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Transcript
PEOPLE’S COMMITTEE OF THAI BINH PROVINCE –––––––––––– No.: 05/KH-UBND SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ––––––––––––––– Thai Binh, 21 January 2013 PLAN On preventing and fighting epidemic diseases in Thai Binh province in 2013 –––––––––––––––––––––––––––––– The situation of dangerous infectious diseases causing epidemic diseases in the recent years is still happening complexly in some regions such as West Pacific Ocean, Europe, East Africa, North Africa and Asia with the outstanding epidemics diseases being Hand, Foot and Mouth disease, Dengue petechial fever, petechial fever due to Ebola virus, West Nile virus fever, Marburg petechial fever, rabies, diphtheria, cholera. In Vietnam in the first 9 months in 2012, with the care, direction of the government of levels, the situation of infectious epidemic diseases in the whole country was controlled, many epidemic diseases reduced on the number of catching people and death, there was no big epidemic in the community; however, the number of catching people/death of some infectious diseases was still at high level: Flu A/H5N1 (4/2), Hand, Foot and Mouth disease (93,124/41), Dengue petechial fever (51,256/42), Meningitis meningococcuso (124/5). In Thai Binh in 2012, infectious disease appeared in a scattered way in some localities with the number of catching people/death: Hand, Foot and Mouth disease (1,316/0), mainly at light level and scattered at 79% communes of 8 districts, city; streptococcal disease of pigs in humans (8/5), most of the disease cases related to eating blood pudding and food processed from pork not ensuring the hygiene; Dengue petechial fever (16/0); chicken-pox (1,896/0); scarlet fever suspected of measles/rubella (158/0). Not discovering dangerous infectious diseases vaccinated by vaccine under the extended vaccination program. At present, the situation of infectious diseases causing epidemics in the province is supervised and controlled well. To be active in deploying the measure on preventing the epidemics in 2013, the People’s Committee of Thai Binh province deploys the plan on preventing epidemic diseases in 2013 of the province with the following contents: I. GENERAL OBJECTIVE Reducing the rate of catching people and death due to epidemics and infectious diseases causing the epidemics, controlling timely the epidemic diseases, not let big epidemics happen, contribute to the protection of the health of the people and socio-economic development of the province. II. SPECIFIC OBJECTIVE 1. Discovering early, solving timely, reducing the number of catching and death of epidemic diseases: Flu A/H5N1, Flu A/H1N1, Hand, Foot and Mouth disease, cholera, petechial fever, measles, rubella, Japanese encephalitis, marsh fever, rabies, diseases under the extended vaccination program, some diseases being infected from animal to humans, some diseases having danger of breaking out and returning such as Meningitis meningococcuso, typhoid, rota virus, chicken-pox, mumps, streptococcal disease of pigs in humans and newly appearing epidemic diseases, timely controlling, not let the epidemic diseases break out. 2. Mobilizing the active participation of leader of Communist Party of Vietnam, government at levels and sectors, social organizations for the work of preventing the epidemics. Communicating, propagandizing to step by step increase the awareness, convert the behavior of the people in preventing, discovering the epidemic diseases and coordinating for settlement as having the epidemics. 3. Building the epidemic supervision system having sufficient capacity on: Supervising regularly, applying information technology for receiving, analyzing, explaining the data on infectious diseases. Warning the epidemics and danger of causing the epidemic. Forming the practical, efficient action program for epidemic prevention. 4. Being active, ready to receive, give first aid, treat the patients at medical examination and treatment foundations; having specific option as the epidemic happens on a large scale. 5. Improving the capacity in the stage of receiving, preserving, transporting medical waste of the test system; consolidating, expanding the tests for diagnosing the agent causing disease of the test room at the Preventive Medicine Center. III. MAIN TARGETS 1. 100% of normative documents, professional instruction documents and report forms are deployed. 2. 100% of diseases, epidemics which have just arisen are discovered early, settled to blockade and stopped the epidemics timely. 3. 90% of cadres doing the work of epidemic prevention are trained on supervision as well as the work of information, report of infectious diseases. 4. 100% of border health quarantine subjects are supervised, checked and treated in strict accordance with the regulation; not let the epidemic penetrate. 5. Reducing 5-10% of the number of catching people, death due to popular infectious diseases compared to the average number in the period 2007 - 2011. Specific targets: 5.1. Flu A/H5N1, flu A/H1N1: - Strengthening the capacity of supervision system, ensuring the early discovery of 100% disease cases, disease case cluster suspected the first flu A; organizing the isolation, treatment, blockade, stopping the epidemic timely, limiting at the lowest level the death due to epidemic. - Monitoring, managing 100% cases of contacting near the patient, person returning from the epidemic region, person having the related epidemic factor. - Discriminating with normal flu, guiding the disease prevention, caring and treating suitably. - Coordinating with veterinary agency: supervising, treating 100% of bird flue. - For other flu A such as H1N1, H3N2, it is necessary to monitor, solve and treat in accordance with the regulation of the Ministry of Health. 5.2. Hand, Foot and Mouth disease: - Reducing 10% of cases of catching compared to the period 2007 - 2011. - Controlling so that big epidemic will not happen. 5.3. Cholera: - 100% of cases of acute diarrhea suspected of cholera are supervised, tested early, zoned to treat absolutely the epidemics areas. - Controlling so that big epidemic will not happen. 5.4. Petechial fever - Not let big epidemic happen. 2 - Catching rate: < 3/100,000 residents - Not let the death happen due to petechial fever. 5.5. Rubella disease: - Reducing 10% of cases of catching compared to the period 2007 - 2011. - Controlling so that big epidemic will not happen. 5.6. Japanese encephalitis, purulent meningitis: - Over 95% of cases of Japanese encephalitis, being suspected of Japanese encephalitis and purulent meningitis are investigated, taken sample of medical waste for testing in strict accordance with the regulation. - Not let epidemic happen. - Controlling the death due to Japanese encephalitis and being suspected of Japanese encephalitis < 3 cases/year. 5.7. Marsh fever: - Not let epidemic happen, there is no death due to marsh fever - Controlling the catching rate < 9/100,000 residents. 5.8. Streptococcal disease of pigs: - Supervising, discovering 100% of suspected cases, organizing the isolation, treatment, blockade, stopping of epidemic timely, limiting the lowest level the rate of death. - Coordinating with veterinary agency to supervise, treat absolutely 100% of epidemic areas on cattle. 5.9. Rabies: There is no rabies happening in the province. 5.10. Infectious diseases under the extended vaccination program: - There is no rabies, the supervision rate of acute soft paralytic > 1/100,000 children under 15 years old. - Rate of catching measles < 1/1,000,000 residents, over 80% of district units attain the target of supervising the cases of suspecting measles > 2/100,000 residents. - There is not diphtheria; the rate of catching the whooping-cough < 0.5/100,000 residents, maintaining, eliminating the newborn tetanus according to the district unit. 100% of disease cases are supervised and investigated under the form. - There is no death due to the diseases in the extended vaccination program. 5.11. Other infectious diseases causing the epidemic: Supervising, discovering early, treating timely, not let big epidemic happen. IV. IMPLEMENTATION SOLUTIONS FOR PREVENTING INFECTIOUS DISEASE CAUSING EPIDEMIC. 1. Organization, direction. - Strengthening the Steering Committee for epidemic prevention at provincial, district and communal levels, regularly updating the information and having measures on preventing epidemic timely. Organizing the checking, supervising and speeding up, directing the lower level; maintaining the regime of handing over to the next shirt in conformity with epidemic situation at each period and implementing fully the policy regimes for cadres participating in epidemic prevention. - Socializing the work of epidemic prevention, considering it as regular duty of executive committees of the party hierarchy, governments of levels. Strengthening the work of checking, interdisciplinary checking, especially in the period of happening the epidemic. 3 - The sectors being members of the Steering Committee for epidemic prevention have specific operation content and strengthening the interdisciplinary coordination in epidemic prevention. Key sectors include: Agriculture and Rural Development, Education and Training, Public Security, Culture, Sports and Tourism, Radio and Television Station, Thai Binh Newspaper, Finance, Planning and Investment, Natural Resources and Environment, Industry and Trade. - Mobilizing the social organizations to participate in the work of epidemic disease prevention: Women Union, Ho Chi Minh Communist Youth Union, Farmer Association, Red Cross Association in epidemic disease prevention. - Establishing and maintaining the operation of Professional Consultancy Council of province on work of infectious epidemic disease prevention. 2. Consolidation of the operation network. - Supplementing, consolidating, and establishing the operation mechanism for preventive medical cadre network from province to commune levels to ensure sufficient manpower participating in the work of epidemic prevention. - Strengthening the network association of the Preventive Medicine - Veterinary sectors to deploy the activities of epidemic prevention. - Communal line strengthens the forces of collaborators, volunteers to participate, deploy the measures on supervising, preventing the epidemic at the community. 3. Technical professional activities. - Focusing on deploying actively the solution to reducing the number of catching and death under the direction of the Ministry of Health (having enclosed appendix). - Organizing the training, rehearsal for medical cadres and other cadres participating in the epidemic prevention. 4. Communication, education of health. - Mobilizing and actively coordinating with communication agencies such as Press, television, radio, written newspaper in propagandizing the epidemic prevention. In which Center for Health Education Communication has key role for actively deploying the activities. - Strengthening the work of communicating on danger, educating the health, popularizing the knowledge on disease prevention measures, educating hygiene at the place having high danger, concentrating many people such as school, industrial zone. - Popularizing the messages on communicating the health education for each disease, each subject, and each point of time so that the people will know how to prevent the disease. 5. Scientific cooperation and research activity. - Further implementing, searching the expansion and deploying efficiently the sponsored projects such as VAHIP, ADB, CDC to mobile the resources and technique for infectious disease prevention. - Being active in deploying and coordinating in research cooperation on agent causing disease, on disease transmission vector to propose the prevention measures. V. IMPLEMENTATION ORGANIZATION 1. Department of Health: - It is the standing agency of the Steering Committee, being responsible for monitoring the epidemic situation, evaluating the happenings, forecasting the development of epidemic diseases; advising the deployment plan of epidemic prevention activities in the area; directly 4 organizing the checking, supervision the activities of epidemic prevention of the localities and units. - Ensuring medicine base, chemical, medical equipment, tool, labor protection devices and material facilities to receive, treat the patients at the lines; training on epidemiology, diagnosing, treating and settling the epidemic area; guiding the professional skill and technique to medical cadres at lines under each type of epidemic. - Being responsible for communication content, directing the communication network of the units in the sector, actively propagandizing the disease prevention measures and telling the news on epidemic prevention activities. - Regularly contacting the Ministry of Health, department, office, institute, sectors of the province to be supported the resources for epidemic prevention. 2. Department of Agriculture and Rural Development: - Managing, monitoring, discovering early the epidemic disease situation of animal having ability to transmit to humans, directing the timely treatment measures; informing regularly the epidemic situation and forecasting the epidemic development ability, advising the Provincial People’s Committee with implementation measures. - Coordinating, sharing the information with Heath sector in propagandizing, supervising, discovering and treating the epidemic diseases at animal transmitting to humans. 3. Department of Education and Training: Presiding over the epidemic prevention activity in the school system and coordinating closely with health sector to organize professional activities and propagandize the epidemic prevention. 4. Department of Information and Communications, Thai Binh Newspaper, Provincial Radio and Television Station: Coordinating with heath sector to be active in telling the news, propagandizing, educating on prevention of epidemics on mass media for all people’s information and implementation. 5. Department of Finance, Department of Planning and Investment: Coordinating with health sector to advise the Provincial People’s Committee in deciding the expenditure sources, materials and equipment to meet the work of propaganda, disease prevention hygiene and epidemic prevention in conformity with each development period of the epidemic. 6. Provincial Public Security, Provincial military headquarters, Provincial border guard headquarters: Coordinating closely with health sector in the work of medical quarantine, order and security preservation in the province as the epidemic happens. 7. Department of Industry and Trade, Management Unit of Provincial industrial zones: Deploying the measures on managing, directing, coordinating the epidemic prevention, especially in the industrial zones. 8. Provincial Women Union, Provincial Farmer Association, Ho Chi Minh Communist Youth Union of province, Provincial Red Cross Association and boards, sectors: Coordinating with health sector and having epidemic prevention activities for members, associates and having active participation of the associates. 5 10. People’s Committee, Districts, City Steering Committee of Epidemic Disease Prevention and Fighting: - People’s Committees of levels are responsible for directing the control, prevention of infectious diseases in the area. Consolidating the epidemic disease Steering Committee, assigning specifically the duties to members; establishing the delegations for checking the deployment, implementation of epidemic disease prevention work at the locality; ensuring the expenditure for epidemic disease prevention. - The epidemic disease Steering Committees of districts, city are responsible for building the epidemic prevention plan and deploying to communes, wards, towns; and checking, supervising and speeding up, reporting the epidemic disease situation, epidemic prevention activity at the locality in accordance with the current regulation. 11. Expenditure: - Department of Health actively coordinates with Department of Finance, Department of Planning & Investment and related units to build the financial plan for epidemic prevention in 2013, submit to the Provincial People’s Committee for approval. - The Districts, City Steering Committee of Epidemic Disease Prevention and Fighting build the expenditure plan of the locality and then submit to People’s Committees of districts and city for approval. The foregoing is the epidemic disease prevention plan of Thai Binh province in 2013, the Provincial People’s Committee requires: The Steering Committee cares, protects and improves the health of people in the province, districts and city, the departments, boards, sectors and units deploy the implementation, build the epidemic disease prevention plan in 2013 of their localities, units, and send the report in writing to standing Steering Committee for epidemic disease prevention of the province (Department of Health) before 30/01/2013./. Recipients: - Ministry of Health, Department of Preventive Medicine, National Institute of Hygiene and Epidemiology; - Chairman, Vice Chairmen of the Provincial People’s Committee; - Departments: Planning and Investment, Agriculture and Rural Development; Finance, Education & Training; - Boards, sectors, organizations; - The People’s Committees of districts, city; - Leader of Office of the Provincial People’s Committee; - Archives: Offices, TH, VX. 6 PP. CHAIRMAN VICE CHAIRMAN (Signed and sealed) Cao Thi Hai