Healthy China Action(2019-2030)

Health China Action Promotion Committee

July 9,2019

Healthy China Action(2019-2030)

introduction

People's health is an important symbol of national prosperity and national prosperity.Since the 18th National Congress of the Communist Party of China,China's healthcare industry has made new significant achievements,with a significant improvement in the level of medical and health services.The main health indicators of residents are generally better than the average level of middle-income countries.With the development of industrialization,urbanization,population aging and changes in ecological environment and lifestyle,chronic non communicable diseases(hereinafter referred to as chronic diseases)have become the main cause of death and Disease burden of residents.Chronic diseases such as cardio cerebral Vascular disease,cancer,chronic Respiratory disease,diabetes and other chronic diseases account for more than 70%of the total Disease burden,which has become an important factor restricting the improvement of health life expectancy.At the same time,the situation of prevention and control of major infectious diseases such as hepatitis,tuberculosis and AIDS is still grim.Mental health,occupational health,endemic diseases and other issues cannot be ignored.Major production safety accidents and traffic accidents occur from time to time.The 19th National Congress of the Communist Party of China made significant decisions and deployments to implement the Healthy China Strategy,fully reflecting the firm determination to maintain people's health.In order to actively address the current prominent health problems,it is necessary to move forward,take effective intervention measures,strive to prevent and reduce illness among the public,improve the quality of life,and extend healthy lifespan.This is an effective strategy to achieve high health performance at a lower cost,a practical way to solve current health problems,and an important measure to implement the Healthy China strategy.Therefore,the"Healthy China Action(2019-2030)"(hereinafter referred to as the"Healthy China Action")has been formulated.

1、Overall requirements

（1）Guiding ideology.

Integrating health into all policies,targeting major diseases and some prominent issues,focusing on key populations,implementing a series of major actions,and promoting coordinated efforts by the government,society,and individuals,establishing a sound health education system,guiding the public to establish a correct health concept,forming a healthy lifestyle,ecological environment,and social environment,promoting the shift from disease treatment centered to health centered,and improving people's health level.

（2）Basic path.

——Popularize health knowledge.Taking the improvement of Health literacy as the premise of improving the health of the whole people,we should strengthen health education and promotion according to the characteristics of different groups of people,so that health knowledge,behavior and skills become the universal quality and ability of the whole people,and Health literacy can be achieved by everyone.

——Participate in health actions.Advocate the concept that everyone is the first person responsible for their own health,stimulate residents'enthusiasm for love and pursuit of health,cultivate a healthy lifestyle that suits their own and family characteristics,reasonable diet,scientific exercise,smoking and alcohol restriction,psychological balance,and achieve a healthy life with less illness.

——Provide health services.Promote the supply side structural reform of health services,improve prevention and control strategies,institutional arrangements,and security policies,strengthen the connection between medical security policies and public health policies,provide systematic and continuous integrated services for prevention,treatment,rehabilitation,and health promotion,improve the fairness,accessibility,and effectiveness of health services,and achieve early diagnosis,treatment,and rehabilitation.

——Extend healthy lifespan.Strengthen cross departmental collaboration,encourage and guide units,communities,families,and individual residents to take action,take effective interventions on major health issues and influencing factors,and form a good situation of active government leadership,widespread social participation,and individual self-discipline,continuously improving the expected lifespan of health.

（3）Overall objectives.

By 2022,the health promotion policy system covering all relevant economic and social fields will be basically established,the level of Health literacy of the whole people will be steadily improved,the promotion of healthy lifestyles will be accelerated,the rising trend of incidence rate of major chronic diseases such as cardio cerebral Vascular disease,cancer,chronic Respiratory disease,diabetes will be curbed,key infectious diseases,serious mental disorders,endemic diseases,and occupational diseases will be effectively prevented and controlled,and the risk of disability and death will be gradually reduced,The health status of key populations has significantly improved.

By 2030,the Health literacy level of the whole people will be significantly improved,the healthy lifestyle will be basically popularized,the main health influencing factors of residents will be effectively controlled,the premature mortality rate caused by major chronic diseases will be significantly reduced,the per capita health life expectancy will be greatly improved,the level of the main health indicators of residents will enter the ranks of high-income countries,health equity will be basically achieved,and the relevant goals of the"Healthy China 2030"Planning Outline will be achieved.

Action objectives:

By 2022 and 2030,the national residents'Health literacy level will be no less than 22%and 30%,respectively,of which:the basic knowledge and concept literacy level,healthy lifestyle and behavior literacy level,basic skill literacy level will be increased to 30%,18%,20%and above,and 45%,25%,30%and above,respectively,and the residents'basic medical literacy,chronic disease prevention and control literacy,infectious disease prevention and control literacy level will be increased to 20%,20%,20%and above,and 28%,30%25%or more;The blood donation rates of the population reached 15‰and 25‰respectively;Establish and improve a database of health science popularization experts and resources,and establish a mechanism for releasing and disseminating health science popularization knowledge;The Central Radio and Television Administration provides preferential protection in terms of duration and duration for public welfare health programs and programs;Establish a performance evaluation mechanism for medical institutions and personnel to carry out health education and health promotion;Medical personnel should master health science knowledge that is suitable for their positions and actively provide health guidance during the diagnosis and treatment process;The proportion of pre treatment departments in traditional Chinese medicine hospitals has reached 90%and 100%,respectively.Encourage major media and commercial websites to establish health science popularization programs.Encourage individuals to regularly record their physical and mental health status;Understand and master basic health knowledge of traditional Chinese medicine;Master basic first aid knowledge and skills.

——Individuals and families:

1.Have a correct understanding of health.Health includes physical health,mental health,and good social adaptability.Genetic factors,environmental factors,personal lifestyles,and healthcare services are the main factors that affect health.Everyone is the first person responsible for their own health,advocating for actively learning health knowledge,developing a healthy lifestyle,consciously maintaining and promoting their own health,understanding the natural laws of birth,aging,illness,and death,understanding the limitations of medical technology,respecting medicine and medical personnel,and jointly addressing health issues.

2.Develop a healthy and civilized lifestyle.Pay attention to a balanced diet,a regular lifestyle,a combination of movement and stillness,and a peaceful mindset.Pay attention to personal hygiene,environmental hygiene,and dietary hygiene,wash hands frequently,take frequent showers,brush teeth in the morning and evening,rinse after meals,do not share towels and toiletries,do not spit anywhere,and cover your mouth and nose with your arms or tissue when coughing or sneezing.No bad habits,no smoking,smokers quit smoking as soon as possible,drink less,do not drink too much,and refuse drugs.Actively participate in healthy and beneficial cultural and social activities.Pay attention to and record one's own health status,and conduct regular physical examinations.Actively participate in unpaid blood donation.Healthy adults donating 400ml of blood each time does not affect their health and can also help others.The interval between two blood donations should not be less than 6 months.

3.Pay attention to health information.Learn,understand,master and apply Chinese Citizens'Health literacy-Basic Knowledge and Skills and TCM health care knowledge.Actively obtain health related information when encountering health issues.Improve the ability to understand,identify,and apply health information,and prioritize obtaining health knowledge through formal channels such as government departments such as health administrative departments and medical and health professional institutions.

4.Master essential health skills.Able to measure body temperature and pulse;Able to understand the labels and instructions of food,drugs,cosmetics,and health products;Learn to identify common danger signs,such as high pressure,flammable,explosive,highly toxic,radioactive,and biosafety,and stay away from dangerous substances.Actively participate in escape and first aid training,and learn basic escape and first aid skills;When emergency medical assistance is needed,call the 120 emergency phone number;When there is a significant amount of trauma bleeding,immediately stop bleeding and bandage it;Do not easily move injured individuals suspected of fractures;Cardiopulmonary resuscitation will be carried out for the wounded and sick who have respiratory and cardiac arrest;When rescuing an electric shock victim,first cut off the power supply and do not directly contact the victim;When a fire occurs,the fire alarm number 119 will be dialed to isolate the smoke,cover the mouth and nose with a damp towel,and evacuate from a low position.Apply appropriate traditional Chinese medicine health preservation techniques and methods to carry out self-service traditional Chinese medicine health interventions.

5.Seek medical attention scientifically.Actively contact general practitioners and family doctors in daily life.When encountering health problems,seek medical attention in a timely manner,diagnose and treat early to avoid delaying the best treatment opportunity.Based on the patient's condition and the doctor's advice,choose a suitable medical institution for medical treatment,diagnose and treat minor illnesses in grassroots medical and health institutions,and seek medical attention for major illnesses.Follow medical advice for treatment,do not believe in folk remedies,and do not believe in"divine medicine".

6.Reasonable medication.Follow the doctor's advice to use medication on time and in the appropriate amount.If there are any discomfort during the medication process,consult a doctor or pharmacist in a timely manner.Take the initiative to show the records of drugs being used and Drug allergy history to the doctor or pharmacist at each visit,so as to avoid the occurrence of adverse events such as repeated drug use or harmful interactions.Check the expiration date of the medication before taking it,do not use expired medication,and promptly clean up expired medication in the household.Properly store medication and be cautious of contact and ingestion by children.Health food is not a medicine,choose health food correctly.

7.Create a healthy family environment.Family members actively learn health knowledge,establish a health concept,develop a good lifestyle,remind each other of regular physical examinations,eugenics and childcare,love and respect the elderly,maintain family harmony,advocate public morality,support neighbors,and support public welfare.Families with infants,the elderly,and people with disabilities actively participate in care training to master relevant nursing knowledge and skills.The serving of individual dishes system is advocated for families of patients with diseases transmitted through the digestive tract.Families with a family medical history should provide targeted preventive care.Provide household First aid kit(including first-aid medicine,first-aid equipment,first-aid consumables,etc.).

——Society and government:

1.Establish and improve the"two databases and one mechanism"for health science popularization.Establish and improve national and provincial health science popularization expert databases,and carry out health science popularization activities.Experts for health science popularization activities of central level media should be selected from the national science popularization expert database,while provincial level media should be selected from the science popularization expert database at or above the provincial level.Establish and improve a national health science popularization resource library,publish,select,and promote a batch of health science popularization books and materials.Organize the development of relevant knowledge and information guides for key populations and health issues,which will be released by professional institutions to the society.Establish a mechanism for the release and dissemination of all media health science popularization knowledge,strengthen guidance and supervision of health education content,rely on professional strength,strengthen the review and supervision of television,newspaper health columns,and health medical advertisements,as well as the monitoring,evaluation,and notification of health science popularization information on internet new media platforms.For health information platforms with frequent problems,they must be ordered to rectify them in accordance with the law and regulations,until they are shut down.Promote health information that is scientifically strong and effectively disseminated.Organize experts to clarify and correct false information that spreads widely and poses a significant threat to public health.(Under the leadership of the Health Commission,the Central Propaganda Department,the Central Cyberspace Office,the Ministry of Science and Technology,the State Administration of Market Regulation,the State Administration of Radio,Film and Television,the State Administration of Traditional Chinese Medicine,the State Administration of Drug Administration,and the China Association for Science and Technology are responsible according to their respective responsibilities)

2.Medical personnel should master health science knowledge that is suitable for their position and actively provide health guidance during the diagnosis and treatment process.Each medical institution website should set up a health science popularization column based on its own characteristics,provide health lectures and consulting services for community residents.Third level hospitals should establish a health science popularization team,formulate a health science popularization work plan,and build a new media health science popularization platform on Weibo and WeChat.Develop health education prescriptions and other health science popularization materials,and regularly hold targeted health knowledge lectures for patients.Improve the training courses and teaching materials for general practitioners and specialists,and significantly enhance the necessary knowledge and skills for health promotion and education of family doctors.Deepen the implementation of the Chinese Medicine Prevention and Health Project,promote and popularize the knowledge of Chinese medicine health preservation and easy to master Chinese medicine health preservation techniques and methods.Encourage healthy and eligible citizens to regularly participate in unpaid blood donation.(Under the leadership of the Health Commission,the Ministry of Education and the Bureau of Traditional Chinese Medicine are responsible according to their respective responsibilities)

3.Establish an incentive and constraint mechanism to encourage medical and health institutions and medical personnel to carry out health promotion and education,and mobilize the enthusiasm of medical personnel to participate in health promotion and education work.Incorporate health promotion and education work into the performance evaluation of various levels and types of medical institutions,and include it in the professional title evaluation and performance evaluation of medical personnel.Improve medical insurance payment policies and encourage grassroots medical institutions and family contracted doctor teams to provide health management services.Encourage and guide individuals to practice healthy lifestyles and strengthen personal health management.(Led by the Ministry of Human Resources and Social Security and the Health Commission,the Medical Insurance Bureau is responsible according to their responsibilities)

4.Encourage and support the Central Radio and Television Administration and provincial radio and television stations to launch high-quality health science popularization programs when conditions are ripe.The Central Radio and Television Administration provides preferential protection for public welfare health programs and programs in terms of duration and duration,and continues to operate existing digital pay TV health channels well.The newspaper has launched a batch of health columns.Promote"Internet plus Precision Health Science Popularization"by using new media such as"two WeChat and one end"(referring to WeChat,microblog and mobile clients)and short videos.(The Central Propaganda Department,the Central Cyberspace Office,the Health Commission,the State Administration of Radio,Film and Television,the Central Radio,Film and Television Administration,and the Traditional Chinese Medicine Bureau are responsible according to their respective responsibilities)

5.Mobilize more social forces to participate in the popularization of health knowledge.Encourage health industry associations and associations to organize experts to carry out various forms of public oriented health science popularization activities and institutional training.All communities and units should take health knowledge popularization for residents and employees as an important task,and organize Health communication activities such as health lectures in combination with the main health problems of residents and employees.Strengthen the promotion of Health literacy of the population in poor areas.(Led by the Health Commission,the Traditional Chinese Medicine Bureau,the All China Federation of Trade Unions,the All China Women's Federation,and the China Association for Science and Technology are responsible according to their respective responsibilities)

6.Develop and promote health appropriate technologies and support tools.Give play to the role of market mechanism,encourage the development and promotion of health management AI and wearable devices,make full use of Internet technology,conduct real-time and continuous monitoring of health status on the premise of protecting personal privacy,achieve online real-time management,early warning and behavioral intervention,and use health Big data to improve the public's ability to manage their own health.(The Health Commission,the Ministry of Science and Technology,and the Ministry of Industry and Information Technology are responsible according to their respective responsibilities)

7.Carry out health promotion county(district)construction,and focus on improving residents'Health literacy.The country selects a health theme closely related to the public every year to carry out the"Healthy China Tour"promotional and educational activities.Carry out the"Traditional Chinese Medicine China Tour"activity,promote the popularization of traditional Chinese medicine health culture,and disseminate knowledge of traditional Chinese medicine health preservation.Promote nationwide action on healthy lifestyles,strengthen guidance and intervention on healthy lifestyles for families and high-risk individuals.(Led by the Health Commission and the Bureau of Traditional Chinese Medicine,with the China Association for Science and Technology responsible according to their responsibilities)

（2）Reasonable dietary actions.

Reasonable diet is the foundation of ensuring health.In recent years,the nutritional and health status of Chinese residents has significantly improved,but they still face problems such as insufficient and excessive nutrition,and the frequent occurrence of nutrition related diseases.According to a 2012 survey,the per capita daily salt intake of Chinese residents was 10.5g(recommended by the World Health Organization as 5g);The per capita daily edible oil intake of resident households is 42.1g(the recommended standard in the"Dietary Guidelines for Chinese Residents"is 25-30g per day);The proportion of energy provided by dietary fat among residents reaches 32.9%(the upper limit recommended by the Dietary Guidelines is 30.0%).At present,the per capita daily intake of added sugar(mainly sucrose,such as"white sugar"and"brown sugar")in China is about 30g,and the issue of children and adolescents'intake is of great concern.In 2014,a survey showed that children and adolescents aged 3-17 who frequently drink beverages consumed more than 5%of their total energy from added sugar alone.Urban children were much higher than rural children and showed an upward trend(the World Health Organization recommends that per capita daily added sugar intake be lower than 10%of total energy and encourages control to less than 5%or no more than 25g).Meanwhile,from 2010 to 2012,the adult malnutrition rate in China was 6%;In 2013,the growth retardation rate of children under 5 years old was 8.1%,the anemia rate of pregnant women,children and the elderly was still high,Micronutrient such as calcium,iron,vitamin A and vitamin D were still lacking,and dietary fiber intake was significantly insufficient.

Unhealthy diets such as high salt,high sugar and high fat are risk factors for obesity,cardio cerebral Vascular disease,diabetes and other metabolic diseases and tumors.The 2016 global Disease burden study showed that the Disease burden caused by dietary factors accounted for 15.9%,which has become an important risk factor affecting people's health.In 2012,the overweight rate and obesity rate of adults aged 18 and above in China were 30.1%and 11.9%,respectively,an increase of 32.0%and 67.6%compared to 2002;The overweight rate of children and adolescents aged 6-17 is 9.6%,and the obesity rate is 6.4%,which has doubled and doubled compared to 2002,respectively.Reasonable diet and reduction of daily intake of oil,salt and sugar will help reduce the risk of obesity,diabetes,hypertension,stroke,coronary heart disease and other diseases.

Action objectives:

By 2022 and 2030,the growth rate of adult obesity will continue to slow down;The awareness rate of residents'nutrition and health knowledge has increased by 10%from 2019 and 10%from 2022,respectively;The growth retardation rate of children under 5 years old is lower than 7%and 5%,the anemia rate is lower than 12%and 10%,and the anemia rate of pregnant women is lower than 14%and 10%,respectively;The coverage rate of qualified iodized salt reaches 90%or above;The adult fat energy supply ratio has decreased to 32%and 30%;1 nutrition instructor for every 10000 people;Implement the nutrition improvement plan for rural compulsory education students and the nutrition improvement project for children in poverty-stricken areas;Implement nutritional and health standards based on food safety,and promote the construction of a nutritional standard system.

Advocate that the daily salt intake per capita should not exceed 5g,the daily edible oil intake per adult should not exceed 25-30g,the daily added sugar intake per capita should not exceed 25g,the daily intake of vegetables and fruits should not be less than 500g,the daily intake of food types should not be less than 12,and the weekly intake should not be less than 25;Adults maintain a healthy weight and maintain a body mass index(BMI)of 18.5-24 kg/㎡;Adult males have a waist circumference of less than 85cm,while females have a waist circumference of less than 80cm.

——Individuals and families:

For the general population.Learn the scientific knowledge of Chinese residents'diet,use supportive tools such as the Chinese residents'balanced diet pagoda and balanced meal plates,and match food reasonably based on personal characteristics.The daily diet includes grains and potatoes,vegetables and fruits,livestock,fish,eggs,milk,soybeans and nuts,etc.The average daily intake is 12 or more types of food,with 25 or more types per week.Ingredients that cannot be eaten raw should be cooked before consumption;Eating raw vegetables,fruits,and other foods should be washed clean.Raw and cooked food should be stored and processed separately.It is advisable to chew and swallow slowly during daily meals,maintain a calm mood,and avoid overeating.However,it is also important to avoid affecting essential nutrient intake due to excessive dieting.Eat less fat,smoked,and pickled meat products,eat less high salt and fried foods,and control the intake of added sugar.Drink enough water.Adults usually drink 7~8 cups(1500~1700ml)every day.It is recommended to drink plain water or tea,and drink less Sweetened beverage;Children,adolescents,pregnant women,and nursing mothers should not drink alcohol.

2.For adults who are overweight(24 kg/m2≤BMI<28 kg/m2)and obese(BMI≥28 kg/m2).Reduce energy intake,increase the proportion of fresh vegetables and fruits in the diet,and appropriately choose foods rich in high-quality proteins such as lean meat,fish,protein,and beans.Avoid greasy food and fried food,eat less snacks and sweets,and do not drink or drink less Sweetened beverage.Eat regularly,don't skip meals,don't eat too much or drink too much,just seven or eight minutes full.

3.For individuals with malnutrition such as anemia and weight loss.It is suggested that the intake of lean meat,milk and eggs,soybeans and bean products should be appropriately increased on the basis of reasonable diet to maintain the diversity of diet and meet the body's needs for protein,calcium,iron,vitamin A,vitamin D,Vitamin B12,folic acid and other nutrients;Increase the intake of iron containing foods or supplement iron supplements under the guidance of a doctor to correct anemia.

4.For pregnant women and those with infants and young children at home.It is recommended to learn about the diet of pregnant women,lactating women,and infant and toddler feeding,with a special focus on nutrition in the early 1000 days of life(from pregnancy to 2 years after birth).Pregnant women often eat foods rich in iron,increase animal foods and seafood rich in high-quality protein and vitamin A,and choose iodized salt to ensure sufficient intake of iron,iodine,folic acid,and other nutrients during pregnancy.Try to breastfeed exclusively for 6 months and add complementary foods reasonably for infants and young children aged 6 to 24 months.

5.For families.Advocate purchasing food according to demand and storing it reasonably;Choose fresh,hygienic,and seasonal foods and adopt appropriate cooking methods;Prepare meals as needed,small portions of food;Learn to choose food and read labels;When ordering meals outside,the quantity is determined based on the number of people.When dining in groups,separate meals,simple meals,and portion meals are used;Advocate eating at home,sharing food and enjoying family relationships with family,and inherit and promote China's excellent culinary culture.

——Society:

1.Promote the normalization of nutrition and health science popularization and education activities,and encourage the whole society to participate in national nutrition week,"three reductions and three health"(reducing salt,oil,sugar,healthy mouth,healthy weight,and healthy bones)and other education activities.Promote the use of healthy"small three items"(limited salt spoons,limited oil kettles,and healthy waist measurements),increase household popularity,and encourage professional industry organizations to guide households in the correct use.Quickly study and establish guidelines for limiting the intake of added sucrose for children in China,and advocate for the substitution of natural sweeteners and sweetener beverages for drinking.

2.Strengthen the guidance on Nutrition facts label knowledge of food enterprises,guide consumers to correctly read Nutrition facts label,and improve the awareness of Nutrition facts label among residents.Encourage consumers to reduce their sugar intake.Advocate food producers and operators to use natural sweeteners and sweeteners allowed by food safety standards to replace sucrose.Scientifically reduce the sucrose content in processed food.Advocate the high sugar intake population in cities to reduce their consumption of sugary beverages and desserts,and choose natural sweeteners and sweeteners to replace beverages and foods produced with sucrose.

3.Encourage the production and sales of low sodium salts,and promote their use under the guidance of experts.Provide warnings for individuals who are cautious in using low sodium salts(such as high-temperature workers,heavy labor workers,renal dysfunction patients,and hypertensive patients taking antihypertensive drugs who are not suitable for high potassium intake).Guide enterprises to implement supporting dosage control measures in the production and sales of salt and edible oil(such as giving 2g spoons in salt bags,producing limited quantity oil jars,and graduated oil jars),and encourage areas with conditions to pilot them first.Encourage stores(supermarkets)to open low fat,low salt,and low sugar food counters.

4.Encourage the canteen and restaurant to be equipped with full-time and part-time Dietitian,and regularly carry out training and assessment on nutrition,balanced diet and food safety related skills for management and employees;Publish the recipe in a prominent position in advance,label the portion size and nutrient content,and briefly describe the nutritional components;Encourage recommending corresponding recipes for people with different nutritional status.

5.Develop and implement nutritional operation standards for collective feeding units,and carry out demonstration activities to create healthy canteens and restaurants.Encourage the catering industry and collective cafeterias to provide nutritional labeling to consumers.Encourage the release of balanced dietary guidelines and recipes suitable for people of different ages and regions.Encourage the development of traditional food and nutrition services,promote the research and development of traditional food and nutrition products,and upgrade and upgrade industries.

——Government:

1.Fully promote the implementation of the National Nutrition Plan(2017-2030),and provide nutrition and dietary guidance tailored to local conditions.Implement nutrition intervention for key populations in poverty-stricken areas and incorporate nutrition intervention into health poverty alleviation work.Continue to promote the implementation of the nutrition improvement plan for rural compulsory education students and the nutrition improvement project for children in poverty-stricken areas.(Led by the Health Commission,responsible by the Ministry of Education and the Poverty Alleviation Office of the State Council according to their respective responsibilities)

2.Promote nutrition legislation and policy research.Research,formulate and implement the Dietitian system,provide Dietitian in kindergartens,schools,elderly care institutions,hospitals and other collective feeding units,and provide nutrition instructors in communities.Strengthen clinical nutrition work and continuously standardize nutrition screening,evaluation,and treatment.(The Ministry of Health,Ministry of Civil Affairs,Ministry of Justice,and Ministry of Finance are responsible according to their respective responsibilities)

3.Improve the food safety standard system,develop nutritional and health standards based on food safety,and promote the construction of the food nutrition standard system.Develop nutrition oriented agriculture and Food processing industry.The government should accelerate the research and development of standards to restrict the production and sales of high sugar foods.Increase publicity efforts to promote the production and consumption of low sugar or sugar free foods.Implement a food safety inspection and testing capability compliance project,and strengthen food safety sampling and risk monitoring work.(The Health Commission,the Ministry of Agriculture and Rural Affairs,and the State Administration of Market Regulation are responsible for their respective responsibilities)

4.Accelerate the revision of the general principles of Nutrition facts label for prepackaged food,add mandatory labels for sugar such as sucrose,encourage enterprises to claim"low sugar"or"sugar free",actively promote the use of"packaging front label(FOP)"information on food packaging,help consumers quickly choose healthy food,and strengthen the supervision and management of Nutrition facts label for prepackaged food.Research and promote the development of nutritional operating standards for group meals for special populations,and explore pilot projects to add the label of"sugar"in catering food.Research and improve the packaging standards for oil,salt,and sugar,and indicate on the outer packaging that it is recommended that each person consume a reasonable amount of oil,salt,and sugar per day.(Led by the Health Commission,responsible by the State Administration for Market Regulation and the Ministry of Industry and Information Technology in accordance with their responsibilities)

（3）National Fitness Action.

Life lies in motion,and motion requires science.Scientific physical activity can prevent diseases,delight the body and mind,and promote health.According to the 2014 survey of national fitness activities by the General Administration of Sport of China,the proportion of urban and rural residents who often participate in physical exercise is 33.9%,of which only 14.7%are residents aged 20 to 69 years old.The regular exercise rate of adults is at a low level,and the lack of physical activity has become an important reason for many chronic diseases.At the same time,the changes in indicators such as cardiovascular endurance,flexibility,muscle strength,muscle endurance,and body composition are not optimistic,and most residents still have great blindness when participating in sports activities.Regular and appropriate physical activity can help prevent and improve overweight and obesity,hypertension,heart disease,stroke,diabetes and other chronic diseases,promote mental health,improve quality of life and well-being,and promote social harmony.

Action objectives:

By 2022 and 2030,the proportion of urban and rural residents who meet or exceed the National Physical Fitness Testing Standards shall not be less than 90.86%and 92.17%,respectively;The proportion of people who frequently participate in physical exercise(with a frequency of 3 or more times per week,a duration of 30 minutes or more per exercise,and a moderate or higher intensity of exercise per exercise)reaches 37%or more and 40%or more;The opening rate of school Sports venue facilities exceeds 70%and 90%;The per capita Sports venue area reaches 1.9 m2 and above and 2.3 m2 and above respectively;The per capita length of urban jogging pedestrian greenways continues to increase;Each thousand people have at least 1.9 and 2.3 social sports instructors;The coverage rate of sports facilities in rural administrative villages has basically achieved full coverage and a coverage rate of 100%.

Encourage government agencies,enterprises and institutions to carry out workplace operations;Encourage individuals to have at least one sports hobby or master one traditional sport,participate in at least one fitness organization,and engage in moderate intensity exercise for at least half an hour every day;Encourage medical institutions to provide guidance services for sports to promote health,encourage and guide social sports instructors to provide scientific fitness guidance services for the masses in fitness venues and other places,improve fitness effects,and prevent Sports injury;Encourage more and better public Sports venue and facilities to provide free or low-cost open services,and ensure that all qualified enterprises and institutions Sports venue and facilities are open to the public.

——Individual:

1.Understand the health benefits of exercise.Suggest individuals to improve their awareness of physical activity and cultivate exercise habits.Understand and master knowledge related to national fitness and physical activities,integrate physical activities into daily life,master exercise skills,reduce sedentary activity,and maintain a healthy weight;Scientific exercise avoids exercise risks.

2.Action is beneficial,but persistence is important.Before exercising,it is necessary to understand the medical history and family history,evaluate physical condition,encourage the development of exercise plans under the guidance of a family doctor or professional,choose suitable exercise methods,intensity,and amount,and reduce exercise risks.Encourage moderate intensity exercise for at least 30 minutes or more three times a week,or accumulate 150 minutes of moderate intensity or 75 minutes of high intensity physical activity.Try to exercise as much as possible in daily life,reaching a daily physical activity level of 6000 to 10000 steps.Eating balance allows excess energy intake to be consumed through exercise,achieving a balance of various bodily functions.A complete exercise includes preparation activities,formal exercises,and organizing activities.A week of exercise and fitness includes aerobic exercise,strength exercises,flexibility exercises,and more.Promote the provision of small,portable,and easy to operate fitness equipment suitable for family members in households.

3.Exercise for the elderly helps to maintain physical function and slow down the degradation of cognitive function.Advocate for elderly people to exercise according to their abilities and choose exercise methods that are suitable for their physical fitness and health.While attaching importance to aerobic exercise,we should also attach importance to muscle strength exercise and flexibility exercise,properly carry out balance exercise,strengthen the skeletal Muscular system,and prevent falls.Encourage elderly people to regularly measure their blood pressure and blood sugar during exercise and adjust their exercise volume.

4.Special groups,such as pregnant women,chronic disease patients,disabled individuals,etc.,are recommended to exercise under the guidance of doctors and sports professionals.Patients with simple obesity need to reach at least the recommended amount of exercise for an average adult.Weight control requires at least 45 minutes of moderate to low intensity exercise every day.In the process of weight loss,it is recommended to emphasize muscle strength exercise to avoid a decrease in muscle and bone weight.Advocate the combination of exercise and dietary control to reduce weight.

5.People who mainly engage in physical labor should pay attention to a combination of work and rest,avoid"overwork",and promote comprehensive physical development through exercise.After working for a period of time,a relaxed exercise method can be changed to reduce muscle soreness and stiffness,eliminate local fatigue,but the amount and intensity of exercise should not be too large.

——Society:

1.Establish and improve fitness organizations around the masses,with sports associations achieving full coverage in cities,counties,and townships,and individual sports associations extending to the masses,allowing those who want to exercise to join the sports organizations.

2.Hold various national fitness events and implement the popularization plan of mass Winter sports.Develop Chinese characteristic fitness programs and carry out ethnic,folk,and folk sports activities.Promote and popularize traditional sports such as Tai Chi and fitness qigong.Promote national fitness into families.Popularize Radio calisthenics and other work calisthenics.Promote national standards for physical exercise and levels of physical activity.

3.Promote the fitness culture around the masses,create sports themed films,anime works,encourage the development of volunteer services for national fitness,popularize sports fitness cultural knowledge,and enhance fitness awareness.

4.Encourage the inclusion of national physical fitness testing in health examination programs.Medical and health institutions at all levels conduct exercise risk assessments and provide guidance services on fitness programs or exercise to promote health.

——Government:

1.Promote the construction of a basic public sports service system,coordinate the construction of national fitness facilities,build a number of sports parks,community fitness centers,and other national fitness facilities,promote the construction of urban jogging pedestrian greenways,and strive to create a"15 minute fitness circle"around the people,so that people who want to exercise have appropriate places.We will improve financial subsidies,service charges,social participation in management and operation,security and other measures,promote the free or low-cost opening of public sports facilities,and ensure that all public Sports venue and Sports venue of enterprises and institutions that meet the opening conditions are open to the public.Encourage social forces to organize or participate in the management and operation of Sports venue and facilities.(Under the leadership of the General Administration of Sport,the Development and Reform Commission,the Ministry of Education,the Ministry of Finance,and the Ministry of Housing and Urban Rural Development are responsible according to their respective responsibilities)

2.Build a scientific fitness system.Establish exercise promotion health guidance methods tailored to different populations,environments,and physical conditions,and promote the formation of a disease management and health service model that combines physical and medical education.Establish a system for the prevention,treatment,and first aid of sports injuries,and improve the ability to prevent and treat sports injuries.Encourage and guide social sports instructors to provide scientific fitness guidance services for the masses in fitness venues and other places,improve fitness effects,and prevent Sports injury.(Under the leadership of the General Administration of Sport,the Health Commission is responsible according to its responsibilities)

3.Develop and implement a physical health intervention plan for special populations.Encourage and support the construction of appropriate fitness activity venues in new workplaces.Strengthen the monitoring and evaluation intervention of the physical health level of university students,and include the physical health level of university students in the assessment and evaluation of universities.Ensure that college students have physical education classes and enrich the forms and content of physical exercise for college students.(Under the leadership of the General Administration of Sport,the Ministry of Education,the National Federation of Trade Unions,etc.shall be responsible according to their respective responsibilities)

（4）Tobacco control actions.

Tobacco smoke contains various known carcinogens,and there is sufficient evidence to suggest that smoking can lead to various malignant tumors,as well as multiple systemic diseases such as respiratory and cardiovascular systems.According to a report from the World Health Organization,one in three smokers dies from smoking related diseases,and the average lifespan of smokers is 10 years shorter than that of non-smokers.The harm of tobacco to health has become one of the most serious public health problems in the world today.To this end,the World Health Organization has formulated the first international public health treaty-the WHO Framework Convention on Tobacco Control(hereinafter referred to as the Convention).China signed the Convention in 2003,ratified it by the National People's Congress in 2005,and officially entered into force in January 2006.There are over 300 million smokers in China,and there is an urgent need to prevent tobacco hazards.Every year,the number of deaths caused by smoking related diseases exceeds 1 million,and the number of deaths caused by Passive smoking exposure exceeds 100000.

Action objectives:

By 2022 and 2030,the smoking rates of people aged 15 and above will be less than 24.5%and 20%respectively;The proportion of people protected by comprehensive smoke-free regulations reaches 30%and above,and 80%and above respectively;Build party and government organs at all levels into smoke-free ones,gradually achieving a comprehensive ban on smoking in indoor public places,indoor workplaces,and public transportation nationwide;Merchants who sell tobacco to minors in violation of relevant laws and regulations,as well as enterprises and merchants that publish tobacco advertisements,will be included in the"blacklist"of the social integrity system,and joint punishment will be implemented in accordance with the law and regulations.

Advocating for individuals to quit smoking as early as possible,never too late;Create smoke-free homes to protect family members from second-hand smoke hazards;Leading cadres,doctors,and teachers play a leading role;Encourage enterprises and units to introduce comprehensive indoor smoke-free policies,create a smoke-free working environment for employees,and provide necessary assistance for smoking cessation.

——Individuals and families:

1.Fully understand the serious hazards of smoking and Passive smoking exposure.Non smokers do not attempt to smoke.Smokers should try to quit smoking as early as possible,and it's never too late.Drug therapy and nicotine replacement therapy can improve long-term smoking cessation rates.Do not smoke in non smoking areas.

2.Leading cadres,medical personnel,and teachers play a leading role.Leading cadres shall play an exemplary role in accordance with the requirements of the Notice on Leading Cadres Taking the Lead in Prohibiting Smoking in Public Places issued by the General Office of the Central Committee of the Communist Party of China and the General Office of the State Council,and participants in official activities shall not smoke,offer cigarettes or persuade them to smoke;Medical staff are not allowed to smoke during working hours and advise and assist patients to quit smoking;Teachers are not allowed to smoke in front of students.

3.Create a smoke-free family,persuade family members not to smoke or take the initiative to quit smoking,educate minors not to smoke,and protect their families from Passive smoking.

4.dissuade others from smoking in non smoking areas.Complaints and reports of smoking in prohibited smoking places in accordance with the law,and supports the maintenance of a smoke-free environment.

——Society:

1.Promote a smoke-free culture and improve the level of social civilization.Actively use World No Tobacco Day,World Heart Day,International Lung Cancer Day and other health theme days to carry out tobacco control publicity;Advocate smokeless weddings and smokeless families.

2.Pay attention to the issue of smoking among teenagers and create an environment away from tobacco for them.Include tobacco control related knowledge such as tobacco hazards and Passive smoking hazards into the health education curriculum for primary and secondary school students.Do not sell cigarettes to minors.Strengthen the construction of smoke-free schools.

3.Encourage enterprises and units to introduce comprehensive indoor smoke-free regulations,create a smoke-free working environment for employees,and provide necessary support for employees to quit smoking.

4.Fully leverage the role of the neighborhood(village)committee to assist in implementing tobacco control policies within the jurisdiction.

5.Encourage volunteer service organizations,other social organizations,and individuals to participate in or provide support for tobacco control work through various forms.

——Government:

1.Gradually increase the proportion of people covered by comprehensive smoke-free regulations,and achieve a comprehensive ban on smoking in indoor public places,indoor workplaces,and public transportation nationwide.Actively promote the construction of a smoke-free environment and strengthen the supervision and law enforcement of smoking control in public places.Build party and government organs at all levels into smoke-free ones.(Under the leadership of the Health Commission,the Central Civilization Office and the Tobacco Bureau are responsible according to their respective responsibilities)

2.Research and promote the adoption of comprehensive measures such as taxation and price adjustment to improve the effectiveness of tobacco control.(The Development and Reform Commission,the Ministry of Finance,the State Administration of Taxation,and the Tobacco Bureau are responsible according to their respective responsibilities)

3.Increase efforts in tobacco control publicity and education,further strengthen the management of cigarette packaging labeling,improve the content and form of tobacco hazard warnings,improve the effectiveness of health hazard warnings,and increase public awareness of tobacco hazards to health.Develop and improve relevant technical standards and supervise their implementation.Restricting smoking scenes in film and television works.(Under the leadership of the Health Commission,the Central Propaganda Department,the Ministry of Industry and Information Technology,the State Administration of Market Regulation,the State Administration of Radio,Film and Television,and the Tobacco Administration are responsible according to their respective responsibilities)

4.Gradually establish and improve a smoking cessation service system,including inquiring about patients'smoking history in daily outpatient consultations,and promoting short smoking cessation intervention services and diagnosis and treatment of tobacco dependent diseases.Strengthen the promotion and promotion of smoking cessation services to make more smokers aware of the help they can receive during the process of quitting smoking.Create smoke-free hospitals and promote comprehensive smoking bans in hospitals.(Responsible by the Health Commission)

5.Fully implement the Advertising Law of the China,strengthen the supervision and enforcement of tobacco advertising,and severely investigate and deal with the illegal acts of Mass communication,public places,public transportation vehicles,and outdoor tobacco advertising.Standardize tobacco promotion,sponsorship,and other activities in accordance with the law.(The General Administration of Market Supervision,the Ministry of Transport,the National Railway Administration and the Civil Aviation Administration shall be responsible according to the division of responsibilities)

6.In accordance with the requirements of the WHO Framework Convention on Tobacco Control implementation schedule,accelerate the research and establishment of a sound tobacco product composition control and information disclosure system.Strengthen the independence and authority of national tobacco product supervision and monitoring,improve the safety testing and evaluation system of tobacco products,ensure fairness and transparency,and safeguard the public's right to know and supervise.(The Health Commission,the State Administration of Market Regulation,and the Tobacco Bureau are responsible for their respective responsibilities)

7.It is prohibited to sell tobacco products to minors.Merchants who sell tobacco to minors in violation of relevant laws and regulations,as well as enterprises and merchants that publish tobacco advertisements,will be included in the"blacklist"of the social integrity system,and joint punishment will be implemented in accordance with the law and regulations.(The Ministry of Health,the State Administration of Market Regulation,the Tobacco Administration,and the Ministry of Education are responsible according to their respective responsibilities)

8.Strengthen the tobacco control work of professional institutions at all levels,designate dedicated personnel to be responsible for organizing and implementing relevant work,and ensure funding investment.Establish a monitoring and evaluation system,conduct regular tobacco epidemic surveys,and understand and grasp the use of tobacco.(The Ministry of Finance and the Health Commission are responsible according to their respective responsibilities)

（5）Action to promote mental health.

Psychological health is a state of sound cognition,emotional stability,appropriate behavior,interpersonal harmony,and adaptability to changes in the process of human growth and development.It is an important component of health.At present,the number of common mental disorders and psychological behavior problems in China is increasing year by year,and malignant cases(incidents)caused by extreme personal emotions occur from time to time.The prevalence of depression in China has reached 2.1%,and the prevalence of anxiety disorders has reached 4.98%.As of the end of 2017,there were 5.81 million registered patients with severe mental disorders nationwide.At the same time,the public's awareness of common mental disorders and psychological behavior problems is still relatively low,and there is a lack of prevention and treatment knowledge and proactive medical awareness.Some patients and their families still feel ashamed of the disease.Strengthening the promotion of mental health can help promote social stability,harmonious interpersonal relationships,and enhance public happiness.

Action objectives:

By 2022 and 2030,the level of residents'psychological Health literacy will rise to 20%and 30%;The increasing trend of insomnia incidence,anxiety disorder incidence,and depression incidence has slowed down;3.3 and 4.5 practicing(assistant)psychiatrists per 100000 population;The treatment rate of depression has been increased by 30%and 80%on the existing basis;The registered treatment rates for schizophrenia reach 80%and 85%;The standardized management rate of registered patients with severe mental disorders reaches 80%and 85%;Establish a community rehabilitation service system for mental disorders that connects mental health medical institutions,community rehabilitation institutions,social organizations,and families,and establish and improve a psychological crisis intervention and psychological assistance service model that connects and cooperates with mental health education,psychological hotline services,psychological assessment,psychological counseling,psychotherapy,and psychiatric treatment.

Advocate that the average daily sleep time for adults is 7-8 hours;Encourage individuals to correctly understand depression and anxiety symptoms,master basic emotional management,Stress management and other self psychological adjustment methods;Various clinical medical personnel actively master mental health knowledge and skills,and apply them to clinical diagnosis and treatment activities.

——Individuals and families:

1.Improve mental health awareness and pursue common mental and physical health.Everyone may encounter various mental health problems in their lifetime.They should actively learn and understand mental health knowledge,scientifically understand the mutual influence between mental health and physical health,maintain positive and healthy emotions,and avoid sustained negative emotions causing harm to their physical health.Advocate the concept of moral and health preservation,maintain the path of neutrality,and improve psychological resilience.In the treatment of physical diseases,attention should be paid to the role of psychological factors.When self adjustment cannot be alleviated,one can choose to seek psychological counseling and treatment,timely guide emotions,and prevent psychological and behavioral problems and mental disorders from occurring.

2.Use scientific methods to relieve stress.Maintain an optimistic,outgoing,and open-minded attitude towards life,and set reasonable goals.Correctly understand the psychological impact of major life,work changes,and other events on people,learn basic stress reduction knowledge,and learn scientific and beneficial psychological adjustment methods.Learn and apply healthy stress relieving methods,avoiding unhealthy stress relieving methods such as smoking,drinking alcohol,addiction to the internet or games.Learn to adjust one's own state,identify negative thoughts behind negative emotions,adjust according to objective reality,and reduce irrational cognition.Establish good interpersonal relationships,actively seek interpersonal support,and appropriately confide and seek help.Maintain a healthy lifestyle,actively participate in social activities,and cultivate healthy interests and hobbies.

3.Pay attention to sleep health.Ensure sufficient sleep time every day,follow a regular schedule for work,study,entertainment,and rest,and pay attention to regular living habits.Understand the adverse psychological effects of insufficient sleep and sleep problems,seek timely compensation if there is insufficient sleep,and seek medical attention if there is any sleep problem.To improve sleep with scientific methods under professional guidance,medication should be taken in accordance with medical advice.

4.Cultivate the habit of scientific movement.Choose and cultivate sports hobbies that are suitable for oneself,actively play the role of exercise in regulating emotions,and in the event of mild emotional distress,combine exercise to promote emotional relief.

5.Correctly understand common emotional problems such as depression and anxiety.Depression,lack of pleasure,loss of interest,accompanied by decreased energy,decreased appetite,Sleep disorder,decreased self-evaluation,pessimism and disappointment about the future,and even thoughts or behaviors of self injury and suicide,which persist for more than 2 weeks,may lead to depression;Sudden or often inexplicable feeling of tension,fear,fear,often accompanied by obvious physical symptoms such as panic,sweating,dizziness,dry mouth,Tachypnea,and even a sense of near death,loss of control,if frequent,may suffer from anxiety disorders.Transient or short-term depression and anxiety can be alleviated and eliminated through self adjustment or psychological counseling,without excessive worry.Depression and anxiety disorders can be treated through medication,psychological intervention,or a combination of both.

6.If there are psychological and behavioral problems,seek help in a timely manner.You can seek professional assistance from relevant departments of the hospital,professional psychological counseling institutions,and social work service institutions.It is important to recognize that seeking help from professionals does not necessarily mean that one is ill,nor does it mean that the condition is severe,but rather a responsible and capable expression.

7.Mental illness treatment should follow medical advice.To diagnose mental illness,one should go to a specialized psychiatric hospital or a specialized outpatient clinic of a comprehensive hospital.After diagnosis,one should promptly receive formal treatment,follow the doctor's advice to choose inpatient or outpatient treatment,actively implement treatment plans,follow the doctor's instructions to take medication throughout the entire process,uninterrupted,and on time.After the condition is effectively controlled,there is no rush to reduce or stop medication.Outpatient follow-up on time,timely and truthfully report treatment status to doctors,and follow their guidance.Psychotropic drugs must be used under the guidance of a doctor and cannot be taken arbitrarily.

8.Caring and understanding patients with mental illness,reducing discrimination.Learn the basic knowledge of mental illness,understand that mental illness can be prevented and treated,respect mental patients,and do not discriminate against them.It is important to recognize that mental illness can be alleviated and recovered after effective treatment,and can assume family and work functions.To provide a supportive environment for patients with mental illness,their families,and caregivers,improve their psychological and behavioral skills,and enable them to gain a sense of self-worth.

9.Pay attention to the psychological status of family members.Family members should have equal communication and respect for their different psychological needs.When conflicts arise with family members,do not use excessive language or hurtful behavior,do not be indifferent or evasive,but actively communicate to resolve them.Timely channel negative emotions,create a family atmosphere of mutual understanding,trust,support,and care,and harmonious family relationships.

——Society:

1.Medical institutions of all levels and types,as well as professional mental health service institutions,provide standardized diagnosis and treatment services for individuals who have discovered psychological and behavioral problems,alleviate patients'psychological pain,and promote their recovery.Medical staff should properly assist with psychological adjustment for patients and their families with physical diseases,especially cancer,cardio cerebral Vascular disease,diabetes,digestive system diseases,etc.Encourage medical institutions to provide sleep related diagnosis and treatment services,provide scientific sleep guidance,and reduce the occurrence of adult sleep problems.Professionals can guide the use of exercise programs to assist in the treatment of common psychological and behavioral problems such as depression and anxiety.Encourage relevant social organizations,universities,research institutes,and medical institutions to provide training on service skills and ethical ethics for mental health practitioners,in order to enhance their service capabilities.

2.Give full play to the role of mental health medical institutions,provide training on mental health knowledge and skills for medical personnel in various clinical departments,popularize the application of psychological counseling and treatment technology in clinical diagnosis and treatment,and improve the screening,identification,and disposal capabilities of psychological and behavioral problems such as depression,anxiety,cognitive impairment,autism,and common mental disorders.Promote the application of characteristic techniques and methods of traditional Chinese medicine psychological regulation in clinical diagnosis and treatment.

3.All government agencies,enterprises,institutions,universities,and other employing units integrate mental health education into the ideological and political work of employees(students),and encourage the establishment of mental health counseling rooms and the establishment of mental health service teams based on the Party and Youth League,trade unions,human resources departments,health clinics,etc.of their own units.Alternatively,through the purchase of services,they can provide employees(students)with services such as health promotion,psychological assessment,education and training,consultation and counseling,Teach self psychological adjustment methods such as emotional management and Stress management,and identify common psychological and behavioral problems such as depression and anxiety,so as to create conditions for employees(students)to actively seek mental health services.Provide timely psychological counseling and assistance to employees(students)who are in a specific period,position,or experience special emergencies.

4.Encourage universities for the elderly,elderly activity centers,grassroots elderly associations,women's homes,rehabilitation institutions for disabled people,and qualified social organizations to promote mental health knowledge.Train full-time and part-time social workers and psychological workers,introduce social forces,and provide mental health services such as psychological counseling,emotional relief,grief relief,and family relationship adjustment for empty nest,widowed,disabled,and dementia elderly people,left behind women and children,disabled people,and special family members of family planning.

——Government:

1.Make full use of forms such as radio,television,books and magazines,anime,etc.,and widely use platforms such as portal websites,WeChat,Weibo,and mobile clients to organize the creation and broadcasting of high-quality mental health education and public service advertisements,spreading modern civilization concepts and mental health knowledge of self-esteem,confidence,optimism,and upward mobility.(The Central Propaganda Department,the Central Cyberspace Office,the Health Commission,and the State Administration of Radio,Film,and Television shall be responsible according to their respective responsibilities)

2.Relying on comprehensive service management institutions and facilities such as urban and rural community comprehensive governance centers,establish psychological counseling(counseling)rooms or social studios(stations),equip full-time and part-time mental health counseling personnel or social workers,and build grassroots mental health service platforms.Integrate social resources,establish municipal and county-level mental health counseling centers for minors,and improve the network of mental health counseling for minors.Cultivate socialized mental health service institutions and encourage psychological counseling professionals to establish social psychological service institutions.Gradually expand service coverage by purchasing services from social and psychological service institutions.(The Central Political and Legal Commission,the Central Civilization Office,the Ministry of Education,the Ministry of Civil Affairs,and the Health Commission are responsible according to their respective responsibilities)

3.Increase the training of applied mental health workers and promote the establishment of relevant majors in higher education institutions.Further strengthen the system construction for the training and use of mental health workers,and actively establish mental health service positions.Support the capacity building of mental health medical institutions,improve the personnel and salary distribution system,and reflect the labor value of psychological treatment services.Gradually integrate mental health workers into the professional and technical position setting and management system,and smooth career development channels.(The Ministry of Education,the Ministry of Finance,the Ministry of Human Resources and Social Security,the Health Commission,and the Medical Insurance Bureau are responsible according to their respective responsibilities)

4.Political,legal,and health departments at all levels,in conjunction with units such as public security,civil affairs,judicial administration,and the Disabled Persons'Federation,establish a comprehensive management mechanism for mental health,and provide daily detection,registration,follow-up,risk assessment,medication guidance,and other services for patients with severe mental disorders through multiple channels.Community organizations and patient families are mobilized to participate in home patient management services.Establish a community rehabilitation service system for mental disorders that connects mental health medical institutions,community rehabilitation institutions,social organizations,and families,and strengthen the technical guidance of mental health medical institutions to community rehabilitation institutions.By the end of 2030,over 80%of counties(cities,districts)will carry out community rehabilitation services,and in counties(cities,districts)that carry out community rehabilitation for mental disorders,over 60%of home patients will receive community rehabilitation services.Encourage and guide social organizations to provide mental health community rehabilitation services through the establishment of community rehabilitation institutions for mental disorders or through government procurement of services.(The Central Political and Legal Commission,the Ministry of Public Security,the Ministry of Civil Affairs,the Ministry of Justice,the Health Commission,and the China Disabled Persons'Federation are responsible according to their respective responsibilities)

5.Pay attention to and carry out psychological crisis intervention and psychological assistance work.Health,political and legal,civil affairs and other units shall establish and improve a psychological crisis intervention and psychological assistance service model that connects and cooperates with psychological health education,psychological hotline services,psychological assessment,psychological counseling,psychological treatment,and psychiatric treatment.Incorporate psychological crisis intervention and psychological assistance into various emergency plans and technical plans,and strengthen the professional and systematic construction of psychological crisis intervention and psychological assistance teams.The relevant departments promote the establishment of a psychological assistance hotline that provides public welfare services,answered by professionals,and provides psychological health education,counseling,and crisis intervention to callers to reduce the risk of suicide or self injury.(Under the leadership of the Health Commission,the Central Political and Legal Commission,the Ministry of Public Security,and the Ministry of Civil Affairs are responsible according to their respective responsibilities)

（6）Action to promote a healthy environment.

A healthy environment is an important guarantee for the health of the people.The environmental factors that affect health include not only natural environmental factors such as physics,chemistry,and biology,but also social environmental factors.Environmental pollution has become a health risk factor that cannot be ignored.The problems related to environmental pollution,such as cardiovascular diseases,Respiratory disease and malignant tumors,have become increasingly prominent.Every year,there are approximately 680000 deaths due to injuries in China,accounting for approximately 7%of the total number of deaths.At present,the most common injuries mainly include road traffic accident injuries,falls,suicide,drowning,poisoning,etc.The death caused by these injuries accounts for about 84%of all injury deaths.We need to continue to give play to the organizational advantages of the patriotic health movement,mobilize the whole society,integrate health into the whole process of urban and rural planning,construction and governance,establish a national environment and health risk assessment system,promote the construction of healthy cities and healthy villages and towns,and create a healthy environment.

Action objectives:

By 2022 and 2030,the quality of drinking water for residents will significantly improve and continue to improve;Residents'environmental and Health literacy levels reached 15%and above and 25%and above respectively;Vigorously promote the classified treatment of urban and rural domestic Waste sorting,and basically build a domestic Waste sorting classified treatment system in key cities.

Advocate active implementation of Waste sorting and timely cleaning,and actively put solid waste into corresponding recycling sites and facilities;Prevent and control indoor air pollution,promote simple green decoration,do a good job in indoor oil fume exhaust,and improve the level of home environment;Schools,hospitals,stations,large shopping malls,cinemas and other densely populated areas should regularly carry out emergency drills for natural disasters and emergencies such as fires and earthquakes;Improve one's awareness and ability of health protection,learn to recognize common hazard signs,chemical safety labels,and environmental protection graphic signs.

——Individuals and families:

1.Improve environmental and Health literacy.Actively learn and master the basic concepts,knowledge and skills of environment and Health literacy,comply with the ecological environmental code of conduct,and improve the awareness and ability of ecological environmental protection and health protection.

2.Consciously maintain environmental hygiene and resist environmental pollution behavior.Family members should develop good environmental hygiene habits,promptly and proactively carry out household environmental hygiene cleaning,ensuring that the home is clean and tidy,with sufficient lighting,good ventilation,and toilet hygiene.Maintain environmental hygiene in communities,units,and other areas,and improve living and production environments.Actively implement Waste sorting and timely clean up,and actively put solid wastes(waste batteries,waste fluorescent tubes,waste Mercury-in-glass thermometer,expired drugs,etc.)into corresponding recovery sites and facilities to reduce the spread of pollutants and the impact on the environment.Reduce smoke and dust emissions,try to avoid garbage Stubble burning burning,less or no fireworks,and prohibit outdoor barbecue in heavily polluted weather;Discovering behaviors that pollute the ecological environment,promptly dissuade or report them.

3.Advocate for a simple,moderate,green,low-carbon,and healthy lifestyle.Give priority to green products,try to buy durable goods,less use of plastic bags,disposable foam plastic lunch boxes,plastic pipes and other products that are prone to pollution,less use of Overpackaging products,not follow the trend to buy new and fast changing electronic products,and bring shopping bags,water cups,etc.when going out.Moderate use of air conditioning,with a temperature set no higher than 20 degrees Celsius in winter and no lower than 26 degrees Celsius in summer.Turn off the electrical power supply in a timely manner to reduce standby power consumption.Adhere to low-carbon travel,prioritize walking,cycling,or public transportation,and use more shared transportation.

4.Pay attention to indoor(car)air pollution.Try to purchase home appliances with green decorative materials,furniture,and energy-saving labels.Regularly ventilate and exchange air in newly renovated rooms to reduce indoor air pollution caused by decoration materials.Cooking,heating,and other activities advocate the use of clean energy sources such as gas fuels and electricity.It is recommended to use Whole-house fan,range hood and other equipment during cooking.Purchase and use household chemicals that meet the limit standards for harmful substances.Regularly clean pets and pet supplies kept at home,timely dispose of indoor waste,and avoid the growth of microorganisms.According to the weather change and air quality,timely ventilation shall be carried out.In heavily polluted weather,doors and windows shall be closed to reduce outdoor air pollutants entering the room.If possible,it is recommended to open the air purification device or Dedicated outdoor air system.Encourage the purchase of vehicles with appropriate displacement based on actual needs,avoid unnecessary interior decoration,pay attention to ventilation,and clean the vehicle's air conditioning system in a timely manner.

5.Take good outdoor health protection measures.When heavily polluted weather occurs,it is recommended to minimize outdoor stay time and stop outdoor activities for susceptible populations.If going out,it is necessary to take good health protection measures.

6.Pay attention to road traffic safety.Strictly abide by traffic laws and regulations,enhance the awareness of traffic rules,safety and civilization,avoid Sleep-deprived driving driving,overspeed driving,and Driving under the influence,and have certain emergency handling capabilities.Correctly use seat belts and use safety seats according to the age,height,and weight of children to reduce the occurrence of traffic accidents.

7.Prevention of drowning.It is recommended to choose a swimming place with standardized management,and it is not recommended to swim in natural waters.It is not advisable to swim outdoors when it rains.It is recommended to carefully prepare for activities before entering the water to avoid muscle spasms and other issues after entering the water.When engaging in water activities,it is important to avoid dangerous behaviors such as fighting and diving.Avoid children approaching dangerous water areas.When children swim,they should be led by adults or organized.Strengthen care and do not leave children alone in bathrooms,bathrooms,or open water sources.

——Society:

1.Develop community health conventions and health codes,and vigorously carry out activities to promote hygiene,cultivate new customs,and eliminate bad habits.Strengthen the construction of community infrastructure and ecological environment,and create a healthy community environment with complete facilities,clean and orderly,beautiful and livable,safe and harmonious.Establish fixed health bulletin boards,shop windows and other health education windows,set up community health self-help detection points,equipped with Sphygmomanometer,Glucose meter,waist circumference gauge,weight gauge,body mass index(BMI)gauge,healthy diet chart,etc.,encourage and guide volunteers to participate,and guide community residents to form a healthy lifestyle.Employers fully consider the health needs of workers and provide a supportive environment for their health.Improve the standards for healthy families,incorporate civilized and healthy lifestyles,as well as weight,oil,salt,sugar,blood pressure,and myopia control into the"Five Good Civilized Families"selection criteria,guide family members to actively learn and master necessary health knowledge and skills,maintain a clean and harmonious home,and improve their ability to manage their own health.

2.Enterprises actively enhance environmental awareness,reasonably determine environmental protection indicators and targets,establish environmental monitoring systems,and manage and maintain pollution control devices.Pollutant emissions must comply with environmental standards.When it comes to the production,transportation,storage,sales,use,and disposal of hazardous chemicals,enterprises should implement the main responsibility of safety production and strengthen the entire process management of hazardous chemicals.Encourage the development of safe,energy-saving,and environmentally friendly automotive products.

3.Encourage enterprises to establish a system for limited disclosure of harmful substances in consumer goods and monitoring and reporting of quality and safety accidents,improve the safety standards of consumer goods such as decoration materials,daily chemicals,children's toys and supplies,and reduce the harm caused by consumer goods.

4.The central air conditioning and Dedicated outdoor air system shall be cleaned regularly in public places.It is recommended to install Dedicated outdoor air system or air purification device in fitness and entertainment places.In heavily polluted weather,the purification device should be opened in time to supplement fresh air according to the situation of personnel.Public swimming places are regularly disinfected and replaced with water to ensure that people move in a clean environment.Post warning signs in public places to prevent falls,electric shock,drowning,etc.based on climate and environment,to reduce accidental injuries and disability caused by falls,and to prevent accidental poisoning caused by carbon monoxide,ammonia,chlorine,disinfectants and insecticides.

5.Develop environmental and health manuals for different groups of people,promote and popularize the basic concepts,knowledge,and skills of environmental and health,and classify and publish environmental pollution prevention guidelines,public places,and indoor health environment guidelines.

6.Regularly disseminate and train the public on disaster prevention and mitigation,emergency response knowledge and skills,and improve their self rescue and mutual rescue capabilities.Schools,hospitals,and other densely populated areas should regularly carry out emergency drills for natural disasters and emergencies such as fires and earthquakes.

——Government:

1.Formulate norms and evaluation indicators for the construction of health Cell engineering in healthy communities,health units(enterprises),health schools,etc.Establish a sound monitoring and evaluation system for healthy urban and rural areas,regularly organize third-party evaluations,and create an upgraded version of healthy urban and rural areas.(Under the leadership of the Health Commission,the Ministry of Education and the Ministry of Civil Affairs are responsible according to their respective responsibilities)

2.Gradually establish an investigation,monitoring,and risk assessment system for environment and health.Strengthen the monitoring and evaluation of environmental health impacts on drinking water,air,soil,and other areas closely related to public health,conduct research on the relationship between environmental pollution and diseases,health risk warning,and protective interventions,strengthen the construction of injury monitoring networks,and take effective measures to prevent and control environmental pollution related diseases.Promote the concept of"harmonious coexistence between humans and nature"and"everyone enjoys a healthy environment",popularize environmental health knowledge,and create a good atmosphere for the whole society to care about and participate in environmental health.(Under the leadership of the Health Commission,the Ministry of Natural Resources,the Ministry of Ecology and Environment,the Ministry of Housing and Urban Rural Development,the Ministry of Water Resources,the Ministry of Agriculture and Rural Affairs,the State Administration for Market Regulation,the Grain and Reserve Bureau,and the Forestry and Grassland Bureau are responsible according to their respective responsibilities)

3.Deepen the prevention and control of air,water,and soil pollution.Revise the"Chinese Citizens'Environment and Health literacy(Trial)",and carry out the improvement of citizens'environment and Health literacy and science popularization.(Led by the Ministry of Ecology and Environment,responsible by the Development and Reform Commission,the Ministry of Science and Technology,the Ministry of Industry and Information Technology,the Ministry of Natural Resources,the Ministry of Housing and Urban Rural Development,the Ministry of Transport,the Ministry of Water Resources,the Ministry of Agriculture and Rural Affairs,the Ministry of Health,etc.according to their respective responsibilities)

4.Increase investment,management,and maintenance of drinking water engineering facilities to ensure drinking water safety.Strengthen the construction of urban public safety infrastructure,increase investment in solid waste recycling facilities,and strengthen the management of waste classification and disposal.Strengthen the construction and maintenance management of urban and rural public fire protection facilities,reasonably plan and construct emergency shelters,and strengthen the construction of emergency material reserve systems.Improve the ability of enterprises,hospitals,schools,large shopping malls,sports and entertainment venues and other densely populated areas to prevent and respond to disasters and emergencies.Improve the accessibility facilities of medical institutions.(The Development and Reform Commission,the Ministry of Ecology and Environment,the Ministry of Housing and Urban Rural Development,the Ministry of Water Resources,the Ministry of Culture and Tourism,the Health Commission,the Emergency Department,the General Administration of Sport,etc.are responsible according to their respective responsibilities)

5.Organize the implementation of traffic safety and life protection projects,improve traffic safety technical standards,strengthen the management of traffic safety hazards,and reduce the occurrence of traffic injury incidents.(Under the leadership of the Ministry of Transport,the Ministry of Industry and Information Technology,the Ministry of Public Security,the National Railway Administration,the Civil Aviation Administration,etc.shall be responsible according to the division of responsibilities)

6.Strengthen the safety evaluation of consumer goods such as decoration materials,daily chemicals,children's toys and supplies,improve the product injury monitoring system,improve relevant standards,strengthen green safety certification of consumer goods,establish a mandatory reporting system for quality and safety accidents of consumer goods,strengthen recall management,and strengthen quality and safety supervision in key areas.(Under the leadership of the State Administration of Market Regulation,the Ministry of Industry and Information Technology,the Ministry of Housing and Urban Rural Development,etc.shall be responsible according to their respective responsibilities)

7.Focusing on the impact of compound pollution on health and pollution prevention,we will conduct research and focus on developing a number of key core technologies to guide the public in doing a good job in health protection.(Under the leadership of the Health Commission,the Ministry of Science and Technology,the Ministry of Ecology and Environment,and the Meteorological Bureau are responsible according to their respective responsibilities)

（7）Action to promote maternal and child health.

Maternal and child health is the foundation of national health.Maternal and child health is facing new challenges in the new era.Birth defects not only seriously affect the health and quality of life of children,but also affect the health quality of the population.With the adjustment and improvement of fertility policies,the demand for childbirth is gradually released,and the proportion of high-risk pregnant women has increased,increasing the pressure to ensure the safety of mothers and infants.The whole process of childbearing services are not widely covered.The high incidence of cervical cancer and breast cancer has not yet been reversed.The early development of children needs to be strengthened urgently.The health status of women and children is still different between urban and rural areas and between regions.The supply capacity of maternal and child health services needs to be improved.Implementing maternal and child health promotion actions is an important measure to protect the health rights and interests of women and children,promote the comprehensive development of women and children,and maintain reproductive health.It helps to improve the national health level from the source and foundation.

Action objectives:

By 2022 and 2030,the infant mortality rate will be controlled at 7.5‰or below and 5‰or below,respectively;The mortality rate of children under 5 years old should be controlled at 9.5‰and 6‰and below,respectively;The maternal mortality rate dropped to 18/100000 and below and 12/100000 and below respectively;The prenatal screening rate reaches 70%or above and 80%or above respectively;The screening rate of genetic metabolic diseases in newborns reaches 98%or above;The rate of Universal neonatal hearing screening reaches 90%or above;Serious birth defects such as Congenital heart defect,Down's syndrome,deafness,neural tube defects and Thalassemia have been effectively controlled;The health management rates for children under 7 years old have reached over 85%and over 90%respectively;The screening coverage of cervical cancer and breast cancer(hereinafter referred to as"two cancers")among rural women of appropriate age reached 80%and above and 90%and above respectively.

Promote the active learning and mastery of knowledge on birth defect prevention and early childhood development among the appropriate age group;Actively undergo pre marital medical examination and pre pregnancy eugenics health examination;Advocate pure breastfeeding for infants aged 0-6 months,and provide timely and reasonable supplementation of complementary foods for infants aged 6 months and above.

——Individuals and families:

1.Actively prepare to conceive a healthy new life.Actively understand the knowledge of maternal and child health and birth defect prevention and control,fully understand that pregnancy and childbirth are normal physiological processes of human reproduction,and it is recommended to be planned and prepared.Actively participate in pre marital and pre pregnancy health checks,choose the best reproductive age,and supplement folic acid from 3 months before to 3 months after pregnancy.Prevent infection,quit smoking and alcohol,and avoid exposure to toxic and harmful substances and radiation.

2.Regular prenatal examination to ensure the safety of mother and baby.If pregnancy is discovered,it is necessary to go to a medical and health institution as soon as possible to establish a file and register,conduct pregnancy risk screening and assessment,actively and timely receive pregnancy and postpartum health care services according to different risk management requirements,and master self health knowledge and skills during pregnancy and childbirth.At least 5 antenatal examinations shall be conducted during pregnancy(once in the early pregnancy,twice in the middle pregnancy,and twice in the late pregnancy).Those with abnormalities are recommended to increase the number of examinations appropriately according to the doctor's advice.For the first antenatal examination,it is recommended to conduct AIDS,syphilis,and hepatitis B examinations,and to receive antenatal screening regularly.Pregnant women over 35 years of age belong to older pregnant women.It is recommended that older high-risk pregnant women go to qualified medical institutions in time to receive Prenatal testing services.During pregnancy,if any discomfort occurs,it is recommended to seek medical attention from a healthcare institution immediately.Pregnant women should be hospitalized for delivery in time,promote Natural childbirth,and reduce Caesarean section for non-medical needs.Pregnant women should ensure a reasonable diet,balanced nutrition,and maintain a reasonable weight.Keeping a Positive mental attitude and relaxing will help prevent depression during pregnancy and postpartum.Actively receive visits from community doctors 3 to 7 days and 42 days postpartum,and choose appropriate contraceptive measures based on one's own situation.

3.Scientific parenting promotes the healthy growth of children.Strengthen the concept that children's parents are the first responsible person for children's health,and improve children's parents'Health literacy.Breast milk is an ideal natural food for infants.Start breastfeeding as early as possible after birth,and try to breastfeed exclusively for 6 months.After 6 months,gradually supplement the infant with iron rich paste foods.It is not recommended for infants under 1 year old to consume fresh milk.Understand the developmental characteristics of children,rationally view the differences between children,respect each child's own developmental rhythm and characteristics,understand and respect their emotions and needs,and provide a safe,beneficial,and interesting growth environment for children.Avoid children being affected by factors such as excessive stress,lack of exercise,and lack of social interaction,which can affect brain development and hinder psychological growth.When discovering psychological and behavioral problems in children,do not be too nervous or overly ignored.It is recommended to consult and seek help from professionals in a timely manner.Avoid accidental injuries such as falls,burns,suffocation,poisoning,electric shock,drowning,and animal bites in children.

4.Strengthen health care and prevent childhood diseases.Do a good job in managing children's health and carry out vaccination according to immunization planning procedures.Receive neonatal disease screening such as Phenylketonuria,congenital hypothyroidism and hearing impairment,and disability screening such as vision,hearing,intelligence,limb disability and autism screening for children aged 0 to 6 years old.Those with positive screening need to actively accept follow-up,diagnosis,treatment and intervention.Children under 3 years old should undergo 8 health examinations at township health centers or community health service centers,and children aged 4-6 should undergo one health examination every year.

5.Caring for women and promoting reproductive health.It is recommended that women increase their awareness and ability of reproductive health,actively acquire knowledge related to adolescent,reproductive,menopausal,and elderly health care,pay attention to menstrual hygiene,and be familiar with the symptoms and prevention knowledge of common diseases in women such as reproductive tract infections,breast diseases,and cervical cancer.It is recommended that family members strengthen their psychological care for women in special periods.Master contraceptive methods and make informed choices,be aware of various contraceptive methods,and understand the precautions for using the contraceptive methods you use.Recognize the impact of promoting reproductive health on individuals,families and society,enhance the awareness of sexual morality,sexual health and sexual safety,reject unsafe sexual behavior,and avoid unwanted pregnancy,premature birth and the spread of sexually related diseases.

——Society and government:

1.Improve the maternal and child health service system,implement the maternal and child health and family planning service guarantee project,focus on the central and western regions and poverty-stricken areas,strengthen the infrastructure construction of maternal and child health institutions,and ensure that there is one standardized maternal and child health institution at the provincial,municipal,and county levels.Strengthen the cultivation of urgently needed talents in pediatrics,obstetrics,midwifery,and other fields to enhance the attractiveness of positions.(Under the leadership of the Health Commission,the Development and Reform Commission,the Ministry of Education,the Ministry of Finance,and the Ministry of Human Resources and Social Security are responsible according to their respective responsibilities)

2.Strengthen pre marital,pre pregnancy,prenatal,neonatal,and childhood health care work,promote the use of the"Mother Child Health Manual",and provide systematic and standardized services for women and children.Establish a sound birth defect prevention and control network,and improve the accessibility of comprehensive birth defect prevention and control services.(Responsible by the Health Commission)

3.Vigorously promote the scientific knowledge of maternal and child health,and promote the"one-stop"service model of marriage registration,premarital medical examination,and childbirth guidance.Provide contraceptive services after induced abortion,standardize postpartum contraceptive services,and improve the accessibility of free contraceptive distribution services.Strengthen labor protection for female employees and avoid exposure to toxic and harmful substances and radiation during pregnancy and lactation.Promote the construction of facilities such as maternity lounges and mother and baby rooms.(Under the leadership of the Health Commission,the Ministry of Civil Affairs,the All China Federation of Trade Unions,and the All China Women's Federation are responsible according to their respective responsibilities)

4.Provide scientific guidance on pregnancy preparation and fertility assessment,as well as pre pregnancy eugenics services for families planning to conceive,provide infertility diagnosis and treatment for couples with fertility difficulties,and guide scientific pregnancy preparation.Implement the national free prenatal and prenatal health check ups,and promote full coverage of urban and rural residents.Widely carry out prenatal screening,popularize appropriate techniques for prenatal screening,standardize the application of high-throughput gene sequencing and other technologies,and gradually achieve that pregnant women receive at least one prenatal screening voluntarily before 28 weeks of pregnancy.Deeply carry out Thalassemia prevention and control projects in high incidence provinces,and gradually expand the coverage.Timely give medical guidance and advice to the confirmed cases of Congenital heart defect,Down's syndrome,neural tube defects,Thalassemia and other serious birth defects.(Under the leadership of the Health Commission,the Ministry of Finance is responsible according to its responsibilities)

5.Implement the five systems of pregnancy risk screening and assessment,high-risk project management,critical and severe treatment,Maternal death case report and interview notification,strengthen the construction of critical maternal and newborn care support capacity,and improve treatment consultation,referral and other mechanisms.Pregnant women and newborns shall participate in basic medical insurance and major illness insurance according to regulations,and enjoy relevant benefits according to regulations.Those who meet the conditions can enjoy medical assistance subsidy policies.Conduct project management for premature infants and carry out projects such as newborn safety in impoverished areas.(Led by the Health Commission,responsible by the Development and Reform Commission,the Ministry of Finance,and the Medical Insurance Bureau according to their respective responsibilities)

6.Fully carry out neonatal disease screening,strengthen the follow-up,diagnosis,treatment,and intervention of screened positive cases,improve the treatment rate of confirmed cases,and gradually expand the scope of neonatal disease screening.We will continue to carry out rescue projects for congenital structural deformities and genetic metabolic diseases,focusing on key diseases of birth defects that are severe,multiple,treatable,technologically mature,with good prognosis,and controllable costs.We will carry out pilot services for screening,diagnosis,treatment,and poverty relief throughout the entire process.Establish an integrated work mechanism for screening,diagnosis,and intervention of disabling diseases and birth defects in newborns and children.(Under the leadership of the Health Commission,the Ministry of Finance and the China Disabled Persons'Federation are responsible according to their respective responsibilities)

7.Strengthen the health management of children aged 0-6,standardize newborn visits,and guide parents to do a good job in newborn feeding,nursing,and disease prevention.Implement infant and young child feeding strategies,innovate the management of baby friendly hospitals,and cover all impoverished counties with nutrition improvement projects for children in poverty-stricken areas.We should guide children to eat a scientific Healthy diet,strengthen physical exercise,and achieve comprehensive prevention and intervention of childhood obesity.Strengthen the guidance and supervision of healthcare services in childcare institutions.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Education according to their respective responsibilities)

8.Strengthen early childhood development services,combine with the implementation of basic public health service projects,promote equalization of early childhood development,promote early childhood development services to rural areas,communities,and families,and explore suitable service content and models for early childhood development in rural areas.Improve the accessibility of infant and young child care.Improve the rehabilitation assistance system for disabled children.Strengthen the construction of professional rehabilitation institutions,rehabilitation medical institutions,and grassroots medical rehabilitation facilities and talent teams for people with disabilities,improve the coordination mechanism,and continuously improve the level of rehabilitation security.(Under the leadership of the Health Commission,the Development and Reform Commission,the Ministry of Education,the Ministry of Finance,the All China Women's Federation,and the China Disabled Persons'Federation are responsible according to their respective responsibilities)

9.Focus on poverty-stricken areas,gradually expand the coverage of the"two cancers"screening project for rural women,continue to implement the project to prevent mother to child transmission of AIDS,syphilis and hepatitis B,and achieve the goal of eliminating mother to child transmission of AIDS as soon as possible.Promote appropriate technologies for comprehensive management of childhood diseases,with a focus on pneumonia,diarrhea,anemia,asthma,dental caries,poor vision,and psychological and behavioral problems.(Under the leadership of the Health Commission,the Ministry of Finance and the All China Women's Federation are responsible according to their respective responsibilities)

10.Actively promote the application of appropriate technologies and methods of traditional Chinese medicine in medical institutions providing maternal and child health care services,and carry out reasonable use and training of traditional Chinese patent medicines and simple preparations.Expand the application of traditional Chinese medicine in pregnancy and postpartum rehabilitation.Fully leverage the role of traditional Chinese medicine in children's healthcare services.Strengthen the clinical collaboration between traditional Chinese and Western medicine in the diagnosis and treatment of women and children's diseases,and improve the level of diagnosis and treatment of difficult and critical diseases.(Led by the Bureau of Traditional Chinese Medicine,with the Health Commission responsible according to its responsibilities)

（8）Action to promote health in primary and secondary schools.

Primary and middle school students are in the Key Stage of growth and development.Strengthening the promotion of health in primary and secondary schools and enhancing the physical fitness of adolescents is necessary to promote the healthy growth and comprehensive development of primary and secondary school students.According to the 2014 survey on Chinese students'physique and health,the prevalence of obesity among urban boys and girls aged 7-18 years in China was 11.1%and 5.8%,respectively,and that among rural boys and girls was 7.7%and 4.5%,respectively.The overall myopia rate among children and adolescents nationwide in 2018 was 53.6%.Among them,14.5%of 6-year-old children,36.0%of primary school students,71.6%of middle school students,and 81.0%of high school students.Health issues such as obesity and myopia are prominent among primary and secondary school students.

In addition,as students grow and develop,their self-awareness gradually increases,their cognitive,emotional,willpower,and personality development gradually matures,and their outlook on life,world,and values gradually form.Therefore,it is of great significance to effectively protect and actively promote their physical and mental health and growth during this period.

Action objectives:

By 2022 and 2030,the excellent and good rates of meeting the national students'physical and health standards will reach 50%and 60%respectively;Efforts will be made to reduce the overall myopia rate among children and adolescents nationwide by more than 0.5 percentage points annually,and to significantly reduce the incidence of new myopia;The myopia rate among primary school students has decreased to below 38%;The opening rate of physical education and health courses in primary and secondary schools that meet the requirements reaches 100%;Primary and secondary school students should have at least one hour of physical activity time on campus every day;The popularization rate of school Eyes exercise reached 100%;The proportion of boarding primary and secondary schools or non boarding primary and secondary schools with more than 600 students equipped with full-time health professionals,and non boarding primary and secondary schools with less than 600 students equipped with full-time and part-time health teachers or health professionals reaches 70%and 90%respectively;Schools that are not fully staffed with health professionals should establish a unified system for grassroots medical and health institutions to ensure full coverage of primary and secondary schools by the local government;The proportion of primary and secondary schools equipped with full-time and part-time mental health workers reaches over 80%and over 90%respectively;Incorporate students'physical and health status into school performance assessments,link them with the rewards and punishments of school leaders,and include high school physical education subjects in the high school academic level test or comprehensive evaluation system of the college entrance examination;Encourage universities to explore adding physical education subject tests in special types of enrollment.

Advocate that primary and secondary school students should be exposed to natural light for at least one hour outside of school every day;Primary school students,middle school students,and high school students should sleep no less than 10,9,and 8 hours each day;Primary and secondary school students should not use electronic screen products for non learning purposes for more than 15 minutes at a time,and should not accumulate more than 1 hour per day;The school encourages and guides students to achieve a level of good or above in accordance with the National Student Physical Health Standards.

——Individual:

1.Scientific movement.Ensure sufficient sports activities and reduce sedentary and screen time(such as watching TV,using computers,phones,etc.).During breaks,leave your seat and engage in moderate activity.Accumulate at least one hour of moderate intensity or above of exercise every day to cultivate the habit of lifelong exercise.

2.Pay attention to eye hygiene.Actively learn and master health knowledge such as scientific eye care,and develop healthy eye habits.Maintain correct reading and writing posture.Hold the pen with your fingertips one inch away from the pen tip,your chest one fist away from the table,and your book one foot away from your eyes.Maintain a upright reading and writing posture.Reading and writing should be carried out in an environment with good lighting and sufficient lighting.During daytime learning,make full use of natural lighting to avoid direct sunlight on the desktop.At night,when studying,turn on both the desk lamp and the room headlight.The continuous eye time for reading and writing should not exceed 40 minutes.Consciously reduce the use of electronic screen products.Avoid bad eye use behavior,avoid walking,eating,or lying in a shaking carriage,reading in dim or direct sunlight,or using electronic screen products.When there is a significant change in self perception of vision,inform parents and teachers in a timely manner,and go to an ophthalmic medical institution for examination and treatment as soon as possible.

3.Maintain a healthy weight.Learn the life skills of choosing food and matching food reasonably.Eat breakfast every day,choose snacks reasonably,and choose appropriate amounts of fruits,nuts,or yogurt as snacks between meals.Drink plenty of water,plain water,and drink little or no Sweetened beverage.Self monitoring of growth and development indicators such as height and weight,early detection and scientific judgment of health issues such as overweight and obesity.

4.Understand the knowledge of infectious disease prevention and control,enhance physical fitness,and prevent infectious diseases,especially common respiratory infectious diseases.

5.Master scientific coping methods to promote mental health.Maintain a positive and positive mental state,actively participate in cultural and sports activities and social practices.Understand the impact of negative emotions on health and master the basic methods of regulating emotions.To have a correct understanding of psychological problems,learn to actively suggest and vent appropriately,one can vent negative emotions such as pain,grievance,anger,etc.in one's heart by taking deep breaths or confiding in friends,writing a diary,drawing,playing football,etc.They can seek help from parents,teachers,friends,etc.They can also actively receive psychological counseling(such as psychological counseling and treatment).

6.Reasonably and safely use the internet,enhance the ability to distinguish internet information,actively control internet time,and resist internet addiction.

7.Ensure sufficient sleep and avoid staying up late.Scientifically use the ear and pay attention to protecting hearing.Brush your teeth in the morning and evening,rinse your mouth after meals,and use the correct brushing method.Brush your teeth for no less than 2 minutes each time.Remind parents to accompany them for medical treatment in case of dental caries.Do not smoke,refuse to smoke Passive smoking,and help parents quit smoking.Enhance one's awareness of safety precautions,master knowledge and skills in injury prevention,and prevent traffic injuries,campus violence,drowning,sexual harassment,and sexual assault.Stay away from unsafe sexual behavior.Do not attempt drugs for any reason.

——Family:

1.Provide children with health knowledge through various means such as parent-child reading and attending lectures,set an example,drive and help children develop good health behaviors,eat reasonably,work and rest regularly,and exercise every day.

2.Pay attention to Parenting styles methods,neither dote on children nor treat children rudely.Be a listener for children,help them face and handle problems correctly,and pay attention to their mental health.

3.Ensure children's sleep time,ensuring that primary school students sleep 10 hours a day,middle school students sleep 9 hours,and high school students sleep 8 hours,reducing children's time using their eyes and electronic screens at close range.

4.Create a good family sports atmosphere,actively guide children to engage in outdoor activities or physical exercise,and ensure that children are exposed to natural light for at least 1 hour outside of school every day.Encourage and support children to participate in various forms of extracurricular sports activities,urge them to conscientiously complete winter and summer sports assignments,enable them to master 1-2 sports skills,and guide them to develop lifelong exercise habits.

5.It is recommended that parents minimize the use of electronic screen products when accompanying their children.Consciously control children,especially preschool children,to use electronic screen products.For non learning purposes,the single use of electronic screen products should not exceed 15 minutes,and the cumulative use of electronic screen products should not exceed 1 hour per day.After 30 to 40 minutes of learning using electronic screen products,it is recommended to take a break and relax for 10 minutes.The younger the age,the shorter the continuous use of electronic screen products.

6.Effectively reduce the burden on children's families and extracurricular studies,do not blindly participate in extracurricular training or follow the trend of class registration.It is recommended to make reasonable choices based on children's interests and hobbies.

7.Ensure nutritional quality.Encourage children to not be picky or partial eaters,and have a balanced diet based on their physical development,avoiding the intake of foods such as high sugar,salt,and oil.

8.Keep an eye on your child's health status at all times,and promptly consult with professionals or take them to a medical institution for examination when discovering early signs of illness.

——School:

1.Organize and arrange teaching activities in strict accordance with the national curriculum plan and curriculum Standards organization.There is no written homework for the first and second grades of primary school.The completion time of written homework for the third to sixth grades should not exceed 60 minutes,and that for the junior high school should not exceed 90 minutes.The homework time should also be reasonably arranged for the senior high school.

2.Comprehensively promote the full coverage of compulsory education schools that are exempt from exams and enroll nearby.We will resolutely control the number of unified examinations in schools during the compulsory Educational stage period.The number of examinations in the first and second grades of primary schools should not exceed 1 per semester,and the number of examinations in other grades should not exceed 2 per semester.

3.Improve teaching facilities and conditions to provide students with a learning environment that meets health requirements.Accelerate the elimination of the phenomenon of"large class quotas".Adjust students'seats every month and personalize the height of their desks and chairs every semester to adapt to changes in students'growth and development.

4.Primary and secondary schools should strictly organize all students to do Eyes exercise once every morning and afternoon.Teachers should teach students to master the correct writing posture,urge students to sit properly when reading and writing,supervise and correct students'bad reading and writing posture at any time.When teachers discover signs of students being unable to see the blackboard clearly or rubbing their eyes frequently,they should understand their visual acuity.

5.Strengthen physical education classes and extracurricular exercises to ensure that primary and secondary school students have at least one hour of physical activity time per day during school.Strictly implement the national curriculum standards for physical education and health,ensuring that there are 4 class hours per week in grades one and two of primary school,3 class hours per week in grades three to six and middle school,and 2 class hours per week in high school.Primary and secondary schools arrange 30 minutes of long break physical activities every day.Organize and supervise students to engage in outdoor activities or overlook during breaks in an orderly manner,to prevent them from constantly fatiguing and using their eyes.

6.According to the different stages of school education,set up corresponding physical education and health education courses to teach students health behavior and lifestyle,disease prevention and control,mental health,growth and development and adolescent health care,safety emergency and risk avoidance and other knowledge,improve students'Health literacy,and actively use various forms to carry out health education for students and parents.Train and cultivate health education teachers,develop and expand health education curriculum resources.

7.Guide students to use electronic screen products in a scientific and standardized manner,and cultivate good learning and eye hygiene habits in an information-based environment.It is strictly prohibited for students to bring personal mobile phones,tablets,and other electronic screen products into the classroom.Those brought into the school must be kept in a unified manner.The duration of teaching using electronic screen products should not exceed 30%of the total teaching duration,and paper assignments should be used in principle.

8.Strengthen the strength of medical clinics(such as clinics,school hospitals,health rooms,etc.),and equip school doctors and necessary equipment according to standards.Strengthen the publicity and prevention and control of key infectious diseases in primary and secondary schools,strictly implement the school entrance physical examination and the cause tracking and registration system of absenteeism due to illness,and reduce the occurrence of Disease cluster of infectious diseases such as influenza and tuberculosis in schools.Strictly implement the student health examination system and remind students with physical health problems to go to medical institutions for examination.Strengthen nutrition management and guidance for students,carry out nutrition and health education for students,prohibit the provision of high sugar food in primary and secondary school canteens,restrict the sale of Sweetened beverage on campus,avoid the sale of high salt,high sugar and high fat food,and cultivate healthy eating habits.

9.Primary and secondary schools are equipped with full-time and part-time mental health workers.Concern about the mental health of Left-behind children in China and migrant children,and provide timely psychological intervention for students.

——Government:

1.Research and revise the"Regulations on School Health Work"and the"Guidelines for Health Education in Primary and Secondary Schools",formulate the"Regulations on School Food Safety and Nutritional Health Management",and further improve the development system and system of school sports and hygiene.Develop standards for healthy schools and carry out the construction of healthy schools.Deepen the reform of school physical education and health education teaching,and generally offer physical education and health education courses in primary and secondary schools across the country.According to the growth patterns and characteristics of students,health education content is determined in stages and included in the evaluation scope,achieving the"four in place"of teaching plans,teaching materials,class hours,and teachers,gradually covering all students.(Led by the Ministry of Education,and responsible by the Health Commission according to their respective responsibilities)

2.Strengthen the construction of existing primary and secondary health care institutions,and strengthen personnel and equipment allocation in accordance with standards and requirements.Ensure the safety and nutritional health of dining food for teachers and students in school,and strengthen the construction of cafeterias for compulsory education schools.We will resolutely govern and standardize off campus training institutions,and conduct comprehensive special inspections annually on the compliance of off campus training institutions'classroom lighting,desk and chair equipment,electronic screen products,and other related standards.(Led by the Ministry of Education,with the Health Commission responsible according to its responsibilities)

3.Comprehensively strengthen the monitoring network,data collection,and information construction of visual health and related risk factors for children and adolescents nationwide.Establish a national team of experts in the prevention and treatment of myopia and visual health in children and adolescents,and provide scientific guidance on the prevention and treatment of myopia and visual health management in children and adolescents.According to the relevant national standards for lighting and lighting,classrooms(teaching venues)in schools,daycare institutions,and off campus training institutions shall be randomly inspected,recorded,and published in a"double random"manner.Establish a system for grassroots medical and health institutions to package and connect with primary and secondary schools.(Under the leadership of the Health Commission,the Ministry of Education is responsible according to its responsibilities)

4.Actively guide and support social forces to carry out various sports activities for children and adolescents,and carry out targeted winter(summer)camps,training camps,and sports events to attract children and adolescents to participate in sports extensively.(The Development and Reform Commission,the Ministry of Education,the General Administration of Sport,and the Central Committee of the Communist Youth League are responsible for their respective responsibilities)

5.Implement total regulation of online games,control the number of new online games operating online,encourage research and development to disseminate excellent online game works that integrate knowledge,education,originality,skills,and fun,explore age appropriate reminder systems that are in line with national conditions,and take measures to limit the use time of minors.(The Central Cyberspace Information Office,the Ministry of Industry and Information Technology,and the National Press and Publication Administration are responsible according to their respective responsibilities)

6.Improve the system of student health examination and monitoring of student physical health.Incorporate school physical education work and students'physical health status into the assessment and evaluation system for local governments,education administrative departments,and schools,and link them with the rewards and punishments of school leaders.Students'health knowledge,first aid knowledge,especially Cardiopulmonary resuscitation,will be included in the examination content.The mastery of health knowledge,first aid knowledge and physical health testing will be taken as important indicators of the school students'evaluation,graduation assessment and entrance examination.High school physical education will be included in the high school professional level test or college entrance examination comprehensive evaluation system.Colleges and universities will be encouraged to explore adding physical education subject tests in special types of enrollment.(Led by the Ministry of Education,with the Health Commission responsible according to its responsibilities)

（9）Occupational health protection actions.

China is the country with the largest working population in the world.In 2017,the employed population in China was 776 million,accounting for 55.8%of the total population.Most workers have careers that exceed half of their life cycle.The occupational health problems caused by exposure to various hazardous factors in the workplace are still serious,and the situation of occupational disease prevention and control is severe and complex.New occupational health hazards are constantly emerging,and physiological and psychological problems caused by diseases and work pressure have become urgent new occupational health challenges to be addressed.Implementing occupational health protection actions,strengthening government regulatory responsibilities,urging employers to fulfill their main responsibilities,improving the level of occupational health work,effectively preventing and controlling occupational disease hazards,and effectively safeguarding the occupational health rights and interests of workers are crucial for maintaining the physical health of all workers and promoting sustainable economic and social development.

Action objectives:

By 2022 and 2030,the labor hour system will be fully implemented;The number of workers'injury insurance participants has steadily increased,and by 2030,the statutory population of workers'injury insurance will be fully covered;The proportion of newly reported cases of pneumoconiosis among workers with less than 5 years of experience in dust exposure to the total number of annual reports has significantly decreased and continues to decline;The coverage rates of occupational health examination and occupational disease diagnosis services in the jurisdiction shall reach 80%and above,and 90%and above respectively;The application rate of occupational disease hazard projects for employers in key industries reaches 90%or above;The detection rate of occupational disease hazards in the workplace reaches 85%or above,and the occupational health examination rate of workers exposed to occupational disease hazards during their employment reaches 90%or above;The reporting rate of occupational disease diagnosis institutions reaches 95%or above.

Advocate that key industry workers have a 90%or higher awareness rate of the main hazards and protection knowledge in their respective positions and continue to maintain it;Encourage all employers to do a good job in employee health management and select"health experts".Among them,government agencies,schools,medical and health institutions,state-owned enterprises,and other employers should support employees in establishing a healthy image and provide rewards;For personnel engaged in long time,high-intensity repeated force,rapid movement and other operation methods as well as video operation,measures such as promoting advanced technology and adjusting work and rest time shall be taken to prevent and control excessive fatigue and work-related musculoskeletal system diseases;Take comprehensive measures to reduce or eliminate work pressure.

——Individual Employee:

1.Advocate for healthy work practices.Actively promote advanced concepts and culture of occupational health.Employees of government agencies,schools,medical and health institutions,state-owned enterprises,and other units are the first to establish a healthy image and strive to become"health experts".

2.Establish health awareness.Actively participate in occupational health training,learn and master various systems and standards related to occupational health,understand the hazards existing in the workplace,and master the knowledge of occupational disease hazard protection,job operation procedures,and the correct wearing and use of personal protective equipment.

3.Strengthen legal awareness,know and understand the law.Comply with occupational disease prevention and control laws,regulations,and rules.Workers who are exposed to occupational disease hazards shall participate in regular occupational health examinations;Workers who suffer from occupational diseases are advised to receive timely diagnosis and treatment to protect their legitimate rights and interests.

4.Strengthen labor process protection.Long term exposure of workers to dust,chemical hazards,radioactive hazards,physical hazards,biological hazards,etc.in the production environment may cause related occupational diseases.It is recommended that workers who are exposed to occupational disease hazards pay attention to the protection of various hazards,strictly follow operating procedures,and consciously and correctly wear personal occupational disease protection equipment.

5.Improve emergency response capabilities.Learn and master on-site first aid knowledge and emergency response methods for acute hazards,and be able to achieve correct self rescue and mutual rescue.

6.Strengthen heatstroke prevention and cooling measures.It is recommended that workers who work in high temperatures or in hot weather pay attention to preventing heatstroke.Wear insulated masks and heat resistant clothing with good insulation and ventilation performance,and pay attention to using heatstroke prevention and cooling facilities such as air conditioning for cooling.Suggest supplementing moderate amounts of heatstroke prevention and cooling beverages such as water,salt,and water-soluble vitamins.

7.Health protection for occupational groups who work with their heads down for long periods of time or sit in a forward leaning position.Attention should be paid to relieving muscle tension through stretching activities and other methods to avoid the occurrence of cervical spondylosis,shoulder periarthritis,and low back pain.When working at the desk,it is important to maintain the correct sitting posture and keep the upper body straight;Adjust the height of the chair so that your feet are just right on the ground.If the computer is used for a long time,the elevation angle of the computer should be opposite to the user's line of sight when working,and it is not advisable to lower or raise your head too much.It is recommended to take a break every 1 to 2 hours,look into the distance,move your waist and neck,and do eye exercises and workshop exercises.

8.Health protection for teachers,Traffic police,doctors,nurses and other professional groups who mainly work in standing position.When standing,it is recommended to use the center of gravity of both legs alternately to prevent varicose veins.It is recommended to keep the waist and knees relaxed through appropriate walking and other methods to promote blood circulation;For those who use their throat for a long time,pay attention to replenishing water and regularly prepare throat moistening tablets to prevent pharyngitis.

9.Health protection for occupational groups such as drivers who work in fixed positions for a long time.It is recommended to arrange homework time reasonably,eat regularly,and have a regular and quantitative diet;Keep correct working posture,adjust the seat to an appropriate position,ensure that the lumbar spine is moderately stressed,and pay attention to reducing vibration to avoid cervical spondylosis,periarthritis of shoulder,Hyperostosis,Sciatica and other diseases;During the homework period,pay attention to intermittent rest,reduce holding urine,and strictly prohibit fatigue work.

——Employer:

1.Encourage employers to provide workers with a clean,hygienic,green,environmentally friendly,comfortable,beautiful,and humanized work environment,take comprehensive preventive measures,minimize the impact of various hazardous factors on workers'health,and effectively protect the health rights and interests of workers.Advocate employers to select"health experts"and provide rewards.

2.Encourage employers to set up health tips in suitable places and provide free places and facilities for measuring health indicators such as blood pressure,weight,and waist circumference for their employees.Generally,if the meeting time exceeds 2 hours,rest for 10-15 minutes is arranged.Encourage the establishment of relevant systems to protect the health of workers,such as workplace exercise systems,fitness systems,and smoke-free unit systems.According to the number of employees in the employer and the degree of occupational health risk,medical clinics,emergency rescue stations,toxic gas protection stations,and equipment such as first aid kits shall be set up according to relevant standards.

3.If new,expanded,or renovated construction projects,as well as technical renovation or technology introduction projects,may generate occupational disease hazards,the construction unit shall comply with the"three simultaneities"system of occupational disease prevention measures for construction projects in accordance with the law and regulations(i.e.,the occupational disease prevention facilities of the construction project are designed,constructed,and put into production and use at the same time as the main project).Encourage employers to prioritize the use of new technologies,processes,equipment,and materials that are conducive to the prevention and control of occupational diseases and the protection of employee health.They are not allowed to produce,operate,import,or use equipment or materials that may cause occupational disease hazards that are explicitly prohibited by the state.For long-term,high-intensity,repetitive force,rapid movement and other work methods,advanced technology and measures such as adjusting work and rest schedules are adopted to prevent and control excessive fatigue and related diseases.Take comprehensive measures to reduce or eliminate work stress,prevent and control its potential adverse health effects.

4.Employers that generate occupational disease hazards should strengthen the application,daily monitoring,regular testing and evaluation of occupational disease hazard projects,and set up bulletin boards in prominent positions to announce the results of occupational disease hazard factor testing in the workplace and emergency rescue measures for occupational disease hazard accidents.For job positions that generate serious occupational disease hazards,warning signs and Chinese warning instructions should be set up in prominent positions.

5.Employers that generate occupational disease hazards should establish a responsibility system for occupational disease prevention and control management,improve the job responsibility system,and ensure that responsibilities are in place,investment is in place,supervision is in place,protection is in place,and emergency rescue is in place.Employers should establish or designate occupational health management institutions based on the existing hazardous factors,equip full-time and part-time occupational health management personnel,and carry out occupational disease prevention and control,occupational health guidance and management work.

6.Employers should establish a sound occupational health monitoring system,organize workers to undergo occupational health examinations in accordance with the law,and cooperate in the diagnosis and appraisal of occupational diseases.Regularly investigate and treat gynecological and breast diseases for female employees.

7.Employers should standardize labor management and sign labor contracts with workers in accordance with the law.The contracts should specify labor protection,labor conditions and occupational disease hazard protection,female employee labor protection,and female employee taboo labor positions.Employers should ensure workers'rest time,arrange workers'leave in accordance with the law,implement maternity leave,prenatal examination,and breastfeeding time for female employees,and eliminate illegal overtime work;Pay work injury insurance premiums in full and on time in accordance with the law.Encourage employers to establish a team of health guidance personnel to carry out employee health guidance and management work.

——Government:

1.Study and revise the Law of the China on the Prevention and Control of Occupational Diseases and other laws and regulations,and formulate and revise the rules of the occupational disease prevention department.Sort out,analyze,and evaluate existing occupational health standards,with a focus on dust,gas,noise,and radiation prevention,and a core focus on mandatory standards.Research,develop,revise,and introduce stricter and more effective national occupational health standards and measures,and improve the system of occupational disease prevention and control regulations and standards.Strengthen the research,identification,evaluation and control of new Occupational hazard,organize and carry out relevant investigations,study and formulate norms and standards,propose preventive measures,and incorporate them into legal management in due time to deal with new occupational health problems that may arise from industrial transformation and technological progress.(Under the leadership of the Health Commission,the Ministry of Science and Technology,the Ministry of Justice,and the State Administration of Market Regulation are responsible according to their respective responsibilities)

2.Develop and promote new technologies,processes,equipment,and materials that are beneficial for protecting the health of workers.We will focus on occupational pneumoconiosis,noise deafness,and chemical poisoning,and carry out special treatment in industries such as mining,building materials,metal smelting,and chemical engineering.Strictly control the source and guide employers with serious occupational disease hazards to carry out technological transformation and upgrading.Promote the development and implementation of occupational health codes by various industry associations.(Led by the Health Commission,responsible by the Development and Reform Commission,the Ministry of Science and Technology,the Ministry of Industry and Information Technology,and the State owned Assets Supervision and Administration Commission of the State Council according to their respective responsibilities)

3.Improve the technical support system for occupational disease prevention and control,strengthen the construction of occupational disease prevention and control institutions based on the principles of regional coverage and reasonable allocation,and achieve reasonable layout and sound functions.In a city divided into districts,at least one medical and health institution shall be responsible for the diagnosis of occupational diseases within its jurisdiction,and in principle,in a county-level administrative region,at least one medical and health institution shall be responsible for the occupational health examination within its jurisdiction.Fully leverage the role of various occupational disease prevention and control institutions in occupational health examinations,occupational disease diagnosis,treatment and rehabilitation,occupational disease hazard monitoring and evaluation,occupational health risk assessment,etc.,and improve the work mechanism of division of labor,collaboration,and linkage between upper and lower levels.Strengthen the construction of professional talent teams and encourage higher education institutions to expand the enrollment scale of occupational health and related majors.Promote the construction of occupational health management teams in enterprises and enhance their occupational health management capabilities.(Under the leadership of the Health Commission,the Development and Reform Commission,the Ministry of Education,the Ministry of Finance,and the Ministry of Human Resources and Social Security are responsible according to their respective responsibilities)

4.Strengthen the construction of the occupational health supervision system,improve the occupational health supervision and law enforcement team,focus on strengthening grassroots law enforcement forces such as counties(districts)and towns(streets),and strengthen the construction of law enforcement equipment.Strengthen the supervision of employers and urge them to effectively implement the main responsibility of occupational disease prevention and control.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

5.Taking migrant workers'pneumoconiosis as the starting point,further strengthen the supervision and inspection of occupational disease prevention and control work in labor dispatch and employment units,optimize the diagnostic procedures and service processes of occupational diseases,and improve service quality.Increase protection efforts for pneumoconiosis patients who have joined work-related injury insurance;For those who have not participated in work-related injury insurance,their legitimate rights and interests in medical security shall be protected through medical insurance,medical assistance,etc.in accordance with regulations.Strengthen the sharing and utilization of information among departments,and timely exchange information and data on occupational disease hazards,occupational health and work-related injury insurance among employers.(Under the leadership of the Health Commission,the Development and Reform Commission,the Ministry of Civil Affairs,the Ministry of Human Resources and Social Security,and the Medical Insurance Bureau are responsible according to their respective responsibilities)

6.Improve the application work for occupational disease hazard projects and establish a unified and efficient supervision and law enforcement information management mechanism.Establish and improve a network for detecting,monitoring,and reporting occupational disease hazards in the workplace.Timely carry out monitoring of occupational disease hazards in the workplace and special investigations on occupational diseases,and systematically collect relevant information.Carry out the informatization construction of"Internet plus occupational health",establish occupational health and radiation health Big data platform,and use informatization to improve supervision efficiency.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

7.Make the construction of"healthy enterprises"an important part of the construction of a healthy city,gradually broaden and enrich the scope of occupational health,and actively study the inclusion of new occupational hazards such as work pressure and musculoskeletal diseases in the protection scope.Promote enterprises to fulfill legal responsibilities and obligations related to occupational disease prevention and control in accordance with the law,create a corporate health culture,fulfill corporate social responsibilities,and effectively safeguard the health and well-being of workers.(Led by the Health Commission,responsible by the Ministry of Human Resources and Social Security,the State owned Assets Supervision and Administration Commission of the State Council,the All China Federation of Trade Unions,and the All China Women's Federation according to their respective responsibilities)

（10）Action to promote elderly health.

China has the largest elderly population in the world.As of the end of 2018,the elderly population aged 60 and above in China was approximately 249 million,accounting for 17.9%of the total population;The population aged 65 and above is approximately 167 million,accounting for 11.9%of the total population.The overall health status of the elderly in China is not optimistic,with nearly 180 million elderly people suffering from chronic diseases,with a proportion of 75%suffering from one or more chronic diseases.About 40 million elderly people are disabled or partially disabled.Carrying out elderly health promotion actions is of great significance for improving the health level of the elderly,improving their quality of life,and achieving healthy aging.

Action objectives:

By 2022 and 2030,the incidence of disability among elderly people aged 65-74 has decreased;The incidence rate of dementia in elderly people aged 65 and above has decreased;The proportion of geriatric medicine departments set up in comprehensive hospitals at or above the second level shall reach 50%and 90%respectively;The proportion of rehabilitation departments set up in tertiary traditional Chinese medicine hospitals has reached 75%and 90%respectively;The proportion of elderly care institutions providing medical and health services to the elderly in different forms,and the proportion of green channels for medical institutions providing convenient services such as registration and medical treatment to the elderly,respectively,reach 100%;Strengthen the construction of community day care centers and other community elderly care institutions to provide support for home-based elderly care;Gradually establish a policy system to support family elderly care,support adult children and elderly parents to live together,and promote the consolidation of the foundation of home based community elderly care services.

Advocate for the elderly to be aware of core health information;Elderly people participate in regular physical examinations,regularly monitor their breathing,pulse,blood pressure,and bowel movements,and receive health guidance from a team of family doctors;Encourage and support elderly universities,elderly activity centers,grassroots elderly associations,and qualified social organizations to carry out health activities for the elderly;Encourage and support social forces to participate in and establish home-based elderly care service institutions.

——Individuals and families:

1.Improve nutritional status.Actively learn about the dietary knowledge of the elderly,carefully design meals,choose nutritious foods,ensure sufficient food intake,eat sufficient amounts of fish,shrimp,lean meat,eggs,milk,soybeans,and soy products,sun more,exercise moderately,consciously prevent nutritional deficiencies,delay muscle decay,and osteoporosis.The body mass index(BMI)of the elderly should be on the side with a higher normal value for the entire population.Thin elderly people can use various methods to increase their appetite and food intake,eat three meals well,and add more meals reasonably.Elderly people with significantly reduced digestive capacity should prepare soft and delicate foods and eat small amounts and multiple meals.

2.Strengthen physical exercise.Choose sports methods that are suitable for your own physique and health,and do physical exercises according to your ability.While attaching importance to aerobic exercise,we should also attach importance to muscle strength exercise and flexibility exercise,properly carry out balance exercise,strengthen the skeletal Muscular system,and prevent falls.During the exercise period,it is recommended to adjust the amount of exercise in a timely manner based on your physical health condition.

3.Participate in regular physical examinations.Regularly monitor breathing,pulse,blood pressure,and bowel movements.Record any abnormalities promptly and seek medical attention if necessary.Actively cooperate with the family doctor team to complete health assessment,physical examination,and auxiliary examination,understand the functional status of one's main organs such as brain,heart,lungs,stomach,liver,and kidney,and receive health guidance from the family doctor team.

4.Manage chronic diseases well.The elderly suffering from chronic diseases should establish confidence in overcoming the disease,cooperate with the doctor to Curative care,actively consult the doctor about the knowledge and skills of self-management of chronic diseases,and under the guidance of the doctor,do a good job of self-management,delay the progress of the disease,reduce complications,learn and use the elderly Chinese medicine diet to improve the quality of life.

5.Promote mental health.Understand that old age is a process of life,and face the changes in the body and environment of old age calmly.Exercise more,use more of your brain,and participate more in social interactions to delay aging,prevent mental disorders,and prevent psychological and behavioral problems through a healthy lifestyle.Elderly people and their families should understand the relevant knowledge of diseases such as dementia in the elderly,and promptly seek professional examination if suspicious symptoms are found,in order to achieve early detection,diagnosis,and treatment.Once the elderly person is diagnosed with mental illness,family members should pay attention to the patient's care and care,and help the patient actively follow the treatment training plan.For elderly people with severe cognitive decline,it is necessary to take good care of their daily life and prevent them from getting lost.

6.Pay attention to safe medication.The incidence rate of comorbidity in the elderly is high,and the ability of Drug metabolism,transformation,and excretion is reduced,so Adverse drug reaction are prone to occur.Seek medical attention promptly when sick and take medication under the guidance of a doctor.Actively monitor medication status,record subjective feelings and adverse reactions after medication,and provide timely feedback to doctors during follow-up visits.

7.Pay attention to family support.Advocate family members to learn and understand the relevant knowledge and skills of elderly health maintenance,take good care of their daily life,care for the psychological,physical,and behavioral changes of the elderly,detect abnormal situations early,arrange medical treatment in a timely manner,and ensure sufficient lighting in the home environment.Take anti-skid measures on the ground and keep it dry.Install handrails near the sink,toilet,and bathroom to prevent elderly people from falling.

——Society:

1.The whole society should further pay attention to and care for the elderly,build a community environment of respecting and filial piety towards the elderly,encourage universities for the elderly,elderly activity centers,grassroots elderly associations,qualified social organizations,and other organizations to promote mental health knowledge,and organize activities that are beneficial to both the body and mind;Train full-time and part-time social workers and psychological workers.Introduce social forces to provide psychological counseling,emotional relief,grief relief,and other mental health services for elderly people in need.

2.Support social organizations to provide care and spiritual comfort services for disabled and partially disabled elderly people in their homes,communities,and institutions.Encourage and support social forces to participate in and establish home-based elderly care services.

3.Encourage and support scientific research institutions to cooperate deeply with high-tech enterprises,make full use of the Internet,the Internet of Things,Big data and other information technology means,carry out large-scale Cohort study,study the indicators,standards and methods of judging and predicting the health of the elderly,and develop wearable elderly health support technology and equipment.

4.Encourage health service related enterprises to vigorously carry out diversified services such as health preservation,physical examination,consultation management,physical fitness testing,physical fitness,exercise rehabilitation,and health tourism,taking into account the physical and mental characteristics of the elderly.

——Government:

1.Carry out educational activities on elderly fitness,elderly health care,prevention and treatment of elderly diseases,and rehabilitation.Actively promote traditional Chinese medicine health care methods suitable for the elderly.Strengthen the training of self rescue and mutual rescue health emergency skills for the elderly.Promote appropriate technologies for the prevention and treatment of common diseases in the elderly,and carry out interventions and health guidance to prevent falls in the elderly.(Under the leadership of the Health Commission,the Ministry of Civil Affairs,the Ministry of Culture and Tourism,the General Administration of Sports,and the Bureau of Traditional Chinese Medicine are responsible according to their respective responsibilities)

2.Implement a mental health prevention and intervention plan for the elderly,providing daily care and psychological support services for families with special needs such as poverty,empty nest,disability,dementia,family planning,and elderly individuals living alone.Strengthen community management and rehabilitation treatment for elderly patients with severe mental disorders,encourage elderly people to actively participate in social activities,and promote their mental health.(Under the leadership of the Health Commission,the Traditional Chinese Medicine Bureau is responsible according to its responsibilities)

3.Establish and improve the elderly health service system.We will optimize the allocation of medical and health resources for the elderly,encourage the rational distribution of urban secondary hospitals through transformation,new construction and other ways,and actively develop medical institutions such as elderly hospitals,Rehabilitation hospital and nursing homes.Promote the establishment of geriatric medicine departments in comprehensive hospitals at or above the second level,increase the number of elderly beds,and improve the accessibility of medical and health services for the elderly.(The Development and Reform Commission and the Health Commission are responsible according to their respective responsibilities)

4.Strengthen the network function of grassroots medical and health services,leverage the role of family doctors(teams),and provide comprehensive,continuous,collaborative,and standardized basic medical and public health services for the elderly.Establish free health records for elderly people aged 65 and above,and provide free annual health examinations.Provide family doctor signing services for the elderly.Research and develop service standards and operational norms for home visits and home beds.(The Ministry of Civil Affairs,Health Commission,Medical Insurance Bureau,and Traditional Chinese Medicine Bureau are responsible according to their respective responsibilities)

5.Expand the coverage and depth of traditional Chinese medicine health management services,and provide more health guidance on traditional Chinese medicine health care,disease prevention and treatment based on the different physical fitness and health status of the elderly.Promote cooperation between traditional Chinese medicine hospitals,elderly care centers,rehabilitation and rehabilitation institutions,and promote the establishment of geriatric medicine departments in second level or above traditional Chinese medicine hospitals,increase elderly service resources,and provide elderly health services.(Led by the Bureau of Traditional Chinese Medicine,with the Health Commission responsible according to its responsibilities)

6.Improve the policy of integrating medical care and elderly care,promote the integration of medical and health services,and promote the development of traditional Chinese medicine characteristic medical care and elderly care services.Encourage elderly care institutions to engage in various forms of cooperation with surrounding medical and health institutions,and promote the extension of medical and health services to communities and families.Support social forces to establish non-profit medical and elderly care integrated service institutions.(Under the leadership of the Health Commission,the Ministry of Civil Affairs and the Bureau of Traditional Chinese Medicine are responsible according to their respective responsibilities)

7.Comprehensively promote the basic research of geriatric medicine and improve the scientific research level of geriatric medicine in China.Promote multidisciplinary collaborative diagnosis and treatment,attach importance to elderly syndrome and comprehensive assessment of the elderly.Vigorously promote the construction of geriatric research centers and innovation bases,promote joint innovative and integrated research among medical research enterprises,and create high-level technological innovation and achievement transformation bases.(The Ministry of Science and Technology and the Health Commission are responsible according to their respective responsibilities)

8.Support higher education institutions and vocational colleges to offer majors or courses related to geriatric medicine,with a focus on geriatric medicine,rehabilitation,nursing,nutrition,psychology,and social work,and accelerate the cultivation of composite multi-level talents that adapt to modern geriatric medicine concepts.Include elderly medicine,rehabilitation,and nursing talents as urgently needed and scarce talents in the training plan for health personnel,and strengthen professional skills training.(The Ministry of Education and the Health Commission are responsible according to their respective responsibilities)

9.Accelerate the proposal of guidance on the pilot implementation of the long-term care insurance system.Pay close attention to research and improve the standard system of care services,and establish and improve the industry norms and institutional mechanisms such as Long-term care level identification standards,project connotation,service standards and quality evaluation.(Under the leadership of the Medical Insurance Bureau,the Health Commission is responsible according to its responsibilities)

10.Gradually establish and improve a policy system to support family elderly care,and support adult children living together with elderly parents.Starting from the actual needs of the elderly,strengthen the family elderly care function,integrate resources at the community level,strengthen the construction of home elderly care service institutions,venues,and related service teams such as community day care centers,encourage the provision of door-to-door services for the elderly,and provide support for home elderly care.Promote the social trend of respecting,providing for the elderly,and helping the elderly.(Led by the Ministry of Civil Affairs,with the Ministry of Culture and Tourism and the Health Commission responsible according to their respective responsibilities)

11.Optimize the living,transportation,medical,and nursing environment for the elderly,and create a safe,convenient,comfortable,and accessible living environment for the elderly.Promote the renovation of elderly communities and homes that are suitable for aging,and support the construction of housing that is suitable for the elderly.(The Ministry of Civil Affairs,the Ministry of Housing and Urban Rural Development,the Ministry of Transport,and the Health Commission are responsible according to their respective responsibilities)

12.Encourage professionals in professional and technical fields to extend their working years,formulate special plans for the development and utilization of elderly human resources in various regions,and encourage and guide the elderly to make more contributions to society.Give full play to the role of promoting and guiding the good conduct of the elderly,and support the activities of caring and educating the next generation of elderly party members,experts,soldiers,model workers,and cadres.Encourage elderly people to participate in volunteer services,promote the prosperity of elderly culture,and achieve the goal of'elderly people have something to do'.(The Central Organization Department,the Ministry of Civil Affairs,the Ministry of Human Resources and Social Security,and the Ministry of Retired Soldiers shall be responsible according to their respective responsibilities)

（11）Cardio cerebral Vascular disease prevention and treatment action.

Cardio cerebral Vascular disease is characterized by high morbidity,high disability rate,high recurrence rate and high mortality,which brings heavy social and economic burden.At present,there are 270 million hypertensive patients,13 million stroke patients,and 11 million coronary heart disease patients in China.Hypertension,Dyslipidemia,diabetes,obesity,smoking,lack of physical activity,unhealthy eating habits,etc.are the main and changeable risk factors of cardio cerebral Vascular disease.The prevalence rate of hypertension in Chinese residents aged 18 years and above is 25.2%,and that of Dyslipidemia is 40.4%,showing an upward trend.Intervention measures against these risk factors can not only prevent or delay the occurrence of cardio cerebral Vascular disease,but also prevent the recurrence of cardio cerebral Vascular disease in synergy with drug treatment.

Action objectives:

By 2022 and 2030,the mortality rate of cardio cerebral Vascular disease will be reduced to 209.7/100000 and below and 190.7/100000 and below respectively;The awareness rate of hypertension among residents aged 30 and above is not less than 55%and 65%,respectively;The standardized management rate of hypertension patients shall not be less than 60%and 70%respectively;The treatment and control rates of hypertension continue to increase;All stroke centers in second level and above hospitals carry out intravenous thrombolysis technology;The annual blood lipid testing rate of residents aged 35 and above shall not be less than 27%and 35%;The proportion of township health centers and community health service centers providing 6 or more categories of traditional Chinese medicine non drug therapies reaches 100%,while the proportion of village health centers providing 4 or more categories of traditional Chinese medicine non drug therapies reaches 70%and 80%,respectively;Encourage mass emergency rescue training,and increase the proportion of personnel who have obtained training certificates to 1%or more and 3%or more,respectively.

Encourage residents to undergo regular health examinations;Adults aged 18 and above regularly self monitor their blood pressure,and Normal height blood pressure and other high-risk groups often measure their blood pressure;The blood lipids of people under 40 years old with normal blood lipids are tested once every 2-5 years,people over 40 years old at least once a year,and people at high risk of cardiovascular and cerebrovascular diseases are tested once every 6 months.

——Individual:

1.Know personal blood pressure.Adults aged 18 and above regularly self-monitor their blood pressure,pay attention to changes in blood pressure,and control risk factors for hypertension.Overweight or obesity,high salt diet,smoking,long-term alcohol consumption,long-term mental stress,and insufficient physical activity are high-risk groups for hypertension.It is suggested that those with Normal height blood pressure(120～139 mmHg/80～89 mmHg)should pay attention to control the above risk factors as soon as possible.It is recommended that individuals with normal blood pressure have their blood pressure measured at least once a year,while high-risk individuals should have their blood pressure measured regularly and receive health guidance from medical staff.

2.Self blood pressure management.Hypertension can be diagnosed by measuring systolic blood pressure≥140mmHg and/or diastolic blood pressure≥90mmHg three times on different days without using antihypertensive drugs.Hypertensive patients should learn to manage their own health,take medication seriously according to medical advice,regularly measure blood pressure,and seek follow-up visits.

3.Pay attention to a reasonable diet.It is recommended that high-risk individuals and patients with hypertension pay attention to their dietary salt intake,with a daily salt intake of no more than 5g.They should also abstain from alcohol,reduce their intake of foods rich in oil and high sugar,and limit their consumption of cooking oil.

4.Exercise according to your discretion.It is suggested that the high-risk groups of cardio cerebral Vascular disease(with a previous history of cardio cerebral vascular disease or abnormal blood pressure,Dyslipidemia,or according to the Guidelines for Cardiovascular Risk Assessment and Management issued by the World Health Organization,the risk of cardio cerebral Vascular disease in 10 years is≥20%)and the patients'exercise form should be determined according to their personal health and physique.Cardio cerebral vascular risk assessment should be considered,and exercise limits should be considered comprehensively,Aerobic endurance exercises mainly involving large muscle groups,such as walking,jogging,swimming,Tai Chi,etc.,should generally achieve moderate intensity of activity.

5.Pay attention to and regularly conduct blood lipid testing.Individuals under the age of 40 with normal blood lipids should have their blood lipids tested every 2-5 years;People aged 40 and above should have their blood lipids tested at least once a year.The blood lipids of the high-risk population of cardio cerebral Vascular disease were detected once every 6 months.

6.Prevent the occurrence of stroke.The rise of incidence rate and mortality of stroke is closely related to the rise of blood pressure.The higher the blood pressure,the higher the risk of stroke.There is a significant correlation between Dyslipidemia and incidence rate of ischemic stroke.Atrial fibrillation is an important cause of ischemic stroke.The risk of stroke can be reduced by lowering blood pressure,controlling blood lipids and maintaining healthy weight.It is recommended that patients with atrial fibrillation follow the doctor's advice to use anticoagulant therapy.

7.Learn to master the correct self rescue measures and emergency medical guidance at the initial stage of cardio cerebral Vascular disease.The area of pain in acute myocardial infarction(precordial area,sternum posterior,xiphoid process,left shoulder,etc.)is the same as angina pectoris,but it lasts for a long time and is severe,and can be accompanied by symptoms such as nausea,vomiting,and sweating.The patient should be allowed to rest in bed absolutely,loosen the collar,maintain indoor quietness and airflow.If possible,take oxygen immediately,take one piece of Nitroglycerin under the tongue,and call the emergency center immediately.Never take a bus or help the patient walk to the hospital.Early stroke is characterized by sudden weakness or numbness of one side of the body,sudden inability to speak clearly or understand others'speech,sudden inability to see things rotate or stand,transient Visual impairment,darkening in front of the eyes,blurred vision,unbearable headache,gradually worsening or persistent symptoms,accompanied by nausea and vomiting.When this situation occurs,the patient should be placed flat and in a supine position,without pillows,with the head tilted to one side,and attention should be paid to keeping the patient warm.At the same time,immediately make an emergency call and try to reach the hospital as quickly as possible.Grasping the 4-hour golden rescue time window and receiving intravenous thrombolysis treatment can significantly reduce the Case fatality rate and disability rate.

——Society and government:

1.Encourage and support social organizations such as the Red Cross Society and medical institutions such as emergency centers to carry out mass emergency rescue training,popularize the emergency rescue knowledge of the whole people,and enable the public to master the basic necessary knowledge and skills of Cardiopulmonary resuscitation and other emergency self rescue and mutual rescue.By 2022 and 2030,the number of people who have obtained first aid training certificates will reach 1%and 3%,respectively.Public welfare training for first aid personnel will be provided to primary and secondary school staff in a ratio of 1:50 between teachers and students.Improve the standards for equipping emergency facilities and equipment in public places,and equip schools,government agencies,enterprises and institutions,as well as airports,stations,port passenger stations,large shopping malls,cinemas and other densely populated places with emergency drugs,equipment,and facilities,as well as automatic external defibrillators(AEDs).One ambulance is equipped for every 50000 people to shorten the emergency response time.The 10 second telephone answering rate of pre hospital medical emergency institutions is 100%,and the departure rate of the ambulance is increased within 5 minutes after receiving the call.(Under the leadership of the Health Commission,the Ministry of Education,the Ministry of Finance,the Red Cross Society of China,etc.shall be responsible according to the division of responsibilities)

2.Fully implement the system of first diagnosis and blood pressure measurement for people aged 35 and above.Grassroots medical and health institutions provide standardized health management services for patients with essential hypertension who are 35 years old and above permanent residents in their jurisdiction.Township health centers and community health service centers should be equipped with blood lipid detection equipment,expand the coverage of screening intervention for high-risk groups of cardio cerebral Vascular disease,and carry out opportunistic screening for cardio cerebral Vascular disease among hospital patients.Increase equipment and venues for detecting hypertension.(Led by the Health Commission,with the Ministry of Finance and others responsible according to their respective responsibilities)

3.Promote the co management of"three highs"(hypertension,hyperglycemia,and hyperlipidemia),carry out risk assessment and intervention guidance for high-risk groups such as overweight and obesity,high blood pressure and blood glucose,and Dyslipidemia,and do a good job in standardized management of hypertension,diabetes,and Dyslipidemia.(The Health Commission and the Traditional Chinese Medicine Bureau are responsible according to their respective responsibilities)

4.All cities(prefectures)and counties will rely on existing resources to build chest pain centers and form a collaborative treatment network for acute chest pain.Continue to promote the construction of hospital stroke centers.Strengthen training,quality control,and supervision and assessment,and promote the popularization of suitable technologies.(Led by the Health Commission,and responsible by the Development and Reform Commission according to their respective responsibilities)

5.Strengthen the provision of pre hospital emergency equipment and facilities related to stroke and chest pain diagnosis and treatment,promote the improvement and release of the"emergency map"for stroke and chest pain.Build a green channel for emergency stroke and chest pain in hospitals,achieve interconnection and effective connection between pre hospital emergency and in hospital emergency,and improve treatment efficiency.The stroke center of a second level or higher hospital has the ability to carry out intravenous thrombolysis,while the stroke screening and prevention base hospital and the stroke center of a third level hospital have the ability to carry out arterial thrombectomy.Strengthen the collaboration and linkage between stroke centers and grassroots medical and health institutions,and improve the awareness rate and response ability of thrombolysis knowledge in grassroots medical and health institutions.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

（12）Cancer prevention and control actions.

Cancer poses a serious threat to public health.According to the 2017 China Cancer Registration Annual Report,there are about 3.8 million new cancer cases and 2.29 million deaths every year in China.The incidence rate and mortality rate are increasing year by year.With the aging population and accelerating industrialization and urbanization in China,coupled with the widespread prevalence of chronic infections,unhealthy lifestyles,and the gradual accumulation of environmental pollution,occupational exposure and other factors,the situation of cancer prevention and control in China will still be very severe.International experience shows that measures such as active prevention,early screening and standardized treatment have significant effects on reducing the incidence rate and mortality of cancer.

Action objectives:

By 2022 and 2030,the overall 5-year survival rates for cancer will not be less than 43.3%and 46.6%,respectively;The awareness rate of core knowledge on cancer prevention and control shall not be less than 70%and 80%respectively;The early diagnosis rate of key cancer species in high-risk areas has reached 55%or above and continues to increase;We will basically ensure that high-risk individuals for cancer participate in regular cancer prevention checkups.

——Individual:

1.Pay attention to cancer prevention as soon as possible.The occurrence of cancer is a multifactorial,multi-stage,and complex gradual process.It is recommended that everyone learn and master the"Core Information and Key Knowledge Points for Cancer Prevention and Treatment"as soon as possible to actively prevent cancer occurrence.

2.Practicing a healthy lifestyle,smoking cessation and alcohol restriction,balanced diet,scientific exercise,and a relaxed mood can effectively reduce the incidence of cancer.For example,smoking cessation can reduce the risk of lung cancer,and reasonable diet can reduce the incidence of colon cancer,breast cancer,esophageal cancer,liver cancer and stomach cancer.

3.Reduce cancer related infections.Cancer is not contagious,but some bacteria(such as Helicobacter pylori)and viruses(such as human papillomavirus,hepatitis virus,EB virus,etc.)closely related to the occurrence of cancer are contagious.By maintaining personal hygiene and a healthy lifestyle,and receiving vaccines such as hepatitis virus vaccines and human papillomavirus vaccines,infection with related bacteria and viruses can be avoided,thereby preventing the occurrence of cancer.

4.Regular cancer prevention physical examinations.Standardized cancer prevention physical examinations are an important way to detect cancer and precancerous lesions.The current technical means can detect most common cancers at an early stage,such as gastrointestinal cancer can be detected by gastroscopy,cervical cancer can be detected by acetic acid staining/iodine staining naked eye observation(VIA/VILI),cervical exfoliative cytology or high-risk human papillomavirus(HPV)DNA detection,lung cancer can be found by chest low-dose spiral CT,and breast cancer can be found by ultrasound combined with molybdenum target.It is recommended that high-risk groups choose professional medical institutions for regular cancer prevention examinations,and choose appropriate intervals for physical examinations based on individual age,past examination results,etc.

5.Pay close attention to cancer risk signals.For example,abnormal lumps appearing in superficial parts of the body;Surface black nevi and warts may darken or rapidly increase in color in a short period of time;Abnormal sensations such as choking and pain appear in the body;Prolonged ulcers on the skin or mucous membranes;Persistent indigestion and decreased appetite;Changes in bowel habits and characteristics or bloody stools;Persistent Hoarse voice,dry cough,blood in sputum;Hearing abnormality,Nosebleed,headache;Abnormal vaginal bleeding,especially contact bleeding;Painless hematuria,poor urination;Unexplained fever,fatigue,progressive weight loss,etc.It is recommended to seek medical attention promptly when the above symptoms occur.

6.Receive standardized treatment.Cancer patients should seek standardized treatment in regular hospitals,and do not trust folk remedies or false advertisements to avoid delaying treatment opportunities.

7.Pay attention to rehabilitation treatment.To face cancer squarely,actively adjust the body's immune system,maintain a good psychological state,and achieve long-term stability of the condition.Pain is the most common and primary symptom of cancer patients,and can be actively addressed through scientific pain relief methods with the help of a doctor.

8.Reasonable dietary nutrition.The food intake of cancer patients can refer to the"Dietary Guidelines for Malignant Tumor Patients".Maintain a moderate daily intake of grains,soy products,vegetables,and fruits.When the gastrointestinal function is normal,pay attention to the combination of thickness and texture,eat more fish,poultry meat,and eggs appropriately,and reduce the intake of red meat.For patients with gastrointestinal injury,it is recommended to make soft,rotten,and finely ground animal based food.When there is insufficient dietary intake during the anti-tumor treatment and rehabilitation periods,and the target requirement cannot be met after dietary guidance,enteral and parenteral nutrition support treatment can be actively accepted.Do not eat moldy food and limit the intake of animal based foods such as barbecue(barbecue,charcoal),marinated,and fried.

——Society and government:

1.Develop screening,early diagnosis and early treatment guidelines for key cancers such as gastric cancer,esophageal cancer,colorectal cancer,lung cancer,cervical cancer,and breast cancer with high incidence rate and relatively mature screening means and technical programs.Based on the local cancer epidemic situation,various regions have created conditions to universally carry out cancer opportunistic screening.(Under the leadership of the Health Commission,the Ministry of Finance is responsible according to its responsibilities)

2.Develop guidelines for cancer prevention and treatment in the workplace,conduct regular testing,evaluation,and individual protection management of carcinogenic occupational hazards in the workplace.(Led by the Health Commission,with the National Federation of Trade Unions responsible according to their responsibilities)

3.Formulate and promote the application of common cancer diagnosis and treatment norms and Clinical pathway,innovate the TCM cancer diagnosis and treatment model combining traditional Chinese medicine and modern technology,and improve clinical efficacy.Provide patient rehabilitation guidance,pain management,long-term care,nutrition,and psychological support to improve the quality of life for cancer patients.Pay attention to the management of advanced cancer patients and promote the pilot work of palliative care.(Led by the Health Commission and the Bureau of Traditional Chinese Medicine,with the Ministry of Science and Technology and the Ministry of Civil Affairs responsible according to their respective responsibilities)

4.Carry out training for Cancer screening,diagnosis,surgery,chemotherapy,radiotherapy,intervention and other diagnostic and therapeutic technicians.Promote the application and management of new diagnostic and treatment technologies.Through the project of improving the ability to diagnose and treat difficult diseases,we will strengthen the capabilities of the central and western regions and grassroots levels,and improve the homogenization level of cancer prevention and treatment.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

5.Promote the complementary linkage and effective connection between basic medical insurance,major illness insurance,medical assistance,emergency assistance,commercial health insurance,and charitable assistance systems,form a joint guarantee force,and effectively reduce the medical burden of cancer patients.(The Ministry of Civil Affairs,the Health Commission,the Medical Insurance Bureau,and the China Banking and Insurance Regulatory Commission are responsible according to their respective responsibilities)

6.Establish and improve a comprehensive clinical evaluation system for anticancer drugs,and accelerate the review and approval process for urgently needed anticancer drugs in clinical practice.Improve the dynamic adjustment mechanism of the medical insurance catalog,and include eligible anticancer drugs in the medical insurance catalog according to regulations.(Ministry of Finance,Health Commission,Medical Insurance Bureau,and Drug Administration shall be responsible according to their respective responsibilities)

7.Strengthen Cancer screening for the rural poor,continue to carry out special treatment for serious diseases of the rural poor,and carry out centralized treatment for key cancers such as esophageal cancer,gastric cancer,colon cancer,rectal cancer,cervical cancer,breast cancer,and lung cancer for the rural extremely poor and people living on subsistence allowances.(Under the leadership of the Health Commission,the Ministry of Civil Affairs,the Medical Insurance Bureau,and the Poverty Alleviation Office of the State Council are responsible according to their respective responsibilities)

8.Establish a sound system for monitoring causes of death and registering tumors,and carry out cause of death monitoring and tumor registration work in all counties and districts.Regularly release national and provincial tumor registration reports.Build a national cancer Big data platform,build a nationwide cancer case registration system,carry out cancer clinical data analysis and research,and provide decision-making support for cancer diagnosis and treatment.(Led by the Health Commission,responsible by the Development and Reform Commission according to its responsibilities)

9.In the national science and technology plan,further strengthen the deployment of scientific and technological innovation to address the weak links that urgently need to be addressed in the current cancer prevention and control research.Strengthen the full chain deployment of basic cutting-edge research,diagnosis and treatment technologies,and application demonstrations for cancer prevention and treatment in the 2030 major project of technological innovation.Fully leverage the leading and exemplary role of the National Clinical Medical Research Center and its collaborative network in clinical research,achievement transformation,and promotion and application,and continuously improve the overall scientific and technological level of cancer prevention and treatment in China.(Ministry of Science and Technology,Health Commission,etc.are responsible according to their respective responsibilities)

（13）Action for the prevention and treatment of chronic Respiratory disease.

Chronic Respiratory disease are a series of diseases represented by chronic obstructive pulmonary disease(COPD),asthma,etc.The prevalence of chronic obstructive pulmonary disease(COPD)among people aged 40 and above in China is 13.6%,with a total number of patients reaching nearly 100 million.Chronic obstructive pulmonary disease(COPD)is characterized by high morbidity,high disability rate,high mortality and high Disease burden.It has a long illness cycle,repeated acute exacerbations,and multiple complications,which seriously affects the prognosis and quality of life of middle-aged and elderly patients.There are over 30 million asthma patients in China,who suffer from prolonged and recurrent episodes,leading to missed work and school hours,affecting children's growth and development,as well as the quality of life of patients.The most important risk factors of COPD are smoking,indoor and outdoor air pollutants,occupational dust and chemical inhalation.The main risk factors for asthma include genetic susceptibility factors,exposure to environmental allergens,air pollution,viral infections,etc.By actively controlling related risk factors,the occurrence and development of chronic Respiratory disease can be effectively prevented,and the prognosis and quality of life of patients can be significantly improved.

Action objectives:

By 2022 and 2030,the mortality rate of chronic Respiratory disease among people aged 70 and under will drop to 9/100000 and 8.1/100000 and below;The awareness rates of chronic obstructive pulmonary disease among residents aged 40 and above reach 15%and 30%respectively.The lung function of people aged 40 years and above or those at high risk of chronic Respiratory disease shall be checked once a year.

——Individual:

1.Pay attention to early detection of diseases.Dyspnea,chronic cough and(or)expectoration are the most common symptoms of COPD.For people aged 40 years and above,those exposed to long-term smoking,occupational dust or chemical substances,and those with symptoms such as shortness of breath or dyspnea after activities,chronic cough and expectoration,and repeated Lower respiratory tract infection,it is recommended to conduct a pulmonary function test once a year to confirm whether they have COPD.Asthma mainly manifests as recurrent wheezing,shortness of breath,chest tightness,or coughing,often occurring or worsening at night and in the early morning.It is recommended to seek medical diagnosis as soon as possible.

2.Pay attention to risk factor protection.Reduce tobacco exposure and encourage smokers to quit as much as possible.Strengthen occupational protection,avoid contact with toxic and harmful gases and chemicals,reduce indoor air pollution caused by the combustion of biofuels(such as wood,animal manure,crop residues,coal,etc.),avoid the stimulation of large amounts of oil fumes,and reduce outdoor air pollution.In severe weather conditions,avoid going out or take protective measures such as wearing masks.Promote wet cleaning in households.

3.Pay attention to preventing colds.Cold is the main inducement for acute attack of chronic Respiratory disease such as COPD and asthma.It is suggested that high-risk groups such as patients with chronic Respiratory disease and the elderly should take the initiative to receive influenza vaccine and pneumococcal vaccine.

4.Strengthen lifestyle interventions.It is suggested that patients with asthma and chronic obstructive pulmonary disease should pay attention to diet nutrition,eat more vegetables and fruits,and carry out moderate physical activities,such as Taijiquan,Baduanjin qigong,walking,etc.They can also carry out Diaphragmatic breathing,breathing exercises and other exercises,and actively participate in rehabilitation treatment under the guidance of professionals.It is suggested to actively understand the"Sanfutie"and other TCM featured services provided by medical institutions.

5.Asthma patients should avoid contact with allergens and various triggering factors.Pet hair and dander are risk factors for the onset and exacerbation of asthma.It is recommended that families with asthma patients avoid keeping pets as much as possible.Breastfeeding can reduce the risk of asthma in infants and young children.

——Society and government:

1.Include lung function testing in the routine physical examination of people aged 40 and above.Promote the first diagnosis and measurement of lung function among high-risk groups,and promptly provide referral services for suspected COPD patients.Promote the provision of pulmonary function testing equipment and other equipment for community health service centers and township health centers in various regions,and provide training for grassroots professionals.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

2.Research will incorporate the health management of patients with chronic obstructive pulmonary disease into the national basic public health service project,implement a graded diagnosis and treatment system,and provide comprehensive prevention and treatment services such as screening intervention,diagnosis,treatment,follow-up management,and functional rehabilitation for high-risk groups and patients with chronic obstructive pulmonary disease,to improve the early diagnosis and treatment rate and standardized management rate of grassroots chronic obstructive pulmonary disease.(Under the leadership of the Health Commission,the Ministry of Finance is responsible according to its responsibilities)

3.Strive to improve the prevention and treatment capacity and level of chronic Respiratory disease at the grass-roots level,and strengthen the allocation of relevant diagnosis and treatment equipment(atomization inhalation facilities,oxygen therapy equipment,non-invasive respirators,etc.)and long-term treatment management drugs at the grass-roots medical institutions.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

4.Strengthen technological breakthroughs and achievements transformation,use clinical comprehensive evaluation,encourage relevant enterprise departments to research and develop measures,improve the accessibility of new vaccines,diagnostic technologies,and therapeutic drugs,and reduce the economic burden on patients.(The Ministry of Science and Technology,the Health Commission,and the Medical Insurance Bureau are responsible according to their respective responsibilities)

（14）Diabetes Prevention Action.

Diabetes is a common endocrine Metabolic disorder.The prevalence of diabetes among people over 18 years old in China rose rapidly from 4.2%in 2002 to 9.7%in 2012.It is estimated that there are more than 97 million diabetes patients and about 150 million pre diabetes people in China.Complications of diabetes involve many organs,such as blood vessels,eyes,kidneys,feet,etc.,with high disability and Case fatality rate rates,which seriously affect the health of patients and bring heavy burdens to individuals,families and society.Type 2 diabetes is the most common type of diabetes in China.Obesity is an important risk factor for type 2 diabetes.People with pre diabetes can delay or prevent the occurrence of diabetes by receiving appropriate lifestyle intervention.

Action objectives:

By 2022 and 2030,the awareness rate of diabetes among residents aged 18 and above will reach 50%and above and 60%and above respectively;The standardized management rate of diabetes patients reached 60%and above and 70%and above respectively;The treatment rate of diabetes,the control rate of diabetes,and the screening rate of Complications of diabetes continued to increase.

It is recommended that Glucose test#Fasting blood sugar should be tested at least once a year for people aged 40 and above,and once every six months for people with pre diabetes or two hours after meal.

——Individual:

1.Comprehensively understand diabetes knowledge and pay attention to personal blood sugar level.Glucose test#Fasting blood sugar was measured once a year in healthy people at the age of 40.The high-risk group of diabetes is one of the following factors:overweight and obesity,hypertension,Dyslipidemia,diabetes family history,Gestational diabetes history,and birth history of macrosomia(birth weight≥4kg).6.1mmol/L≤Glucose test#Fasting blood sugar(FBG)＜7.0mmol/L,or 7.8mmol/L≤2-hour glucose load(2hPG)＜11.1mmol/L,which means impaired glucose regulation,also known as pre diabetes,and belongs to the extremely high-risk group of diabetes.

2.People in pre diabetes can reduce the risk of disease through diet control and scientific exercise.It is recommended to test Glucose test#Fasting blood sugar or blood glucose 2 hours after meal every six months.At the same time,closely monitor other cardiovascular and cerebrovascular risk factors and provide appropriate intervention measures.It is suggested that overweight or obese people should make their body mass index(BMI)reach or close to 24kg/㎡,or their weight should be reduced by at least 7%,their daily total dietary calories should be reduced by at least 400~500kcal,their Saturated fat acid intake should account for less than 30%of the total fatty acid intake,and their moderate intensity physical activity should be maintained at least 150 minutes/week.

3.diabetes patients should strengthen health management.If there are typical symptoms of diabetes("more than three and less",that is,more drink,more food,more urine,and weight loss),and the random blood sugar is≥11.1 mmol/L,or the Glucose test#Fasting blood sugar is≥7.0 mmol/L,or the blood sugar in 2 hours of sugar load is≥11.1 mmol/L,diabetes can be diagnosed.It is suggested that patients with diabetes should regularly monitor their blood sugar and lipids,control their diet,exercise scientifically,quit smoking and limit alcohol consumption,take drugs as prescribed by doctors,and regularly check for complications.

4.Pay attention to dietary nutrition.The diet of patients with diabetes can refer to the Chinese Dietary Guide for diabetes,so as to achieve reasonable diet and quantitative staple food(intake varies from person to person).It is recommended to choose foods with a low glycemic index(GI).Whole grains and beans account for one third of the staple food intake;It is recommended to have vegetables in the meal and choose low GI fruits in moderation between meals;No more than 4 eggs per week or 1 egg every two days,without discarding the yolk;Dairy and legumes are available every day,and you can choose a few nuts for snacks and meals;Cooking should be done with minimal oil and salt;Recommend drinking plain water and not drinking alcohol;Eat regularly and quantitatively,control the speed of eating,chew carefully and swallow slowly.The order of dining should be to eat vegetables first,then meat,and finally the main food.

5.Scientific movement.Patients with diabetes should follow appropriate guidance methods of sports to promote health and make necessary adjustments in time.At least 5 days a week,more than half an hour a day,moderate amount of exercise,suitable for diabetes patients are walking,swimming,taijiquan,square dance,etc.During exercise,it is necessary to prevent hypoglycemia and falls and injuries.It is not recommended for elderly patients to participate in vigorous exercise.Exercise therapy should not be used when blood sugar control is extremely poor and accompanied by acute or severe chronic complications.

——Society and government:

1.Grass roots medical and health institutions undertaking national public health service projects should provide standardized health management services for type 2 diabetes patients among permanent residents aged 35 and above in their jurisdiction,and provide targeted health education for high-risk groups of type 2 diabetes.(Under the leadership of the Health Commission,the Ministry of Finance is responsible according to its responsibilities)

2.Implement the technical specifications for graded diagnosis and treatment of diabetes,encourage medical institutions to carry out diet control guidance and exercise health promotion guidance for diabetes patients,and guide patients to carry out self blood glucose monitoring and health management.(Under the leadership of the Health Commission,the General Administration of Sport and the Bureau of Traditional Chinese Medicine are responsible according to their respective responsibilities)

3.Promote the standardization of diabetes and its complications screening at the grass-roots level,and improve the ability of medical personnel to early detect,standardize diagnosis and treatment of diabetes and its complications.Early intervention and treatment of Diabetic retinopathy,diabetes with kidney damage,Diabetic foot and other complications,delay the progress of complications,reduce the disability rate and Case fatality rate.(Under the leadership of the Health Commission,the Ministry of Finance is responsible according to its responsibilities)

4.Rely on the regional universal health information platform,promote the"Internet plus public health"service,make full use of information technology to enrich diabetes health management means,innovate the health service model,and improve the management effect.(Led by the Health Commission,responsible by the Development and Reform Commission and the Ministry of Finance according to their respective responsibilities)

（15）Infectious and endemic disease prevention and control actions.

In recent years,the overall situation of infectious disease outbreaks in China has been stable and decreasing,but the prevention and control situation is still severe.Sexual transmission has become the main Pathogen transmission of transmission of AIDS.The epidemic has gradually spread from people who are vulnerable to AIDS risk behaviors to the general population,with a wide range of coverage,complex influencing factors and difficult intervention;At present,there are about 28 million patients with chronic hepatitis B,4.5 million patients with chronic hepatitis C,and about 900000 new tuberculosis patients every year.Major Parasitic disease such as echinococcosis still pose a serious threat to the health of residents in endemic areas.Endemic diseases have a wide epidemic area and a large threatened population,with 40%of counties having one endemic disease and 22%having more than three endemic diseases.The key areas of endemic diseases are highly overlapped with the poor areas.Among the 832 state-level poor counties in China,831 counties have Iodine deficiency,584 counties have drinking water type fluorosis,tea drinking type endemic fluorosis,Kashin Beck disease,Keshan disease,etc.,and the phenomenon of poverty caused by diseases and poverty returning is prominent.Strengthening the prevention and control of infectious and endemic diseases is an urgent need to maintain people's health and an important measure for health poverty alleviation.

Action objectives:

By 2022 and 2030,the overall infection rate of AIDS will be controlled below 0.15%and 0.2%respectively;The prevalence of hepatitis B virus surface antigen in children under 5 years old should be controlled below 1%and 0.5%,respectively;The incidence rate of pulmonary tuberculosis dropped to below 55/100000,and showed a continuous downward trend;At the township(town,street)level,the vaccination rate of eligible children in the immunization program remains above 90%;The reporting rate of Notifiable disease remains above 95%;Eliminate malaria by 2020 and continue to maintain it;Effectively control and eliminate the harm of schistosomiasis by 2022,and eliminate schistosomiasis by 2030;By 2022,more than 70%of the population in endemic counties will have a prevalence rate of hydatid disease below 1%,and by 2030,the prevalence rate of hydatid disease in all endemic counties will be below 1%;Continuously eliminate the hazards of iodine deficiency by 2020;By 2022,basically eliminate the hazards of coal-burning polluting fluorosis Arsenic poisoning,Kashin Beck disease and Keshan disease,and effectively control the hazards of drinking water type fluorosis Arsenic poisoning,tea drinking endemic fluorosis and water source high iodine;By 2030,we will maintain the control and elimination of key endemic diseases,and endemic diseases will no longer become a key issue endangering people's health.

Promote responsible and safe sexual behavior and encourage the use of condoms;Cover your mouth and nose with your arms or tissue when coughing or sneezing,and spit correctly and politely;Fully understand the important role of vaccines in preventing diseases and actively administer vaccines.

——Individual:

1.Improve self-protection awareness.Actively understand the hazards of AIDS,hepatitis B and Hepatitis C,prevention and control knowledge and relevant policies,resist prostitution,mass prostitution,drug abuse and other illegal and criminal behaviors,avoid and reduce dangerous behaviors susceptible to AIDS,hepatitis B and Hepatitis C,do not share needles and needles,razor and toothbrush,be loyal to Sexual partner,promote responsible and safe sexual behavior,and encourage the use of condoms.Actively participate in prevention and control propaganda activities,actively detect high-risk behaviors that are prone to infection,and do not discriminate against infected individuals and patients.

2.Fully understand the important role of vaccines in preventing diseases.Inoculation of hepatitis B vaccine is the safest and most effective measure to prevent hepatitis B.It is recommended to vaccinate hepatitis B vaccine for medical personnel,personnel who often contact with blood,staff of kindergartens,family members of hepatitis B virus surface antigen carriers,gay men,or people with multiple sexual partners and intravenous drug users.It is recommended that babies born to mothers of hepatitis B virus surface antigen carriers receive the combined immunization of hepatitis B immunoglobulin and hepatitis B vaccine within 24 hours of birth(the earlier the better)to block mother to child transmission.Pay attention to dietary and drinking hygiene to prevent hepatitis A and hepatitis E virus infections.

3.Develop good hygiene habits.Cover your mouth and nose with your arms or tissue when coughing or sneezing,and spit correctly and politely.In case of suspicious symptoms such as coughing,expectoration for more than 2 weeks,or blood in sputum,go to the designated medical institution for tuberculosis in time.Tuberculosis patients should follow the doctor's advice,adhere to the law,the whole process,on time medication,adhere to standard treatment after most can be cured.Appropriate isolation measures should be taken when there are infectious tuberculosis patients at home.Patients with infectious pulmonary tuberculosis should avoid going to public places as much as possible,wear masks when going out,and avoid taking enclosed transportation.It is recommended to wear medical protective masks when in contact with infectious tuberculosis patients or when entering or exiting places with high risk of infection(such as hospitals,tuberculosis clinics,etc.).

4.Children,the elderly,and patients with chronic diseases have low immunity and weak resistance,making them high-risk groups for influenza.It is recommended to receive influenza vaccines under the guidance of a doctor before the influenza epidemic season.

5.The breeder shall vaccinate dogs and cats with Rabies vaccine for animals.When taking dogs out,the breeder shall use a dog chain or put a cage on the dogs to prevent them from biting others.After being scratched or bitten by dogs or cats,the wound should be washed immediately,and anti rabies immunoglobulin(or serum)and human Rabies vaccine should be injected as soon as possible under the guidance of doctors.

6.Wash hands after contact with poultry and livestock.Do not come into contact with sick animals or poultry.Do not process or consume dead poultry or poultry meat that has not passed health quarantine.Do not eat raw or undercooked poultry and livestock meat,and do not eat wild animals in the Sexually transmitted infection area of animal origin.If dead poultry or livestock are found,they should be reported to the animal husbandry department in a timely manner and properly handled according to requirements.

7.Pay attention to personal hygiene and take protective measures.Residents in areas where echinococcosis is prevalent should wash their hands before meals,regularly deworming their dogs,burying or burning dog feces for harmless treatment,and not discarding the viscera of infected livestock to prevent other animals from eating;Slaughterers are not allowed to casually discard livestock offal or feed fresh offal to dogs.Residents in schistosomiasis endemic areas should avoid contact with infected water,and fishermen should take protective measures before entering the water;Residents in areas where liver fluke disease is prevalent do not eat raw or semi raw fish,snails,and meat,and do not feed fish or fertilize with unprocessed feces.Residents in areas where hookworm disease is prevalent should avoid going barefoot into the fields and strengthen protection.Residents in areas where black fever is prevalent use medicated or long-lasting mosquito nets,install screen doors and windows,reduce contact with humans and insects,and prevent bites.

8.Stay away from diseases.It is recommended that residents in Kashin-Beck disease affected areas purchase commercial grains as much as possible and do not consume self-produced grains.It is suggested that residents in Keshan disease endemic areas form a balanced diet habit,residents in iodine deficient areas eat iodized salt,and residents in pastoral areas drink low fluoride brick tea.It is suggested that residents in drinking water type fluorosis and Arsenic poisoning areas drink qualified water after water improvement and maintain their own pipes;Residents in areas with coal-burning pollution type of fluorosis and Arsenic poisoning should try to use clean energy or improve stoves.

——Society and government:

1.Mobilize all sectors of society to participate in AIDS prevention and control,support social groups,enterprises,foundations,relevant organizations and volunteers to carry out public welfare activities such as AIDS prevention and control propaganda,poverty alleviation and relief for infected people,encourage and support mobilization,testing,comprehensive intervention,care and relief for infected people and other work for people who are vulnerable to AIDS risk behaviors.(Under the leadership of the Health Commission,the Propaganda Department of the Central Committee,the Ministry of Civil Affairs,the Ministry of Finance,the Bureau of Traditional Chinese Medicine,the All China Federation of Trade Unions,the Central Committee of the Communist Youth League,the All China Women's Federation,the Federation of the Red Cross Society of China,the All China Federation of Industry and Commerce,etc.are responsible according to their respective responsibilities)

2.Implement the full coverage of AIDS virus,hepatitis B virus and hepatitis C virus Nucleic acid test in blood of blood stations,implement the full coverage of measures to prevent mother to child transmission of AIDS,syphilis and hepatitis B,and implement the rescue and relief policy for infected people.Comprehensively improve the pertinence of AIDS prevention publicity and education,improve the effectiveness of comprehensive intervention,and improve the accessibility of testing and consultation and the standardization of follow-up services.(Led by the Health Commission,the Central Propaganda Department,the Central Political and Legal Commission,the Central Cyberspace Office,the Development and Reform Commission,the Ministry of Education,the Ministry of Industry and Information Technology,the Ministry of Public Security,the Ministry of Civil Affairs,the Ministry of Justice,the Ministry of Finance,the Ministry of Transport,the Ministry of Agriculture and Rural Affairs,the Ministry of Culture and Tourism,the General Administration of Customs,the State Administration of Radio,Film and Television,and the Drug Administration are responsible according to their respective responsibilities)

3.Fully implement various prevention and treatment measures for viral hepatitis,and control the increasing trend of deaths from viral hepatitis and related liver cancer and cirrhosis.Encourage areas where conditions permit to carry out Hepatitis B vaccine vaccination for high-risk groups such as medical personnel,personnel who often contact with blood,staff of kindergartens,family members of hepatitis B virus surface antigen carriers,and vaccinate key groups who are easy to spread Hepatitis A virus such as food production and operation employees,staff of kindergartens,and collective life workers with Hepatitis A vaccine.(Led by the Health Commission,responsible by the State Administration of Market Regulation and the Drug Administration according to their responsibilities)

4.Strengthen the screening of key areas,students,the elderly,the poor and other key groups,strengthen drug resistance screening,and timely find tuberculosis patients.Implement standardized treatment of tuberculosis and improve the level of diagnosis and treatment.We will strengthen the full course health management services for tuberculosis patients in primary medical and health institutions.Implement the tuberculosis treatment guarantee policy.(Led by the Health Commission,responsible by the Ministry of Education,the Medical Insurance Bureau,and the Poverty Alleviation Office of the State Council according to their respective responsibilities)

5.Continuously carry out influenza monitoring and epidemic analysis,grasp the level of influenza virus activity and epidemic dynamics,and timely release warning information.Encourage the elderly aged 60 and above,children in kindergartens,primary and secondary school students and students in secondary professional schools to receive free influenza vaccination in areas where conditions permit.Ensure the supply of influenza vaccines.(Under the leadership of the Health Commission,the Ministry of Education,the Ministry of Industry and Information Technology,and the Drug Administration are responsible according to their respective responsibilities)

6.Carry out comprehensive prevention and control of Parasitic disease,strengthen environmental health management,and reduce the infection rate of people in rural Parasitic disease endemic areas.Adhere to the prevention and control strategy of focusing on controlling the source of infection in schistosomiasis endemic areas,strengthen key measures for controlling the source of infection,implement a ban on grazing in snail environments,promote and construct harmless toilets and ship feces collection containers in schistosomiasis endemic areas,coordinate comprehensive management and blocking measures,reduce the area of snail,and strictly control pollution from livestock and poultry breeding in rivers and lakes in combination with the work of river and lake chief system.(Under the leadership of the Health Commission,the Ministry of Natural Resources,the Ministry of Water Resources,the Ministry of Agriculture and Rural Affairs,and the Forestry and Grassland Bureau are responsible according to their respective responsibilities)

7.Improve the registration and management of dogs,strengthen the responsibility constraints on pet keepers,and improve the coverage of veterinary Rabies vaccine injection.In areas where hydatid disease is prevalent,we will comprehensively promote the tethering of domestic dogs,regularly carry out deworming of dogs,and carry out harmless treatment such as deep burial and incineration of dog feces.Conduct screening for patients with hydatid cysts and provide medication or surgical treatment to patients.Gradually implement designated slaughter of livestock,strengthen inspection and quarantine of livestock slaughtered in slaughterhouses(points),and carry out harmless treatment of diseased organs.(The Ministry of Public Security,the Ministry of Housing and Urban Rural Development,the Ministry of Agriculture and Rural Affairs,and the Health Commission are responsible according to their respective responsibilities)

8.For areas with high incidence of drinking water type fluoride Arsenic poisoning,the construction of water improvement project has been completed;For those with scattered residential areas and high water improvement costs,relocation can be carried out in conjunction with poverty alleviation efforts.For tea drinking areas with high incidence of fluorosis,support local governments to adopt targeted production,financial subsidies,and other measures to reduce the price of low fluorine brick tea and promote low fluorine brick tea.In areas with a high incidence of coal-burning fluorosis and Arsenic poisoning,clean energy should be promoted where conditions permit,instead of burning coal with high fluorine(arsenic),and people should be guided to change stoves and use improved stoves.(National Civil Affairs Commission,Ministry of Ecology and Environment,Ministry of Water Resources,Health Commission,State Administration of Market Regulation,etc.shall be responsible according to their respective responsibilities)

9.For areas with high incidence of Kashin-Beck disease,develop special nutrition and food exchange policies targeting children aged 2-6 in the affected areas to ensure that children consume non affected food.On the basis of respecting the wishes of the masses,the affected villages with new cases will be relocated as a whole.(The Development and Reform Commission,the Ministry of Agriculture and Rural Affairs,the Grain and Reserve Bureau,and the State Council Poverty Alleviation Office are responsible according to their respective responsibilities)

10.Do a good job in the treatment and assistance of severe patients such as Kashin Beck disease and Skeletal fluorosis.For patients who meet the conditions of rural poor people,strengthen comprehensive prevention and treatment and classified treatment in accordance with the relevant policy requirements of health poverty alleviation.The patients with Kashin Beck disease,Skeletal fluorosis and other diseases will be assessed for disability,and those who meet the conditions will be included in the scope of disability security and minimum living security.(Under the leadership of the Health Commission,the Ministry of Civil Affairs,the Medical Insurance Bureau,and the State Council Poverty Alleviation Office are responsible according to their respective responsibilities)

4、Safeguard measures

（1）Strengthen organizational leadership.The Health China Action Promotion Committee(hereinafter referred to as the Promotion Committee)is responsible for organizing and implementing the"Health China Action",coordinating the participation of the government,society,and individuals in the Health China Action,coordinating overall work,guiding various regions to study and develop specific action plans based on local actual situations,studying and determining annual work priorities and coordinating their implementation,organizing action monitoring,evaluation,and assessment,A special action working group is established to promote the implementation of relevant tasks.All relevant departments work together and assume their respective responsibilities.Each province(district,city)should include the implementation of this action in the important agenda,improve the leadership system and working mechanism,study and develop specific action plans for the main health problems that threaten the health of residents in the local area,and organize implementation in stages and steps to ensure that all work goals are achieved on schedule.Promote the integration of health into all policies,consolidate and improve the creation of healthy cities and towns,promote the construction of healthy cities and healthy villages and towns,build a number of demonstration cities(villages),carry out the selection of model cities(counties)for national sports and fitness,effectively integrate resources,form joint efforts,and ensure the effectiveness of actions.(Under the leadership of the Health Commission,the Ministry of Education,the General Administration of Sport,etc.shall be responsible according to their respective responsibilities,and each provincial-level people's government shall be responsible separately)

（2）Conduct monitoring and evaluation.The monitoring and evaluation work is coordinated and led by the Promotion Committee,and each special action working group is responsible for specific organization and implementation.Under the leadership of the Promotion Committee,each special action working group will focus on the target indicators and action measures proposed by the action,improve the indicator system,and develop monitoring and evaluation work plans.Based on the existing statistical data,improve the monitoring and evaluation system,rely on the Internet and Big data,play the role of a third-party organization,and carry out annual monitoring and evaluation on the implementation progress and effect of the main advocacy indicators,expected indicators,and key tasks.Each special action working group forms a special report on the progress of each special action implementation annually based on the monitoring situation.The Office of the Promotion Committee plays a third-party organizational role and forms an overall monitoring and evaluation report.After being approved by the Promotion Committee,it is reported to the State Council and notified to relevant departments,provincial(district,city)party committees,and governments.On the basis of monitoring and evaluation,timely release monitoring and evaluation reports.Each province(district,city)shall carry out local monitoring and evaluation as required.(Under the leadership of the Health Commission,the Ministry of Finance,the Bureau of Statistics,etc.shall be responsible according to their respective responsibilities,and each provincial-level people's government shall be responsible separately)

（3）Establish a performance evaluation mechanism.Make the implementation of the"Healthy China Action"an important part of the overall assessment and evaluation of the construction of a healthy China,and strengthen the implementation responsibilities of local party committees,governments,and relevant departments.Establish a supervision system and conduct special supervision once a year.Develop assessment and evaluation methods for major indicators and important tasks,and strengthen the annual assessment of binding indicators.Establish an assessment and accountability mechanism to evaluate the implementation of various regions,departments,and units,and use the evaluation results as an important basis for performance evaluation of various regions and relevant departments.For regions and departments with good evaluation results,they shall be commended and given appropriate rewards in accordance with relevant regulations;Timely interview and supervise the rectification of areas and departments with lagging progress and inadequate work.All relevant responsible departments report their work progress to the Promotion Committee every six months.Fully mobilize the enthusiasm of social organizations and enterprises,leverage the role of industry associations,conduct special investigations,and explore the establishment of third-party assessment and evaluation mechanisms.(The Central Organization Department,Ministry of Finance,Health Commission,etc.are responsible according to their respective responsibilities,and each provincial-level people's government is responsible separately)

（4）Establish a sound support system.Under the leadership of the Promotion Committee,experts are selected from relevant fields,and a national expert advisory committee is established.Provincial expert advisory committees are established in each province(district,city)to provide technical support for action implementation,timely propose action adjustment suggestions,and improve relevant guidelines and technical specifications.The medical security system should adhere to the basic principles of insurance,reasonably determine the standards of basic medical insurance benefits,and make the level of insurance compatible with the level of economic and social development.Starting from chronic diseases with clear treatment plan standards and evaluation indicators,we will carry out per capita payment for special chronic diseases and encourage medical institutions to do a good job in health management.Promote the development of"Internet plus medical health"and innovate the service model.Increase government investment,strengthen support and guidance,and ensure that actions are implemented in place.Relying on social forces to establish the Healthy China Action Foundation in accordance with the law,providing support for the implementation of key actions.Encourage financial institutions to innovate products and services,and promote the formation of a diversified guarantee mechanism for funding sources.Strengthen scientific and technological research and support for key technologies in the implementation of actions,in conjunction with national major scientific and technological projects and key research and development plans;Simultaneously conducting health technology assessments to continuously enhance the scientific,effective,and economic effectiveness of actions.Improve the relevant legal and regulatory system to ensure the implementation of the task and goal of building a healthy China through the rule of law.(Under the leadership of the Health Commission,the Development and Reform Commission,the Ministry of Science and Technology,the Ministry of Civil Affairs,the Ministry of Finance,the People's Bank of China,the Medical Insurance Bureau,the China Banking and Insurance Regulatory Commission,the China Securities Regulatory Commission,etc.shall be responsible according to their respective responsibilities,and each provincial-level people's government shall be responsible for their respective responsibilities)

（5）Strengthen publicity and guidance.Establish a special website for the Healthy China Action to vigorously promote the significance,goals,tasks,and major measures of implementing the action and promoting public health.Each responsible department shall,in accordance with the requirements of this action,prepare interpretation materials and literary works that are popular among the public,and effectively guide the public to understand and master them,promoting individuals to practice healthy lifestyles.Establish a health image ambassador,select a group of"health experts",and play the exemplary and leading role of image ambassadors and"health experts".Strengthen positive publicity,scientific guidance,and typical reporting,enhance social awareness,and create a good social atmosphere.We attach great importance to the important role of medical and health institutions and medical personnel in the implementation of actions,improve training,service standards,performance evaluation and other systems,encourage and guide medical personnel to practice the concept of"big health,big health",and do a good job in health promotion and education.(Led by the Health Commission,the Central Propaganda Department,the Central Cyberspace Office,the State Administration of Radio,Film and Television,the All China Federation of Trade Unions,the Central Committee of the Communist Youth League,and the All China Women's Federation are responsible according to their respective responsibilities)