Zeng Guang, a disease control expert: 10 years of medical reform is actually 10 years of public health decline

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 Zeng Guang, a disease control expert: 10 years of medical reform is actually 10 years of public health decline


Chief epidemiologist of China CDC

The new crown epidemic has lasted for more than four months. It has brought us a lot of changes and thoughts. On May 10, Zeng Guang, a member of the high-level expert group of the National Health Commission and chief epidemiologist of China CDC, shared his views in the financial connection of fenghuang.com!

The U.S. epidemic is under control.

As long as one country is not well controlled, there is no peace in the world.

From my point of view, when the epidemic will end does not depend on China, or even the United States and Europe, but on the least developed countries in the world, and the countries with the worst prevention and control. If the peak of Chinas epidemic is the first wave, and the second wave in Europe and America, the third wave of the least developed countries is just beginning. As long as one country is not well controlled, the world will not be peaceful. It will take a long time for major countries to calm down. European and American countries will not be able to control the epidemic as suddenly as China, because even if the epidemic situation in Europe is declining, it will also decline from a very high platform. There is a theory called group immunity, which is absolutely wrong, because they do not understand the history of infectious diseases. In the past, infectious diseases, including smallpox, measles, pertussis, diphtheria and epidemic cerebrospinal meningitis, were epidemic for so many years before there was no vaccine. However, no country in the world can control infectious diseases through group immunization. Moreover, because there is a problem in the calculation of population immunity, they regard people all over the world as evenly distributed. In fact, people in the world are not even. The world is divided into so many countries, and each country is divided into so many new units. People have different opportunities to contact each other. Even if the virus is prevalent, there are places where it is prevalent, places where it is not. There are always infectious sources, and there are always outbreaks. Historically, infectious diseases have been prevalent for thousands of years, none of which is controlled by population immunity, and the new coronavirus is no exception. I think that if the disease is to be effectively controlled, it depends on the speed of vaccine development. If the vulnerable people around the world are vaccinated, they will be quickly controlled after vaccination, so it really needs a global game of chess. No matter which country developed it first, it is the good news of mankind. All countries should cooperate rather than fight. Especially now, we should not throw away the pot. We should objectively see the mistakes in our own prevention and control. Through this prevention and control, European and American countries will also have a lesson.

Chinas prevention and control has won, but there must be no misunderstanding that the foundation of Chinas public health is very good, but in fact it is not. During this period, Chinas public health is in a difficult time. When SARS was prevalent, the confusion of public prevention and control had something to do with the difficulty of public health. For a long time, we have always said that prevention is the priority, and some places have done well, such as the work of immunization. However, the cohesion of the overall public health system is not enough, and many key talents are leaving the team. For example, there are less than 2% graduates from Peking University School of public health, Fudan School of public health and Xiehe School of public health who work in the disease control system. However, our system needs these people with high intelligence and wide knowledge, who need medical knowledge, public health knowledge, social medicine knowledge and legal knowledge. With enthusiasm and dedication, courage and wisdom to deal with policy makers, and the ability to mobilize the masses. I think such talents are really rare now.

10 years of medical reform, actually 10 years of public health decline!

(function() {(window. Slotbydup = window. Slotbydup| []). Push ({ID: u5811557, container: ssp_, async: true});)) (); for Chinas public health, its really a long story. In the past, there was a sentence called the God of wealth follows the God of plague. In the past, public health has always been like this. Without the prevalence of infectious diseases, public health will fall and few people attach importance to it. After SARS, the state did attach great importance to the construction of public health. At that time, buildings were built for all levels of health and disease control systems, equipment was purchased, and emergency centers were built. But for a long time to come, especially in the past 10 years of medical reform, in fact, the 10 years of public health decline. Although the decline and the treatment of people engaged in public health are very low, the public health people still make great contributions in the prevention and control of A-flow. Who revealed the natural history of the disease and the spread of respiratory tract? Who proposed to wear masks and wash hands? Who found that the incubation period was infectious? Who investigated that the most common incubation period was 14 days, and these 14 days became the international standard? These were proposed by the public health practitioners. Academician Zhong Nanshan once said that compared with clinical practice, the public health status is low, which I think is the case. I hope that the society should care about public health as much as clinicians, respect the contribution of public health, and understand what public health is doing. It is particularly hoped that after the new coronavirus pneumonia is under control, China can carry out public health reform, consolidate the public health team, and truly build the Chinese public health team into a fighting team to safeguard Chinas public health security. Source: editor in charge of health times: Liu Yuxin ufe50 b12060

Its a long story for Chinas public health. In the past, there was a saying called the God of wealth follows the God of plague. In the past, public health has always been like this. If there is no epidemic disease, public health will fall, and few people attach importance to it. After SARS, the state did attach great importance to the construction of public health. At that time, buildings were built for all levels of health and disease control systems, equipment was purchased, and emergency centers were built. But for a long time to come, especially in the past 10 years of medical reform, in fact, the 10 years of public health decline. Although the decline and the treatment of people engaged in public health are very low, the public health people still make great contributions in the prevention and control of A-flow. Who revealed the natural history of the disease and the spread of respiratory tract? Who proposed to wear masks and wash hands? Who found that the incubation period was infectious? Who investigated that the most common incubation period was 14 days, and these 14 days became the international standard? These were proposed by the public health practitioners. Academician Zhong Nanshan once said that compared with clinical practice, the public health status is low, which I think is the case. I hope that the society should care about public health as much as clinicians, respect the contribution of public health, and understand what public health is doing. It is particularly hoped that after the new coronavirus pneumonia is under control, China can carry out public health reform, consolidate the public health team, and truly build the Chinese public health team into a fighting team to safeguard Chinas public health security.