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Joint Control and Control of Local Public Health Crisis in Japan

00:47, April 16, 2020 Source: "China Social Sciences", April 16, 2020, 1908th author: Yu Zucheng Wang Jinyu

　　In the case of the continuous spread of the new crown pneumonia，Epidemic prevention and control is not just medical and health problems，but a comprehensive job，It is a overall battle，All tasks must provide support for winning the prevention and control of the epidemic。Epidemic prevention and control requires sound scientific research、Disease Control、Effective synergy mechanism for clinical treatment，Improve the standards for preventing and controlling the prevention and control of the Urcense and the Administrative Measures for Emergency treatment。Emergency issues for "How to jointly control and control"，This article attempts to take the public health crisis response mechanism of the Japanese local government as the research object，Make a brief analysis on joint defense and joint control measures，For related research and practical reference。

　　Core for health care

　　In Japan，Public Health Crisis Management is called "Health Crisis Management"。1998，Amendment of the Ministry of Life and Labor and Ministry of Ministry of Welfare "The Basic Policy on Promoting Regional Health Countermeasures"，Clarify the basic policy of local public health crisis management，and require local governments at all levels to formulate guidance manuals for public health crisis management as soon as possible，To strengthen professionalism in the field of regional health、Technical and wide Bet365 app download -area health care in the core function of the local public health crisis management。For this，High Life and Labor Ministry of Welfare in 2001 promulgated the "Guidelines for the Management Guidance of Local Public Health Crisis"，Reference for local governments when formulating the guidance manual of public health crisis management。

　　In view of the frequent public health incidents in recent years，The Japanese government has positioned health care as "the stronghold of local public health crisis management"，Order responsible for the implementation of the full process of public health crisis management，Including crisis prevention business、Emergency plan Formulation、Implementation of emergency measures and recovery of crisis after the crisis。The so -called health care institute，It refers to an administrative agency responsible for ensuring local residents' health and public health，Guidance of the Ministry of Labor, Labor, Ministry of Workers and Ministry of Workers，Leaders from the administrative department of administrative departmental health administrative department，Specific responsibility including "AIDS、Tuberculosis、STD、Prevention of diseases such as infectious diseases ", including 14 legal businesses, etc.。As of April 2017，Japan has a total of 481 health care centers in the country，Among them, 363，95 cities set up in health care，23 special districts。

　　According to the "Guidelines for the Management Guidance of Local Public Health Crisis"，Emergency management mechanism of the public health crisis of Japanese local governments includes four major sub -mechanisms at the macro level，is the emergency command mechanism、Legal response mechanism、Information bet365 live casino games release mechanism and citizen rescue mechanism。where，joint defense and joint control measures are included in the emergency command mechanism。

　　Cross -department -based cooperation

　　After the public health crisis,，In view of the professional knowledge and high skills required for the public health crisis，The health care and the local government headquarters remain closely cooperating，Need to work with other institutions and even folk forces (such as the Red Cross System、Social Organization、Grass -roots communities and other organizations) Tongli collaboration，Then establish joint defense joint control、Crisis of group defense and group treatment cope with the collaborative network。During the emergency management period of crisis，Health Care Institute should be associated with physician association、Medical institutions、Police Department、Fire Department、Local Health Research Institute、Japanese Poisoned Information Center、Expert team and other organizations，Coordinated network with joint control and joint control。Specifically，This specific measure of joint defense and control includes the following aspects。

　　Health Care Institute and Physician Association、Cooperation of medical institutions。After the public health crisis,，In order to ensure the medical services required by the affected persons，Health Care Institute should use a wide area disaster emergency medical information system to confirm the local emergency medical resources。If the scale of the affected group is large，Health Institute should seek cooperation from the Physician Association and local medical institutions in Bet365 lotto review time，Special medical services required by patients with special diseases and special condition patients。other，If the Health Institute decides to send the ambulance medical group to the crisis site，On the basis of negotiating with the local government headquarters，Timely seeking assistance from the physician association and medical institution。

　　Health Care Institute and Police Department、cooperation from the fire department。In view of the important role of the police department and the fire department in the public health crisis emergency management，Health Institute (local government) shall sign a public health crisis with the police department and the fire department in the daily work。After the public health crisis,，The emergency contact information or emergency contact window of the health care institute should be，Timely seeking assistance from the police department and the fire department。For example，If the Health Institute collects information at the scene of crisis、The cause of the investigation and the cause of the collection of the detection body encountered obstacles，or when suspected illegal incidents occurred at the crisis scene，should immediately seek assistance from the police department。other，If health care needs to transport medical materials or members of the medical ambulance group，You can ask the police to send police cars to escort the whole process。Another，Confirmation of the status of the crisis、Delivery patients、Investigation of the accident、Medical Rescue Group and Medical Equipment Transportation，Health Institute can seek cooperation from the fire department in accordance with the agreement in advance。

　　Cooperation between the Institute of Health and Local Health Research bet365 best casino games Institute。After the public health crisis,，Health care should be found in time to find out the pathogenic substance caused by the crisis。but，If the health care institution has the ability to investigate or detect the pathogenic substances，or doubt about the detected pathogenic substances，or predicted that the detected pathogenic substances will have a serious impact on society，Should seek assistance from the local health research institute in time。Of course，If the local health research institute cannot cope with，The Institute of Health in Health Care Institute should be timely、University、National Institute of Infection、Institute of National Medical Health Research Institute and other professional institutions seeking assistance。

　　The cooperation between the health care institute and the Japanese poisoning information center and experts and scholars。If there is a poisoning condition that may be caused by chemicals, etc.，The Japanese Poisoned Information Center (legal person) should be requested to help investigate the pathogenic substances。other，If the Health Institute decides to send experts and scholars at the crisis site，The relevant departments of the local government headquarters should provide appropriate expert candidates。Relevant departments of local government headquarters can select experts based on daily preparation experts，or requesting the National Infement Institute to select expert selection in accordance with the expert dispatch system it established。

　　Cooperation with other organizations with health care institutes。In the process of investigation of the accident and collection information where the Bet365 lotto review health care is located，Should be the government of the city of the city、The Society of Physicians of the County City、Medical institutions and other organizations make a request for cooperation。When a large -scale natural disaster or a major crisis such as a chemical factory explosion，Local governments should also consider making assistance requests to the Japanese Red Cross or Self -Defense Force。other，If it is difficult to deal with crisis only by administrative forces，Local governments should also cooperate with civil forces such as social organizations (charities)。

　　Nveralial phenomena that appear in many places in the prevention and control of the new crown pneumonia，to a large extent reflects that my country's epidemic joint prevention and control mechanism needs to be further improved。As the main body of the public health crisis in Japan, the health care of the main responsible body is closely cooperating with the local government headquarters，Also active with the doctor association、Medical institutions、Police and fire department、Local Health Research Institute、Japanese Poisoned Information Center、Experts and scholars and other organizations cooperate，To build an epidemic control network based on cross -department -based cooperation and realize information sharing between organizations。These useful prevention and control mechanisms and practices experience in Japan are worthy of our serious learning and active reference。

　　(Author Unit: School of International Relations and Public Affairs of Shanghai Foreign Studies University; School of Culture and Economics, Shanghai University of Foreign Languages)

Editor in charge: Changchang