monitoring information; do a good job of epidemiological case investigation of patients, sample collection, and timely reporting of the event dynamics; bear the health emergencies on-site treatment work.
(C) all levels and types of medical institutions
Establishment of the main leaders directly responsible for the health emergencies of public **** events working group, the establishment of the hospital workflow, the work will be carried out to the person. Strengthen the disinfection and other preventive work within the medical institutions, pay attention to the medical staff's own protection, to prevent the medical source of infection. Do a good job of case monitoring, screening and reporting, and take appropriate temporary isolation measures for patients with suspicious symptoms before a clear diagnosis is made to prevent the spread of disease.
(4) Emergency Center
Prepare special ambulances and emergency personnel, responsible for transferring patients to designated medical institutions.
(E) health supervision
Focus on medical institutions, public **** places and other units of public **** health emergency reporting, prevention and control measures to implement the supervision and inspection.
Three, public **** health emergencies expert library
Town health center set up by the health management, epidemiology, clinical medicine, natural epidemiology, microbiology, health supervision, testing and detection, health economy and other aspects of the expert library of the town of public **** health emergencies. The expert pool set up under the infectious diseases and group causes of unknown diseases professional committee, food poisoning professional committee, occupational poisoning professional committee, the members of the professional committee list decided by the health center, the daily management of the expert pool by the health center is responsible for.
After the occurrence of emergencies, the health center organizes the appropriate professional committee to conduct a comprehensive assessment of the emergency, the preliminary judgment of the type of emergency and the degree of harm grading, to the district public **** health emergency leading agency command center to put forward whether or not to start the early warning mechanism, or to start the early warning mechanism of the level of the proposal.
Four, emergency mobile team
Health departments to set up a moderate scale, a reasonable proportion of talent, high professional quality, competent and efficient emergency mobile team of public **** health emergencies, personnel from epidemiology, clinical rescue, emergency medicine, health supervision, laboratory testing, extermination, logistics and other aspects of experts and staff. According to the needs of the work can be divided into disease control emergency response detachment, logistics support detachment, testing and detection detachment, medical rescue detachment, etc.. The above teams are formed by disease control and health supervision and health centers respectively. When an emergency occurs, by the health hospital emergency public **** health emergency response command center unified dispatch.
Part III Funding and material security
I. Funding
The funds required for the prevention and control of public **** health emergencies are fully guaranteed by the financial resources at all levels and rationally arranged for use. The funding includes the instruments and equipment needed to deal with emergencies, transportation and communication tools, medicines, medical supplies, protective equipment, emergency treatment costs of the victims of the incident, first-aid personnel protection costs, as well as medical wastewater waste treatment and disposal costs.
Two, material security
(a) the establishment of the township government regular reserves and temporary emergency reserves. Township government conventional reserves by the financial and other relevant departments and units to establish, the number of reserve materials should meet the township of larger public **** health emergencies and epidemic outbreaks and epidemics when the needs of the township public **** health emergencies by the township command unified allocation of the use of the temporary emergency reserve should be able to meet the epidemic occurred within three days of the town of the epidemic to deal with the demand for emergency supplies, managed by the Center for Disease Control and Prevention, for emergency The temporary emergency stockpile should be able to meet the demand for emergency supplies for the treatment of the outbreak in the town within three days. Specific quantities of material reserves by the town health center, financial **** with the determination.
(2) the village (community) should be based on the town emergency plan, scientific and rational development of their own response to public **** health emergencies of the material reserve plan, with reference to the town reserves and combined with their own reality, do a good job in the jurisdiction of the village, the community material reserves.
(C) reserve materials
1, disinfection equipment: peroxyacetic acid, chlorine disinfectant, iodophor, insecticidal drugs, sprayers and epidemiological investigators, disinfection professionals on-site protective equipment (monkey suits, isolation hats, protective eyewear, 16-layer masks, boots, disposable isolation clothing, pants, hats, shoe covers and masks, disposable medical rubber gloves, flashlights, disposable dirt bags). (chemical pollution and radioactive leakage protection supplies, chemical suits, oxygen tanks, protective masks, etc.);
2. Poisoning site investigation supplies: syringes, disinfectant swabs, disinfectant gauze, spoons, clamps, tweezers, alcohol lamps, alcohol, sterilized plastic bags, wide-mouth vials, sterilized test tubes, sample refrigeration equipment, thermometers, rapid analysis of poisonous substances equipment, cameras, tape recorders, video cameras, Poisoning diagnostic reagents (including various types of chemical and biological standards, diagnostic kits), special treatment drugs (antitoxins and special antidotes, etc.)
(D) supply of materials
Designate a number of backbone enterprises with the statutory qualifications as a response to public **** sanitation emergencies required for the production of materials production bases, give priority to ensure that a variety of factors of production and supply of water and power supply and other external conditions.
Part IV Early Warning System Construction
I. Monitoring Network Construction
(1) To establish, improve and perfect the monitoring network of public **** health emergencies, based on the existing information network, making full use of the rural financial management network, family planning information network, etc., to improve the reporting network of districts, townships and villages at three levels.
(2) The township as a unit, the establishment of village monitoring points. According to the reasonable distribution of population distribution, the township government seat hospitals, stations, enterprises, schools set up four, villages and communities set up 17, each monitoring point to designate the information network correspondent, the specific monitoring point to undertake monitoring and reporting tasks, and the implementation of regular zero-case reporting system.
(3) Expanding the scope of monitoring on the basis of the existing monitoring system, expanding the types of disease monitoring. Relevant diseases not included in the surveillance system, such as smallpox and salmonellosis, are included in the management of the surveillance system. Key management of plague, anthrax, infectious atypical pneumonia, poliomyelitis, cholera, viral hepatitis, epidemic hemorrhagic fever, etc. is implemented.
(d) occupational hazards monitoring network and food poisoning monitoring network, to strengthen the monitoring of biological and chemical toxins. The factories, mines and enterprises with chemical drug storage and transportation, important places prone to environmental pollution and human hazards and social panic to carry out hygienic evaluation, to predict the possible situation, and to make appropriate emergency preparations.
(E) disease prevention and control agencies to establish a public **** health emergencies monitoring and reporting information network of the basic platform, the formation of a microcomputer network management; to strengthen the monitoring of epidemics, related information analysis and exchange, early detection and identification of anomalies.
(F) to participate in the national network of public **** health emergencies information database, strengthen the routine epidemic and public **** health emergencies reporting system, key infectious disease reporting system, disease surveillance, occupational hazards and food poisoning reporting system management, to ensure that the monitoring system's completeness, timeliness, sensitivity, specificity.
Two, early warning system
Disease prevention and control agencies to establish the town's early warning system for emergencies, establish and improve the early warning reporting system, according to the early warning situation, the development of monitoring plans. In the daily work, regularly convene joint meetings of town and village level disease prevention and control agencies business experts to monitor and analyze the possible occurrence of public **** health emergencies and issue timely warnings; before the arrival of various types of public **** health emergencies prone to the season, collect monitoring and reporting information, a comprehensive analysis of forecasts, make early warning reports, and put forward precautionary measures; to public **** health emergencies Tracking and monitoring, to grasp the changes, the possible trends and problems in a timely manner for early warning.
Three, public **** health incident report
(a) report content
1, the initial report. First, must report information: the name of the event, the location, the time of occurrence, the spread of the population or the potential threat and impact, the report of the contact unit personnel and means of communication. Second, as far as possible to report information: the nature of the incident, scope, severity, possible causes, measures taken, the distribution of cases and deaths and possible development trends.
2, stage report. Report on the development and changes in the incident, the disposal process, the diagnosis of the incident and the cause of the possible factors; in the stage report both new occurrences, and at the same time to supplement and amend the initial report.
3, summarize the report. After the end of the public **** health emergencies, the occurrence of the incident and the handling of the situation to summarize, analyze the causes and factors affecting it, and put forward future prevention of similar events and disposal recommendations.
(ii) reporting principles
The initial report should be fast, the stage report should be new and accurate, and the summary report should be complete.
(C) Reporting time limit
In any of the following cases, the health centers, individual clinics and relevant units should report to the health center and the county health bureau within 2 hours; 1. the occurrence or possible occurrence of infectious disease outbreaks and epidemics;
2. the occurrence or discovery of unexplained mass diseases;
3. the occurrence of infectious disease strains and viruses are lost. .
4, the occurrence or possible occurrence of major food and occupational poisoning.
(D) the way of reporting
Where the implementation of the duties of health care personnel, disease prevention and control personnel, health supervision personnel, individual practitioners and grass-roots monitoring point of the report are responsible for the report, in addition to the routine epidemic reporting, disease surveillance and other routine monitoring system requirements for reporting, the discovery of a variety of public **** health anomalies should be in the fastest way to the county Disease control agency report.
Part V Emergency Response Program
I. Emergency Response Requirements
By the township government emergency command command and coordination of the township departments concerned *** with the implementation and report to the higher level of the people's government. Emergency command center by the District Health Bureau is responsible for the formation of red emergency mobile team, staffed by epidemiology, clinical rescue, emergency medicine, health supervision, laboratory testing, sterilization, logistics and other professional and technical personnel. Divided into disease control emergency response detachment, medical rescue detachment, testing and detection detachment, logistics support detachment. Emergency mobile team of public **** health emergency should be under the leadership of the temporary on-site command to undertake on-site processing tasks. Including on-site epidemiological investigations, on-site pollutant treatment, specimen collection, environmental disinfection, sterilization, preventive medicine, vaccination, medical treatment.
Two, control measures
(A) general control measures
1. On-site disposal work procedures
(1) through epidemiological investigations to quickly determine the possible causes of the incident, the possible biological and toxin factors to classify, to determine the infected area and the target population;
(2) according to the natural environmental factors to determine the possible scope of contamination, the degree of harm and the target population. scope, to determine the degree of harm and potential hazards of the event; to carry out health education and social mobilization, group prevention and treatment to minimize the hazards;
(3) to make an assessment of the need for rescuers, disease prevention and control personnel and materials and call;
(4) after the event emergency treatment, the elimination of the outbreak of the epidemic, follow-up monitoring until the elimination of the hazards; to participate in the emergence of public **** Verification of the situation of the health incident; on-site epidemiological investigation, analysis of the causes, laboratory tests; recommendations to take control measures, including blockade of the infected area, personnel evacuation, sterilization, isolation and observation, preventive medication, vaccination, health education and intervention, etc.; summarize the results of the treatment, assessment and reporting.
2. Medical rescue procedures
First, depending on the casualty situation, set up the sick and wounded sub-inspection office.
Secondly, the development of the casualty situation on the scene to make a rapid and accurate evaluation, including the time and place of the emergency, the number and type of casualties; casualties of the main injuries, the measures taken and the medical resources invested in the urgent need to solve the problem of medical care.
Third, the command and deployment of the scene and the jurisdiction of the medical rescue forces.
Fourth, report the situation to the temporary on-site command and receive instructions.
Fifth, in the scene of medical care, according to the victim's injuries and illnesses according to light, medium, heavy, death classification, respectively, "red, yellow, blue, black" injury card to make a sign (injury card made of 5 × 3cm self-adhesive material), placed on the left chest of the sick and wounded, or other obvious parts of the body, to facilitate the medical care personnel Recognize and take appropriate first aid measures.
Sixth, on-site medical care process, in line with the first life after treatment of injuries, first treatment of serious injuries after treatment of minor injuries, will be treated by the casualty's blood type, injuries, first aid treatment, precautions, etc. Fill out the casualty's condition sheet, and placed in the casualty's coat pocket.
3. Procedures for transportation of the sick and wounded
The sick and wounded are classified and disposed of at the scene, and are triaged to the nearest medical institutions according to their conditions. The principle of triage of the sick and wounded is as follows:
(1) The medical institutions accepting the sick and wounded are designated by the temporary on-site command in accordance with the principle of proximity and effectiveness.
(2) The medical paperwork for the on-site treatment of the sick and wounded should be submitted in duplicate, summarized in a timely report to the temporary on-site command, and submitted to the medical institution accepting the sick and wounded.
(3) The medical institutions designated by the temporary on-site command must unconditionally admit and treat the triaged sick and wounded.
(4) If the transportation of the sick and wounded requires supervision on the way, the on-site medical rescue command will send medical personnel to escort them.
(5) After the sick and wounded are transported to the medical institutions, they will be handled by the receiving medical institutions according to the emergency and first aid procedures. Medical institutions to set up a specialized rescue team, responsible for the sick and wounded rescue work.
4. Disinfection
(1) according to the scene, choose to eliminate, kill, extinguish the equipment, drug dosage, concentration, application methods.
(2) Protect foodstuffs, electrical facilities and other related items from being contaminated with drugs.
(3) Implementation of disinfection should be carried out in the order of indoor and then outdoor, floor and then wall, key and then general, drinking water and then sewage.
5. Procedures for reporting on-site conditions
The highest commanding officer at the scene is responsible for reporting on-site conditions to his superiors.
6. News and information dissemination
According to the relevant instructions from the higher level, the unified tone, designated person to the media to release information, any other person without authorization shall not be released to the public information.
(B) special control measures
According to the degree of social hazards of emergencies, the following special control measures can be taken:
1. Emergency mobilization of personnel, reserves of materials, requisition of transportation and related facilities and equipment.
2. If necessary, the evacuation or isolation of people, and may be in accordance with the law on the infectious disease infected area blockade.
3. According to the needs of emergency response to emergencies, food and water sources to take control measures.
4. Restrictions on large-scale public gatherings and activities, stopping public **** recreational activities.
5. Localized areas or town-wide suspension of work, classes and businesses.
Part VI Preparation for Normal Times
I. Routine Training
(A) Training Objects:
All medical personnel of medical institutions at all levels, community and rural grassroots health personnel, experimental researchers of disease prevention and control and clinical, responsible reporters of grassroots monitoring points, and members of the emergency response maneuvering teams at all levels.
(2) Training methods:
1. By time, it is divided into emergency training and long-term training.
2. By category, it is divided into standardized training for residents, continuing medical education, job training, on-the-job training for rural health personnel, and training for licensed medical practitioners and intermediate professional and technical position assessment.
3, the training can take a flexible and diverse forms, make full use of existing educational resources, focusing on the role of academic groups and universities, to ensure the quality of training, and regularly organize on-site simulation exercises.
4, the annual training time for all levels and types of personnel not less than 40 hours, emergency mobile team personnel not less than 80 hours.
(3) training content:
"Chinese People's **** and State Infectious Disease Prevention and Control Law", "Emergency Regulations for Public **** Health Emergencies", "Management Measures for the Prevention and Control of Communicable Atypical Pneumonia", "Clinical Medical Personnel Communicable Disease Control Training Materials", "CDC Personnel Communicable Disease Control Training Materials", "Resident Communicable Disease Control
Training Materials
, Training Materials for the Prevention and Control of Infectious Diseases for Community and Rural Health Personnel, and so on.Two, exercises
Each unit and relevant personnel should actively participate in government-organized public **** health emergency response exercises to test, improve and strengthen the ingestion of emergency preparedness, coordination and response capabilities, and the results of the exercise to summarize and assess, and further improve the emergency plan.
Third, the establishment of volunteer teams
To play the advantages of community mass organizations, the formation of public **** health emergencies volunteer teams, in accordance with the principle of combining peace and war, classification and management, the formation of