From January to July this year, 12,565 cases of infectious diseases were detected by the national customs entry quarantine, up by 8.62% year-on-year. Zika virus disease and Chikungunya fever were detected for the first time, and cholera, Zika and other major infectious diseases were detected many times. However, traditional infectious diseases such as plague, cholera and yellow fever break out from time to time all over the world, and new infectious diseases such as Ebola hemorrhagic fever, Middle East respiratory syndrome and Zika virus disease are constantly emerging, which may become "black swan" and "grey rhinoceros" in the field of infectious diseases at any time, bringing severe challenges to global public health and China Customs.
"At present, the global public health situation is very complicated and severe. The accelerated development of global trade, the more convenient transportation network and the more frequent personnel exchanges make there is only one flight distance between any new disease and the transmission area. " Zhang Jiwen, deputy director of the General Administration of Customs, said at the scene of an emergency drill for public health emergencies at ports recently held in Chongqing.
The reporter of "Legal Daily" learned from the General Administration of Customs that from January to July this year, 12,565 cases of infectious diseases were detected by the national customs entry quarantine, an increase of 8.62% year-on-year. Zika virus disease and Chikungunya fever were detected for the first time, and major infectious diseases such as cholera and Zika were detected many times. However, traditional infectious diseases such as plague, cholera and yellow fever break out from time to time all over the world, and new infectious diseases such as Ebola hemorrhagic fever, Middle East respiratory syndrome and Zika virus disease are constantly emerging, which may become "black swan" and "grey rhinoceros" in the field of infectious diseases at any time, bringing severe challenges to global public health and China Customs.
The epidemic situation is unprecedentedly grim.
In the development of human history, the struggle against infectious diseases is an eternal main line.
Infectious diseases, such as smallpox, plague and cholera, have spread widely all over the world, causing hundreds of millions of casualties, which has seriously disrupted social order and affected social and economic development.
According to Adrian Xu, director of the Department of Health and Quarantine of the General Administration of Customs, in the 21st century, the impact of various infectious diseases has not decreased with the growth of the world economy and the improvement of people’s living standards, but with the improvement of the world transportation facilities, the epidemic situation of infectious diseases has spread rapidly around the world. In recent years, the global epidemic situation of infectious diseases has broken out one after another, with one or two new and recurrent infectious diseases appearing every year. The outbreak frequency is getting denser and denser, the scope is getting wider and wider, the harm degree is getting deeper and deeper, and the import risk is getting bigger and bigger, which makes the global public health situation unprecedented.
In 2014, the Ebola outbreak broke out in three African countries, causing fear and travel restrictions that almost paralyzed the whole world.
In 2015, a business traveler infected with Middle East Respiratory Syndrome virus returned to South Korea, quickly infecting 186 people, killing 38 people and isolating 17,000 people, which led to the disorder of health system and society in South Korea. South Korea’s exports fell by 10.9% year-on-year, and the president was forced to cancel his visit to the United States. The epidemic also spread to China.
In 2016, after 60 years of silence in Africa and Asia, Zika virus disease suddenly became popular in Brazil and continued to spread across borders. Because Zika virus can cause neonatal microcephaly, the World Health Organization declared it a public health emergency of international concern.
In July this year, the World Health Organization (WHO) announced that the epidemic situation of Ebola hemorrhagic fever in Congo (DRC) has constituted a public health emergency of international concern, and the risk of epidemic spread has intensified, and the pressure of prevention and control has increased.
Adrian Xu told reporters that in the first half of this year, the monitoring information of the global infectious disease information monitoring network involved 68 infectious diseases and 140 countries and regions. From the range of occurrence, except influenza, measles, dengue fever, chikungunya fever, cholera and malaria are widely prevalent; According to the degree of harm, pneumonic plague, Ebola hemorrhagic fever, Middle East respiratory syndrome, Lassa fever and Hantavirus lung syndrome are the most common causes of death. In terms of epidemic areas, Ebola hemorrhagic fever, plague, cholera, yellow fever, Lassa fever and rift valley fever are mainly prevalent in Africa, cholera, Middle East respiratory syndrome and dengue fever are mainly prevalent in Asia, and dengue fever and measles are mainly prevalent in America and Europe.
Tens of thousands of infectious diseases were detected.
Various infectious diseases not only pose a great threat to people’s health and safety, but also have a great impact on social stability and national economy. With the continuous deepening of China’s "Belt and Road" construction and opening up, as well as the accelerated development of global trade, the more convenient transportation network and the more frequent personnel exchanges, human beings have formed a "community of destiny" in the face of epidemic diseases as never before.
To this end, the national customs has built a port quarantine defense line to prevent the introduction of major epidemics. From January to July this year, 12565 cases of infectious diseases were detected by the national customs entry quarantine.
On June 10th, the customs staff of Ningbo Airport found that many passengers on a flight from Bangkok had vomiting, diarrhea, abdominal pain and other symptoms. Customs officers immediately carried out on-site investigation and disposal, and found that 15 passengers belonging to the same tour group had symptoms of digestive tract infection. After collecting blood and other samples, the staff issued a convenient card for seeing a doctor and told them to see a doctor as soon as possible before releasing it. On June 14th, Ningbo Health Center reported that three passengers were positive for enterohemolytic Escherichia coli O157:H7. The customs immediately informed the passengers of the test results by telephone, and suggested that they go to the hospital for further review and diagnosis and treatment, and reported the disposal situation to the Ningbo Municipal Government and informed the Ningbo Municipal Health and Health Commission. At the same time, strengthen cooperation with tourism management departments, issue early warnings to travel agencies in a timely manner, and ask the recent travel team to Thailand to pay attention to the relevant epidemic situation and make adjustments to travel routes.
On July 1st, Kunming Customs found a China male passenger with high body temperature among the people who entered Myanmar at Changshui Airport. On-site staff immediately re-measured the passenger’s body temperature, conducted epidemiological investigation and medical investigation. After investigation, the passenger’s axillary temperature was 37.7℃, accompanied by headache, muscle and joint pain and other symptoms. The staff initially judged that they might be infected with mosquito-borne infectious diseases, so they collected blood samples for inspection at the first time. On July 2, Yunnan Health Center detected that the passenger was positive for Zika virus nucleic acid. The customs immediately informed the patients by telephone, gave them health education and informed the Yunnan Provincial Center for Disease Control and Prevention.
On July 11th, a flight from Kenya declared to Guangzhou Baiyun Airport Customs that a female passenger from the Democratic Republic of Congo had fever, vomiting and diarrhea during the flight. Customs officers determined that it was a suspicious case of Ebola hemorrhagic fever. The customs will start the joint prevention and control mechanism and emergency plan at the first time, and take protective and disinfection measures; Isolate the passenger, contact the local medical institution to transfer him to another hospital, deliver the sample overnight and start the 24-hour inspection mechanism. The next day, the Health and Quarantine Laboratory (P3) of the Technology Center reported that the suspected Ebola virus disease was excluded.
Prevent and resolve health risks
"Preventing and resolving major risks is one of the three tough battles established by the 19th National Congress of the Communist Party of China. Specific to the customs health and quarantine work, it is necessary to adhere to the bottom line thinking of preventing major epidemics and strictly controlling the security of the country, and resolutely prevent and resolve the hidden dangers of public health and safety risks at ports." Lin Wei, director of the Health and Quarantine Department of the General Administration of Customs, said.
In April 2018, in accordance with the unified arrangements for the reform of the party and state institutions, the duties and teams of entry-exit inspection and quarantine management were assigned to the General Administration of Customs. After the institutional reform, the customs has more supervision responsibilities, wider supervision scope and longer supervision chain, and the pressure and challenge of maintaining national security is greater than at any time in history, which puts forward new and higher requirements for customs health and quarantine work.
In order to prevent the introduction of major epidemic diseases and build a strong port quarantine defense line, the customs health quarantine explored the mode of "moving the border forward", sent elite soldiers and strong generals to carry out epidemic prevention and control abroad, and constantly improved the overseas infectious disease monitoring system. Strict port quarantine inspection, so that every doubt must be investigated and every policeman must be dealt with, improve laboratory testing ability, implement precision quarantine projects, carry out cross-border joint monitoring of vector organisms at key ports, implement port food safety and health supervision and sampling plan, and constantly improve the port health quarantine prevention and control system.
In order to improve the international travel health service for key groups such as expatriate laborers, the Customs has continuously improved the international travel health service system. In recent years, major epidemics such as Ebola hemorrhagic fever, Middle East respiratory syndrome and Zika virus disease have been properly handled, and the country has been kept. The first case of rhabdovirus infection in China and the second case in the world were detected, and six new viruses, such as yellow fever virus, Zika virus, Rift Valley fever virus, Cooper fever virus and Middle East respiratory syndrome coronavirus, which were not seen in China, were detected, achieving both "absolute quantity" and "gold content" of epidemic detection.
In order to strengthen supervision, optimize services and actively serve the overall situation of development. The Customs has optimized the examination and approval process for special articles, and the settlement rate reached 95% in 5 days. Implement risk management, strengthen supervision after the event, reduce the burden on enterprises, and support biomedical research and industrial development. Port health permit "two certificates in one", cancel the health permit for storage sites at border ports, and realize the online operation of 13 health and quarantine government services; Excellent completion of G20 summit, APEC meeting, Shanghai Cooperation Summit, Beijing Summit of Forum on China-Africa Cooperation, the first China International Import Expo(CIIE) and other major activities.
The open ports of 273 countries in China have passed the acceptance of the core competence of port public health, fulfilled the agreement of the International Health Regulations and fulfilled the commitment of China. Ningbo’s experience of "Hong Kong-wide Demonstration City for Health Creation" has been promoted to the whole world by WHO. In addition, the first port public health risk monitoring, early warning and decision-making system has been built to realize comprehensive monitoring, automatic early warning, scientific decision-making and rapid response to global infectious diseases and vectors; It is the largest sanitary treatment scale of large ships in the world. For the first time, the whole ship fumigated a 100,000-ton ship and killed 600,000 live cockroaches.
Participate in international health governance and give voice to China. The Customs implemented the action of health aid to Africa and promoted the construction of African CDC. Establish the WHO International Health Regulations (Port) Cooperation Center and the International Travel Health Cooperation Center, actively strengthen health and quarantine cooperation with international organizations, neighboring countries and regions, and countries along the Belt and Road, and gradually establish information exchange and joint emergency response mechanisms, so as to contribute "China experience" to international health governance and epidemic prevention and control, and demonstrate "China’s responsibility".
The relevant person in charge of the General Administration of Customs said that in the next step, the national customs will resolutely implement the spirit of the important instructions of the Supreme Leader General Secretary "Building a port quarantine defense line", adhere to the bottom line thinking, strengthen port epidemic prevention and control and emergency drills, and actively deepen joint prevention and control with departments at all levels to prevent the cross-border spread of infectious diseases and effectively protect people’s lives and health. (Legal Daily reporter Cai Yanhong)
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