Author: The intersection of sharp point and Pan Pan wish
The medical worker propagates the preventive treatment knowledge of the inborn defect in the field.
Our country is sent to the country by the height of inborn defect
The inborn defect points out the abnormal state of various body structure, function or supersession existing while growing. The serious inborn defect can result in enclosing newborn baby and infant and pre-school children death, or cause the lifetime deformity, influence life and life quality seriously, become the heavy burdens of family and the society.
An item of newest statistical data that member of the CPPCC National Committee, science and technology museum president, Zuo Huanchen of president of Shanghai family planning association of Shanghai provided for reporter reveals, the incidence of national inborn defect of 2006 is 145.5 persons of every Wan, arrange in the difference of the top 5 was congenital heart disease, are pointed more (toe) , the lip palatoschisis, nerve are in charge of defect, hydrocephalus. Our country inborn defect high to send country, have 200,000- 30 naked eye Wan can see the congenital teratogenesis and was born nearly every year, in addition, the annual defect that just appeared of the summation of several months after born ining, the congenital disabled children's total number is up to 800,000- 120 Wan, account for 4%- 6% born in the population of every year, has influenced improvement and socio-economic development of the quality of the population of our country greatly.
Professor Zheng XiaoYing, chief of research institute, population of Peking University, introduces, people's quality was population and birth control work's important tasks to control the population size, improve and was born, can lighten and born in people's quality to intervene low to social economy and pressure that the family brought greatly while implementing the inborn defect. The whole world of number of inborn defect amounts to more than about 2000 kinds, and there is some unknown number; There are many reasons to cause the inborn defect too, besides biological inherent cause, society, environment, behavior,etc. are all in coordination with the pathogenic reason.
The incidence of inborn defect of our country keeps rising in recent years, pointing out the inborn defect has already become more and more outstanding public health problem, should cause the attention of the government. Because the emergence of the inborn defect is influenced by many kinds of factors, reason and mechanism why most inborn defects take place are not clear at present, is prevented and treat and bring a lot of difficultieses.
Tertiary to intervene and have difficulty moving about
Committee member Zuo Huanchen says, pre-marital medical check is the first line of defence which prevents the inborn defect, especially in the inborn defect hotspot. After the new " regulations of registration of marriage " was issued and implemented in 2003, the masses misunderstood for " cancelled the premarital checkup " ,That the premarital checkup work in the whole country falls into the low ebb, the national premarital checkup rate obviously drops.
The statistical data of Ministry of Public Health reveals: The premarital checkup rate from 2002 to 5 years of 2006 is 68.0%, 53.4%, 2.67%, 2.93% and 4.43% respectively, the incidence of inborn defect is 111.17, 129.79, 128.38, 138.96 and 145.5 persons of every Wan separately. The above-mentioned data reveal, it is an objective reality that premarital checkup rate lasting depression and inborn defect incidence rise progressively. The substantial decrease of the premarital checkup rate causes a large number of diseases in the newly-married crowd to leak and examine, bring the hidden danger healthily to newly-married crowd and offspring. We can say, it is one of the important reasons why a inborn defect rises that the premarital checkup rate drops.
Sift checking and pre-natal diagnosis as the second line of defence preventing the inborn defect before production, the children who can reduce the serious inborn defect were born, was playing an important role in improving and was born in people's quality. The inborn defect as the department of public health of Shanxi implemented " Pare the peak project " ,Aim at checking through antenatal Ultrasonography B in April - June for gestation, find the nerve is in charge of the defect, stop gestation in time. Start in Shanxi " Pare the peak project " Since, it is about 31.73 persons that the nerve is in charge of the defective incidence and drop to present every Wan people from 102.27 persons of every Wan in 1997. But in some poverty-stricken area, pre-natal diagnosis technological service does not popularize yet, gestation antenatal Ultrasonography B checking rate lower 4- 6 month, most nerve in charge of the defect to find after the childbirth, have aggravated lying-in woman and financial burden and mental wound of the family greatly.
The neonate sifts checking it is the third line of defence which prevents the inborn defect. Through sifting and checking the project to neonates such as neonate's benzene acetonuria disease, hearing inborn A low,etc., can find infants in early days, intervene in early days, can cure or obviously reduce the disabled severity. But of our country newborn child's illness high in coverage rate checked to sift, difficult to popularize in countryside and poor crowd. Country to two at present, tertiary input of precautionary measures serious and insufficient, yuan of inputs promote ripe the intersection of technology and popularization and application in the whole country while being difficult by every year such as Ministry of Public Health only.
The more important thing is that reducing, the chance takes place in the inborn defect
Zheng XiaoYing does not think the basic goal of preventing the inborn defect can be only limited to the birth rate which reduce the defect, the more important thing is to reduce the incidence of the inborn defect and the risk takes place. Birth control is not merely plan " Grow " ,And want the plan " Breed " ,Not only to the plan that born in quality, but also to the plan that born in quality. It is to reduce the chance taking place in inborn defect to prevent the key taking place in inborn defect, and before it is pregnant that this opportunity begins with. A series of research and practice that prevent through inborn defect, want economy improve, born the intersection of population and quality, lower the inborn defect, the risk take place effectively, should realize first the inborn defect prevents the transition of the mode: - enclose pregnant health care and prevent the mode from enclose, produce the intersection of health care and mode of preventing from change into pregnant, while being antenatal, maybe prevent the inborn defect, improved and born in people's quality, the most economic and most effective scheme which increased the health quality of population.
"Inborn defect prevent and cure it is one that put little, the intersection of effect and large benefited pieces of wide social public beneficial work into, the tertiary intervening measure should become effective, the more important thing is the funds support that the government should offer intervening and technology of inborn defect service, make every measure in national popularization and application. " Committee member Zuo Huanchen says.
The wedding is (pregnant) The previous health care work as improve, born population's quality, lower the first pass of the inborn defect to have irreplaceable function, demand urgently to strengthen at present. Committee member Zuo Huanchen proposes, led by government, department's mutual cooperation such as hygiene, civil administration, family planning population, change past registration of marriage and pre-marital health care, work method that go on respectively, set up registry and pre-marital health care counseling platform in the same room, handle official affairs jointly, and " newly-married school " , the premarital checkup room is set up on the first floor together, strengthen the work of premarital checkup.
Offer in first class prevention free to the newly-married crowd " The health service of the marriage and childbirth is chartered " ,Offer the health consultation and premarital checkup of free marriage and childbirth, make great efforts to raise pre-marital health care rate. Offer folic acid with the pregnant and early women of child-bearing age free before being pregnant for poverty-stricken area, reduce the emergence of the inborn defect. Popularize in second prevention especially and sift checking and diagnose technology before production, for instance diagnosis of Ultrasonography B, science of heredity of cell are checked. Launch neonate and infant and pre-school children systematic health care in tertiary prevention, improve newborn child's illness and sift the checking rate constantly, offer new students to pregnant and parturient women in the poverty-stricken area free? Does cover beer of Fei's unreasonable Jin's posthumous acute communicable diseases?
Strengthen government's responsibility
Though the inborn defect situation of our country is severe at present, under the current medical treatment and health care condition, through before marriage and pregnant before health care and medical check, pregnant before and not pregnancy period augment by folic acid, if you can't sift before production, check as pre-natal diagnosis, newborn child's illness to last checking and treating measure in early days, can reduce inborn defect and disabled overall incidence to a great extent. Our country was born in improving from the aspect of laws and regulations population quality had clear regulations, " law on health care of mother and baby of the People's Republic of China " as issuing in 1994, Ministry of Public Health that General Office of the State Council transmitted in 1999 is " about the opinion of doing the work of improving and was born in people's quality well ", propose clearly the people's governments at all levels should regard improving and was born in people's quality as a major issue to indentify, but all related departments have not formed the resultant of forces at present.
What the Central Committee of Chinese Peasants' and Workers' Democratic Party is submitting to the 11 Session of the first meeting of Chinese People's Political Consultative Conference(CPPCC) <
The governments at all levels should pay attention to and strengthen the leadership to the prevention and control of inborn defect conscientiously, regarded reducing the inborn defect as and improved and was born people's quality, important task which built the harmonious society were indentifieded, will reduce this area and send out the task which will grow the defect to include in the management by objectives high seriously. Strengthen government's responsibility, define department's duty, devote more efforts to intervening in inborn defect, advance the prevention and control of national inborn defect progressively.
The state revenue arranges for the inborn defect to prevent and cure the special fund and is used for launching " Prevent and cure the project in great inborn defect " ,Take countryside as the focal point, regard great inborn defect and genetic disease that can be prevented as the breach, implement the tertiary intervening measure of the inborn defect conscientiously.
Hygiene personnel's shortage floating population of clinic at village level should be enjoyed too the legitimate rights and interests mental hygiene health consultation medical worker of the family planning and propagate the inborn defect to prevent and cure in the field Knowledge.
The inborn defect is tertiary to intervene to do one's best Government's responsibility is prominent
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