Tuberculosis prevention and control management approach

    (February 20, 2013 the Ministry of health to 92nd, published since March 24, 2013) Chapter I General provisions

    First for further improving TB control work, effective prevention and control of TB spread and popularity, safeguard human health and public health and safety, in accordance with the People's Republic of China Law on prevention of infectious diseases and related laws and regulations, these measures are formulated. Article adhere to the policy of putting prevention first and combining prevention with established governmental leadership, sector accountability, the whole society involved in tuberculosis prevention and control mechanisms.

    Enhancing publicity and education, implemented to detect patients, treatment management and care assistance-focused prevention strategies.

    Article III Ministry of health is responsible for the national tuberculosis prevention and control, supervision and management of the local health administration departments at or above the county level are responsible for tuberculosis prevention and control, supervision and management of work within their respective jurisdictions.

    Health Administrative Department should actively coordinate with relevant departments to strengthen TB control capacity-building, gradually constructing tuberculosis contracted medical institutions and grass-roots health institutions, Division of disease prevention and control institutions are clear, coordinated system of prevention and treatment services.

    Article at all levels of medical and health institutions shall, in accordance with the relevant laws and regulations and the provisions of the public health administrative departments, mandate to fight TB epidemic monitoring and reporting, diagnosis, treatment, referral services, infection control, patient management, publicity and education work.

    Chapter II Organization and function

    Fifth Ministry of health organizations in the development, technical specifications and standards of the national tuberculosis control program plan of medical and health resources, construction and administration of national tuberculosis control service system; supervision and evaluation of the national tuberculosis prevention and control.

    Sixth local health administrative departments at and above the county level shall be responsible for the development of tuberculosis prevention and control planning and implementation within their respective jurisdictions; organization and coordination within their respective jurisdictions of the tuberculosis control service system construction and administration, specify the TB designated medical institutions; tuberculosis prevention and control resources in the planning area, the tuberculosis control service system to give necessary policy and financial support organization for tuberculosis prevention and control surveillance, inspection and performance assessment.

    Article seventh for disease prevention and control institutions in TB control works shall perform the following duties:

    (A) assisting the health Administrative Department in planning, management and evaluation;

    (B) information collection, analysis, monitoring tuberculosis outbreaks; timely and accurate reporting, reporting outbreaks and related information; conduct epidemiological investigation, epidemic disposal, etc;

    (C) the organization management during treatment of patients with pulmonary tuberculosis;

    (D) Organization and close contacts of patients with suspected tuberculosis or TB tracking;

    (E) Organization and key industry groups with a high incidence of TB prevention and control;

    (F) the TB laboratory testing, within the jurisdiction of the tuberculosis laboratory quality control;

    (VII) Organization of tuberculosis prevention and control training, provide control technical guidance;

    (H) the Organization to carry out health education on tuberculosis prevention and control work;

    (I) the tuberculosis control applied research.

    Article eighth designated medical institutions in TB prevention and control of tuberculosis shall perform the following duties:

    (A) is responsible for the diagnosis and treatment of pulmonary tuberculosis patients, implement follow-up examinations during treatment;

    (B) responsible for tuberculosis patients report entry, registration and related information;

    (C) check for close contacts of patients with infectious tuberculosis;

    (D) health education for patients and their families.

    Nineth non-contracted medical institutions in TB prevention and control of tuberculosis shall perform the following duties:

    (A) within the specified functions of the Department and the personnel responsible for the TB reporting;

    (B) be responsible for referral of TB patients and suspected patients;

    (C) TB prevention training;

    (D) carrying out health education on tuberculosis prevention and control work.

    Tenth grassroots medical institutions in TB control works shall perform the following duties:

    (A) the responsible supervision during home treatment of patients with pulmonary tuberculosis;

    (B) is responsible for the referral, tracking suspected tuberculosis or TB patients and their close contacts with suspicious symptoms;

    (C) TB awareness of residents in the new territories.

    Chapter III prevention

    11th all kinds of medical and health institutions at all levels should carry out publicity and education of the tuberculosis prevention and control, health education for treatment of TB patients and their families, advocacy of tuberculosis prevention and control policy and knowledge.

    Basic medical and health institutions to residents in the new territories to carry out regular health education and publicity.

    CDC on TB focus groups and a key place for targeted health education and advocacy work.

    12th carried out under the national immunization programme for school-age children the BCG vaccination.

    Prevention vaccination of medical and health institutions shall, in accordance with the vaccine circulation and inoculation requirements specification for control and vaccination, and provide vaccination services.

    13th medical and health institutions in the Organization of health examinations and preventive health check, Tuberculosis screening should focus on the following people:

    (A) medical personnel engaged in TB control;

    (B) the food, drug, cosmetic practitioners;

    (C) set out in the regulations on public health practitioners;

    (D) all types of school, kindergarten teaching staff and school freshmen;

    (E) the exposure to dust or harmful gas personnel;

    (F) the dairy farming industry in China;

    (VII) other pulmonary tuberculosis can be easily spread personnel.

    14th medical and health institutions to TB infection prevention and control plan, perfect rules and regulations and rules, related to TB infection prevention and control work, implement TB infection prevention and control measures to prevent the spread of nosocomial infection and.

    Fixed-point medical institutions of tuberculosis following infection prevention and control measures should focus on:

    (A) tuberculosis outpatient department, ward set shall conform to the relevant provisions of the State;

    (B) strict implementation of the sanitation and disinfection system, pay attention to ventilation;

    (C) by contamination of Mycobacterium tuberculosis in sputum and excrement and filth, sewage and medical waste, medical waste management shall, in accordance with the relevant provisions of separate collection, temporary storage and disposal;

    (D) for suspicious symptoms of tuberculosis or TB patients to take the necessary protective measures to avoid cross infection.

    15th medical personnel work in strict compliance with the fundamental principles of personal protective, contagious tuberculosis or suspected tuberculosis patients, should take the necessary protective measures.

    16th disease prevention and control institutions and medical agencies, TB laboratories and experimental activities of research units shall comply with pathogenic micro-organisms biotechnology regulatory provisions.

    Detection of tuberculosis in laboratory work in medical institutions, in accordance with the provisions of the Ministry of health clinical laboratory management in medical institutions for unified management and quality control.

    Article 17th of tuberculosis outbreak constitutes a public health emergency events, control measures shall be taken in accordance with the relevant plan for the following:

    (A) the epidemic information report and risk assessment according to law;

    (B) conduct epidemiological investigation and disposal;

    (C) will be found in patients with pulmonary tuberculosis treatment management of standardization;

    (D) to close contacts of infectious TB patients under medical observation and, if necessary, after the consent of its implementation of preventive chemotherapy;

    (V) risk communication and health education, public disposition of outbreaks in a timely manner.

    Found in patients with pulmonary tuberculosis in the fourth chapter, reporting and registration

    18th medical institutions at all levels should be in pulmonary tuberculosis suspects checked in a timely manner, to find confirmed and suspected tuberculosis patients should be in accordance with the relevant provisions of the outbreaks have been reported, and referred to patients living with tuberculosis contracted medical institutions, where the see a doctor or medical institution.

    19th the health administrative department designated medical institutions shall, in accordance with the relevant regulations, for HIV-infected persons and AIDS patients for tuberculosis screening and diagnosis.

    Article 20th basic medical and health institutions to assist in disease prevention and control institutions at county level, has been reported but not yet designated medical institutions for treatment of tuberculosis in patients with pulmonary tuberculosis and track patients with suspected tuberculosis, urge them to designated medical institutions for diagnosis of tuberculosis.

    21st tuberculosis contracted medical institutions should be to diagnose tuberculosis patients, and to the close contacts of patients with infectious Tuberculosis screening for tuberculosis.

    Assume control of multidrug-resistant tuberculosis TB fixed-point medical institutions of multidrug-resistant tuberculosis should be suspicious of sputum Mycobacterium culture and anti-tuberculosis drug susceptibility testing. 22nd tuberculosis contracted medical institutions to manage tuberculosis patients registered. Registration includes information on diagnosis, treatment and management of patients.

    Management of patients with tuberculosis contracted medical institutions shall, in accordance with, updating the registration of patient management.

    Article 23rd tuberculosis epidemic reporting, notification and publication, in accordance with the relevant provisions of the law on prevention of infectious diseases.

    The fifth chapter in patients with pulmonary tuberculosis treatment and management

    24th to find tuberculosis patients with standard treatment and supervision.

    25th TB designated medical institutions should develop reasonable treatment programmes for patients with pulmonary tuberculosis, providing standardized services.

    Districts of city-level tuberculosis contracted medical institutions in strict accordance with laboratory test results, treatment plan for patients with multidrug-resistant tuberculosis, and provide treatment.

    26th medical institutions at all levels to danger, bears responsibility in the treatment of patients with acute and severe pulmonary tuberculosis should be timely medical treatment on patients, and no excuse for any reason may not be granted for patients attending tuberculosis patients refuse to treat other diseases.
Disease prevention and control institutions shall hold the 27th in patients with pulmonary tuberculosis and relevant information, urging medical and health institutions in their jurisdiction to implement the treatment and management of patients with pulmonary tuberculosis.

    28th basic medical and health institutions shall regularly visit the home treatment of patients with pulmonary tuberculosis, supervision of medication management.

    29th medical institutions specified by the health Administrative Department shall, in accordance with the relevant rules on TB/HIV co-infection in patients with anti-tuberculosis and anti-HIV treatment, follow-up and management.

    30th medical and health institutions to implement territorial management of patients with pulmonary tuberculosis in floating population, provides the same level of services with the local population.

    Go out and transferred to the TB designated medical institutions should exchange information in patients with pulmonary tuberculosis in floating population in a timely manner, to ensure the implementation of the patient's treatment and management measures.

    Supervision and administration of the sixth chapter

    31st TB control in local health administrative departments at and above the county level shall exercise the following supervisory responsibilities:

    (A) for patients with TB prevention, detection, treatment management, reporting and monitoring of implementation management measures such as monitoring;

    (B) to acts in violation of these measures shall be ordered to be checked or improve personal deadline, shall investigate and handle;

    (C) other matters responsible for prevention and control of TB.

    32nd local health administrative departments at and above the county level shall strengthen the focus on the relevant units of the following TB control work supervision:

    (A) fixed-point medical institutions of TB Diagnostics, treatment, management, and data entry work;

    (B) disease prevention and control institutions the epidemiological situation of tuberculosis surveillance and treatment, epidemiological investigation, and high key industry groups control, laboratory testing and quality control, laboratory bio-safety, supervision, training and health-promoting work;

    (C) the referral of the basic medical and health institutions, tracking, patient management and health education work;

    (D) the non-fixed-point medical institutions of TB tuberculosis epidemic report, referral, training, health education, and so on. Article 33rd health Administrative Department in accordance with these measures to implement regulatory responsibilities, according to TB control needs, may apply to the relevant units and individuals to understand the situation, obtain the necessary information, checked the premises. In carrying out their duties shall protect the privacy of patients, not patients with leakage of personal information and related data, and so on.

    Inspected unit and individual shall cooperate and truthfully provide relevant information, and may not refuse or obstruct.

    The seventh chapter legal liability

    34th local health administrative departments at and above the county level shall have any of the following circumstances, the superior administrative departments of public health shall order rectification, criticized; spread tuberculosis, epidemic, or other serious consequences, the persons in charge and other direct liable persons shall be given administrative sanctions constitutes a crime, criminal responsibility shall be investigated in accordance with law:

    (A) failed to carry out tuberculosis reporting responsibilities, or conceal, misrepresent, and delaying the report tuberculosis;

    (B) failing immediately to take preventive and control measures cause or possible spread of tuberculosis;

    (C) fails to perform supervisory duties or that the violations do not investigate in a timely manner.

    Article 35th of disease prevention and control institutions in violation of the regulations, any of the following circumstances, the health administration departments at or above the county level shall order correction within, criticized and given a warning; the persons in charge and other direct liable persons shall be given disciplinary action constitutes a crime, criminal responsibility shall be investigated in accordance with law:

    (A) failing to comply with TB surveillance, reporting responsibilities, or conceal, misrepresent, and delaying the report tuberculosis;

    (B) finding tuberculosis epidemic, not according to the responsibility to take timely measures;

    (C) intentionally leak involving pulmonary tuberculosis patients with suspected tuberculosis patients, close contact privacy related information and materials;

    (D) fails to perform on the area of laboratory quality control, training, duties of prevention.

    36th medical institutions violating these rules, any of the following circumstances, the health administration departments at or above the county level shall be ordered to correct, criticized and given a warning; spread tuberculosis, epidemic, or other serious consequences, the persons in charge and other direct liable persons shall be given disciplinary action constitutes a crime, criminal responsibility shall be investigated in accordance with law:

    (A) failing to report outbreaks of tuberculosis, or conceal, misrepresent, and delaying the report tuberculosis;

    (B) the non-fixed-point medical institutions of TB found in patients with known or suspected TB, is not in accordance with the provisions of the referral;

    (C) the TB designated medical institutions failing to tuberculosis patients or patients with suspected tuberculosis diagnosis and treatment or denial of reception;

    (D) is not in accordance with the relevant regulations strictly enforced quarantine disinfection system, of nodule bacteria of sputum, dirt, not sanitary treatment and sewage;

    (E) intentionally leak involving pulmonary tuberculosis patients with suspected tuberculosis patients, close contact information and information related to privacy.

    37th basic medical and health institutions in violation of the regulations, any of the following circumstances, by the health Administrative Department at county level correction is given a warning:

    (A) fails to perform during home treatment of patients with pulmonary tuberculosis within the jurisdiction of the supervision and administration of;

    (B) failing to referrals, track tuberculosis patients or patients with suspected tuberculosis and close contacts with suspicious symptoms.

    Other units and individuals in violation of the provisions of the article 38th, causes tuberculosis spread or popular, causing damage to person and property of others, shall bear civil liability, constitute a crime, criminal responsibility shall be investigated according to law.

    The eighth chapter by-laws

    39th article of the approach the following terms mean:

    Tuberculosis suspects: cough, phlegm for more than 2 weeks, and coughing up blood or bloody sputum are the main symptoms of tuberculosis, with any of the above symptoms as pulmonary tuberculosis suspects. Patients with suspected tuberculosis: who meet one of the following conditions is suspected.

    (1) a suspicious symptoms of tuberculosis in children under 5 years of age, accompanied with a history of close contact with patients with infectious tuberculosis or tuberculin test strongly positive and (2) only chest imaging showed lesions consistent with active tuberculosis.

    Tuberculosis: refers to sputum smear-positive pulmonary tuberculosis.

    Close contact: direct contact with infectious tuberculosis patients who, including family members, colleagues, and students.

    Multidrug-resistant tuberculosis: tuberculosis patients with Mycobacterium tuberculosis infection in vitro was certified at least to isoniazid and rifampin.

    TB/HIV co-infection: active pulmonary tuberculosis in patients with HIV or AIDS, or TB patients infected with the AIDS virus.

    Referral: refers to medical and health institutions at all levels will find that with suspected or confirmed TB patients go to the TB designated medical institutions.

    Track: a basic medical and health institutions in disease prevention and control institutions under the guidance of, not to the designated medical institutions for treatment of tuberculosis in patients with pulmonary tuberculosis and close contacts with suspicious symptoms after visiting, make it to the designated medical institutions for treatment of tuberculosis.

    Basic medical and health institutions: Township and village clinics and health service organization in urban communities.

    40th article of the approach by the Ministry of health is responsible for the interpretation. 41st article this way since March 24, 2013. September 12, 1991 the tuberculosis prevention and control released by the Ministry of health regulation repealed simultaneously.