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| Shuangnan Community, Wuhou District, Chengdu City, Sichuan Province held the "100 People Picking Up and Running Public Welfare Activity". The picture shows volunteers explaining the knowledge of garbage classification to the participating children. Photo courtesy of the Propaganda Department of the Wuhou District Party Committee |
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| A nurse at the Xigang Community Health Service Center in Qixia District, Nanjing, Jiangsu Province, examines a patient's lung function. Photo by Yin Xiaoyu, reporter of this newspaper |
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| Panorama of Meilin Village, Guali Town, Xiaoshan District, Hangzhou City, Zhejiang Province. Photo by Shen Lei |
General Secretary Xi Jinping stressed that "give full play to the organizational advantages and mass mobilization advantages of the patriotic health campaign, guide the broad masses of people to take the initiative to learn health knowledge, master health skills, develop good personal hygiene habits, and practice a civilized and healthy lifestyle". This year's "Government Work Report" proposed: "Carry out the Healthy China Action and Patriotic Health Campaign in depth to build a solid line of defense for the people's health." ”
This April is the 36th National Patriotic Health Month. The National Patriotic Health Campaign Committee and local organizations have carried out various forms of patriotic health campaigns, such as improving environmental sanitation, strengthening the management of chronic diseases, and building green and low-carbon communities, so as to guide the masses to practice a civilized and healthy lifestyle. Recently, our reporters went to Shanghai, Sichuan, Jiangsu, Zhejiang, and other places to investigate and interview the development of the local patriotic health campaign.
-- The editor
Shanghai——
Intensify tobacco control law enforcement
Reporter Jiang Hongbing
"Tobacco Control Heat Map received a complaint that someone was smoking in the office building, please take us to the scene to see. On the afternoon of March 29, in Mango Plaza on the west bank of Binjiang River, Xuhui District, Shanghai, tobacco control volunteers Wang Zhiqin and Yin Peihua, who had a non-smoking sign printed on the back of their vests, found the relevant person in charge of the property project.
The location of the complaint was located in the men's restroom on the 22nd floor of an office building. Volunteers pushed the door open and saw a sign prohibiting smoking prominently placed on the wall. In the bathroom at the moment, there are neither cigarette butts nor the smell of smoke. "Since there are complaints, there may be smoking. Bathrooms are more hidden, so you need to do more publicity, increase patrols, and guide smokers to outdoor smoking spots. After doing an inspection and taking photos for evidence, Wang Zhiqin told the person in charge of the property.
"We will issue a non-smoking reminder to all tenants in the near future, and then ask the landlord to scroll the non-smoking policy on the large screen on the first floor. Let's look at whether to install smoke detectors in the bathrooms and put no-smoking signs behind the doors of each cubicle......" The person in charge of the property proposed corrective measures on the spot after discussing with two volunteers.
"In recent years, Shanghai citizens' awareness of tobacco control has been greatly enhanced. Volunteers came to supervise the rectification, and most units actively cooperated. Because there is a law that if you are complained about many times and do not implement rectification, you may be subject to law enforcement inspections and fines. Wang Zhiqin said.
There are currently more than 10,000 tobacco control volunteers like Wang Zhiqin and Yin Peihua in Shanghai, covering all towns and districts in the city, and have become an important force in carrying out daily tobacco control publicity, inspections, and discouraging illegal smoking.
This year, 15 years after Shanghai entered the tobacco control legislation, the Regulations on the Control of Smoking in Public Places have been amended twice. In November 2016, it was amended for the first time to prohibit smoking in indoor public places, indoor workplaces, and public transportation, and in October 2022, it was amended for the second time to include e-cigarettes in the scope of smoking prohibition in public places. The Regulations of Shanghai Municipality on Patriotic Health and Health Promotion, which came into effect on November 1, 2023, also focus on tobacco control, requiring continuous promotion of tobacco control in public places, strengthening supervision and law enforcement, improving the construction of smoking cessation service networks, and strengthening professional support for smoking cessation.
Wu Fan, vice president of Shanghai Medical College of Fudan University and president of the Shanghai Preventive Medicine Association, said that from legislation to tobacco control, to extensive participation, the formation of a social governance pattern of co-construction, co-governance and sharing is an important experience for Shanghai's tobacco control work to continue to move forward steadily.
At present, Shanghai has gradually formed a "six ones" management model for tobacco control publicity, supervision and law enforcement, that is, a set of systems (tobacco control laws, rules, norms, standards, etc.), a mechanism (multi-departmental cooperation and social co-governance mechanism), a line (12345 tobacco control complaint and reporting hotline), a map (tobacco control heat map), a network (the city's comprehensive smoking cessation service network) and a series of working methods (professional support, humanistic care, etc.).
Wang Tong, deputy director of the Shanghai Municipal Health Promotion Office, said that since the implementation of the indoor smoking ban in Shanghai in 2017, by the end of 2023, the city's average annual tobacco control law enforcement fines for venues and individuals have accumulated nearly 16 million yuan, leading the country in law enforcement. Correspondingly, the prevalence of illegal smoking in statutory smoking places in Shanghai has dropped from 37.5% before the tobacco control legislation to 12.3%.
With the success of indoor smoking bans, outdoor smoking has become a concern. In 2023, Shanghai will build 200 municipal-level demonstration outdoor smoking spots, and propose a new "tobacco control action trilogy" - complete indoor smoking ban, outdoor no smoking, and smoking please see the signs. The construction of "smoke-free Shanghai" has reached a new level.
Chengdu, Sichuan——
Build a green and low-carbon community
Reporter Wang Yongzhan
Shred the carrot skin, toss it with fallen leaves, and gently place the mixture in the compost bin, and the fermentation journey of "turning waste into treasure" begins. Not long ago, in the Mandao Park of Shuangnan Community, Pulp Wash Street, Wuhou District, Chengdu City, Sichuan Province, residents made kitchen waste into compost with the help of volunteers.
"After about three months of fermentation under the action of aerobic microorganisms, this food waste becomes fertilizer to nourish the soil. Chen Jianli, a resident, said that in the past, she used to throw vegetable leaves and peels into the garbage bin, but now she has learned composting technology, which can not only provide nutrients for the flowers and vegetables at home, but also reduce the cost of buying fertilizer. "Through participating in this activity, I learned how to separate garbage and develop a greener lifestyle. ”
Shuangnan community covers an area of 0.75 square kilometers, with more than 8,000 permanent residents, both commercial housing communities and resettlement communities, poor supporting facilities, and few public activity spaces have become prominent problems in the community. In 2022, the community will carry out an in-depth patriotic sanitation campaign, explore and practice the recycling and harmlessness of kitchen waste, dead branches, fallen leaves and other wastes, and build a composting demonstration base in Shuangnan community.
In the Shuangnan community, there are still many propaganda activities about patriotic health campaigns such as green culture. In June last year, Shuangnan Community organized residents, kindergarten teachers and students to carry out the community "100 people pick up and run public welfare activities" for the first time, integrating walking and environmental sanitation public welfare activities. In October last year, a volunteer service activity with the theme of "Safe Cycling and Civilized Cycling" kicked off. Young volunteers went to Chengdu's Ring City Greenway, cycling and picking up trash along the way......
Through these green culture publicity activities, more and more residents have participated in the patriotic health campaign, realizing the co-construction and co-governance of the community environment. Yang Yuanzhi, Secretary of the Party Committee of Shuangnan Community, introduced that in 2023, the community will hold more than 10 publicity activities.
In order to encourage residents to participate in the creation of a green community and advocate a simple and low-carbon lifestyle, Shuangnan Community has also formulated an incentive mechanism for the implementation of "Carbon Hui Tianfu" in the community, organized an idle goods exchange market and waste reuse activities, and carried out green environmental protection travel and garbage classification science popularization, and green and low-carbon achievement display. "Residents accumulate points by participating in activities and redeem prizes according to the number of points, which enhances the cohesion of the community and plays an important role in building a green Shuangnan. Yang Yuanzhi said.
In recent years, Shuangnan Community has improved the surrounding environment of Mandao Park in its jurisdiction through transformation, built a sports park, and added "Love Recycling and Love Sorting" garbage collection points to continuously shape the green ecological image of the community. Walking in the Mandao Garden, ginkgo trees, banyan trees, plane trees, etc. have grown green leaves, and birds chirp from time to time. "Everyone walks here every day to exercise, and the happiness index is very high. Chen Jianli said.
Today, Shuangnan Community is integrating the concept of green and low-carbon into all aspects of community life. "We will continue to work the community environment, infrastructure improvement, and green development atmosphere creation, and draw a happy life with 'green' as the foundation. Yang Yuanzhi said.
In 2020, Sichuan Province promulgated the Implementation Plan for the Creation of Green Communities in Sichuan Province, which requires the concept of green development to run through the whole process of community design, construction, management and service, and to promote the construction and improvement of the community living environment with a simple, moderate, green and low-carbon lifestyle. At present, Sichuan Province has selected 5 batches of green communities.
(Liu Fei participated in the writing)
Nanjing, Jiangsu——
Family Doctor Contracted Service
Reporter Yin Xiaoyu
Not long ago, Zhang Xueqi, a 63-year-old COPD patient living in Xigang Community, Qixia District, Nanjing City, Jiangsu Province, came to the COPD outpatient clinic of Xigang Community Health Service Center for follow-up.
"Have you been wheezing lately, have you coughed up phlegm?" Zhou Xia, the deputy chief physician, first asked about the medical history, then took out a stethoscope to listen to Lao Zhang's lungs, and then prescribed a pulmonary function test sheet.
Lao Zhang came to the pulmonary function test room. "Exhale, inhale, blow ......" follows the nurse's command, and a curved line is drawn on the screen of the instrument. After the report came out, Zhou Xia told Lao Zhang that his condition is relatively stable at present, and he will continue to standardize medication and do breathing exercises to exercise lung function after returning home.
"Five years ago, I climbed three floors and was wheezing so badly that I had to take one dose to get to my doorstep. Now I can climb to the 6th floor in one breath without rest or panting. "Lao Zhang's first visit was in 2019, and the doctor who treated him at that time was Zhou Xia. Through pulmonary function tests, Lao Zhang was diagnosed with COPD.
"We must standardize treatment, follow up on time, and never stop the drug on your own. The first time he went to the doctor, Lao Zhang was repeatedly told by Zhou Xia. Zhou Xia also established a chronic disease management file for him with COPD. Open the file, and the situation of each follow-up visit is clear at a glance. In addition to medication, the daily habits of COPD patients are also important. Today, Lao Zhang has not only quit smoking, but also insists on doing breathing exercises every day.
Xigang Community Health Service Center did not have a specialized respiratory physician before, but there were many elderly people living in the community, and there were many patients with COPD. Due to the professional examination and medication of COPD, patients can only go to a general hospital 20 kilometers away. Considering the needs of the surrounding people, in 2018, the community health service center opened a respiratory medicine department and set up a special outpatient clinic for COPD every Friday.
What should I do if there is a shortage of specialist doctors? Community health service centers combine "bringing in" and "sending out" and invite respiratory physicians from higher-level hospitals of the medical alliance to come for consultation, and send their own doctors to study for further training. Zhou Xia is a general practitioner and went to Jiangsu Provincial People's Hospital and Qixia District Hospital for a year and a half to study the diagnosis and treatment and daily management of COPD before preparing for the establishment of the Department of Respiratory Medicine.
At present, Xigang Community Health Service Center not only has a complete range of COPD treatment drugs, but also is equipped with pulmonary function detectors, blood gas analyzers and non-invasive ventilators in the wards, which can meet the hospitalization needs of COPD patients. With the continuous improvement of medical standards, residents in the jurisdiction are more willing to come here to see a doctor, as a family doctor Zhou Xia has signed more than 260 COPD patients, through standardized management, the number and frequency of hospitalization have been significantly reduced.
"We will move the gate forward and provide free lung function screening for people over the age of 35 who have a history of smoking who come to the clinic and have a physical examination. Gao Huihua, director of the Xigang Community Health Service Center, said, "The early symptoms of COPD are insidious, and the manifestation may only be cough, and many patients have obvious decline in lung function when they come to the doctor." ”
With the experience of chronic obstructive pulmonary disease outpatient clinic, Xigang Community Health Service Center opened an atrial fibrillation chronic disease outpatient clinic. At present, the center can provide integrated health management services of "screening, prevention, diagnosis, control, treatment and recovery" of chronic disease management.
The reporter learned from the Nanjing Municipal Health Commission that the city has built 131 community health service centers (health centers) and 640 community health service stations (village clinics), based on basic public health service projects, integrating public health services such as health file management, chronic disease follow-up, health education and clinical treatment services, forming an integrated health management service model of "active prevention before illness, scientific management after illness, and uninterrupted follow-up service".
Hangzhou, Zhejiang——
Improve the quality of rural living environment
Reporter Dou Hanyang
"The environment is getting cleaner and cleaner, many elderly people are beginning to go outdoors, and the 'old smokers' are gradually reducing their consumption and paying more and more attention to their own health management. Yang Yanjiang, Secretary of the Party Committee of Meilin Village, Guali Town, Xiaoshan District, Hangzhou City, Zhejiang Province, said.
In recent years, Meilin Village has continued to carry out patriotic health campaigns, advocating a healthy rural lifestyle on the basis of optimizing the healthy living environment in the countryside, and realizing a beautiful environment, good governance, prosperous industry and rich people.
The "small western-style buildings" are lined up, surrounded by small farmhouse courtyards and bamboos, and the flowers in front of the door are swaying...... The reporter walked into Meilin Village and saw a civilized and harmonious rural picture slowly unfolding.
In 2021, Meilin Village started the construction of future villages, starting with improving the village environment. Reducing the height and translucent greenery, creating beautiful courtyards, and garbage revolution...... Meilin Village has played a set of "combination punches" for comprehensive environmental improvement, "beautifying" the village environment in an all-round way, and creating a "poetic pastoral" that the villagers yearn for.
Villager Zhu Lihua's family is the first batch of "model households with green walls". In her courtyard, there is a fence made of bamboo, a small pond made of low bricks, the original high fence has been turned into a low wall made of stones, and a tea drinking area is designed under a fruit tree on the east side.
In order to promote the garbage classification work, Meilin Village has built a garbage classification supervision center platform in the village, which records the garbage delivery and evaluation of each household in detail. "Now there are no garbage cans in front of the houses, behind the houses, on the main roads and alleys in our village, and the environment is more clean and orderly than before. Aunt Xu, a villager, said.
With the improvement of the living environment, the lifestyle of the villagers is also quietly changing, and green and health have become the key words in the daily life of the villagers. Meilin Village has built a "Good Life Center" covering an area of 19 acres. A large number of public service spaces such as rural cinemas, gymnasiums, and youth palaces have become neighborhood centers for learning, education, leisure and entertainment, and communication and interaction for residents in surrounding villages.
Digital runways, walking trails, unmanned gyms, basketball courts, solar-powered fitness equipment, etc. are eye-catching, just like an open sports park. Uncle Wang, a villager, was pedaling a bicycle in the park, and after exercising, he picked up his mobile phone and scanned the QR code on it, and the exercise parameters were presented on the mobile phone one by one. "I come every day to get a workout and look at my exercise stats. Uncle Wang said.
In the Meilin Village Smart Health Service Station, a smart medical device has the functions of registering and paying fees. Through the smart health management system, doctors monitor the health data of villagers in real time to achieve hierarchical health management. In recent years, Meilin Village has gradually piloted the service of "dispensing medicines for chronic diseases without leaving the village", and through the "Healthy Brain" platform, doctors have helped patients with chronic diseases in the village to apply for drugs that they would have to go to a tertiary hospital to dispense, and realize the distribution of standing medicines to the village.
In Meilin Village, rehabilitation care also does not need to leave the village. The service team, composed of medical staff from the village health station, community health service centers and district-level experts, regularly carries out door-to-door medical services and home rehabilitation training for villagers. The smart devices for family beds in the village can also realize dynamic management and remote monitoring and consultation, so that villagers can enjoy high-quality medical services at their doorsteps. Today, 70 percent of the villagers choose to seek medical treatment in the village.
People's Daily (2024-04-19 19th Edition)