UY BAN NHAN DAN LONG HOA XA HOI CHU NGHiA VIET NAM THANH PHO UONG Bi DOc 14p - Ty. do - Hanh phtic

S6: 1 /KH - UBND U6ng Bi, ngay thing 01 nam 2019

KE HOACH Phong chong dich, benh ctia thanh phO Ming Bi nam 2019

Thanh ph6 Wing Bi la do thi loai 2 nam phia Tay cua tinh Quang Ninh, vai dan s6 ten 12 van ngueri (trong do dan s6 ca hoc tren 17 van ngueri), dia ban hinh chinh co 11 phuong la, la Thanh ph6 cong nghiep than, dien lam, co di tich lich sir va danh thing Yen Tir not tieng la nai phut tich cua thien phai Trac Lam, hang nam thu hut hcrn 2 trieu luvt khach den tham quan, yang canh. Thanh ph6 la trung tam gido due duo tao cua Tinh veri 06 truZyng Dai hoc, Cao ding, trung cap vii tren 10.000 hoc sinh, sinh vien. Mang luai y to tren dia ban Thanh ph6 co Benh vien Viet Nam - Thuy Dien Uong Bi (BO Y te), Trung tam y t6 than khu vuc Yang Danh, Tning tam Y to Thanh ph& 11 tram y to xa phuong. Ciing tinh trang di Wen dOng dan cu ten dia ban Thanh ph6 la rat kin kho kiem soat, tao dieu kien cho cac loai dichbnh xam nhap va bung phut. D6' chit dOng trong cong tic phong ch6ng dich Nnh ten dia ban Thanh ph6; UBND thanh ph6 xay dung ke hoach phong ch6ng dich Nnh nam 2019, cu th6' nhu sau:

I. MIX TIEU: - Ki6m soat chat the tinh hinh mac va chet do cac benh truyen nhi6m, kh6ng the

kip theri dich benh, khong de dich Ian xay ra, gop ph1n phut trien kinh te, xa hOi va chum sac, bao ve, nang cao sirc khoe nhan dan.

- Phat hien sam bang he th6ng giam sat dua vao chi s6 va dui vao sit kien (EBS), xfr 15, kip that giam s6 mac va tir vong do cac dich benh, chit tong cac benh dich: seri, tay chin mieng, sot xuAt huyet, cum A(H5N1), dim A(H7N9), dai, VNNB B, ho ga, MERS-CoV.

- Tang cuerng nang luc he tilting giam sat, t6 chirc giam sat chit dOng benh truyen nhi7em tai cac xa, phuong, cac don vi dieu tri tren dia ban.

- trng dung cong nghe thong tin a bao cao kip thai, day du tinh hinh benh truyen nhiem.

- Phi hop ding khoa phong xet nghiem trong khau thu thap, lAy mau, bao quan van chuyen benh phAm ding nhu tien hinh cac xet nghiem chin down tic nhan gay benh.

II. CAC CHI TIEU CHiNH: 1. Com ( H5N1, H7N9, H8N10, H5N6 ) - Han the den mire thAp nhAt tir vong do cum. - 100% cac 6 dich dugc phut hien sum va xir 15, kip theri. - 100% ngueli tier) xiic vii ca benh,nguOn lay dugc theo doi va quan 15, sfrc khoe - 100% cac 6 dich cu dugc giam sat 2. SIM - Rubella

- Han the den mire thAp nhAt to vong do s6i - Rubella. - 100% cac 6 dich dugc phat hien sarn va xir l/ kip th6i. - 100% cac 6 dich cu dugc giam sat. 3.Tay chin mieng: - Giam s8 mac benh TCM. Khong de benh nhan to vong. - 90% s6 truing hgp mac benh tay chin mieng dAu tien tai mZii 6 dich dugc Oat

hien )(Cr ly kip th6i, khong de dich lan rOng. 4. Benh SOt xuat huyet: - Kh6ng the ti le chet/mac do s6t xuAt huyet dual 0,09%. - Giam 8% tS/ le mac/100.000 dan do SXH so vii trung binh 5 nam 2013-2018. - 7 ca benh nghi s6t xuAt huyet dugc chin down bang xet nghiem huyet thanh. - 50% s6 b@th nhan nghi s6t xuAt huyet dugc thy tau gfri TTKSBT tinh Quang

Ninh xet nghiem dinh tu5/p. - 100% s6 xa co giam sat ca benh chu Ong. - 7 ca benh dugc giam sat chi' dOng. - 6 xa, phuong dugc giam sat vec for thuang xuyen - 3 xa, phtrang c6 hoat Ong phun hoa chAt chu dOng. - 90% s6 hO gia dinh tai phtrOng trong diem dugc cung cAp kien thirc ph6ng

ch6ng dich, cam ket khong c6 b9 gay trong gia dinh. - 3 xa dirge giam sat vec ta dinh kj/. 5. Benh Dai: - Ph6i hgp chat the gift Trung tam dich vv ky thuat n6ng nghiep thanh ph6 va y

to trong phOng chtmg benh dai. - 100% 6 dich dai tren ngutri dugc phat hien, dieu tra va xir V/ kip th6i. - 100% s6 ngtrad tiem phong dai dugc theo dOi va quan 6. Benh tfi: - 100% s6 truing hgp mac benh dAu tien dugc phat hien va bao cao, dieu tra

trong yang 24 gi6 dAu de tien hanh xir ly, bao vay 6 dich, khong de dich lan Ong. - 100% cac truing hgp dAu tien mac tieu chay cAp nguy hiem dugc nghi ng6 la

to dugc lAy rrik benh phAm gui tuye'n tren lam xet nghiem. - 100% vu dich to dugc phat hien va xir V/ theo dung quy dinh. - 100% benh nhan dugc quan ly va dieu tri dung quy dinh khong de xay ra to vong. 7. Benh Viem gan B Tang t5/ le tiem phang viem gan B cho tre 24h dAu sau sinh >80%. 8. Cac benh truytn nhiem thui)c Chtrang,Trinh tiem chiing mo• rCmg: - Duy tri giam sat chi" Ong, tich circ tim kiem ca benh nhu UVSS, liet mem cAp. 9. Cie benh truyen nhiem gay dich khfic Lien cau thirang ban - Giam sat, phat hien son, xfr1S1 kip th?yi 'thong de dich 16n xay ra. - Der trU du hoa chAt vat to ph6ng ch6ng dich. HI. CAC GIAI PHAP THIIC 1. Cong tic t6 chin, chi dao:

- Giao cho nganh Y to tich cue tham mtru Thanh uy, UBND Thanh ph6 va ph6i hop vai cac xa phut/rig, cac ca quan, don vi chi dao cong tac phong ch6ng dich, b6nh teen dia ban.

- Ciing co ki6n toan phan cong cho cac thanh vien Ban chi dao Phong ch6ng dich, b6nh tren ngtrai oh Thanh OA cac xa phuang, lanh dao ca quan don vi clang teen dia ban Thanh ph6. Ban chi dao can quan tam thao Juan, xay dung k6 hoach phong ch6ng dich ctia dia phuang, dan vi nam 2019.

2. Cling tac Truytn thong OM) dig sin khOe ve phong chOng dich 14nh: - Day manh cac hoat dOng truy6n thong giao duc silt kh6e, huy dOng su tham gia

dm cong dung, tang ctrang su phoi hop lien nganh trong cong tac phong ch6ng dich. - To chirc tuyen.truy6n trong cong (long cac kien thirc v6 v6 sinh 'Along b6nh nal

chung a nhan dan hieu va ph6i hop t6t yeti cac ca sir Y to trong tri6n khai cac bin phap phong ch6ng dich trong cong ang, tap trung vao cac not dung chinh sau:

+ Thuc hi6n v6 sinh ca nhan, v6 sinh moi tnrang trong 'Along ch6ng dich. + Thgc hien an toan v6 sinh thuc pham, bao v6 ngu6n ntrac va dung ntrac sach. + Tuyen truy6n nhang kien thirc co ban a ngtrai dan c6 th6 bi6t cach to phat

hi6n du hi6u nghi ng6 mac b6nh truy6n nhiZm gay dich va th8ng bao kip thai cho co. sa Y t6.

3. Cong tic chuyen mon kj, thu'it: 3.1. Mom giiii pluip gitim nuic: -Tang cuang giam sat b6nh chit Ong, phat hien sam cac tnrang hop mac b6nh

au tien c6 bin phap cach ly, thu dung, di6u tri kip tiled. - Thuc hien di6u tra dich to ca b6nh, phan tich du bao xu huthlg phat tri6n dm

b6nh dich a tUng 6 dich a c6 bin phap phong ch6ng thich hop. - Duy tri h6 th6ng giam sat b6nh clua vao su ki6n (EBS) va bao cao b6nh truy6n

nhi6m theo Thong to 54/2015/TT- BYT oh 136 y to ban hanh ngay 28/12/2015 tai tat ca cac tuy6n thanh ph6 va la phut:frig. Dac bit ph6i hop t6t gift y t6 dir phong va co sa kham chaa b6nh.

- Thuc hien xirl , ca b6nh/6 dich tri6t a. - Phat huy t6i da cac bin phap phong dich chit Ong bang vacxin, dac bit la cac

4. vac xin trong chtrang trinh tiem chung quoc gia. - Tap trung vao giam sat nhom dich b6nh nguy hi6m: + Nhom dich b6nh mai not va tai xuat hi6n:MERS-CoV,CUm A(H5N1, H7N9,

H1ON8, H5N6), tay Chan mi6ng, sot xuat huy6t, Dai, Ho ga, Lien cau lcm, ta. + Nhom dichb6nh luu hanh:Thuang han,Thily dau,Quai bi..... - Chit dOng du bao cac 136nh dich nguy him xay ra tren dia phuang a c6 bin

phap ph6ng ch6ng.T6 chirc truc ch6ng dich 24/24 gia trong thai gian c6 dich. - Chu dOng chuAn bi va tuyen truy6n van d6ng nhan dan di tiem vacxin phong

cac b6nh truy6n nhiexm nguy him gay dich. , - Duy tri hoat Ong cila d6i ca dOng chong dich cac cap.

- T6 clulc tuyen truyen van dOng nhan dan thuc hien ve sinh ca nhan,thirong xuyen rim tay sach bang xa pitting truac khi an va sau khi di ve sinh,nga man,an chin wing soi.

- To chirc cac chitin dich ve sinh moi tru6ng, dam bao ntrac sach va ve sinh moi truing phong ch6'ong dich benh.

- Du trtt kinh phi, hoa chAt, thutic, vat tu, trang thi& bi y to kip thoi cho cac dia phuang tri6n khai cac bien phap chting dich.

- Nang cao nang lac xet nghiem to chirc thuc hien tot ding tac lAy mh, bao quan van chuyen tai Trung tam kiern soat benh tat tinh lam xet nghiem, nhan va thong bao k& qua xet nghiem cho tuyen xa, plitr6ng.

3.2. Cdc giiii pluip giiim vong: - Tang cuing sit phoi hop trong cong tac giant sat va bao cao benh truyen nhie'm

gifia he dieu tri vai he y t6 du phong, dam bao Oat hien dich nhanh. - Cac dan vi dieu tri co ke hoach chit Ong chuAn bi san sang khu dieu tri each ly,

cap nhat kien thirc chuyen mon ve cac benh truyen nhiesrn hang nam; du tit.' ca so thaw dieu tri de thuc hien Ong tac thu dung va dieu tri khi c6 dich xay ra tai dia ban.

4. cong tac dao tao tap huin: - Cir can b6 tham gia cac khoa dao tao do Trung tam Kiem soat benh tat t6 chirc. - Tiep tkic duy tri cong tac tap huAri, dao tao mai, dao tao 10 cho can be, y t6 tai

cac Tram y to xa, phu6ng ve cong tac phong chong dich. - Timg btrac nang cao nang Luc d6i ngii can b6 lam cong tac phong chong dich. - T6 chirc cac lop tap huAnsve nang truyen thong va thuc hien phong ch6ng

dich chit d6ng cho cac gido vien mam non, ngtr6i tong nhom tre. IV. TO CHUC THIIC HICN: 1. Trung tam Y to Thanh - Xay dung 1(6 hoach va phuang an ph6ng chiing dich cu the cua dan vi de chit

d6ng trong ding tac phong chong dich, benh. - Tham muu UBND Thanh ph6 de t6 chirc kiem tra, giam sat tai cac ca quan,

dan vi, doanh nghiep, truing hoc tren dia ban cong tac phong chting dich, benh. - Ph6i hop vai cac ban, nganh, doan the cua thanh ph6 va cac ca quan dan vi tren

dia ban tang ctr6ng ding tac tuyen truyen giao dkic sire kh6e. - Thanh lap 2 d6i chiing dich va xay dung cac phuang an cu the san sang img

pito khi co dich xay ra. - Thirc hien ding tac giarn sat cac 6 dich cu, phat hien cac 6 dich m6i va bao cao

kip th6i theo quy dinh dm BO Y - Thtftg xuyen ra soat 10 ca s6 thu6c, hoa chAt, vat to phuang tien phong

ch6ng dich. Co ke hoach thay the nhimg vat tu, phuang tien con thieu. - Ph6i hop cac dan vi y to cac xa, phuang, cac dan vi clang tren dia ban thanh

ph6 tri6n khai cac bien phap phong chcing dich dac hieu nhu tiem Vac xin pitting benh, phun diet con tang gay benh, tam man bang h6a chAt, phun khir trang phong chong dich tieu chay cap nguy hiem...

- Ph6i hop \Teri cac dcm vi c6 lien quan dm Thanh ph& to chirc kiem tra viec chip hanh cac quy dinh ve An toan ve sinh thuc pham doi vai cac tap the va ca 'than tren dia ban Thanh ph&

- Phi hop vai Trung tam Dich vu ky- thuat n6ng nghiep Thanh pho trier' khai cong tdc ph6ng, ch6ng dich benh (lac biet Id benh cum gia cam tren dia ban.

- Xay dung ke hoach tap huan chuyen mon cho can b6 y te tuyen huyen, la, y te cong nOng trutmg, xi nghiep, trtrimg hoc va cac hoat d6ng phong ch6ng dich.

2. Phong Y 4 Thanh phto: - Chu dOng va ph6i hop vai Trung tam Y 4 Thanh ph6 tham mtru, de xuat vOi

UBND Thanh ph6 ban hanh cac van ban chi dao phong ch6ng dich kip thOi. - Chi dao Tram y 4 cac xa phtrOng xay dung ke hoach va to chirc cac hoat dOng

phong chong dich benh theo twang dan, chi dao dm tuyen tren. - Ph6i hop vai Trung tam Y 4 thanh ph6 kiem tra cong tdc phong ch6ng dich

benh tai cac ca quan, doanh nghiep, tnreing hoc tren dia ban Thanh ph& - T6 chirc doan kiem tra lien nganh, kiem tra an toan thuc pham tren dia ban

Thanh ph& phdt hien va xii. V/ nghiem dung quy dinh d6i vai nhUng ca so san xudt the bien kinh doanh thuc pham khong chap hanh, vi pham cac quy dinh ve viec dam bdo chat luting ve sinh an toan thuc pham.

3. Tram y to cac xa, phtrirng, cong ty, xi nghib, y to trtrirng hcoc: - Chu d6ng tham mtru cho cap tly clang, chinh quyen cac xa, phtrong, Mill dao co

quan dan vi xay dung Ice hoach, kinh phi thuc hien dm dcm vi minh - Gidm sat, dieu tra, phdt hien sam cac tnrOng hop nghi ngo. dich benh, bdo cdo

va ph6i hqp vai Khoa kiem soat benh tat, HIV/AIDS thuOc Trung tam Y te Thanh ph6 de xfr V, kip thOi.

- T6 chirc cap ciru ban dau va dieu tri benh nhan khi mac dich benh theo huang clan dm BO Y te, theo dOi, gidm sat cac tnrOng hop dieu tri tai nha.

- Ph6i hop vai Khoa kiem sodt benh tat, HIV/AIDS to chirc trien khai bien phdp phong cho'ng dich dac hieu nhu: Tiem phong cac 14 vac xin trong va ngodi chucmg trinh Tiem chfing mar r6ng; phun diet con trong gay benh, yam man bang h6a chat, thuOng xuyen phun khfr trong ph6ng chong dich tieu chdy cap nguy hiem tai cac bep an tap the it nhat Q4/lan.

4. Cac dolt vi y 4 teen dia ban thanh phO: Knh vien Viet Nam Thuy Dien Uong Bi, Trung tam Y te than Mao Khe (ca soy

yang Danh) ph6i hop chat the vai Trung tam Y 4 thanh ph6 U6ng Bi trong ding tdc phong chting dich benh tren dia ban; ph6i hop trong viec dieu tra, xir V, 6 dich khi di de nghi; chuan bi phucmg an thu dung dieu tri benh nhan khi c6 dich, benh xay ra.

Tham gia ph6i hop thtrc hien ding tdc gidm sat phdt hien cac trtrOng hop mac benh truyen nhiern gay dich va trao d6i thong tin kip th6i, thtrc hien nghiem Mc twang dan the dO khai bdo, thong tin, bdo cao benh truyen nhiem ban hanh kern theo Thong to so 54/2015/TT—BYT ngdy 28/12/2015 dm BO twang BO Y te.

5. Trung tam Truyen thong va van h6a Thanh phi): Phi hop vai Trung tam Y to Thanh ph6 thtrc hien tuyen truyen phong chting

dich benh bang cac hinh thirc: Treo bang zon, to rai, phat bai tuyen truyen ten song truyen hinh, truyen thanh.

6. Phong Giao duc va Dao tuo Thanh Chi dao cac truing h9c quan tam truyen th6ng gido duc sirc khOe, ve phong

ch6ng dich benh cho h9c sinh, ding c6 y t6 hoc doing, phoi hop vii Trung tam Y to Thanh ph6 tang eta:mg Ong tic kiem tra hoat d6ng phOng ch6ng dich cua cac truing h9c, nhAt la cac throng h9c co bep an cho h9c sinh; Chi dao cac truing hoc co bep an cho hoc sinh thtrc hien nghiem tfic cac quy dinh ve an toan ve sinh thtrc phAm.

7. Phong Tai nguyen va Moi truirng Thanh phti: Tang cuing chi dao ding tic ve sinh m6i truing tren dia ban Thanh ph6. 8. Phong Tai chinh va Ke hoach Thinh ph6: Ph6i h9p vii Phong Y te, Trung tam Y to Thanh ph6 tham muu UBND ph6 b6

tri ngu6n kinh phi du phOng de phOng ch6ng dich benh nam 2019; Tham mtru UBND Thanh ph6 b6 sung ngu6n kinh phi ngoai han mut cho ding tic y to du phong phong ch6ng dich benh cua Thanh ph6 khi co dich xay ra.

9. Cling ty CO phfin MOi truirng va Cling trinh Do thi Uong Bi, Cong ty CO phAn Dfiu va Xfiy dtrng Vi0 Long:

Thtrc hien tot Ong tic ve sinh moi truing teen dia ban Thanh ph6. 10. Cac co quan, doanh nghiep, truing hoc teen dia ban: Chi dao, tang cuing kiem tra Ve sinh an toan thtrc phAm (VSATTP) cac bep an

tap the, thtrc hien dUng quy dinh ve VSATTP tai cac bep an tap the; chi &roc nhap thtrc phAm tir nhting co sa cung cap thtrc phAm do duc cap giAy chirng nhan dam bao VSATTP va cac thtrc phAm sach co ngu6n g6c r6 rang.

11. UBND cac xa, phuirng: Kien toan Ban chi dao Phong chong dich benh tren ngutri cap IA, phtrang; phan

cong cac thanh vien Ban chi ciao Phong ch6ng dich benh thtrc hien nhiem vu; xay dtmg, ban hinh ice hoach phong ch6ng dich, benh nam 2019 oh dia phtrcmg mirth; quan tam chi dao cac ban nganh down the phi hop 11.6 tro cho y to xa, phtrOng thtrc hien dog tic phong ch6ng (Lich, benh tai dia plurcmg; van d6ng nhan dan ten dia ban tong ve sinh, thu gom rac thai dung quy (firth_

Tren day la ke hoach phOng ch6ng dich, benh nam 2019 dm UBND thanh ph& UBND Thanh ph6 yeu cau cac dcm vi co lie quan khAn twang tie ai thtrc

No/ nhan: TM. ill( B • I HAN DAN - Sa Y te, TT kiem soat benh tat tinh (B/c); KT. C k! ' ICH - Thucmg truc Thanh tly, TT HDND (B/c); • I - tich, cac Ph6 CT UBND TP (C/d); ., CH - Phong Y te, Trung tam Y to TP, Rnh vi4n VNTD, e0 Trung tam y to than Mao Khe (CN yang Danh) (T/h); e, ‘•'‘ - Cac phong ban, nganh TP va don vi lien quan (T/h); r " • • (;

- UBND cac phu6ng (T/h); - Tram y to xa, phutmg, Tram y to Cong ty, XN, y to PA\ 1; ';:.*..44-r.

trutmg hQc tren dia ban (T/h); ---;4‘1\ - Lau: VT. Tiam TuAn Bat