The Current Situation and Change of China’s Public Health

1. The Current Situation and Change of China’s Public Health Xiangguang Gong Chinese Center for Disease Control and Prevention March, 2004. Hong Kong

2. The trends of the number of the institutions for disease control and prevention

3. Public Health System in Urban Areas Ministry of health Chinese center for disease control and prevention Province health Bureau Provincial center for disease Control and prevention Municipal and regional health agency Municipal and regional CDC Center for Community health services

4. Three level network of health service system in rural areas in China County hospital County CDC County Traditional medicine hospitals Township hospitals Village Doctors

5. Trends of the mortality and life expectancy at birth in China Life expectancy at birth（years） Mortality（1/100,000） Life expectancy at birth Mortality

6. Trends of infant mortality(1949-2002) ‰

7. The main experience of China’s public health • Persist with the health policy of Giving Priority to Prevention • Broadly developing the EPI around China after the early 1980s • Waging vigorous Sanitation Movement for over 50 years • Establishment of public health system around the country, especially for the three grade network of health service system in rural areas.

8. The Principle Health Policy in different periods

9. 环境清理 灭鼠 Waging vigorous Sanitation Movement for over 50 years 污水处理

10. The problems faced with China’s public health • Insufficiently cognizant of the danger of disease • Relatively reduction of the input in public health • The incomplete system of disease control and prevention

11. Insufficiently cognizant of the danger of disease • Directly determine human’s health • Just as the Education, health is the base of human resource capital • The need of concerted development between society and economy • Society stabilization and country security

12. The structure of total health expenditure in China(1980-1999) %

13. The trends of the percent of expenditure of disease control and prevention (EDCP) to government health expenditure, the percent of EDCP to government financial expenditure

14. The incomplete system of disease control and prevention • Surveillance and information system • Emergency response system • The management system fragmented • The institutions’ equipment is inadequate and out of date • Improper mechanism of revenue of institutions for disease control and prevention • Team’s capacity a should be improved in the further

15. Improper mechanism of revenue of institutions for disease control and prevention

16. The structure of education level in provincial, regional and county CDC

17. The challenge faced with Chinese public health • The aging population • The double burden of disease, infection disease and non communicable disease • Living Style and dietetic habit • Urbanization and modernization • Occupational risk • Migration population • Environment pollution

18. The goals of Chinese public health building • For 3 years • building the public health emergency response system • enhancing the system of disease control and prevention • enhancing the system of health supervising and executing the public health law • For a longer time • Primary health care system in rural areas • The basic health service system in urban areas • The environment sanity system • Government input system

19. Key points in the building process of public health • Establishing the the public health emergency response system • Reinforcing the system of disease control and prevention • Developing health system in rural areas • Enhancing the system of health supervising and executing the public health law • Expanding health education

20. The related policy to reinforce the building of public health • Increasing the input in public health from government • Reinforcing the duty of government to public health • The participate of other department and community in public health • Intergrading the gap between clinical medicine and prevention

21. ThanksFor Your Attention