Tuberculosis laws and regulations
Minister Zhu Chen.
February 20, 2065 438+03
Prevention, treatment and management of tuberculosis
Chapter I General Principles
Article 1 In order to further improve the prevention and control of tuberculosis, effectively prevent and control the spread and epidemic of tuberculosis, and ensure human health and public health safety, these Measures are formulated in accordance with the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and relevant laws and regulations.
Article 2 Adhere to the principle of putting prevention first and combining prevention with treatment, and establish a TB prevention and control mechanism under the leadership of the government, with the responsibility of all departments and the participation of the whole society. Strengthen publicity and education, implement prevention and control strategies focusing on timely detection of patients, standardized treatment management and care and assistance.
Article 3 The Ministry of Health is responsible for the prevention and control of tuberculosis in the whole country and its supervision and management, and the local health administrative departments at or above the county level are responsible for the prevention and control of tuberculosis and its supervision and management within their respective jurisdictions.
The administrative department of health shall actively coordinate relevant departments to strengthen the capacity building of tuberculosis prevention and control, and gradually build a prevention and control service system with clear division of labor and mutual coordination among designated medical institutions, primary medical and health institutions and disease prevention and control institutions.
Article 4 All kinds of medical and health institutions at all levels shall, in accordance with the relevant laws and regulations and the provisions of the administrative department of health, do a good job in monitoring and reporting the epidemic situation such as prevention and treatment of tuberculosis, diagnosis and treatment, infection control, referral service, patient management, publicity and education within the scope of their duties.
Chapter II Institutions and Responsibilities
Article 5 The Ministry of Health shall organize the formulation of national tuberculosis prevention and control plans, technical specifications and standards; Coordinate medical and health resources, and build and manage the national tuberculosis prevention and control service system; Supervise, inspect and evaluate the national tuberculosis prevention and control work.
Sixth local health administrative departments at or above the county level shall be responsible for the formulation of tuberculosis prevention and control plans within their respective jurisdictions and organize their implementation; Organize and coordinate the construction and management of tuberculosis prevention and control service system within its jurisdiction, and designate designated medical institutions for tuberculosis; Co-ordinate TB prevention and control resources within its jurisdiction and give necessary policy and financial support to the TB prevention and control service system; Organize the supervision, inspection and performance evaluation of tuberculosis prevention and control work.
Seventh disease prevention and control institutions shall perform the following duties in the prevention and control of tuberculosis:
(a) to assist the health administrative department to carry out planning management and evaluation.
(2) Collecting and analyzing information and monitoring the epidemic situation of tuberculosis; Timely and accurate reporting and notification of epidemic situation and related information; Carry out epidemiological investigation and epidemic situation disposal.
(three) to organize the implementation of standardized management during the treatment of pulmonary tuberculosis patients.
(four) to organize the follow-up work of tuberculosis patients or suspected tuberculosis patients and their close contacts.
(five) the organization of tuberculosis prevention and control work in key industries.
(six) to carry out tuberculosis laboratory testing and control the quality of tuberculosis laboratories within their respective jurisdictions.
(7) Organizing training on tuberculosis prevention and providing technical guidance on prevention and treatment.
(8) Organizing health education on tuberculosis prevention and treatment.
(nine) to carry out applied research on tuberculosis prevention and treatment.
Eighth designated medical institutions for tuberculosis shall perform the following duties in the prevention and treatment of tuberculosis:
(1) To be responsible for the diagnosis and treatment of tuberculosis patients, and to carry out follow-up inspection during the treatment;
(two) responsible for the report and registration of tuberculosis patients and the entry of relevant information;
(three) to check the close contacts of patients with infectious tuberculosis;
(four) health education for patients and their families.
Ninth non tuberculosis designated medical institutions shall perform the following duties in the prevention and treatment of tuberculosis:
(1) Designate internal functional departments and personnel to be responsible for reporting the epidemic situation of tuberculosis;
(two) responsible for the referral of tuberculosis patients and suspected patients;
(three) to carry out training on tuberculosis prevention and treatment;
(four) to carry out health education on tuberculosis prevention and treatment.
Tenth primary medical and health institutions shall perform the following duties in the prevention and treatment of tuberculosis:
(a) responsible for the supervision and management of tuberculosis patients during family treatment;
(two) responsible for referral, tracking tuberculosis or suspected tuberculosis patients and close contacts with suspicious symptoms;
(three) to carry out tuberculosis prevention and control knowledge publicity for residents in the area.
Chapter III Prevention
Eleventh medical and health institutions at all levels should carry out publicity and education on tuberculosis prevention and control, carry out health education for tuberculosis patients and their families, and publicize tuberculosis prevention and control policies and knowledge.
Grassroots medical and health institutions regularly carry out health education and publicity for residents within their jurisdiction.
Disease prevention and control institutions carry out targeted health education and publicity work for key populations and key places prone to tuberculosis.
Twelfth according to the national immunization plan for school-age children BCG vaccination.
Medical and health institutions undertaking vaccination work shall provide vaccination services in accordance with the Regulations on the Administration of Vaccine Circulation and Vaccination and the requirements of vaccination work norms.
Thirteenth medical and health institutions in the organization to carry out health examination and preventive health examination, should focus on the following people for tuberculosis screening:
(1) medical and health personnel engaged in tuberculosis prevention and treatment;
(2) Employees engaged in food, medicine and cosmetics;
(3) Employees as stipulated in the Regulations on Hygiene Management in Public Places;
(four) all kinds of schools, kindergartens, faculty and freshmen;
(5) Persons exposed to dust or harmful gases;
(6) Employees engaged in dairy farming;
(seven) other personnel who are easy to spread tuberculosis.
Article 14 Medical and health institutions shall formulate plans for the prevention and control of tuberculosis infection, improve rules and regulations and work norms, carry out relevant work for the prevention and control of tuberculosis infection, and implement various measures for the prevention and control of tuberculosis infection to prevent iatrogenic infection and spread.
TB designated medical institutions should focus on the following infection prevention and control measures:
(1) The setting of tuberculosis clinics and wards shall comply with the relevant provisions of the state;
(two) strict implementation of environmental sanitation and disinfection and isolation system, pay attention to environmental ventilation;
(3) Medical wastes such as excreta, dirt, sewage and sputum contaminated by Mycobacterium tuberculosis shall be collected, temporarily stored and disposed of in accordance with the relevant provisions on the management of medical wastes;
(4) Take necessary protective measures for patients with pulmonary tuberculosis or suspected symptoms of pulmonary tuberculosis to avoid cross infection.
Fifteenth medical staff in their work strictly abide by the basic principles of personal protection, contact with infectious tuberculosis patients or suspected tuberculosis patients, should take necessary protective measures.
Sixteenth disease prevention and control institutions, medical institutions, scientific research and other units of tuberculosis laboratory and experimental activities, should comply with the provisions of the biological safety management of pathogenic microorganisms.
Laboratory tuberculosis detection in medical institutions shall be managed and controlled in a unified way in accordance with the Regulations of the Ministry of Health on the Management of Clinical Laboratories in Medical Institutions.
Seventeenth tuberculosis epidemic constitutes a public health emergency, the following control measures shall be taken in accordance with the relevant plans:
(1) Do a good job in epidemic information reporting and risk assessment according to law;
(two) to carry out epidemiological investigation and on-site disposal;
(three) the discovery of tuberculosis patients into standardized treatment and management;
(4) Medical observation of the close contacts of patients with infectious tuberculosis, and preventive chemotherapy with their consent when necessary;
(five) to carry out epidemic risk communication and health education, and timely announce the situation of epidemic disposal to the public.
Chapter IV Discovery, Report and Registration of Tuberculosis Patients
Article 18 Medical institutions at all levels and of all types shall promptly check patients with suspected pulmonary tuberculosis symptoms, report the epidemic situation of confirmed and suspected pulmonary tuberculosis patients in accordance with relevant regulations, and refer them to designated medical institutions for tuberculosis where the patients live or where the medical institutions are located.
Nineteenth medical and health institutions designated by the administrative department of health shall, in accordance with relevant work norms, screen and diagnose tuberculosis for HIV-infected people and AIDS patients.
Twentieth primary medical and health institutions shall assist the county-level disease prevention and control institutions to track the tuberculosis patients and suspected tuberculosis patients who have reported the epidemic situation but have not been treated in designated tuberculosis medical institutions, and urge them to make diagnosis in designated tuberculosis medical institutions.
Twenty-first designated medical institutions for tuberculosis should diagnose patients with tuberculosis and screen close contacts of patients with infectious tuberculosis.
Designated medical institutions for tuberculosis who undertake the task of prevention and treatment of multidrug-resistant tuberculosis should conduct sputum mycobacterium culture examination and anti-tuberculosis drug sensitivity test for patients suspected of multidrug-resistant tuberculosis.
Twenty-second designated medical institutions for tuberculosis should manage and register tuberculosis patients. The contents of registration include patient diagnosis, treatment and management and other related information. Designated medical institutions for tuberculosis shall update the contents of patient management registration in a timely manner according to the treatment and management of patients.
Twenty-third tuberculosis epidemic report, bulletin and announcement, in accordance with the relevant provisions of the "communicable disease prevention law".
Chapter V Treatment and Management of Tuberculosis Patients
Article 24 Standardized treatment, supervision and management shall be conducted for tuberculosis patients found.
Twenty-fifth designated medical institutions for tuberculosis should formulate reasonable treatment plans for tuberculosis patients and provide standardized treatment services.
Designated medical institutions for tuberculosis at or above the municipal level shall, in strict accordance with the laboratory test results, formulate treatment plans for patients with multidrug-resistant tuberculosis and provide standardized treatment.
Twenty-sixth medical institutions at all levels have the responsibility to treat critically ill, acute and severe pulmonary tuberculosis patients, and should promptly give medical treatment to patients. They should not shirk their responsibilities for any reason, and should not refuse to treat other diseases because the patients they see are tuberculosis patients.
Twenty-seventh disease prevention and control institutions shall timely grasp the relevant information of pulmonary tuberculosis patients, and urge medical and health institutions within their respective jurisdictions to implement the treatment and management of pulmonary tuberculosis patients.
Twenty-eighth primary medical and health institutions should regularly visit and supervise the use of drugs for pulmonary tuberculosis patients treated at home.
Twenty-ninth medical institutions designated by the administrative department of health shall, in accordance with the relevant work norms, carry out anti-tuberculosis and anti-AIDS treatment, follow-up review and management for patients with tuberculosis/AIDS double infection.
Thirtieth medical and health institutions should implement territorial management of floating population tuberculosis patients and provide the same services as local residents.
The designated medical institutions for tuberculosis in the transfer place and the transfer place shall exchange the information of tuberculosis patients in the floating population in time to ensure the implementation of treatment and management measures for patients.
Chapter VI Supervision and Administration
Thirty-first local health administrative departments at or above the county level shall exercise the following regulatory responsibilities for the prevention and treatment of tuberculosis:
(a) to supervise the implementation of management measures such as tuberculosis prevention, patient discovery, treatment management, epidemic reporting and monitoring;
(two) in violation of these measures, ordered the inspected units or individuals to improve within a time limit, and investigate and deal with them according to law;
(three) other regulatory matters responsible for the prevention and treatment of tuberculosis.
Thirty-second local health administrative departments at or above the county level shall focus on strengthening the supervision of tuberculosis prevention and control in the following relevant units:
(1) Diagnosis, treatment, management and information entry of designated medical institutions for tuberculosis;
(2) Monitoring and disposal of tuberculosis epidemic situation, epidemiological investigation, prevention and control of high-incidence and key industries, laboratory testing and quality control, laboratory biosafety, supervision of disease prevention and control institutions, training and health promotion;
(three) referral, follow-up, patient supervision and management and health education in primary medical and health institutions;
(four) the report, referral, training and health education of tuberculosis epidemic situation in non-tuberculosis designated medical institutions.
Thirty-third health administrative departments in accordance with these measures to perform their supervisory duties, according to the needs of tuberculosis prevention and control work, to the relevant units and individuals to understand the situation, to obtain the necessary information, to inspect the relevant places. When performing official duties, the privacy of patients shall be protected, and personal information and related materials of patients shall not be disclosed. Units and individuals under inspection shall cooperate and truthfully provide relevant information, and shall not refuse or obstruct.
Chapter VII Legal Liability
Thirty-fourth local health administrative departments at or above the county level in any of the following circumstances, the health administrative department at a higher level shall order it to make corrections, informed criticism; Causing the spread, epidemic or other serious consequences of tuberculosis, the responsible person in charge and other directly responsible personnel shall be given administrative sanctions according to law; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(1) Failing to perform the duties of reporting tuberculosis epidemic situation, or concealing, making false reports or delaying reporting tuberculosis epidemic situation;
(2) Failure to take timely preventive and control measures has caused or may cause the spread of tuberculosis;
(3) Failing to perform supervisory duties, or failing to investigate and deal with illegal acts in time.
Thirty-fifth disease prevention and control institutions in violation of the provisions of these measures, one of the following circumstances, the health administrative department at or above the county level shall order it to make corrections within a time limit, informed criticism, given a warning; The responsible person in charge and other directly responsible personnel shall be punished according to law; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(1) Failing to perform the duties of monitoring and reporting the epidemic situation of tuberculosis according to law, or concealing, falsely reporting or delaying reporting the epidemic situation of tuberculosis;
(2) Failing to take timely measures in accordance with their duties when discovering the epidemic situation of tuberculosis;
(3) Deliberately disclosing relevant information and materials concerning the personal privacy of tuberculosis patients, suspected tuberculosis patients and their close contacts;
(four) failing to perform the duties of laboratory quality control and training prevention and control within its jurisdiction.
Thirty-sixth medical institutions in violation of the provisions of these measures, one of the following circumstances, the health administrative department at or above the county level shall be ordered to correct, informed criticism, given a warning; Causing the spread, epidemic or other serious consequences of tuberculosis, the responsible person in charge and other directly responsible personnel shall be punished according to law; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(a) failing to report the epidemic situation of tuberculosis in accordance with the provisions, or concealing, making false reports or delaying the reporting of the epidemic situation of tuberculosis;
(2) Non-TB designated medical institutions fail to refer confirmed or suspected TB patients as required;
(3) The designated medical institution for tuberculosis fails to treat tuberculosis patients or suspected tuberculosis patients in accordance with regulations, or refuses to receive treatment;
(four) failing to strictly implement the isolation and disinfection system in accordance with the relevant provisions, and failing to carry out sanitary treatment of sputum, dirt and sewage contaminated by tuberculosis;
(5) Deliberately disclosing relevant information and materials concerning the personal privacy of tuberculosis patients, suspected tuberculosis patients and their close contacts.
Thirty-seventh grass-roots medical and health institutions in violation of the provisions of these measures, one of the following circumstances, the health administrative department at the county level shall be ordered to correct, given a warning:
(1) Failing to perform the duties of supervision and management in the family treatment of tuberculosis patients within its jurisdiction;
(2) Failing to refer or track tuberculosis patients or suspected tuberculosis patients and close contacts with suspicious symptoms in accordance with regulations.
Thirty-eighth other units and individuals in violation of the provisions of these measures, resulting in the spread or epidemic of tuberculosis, causing damage to others' personal and property, shall bear civil liability according to law; If a crime is constituted, criminal responsibility shall be investigated according to law.
Chapter VIII Supplementary Provisions
Article 39 The meanings of the following terms in these Measures are:
Suspected symptoms of pulmonary tuberculosis: cough and expectoration for more than 2 weeks, hemoptysis or blood sputum are the main symptoms of pulmonary tuberculosis, and those with any of the above symptoms are suspected symptoms of pulmonary tuberculosis.
Suspected tuberculosis patients: those who meet one of the following conditions are suspected cases: (1) children under 5 years old with suspicious symptoms of tuberculosis, accompanied by close contact with infectious tuberculosis patients or strong positive tuberculin test; (2) Only chest imaging examination showed that the focus was consistent with active pulmonary tuberculosis.
Infectious pulmonary tuberculosis: refers to pulmonary tuberculosis with positive sputum smear test.
Close contacts: refers to those who have direct contact with patients with infectious tuberculosis, including family members, colleagues and classmates of patients.
Multidrug-resistant tuberculosis: Mycobacterium tuberculosis infected by tuberculosis patients has been proved to be resistant to isoniazid and rifampicin at least at the same time in vitro.
Tuberculosis/HIV double infection: refers to active tuberculosis of HIV-infected people or AIDS patients, or tuberculosis patients of HIV-infected people.
Referral: refers to the transfer of suspected or diagnosed tuberculosis patients to designated tuberculosis medical institutions by medical and health institutions at all levels.
Follow-up: Under the guidance of disease prevention and control institutions, grassroots medical and health institutions will follow up tuberculosis patients and close contacts with suspicious symptoms who have not been treated in designated tuberculosis medical institutions, so that they can go to designated tuberculosis medical institutions for treatment.
Grassroots medical and health institutions: refer to township hospitals, village clinics and urban community health service institutions.
Fortieth these Measures shall be interpreted by the Ministry of Health.
Article 41 These Measures shall come into force on March 24, 20 13. 1991September 12 The Management Measures for Tuberculosis Prevention and Control promulgated by the Ministry of Health shall be abolished at the same time.