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Issued by the ministry of health on the emergent

 

poisoning Health emergency plan "inform

 

 

Ministry of health of the People's Republic of China

 

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Provinces, autonomous regions and municipalities health TingJu, xinjiang production and construction corps health bureau, China's center for disease control:

In order to promote health emergency emergent poisoning, the organization has formulated the health emergency health emergency preplan of poisoning. Hereby printed and distributed to you, please carefully organize the implementation.

2 on May 12th year 2005

Health emergency health emergency preplan poisoning

Mesh record

1 conditions

1.1 compilation purpose

1.2 compilation basis

130 applicability

1.4 work principles

1.5 event classification

1.5.1 special major emergent poisoning (level I)

1.5.2 major emergent poisoning (level II)

1.5.3 larger unexpected poisoning (III)

1.5.4 general sudden poisoning (level IV)

2 the organization system and responsibility

2.1 public health administrative department

2.2 medical health institutions

2.2.1 chemical poisoning treatment base and designated treatment institutions

Laws 2.2.2 related medical institutions

2.2.3 of institution of disease prevention and control

2.2.4 health supervision institutions

2.3 specialists

2.4 health emergency professionals

3 monitoring, report and risk assessment

3.1 monitoring

3.2 report

3.3 risk assessment

4 information bulletin

5 emergency response

5.1 emergency response principles

5.2 grading response

5.3 response measures

5.3.1 organization and coordination

5.3.2 site disposal

5.3.2.1 from contact

5.3.2.2 field medical relief locales

5.3.2.3 sampling and toxics fast detection

5.3.2.4 site wash-infection

5.3.2.5 site triage and medical aid

5.3.2.6 patient transshipment

5.3.2.7 patient treatment

5.3.2.8 medical rescue personnel's protection

5.3.2.9 public health protection and propaganda education

5.3.2.10 psychological aid

5.4 emergency response terminated

5.5 emergency response evaluation

5.6 the incident area health emergency measures

Six security measures

7 plan formulation and updates

8 remarks

8.1 nouns terminology

820 plan implementation of time

1 the general

1.1 compilation purpose

Effective control of the sudden poisoning and its harm, guide and regulate the emergent poisoning health emergency, minimize sudden poisoning the damage to public health, protect public health and life safety, maintain social stability.

1.2 compilation basis

The law of the People's Republic of China, the emergency response law of the People's Republic of China, and the food safety "emergent public health event emergency ordinance, the hazardous chemical materials safety management regulations of the People's Republic of China and the regulations for the implementation of food safety, the national public health emergencies emergency plan", "national public emergencies of medical rescue emergency plan and other laws, regulations and plans.

130 applicability

All kinds of sudden poisoning health emergency work. Pathogenic microorganisms of infectious and infectious disease caused by the relevant preplan disposal.

1.4 work principles

People-oriented, effective disposal; Unified leadership, division of labor cooperation; The information sharing and rapid response; To strengthen management, strengthen the protection.

1.5 event classification

According to the sudden poisoning hazards factors such as the degree and range, sudden poisoning is divided into special major (I level), major (level II), larger (III) and general (level IV) sudden poisoning level 4. Food poisoning and acute occupational poisoning in accordance with the national emergency preplans for public health emergencies "classification criteria of execution.

1.5.1 special major emergent poisoning (level I)

One of the following situations for special major emergent poisoning:

(1) the emergent poisoning, poisoning together in 100 people and the number killed 10 people and above and above; Or killed 30 people and above.

(2) in a county (city) level within 24 hours of administrative area within and above may have 2 similar poisoning link, the cumulative poisoning number 100 people and above and death 10 people and above; Or accumulative total death 30 people and above.

(3) the national 2 and above province (autonomous region, municipality directly under the central government) similar major emergent poisoning happened (level II), and there is evidence to show that these events clear contact reason to exist.

(4) the approval of health administrative departments of the state council and its other circumstances.

1.5.2 major emergent poisoning (level II)

One of the following situations for major emergent poisoning:

(1) the number emergent poisoning together more than 2,000 people, and exposure.

(2) the emergent poisoning, poisoning together in 100 people and the number above and death 2 - nine people; Or death 10-29 people.

(3) in a county (city) level within 24 hours of administrative area within and above may have 2 similar poisoning link, the cumulative poisoning number 100 people and above and death 2 - nine people; Or accumulative total death 10-29 people.

(4) the 2 and to be listed (ground) level areas similar large sudden poisoning happened (III), and there is evidence to show that these events clear contact reason to exist.

(5) the people's government at or above the provincial level and the approval of health administrative departments and other circumstances.

1.5.3 larger unexpected poisoning (III)

If one of following cases occurs for a major emergency poisoning:

(1) the number emergent poisoning with exposure to 1999 1,000 people.

(2) the emergent poisoning, poisoning together in 100 people and the number 1 above and death; Or death 3-9.

(3) in a county (city) level within 24 hours of administrative area within and above may have 2 similar poisoning link, the cumulative poisoning number 100 people and above and death 1 person; Or accumulative total death 3-9.

(4) the city (ground) 2 and above county (city), area seen similar general sudden poisoning (level IV), and there is evidence to show that these events clear contact reason to exist.

(5) city (prefecture) level and the people's government at or above the approval of health administrative departments and other circumstances.

1.5.4 general sudden poisoning (level IV)

One of the following situations for general sudden poisoning:

(1) together in emergent poisoning the number 50-999 exposure.

(2) the emergent poisoning, poisoning together in 10 people and the number above and no deaths; Or death 1-2 people.

(3) in a county (city) level within 24 hours of administrative area within and above may have 2 similar poisoning link, the cumulative poisoning number 10 people and above and no deaths; Or death 1-2 people.

(4) county (city) level and the people's government at or above the approval of health administrative departments and other circumstances.

2 the organization system and responsibility

2.1 public health administrative department

Under the unified leadership of the state council and the administrative department of public health under the state council is responsible for organizing, coordinating national emergency poisoning health emergency, responsible for the unified command, coordinated special major emergency health emergency disposal of poisoning. Health emergency office is responsible for the sudden poisoning health emergency daily management.

At each level of the local administrative departments of public health under the leadership of the people's governments at the same level, be responsible for organizing, coordinating within their respective administrative areas of emergent poisoning health emergency work; Cooperate with related departments, completes the production safety or environment pollution emergencies, involving the community health emergency of poisoning. According to the principle of grading disposal, provincial, county public health administrative department municipal-scale, unified command, which is significant, the larger and coordinate the average level of emergent poisoning health emergency work.

2.2 medical health institutions

Medical and health institutions at various levels and health emergency is sudden poisoning the professional technical institutions, combined with their respective duties well emergency preparations for the poisoning of specialized technical personnel ability, strengthen and improve the training of fast reaction capability and technical level. After the emergent poisoning occurred in the administrative department of public health under the people's government at the corresponding level, under the leadership of the emergency treatment work on health.

2.2.1 chemical poisoning treatment base and designated treatment institutions

The administrative department of public health under the state council and of the local governments at various levels at the administrative departments for public health shall establish chemical poisoning treatment base or designated authority, a bear treatment emergent poisoning the main health emergency medical institution. Chemical poisoning treatment base and designated treatment institutions should do well in the following job.

(1) national chemical poisoning according to needs to pay for the treatment of base especially heavy levels of sudden poisoning site health emergency patients and poisoning, and treatment work guidance and support local health emergency treatment of base; A comprehensive grasp sudden poisoning health emergency disposal technology and develop poisoning detection, diagnosis and treatment technology research; Assist health formulate emergency health emergency poisoning related technical solution; Responsible for the national emergency poisoning poison detection and treatment technology training and guidance, and develop in the national chemical poisoning information consultation service work.

(2) provincial chemical poisoning treatment within the jurisdiction of the sudden poisoning base conduct medical management at the site in work; Responsible for the sudden poisoning within the jurisdiction of the treatment of technical guidance and training; Carry out poisoning detection, diagnosis and clinical treatment work, and poisoning information consulting service, etc.

(3) city (prefecture) class chemical poisoning treatment base or designated treatment within the jurisdiction of the body responsible for the scene to deal with unexpected poisoning diagnosis and treatment and the clinical technical guidance; Facing the jurisdiction; provide poisoning information service Undertake on-site within their jurisdiction poisoning medical management work.

(4) county (city) level chemical poisoning treatment base or designated treatment within the jurisdiction of the body responsible for the scene to deal with unexpected poisoning diagnosis and treatment and the clinical technical guidance; Facing the jurisdiction; provide poisoning information service Undertake on-site within their jurisdiction poisoning medical management work.

Laws 2.2.2 related medical institutions

(1) develop unexpected poisoning and poisoning case report work.

(2) the site in poisoning patients medical treatment, transport, hospital diagnosis and treatment work.

(3) to the local people's government hygiene administrative department report poisoning patient outcomes.

(4) to assist in poisoning of institution of disease prevention and control patients epidemiological and acquisition on biological samples.

2.2.3 of institution of disease prevention and control

(1) develop the monitoring of emergent poisoning work, reporting and analysis.

(2) develop the emergent poisoning field investigation and handling, put forward some Suggestions of on-the-spot preventive control measures.

(3) the site in sudden poisoning fast identification and testing, according to relevant technical specifications samples, conduct poisoning sample laboratory identification, inspection and test.

(4) develop sudden poisoning exposure population health care work.

(5) in sudden poisoning health impact assessment work.

2.2.4 health supervision institutions

(1) under the leadership of the public health administrative department, assist to participate in sudden poisoning disposal healthcare agencies health emergency measures about the implementation of educational supervision, inspection.

(2) to assist the public health administrative department in accordance with relevant laws and regulations, and the survey dealing with the unexpected health emergency poisoning the illegal behavior.

(3) according to "SanDing" provisions defined responsibility, emergency units and responsibility hit-and-run poisoning sanitary supervision unit.

2.3 specialists

Health administrative departments at all levels to establish sudden poisoning, its main functions: group

Emergency poisoning, emergency preparedness advice formulated and revised in emergent poisoning related plans and technical solutions.

To determine the sudden poisoning warning and event classification and adopt corresponding Suggestions and the important measures for sudden poisoning the emergency treatment for technical guidance to paroxysmal poisoning, emergency response to terminate, put forward advice. Later assessment

Bear sudden poisoning emergency command institutions and daily management institutions other work assigned by.

2.4 health emergency professionals

Health administrative departments at all levels to emergency health emergency was poisoning, professional team, equipped with necessary disposal and safeguard equipment, organize regular professional training, drills and exercises.

Accept the administrative department of public health at the corresponding level, participation in sudden poisoning called emergency treatment work.

3 monitoring, report and risk assessment

3.1 monitoring

Health administrative departments at all levels to medical and health institutions designated in the sudden poisoning monitoring work, and has built a complete poisoning real-time monitoring analysis system, the organization medical and health institutions conduct sudden jurisdiction of the poisoning patients involved poisoning related information collecting, sorting, analyze and report etc; The organization carries out the specific poisoning or crowd; strengthen monitoring Organization the poisoning treatment (or the designated treatment institution base of institution of disease prevention and control) and poisons, sudden poisoning in real-time and poisoning cases work monitoring and data analysis.

3.2 report

Sudden poisoning responsibility report unit, responsibility liu, report time limit and procedures, according to the newspaper all network straight national emergency preplans for public health emergencies of implementation.

Sudden poisoning report is divided into initial report, progress report and a final report shall, according to the of the severity of the incident, developments and control to inform event process.

The first report content including abrupt poisoning, it shall explain the preliminary information sources of information, harm source, endanger scope and degree, events properties and the crowd the health effects of preliminary judgment, etc, also want to report has taken and ready to take control measures, etc.

Progress report contents include events progress, new evidence, endangering the measures, the control effect, the forecast, to events harm plan to take measures and Suggestions, in need of help. Progress report on the event day, the event initial report of significant progress the important measures, adopting important contents should always oral and written reports. Important and special major emergent poisoning at least daily progress report.

The final report contents include the cause of the event, poison types and quantity, the scope affected, contact the crowd, contact, poisoning personnel circumstance, on-site handling measures and effects, within the hospital treatment, etc., and reason and emergency response to events to carry on the summary, put forward some Suggestions. The final report in emergency response after the termination shall be submitted within 7 days.

3.3 risk assessment

The people's government at the county level and above shall organize experts to the administrative department of public health, carry out toxic poisoning, and sudden to public health hazard risk assessment for the relevant government departments, in early warning and formulate prevention and control countermeasures toxic to provide the reference. Happened unexpected poisoning or findings may cause sudden poisoning factor, according to toxic substances type, quantity, state, the scope affected, contact the crowd and people poisoning symptoms, etc, timely conduct dynamic evaluation, puts forward the preventive and control Suggestions.

4 information bulletin

Health administrative departments at all levels in dealing with unanticipated poisoning process, promptly to environmental protection, production safety supervision and administration, public security and related departments to bulletin health emergency treatment condition; And timely access other related departments dealing with unanticipated poisoning incidents involving related information, for timely to master relevant incident involving health emergency the poisoning work.

5 emergency response

5.1 emergency response principles

Emergent poisoning happened when health administrative departments at all levels under the leadership of the people's governments at the same level with the higher-level hygiene administrative department technical guidance, according to apanage management, the principle of classification, rapid response health emergency rescue site founded poisoning command organization, organize experts to formulating relevant medical disposal scheme, actively develop health emergency work.

5.2 grading response

Ⅰ level response: achieve special major emergency poisoning, the administrative department of public health under the state council after immediately start Ⅰ level emergency response, quickly on health emergency work and will timely submitted to the state council for emergency work. Provincial health administration department of the government at the corresponding level in leadership and under the guidance of the health administrative departments under the state council, organize immediate coordination city (prefecture) and county (city) level hygiene administrative department on health emergency work.

Ⅱ level response: achieve significant sudden poisoning, the administrative department of public health under the people's government at the provincial level immediately start Ⅱ level emergency response, quickly on health emergency work and will work in time of emergency people's governments at the corresponding level for the state council and the administrative departments of public health. The administrative department of public health under the state council shall strengthen technical support and coordination, according to need to organize national health emergency teams and relevant experts quickly team to the scene and assist in developing health emergency work.

Ⅲ level response: achieve bigger sudden poisoning, city (prefecture) level and the administrative department of public health under the people's government Ⅲ level immediately start emergency response, quickly on health emergency work and will work in time of emergency people's governments at the corresponding level for and the higher-level hygiene administrative department. Provincial public health administrative department shall timely organizing experts to provide health emergency treatment of technical guidance and support. The administrative department of public health under the state council according to the work need timely to provide technical support and guidance.

Ⅳ level response: reaching a general sudden poisoning, county (city) level and the administrative department of public health under the people's government Ⅳ level immediately start emergency response, quickly on health emergency work and will work in time of emergency people's governments at the corresponding level for and the higher-level hygiene administrative department. City (prefecture) level hygiene administrative department shall timely organizing experts to health emergency treatment work for technical guidance. Provincial health administrative department shall, according to the work need to provide technical support.

5.3 response measures

5.3.1 organization and coordination

The administrative department of health under the people's government at all levels in people's governments at the corresponding level or its established emergency command of unified leadership and the people's government at the next higher level business under the guidance of the administrative departments of public health, assemble the health emergency professional players and related resources, carry out the sudden poisoning health emergency rescue.

5.3.2 site disposal

With effective protective ability, field disposal knowledge and skills of medical health emergency personnel take emergency health emergency poisoning, and detailed site disposal records site disposal related content, according to transport the patient and completes handover process.

5.3.2.1 from contact

Department of health actively cooperate with police, the supervision and administration of production safety, environmental protection department to control the hazard sources, search and rescue poisoning personnel, blockade dangerous area and related items, prevent seal their continuing contact toxic substances.

5.3.2.2 field medical relief locales

Existence of the toxic poisons diffusion trend, general component is endangering event scene reaserch (red), wen area within the yellow line and red (between) and cold area (the green line and the yellow line room). Medical relief areas established in cold area, and combining with the rescue work needs, set up in medical rescue area wash-infection area, triage area, observation area, rescue area, transfer area, command area, body functions such as park area division.

5.3.2.3 sampling and toxics fast detection

Field investigators in understanding incident occurred early process and process sample collection after work. Samples should be paid attention to nature and events according to poison harm characteristic collection representative samples, choose appropriate sampling tools and preservation, transshipment containers, prevent pollution, collecting samples quantity shall meet repeated test.

In conditional when, on-site investigation personnel shall be started as soon as possible, so that emergency toxicology testing site according to poison test results guide to work site disposal.

5.3.2.4 site wash-infection

In warm area and cooling zone set up field wash-infection points at the junction, the medical rescue personnel to assist the fire department, and pay attention to wash-infection forty-six poisonous clothing and infected valuables processing.

5.3.2.5 site triage and medical aid

On-site triage area set up near the site of cold zone wash-infection area, the medical rescue team is responsible for expose persons on the site triage. Refer to general triage principle and characteristics of human body health hazard poisons, poisoning patients and exposed workers into priority disposal, times priority disposal, deferred disposal and temporary not disposal four classes, respectively for red, yellow, green, black 4 kinds of color said. Standard for must emergency care red patients critical cases, giving priority to the disposal; Standard yellow for disposal of later in critically ill patients, times priority disposal; Mark green for light disease patient or not diagnosed after exposure to personnel, can wait for disposal; Standard black for death personnel, temporary not disposal. Red label shall immediately send rescue area of the emergency, and green label profile consists of medical treatment in observation area, black label park area who send a corpse.

On-site medical relief work by the health administrative department command and scheduling. Poisoning patients and exposed by the field medical treatment and personnel after illness relatively quiet, transport to the specified medical institutions, etc. On-site medical personnel handling relevant patients and exposure to record the field medical treatment measures personnel, and transport the patient's medical staff do handover work, and report regularly to the administrative departments of public health information.

5.3.2.6 patient transshipment

The public health administrative departments shall specify medical institutions receiving treatment unified dispatching, patient, do reasonable divergence.

The transfer process, medical personnel must closely observe poisoning patient change, to ensure that treatment continued, and to adopt corresponding emergency measures. Responsible for the medical personnel and receiving transport the patient's medical institutions must complete the patient, and promptly to the health handover handover of transshipment and report to the administrative department.

5.3.2.7 patient treatment

The public health administrative department according to need to formulate emergency poisoning diagnosis of solutions, and the organization carries out the guide to check the work.

Receiving the patient's medical institutions, completes the patients receiving and treatment and medical observations for work, and promptly to public health administrative department report relevant information. According to the characteristics and the patient's condition, poison when necessary the patients were second wash-infection.

5.3.2.8 medical rescue personnel's protection

Enter fieldwork medical rescue personnel, want to understand all kinds of protective equipment performance and limitations, according to poison types and hazard level appropriate choice of individual protective equipment, without proper individual defend in the case will not be allowed on site work.

5.3.2.9 public health protection and propaganda education

Health administrative departments at all levels according to sudden poisoning characteristics and health protection requirements to local government, and other relevant departments of public health protection measures are put forward, develop poisoning prevention and communal and health knowledge, and other public health effects of education work propaganda.

Public health protection measures advice mainly includes: (1) when poisonous gas leak incident, according to local meteorologic conditions and geographical location feature exposed areas shall be transferred to the upper hand crowd direction or side wind direction and, when necessary, the safety area shall be equipped with escape gas masks. (2) happen toxic contamination of soil and water, food, etc., it shall immediately after the poisoning mark and blockades contaminated area, timely control pollution, cut and avoid public contact toxic substances.

5.3.2.10 psychological aid

Happened after the poisoning, health administrative departments at all levels under the leadership of the people's governments at the corresponding levels, cooperate with relevant departments and organizations and conduct psychological aid work. According to need to organize related professionals to conduct psychological counseling and psychological crisis intervention work.

5.4 emergency response terminated

Health administrative departments at all levels shall timely organizing experts to terminate sudden poisoning whether evaluate health emergency response, and according to the expert advice timely decision terminate health emergency response.

Sudden poisoning health emergency response termination must also meet the following condition: sudden poisoning hazards source and associated risk factors is effectively controlled, no allogenic new hair poisoning cases, most poisoning patient get basic control.

5.5 emergency response evaluation

Sudden poisoning after health emergency response, undertake the work of emergency response to public health administrative department shall organize relevant personnel to paroxysmal poisoning evaluate health emergency health emergency, summarize the experiences and lessons in the work. Assessment reports on people's governments at the corresponding levels and report to higher-level hygiene administrative department.

5.6 the incident area health emergency measures

May be sudden poisoning the areas affected public health administrative department shall, according to the sudden poisoning properties, characteristics, development trends in this area, analysis the abysmal possibility and degree, focusing on the following job:

(1) close attention to events, timely access to relevant information progress.

(2) strengthening the key link, and puts forward the crowd health monitoring safety recommendations.

(3) organizations do the administrative area of the health emergency personnel and supplies needed to prepare.

(4) should be carried out poisoning prevention and control education, improve public knowledge propaganda ego to protect consciousness and ability.

Six security measures

Health administrative departments at all levels in accordance with the national emergency preplans for public health emergencies, the state of public emergency medical rescue emergency plan "requirement, completes the emergency health emergency poisoning the system, technology, team, capital and blood supply security, conduct training exercises and public health education, etc.

Local health administrative departments at all levels according to relevant plan and the requirement of the specifications, combination to this region, organizing experts at the actual proposed basic detoxification drugs and other emergency medicine and medical devices (including wash-infection etc), basic protection articles reserves, and basic site testing equipment and instrument equipped with advice, and relevant departments shall implement coordination.

Health administrative departments at all levels and the supervision and administration of production safety, environmental protection and other related departments to coordinate, completes the sudden public events involves poisoning health rescue work; And industrial and informationization of departments with, help them to do drugs and other emergency detoxification medicine and medical equipment and instruments, protective appliances production, reserves, call health emergency such as security work.

The people's government at or above the county level shall, public health administrative department and other relevant unit for the sudden poisoning, emergency treatment of medical and health personnel buy person accident injury insurance, grant appropriate allowance and care allowance.

7 plan formulation and updates

This plan formulate and issue by the ministry of health.

According to the situation of poisoning sudden changes and implement the problems found in this plan, health ministry update, revised and added.

8 bylaws

8.1 nouns terminology

Poison: under certain conditions (contact, contact way, enters the body quantity), affect the body metabolic process, cause airframe temporary or permanent organic or functional abnormal status of the foreign material.

Poisoning: the body appear by poison effect condition.

Sudden poisoning: in a short time, toxics through certain effect on specific populations way caused mass sexual health impact event.

Similar events: refers to events, development process and the patient's clinical manifestations of similar events.

The sudden exposure when poisoning happened in a certain time in poison diffusion area range, and could be poison harm or influence personnel. Included in the event, it is difficult to determine whether early is explicitly toxic exposure, whether have unpleasant symptoms and abnormal neurologic personnel.

Exposed: refers to the number of emergency exposure poisoning, together with the number of combined.

820 plan implementation of time

This plan issued by the implementation.