Guangdong Two Sessions | Provincial People's Congress Deputies suggested that marriage tests increase women's ovarian function, HIV and other new testing items

The population issue is related to the national economy and people's livelihood, and has always attracted the attention of all sectors of society. In 2022, the Fifth Session of the 13th People's Congress of Guangdong Province is about to be convened, and Zhong Jiezhi, a deputy to the Guangdong Provincial People's Congress and chairman of the Guangzhou Greater Bay Area Modern Industry Development Research Institute, submitted the "Proposal on Establishing a Long-term Mechanism for Marriage Inspection", proposing that a long-term effect of marriage inspection should be established, and under the premise of local economic permission, a policy of free marriage examination and partial subsidies for marriage examination costs should be adopted to encourage marriage inspection.

In the marriage examination project, Zhong Jiaozhi suggested that in addition to the infection and genetic items in the original marriage examination, some new items should be added, such as the above-mentioned female ovarian function test (AMH), HIV test, etc.

□ Problem: There is a lack of marriage examination items

The marriage examination system, that is, the premarital health examination system, refers to the medical examination of both men and women who are preparing to marry, who may suffer from diseases that affect marriage and childbearing, so as to achieve the purpose of screening hidden dangers of diseases, preventing disease transmission, and reducing the birth of children with congenital diseases, which is of great significance for improving the quality of newborn birth and the quality of the population.

The data show that in 2000, the premarital examination rate on the mainland was 64.6%, and in 2005, only one year after the compulsory premarital examination was abolished, the national premarital examination rate showed a cliff-like decline, as low as 2.9%. In 2009, after the former Ministry of Health explicitly proposed to actively promote the policy of free marriage examination, the marriage examination rate rose rapidly to 52% in 2013. However, the long-term mechanism of marriage examination is still not perfect, especially in the testing project, there are still obvious deficiencies.

Zhong Jiaozhi's suggestion mentioned that there are several aspects of social issues that should arouse the great attention of society. For example, genetic diseases cannot be detected and prevented early, which makes it more difficult to diagnose in the obstetric examination before the birth of the newborn, and increases the cost of diagnosis, increasing the burden on pregnant women and families, and making families worry. Another example is the failure to detect and block infectious and transmissible diseases early (such as mother-to-child transmission of hepatitis B virus, transmission of AIDS, etc.).

Taking the hereditary disease thalassemia as an example, there are currently 300,000 severe and intermediate "ground poverty" patients in the mainland, up to 30 million people in the "ground poverty" gene carrier, and the gene carrying rate of the poor in Guangdong Province is 16.8%, if the husband and wife as long as one of them is a thalassemia patient, every pregnancy, their children have a 50% chance to become thalassemia patients due to heredity.

In addition, according to relevant reports, one of the reasons affecting fertility is female ovarian dysfunction, which accounts for a relatively large proportion. Modern family life costs high, pressure, young people in order to start a business first, mostly postpone childbearing, and so when they want to have children, only to find that there is a problem with ovarian function, at this time only for treatment, postpone the birth time, miss the best reproductive period, women's reproductive age is larger, affecting eugenics, and even affecting the relationship between husband and wife and the stability of the family. Therefore, it is necessary to include ovarian function tests in the scope of marriage examination before marriage.

At the same time, common female genital tract malignancies have a tendency to become younger. If it can be checked early and detected early, it can not only improve the cure rate, but also effectively protect the fertility rate.

□ Recommendations: Encourage marriage testing and increase testing items

As a female representative, Zhong Jiaozhi has long been concerned about the health of women and children. In the long-term exchange with the obstetrician and gynecologist of the hospital, it was learned that at present, due to the lack of marriage examination system, many potential diseases have not been detected at an early stage, and many fertility disorders have been found when they want to have children after marriage and cannot do so. These factors directly cause the birth rate to decrease, affect eugenics, and the protection of women's reproductive health cannot be discussed, resulting in family burdens and contradictions, which have become social problems. The serious impact of the reduction of the birth rate and the impact of eugenics on the mainland's population structure and population quality has also aroused the great attention of the top social and the people, in this regard, in addition to breaking the "one-child policy" and advocating "three children", it is also urgent for the state to establish a marriage inspection system.

Based on the above problems, Zhong Jiaozhi suggested that the marriage examination system should be re-established, and under the premise of local economic permission, the policy of free marriage examination and partial subsidy for marriage examination costs should be adopted to encourage marriage examination and promote the effective implementation of the system.

Zhong Also suggested that in addition to the infection and genetic items in the original marriage test, some new items should be added to the marriage test, such as the above-mentioned test for female ovarian function (AMH) and HIV testing.

Text/Guangzhou Daily, New Flower City Reporter: Xu Wenwen

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Guangzhou Daily New Flower City Editor: Su Wanqian