1. The Current Situation and Change of China’s Public Health
Xiangguang Gong
Chinese Center for Disease Control and Prevention
March, Hong Kong
Ladies and gentlemen, Good afternoon. Glad to have the opportunity to give the presentation here. I’m from China CDC, which was founded in 2002, and just has stand the test of SARS in the pervious year. Today, the subject of my presentation is The current situation and trends of Chinese public health.

2. The trends of the number of the institutions for disease control and prevention

3. Public Health System in Urban Areas
Ministry of health
Chinese center for disease
control and prevention
Province health Bureau
Provincial center for disease
Control and prevention
Municipal and regional
health agency
Municipal and regional
CDC
Center for Community health services

4. Three level network of health service system in rural areas in China
County hospital
County CDC
County Traditional medicine hospitals
Township hospitals
Village Doctors

5. Trends of the mortality and life expectancy at birth in China
Life expectancy at birth（years）
Mortality（1/100,000）
Life expectancy at birth
Mortality

6. Trends of infant mortality(1949-2002)‰

7. The main experience of China’s public health
Persist with the health policy of Giving Priority to Prevention
Broadly developing the EPI around China after the early 1980s
Waging vigorous Sanitation Movement for over 50 years
Establishment of public health system around the country, especially for the three grade network of health service system in rural areas.

8. The Principle Health Policy in different periods

9. Waging vigorous Sanitation Movement for over 50 years灭鼠
污水处理
环境清理

10. The problems faced with China’s public health
Insufficiently cognizant of the danger of disease
Relatively reduction of the input in public health
The incomplete system of disease control and prevention

11. Insufficiently cognizant of the danger of disease
Directly determine human’s health
Just as the Education, health is the base of human resource capital
The need of concerted development between society and economy
Society stabilization and country security

12. The structure of total health expenditure in China(1980-1999)%

13. The trends of the percent of expenditure of disease control and prevention (EDCP) to government health expenditure, the percent of EDCP to government financial expenditure

14. The incomplete system of disease control and prevention
Surveillance and information system
Emergency response system
The management system fragmented
The institutions’ equipment is inadequate and out of date
Improper mechanism of revenue of institutions for disease control and prevention
Team’s capacity a should be improved in the further

15. Improper mechanism of revenue of institutions for disease control and prevention
Percent of government input to institutions expenditure(%)
Percent of personnel outlay to institutions expenditure(%)
Urban
1992
1997
41.8
40.2
30.3
31.9
Rural
47.8
36.2
39.1
38.1

16. The structure of education level in provincial, regional and county CDC

17. The challenge faced with Chinese public health
The aging population
The double burden of disease, infection disease and non communicable disease
Living Style and dietetic habit
Urbanization and modernization
Occupational risk
Migration population
Environment pollution

18. The goals of Chinese public health building
For 3 years
building the public health emergency response system
enhancing the system of disease control and prevention
enhancing the system of health supervising and executing the public health law
For a longer time
Primary health care system in rural areas
The basic health service system in urban areas
The environment sanity system
Government input system

19. Key points in the building process of public health
Establishing the the public health emergency response system
Reinforcing the system of disease control and prevention
Developing health system in rural areas
Enhancing the system of health supervising and executing the public health law
Expanding health education

20. The related policy to reinforce the building of public health
Increasing the input in public health from government
Reinforcing the duty of government to public health
The participate of other department and community in public health
Intergrading the gap between clinical medicine and prevention

21. Thanks For Your Attention