The first type influenza community prevents and controls the thinking that initiates

The first type influenza community prevents and controls the thinking that initiates
The first type influenza community prevents and controls the thinking that initiates
Staff reporter Korea S. Lu is regarded as the medical organization closest to distance of ordinary people, as the network bottom of the urban public health system, the community health Center is with the unique advantage of the it and resident's extensive contact of area under one's jurisdiction, have played a positive role in the first type H1N1 influenza campaign of prevention and control at present. In case of not having specialized vaccine at present, the community health Center gets hold of this magic weapon of the health education firmly, utilize the multiple channel, various forms to strengthen to the public health education. Meanwhile, do a good job of entering the family to follow up a case by regular visits to of health physical examination and two persons who keeps in close touch generation of the people who return to homeland, in order to prevent and control the epidemic situation the community that may take place has established the good foundation popularly. Indeed, through each common trial of defending the incident, the function of the hygiene service organization of the community is more and more prominent, the workflow is clearer and clearer, it was in popular anxiety that the reason of today defended suffering from replacing in the past. But hygiene service organization with the community " The bottom of the network " It is denser and denser to weave, the rational thinking that some questions appearing in reality have initiated the hygiene workers of the community too, such as what on earth is " The bottom of the network " Function and how make it not given play to effectively, be to task an appropriate definitions which community should undertake and can undertake, what repaying is it with the corresponding one and approval of community hygiene staff member working? It is difficult for the communities to all happen when common to defend the limitless net bottom " at the time of the public health event, except that the breaking out and prevailing of acute infectious disease, chronic non-Communicable disease, AIDS, hepatitis B,etc. chronic infective disease such as hypertension, diabetes can't be neglected either. There is no society to cooperate, it is impossible that the light should be totally solved these problems by the professional public health organ or medical health organ. " The hygiene Chen BoWen, Deputy Chairman of association of Chinese community says, " likewise, though the hygiene service organization of the community is ' the bottom of the network ' of the basic public health service, but ' the bottom of the network ' is not that ' reveal all the details ', do not mean the hygiene service organization of the community should undertake all work. " Chen BoWen points out, it is not merely a hygiene question to prevent and control first and flow, it is a social concern even more, but present mass participation is not enough yet. "It does not cause the task of terminal prevention and control to aggravate severely that the front is prevented and controlled. " According to the introduction of Du XuePing, director of Beijing Xicheng District the Temple of Moon community health Center, in preventing and controlling first course of flowing, the residents committee connects community's hygiene service organization and residents' tie. On one hand, the director of residents committee accepts after the training of the hygiene service organization of the community, and then teach and prevent knowledge to residents through giving an oral account, releasing the materials, handling the propaganda column etc.; On the other hand also provide the accurate information of the people who return to homeland in the area under one's jurisdiction for community. However, participation that has the residents committee only is not enough, it flows to need to mobilize social forces in larger range to prevent and control first. Chen BoWen points out, it needs the concerted effort of medical personnel, social worker, government, media, residents committee and the masses of residents to cooperate to prevent and cotrol the work with popular infectious disease, each performs its own functions to need relevant department, each one does his duty. "What the government made controls the working scheme must possess practicality, and should implement to organization, fund and personnel. " Who come, take on, prevent from, protect the intersection of reserve duty and snow Du, tell reporter whether first type the intersection of H1N1 and influenza prevention and control launch while being flat, community's doctor puts into prevention and control wholeheartedly, has not had a rest for one day. "Not having day off, this is unimaginable in the view of community doctor of foreign countries. " "It is not medical treatment work that community's doctors have undertaken a large number of. They spend much time doing the social work every day; In order to let residents hear an two hour's lectures, but takes two days sometimes. " Du XuePing says, "whether can let the community employ social workers independently, the unskilled job of mobilizing the propagation and education, organization etc. is stripped out from the work of community's doctor, make them energetic and do a good job of speciality. " Chen BoWen points out, the government needs to consider whether the work that the community health Center undertook is beyond the scope of their ability. The human resources that community's hygiene serve were disposed according to community residents' normality hygiene demand. Happen suddenly common to defend incident come, must give the intersection of task and quantity that community assign and the intersection of human resources and the intersection of quantity and mismatch that normality allocate, work load increase will let organization in state of overload operation suddenly, the overdraw of physical power and energy will influence the medical worker work quality and efficiency seriously. "' the regular army ' that we not merely need to be engaged in prevention and health care wholeheartedly, ' reserve duty ' also needed and can be shifted at any time while taking place in urgent hygiene state. " Chen BoWen says, " can try to let social workers participate in community's hygiene services, it is not the medical treatment work to cooperate with professional personnel to do well. " For this reason, he proposes that should improve the entry system of the social workers of the community, encouraging community residents to participate in community's hygiene services actively, carry on essential pre-job training and receive training to them regularly; Give them unified image to annotate; According to being shown as they do a normal qualification after the work finishes, certain honor that and offer appropriately. And mobilize university student and retired medical worker of the community at school whose vast medicine study the universities and colleges to come into the community, should become the good choice of supplementing community's hygiene service reserve force. How many the meaningless ones are there to link up the cost because this first type H1N1 influenza case takes inputting as the core, also may transfer to a community and break out. So, it is essential whether to could get in touch with people who return to homeland as soon as possible and prevent and control for the community or not. However, according to the introduction of prevention and health care head of the department Dong JianQin of community health Center in the Temple of Moon, "what some people who return to homeland left at the airport is unit address, belong to the responsibility location of our community, but the home address is in other communities. We have to give up on festivals or holidays, sift to check, gainless sometimes in residents. This kind ' people one (book) Situation on separate ' let us do a lot of invalid work. " Distorted information let the intersection of community and doctor take many to wrong distance, put in order, inform each relevant department that different report form of situation involve them a large amount of energy too. Du XuePing tells reporters, from target, different departments need different report forms; In view of cycle, the daily, weekly, monthly magazine are that one can't be few even more. "Think oneself busy with report form from morning till night, but this absolutely should prevent the intersection of health dept. and doctor in prevent and control first flow groundwork that should engaged in under course sometimes. " As to this, Chen BoWen says, notification is to collect the essential means of information in time, but in the course of practising, the departments at all levels must get hold of a standard: How much amount of information is there essential? Are the method, time to collect the information apt? Exist and reply and make a report on emphatically in the course of collecting information? "Link and prevent and control spreading in many departments Under the infected mechanism, how to reduce and communicate? �� Gou A of chaste tree is low �� leave �� of �� Ping the intersection of Fei and Bo knock, make a noise of Feng rapid Ji �� H Quan �� Zhyuan nearly chisel Gu Admire ] lead whiz Pi low to line the intersection of Wan and bright noisy ����, whore of actinium, with A fat benzene of beak Yu Fei Yu of three-bristle cudrania of Wan Huan �� leaps up side of Pan �� Na Da of Xu �� head move rose Jia imitate Blow and work for fully Hua ��'s sacral bone scribbles and supports suburb Jie �� of rose of Nai! Carry and take prisoner Is it idle? What is brought to come to compensate community's doctor " in our country, whenever public health event happens suddenly, a large number of tasks have been pressed onto the basic unit and defended protecting on personnel's body. Their high pressure, pay it more, but can not get corresponding approval and repayment. " Du XuePing says. Chen BoWen says: "For example, while resisting SARS, the function of the hygiene service organization of the community is irreplaceable. But in the advanced individual of all types of fighting against SARS cites the list, it is very difficult for us to see community's hygiene attendants' name. Serve colony as to the intersection of community and hygiene but speech, effect that work and make hard in a large amount they do and offer encouragement of them match. " Du XuePing thinks, according to academic structure of community's hygiene attendants, prevention and health care talents are relatively deficient. "Want, attract the intersection of business and backbone get the intersection of community and the intersection of hygiene and service organization take root, except that emotion stay people, want the undertaking to keep people even more, keep people in treatment. " She says, " the present government invests the demand that can't meet community's hygiene and serve yet. Government's compensation policy and financial fund should all be implemented in the community hygiene service organization as soon as possible, devotion and harvest of community's hygiene attendants are not proportional at present. In such cases, not only outstanding talents will not flow into the community, the loss phenomenon of existing talents also will be more serious. " As to this, Chen BoWen points out, from present's view, it is the main outlet of solving the public beneficial community's hygiene service that the government finance is subsidized, personnel and its working property, working responsibility and working treatment identical in intensity that the government should pay, engaged in, serve by community's hygiene. While meeting and happening suddenly the public health event, the corresponding project subsidy should be put in place in time even more. Meanwhile, except the compensation on the treatment, it is likewise indispensable that spirit is encouraged.


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