Changes In Disease Trends Should Be “guard”
2008 9 to 10 January, Mission Hill Forum infectious diseases should first Annual Conference held in Beijing, the meeting invitation from Chinese and foreign experts, 13 reported infectious disease in the forefront of the information should . Some reporters listen to report on issues related to infectious diseases should interview the General Assembly, the Executive Chairman of the Chinese Centre for Disease Control and Prevention deputy director of prevention and control of infectious diseases Professor Zhang Jianzhong.
Memories are still fresh in front of SARS, the face of popular H5N1, think of becoming close to the sports event, people want??
“In this forum, we should learn is the normal response to infectious form, update knowledge of communicable disease control for a number of contingencies in the event of a serious infectious disease events, we have the ability to deal with.”?? Zhang Jianzhong
Science in technological development, the economy, food supply, transportation and even people’s lifestyles have had a great impact. Disease transmission speed of transmission change, the emergence of new pathogens and bacterial resistance to antibiotics and other issues, gave control of infectious diseases has brought more pressure.
Challenges: changes in disease trends Professor Zhang Jianzhong said that the number of floating population in cities increased, the frequency of high flow speed, the diagnosis of infectious diseases have put forward higher requirements. Previously required to make a diagnosis within 72 hours, but in today’s highly developed transportation, such efficiency is not enough, people need to be more rapid and accurate diagnosis.
Some infectious diseases prevalent than previously, but in recent years was no longer a pandemic. Thus, some doctors may be the identification of many diseases with limited experience. Professor Zhang said, many doctors may not know pneumonic plague, scarlet fever rash, once encountered the corresponding infectious diseases, it is difficult to make a correct response is not conducive to control the epidemic. Of course, emerging infectious diseases, and some previously popular in the foreign and domestic have not seen a doctor can not diagnose infectious diseases and infectious diseases before (such as Campylobacter jejuni infection, etc.) of the doctors put a higher demand.
With the increasingly serious problem of bacteria resistant, infectious disease prevention and control more of a challenge. Professor Zhang pointed out that even now the original diagnosis of infectious diseases, not necessarily quickly brought under control, because of bacterial resistance to many infectious diseases to treatment.
Question: “software” needs to be strengthened
Professor Zhang said that China attaches great importance to the current infectious disease prevention and control personnel, willing to invest in hardware, but the match had to have “software.” “We should build a team able to respond to infectious diseases,” Professor Zhang said, “Only the hardware and software match”, in the infectious disease strikes, people can be able to fight. Software includes many elements, such as some sudden disease, infectious disease physicians to identify symptoms, make a correct diagnosis; to some common infectious diseases, local health and disease prevention and control departments around the (urban and rural, economically developed regions and backward areas) the prevalence of infectious diseases are fully aware of, and control of communicable diseases in different regions of input and output analysis and the analysis of disease burden based on the effective integration of health resources. With advanced technology and equipment, but also have the knowledge, skills and reserves, prevention and control to achieve optimal results.
“We now face another problem is how to evidence-based response to infectious diseases.” Professor Chang also said. For chronic, severe infectious diseases and acute infectious diseases of potent is certainly different coping styles. People should do a good job hazard analysis of these diseases, develop responses to a reasonable process. Professor Zhang said: “At present we have a preliminary diagnosis of bacterial diseases on-site manual, standardized sampling, analysis of pathogens, identification of different diseases. But it also requires public health professionals and clinicians in the diagnosis of the close match.” Professor Zhang added, “this work, there is no best, only better.”
“Compared with international standards, China’s problems may be more serious bacterial resistance,” Professor Zhang said, “This will require more detailed, more in-depth monitoring of drug resistance.” At present, China is the regional economic development imbalance, urban and rural medical and diagnostic levels of different parts of the background and the use of antibiotics resistance of bacteria are quite different economically backward regions of bacterial resistance among the relative lack of monitoring data. Professor Zhang believes that “We should be a reasonable choice drug resistance monitoring, standard sampling and analysis process, so that monitoring data of the different regions and different groups of bacterial resistance has a good representation of bacterial resistance to further improve our monitoring network so that we bacterial resistance in China’s disease burden and a comprehensive understanding of trends and make appropriate response strategy for China’s national conditions. ”
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