Improve the system and mechanism of major epidemic prevention and control and improve the national public health emergency management system.

　　The COVID-19 epidemic is a major public health emergency with the fastest spread, the widest infection range and the most difficult prevention and control in China since the founding of New China. The CPC Central Committee with the Supreme Leader as the core has always put people’s life safety and physical health first, and comprehensively strengthened centralized and unified leadership over epidemic prevention and control. The General Secretary of the Supreme Leader personally commanded and deployed, scientifically judged the epidemic situation, and took practical and effective measures, forming a strategic pattern of comprehensive mobilization, comprehensive deployment and comprehensive prevention and control of the epidemic. At present, the situation of epidemic prevention and control is expanding, which once again shows the remarkable advantages of the Communist Party of China (CPC)’s leadership and Socialism with Chinese characteristics’s system. On February 14th, at the 12th meeting of the Central Committee for Comprehensively Deepening Reform, General Secretary of the Supreme Leader made important arrangements for improving the system and mechanism of major epidemic prevention and control and the national public health emergency management system, demanding to sum up experience and learn lessons, innovate and improve major epidemic prevention and control measures from the system and mechanism, improve the national public health emergency management system, and improve the ability to respond to major public health emergencies. On February 23rd, General Secretary of the Supreme Leader delivered an important speech at the deployment meeting to promote the prevention and control of epidemic situation and economic and social development in COVID-19 as a whole, and once again made arrangements for improving the system and mechanism of major epidemic prevention and control and the public health emergency management system. These important expositions of the General Secretary not only pointed out the direction for winning the people’s war, the general war and the blocking war of epidemic prevention and control, but also provided scientific guidance for doing a good job in health and health work in the new era.

　　The practical significance and far-reaching influence of perfecting the system and mechanism of major epidemic prevention and control and the national public health emergency management system.

　　This is an urgent need to ensure people’s life safety and health.General Secretary of the Supreme Leader pointed out that it is an important task for our party to govern the country to ensure the safety and health of the people. With the development of human society, the risk of major epidemics such as infectious diseases has never really gone away. In the past 30 years, there have been more than 40 kinds of emerging infectious diseases in the world, and they are developing with the trend of one new infectious disease every year. They have become the key and difficult areas of global public health because of their wide spread, rapid spread and great social harm. At present, China’s economic and social development has entered a new era, and the epidemic and spread characteristics of infectious diseases have also undergone new changes. The old and new problems are intertwined with difficult problems, and the prevention and control situation is complicated and the prevention and control is more difficult. The system and mechanism of major epidemic prevention and control and the national public health emergency management system are the "protective net" and "separation wall" to ensure public health safety and safeguard people’s health. They must be tightly woven and firmly built.

　　This is an important measure to prevent and resolve major risks and challenges and safeguard national security.At present, China’s overall situation is improving, and it is closer, more confident and capable of achieving the goal of the great rejuvenation of the Chinese nation than at any time in history. "It’s more urgent for a ship to wander in the middle, and it’s steeper for a person to reach the middle of the mountain." The more it is at this time, the more anxious it is to be prepared for danger in times of peace. Sudden acute infectious diseases spread rapidly and do great harm. If they are mishandled and mishandled, they will not only seriously affect people’s daily lives, but also cause people’s panic and social instability, and dispel the achievements of economic and social construction for many years. In accordance with the important instructions of the Supreme Leader General Secretary, we must improve the system and mechanism, adhere to the bottom line thinking, always guard against major risks in the field of health, pay close attention to major risks in the overall situation, strengthen the construction of public health teams and grass-roots prevention and control capabilities, promote the combination of medical care and prevention, and truly solve the problem at the bud and before the disaster.

　　This is an inevitable requirement for improving the national governance system and enhancing the national governance capacity.General Secretary of the Supreme Leader pointed out that the fight against the COVID-19 epidemic is a big test of the country’s governance system and governance capacity. The epidemic situation of major infectious diseases directly affects the overall stability of economic and social development, seriously affects the opening up and national security, and its impact and harmfulness are enormous. Perfecting the public health service system and doing a good job in the prevention and control of infectious diseases and the response to public health emergencies are not only medical and health problems, but also the proper meaning of providing institutional guarantee for improving people’s health.

　　Grasp the overall requirements of improving the system and mechanism of major epidemic prevention and control and improving the national public health emergency management system.

　　After winning the fight against SARS in 2003, the party and the state attached great importance to the construction of public health service system, laws and regulations on public health and prevention of infectious diseases were constantly improved, the disease prevention and control system was basically completed, and the health emergency management system and plan system were gradually established, which together with the three-level medical service system formed the two pillars of China’s medical and health system. Since the 18th National Congress of the Communist Party of China, the CPC Central Committee with the Supreme Leader as the core has made strengthening public health and epidemic prevention and control of major infectious diseases an important part of protecting people’s life safety and physical health, and promoting the modernization of the national governance system and governance capacity. It has further promoted the construction of a healthy China and the patriotic health campaign, and the construction of the public health service system has developed steadily. Under the strong leadership of the CPC Central Committee and the State Council, we successfully prevented and responded to the sudden epidemic situations such as influenza A (H1N1), H7N9 and Ebola hemorrhagic fever in West Africa, and organized and carried out a series of emergency medical rescue effectively, orderly and effectively, which was widely praised by the international community.

　　However, we must be soberly aware that in the process of responding to the sudden epidemic in COVID-19, we have exposed obvious shortcomings and deficiencies in China’s major epidemic prevention and control system and public health emergency management system, which are incompatible with the requirements of effectively responding to the complex and ever-changing public health security situation, the objectives and tasks of building a well-off society in an all-round way and promoting high-quality economic and social development, and the requirements of ensuring people’s life safety and physical health to the maximum extent. For example, the legal system of public health needs to be improved, the relevant legislation and supporting systems for the prevention and control of major epidemics are not complete, the emergency response mechanism for major public health emergencies needs to be improved, and the operability and pertinence of relevant emergency plans need to be enhanced. In some places, the tendency of attaching importance to emergency and neglecting prevention has not been reversed, the investment of infectious disease medical institutions at all levels is relatively insufficient, and the strategic reserves of medical materials are insufficient. Disease control institutions at all levels generally have problems such as weak ability, ineffective mechanism and insufficient motivation. In some areas, the infrastructure construction of grass-roots prevention and control institutions lags behind, and the brain drain of public health talents is more serious. The working mode and mechanism of close integration, continuous service and effective connection between medical institutions and disease prevention and control institutions have yet to be established. The transformation ability of scientific and technological innovations in public health and disease prevention and control is insufficient, the independent research and development ability of some major disease treatment drugs is still quite weak, the channels for data sharing and transformation and application are not smooth enough, and the synergy between scientific research, disease control and clinical treatment is not enough. The publicity and education to deal with emergencies are not deep enough, and the people lack the knowledge and means to effectively prevent them.It is easy to panic. In the new media era, the public opinion response mechanism and ability of government departments in sudden major events are facing a major test.

On February 24, 2020, the work scene of the first department of critical care medicine in Huoshenshan Hospital. People’s picture Wang Yuyu/photo

　　General Secretary Supreme Leader’s important speech at the 12th meeting of the Central Committee for Comprehensively Deepening Reform made clear the general principles, key ideas and important measures for improving the system and mechanism of major epidemic prevention and control and the national public health emergency management system. Guided by the overall national security concept, we should take public health safety as an important part of national security from the height of national strategy, take the prevention and control of major epidemics as an important task for the country to prevent and resolve major risks, take the public health emergency management capability as an important part of the national governance system and governance capacity, always be cautious and keen to see Ye Zhiqiu, adhere to the bottom line thinking, closely follow, be highly vigilant, always guard against major risks in the health field, pay close attention to overall major risks, and put forward opinions and suggestions as soon as possible.

　　Strengthen and improve the mechanism of major epidemic prevention and control, and improve the national public health emergency management system.

　　At present, the party group of the National Health and Wellness Commission resolutely implements the decision-making arrangements of the CPC Central Committee on promoting epidemic prevention and control and economic and social development as a whole, and in accordance with the general requirements of "strengthening confidence, helping each other in the same boat, scientific prevention and control, and precise policy", puts all the efforts of the whole system into epidemic prevention and control, races against time, competes with the disease, and resolutely wins the epidemic prevention and control war. At the same time, seriously study and implement the important instructions of the Supreme Leader General Secretary, focus on the major issues of improving the system and mechanism of major epidemic prevention and control and improving the national public health emergency management system, deeply reflect, strengthen research, sum up the practical experience of epidemic prevention and control, systematically sort out the weaknesses in all aspects of epidemic prevention and control, and pay close attention to filling the shortcomings of the system.

　　Clear the basic connotation.The national public health emergency management system is an important part of the national emergency management system, which bears the important responsibility of preventing, controlling, dissolving and eliminating the harm of public health events. Perfecting the national public health emergency management system is a reform task with strong integrity, systematicness and coordination. It is necessary to reform and improve the disease prevention and control system and medical treatment and rescue system, as well as to make overall plans for all aspects of public health emergency prevention and emergency preparation, monitoring and early warning, emergency treatment and rescue, post-event recovery and material support. It is necessary to strengthen system construction, and make efforts to straighten out the relationship and strengthen management from the institutional mechanism level. Among them, major epidemics such as major infectious diseases and group diseases with unknown causes are the most important public health emergencies, and improving the system and mechanism of prevention and control of major epidemics is an important support for improving the public health emergency management system.

　　Strengthen the two constructions.Governing the country according to law is the basic national policy of our country, and administration according to law is the basic function of the government. Perfecting the system and mechanism of major epidemic prevention and control and improving the national public health emergency management system must be promoted in accordance with the law, norms and order.

　　Strengthen the construction of public health laws, regulations and plans. The Basic Medical Care and Health Promotion Law, the first basic and comprehensive law in China’s health field, will be implemented on June 1 this year. We should take this opportunity to promote the revision of laws and regulations such as the Law on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, actively cooperate with biosafety legislation, and promptly formulate and revise the regulations of relevant departments of public health management, so as to build a public health legal system with complete system, mutual connection and efficient operation. Improve the emergency response plan system for sudden acute infectious diseases, improve the pertinence and operability of the plan, and improve the special sub-plans for key points such as emergency material reserve and guarantee, lifeline protection for production and life, and scientific research. Strengthen the application of laws, make full use of existing legal weapons, and improve the level of legalization of public health and major epidemic prevention and control. Strengthen law enforcement and severely crack down on all kinds of illegal and criminal acts according to law. Improve the supervision mechanism of law enforcement. Popularize laws and regulations on the prevention and control of infectious diseases, improve the awareness of knowing, understanding and abiding by the law, and the awareness of usage and public health risk prevention and control, and guide citizens to actively fulfill their obligations on epidemic prevention and control.

　　After the outbreak of COVID-19, the public security, transportation, medical and health departments in Lujiang County, Hefei City, Anhui Province joined forces to strictly control the entrance of vehicle personnel. The picture shows that on the night of February 15, 2020, the police braved the cold to stick to the post of epidemic prevention and control in the snowy night, and were willing to be the safety "night watchman" of the people. China News Service Zuo Xuechang/photo

　　Strengthen the construction of emergency command mechanism for major epidemic situations. Establish a centralized, unified and efficient leadership and command system, improve and optimize the joint prevention and control mechanism combining peacetime and wartime, and the epidemic response mechanism linking up and down, so as to better combine the governance advantages of local party committees and governments with the technical advantages of national professional departments. To achieve clear instructions, orderly system, smooth and effective implementation, and accurately solve the first-line problems of the epidemic. Strengthen the coordination mechanism of joint prevention and control between departments and regions. Strengthen the training and drills for managers, professionals and the public to deal with major epidemics, improve the working mechanism of combining prevention with control, joint prevention and control, and group prevention and treatment, and enhance the emergency response capability of major epidemics.

　　Highlight two key tasks.Disease prevention and control system and major epidemic treatment system are inseparable, which runs through infectious disease monitoring, early warning, epidemiological investigation, epidemic report, pathogen detection, prevention and control, medical treatment and other aspects, and is connected with "prevention — Control — The whole chain and every link of treatment is an important barrier to protect people’s health and life safety, and it is the "main battlefield" for the prevention and control of major epidemics.

　　Since the outbreak of COVID-19, the technicians of Yangzhou Hanjiang Biomedical Innovation Experimental Center, located in the Biotechnology Park of Yangzhou High-tech Zone, Jiangsu Province, have quickly returned to work and stepped up the production of COVID-19’s test kits to help fight the COVID-19 epidemic. The picture shows that on February 17th, 2020, the staff of Yangzhou Hanjiang Biomedical Innovation Experimental Center showed the COVID-19 virus detection reagent. People’s picture Meng Delong/photo

　　Reform and improve the disease prevention and control system. The first is to strengthen monitoring and early warning. Focusing on the goal of "early detection, early reporting and early disposal", we will strengthen the information collection, analysis and utilization capabilities of disease control institutions at all levels, improve multi-channel epidemic monitoring and rapid response systems such as online direct reporting, public opinion monitoring, medical and health personnel reports, and scientific research findings reports, realize the sharing of information and data on monitoring and early warning of major epidemic risks, improve the collaborative mechanism of research, evaluation, decision-making and prevention and control of major public health risks, and improve the discovery, reporting and early warning of major public health risks. The second is to improve the functional orientation. Strengthen the laboratory capacity building of disease control institutions and give full play to the important role of national and provincial laboratory testing. Strengthen the functions of technical guidance, personnel training, quality control, supervision and evaluation, performance appraisal and other related work of city and county-level disease prevention and control institutions. Starting from optimizing resource allocation and realizing intensive operation, support the municipal level to integrate laboratory resources in the jurisdiction and build a regional public health center laboratory; Allow provinces and qualified cities to appropriately liberalize the provision of public health technical services to the society, and innovate the coordination mechanism of medical prevention at the county level. The third is to strengthen the construction of talent team. We will improve policies on public health training, access, use, treatment guarantee, assessment and incentive mechanism, establish a new operating mechanism combining protection and incentive, implement the "two permits", and appropriately improve the treatment of disease control personnel.

　　Strengthen the treatment system for major epidemics. First, strengthen the construction of public health care system. Improve the regional distribution of public health medical service resources, establish national and regional medical centers for the treatment of infectious diseases, and improve the integrated medical service system from the state to provinces, cities and counties. Increase investment in infectious disease hospitals, improve diagnosis and treatment conditions, strengthen comprehensive capacity building, and improve the diagnosis and treatment ability of difficult and serious infectious diseases. Strengthen the construction of talents and disciplines, improve the construction of infectious diseases department in general hospitals, improve the ability of diagnosis and treatment, and improve the treatment of medical personnel related to infectious diseases. Strengthen the construction of pre-hospital emergency system, improve the network layout, and improve the equipment of emergency vehicles (including negative pressure ambulances). Improve the effective coordination mechanism of scientific research, disease control and clinical treatment. The second is to continue to strengthen the system construction of graded diagnosis and treatment. Accelerate the grid layout construction of urban medical groups and county medical communities, promote the implementation of the policy of "total payment, balance retention and reasonable overspending sharing" within the medical community, guide the formation of a smooth referral mechanism within the medical community, promote the efficient coordination and seamless connection between public health services and medical services, and establish and improve the treatment mechanism for major epidemics such as graded, stratified and diverted infectious diseases. The third is to improve the operating mechanism of primary medical and health institutions. Improve the basic medical and health service system, especially the construction of public health service system. Strengthen infrastructure construction and material allocation, strengthen the construction of grassroots medical and health teams, and meet the requirements of major epidemic prevention and control. Promote grassroots medical and health institutions to gradually establish "The new operating mechanism of combining public welfare first-class guarantee with public welfare second-class incentive will play a greater role in providing basic medical services.

　　Improve the two major supports.Critical illness insurance and rescue system and emergency material guarantee system are the important supports of major epidemic prevention and control and national public health emergency management system.

　　Improve the medical insurance and assistance system for major diseases. In the event of an emergency such as the start of the emergency response mechanism for major epidemics, the medical insurance agency will pre-allocate some medical insurance funds in advance to ensure that medical institutions will treat first and then charge; Improve the real-time settlement system of medical insurance in different places to ensure that patients are not affected by the cost problem. Explore the establishment of a medical fee exemption system for special groups and specific diseases, and specifically exempt the restrictive clauses such as medical insurance payment catalogue, payment limit and dosage. Explore the establishment of financial security for medical expenses of epidemic patients. Improve the medical insurance payment policy for medical treatment of major epidemics and increase the proportion of payment to primary medical institutions. Improve the social donation system, improve the audit process of donated materials distribution, and do a good job in material distribution and information disclosure.

　　Improve the emergency material support system for major epidemic situations. Promote the improvement of the national special reserve system for health emergency materials, improve the national reserve system, scientifically adjust the category, scale and structure of material reserves, and enhance the reserve capacity. Establish a unified national emergency material production and supply system, and optimize the production capacity guarantee and regional layout of important emergency materials. For the short-term material supply shortage that may occur, establish a centralized production scheduling mechanism, uniformly organize the supply of raw materials, arrange fixed-point production, and standardize quality standards. On the basis of physical reserves, increase technical reserves and production capacity reserves. Improve the national emergency materials purchasing and storage system to maximize the enthusiasm of production enterprises. Improve the working mechanism of cross-departmental and cross-regional joint defense and joint control of material supply, and establish an information dynamic monitoring system from the whole chain of raw material supply, production, circulation, storage and use.

　　Engels said, "A smart nation will learn much more from the mistakes of disasters than usual." The Chinese nation has experienced many hardships in its history, but it has never been crushed. Instead, it has become more and more frustrated, constantly growing up and rising from the hardships. The Party Group of the National Health and Wellness Commission will resolutely implement the spirit of the series of important instructions of the Supreme Leader General Secretary on the prevention and control of the COVID-19 epidemic, resolutely implement the decision-making arrangements of the CPC Central Committee, strengthen the belief of winning, grit your teeth, continue to work hard and grasp the prevention and control work, and never say success lightly until you win the victory; At the same time, we should pay close attention to summing up experience and learning lessons, fill shortcomings, plug loopholes, strengths and weaknesses, build a sound, efficient and powerful mechanism and public health system to deal with public health emergencies, provide reliable health barriers for the people, and lay a more solid health foundation for realizing the goal of "two hundred years" and the Chinese dream of realizing the great rejuvenation of the Chinese nation.