Thursday, January 22, 2009

Zoonoses prevention and control must be the development of national strategies and planning

"There are documented, occurred in animals (including wild animals and livestock, poultry) in more than 300 infectious diseases, there are nearly 250 kinds of people can be infected, including major ones are 89 kinds, known as zoonoses . In our country, for many zoonoses also a lack of research and the corresponding response technology, once the outbreak will be helpless. "At the beginning of 2009, China has confirmed four cases of human infection with bird flu, caused widespread concern in the community. China Center for Disease Control and Prevention of infectious diseases control and prevention by vector control room, director of Liu Yong told reporters pointed out that zoonoses prevention and control must be the development of national strategies and planning.
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Three major trends to be vigilant

Liu Yong open computer data storage chart told reporters that as a result of animal rearing methods, the globalization of trade, climate change and other reasons, all over the incidence of zoonoses yearly increase in the risk of outbreaks, prevention and control of the situation is extremely grim. Taking a panoramic view of our country in recent years, zoonoses characteristics, there are three major trends deserve special attention: First, the urbanization of rural disease. Such as rabies, etc., with the city keeping of pets and the increase in the number of varieties, the incidence of urban population increased significantly. The second is the remote center of the disease. Such as avian flu, in the past, prone in poultry in remote rural areas, and now often occur at the center developed regions. Third, the disease south of the North. Such as brucellosis and so on, past the northern border of the frequently-occurring disease in pastoral areas, with the livestock trade, such as the development of the South has been the spread of the disease.

Liu Yong believes that the challenges posed by these trends is extremely critical. "On the one hand, greatly increased the risk of the crowd, because most people zoonoses are sensitive, the lack of immunity. The same sources of pollution, in the rural remote areas due to low population density, low-risk groups, dissemination and the risk of outbreaks very small; and the urban population density is much higher than rural areas, has magnified the role of the spread of the disease, spread and outbreak of a great chance on. On the other hand, modern society zoonoses prevention and control of the management of stress and the difficulty of the unprecedented increase the need to mobilize more social resources to deal with. "

The management of the drawbacks of the latter problems

Let Liu Yong and other experts worried that the current China zoonoses prevention and control of resources management and distribution of loosely in agriculture, industry and commerce, quality control, forestry, public security and health departments, the overall response to the lack of authority, coordination, systemic , inefficient and more hidden dangers.

Liu Yong, introduced in the laws, regulations and technical norms, the state promulgated the "Law on Animal Epidemic Prevention", "Infectious Diseases Prevention Law," "Regulations on the Management of Veterinary Drugs," "Streptococcus suis emergency prevention technical specifications", "bird flu prevention and control technology norms "and so on zoonoses prevention and control were defined. In the management of functional departments, the Ministry of Health to organize and coordinate relevant zoonoses human epidemic to deal with public health emergencies, as well as zoonoses prevention and control of day-to-day work. To this end, the Chinese Center for Disease Control and Prevention to establish a nationwide public health monitoring network; the Ministry of Agriculture set up a sudden major animal disease emergency command center to guide the work of various localities to deal with emergencies; the State Forestry Administration launched the National Wildlife focus of disease monitoring system; the State Administration of Quality Supervision, Inspection and Quarantine issued the "Entry and Exit of major animal disease emergency response plan", on the basis of the establishment of a number of epidemic contingency implementation.

"This kind of compartmentalization design management system is justified, but the challenge is in the inter-departmental coordination." Liu Yong said zoonoses prevention and management in connection with the two main people and animals, which rely solely on the above various departments of their respective existing prevention and control system is not enough. Because of medical workers do not understand the situation of animal diseases, animal medical workers who do not know the disease prevention and control initiatives. Animal medicine and human medicine artificial split between the state, as well as between government departments and lack of effective coordination and cooperation is a significant zoonoses control of one of the reasons for inefficiency.

"For example, people have died of bird flu incident, people first of all think of health and agriculture departments, in fact, poultry farming, processing, circulation, trade and other links have a responsibility, health instead of belonging to the prevention and control of the entire management chain downstream, were found infected after the health sector. the health sector co-ordination of other departments is very difficult, even if the document is written in black and white-sectoral coordination, it is often difficult to implement. "Liu Yong believe that the same level it is difficult to coordinate between the reality of conditions, there should be a top management ideas , that is, by a higher-level departments are responsible for the integrated and coordinated, rational allocation of resources, and actively deal with zoonoses, rather than passive response.

National strategy and planning is essential

Liu Yong's upper management is in fact the concept of zoonoses national strategy and planning, that is led by the State Council set up the organization, responsible for the national zoonoses prevention and control of the management and coordination.

"This is not a whim, and is not likely. The State Council against the plague, schistosomiasis, AIDS, avian flu, SARS and other infectious diseases have a single set up the prevention and control of specialized organizations, but did not set up for the entire people were suffering from beast disease management organizations. If set up for the entire zoonoses comprehensive co-ordinating body, may take shape zoonoses management platform to enable the prevention and control of surface larger, more effective command, the system more smoothly, the effect will be better . "Liu Yong proposed, the development of zoonoses national strategy and planning should include four elements:

First, from the management level, straighten out the mechanism for harmonization of agriculture, health, forestry, commerce, quality inspection, science and technology, public security departments, the establishment of efficient multi-sectoral linkage of zoonoses prevention and control structure, the formation of all-directional, multi-angle joint prevention and control and management of the new system to avoid multiple management and improve the effectiveness of prevention and management. At the same time to amend the animal-borne disease prevention and control of the emergency plan, command and response to major incidents zoonoses.

The second is the establishment of national zoonoses Information Center, the realization of animal disease prevention and control system and medical system for disease prevention and control of information sharing. Based on this summary, analysis, collation and dissemination of important zoonoses information, early warning and timely forecasts, work to fill gaps, reduce duplication of effort.

The third is to strengthen the animal health, quarantine and supervision of the crowd to prevent and control the power sector, lay a solid foundation for the prevention and control.

Fourth, to develop and perfect the zoonoses prevention and control laws, regulations and systems, and strengthen laws and regulations related to the operation and implementation of relevant laws and regulations to establish and improve the prevention and control-oriented major zoonoses of the new mechanism.

As the Beijing Municipal Committee of the Jiusan Society, deputy director of the medical and health committee, Liu Qi-yong to take the lead in this idea based on a partisan proposal - "on the strengthening and perfection of zoonoses prevention and management mechanism," and has been submitted to the relevant departments.

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