From the fact that the incidence of preventable infectious diseases with multiple vaccines has dropped to the lowest level in history, to the fact that the national health emergency team has achieved full coverage in all provinces, from effectively curbing the epidemic of major infectious diseases such as AIDS to establishing an intelligent multi-point trigger monitoring and early warning system … China has accelerated the improvement of multi-sectoral cooperation mechanisms, implemented comprehensive prevention and control measures for infectious diseases, and made new progress in the development of disease control.
Recently, the General Office of the State Council issued the Guiding Opinions on Promoting the High-quality Development of Disease Prevention and Control, which described a new blueprint for the development of disease control in China. How to further enhance the core competence of disease control? How to realize a game of chess in the national disease control system? Xinhua News Agency interviewed Shen Hongbing, deputy director of the National CDC, director of China CDC and academician of China Academy of Engineering.
adhere to problem oriented
Improve the core competence of disease control.
Q: The guideline proposes to "strengthen China CDC". What core competencies does a powerful Chinese CDC need and how to improve them?
A: The guidance puts forward new requirements for the capacity building of the national disease control system. As a state-level disease prevention and control institution, China CDC will orientate the function of benchmarking, adhere to the problem orientation, goal orientation and result orientation in view of the shortcomings and weaknesses exposed in the practice of epidemic prevention and control, and strive to improve the capabilities of public health monitoring, emergency response of infectious diseases and public health emergencies, national biosafety governance and laboratory inspection and testing, information construction and digital transformation of disease control, scientific and technological innovation and achievement transformation, public health personnel training, strategic decision-making consulting services of think tanks, and global public health governance.
Among them, China CDC will focus on further optimizing the "vertical to the end, horizontal to the edge" direct reporting network of infectious diseases and public health emergencies, and establish an intelligent early warning multi-point trigger mechanism; Promote data exchange between information systems such as medical institutions and infectious disease monitoring systems; Strengthen data linkage monitoring and real-time sharing, and open up multi-sectoral data and information barriers; Improve the early warning system and information release system, and strengthen collaborative monitoring, rapid identification, and consultation and notification.
Cultivate scientific and technological strength of disease control strategy
Building Chinese Academy of Preventive Medicine
Q: The guidance suggests that China CDC should put up the brand of Academy of Preventive Medicine. What considerations does China CDC have in promoting the construction of Chinese Academy of Preventive Medicine?
A: At present, the "Sanding" plan of China CDC (Chinese Academy of Preventive Medicine) is being further optimized and adjusted. China CDC should take the listing of Chinese Academy of Preventive Medicine as an opportunity to support the construction of world-class CDC by comprehensively improving its scientific research capabilities.
The overall goal of the construction of Chinese Academy of Preventive Medicine is to become a complete system, scientific discipline setting, prominent key specialties, comprehensive technical support, strong decision-making support, and high-quality personnel training, closely combine with the field needs, focus on major public health technical problems that threaten people’s lives and health, fully reflect the development direction of preventive medicine and other disciplines, and strive to promote the high-quality development of disease control.
In order to achieve the above objectives, we will focus on strengthening the following three aspects. Including strengthening the cultivation of national strategic scientific and technological forces in the field of disease control, strengthening frontier exploration and the forward-looking layout of major national strategies, undertaking major scientific and technological research tasks of national disease prevention and control, and producing more original and significant achievements; Strengthen the training of talents, further stimulate and utilize the high-quality educational resources of China CDC, and vigorously promote cooperation with high-level public health colleges in universities; Innovative talent incentives and other operational mechanisms.
Focus on a game of national disease control.
Leading CDC at all levels to develop together.
Q: The guidance puts forward "strengthening the business leadership and work coordination between higher-level disease control institutions and lower-level disease control institutions". How can China CDC strengthen its business leadership function for provincial and municipal CDC?
A: This adjustment reflects that the state places more emphasis on the coordination and linkage between the higher and lower disease control institutions. As the "national team" of the national disease control system, China CDC should focus on a game of national disease control and lead the common development of disease control institutions at all levels in the country.
Next, strengthen the business leadership of provincial CDC and regional public health centers, establish business assessment and evaluation mechanism and organize the implementation of supervision and inspection; Strengthen the laboratory qualification identification, ability recognition and quality control of disease control institutions at all levels; According to the needs of work, further strengthen business cooperation and information exchange with provincial, regional and military disease control institutions; At the same time, improve the mechanism of sending staff to local disease control institutions for exercise, attachment and cross-posting of local disease control institutions to China CDC, explore the establishment of resident workstations based on local disease control institutions, and effectively improve the business leadership of the center to local disease control institutions in various fields.
Serving the country strategy
China’s wisdom for global public health governance.
Q: The guidance mentioned the global public health cooperation function among the functions to be strengthened by China CDC. How will China CDC play a greater role in global public health governance?
A: In recent ten years, as an important part of foreign aid medical work, China CDC has actively carried out global public health cooperation. In 2014, China-Serbia Friendship Biosafety Laboratory was built in Sierra Leone, which played an important role in controlling the Ebola epidemic in West Africa; In 2023, the first phase project of the African Center for Disease Control and Prevention in China was officially completed and put into use, and the center sent six technical experts to Africa to carry out guidance and training.
In the next step, China CDC will use the national "Belt and Road", BRICS cooperation and China-Africa cooperation mechanism and platform to fulfill its duties and tasks of serving the national strategy, and contribute wisdom in the process of reforming and improving the global public health governance system and building a community of human destiny.
First, increase the training of global public health emergency response personnel and the construction of think tanks, actively carry out foreign cooperation and assistance in the field of public health, and promote the transformation of foreign aid from "blood transfusion" to "hematopoietic".
The second is to mobilize the strength of the national disease control system, actively participate in the monitoring of global key infectious diseases and public health emergencies, strengthen the country’s global public health governance capacity, and build a biosafety barrier.
The third is to strengthen policy dialogue and joint emergency response, focusing on cooperation in the fields of national health, major infectious diseases and antimicrobial resistance.
Fourth, continue to expand diversified international partnerships and actively carry out exchanges and cooperation with international organizations, bilateral government public health institutions and non-governmental organizations.
Xinhua News Agency, Beijing, January 5th
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