In the special two sessions under the influence of this epidemic, the public health system’s “shortcomings” and “reconstruction” have become hot topics.

Gao Fu, director of the Chinese Center for Disease Control (CDC) and member of the National Committee of the Chinese People ’s Political Consultative Conference, recently accepted an exclusive interview with China Science Daily He said that the key to the construction of the public health system is “one must return to public welfare, and the other must return to professionalism”.

During the epidemic, as the director of the CDC, Gao Fu was plagued by rumors because of a paper published in the New England Journal of Medicine.

However, in this interview, he insisted that it is not possible to separate research from posting articles. Articles are communication tools that help promote peer communication and Cooperation.

“An” article “like New Coronary Pneumonia is a report presented to global peers, and it is a dose of finding disease through the” critical “exchange of global peers A good prescription for prevention and control can make everyone unite to understand the new virus and the diseases it causes.

In addition, he also said, “I am an ordinary research worker and a manager of the technical department, knowing my responsibilities …”
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Return the public health system to public welfare and professionalism

“China Science News”: After this new crown epidemic, everyone is now discussing public health The system “make up the shortcomings”, what do you think the “shortcomings”?

Gao Fu:

The “short board” exposed by the epidemic shows that there is still a problem with our coordination. On the one hand, grass-roots hospitals should report to the CDC in time after discovering problems. They must have a sense of safety, and this “short board” should be consolidated.

The most important thing is to give CDC the right to speak in the field of public health. In an emergency, if the administrative decision is made to “silence” layers, the expert’s voice cannot be heard in time.

China Science News: Online appeal to the CDC for administrative power, do you think this is the key?

Gaofu:

I think the focus is not the administrative power, but the right to dialogue and the independent operation of some things.

” China Science News “: from the whole Look, how is the construction of China’s public health system?

Gao Fu:

In recent years, it has targeted the public health system Has too little investment and too much brain drain. Zeng Guang, the CDC ’s chief expert in epidemiology, said that 10 years of medical reform is a decade of public health decline.

New China was founded70 Since the beginning of the year, the four-level institutional system of the county, district, province, city, and country in China’s public health system is very good. But it is also because of its good performance and few major problems. br>

At the same time, because these jobs usually do not seem to see the importance, professional technical knowledge cannot be shown, so some units arrange for non-professionals. Everyone talks about “combining peace and war” “, The result of doing things in” peace “can not solve the needs of” war “. This pattern needs to be reformed.

” China Science News “: your current public Any suggestions for health system reform?

Gao Fu:

At this year ’s CPPCC meeting, this is also me The content of a proposal. The most important points for the reconstruction of the public health system are two, one is to return to public welfare, and the other is to return to professionalism.

A strong unit needs first of all national funds to protect it. Secondly, it needs to introduce talents, together with a wide range of knowledge and a wide range of research. This stage requires many legs, not “one leg.” No new crown epidemic can come Only the new crown will be studied, and the state will not let you pay for what you want to study. It ’s just too narrow.


Do not be vulgar in biosecurity

“China Science News”: Biosecurity is one of the hot words of the two sessions this year. What do you think of its importance?

Gao Fu:

Talking about biosecurity, firstTo change a concept. At the national level, it refers to biosecurity in a broad sense, including bio-safety and bio-security.

Many people understand that biosecurity is narrow and includes only the first part. For example, in a biosafety laboratory where mice and stray cats are running around, this problem is the scope of biological security.

But biosafety is a professional matter and cannot be shouted. We emphasize that biosecurity must adhere to the overall national security concept, but it must not be vulgar. If it turns out that everyone is talking about biological safety every day, just like the whole people are engaged in scientific research, this is over, and it is not good for social development.

“China Science News”: How should we rationally view China’s biosecurity risk prevention and control capabilities?

Gao Fu:

China ’s biosafety field has started late, after nearly 20 years of rapid development, it has already Greatly shortened the gap with developed countries, and even caught up in some aspects. However, there are still problems with the imperfect system and uneven development, which restrict the development of biosecurity in China.

In terms of infrastructure, there is still a gap between China and the United States. Taking high-level biosafety laboratories for human pathogen research as an example, there are a total of 18 provinces with biosafety laboratories in the country, including 48 tertiary laboratories and 1 tertiary laboratories, while the United States only has biosafety level 4 experiments There are more than 10 laboratories and nearly 1,500 third-level laboratories.

In terms of biological resources, China lacks an effective mechanism for resource collection and sharing. Reasonable sharing and introduction of some pathogenic microorganisms are hindered, and the approval procedures are not smooth.

China Science Journal: Do you have any suggestions for further strengthening China’s biosafety capacity building?

Gao Fu:

First is to further improve China ’s biosafety legal system and establish and improve national biosecurity according to law Departmental coordination mechanism, each department cooperates to complete national biosafety monitoring and early warning, information collection and sharing, risk assessment, emergency response, supervision and inspection.

followed by strengthening the foundationSkill building. Set up surveillance points for infectious diseases, animal and plant diseases, improve the national biosecurity monitoring network, improve the direct reporting system of the monitoring information network, and carry out active monitoring and pathogen detection.

In addition, it also includes regulated biological security management. Strengthen the concept and awareness of biological security, focus on research and development of security technologies and methods to prevent malicious use of harmful biological agents or biotechnology. Promote the construction and application of infectious disease sample resource database in accordance with laws and regulations; expand international exchanges and regulate entry and exit management


While preventing the epidemic, prevent the “information epidemic”

China Science News: You have been in public opinion since the outbreak of the New Crown epidemic Storm eye. Facing the pressure of public opinion, how did you do it?

Gao Fu:

First of all, we are actively fighting the epidemic, and everyone on the “battlefield” is doing more and more, There is no time to think about personal things. Again, many things on the Internet are gossip and rumors, how can these things affect the work of anti-epidemic?

China ’s “struggle” against the new coronavirus is a “closed-book exam” and answers very well. We must prevent “information epidemics” while preventing epidemics. Everyone must not listen to rumors, believe rumors, or spread rumors.

“China Science News”: Recently, the three top journals of “Cell”, “Science” and “Nature” have published the research results of you and your team on the new coronavirus. What do you think of the relationship between public health emergencies and research and development articles?

Gao Fu:

You ca n’t just talk about papers, articles are communication tools, and we often split them.

Just like the reporter does not write an article after the interview, the news you get is only known to you, the same reason.

Scientists just exchange ideas through articles, and give you the check through peer review. If peer review does not review, trust will be compromised. . Therefore, sending articles is also a constraint for scientists, and can’t talk nonsense.

like usSeveral papers have been published on the Japanese, and multiple antibodies are already on the road to industrialization. The research on cross-species transmission mechanism has also been applied to prevention and control. This is a research on both “book shelves” and “shelf”, which belongs to the work of “invincible”. Therefore, today’s science and technology and even products can be “zero distance”. Research, papers, and prevention must not be separated.

“China Science News”: You have to deal with a lot of things every day, how to maintain high efficiency and good energy?

Gao Fu:

Stick to two points. First, insist on learning and increase knowledge; second, take a good rest and keep a clear head and logical thinking.