The new TB control measures will be implemented this month

Tuberculosis is a chronic respiratory infection that seriously jeopardizes human health and public health. China is one of the 22 countries with a high burden of tuberculosis in the world. In order to strengthen the prevention and control of tuberculosis in China, the Ministry of Health promulgated and implemented the Measures in 1991. Over the past 20 years, all localities have implemented the "Measures" seriously, which has effectively promoted the development of tuberculosis prevention and control in China.

According to the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases and related laws and regulations, the Ministry of Health revised the "Measures for the Management of Tuberculosis Prevention and Control" (hereinafter referred to as the "Measures") implemented in 1991 and will formally implement it on March 24, 2013. . The revised method pointed out that due to the increasingly prominent epidemic of tuberculosis, there may be an epidemic trend of tuberculosis with drug-resistant bacteria in the future. Therefore, it will focus on responding to new challenges in infections such as multidrug-resistant tuberculosis; and clarify the responsibilities of health prevention agencies at all levels. Requires the discovery of suspicious symptoms and timely reporting of the epidemic.

In recent years, great changes have taken place in China's TB control situation, policy environment, and work requirements. The "Measures" can no longer meet the needs of prevention and control work, and are mainly manifested in several aspects:

First, the situation of tuberculosis in China is still severe. At the same time, multi-drug resistant tuberculosis is becoming more and more serious. In the next few years, the prevalence of tuberculosis-based tuberculosis may emerge. The tuberculosis control strategy put more emphasis on improving the quality of short-term supervision and chemotherapy and other basic tasks, focusing on new challenges such as multi-drug resistant tuberculosis and M. tuberculosis/HIV infection, which is also consistent with the global strategic adjustment.

Second, in order to meet the needs of prevention and control work under the new situation, China’s TB prevention and treatment service system has been continuously improved, and preliminary prevention and control of TB medical institutions, primary health care institutions, and disease prevention and control institutions have formed a new situation. The "Control Measures" emphasizes that the prevention and treatment model based on the disease control system is gradually changing.

Third, in recent years, China has amended the Law on the Prevention and Control of Infectious Diseases, and has issued a number of laws and regulations concerning laboratory biosafety management and infection control of medical and health institutions, and put forward many proposals for the prevention and treatment of infectious diseases including tuberculosis. New requirements. Therefore, it is necessary to revise the Measures.

From the end of 2010, the Ministry of Health initiated the revision work and revised the Measures in accordance with the principles of law, scientific application, clear rights and responsibility, and people-oriented principle.

The "Measures" specify the prevention and treatment of health institutions. The "measures" referred to in the "Tuberculosis" refer specifically to tuberculosis, and do not include extrapulmonary tuberculosis. In China, about 1 million cases of tuberculosis have been reported each year, and the number of morbidity and deaths has consistently ranked at the top of the national category A and B infectious diseases. The number of patients with tuberculosis and the number of infected persons is huge. Spreading through the respiratory tract can easily lead to the spread of the epidemic and cause serious harm to society and public health.

The revised "Measures" clearly stipulates that the designated medical institutions for tuberculosis will be responsible for the patient's diagnosis, treatment, and follow-up, and will examine the close contacts of infectious tuberculosis patients; and will provide health education to the patients and their families.

At the same time, it also requires organizations at all levels to carry out health education and publicity on public TB prevention and control knowledge; standardize the implementation of BCG vaccination for school-age children; do a good job of screening for key populations; medical and health institutions and TB laboratories and related staff should Observe the relevant regulations and take measures to prevent iatrogenic infection and transmission. If it is clear that the tuberculosis epidemic constitutes a public health emergency, it should take control measures. In addition, the "Measures" also mentioned the implementation of localized management of migrants with pulmonary tuberculosis, requiring the same treatment and services as local residents.