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    乙肝防控要“下真功夫、真力气、真决心” ——中国菏泽网
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    乙肝防控要“下真功夫、真力气、真决心”

    2019-09-28 11:33:46 来源:

    新华网北京9月27日电(肖寒)“为了没有乙肝的未来”主题论坛日前在京举办,论坛旨在与政府、专家、基层医生等社会各界代表探讨乙肝防治事业的未来规划,推动社会对乙肝防治工作的关注和疾病意识提升,携手促进乙肝防治事业发展。

      “为了没有乙肝的未来”论坛现场

      调查显示,我国现有约2800万慢性乙肝患者,防控形势依然严峻。为进一步落实健康中国战略,国务院于2019年7月出台《健康中国行动(2019—2030年)》,提出围绕疾病预防和健康促进两大核心,开展15个重大专项行动。在过去数十年,我国通过实施预防为主、防治结合的综合防控策略有效遏制了病毒性肝炎发病的上升趋势。

      国家卫生健康委员会规划发展与信息化司司长毛群安表示:“病毒性肝炎一直是危害我国人民健康的重大疾病。多年来,我国一直致力于肝炎的防控工作,健康中国行动就是要采取各种切实有效的办法来进一步预防这些重大传染病,从治病为中心转变为以人民健康为中心,突出以预防为主,强调健康促进的策略,以尽快实现我国对包括乙肝在内的传染病的防治规划,落实健康中国战略。”

      中国工程院院士庄辉表示,目前我国在乙肝防治上已经取得了良好的成绩。通过新生儿乙肝疫苗免疫、预防乙肝经血传播、消除乙肝歧视,乙肝防治规划四大策略和措施,我国乙肝蔓延已经从高流行地区降到了中等流行地区,在儿童乙肝防控层面更是得到了世界卫生组织的认可和嘉奖。但在乙肝诊断和治疗上,我们还需要做出更多的工作,未来我们仍需要加强公众母婴阻断和规范化乙肝抗病毒治疗的意识,对患者做到“早筛查、早治疗”,共同实现防控目标。

      但由于我国幅员辽阔,地区医疗水平发展不平衡,在西部等贫困基层地区,乙肝防治挑战更为艰巨。对于如何提升基层地区乙肝防治能力,中国肝炎防治基金会秘书长杨希忠表示,首先,基层人才队伍和技术水平存在缺口,县级医院以下医院基本没有肝病专科医生,乙肝抗病毒药物使用不够规范;其次,大众的疾病认知不足,对于乙肝传播途径、防控办法等了解程度不够;除此以外,药品的医保、可及性等问题也十分重要,这些都是我国在未来乙肝防治工作中需要着重解决的问题。“希望未来更多社会力量能够投入我国的贫困地区、民族地区,携手开展乙肝基层防治工作。”

      他表示,对于基层地区而言,乙肝防控要“下真功夫、真力气、真决心”,“尤其是高原地区、高寒地区、偏远地区的肝炎防控任务更加艰巨,需要实际的行动支持。国家卫健委通过不断派遣医务工作人员去支持基层乙肝防控工作提升当地疾病意识,未来,早筛查、早治疗,母婴阻断意识和规范化乙肝抗病毒治疗意识仍需要不断加强,让基层地区的乙肝防控水平慢慢提升。”杨希忠说。

      专家就“中国基层乙肝防治工作的挑战与破局”展开深入探讨

      谈及防控乙肝的具体举措,河北医科大学第三医院南月敏介绍说,在中国,40%~50%的乙肝通过母婴垂直传播,因此母婴阻断格外重要。生育期的女性计划妊娠时,需要先确认其是乙肝病毒携带者还是乙肝患者。“如果是乙肝患者,需通过规范化抗病毒治疗控制病情;如果是乙肝病毒携带者,需要按照《慢性乙型肝炎防治指南》进行指导,口服抗病毒药物为患者进行治疗。”

      对于非母婴传播的其他乙肝患者,南月敏表示,日常的行为活动例如吃饭、拥抱、握手都不会传播乙肝病毒,一般对于成人而言,最多见的是口腔的破损或不明原因的注射针头造成感染,除此之外,成人的病毒传播机率微乎其微。

      此外,GSK中国作为项目的公益支持方,GSK中国企业事务、市场准入及商业运营负责人、副总裁王新光表示:“GSK中国长期深耕中国乙肝防治领域,致力于提升高效口服抗乙肝病毒药物及相关规范化治疗手段的可及性。与此同时,我们也通过公益支持的方式,积极参与到基层公众乙肝疾病科普教育和基层医务工作者乙肝防治技术培训的相关工作中,助力中国乙肝防治水平的整体提升,践行‘立足中国、携手中国、服务中国’的承诺,造福更多患者。”

      据介绍,GSK一直致力于通过疾病预防和治疗的创新解决方案来提升药物的可及性,推动“互联网+医疗健康”事业发展。GSK中国研发和医学事务部负责人、副总裁贺李镜表示,在乙肝领域,“互联网+医疗”的普及能够帮助患者,尤其是西部及贫困地区进一步提高医务工作人员规范化治疗意识和基层群众“早筛查、早治疗”的意识。未来在“健康中国2030”的战略背景下,GSK希望能够打破信息壁垒,扩大医疗卫生资源的可及性,给基层患者带去更多健康福祉。

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