Class II vaccine supervises the difficult problem and waits to solve

Class II vaccine supervises the difficult problem and waits to solve
Staff reporter Meng QingPu That will it be June 1 2005 implement" the the intersection of vaccine and circulation and immunization campaign management rule " ' Hereafter referred to as " regulations ") Have established the free competition of class II vaccine, mode of the market supply. The past 5 years has passed by, " look at present, the class II vaccine manufacturing enterprise can supply vaccine some directly and inoculate, the wholesale enterprise can supply to and inoculate some too, manage and bring a lot of difficulties to class II vaccine. Vaccine warehousing and transportation could could inject to need on the share of people that inoculate most as requested, strictly according to cold the intersection of chain and requirement in the course, lack the supervision means to these respects at present. " Disease of Ministry of Public Health accuses of Deputy Bureau Director of the office Yu Jing's entering at a news briefing that Ministry of Public Health held a few days ago and talking in this way. The control of class II vaccine is difficult " our class II vaccine accuses of centre's entering from disease in the county, kind, quantity, have detailed records each time. " Towards look through, see vaccine on the hand say, " stock vaccine from the county register copy, 50 more than Zhi Liu of years old, not meeting accident for so many years, steady and sure in the heart. " Liu ZhiChao is that the commune hospital of the town centre of stockaded village defends protecting a doctor on Luquan of Hebei, it already exceeds 30 years to engaged in immunization campaign. "There are 1136 children 0~15 years old at present in the whole town, among them 0~7 -year-old 622 people, were born in 12 children from January of this year to March. The gross income of class II vaccine is more than 2000 yuan in March, it is mainly vaccine of chicken-pox, B -type influenza hemophilus vaccine and rabies vaccine. " Talked about one's own vocational work, Lao Liu is as if enumerating one's family valuables, " several years ago, when the market of class II vaccine unlocked, constantly someone is promoting to the doorstep, say their vaccine is cheaper than that of the county, and have one injection and can be divided into etc. more or less. Oneself was really a little aroused in interest at that time, discussed with the president later, did not want. Vaccine delivered to one's home can not be divided Islamic and false, how to know either the result. In case there emerged a thing, what is to be done? " "Before and after " regulations " were issued in the first half of 2005, a lot of vaccine dealers went to the villages and towns to inoculate some and promote vaccine. " Disease in Luquan accuses of the roof beam of Deputy Director in the centre and builds bigly to recall, fewer and fewer later, the reason is that the villages and towns inoculate some vaccine consumption limitedly, for managing enterprises, the scale is too small, can not make money. After the vaccine incident of Anhui Province Si county happens, do not inoculate less in consideration of security, also the vaccine refusing to be delivered to one's home voluntarily. Liang JianWei says, the first grade of villages and towns of Luquan inoculates some majorities and accuses of centre's buying class II vaccine from disease in the county, also a part is bought by oneself. The present difficult problem is, the transportation course from producer to commune hospital of vaccine is unable to control in the whole journey. The question that class II vaccine happens, a big chunk lies in transporting and storing links. The suitable temperature that vaccine is preserved is generally 8 �� at 2 ��, specific vaccine needs at under ��0. But in the purchase, transportation, storing links of class II vaccine, a lot of enterprises, villages and towns inoculate some difficultly by totally accomplishing according to the norm. Disease in Shijiazhuang accuses of Zhao Chuan, director of centre, to tell reporters, disease in the province and city accuses of the buying and selling of class II vaccine of the centre, can only inoculate the unit and put forward the suggestion to the basic unit; As to the operating position of class II vaccine, it is very difficult to master in an all-round way; To have jurisdiction over the reserves of all kinds of vaccine of area and distributing, more difficult to master in time. This kind of state is unfavorable to the public health event of tackling happening suddenly. One of the informers of Shanxi vaccine incident, Shanxi disease accuse of former person in charge of information center Chen TaoAn in the centre to think, the course is not merely a logistics concept that vaccine circulates, the more important thing is a course that vaccine quality safeguards, the country can consider setting up the public service system of cold chain of vaccine. It is reported to purchase and sell critical defect, after " regulations " were issued in 2005, class II vaccine was from dispatching from the factory to inoculate to disperse, successively presented several kinds of circulation modes: The state monopoly for purchase and marketing, namely is accused of organization's supplying, managing step by step by disease; Disease at county level accuses of centre's purchasing directly, grade inoculate the unit and accuse of centre's getting from disease in the county in the villages and towns; Villages and towns grade ( Community) Unit purchases the immunization campaign by oneself; This grade of government bids and purchases. Chuan Zhao tell reporter whether through how long break-in, several district adopt a kind of compromise mode, namely with the county ' District) One grade of diseases accuses of the centre as the transfer station, class II vaccine source, a part accuses of organization's entering from higher authorities' disease, some is bought by oneself. "Enter from higher authorities, a face that give, once inoculate and unusually react, higher authorities can come to deal with. Purchase some, have a few profits too oneself by oneself. " Plan the committee member of expert's consultative committee in the Zhuo 's with thinking in immunity of Ministry of Public Health, by the look of actual operation, in the mode of state monopoly for purchase and marketing, vaccine accuses of the operation within the system at disease, there are a set of intact cold chain systems, many provincial diseases accuse of centre's still specially establishing vaccine to provide and deliver the company, its quality, security have guarantee. But if class II vaccine is purchased by province, because purchase in large quantities, once supervise uncompletely, is very prone to the corruption, and is suspected of monopolizing. Shanxi vaccine incident that appeared not long ago, a very important fuse was that disease in the province accused of the supply that the centre attempts to monopolize class II vaccine of the whole province. And the corrupt nest case that accused of the centre in Guangdong Province disease several years ago is warned, if accuse of the circulation mode of class II vaccine of state monopoly for purchase and marketing of the organization to disease scarcely to supervise effectively, vaccine is very easy to become corrupt" The etiology " . However, if class II vaccine totally breaks away from disease and accuses of the operation within the system, it is apt to bring the hidden danger to vaccine security again. While interviewing, many insiders have mentioned to be supervised in two inferior rabies vaccine manufacturers that the administration bureau punished by national food medicines recently. "Very lucky, two kinds are inferior there aren't one vaccine here. " In mid-April, some disease of provincial capital in the middle part accuses of the person in charge of the centre to tell reporters, "because we have realized for a long time they may meet accident. " He explains, as the user, disease has no technological means to prove accurately to accuse of the centre and inoculate the unit the true and false of vaccine is good and bad, so long as there are national formal written instructions or comments, qualified survey report, can buy. However, the vaccine prices of rabies of these two enterprises are much lower than that of other producers, and the commercial network is confused. "So, we propose subordinate disease accuse of and inoculate the unit and had better not buy these two home of vaccine while having a meeting. Come to look now, the original decision is very correct! " Zhao Chuan thinks, the sufficient competition of the market can reduce the price of class II vaccine, this is the side favorable to the public. However, must realize, to inoculate the unit to accuse of centre and villages and towns to a lot of diseases at county level, class II vaccine is the important means of creating income, so, it becomes " unique skill " that some enterprises promote in the basic unit that the price is low . Under such a background, the interests of the two reach unanimity, for the money, vaccine is safe and is probably missed. This too disperses the critical defect purchased and sold at present. The task of top priority is to guarantee the system is implemented in recent years, the consumption of market of class II vaccine of our country keeps increasing constantly. The statistics show, 20 It already exceeds 200 million pharmaceuticals to criticize the issuing amount in 09, market value is nearly 5 billion yuan. From the vaccine thing of Anhui Province Si county in 2005? 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Prevent the corruption from depending on rational system design, among them, it is to select to try hard to prevent the department or unit from monopolizing. In security, national relevant class II vaccine production, circulation, using,etc. have a set of strict management systems, involve a plurality of government departments such as State-owned Assets Supervision and Administration Commission, medicine supervising, hygiene, the task of top priority is to guarantee these systems are fulfilled. For accusing of the organization, inoculating the unit in disease, store and transport links in vaccine, must check apparatus, time and the intersection of temperature and the intersection of person who record and materials that vaccine transport, store strictly receive, distribute, supply vaccine step by step, and do well and record, especially should notice the vaccine apparatus of warehousing and transportation must fulfil requirements; Send and register links in the vaccine neck, relevant identification and copy offer or verify according to the regulation strictly, the record filling in vaccine and buying, distributing, supplying truly and completely, and keep for 2 years to exceed the validity of vaccine for reference; Inoculate link, should implement norm inoculate according to regulation strictly, inoculate class II vaccine must insist voluntary principle of planting etc.. To the supervision of the vaccine distributor, besides refrigerating focal points such as qualification,etc., should also work hard in managing and examining annually etc., prevent vaccine not up to standard from flowing into the market.

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