1, the overall investment is seriously insufficient, the input structure is unreasonable. According to statistics, China's health investment accounted for 2.7% of the total economic output value of the whole population, far lower than the United States 13.7% and Germany's 10.5%, but also significantly lower than India's 5.2%', accounting for less than 15.0% of the country's population of the urban population to enjoy 2/3 of the medical security services, while the vast rural population can only enjoy 1/3 of the medical security services, the structure of the investment in serious The investment structure is seriously irrational. The reserve of health emergency supplies and the ability to guarantee rapid distribution are insufficient; an information management system for health emergency supplies has not yet been established; there is a lack of integrated management of existing emergency supplies; and the mechanism for updating, rotating and compensating for the supply of supplies in reserve is unsound.
2, public **** health emergency response management system needs to be further improved. The State Council in May 2003 issued the "public **** health emergencies emergency response regulations", the public **** health emergencies into the legalized management. Local governments and even some enterprises and public institutions also formulated their own emergency response plans at that time. However, these ordinances and regulations basically provided for the coordination and implementation of specific tasks among various departments from an administrative perspective. Administrative regulations are a programmatic document, which cannot be equated with a complete and effective management system.
3. Insufficient talent training and reserve personnel. Medical students in school learning should be comprehensive and balanced. Preventive medical students and medical medical students in school during the study should be given in the curriculum to fully complement each other, preventive medical students should be opened some of the necessary clinical medicine courses to supplement their future work in the amount of knowledge is insufficient; clinical medical students should also learn preventive medicine related courses, after graduation, assigned to the hospital infectious diseases department, you can participate in the hospital control of infectious disease program development and implementation, to participate in preventing hospital cross-infections and so on. The students of clinical medicine should also study courses related to preventive medicine. As far as the spread of SARS is concerned, the infection rate of medical personnel is relatively high. Although our understanding of SARS is still unclear, the disease is a respiratory infectious disease, and traditional preventive measures against respiratory infectious diseases can completely prevent its transmission. A large number of clinical practices have also proved this point. This fully demonstrates that the spread of SARS in some hospitals is closely related to the general lack of knowledge of preventive medicine among clinicians, their poor awareness of self-protection and the lack of protective measures in place. The above situation fully reflects the irrationality of the knowledge structure of the personnel of the disease prevention and control system.
4, the production capacity and reserves of emergency medicines and goods are insufficient. According to the investigation of individual provinces, cities, the allocation of emergency drugs and reserves, that the emergency drug reserves are missing more varieties, drug reserves and the number of varieties is insufficient, not targeted; drug manufacturers weak scientific research, no emergency development capacity; drug production is not balanced, drug production there is a blind, not in a timely manner in accordance with the type of disease and the number of people to adjust the structure of the varieties of medicines; China, although there is a centralized, Provincial drug reserve system, but the lack of information communication between each other, it is difficult to form a linkage; reserve funds are not in place, the bearer of the larger losses of enterprises, aggravating the lack of drug reserves.
5, emergency medical rescue base network and emergency laboratory testing network has not been effectively established. The country has not yet established a unified planning, rational layout, clear functions, well-equipped provinces and districts, cities and allies, flags and counties, townships, four, level of public **** health emergencies, emergency medical rescue base network, especially the lack of a catastrophe, such as large-scale casualties, medical rescue tasks of the Regional Emergency Medical Rescue Center, it is difficult to meet the various types of emergencies in the emergency medical care needs of the sick and wounded. Disease prevention and control institutions at all levels of laboratory emergency detection function is not in place, alliance city-level laboratories do not yet fully have the "hammer" detection capabilities, county-level laboratory emergency detection capabilities can not yet meet the needs of early identification and preliminary identification.
6, health emergency information management work urgently need to strengthen the emergency work. Information first information management is the lifeline of good emergency work. At present, the local health emergency information reporting work is very uneven, good and bad, the timeliness of information reporting, accuracy and sensitivity has to be improved. Part of the region can not be in accordance with the relevant requirements to report non-public **** health emergency medical and health rescue work information, there is this type of information reporting is not timely, or even the phenomenon of non-reporting. The analysis and utilization of various types of information and event trend research work is relatively weak, in the work of awareness, expert team and work mechanism need to be further strengthened.