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Persevere in the Dynamic COVID-Zero Strategy in China to Gain a Precious Time Window for the Future

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China CDC weekly 2022年第18期4卷 393-394页

作者： Jue Liu Min Liu wannian liang School of Public Health Peking UniversityBeijingChina Vanke School of Public Health Tsinghua UniversityBeijingChina Institute for Healthy China Tsinghua UniversityBeijingChina

According to the report of the World Health Organization(WHO),as of April 20,2022,the cumulative number of confirmed cases of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)in the world had exceeded 500 million,with 6.20 million deaths and over 580,000 new confirmed cases on that day(1).As many countries have announced to relax quarantine policies,China is facing increasing pressure from overseas imports.All 31 provincial-level administrative divisions(PLADs)of China have reported a total of 191,112 local confirmed cases,with 2,761 new confirmed cases,17,166 new asymptomatic infections,and 7 new deaths(all in Shanghai Municipality)on April 19(2).Recently,several local outbreaks in clusters have appeared in China,presenting a grim and complex situation with multiple spots,wide coverage,and frequent occurrence(3).

关键词： fir Strategy Dynamic

The Dynamic COVID-Zero Strategy in China

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China CDC weekly 2022年第4期4卷 74-75页

Since its outbreak in late 2019,coronavirus disease 2019(COVID-19)has remained a global pandemic for nearly two years,which poses a huge test on the resilience of global public health system(1).After experiencing the large-scale epidemic in February 2020,China has entered a normalization stage of prevention and control since May 2020(2).In response to the spread of the highly transmissible Delta variant,China adopted a new strategy called“Dynamic COVID-zero”from August 2021.This strategy is a summary of China’s experience in dealing with the spread of the Delta variant,considering how to control the epidemic at a higher level,at a lower cost,and in a shorter time(3).The most important purpose is to minimize the impact of the epidemic on the economy,society,production,and people’s normal lives,and to balance the prevention and control of this disease with socioeconomic stability.For instance,multiple outbreaks that occurred in Beijing were controlled in 2 maximum incubation periods(within 28 days)by this strategy(Figure 1).

关键词： prevention Figure dealing

Trends of SARS-CoV-2 Infection in Rural Area in Sentinel Community-Based Surveillance——China,December 2022 to January 2023

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China CDC weekly 2023年第11期5卷 241-247页

作者： Wenzhan Jing Fan Ding Yanping Zhang Guoqing Shi Jue Liu Yu Wu Fangyuan Li Wenxin Yan Chenyuan Qin Min Liu Qun Li wannian liang Vanke School of Public Health Tsinghua UniversityBeijingChina Institute for Healthy China Tsinghua UniversityBeijingChina Chinese Center for Disease Control and Prevention BeijingChina School of Public Health Peking UniversityBeijingChina

Introduction:In late 2022,a rapid transmission of Omicron variants of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)occurred throughout China.The purpose of this study was to provide the latest data and evaluate trends of SARS-CoV-2 infection in rural China among the community population.Methods:Data on SARS-CoV-2 infection among approximately 90,000 participants in rural China were collected by the National Sentinel Community-Based Surveillance(NSCS)system.Participants were tested for SARS-CoV-2 infection(defined as positive for SARS-CoV-2 nucleic acid or antigen)twice weekly from December 16,2022 to January 12,2023.The daily average of newly positive rate and its estimated daily percentage change were calculated to describe the national and regional trends of SARS-CoV-2 infection in rural China.Results:In rural China,the daily average new positive rate of SARS-CoV-2 infection peaked at 4.79%between December 20–22,2022 and then decreased to 0.57%between January 10–12,2023,with an average decrease of 29.95%per round.The peak of new SARS-CoV-2 infection was slightly earlier and lower in North China(5.28%between December 20–22,2022)than in South China(5.63%between December 23–26,2022),and then converged from December 30,2022 to January 2,2023.The peak of 6.09%occurred between December 20–22,2022 in eastern China,while the peak of 5.99%occurred later,between December 27–29,2022,in central China.Conclusions:Overall,the epidemic wave in rural China peaked between December 20–22,2022,and passed quickly following the optimization of prevention and control measures.Currently,SARSCoV-2 infection in community populations in rural China is sporadic.

关键词： China Rural prevention

Trends of SARS-CoV-2 Infection in Sentinel Community-Based Surveillance After the Optimization of Prevention and Control Measures—China,December 2022-January 2023

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China CDC weekly 2023年第7期5卷 159-164页

作者： Jue Liu Fan Ding Yu Wu Wenzhan Jing Wenxin Yan Chenyuan Qin Fangyuan Li Yanping Zhang Min Liu wannian liang Qun Li School of Public Health Peking UniversityBeijing MunicipalityChina Chinese Center for Disease Control and Prevention Beijing MunicipalityChina Vanke School of Public Health Tsinghua UniversityBeijing MunicipalityChina

Introduction:On December 7,2022,China implemented the“Ten New Measures”to optimize its prevention and control measures for coronavirus disease 2019(COVID-19).To provide the latest data after the optimization,we evaluated trends of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection among the community population in China.Methods:We utilized data from the National Sentinel Community-Based Surveillance(NSCS)system in China to assess trends of SARS-CoV-2 infection.NSCS is a national community-based surveillance cohort with 0.42 million participants from all 31 provincial-level administrative divisions(PLADs)and Xinjiang Production and Construction Corps(XPCC).Participants were tested for infection twice a week(a total of eight rounds)from December 16,2022 to January 12,2023.SARS-CoV-2 infection was defined as testing positive for SARS-CoV-2 nucleic acid or antigen.We calculated the daily average of newly positive rates of SARS-CoV-2 infection.Results:In this national cohort,the daily average newly positive rate of SARS-CoV-2 infection decreased from 4.13% in Round 1(December 16-19,2022)to 0.69% in Round 8(January 10-12,2023).The epidemic peak occurred in Round 2(December 20-22,2022).Similar trends were observed in urban areas(decreasing from 4.65% to 0.73%),rural areas(decreasing from 2.83% to 0.57%),the eastern region(decreasing from 4.18% to 0.67%),the central region(decreasing from 5.43% to 0.61%),and the western region(decreasing from 3.01%to 0.77%).Conclusions:NSCS data showed that the peak of SARS-CoV-2 infection in China had passed.SARSCoV-2 infection in community populations in China is currently at a low epidemic level.

关键词： Round prevention utilized

Trends of SARS-CoV-2 Infection Among Couriers in Risky Business After the Optimization of Prevention and Control Measures——China,December 2022 to January 2023

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China CDC weekly 2023年第11期5卷 248-254页

作者： Yu Wu Fan Ding Jue Liu Wenzhan Jing Wenxin Yan Chenyuan Qin Fangyuan Li Yanping Zhang Guoqing Shi wannian liang Qun Li Min Liu School of Public Health Peking UniversityBeijingChina Chinese Center for Disease Control and Prevention BeijingChina Vanke School of Public Health Tsinghua UniversityBeijingChina Institute for Healthy China Tsinghua UniversityBeijingChina

Introduction:On December 7,2022,China implemented“Ten New Measures”to optimize prevention and control measures for coronavirus disease 2019(COVID-19).The purpose of this study was to evaluate the national and regional trends of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection among couriers in China from December 2022 to January 2023.Methods:Data from the National Sentinel Community-based Surveillance in China was utilized,including participants from 31 provincial-level administrative divisions and Xinjiang Production and Construction Corps.Participants were tested for SARS-CoV-2 infection twice a week from December 16,2022 to January 12,2023.Infection was defined as a positive result for SARS-CoV-2 nucleic acid or antigen.The daily average newly positive rate of SARSCoV-2 infection and the estimated daily percentage change(EDPC)were calculated.Results:In this cohort,8 rounds of data were collected.The daily average newly positive rate of SARS-CoV-2 infection decreased from 4.99%in Round 1 to 0.41%in Round 8,with an EDPC of−33.0%.Similar trends of the positive rate were also observed in the eastern(EDPC:−27.7%),central(EDPC:−38.0%)and western regions(EDPC:−25.5%).Couriers and community population showed a similar temporal trend,with the peak daily average newly positive rate of couriers being higher than that of community population.After Round 2,the daily average newly positive rate of couriers decreased sharply,becoming lower than that of community population in the same period.Conclusions:The peak of SARS-CoV-2 infection among couriers in China has passed.As couriers are a key population for SARS-CoV-2 infection,they should be monitored continuously.

关键词： Round sharply prevention

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构建优质高效的整合型卫生健康体系

中国全科医学 2024年第19期27卷 2301-2304页

作者：梁万年清华大学万科公共卫生与健康学院北京市100084 清华大学健康中国研究院北京市100084

建设中国特色优质高效的、以人为本的整合型卫生健康服务体系,是落实健康中国战略的重要抓手,是推动卫生健康事业高质量发展的必然要求。本文指出,以人为本的整合型卫生健康服务体系必须是以健康为中心,急慢分诊、上下联动、防治结合,... 详细信息

建设中国特色优质高效的、以人为本的整合型卫生健康服务体系,是落实健康中国战略的重要抓手,是推动卫生健康事业高质量发展的必然要求。本文指出,以人为本的整合型卫生健康服务体系必须是以健康为中心,急慢分诊、上下联动、防治结合,公立医疗卫生机构和社会力量办医协同发展。构建以人为本的整合型卫生健康服务体系,要实现服务体系、服务理念、服务决策、医患关系、服务模式、支付机制、监管考核7个方面的转变,关键在于推动医疗卫生体系和公共卫生服务体系的强化、延伸和融合。本文强调了管理体制改革与充分利用信息化手段的重要性,并指出以人为本的整合型卫生健康服务体系的本质目的是尽力满足老百姓全方位的健康需求,建立合理有序的就医格局,最终使健康中国建设有强大的卫生健康系统做支撑。

关键词：卫生服务管理以人为本的整合型卫生服务跨部门合作社区卫生服务卫生保健评价机制家庭医疗保健服务

创新医防融合共筑健康中国——2023年健康中国研究网络专家共识

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中国全科医学 2024年第22期27卷 2685-2688页

作者：无梁万年健康中国研究网络专家组不详

创新医防融合机制是完善医疗卫生服务体系,推进健康中国建设的重要抓手。针对当前医防相对割裂的现状,健康中国研究网络通过汇集专家智慧,以医防融合的内涵、理念、体系、制度为基本框架提出“创新医防融合共筑健康中国”专家共识。本... 详细信息

创新医防融合机制是完善医疗卫生服务体系,推进健康中国建设的重要抓手。针对当前医防相对割裂的现状,健康中国研究网络通过汇集专家智慧,以医防融合的内涵、理念、体系、制度为基本框架提出“创新医防融合共筑健康中国”专家共识。本共识指出,创新医防融合是以贯彻预防为主的新时代党的卫生与健康工作方针为指引,以促进治疗和预防服务的有效协同为抓手,实现健康促进、预防、治疗、康复护理、临终关怀等全链条服务的有机衔接,构建覆盖全人群、全生命周期的一体化健康服务模式。创新医防融合在理念上应从单向的干预或治疗向综合式的健康管理转变,从供方决策向需方共同参与式决策转变,从短暂的医患关系向连续长期的责任制关系转变;在体系上应加强医疗服务体系和公共卫生服务体系协同,加强医疗服务机构和公共卫生服务机构协作;在治理上应构建多元主体参与的共建共治共享格局与工作机制;在制度上应优化医防融合考核评价、筹资支付、薪酬绩效、人才培养使用制度,同时加快医防融合智慧赋能与宣传引导,推进医防人员通、资源通、信息通,打破医防分离,实现医防融合,为人民群众提供全方位、全周期的健康服务。

关键词：医防融合医防协同健康中国卫生服务研究专家共识

构建中国全科医生学术共同体,促进全科医学学科高质量发展

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中国全科医学 2024年第25期27卷 I0001-I0004页

作者：梁万年刘珏清华大学万科公共卫生与健康学院北京市100084 清华大学健康中国研究院北京市100084 北京大学公共卫生学院北京市100191

自20世纪80年代末全科医学引入中国至今,中国全科医学发展已取得了重要的阶段性成果,学科建设和人才培养体系逐渐完善,人才队伍数量不断增加、质量不断提高,队伍结构持续优化,服务模式不断创新,服务水平稳步提高,走出了具有中国特色的... 详细信息

自20世纪80年代末全科医学引入中国至今,中国全科医学发展已取得了重要的阶段性成果,学科建设和人才培养体系逐渐完善,人才队伍数量不断增加、质量不断提高,队伍结构持续优化,服务模式不断创新,服务水平稳步提高,走出了具有中国特色的全科医学发展之路。中国全科医学学科发生了从忽视走向重视、从宽容走向严格、从模仿走向创新、从旁支走向主流、从零散走向系统5个方面的深刻变化。成熟的全科医学学科需要有4个基本要素:独特的理论、独特的方法学、独特的教育培训范式、独特的应用场景。然而,中国全科医学学科发展与人才培养速度依然不能满足人民快速增长的健康需要。面对这些新挑战,解决之道为:做学术、强学科;做品牌、强质量;搭平台、强文化。通过建立中国全科医生学术共同体(CACGP),做面向中国的、解决基层健康问题的、有全科特色的学术研究,实现共同学术、共同发展、共同交流、共同创新,培养高水平全科医学学科人才,为人民提供优质、高效的全科医学服务,促进全科医学学科的高质量发展。

关键词：全科医学学术共同体学科发展

科学研究是我国全科医学发展的应有之义和当务之急

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中国全科医学 2024年第1期27卷 F0002-F0002,I0001页

作者：梁万年不详

全科医学在我国发展已有30余年,经过各方努力,已经初步形成了全科医学教育和服务体系,科学研究对学科发展起到了举足轻重的作用。在学科创建之初,英、美等国进行了大量研究,探索全科/家庭医学设立的必要性、学科定位、内涵与特征,以及... 详细信息

全科医学在我国发展已有30余年,经过各方努力,已经初步形成了全科医学教育和服务体系,科学研究对学科发展起到了举足轻重的作用。在学科创建之初,英、美等国进行了大量研究,探索全科/家庭医学设立的必要性、学科定位、内涵与特征,以及全科医生培养等重要问题。随着全科医学的发展成长,全科医学科研的重要性越来越得到重视。

关键词：全科医学科学研究家庭医学学科创建学科定位服务体系内涵与特征全科医生培养