Hepatitis B virus carriers can get a "health certificate"
The recently implemented Regulations on the Implementation of the Food Safety Law specifically divides "viral hepatitis" in the Food Safety Law into "viral hepatitis A" and "viral hepatitis E". Does this mean that the government clearly does not prohibit hepatitis B virus carriers from directly importing food? The relevant person in charge of the Food Safety Comprehensive Coordination and Health Supervision Bureau of the Ministry of Health gave a positive answer when interviewed by reporters.
This answer has been waiting for 14 years. It is understood that1People's Republic of China (PRC) Food Hygiene Law promulgated and implemented in June, 1995 stipulates that anyone suffering from digestive tract infectious diseases such as dysentery, typhoid fever, viral hepatitis, etc. (including pathogen carriers) shall not take part in the work of direct contact with imported food. In China, the main groups targeted by this regulation are chefs, catering service personnel, waiters and other catering practitioners. Since then, hepatitis B virus carriers are not allowed to engage in catering industry, which has become an unwritten rule that has been implemented in administrative examination and approval and law enforcement. China is a "big country with hepatitis B", and the employment opportunities of nearly 65,438+billion virus carriers are affected, and they are discriminated against in different degrees in society.
This is actually a misunderstanding. Relevant personnel of the CDC of the Ministry of Health told the reporter that hepatitis B is a disease spread by body fluids such as blood, not an infectious disease of digestive tract, which has long been recognized scientifically. It is understood that the World Health Organization clearly pointed out that hepatitis B virus is not transmitted through contaminated food or water, and the relevant laws of the United States, Japan and other countries have not restricted hepatitis B virus carriers from engaging in food and catering. China Center for Disease Control and Prevention also suggested that the examination of hepatitis B virus surface antigen and other items is not mandatory in the physical examination of catering service employees. However, according to the statement of the Food Hygiene Law, many local authorities still refuse to apply for health certificates of food practitioners for hepatitis B virus carriers.
Such regulations have aroused strong dissatisfaction among hepatitis B virus carriers. In a lot of discussions on the Internet, some people even think that it is precisely because of the expression of the Food Hygiene Law and the restrictions on hepatitis B virus carriers in the food industry that people's understanding of the transmission route of hepatitis B is distorted, which leads the society, including some medical institutions or doctors, to think that hepatitis B is an infectious disease in the digestive tract.
On June 1 this year, many people rejoiced at the promulgation and implementation of the Food Safety Law, but hepatitis B virus carriers were very disappointed, because the law followed the expression of the Food Hygiene Law, that is, people suffering from digestive tract infectious diseases such as dysentery, typhoid fever and viral hepatitis were not allowed to engage in direct food intake. Although the relevant person in charge of the Food Safety Coordination and Health Supervision Bureau of the Ministry of Health publicly stated that patients with hepatitis A and hepatitis E in viral hepatitis cannot engage in the production and operation of directly imported food, hepatitis B virus carriers do not affect the production and operation of food. However, people did not get a clear answer in the "Regulations on the Implementation of the Food Safety Law (Draft)" published for comments.
On July 24, the Regulations on the Implementation of the Food Safety Law was officially announced, which brought surprises to hepatitis B virus carriers. Article 23 of the "Regulations" stipulates that food producers and business operators who are exposed to direct food suffer from digestive tract infectious diseases such as dysentery, typhoid fever, viral hepatitis A, viral hepatitis E and other diseases that hinder food safety, such as active tuberculosis, suppurative or exudative skin diseases, shall adjust them to other jobs that do not affect food safety. Celebration posts such as "the food and catering industry has finally opened its doors to10.2 billion hepatitis B virus carriers", "hepatitis B virus carriers can also get health certificates" and "effectively protect the equal employment rights of hepatitis B virus carriers" have appeared on the Internet. ...
Relevant personnel of the Policy and Regulation Department of the Ministry of Health said that all patients with diseases or virus carriers clearly listed in the Regulations on the Implementation of the Food Safety Law are not allowed to engage in the work of directly importing food, and those who are not listed are not within the scope of legal restrictions. The expression of the law uses "digestive tract infectious diseases" and "diseases that hinder food safety". These two words also leave room for amending the relevant clauses in the future, because with the deepening of people's understanding of diseases and the discovery of new diseases, the scope of restrictions may also be dynamically adjusted.
The relevant person in charge of the Food Safety Comprehensive Coordination and Health Supervision Bureau of the Ministry of Health said that the latest statements about diseases such as viral hepatitis have been demonstrated by relevant experts in disease control, laws and regulations. On the basis of the Food Safety Law, the "Regulations" added a sentence that "food producers and operators should adjust them to other jobs that do not affect food safety", further guaranteeing the equal employment rights of relevant workers.
/document/93376.htm？ Docid = 93376 & amp cat = 0b& keyword = null Source: Health News.
Cui, director of the Viral Hepatitis Room of the Center for Immunization Planning of the National Center for Disease Control and Prevention, introduced at the Tsinghua University Advanced Seminar on Hepatitis B News Reporting held in Chengdu on July 30: In order to protect the legitimate rights and interests of HBsAg carriers, experts suggested that the second and a half tests for hepatitis B should be cancelled in the physical examinations for admission and employment.
Cui said that the news that hepatitis B carriers were rejected in the physical examination for admission and employment has been frequently seen in the media, which is discrimination against healthy hepatitis B carriers. In this regard, the relevant state departments organized relevant experts to demonstrate, and reached a * * * understanding that hepatitis B testing should be changed to liver function test.
Cui Fuqiang said that if a person carries hepatitis B surface antigen and his liver function (ALT) is normal, it can only prove that he is a hepatitis B virus carrier, not a patient, and he should not be discriminated against in school and employment. And if a person's liver function (ALT) is abnormal after testing, and the related indexes exceed twice the upper limit of normal value, then he must be a patient. The purpose of detecting hepatitis B-related indicators is to find hepatitis B patients in time and treat them in time, which is the protection of patients and healthy people. However, the two-and-a-half detection of hepatitis B with the detection of hepatitis B surface antigen as the core can only prove whether a person is infected with hepatitis B virus, not whether he is a patient, but will bring discrimination against them.
Cui said that if the test results of liver function (ALT) are abnormal, tracing back to the source to see whether it is hepatitis B infection or other diseases will help the early diagnosis and early treatment of the disease. Therefore, it is more meaningful to detect liver function (ALT) than hepatitis B surface antigen.
Cui introduced that the expert group has reached the above consensus and suggested that relevant departments organize the implementation by formulating relevant policies.
1. The World Health Organization clearly points out that hepatitis B virus is not transmitted through contaminated food or water.
2. The relevant laws of the United States, Japan, South Korea, Hongkong, Taiwan Province Province, Macau and other places do not restrict hepatitis B patients from engaging in food and catering industry, and the relevant provisions on employees in their food safety laws and regulations are all expressed as "hepatitis A".
3. China Center for Disease Control and Prevention hepatitis science data clearly pointed out that kissing, * * * eating, etc. There is no danger of being infected with hepatitis B (official website, China Center for Disease Control and Prevention)
4. The Center for Disease Control and Prevention of China also suggested that it is not mandatory to check the surface antigen of hepatitis B virus in the physical examination and premarital physical examination of catering workers (reported by Sohu).
The International Federation of Food Workers also passed a resolution calling on the government to extend the protection against hepatitis B discrimination to the catering industry. (Korean conference document)
6. Professor Xu Daozhen, a member of the Expert Advisory Committee on Hepatitis Prevention and Treatment of the Ministry of Health, a member of the expert group of the China Hepatitis Prevention and Treatment Foundation, the former dean of beijing ditan hospital, and the drafter of the national health standard "Diagnostic Criteria and Treatment Principles of Hepatitis B", said in an interview with Newsweek that science has given them the right to be chefs. (Newsweek)
7. Paragraph 5 of Article 4 of the National Health Standard (GB 15990- 1995) Diagnostic Criteria and Principles of Treatment for Hepatitis B stipulates that hepatitis B carriers can work and study as usual without donating blood. It can be seen that the national health standard (GB 15990- 1995) does not restrict hepatitis B carriers from engaging in the food industry, nor does it characterize hepatitis B as an infectious disease in the digestive tract. The national health standard (GB17010-1997) defines hepatitis A as an infectious disease of digestive tract, and clearly points out that hepatitis A is prohibited from engaging in food and catering. (official website, Ministry of Health)