Our army aims at the future battlefield needs and creates the "information sword" behind-the-scenes hero

On August 17, the Chinese special warfare team rounded up the "terrorists" after the plane landed and rescued the hostages. Xinhua News Agency reporter Li Gangshe
The military representatives of a military agency of the Communications Department of the General Staff Department aim at the needs of the future information battlefield, actively explore new modes of equipment support, and become the behind-the-scenes heroes of our army’s "information sword".
■ Aiming at the modern battlefield: changing "fighting independently" into "cross-system cooperation"
[Past Playback] Near the Spring Festival, in order to test the tactical performance of a certain type of communication equipment in plateau and cold areas, the comrades in Shenzhen Military Representative Office came to a plateau test base. The motor starts, the power is turned on, the green light flashes frequently, and all indicators are normal, but it is impossible to contact. Test and adjust, record data, find faults … Take turns to go into battle, fighting for 6 days and nights, they can’t find the reason, so they have to ask for help from their superiors.
[Click today] In the initial assembly of a large-scale equipment system, the military representatives in charge, Gu Yuheng and Lv Yan, successively reviewed more than 4,000 documents and 2,000 drawings, found 83 quality problems and put forward 8 quality improvement suggestions.
In recent years, communication equipment has been transformed into a large-scale complex system integrating optics, machinery and electricity, and the requirements for military representatives are getting higher and higher. To this end, they hold training courses to encourage everyone to study professional knowledge and high technology. Tian Jiuchang, political commissar of the bureau, told the reporter that at present, 90% of the military representatives of the bureau have obtained the qualification certificates of internal auditors, 19 comrades have obtained the qualification certificates of external auditors, and nearly half of the military representatives have obtained master’s degrees.
■ Aiming at joint operations: changing "installation management" into "standard specification formulation"
[Past Playback] Late at night, everything was silent. An engineer in a military representative office in Tianjin endured a stomachache to test the technical performance of a certain type of communication equipment. He couldn’t help sighing: "Because there is no uniform quality standard, every one should be inspected with all his heart and effort!"
[Click Today] A certain communication vehicle has passed the indoor acceptance index, but its calling distance is obviously less in the field. After demonstration, the military representative found that the reason was that the indoor inspection standard was low. As a result, Yuan Xin, the general representative, led the military representatives and manufacturers to upgrade and improve the technical standards, effectively expanding the communication distance.
Modern warfare is a confrontation between systems in a complex electromagnetic environment. To this end, all kinds of equipment must be standardized to ensure interconnection, interoperability and interoperability in combat. According to Zhang Jin Shan, director of the Bureau, during the Tenth Five-Year Plan period, they organized and formulated more than 50 laws and standards, compiled 41 national military standards, and strictly audited the quality management system of the contracting units, checked for missing parts, and upgraded the version. Established a quality file covering thousands of raw materials, original devices, supporting products and other components.

Night shooting training of Chinese Army wheeled infantry fighting vehicles [data picture] ■ Aiming at the forefront of information technology: changing "hardware-oriented" to "both hardware and software"
[Past Playback] In 1996, a large-scale communication network system of the whole army conducted a joint test in Chengdu, and military representatives found that the network was unstable. After half a year, they found that 70% of the problems came from software design defects, because there was no unified standard. With the support of higher authorities, a military representative office in Chengdu started the research on "Quality Supervision Standard of Military Communication Software". Two years later, their achievements filled the gap of the whole army.
[Click Today] In 2003, in the development of a large-scale integrated network system, a military representative office in Chengdu used the advanced software engineering management model to track, monitor and review the quality of dozens of software contractors throughout the whole process, and the initial sample joint test was successful in one fell swoop, marking that the software engineering management of our army has reached the domestic advanced level.
In a sense, software has become the soul of information equipment, but how to check the quality has always been an international problem. At the beginning of 2000, with the support of superiors, the bureau organized more than 10 military representative offices and dozens of technical backbones, including Chengdu, and led by Du Lihua, chief engineer, took the lead in carrying out related research on software engineering management in the whole army. In 2006, their "Research and Construction of Engineering Management of Certain Equipment Software" won the first prize of military scientific and technological progress and became a "green paper" to guide the quality management of equipment software in the whole army. (People’s Liberation Army Daily/Cheng Gang Zhang Japanese Army Wang Qingsong)

Editor: Cao Jin

Jiangling Ford New Energy Lingrui plug-in hybrid is "worth seeing" and I recommend you to try it.

In the competition with the same class models, it is worth mentioning in terms of space performance. Let’s take you to appreciate its style.

Let’s take a look at the appearance of the plug-in hybrid of Lingrui. The overall appearance of the plug-in hybrid front of Lingrui is unique and looks more dynamic. Coupled with simple headlights, the visual effect is still good. The car is equipped with LED daytime running lights, automatic opening and closing, adaptive far and near light, delayed closing and so on. Come to the side of the car, the car body size is 4685MM*1935MM*1710MM, the car uses simple lines, and the side circumference gives people a very fashionable and dynamic feeling. With large-sized thick-walled tires, it gives people a very simple feeling. In the design of the rear end, the rear end and the front end echo each other from a distance, and the taillight style is relatively young and individual, creating a good gas field.

In the plug-in hybrid car, the plug-in hybrid interior looks very fashionable and elegant, highlighting the hierarchical effect. The car looks very good outside the steering wheel, and it is made of genuine leather, so it feels good. Take a look at the central control. The car is equipped with a touch-sensitive LCD central control screen with young personality, which makes the interior style impressive and conforms to the mainstream aesthetics. The dashboard and seats are equally eye-catching. The car is equipped with a simple dashboard, and the information is easy to read and clear. The car uses leather seats, which are wide and thick and very comfortable to ride.

The car is equipped with car networking, driving mode selection, remote control key, Bluetooth key, NFC/RFID key, rear wiper, interior atmosphere light and other configurations, which greatly improves the convenience of using the car.

To sum up: SUV has an atmospheric appearance, good spatial performance and high cost performance. I wonder if you are interested in it.

Industry 4.0: Three Directions of Digital Supply Chain

  Focus on cutting-edge scientific and technological innovation and upgrading of traditional industries

  The Industrial 4.0 Revolution sweeping the world has affected almost every industry, including the supply chain management of all industries.

  In the past, supply chain management was a headache for all industries, because the traditional supply chain involved a lot of fuzzy and inaccessible data, which swallowed up cost, time and patience like a "black hole". Industry 4.0 will give birth to a new digital supply chain and realize more complex and streamlined supply chain management.

  Digital supply chain is an important direction of industrial solutions and business processes in the future, including not only logistics, warehousing, transportation, but also engineering, research and development, manufacturing and asset management.

  With the application of many innovative technologies such as artificial intelligence, Internet of Things and blockchain in the supply chain, the traditional supply chain management is rapidly moving towards digitalization, intelligence and controllability.

  1. Cross-platform asset tracking that connects everything

  At present, GPS positioning is a mature technology with low price and low management cost, which is widely used in various fields. Through sensors connected to various assets or vehicles, the location and general time planning of assets can be obtained.

  Enterprises can track assets through bar codes and tracking numbers, and know where products and goods are being shipped. However, this kind of tracking and monitoring is far from accurate, and it will still bring many problems and inconveniences.

  For example, after shopping on the e-commerce platform, the logistics information shows that "the courier is delivering the goods", but we can’t know whether the courier will deliver it within the next hour or within three hours.

  In the industrial field, this inaccurate or delayed logistics distribution will bring some confusion to the production of enterprises, and even cause the production line to stop. Especially for manufacturers who pursue zero inventory, zero inventory not only refers to the timely delivery of final products, but also includes the inventory management of raw materials and equipment needed for production.

  Therefore, more accurate asset tracking technology will be an important direction of digital supply chain in the future. Hans Thalbauer, senior vice president of SAP, said, "We should not only create connections for goods, but also create connections for business partners. We need to connect not only suppliers, but also suppliers of suppliers. "

  The future digital supply chain should not only connect all links in the supply chain, but also connect all factors that affect logistics distribution, such as weather, natural disasters, road infrastructure, regional economy and even political influence, so as to minimize risks.

  For example, last year’s hurricane, which caused great damage to the American economy, affected the distribution of some suppliers’ goods, causing some automakers to shut down production. If we can get the news from the supply chain that "my supplier’s factory in Japan is affected by the earthquake and will stop production in the next two weeks", manufacturers can purchase products from suppliers in other parts of the world in time.

  2. Timely production and forecast monitoring

  As early as several decades ago, Toyota Motor Corporation initiated the concept of just in time to alleviate the problem of lack of cash, land and large inventory. Through the accurate management system, the response time of suppliers is shortened and the investment in process inventory is reduced.

  But the basis of timely production is that all parts and raw materials must arrive on time. On the automobile assembly line, the shortage of any part will affect the normal production of the production line. If the distribution of parts is delayed, it may lead to product quality problems or even downtime; If the delivery is too early, the factory is not ready to receive it, which will increase the cost of inventory management.

  In order to meet the production needs of large manufacturers, OEM will have strict delivery response time to ensure that parts can arrive at suppliers on time. However, this will bring great production pressure to suppliers. On the one hand, suppliers have to invest a lot of money in expedited transportation, and at the same time, in order to avoid the penalty of downtime caused by delayed transportation, suppliers must also maintain a certain amount of spare parts inventory.

  Therefore, timely production can improve the production efficiency of OEM manufacturers, but it will lead to low efficiency of suppliers, thus increasing the cost of parts.

  This requires the future digital supply chain to have the machine learning ability of real-time prediction. Through digital connection, it can realize predictive quality management, predictive manufacturing and predictive maintenance, improve the efficiency of production and distribution, and reduce costs.

  3. Blockchain and traceability

  The advantages of security, trust, traceability and controllability make blockchain one of the most potential new technologies. By creating a safe and transparent ledger system, all relevant stakeholders in the supply chain, such as manufacturers, retailers, logistics service providers and regulatory agencies, are brought into the same management platform, making the whole management process credible and transparent.

  In recent years, many start-ups that use blockchain technology to reshape supply chain management have been born. At the same time, traditional logistics giants have also begun to explore the application path of blockchain.

  For example, the shipping giant Maersk cooperated with IBM to develop the TradeLens blockchain platform, aiming at improving logistics efficiency and simplifying the documentation of global container transportation. After testing, the handling capacity of shipping documents is reduced by 10 times, and the transportation time is reduced by 40% on average. At present, nearly 100 partners around the world have joined the platform.

  Through opening up, blockchain technology can effectively prevent price fraud, transportation delay and payment delay, eliminate middlemen and effectively reduce transaction costs.

  In the industrial field, although the blockchain is still in the experimental and exploratory stage, once it is deeply integrated with industrial production, it will play an important role in future industrial production and digital supply chain.

  In the future, all kinds of new technologies will allow us to look at every link of the whole supply chain more rationally from the digital point of view, and help us to continuously improve our production, analysis, maintenance and forecasting capabilities.

  As Hans Thalbauer, Senior Vice President of Supply Chain and Internet of Things of SAP Company said, "This is a digital mirror. It is the digital twin of products, the twin of assets and a mirror of the world. This allows us to start the dynamic adjustment process. We hope to create a digital mirror image of the real world in this environment. "

This article first appeared on WeChat WeChat official account: Capital Lab. The content of the article belongs to the author’s personal opinion and does not represent Hexun.com’s position. Investors should operate accordingly, at their own risk.

(Editor: HN666)

How to charge new energy vehicles scientifically, do you understand?


Nowadays, there are more and more new energy sources. For many concerned car owners, how to carry out car maintenance, especially battery maintenance, has become a hot topic. Broadly speaking, charging is divided into three categories.

First, slow charging: almost all household charging piles belong to this category, because considering the overall voltage distribution of the community, it is generally controlled below 10w (Tesla is slightly higher). This method has relatively slow charging speed and takes a long time to fully charge the battery, but it has high charging efficiency and less loss on battery life.

The second is fast charging: the charging speed is very fast, and it usually takes about half an hour to fully charge the battery. However, the fast charging method has a great loss on battery life and needs to be used with caution.

Third, intelligent charging: intelligent charging is a charging method that can be automatically adjusted according to the battery state, charging voltage and charging current. This charging method can avoid the problems of overcharge and overdischarge to the greatest extent and protect the life of the battery.

The practice of stopping charging when charging to 80%-90% or the remaining 20% is mainly aimed at battery maintenance. In this case, keeping the battery in the range of 20%-80% is beneficial to the health of the battery. Because in this range, the state of charge (SOC) of the battery fluctuates little, which can effectively avoid deep discharge and full charge storage, thus delaying the aging speed of the battery.

For some new battery management systems, charging to 100% and discharging can give full play to the performance of batteries. The function of this management system includes actively balancing the battery charge to ensure that the SOC of each battery cell is consistent. In this way, the overall performance of the battery can be better played. For example, some electric bicycles feel that their battery life drops after being placed for a period of time, but after being used for a period of time, they feel that their battery life is back, which is the same reason. In the final analysis, new energy trams are electrical appliances, and for electrical appliances, they still need to be maintained frequently.

The correct charging method depends on your usage scenario and the function of the battery management system. If you pay attention to the life of the battery, it is a better choice to control the battery charge at 20% to 80%. But if you pursue the performance of the battery, charging to 100% and discharging it are more suitable for you.

At the same time, it is also very important to ensure that the charging environment of electric vehicles is dry, well ventilated and free of sundries, and to avoid charging in high temperature environment. Try to use original chargers, and avoid using poor quality chargers or non-original chargers. Inferior chargers or non-original chargers may have safety problems, which may lead to battery explosion and spontaneous combustion.

It is helpful to maintain the battery by deep discharge on a regular basis. In addition, frequent disassembly and assembly of the battery may lead to improper use of the battery and shorten its service life.

Financial observation: trade policy is "fiercer than tiger". American enterprises are miserable and embarrassed

  Xinhua News Agency, Washington, June 13 th, financial observation: Trade policy is "fiercer than tiger" and American enterprises are miserable and embarrassed

  Xinhua News Agency reporter Xu Yuan

  The destructive trade policy of the American government is becoming the biggest threat to the development of American enterprises. In recent days, from enterprises to trade associations, from large companies to small and medium-sized enterprises, business people have criticized the US government’s protectionist measures.

  On behalf of 661 American enterprises and trade associations, the American lobbying organization "Tariffs Hurt the Hinterland of the United States" sent a letter to US President Trump on 13th, urging the US government not to impose tariffs on goods imported from China, and to return to the negotiating table to reach a solution with China.

  The open letter warns that American enterprises and trade associations are worried about the situation of tariff escalation. The increase in tariffs and the uncertainty surrounding Sino-US trade negotiations have caused market turmoil and posed a threat to the US economy.

  According to the survey released by the Business Roundtable composed of executives of large American enterprises on the 12th, the "Economic Outlook Index" fell by 5.7 points to 89.5 points in the second quarter. This index reflects the sales expectations, capital expenditures and recruitment plans of American business executives for the next six months, and shows that American business circles are increasingly uneasy about the direction of US trade policy.

  "(The US government’s trade policy) is increasing the risk of bad economic results," said Jamie Dimon, CEO of JPMorgan Chase and chairman of the Business Roundtable at the press conference that day. "The uncertainty of trade policy, the weak global economic growth and the inaction of the US government on other urgent public policy issues are worrying."

  Tom Linebarger, chairman and CEO of Cummins, an American engine manufacturer, said that "trade (policy) is the most terrible threat to enterprise growth". He said that imposing tariffs on China’s goods exported to the United States would increase consumers’ costs and reduce the competitiveness of American enterprises.

  American financial data software company predicts that due to the uncertain tariff policy and global economic prospects, for those multinational companies whose sales are more than half from outside the United States, their profits in the second quarter may drop by 9.3%. The company expects that Apple’s profit may drop by 14.6% in the second quarter, and Boeing’s profit may drop by as much as 43.7%.

  The U.S. government previously announced that the tariff rate on the $200 billion list goods imported from China will be increased from 10% to 25% from May 10, 2019. The U.S. government also threatened to impose a 25% tariff on the remaining about $300 billion of goods exported from China to the United States, involving many end consumer goods.

  Lorraine Hutchinson, an analyst at Bank of America Merrill Lynch, predicts that tariff escalation will lead to growth risks for American retail enterprises such as clothing. According to the semi-annual survey recently released by institute for supply management, about 59% of American enterprises indicated that increasing tariffs would lead to higher product prices. Wal-Mart, an American retail giant, also said that tariffs will force it to raise the retail price of goods.

  Tariffs not only hit large enterprises, but also make life more difficult for small enterprises. USA Today reported a few days ago that the negative impact of tariffs has exhausted the energy of many small American enterprises because their cost digestion ability is worse than that of large enterprises. Adjusting the supply chain will cost hundreds of thousands or even millions of dollars, which is unbearable for many small enterprises.

Bombing Macron "stupid", Trump released a meaningful sentence.

  [Global Network Reporter Li Dongyu] "Although I don’t drink, I always prefer American wine to French wine." On July 26, local time, when Trump once again issued a tariff threat to French-made wines, he used this sentence to express his support for domestic wines.

  As a response to France’s recent announcement to levy a digital service tax on global technology giants, according to The New York Times, Trump first said on Twitter on the 26th, "France has just imposed a digital tax on our great American technology companies. If someone wants to tax them, it should also be their motherland — — America. "

  Then, he added, "We will soon announce substantive reciprocal action against Macron’s foolish behavior."

  Interestingly, Trump did not explicitly say what to do, but then meaningfully threw out a sentence, "I have always said that American wine is better than French wine!"

  The New York Times said that shortly afterwards, Trump made another speech at the White House that day, further expounding the threat to France, saying that the French tax was "wrong" and his government was studying a possible wine tax. Trump told reporters, "Although I don’t drink, I always prefer American wine to French wine."

  The New York Times said that this week, French President Macron signed a bill to impose a new digital tax on technology giants, and global Internet giants such as Facebook, Google and Amazon became potential targets. The tax rate is as high as 3%. The US Consumer News and Business Channel (CNBC) said that the Trump administration subsequently launched the 301 investigation under the Trade Act of 1974.

  CNBC said that if after the investigation, the United States determines that this new tax is discriminatory or unreasonably targeted at American companies, Trump may respond with tariffs. Trade experts believe that Trump’s most likely response is to the French iconic product — — There is a 100% (import) tariff on wine.

  "The Trump administration has always stated that it will not stand by and tolerate discrimination against American companies." This is what White House spokesman Judd Deere said in a statement on the 26th local time. The statement criticized France’s tax policy, but did not give any new details about what retaliatory measures the United States might take. Deere said that the government is "closely watching all other policy tools" except the investigation, so as to decide how to respond to France.

  In the face of the tough stance of the United States, according to Agence France-Presse reported on 26th, French Economy Minister lemerre once said that Paris was not scared. "A universal tax on digital activities is a challenge for all of us. We hope to reach an agreement within the G7 and the OECD. At the same time, France will implement its own national decisions. "

140 billion US dollars, 9%, foreign companies have been deeply involved in the China market to "invest in China" and achieved success.

  CCTV News:On June 24th, the Dialogue on Investing in China CCTV Financial CBD Multinational Corporations, jointly sponsored by China Central Radio and Television General Station and China Council for the Promotion of International Trade, was launched in Beijing. At the event site, heads of relevant state ministries and commissions, executives of 49 multinational companies, representatives of more than 10 international organizations, mayors of hot investment cities and authoritative experts in the industry gathered together to discuss new opportunities for investment in China.

  On-site guests: The event shows the latest achievements of China’s comprehensive deepening reform. Walking with China is walking with opportunities.

  At the event, the guests agreed that the new development of China has brought new impetus and new opportunities to the world.

  Huang Hanquan, president of the Macroeconomic Research Institute of the National Development and Reform Commission, said that the Dialogue on Investing in China CCTV Financial CBD Multinational Corporations showed an important window for China to comprehensively deepen the latest achievements of reform, and also provided an important platform for domestic and foreign enterprises to understand policies and increase exchanges. Walking with China is walking with opportunities; Investing in China means investing in the future. China economy is the main "engine" and "stabilizer" of world economic growth. At the same time, China is now accelerating the cultivation and development of new quality productivity, which will provide foreign-funded enterprises with new technologies, new equipment, new services and other market demands.

  On-site guests said that in recent years, many multinational companies have achieved success by "investing in China". Now, a large number of multinational companies are still optimistic about the long-term potential of the China market, and are willing to continue to invest in China, deeply cultivate China and develop together.

  Tang Yadong, secretary general of the European Union Chamber of Commerce in China, said that he had heard many successful stories of European companies in China and listened to their optimistic prospects in the market. He thinks it is very important for enterprises to know China. European companies see opportunities in China and enjoy the dividends. China has been opening its market and will continue to open it, and they hope this situation will continue.

  Shi Mingde, chairman of the Asia-Pacific Tourism Association, said that he was very confident that China would continue to develop and prosper in tourism and the overall economy. The whole world is going through challenging times, but looking ahead, he is very optimistic about the future of China.

  Sing the chinese’s bright economy on foreign-funded enterprises optimistic about China plus China

  Over the years, many foreign-funded enterprises have achieved success by "investing in China". At the event, when interviewed by reporters, many executives of foreign-funded enterprises were generally full of confidence in China’s economic prospects, hoping to seize the opportunity and actively invest in China to achieve mutual benefit and win-win results.

  The reporter learned that multinational companies that came to the event site have invested in five continents and gathered advanced productivity in aerospace, biopharmaceuticals and other fields. Some of them have been deeply cultivated in China for more than a hundred years, constantly increasing capital and expanding production, forming the "China practice" of global development; Others rely on China manufacturing to speed up the upgrading of industrial chain and run out of the "China speed" of high-quality development.

  Shi Nathan, global vice president of Cummins and chairman of Cummins China, said that the scale of China market is the largest in the world, not only for them, but also for the whole market. If you want to be a global player, you must participate.

  The data shows that from January to May 2024, newly established foreign-funded enterprises nationwide increased by 17.4% year-on-year, and the actual use of foreign capital reached a historical high. Many heads of foreign companies said that China’s perfect infrastructure, complete industrial base, complete supply chain, convenient logistics and transportation, and huge consumer market are the continuous driving forces for them to invest in China and take root in China. They are concerned about China’s accelerating the development of new quality productive forces and further expanding the pace of high-level opening to the outside world. They are optimistic about the long-term potential of the China market and are willing to continue to invest in China and deeply cultivate China.

  Xu Xinxiong, global CEO of Tencel Group in Thailand and vice president of Thailand Chamber of Commerce in China, said that China is developing very fast, not only with high speed, but also with high quality, and they see more opportunities here.

  Mark Mann, president of Danish Gryffindor China, said that investing in China means investing in innovation and sustainable development. They will continue to invest and maintain a good positioning, so as to continue to promote the high-quality growth of business partners and society.

  Interpreting policies, increasing trust and dispelling doubts, government departments and foreign-funded enterprises talk about development together

  On the day of the event, the government-enterprise dialogue meeting of foreign-funded enterprises was held simultaneously. In view of the concerns in investment and operation in China, a number of relevant department heads interacted with foreign-funded enterprises on the spot.

  During the dialogue, heads of relevant departments such as the Ministry of Foreign Affairs, the Ministry of Finance, the Ministry of Agriculture and Rural Affairs, the General Administration of Customs, and the State Administration of Market Supervision interpreted policies on the spot, increased trust and dispelled doubts, and answered the questions and demands of more than 20 heads of multinational enterprises from 12 countries and regions with more accurate policy tools.

  Foreign-funded enterprises are important participants, witnesses and contributors to the rapid economic development in China. Foreign-funded enterprises have been deeply involved in the China market, which has accelerated their own growth and gained returns.

  Data show that in the past ten years, China has introduced about 140 billion US dollars of foreign capital every year on average. In the past five years, the rate of return of foreign direct investment in China is about 9%, which is at a high level in the world. On-site guests said that China is promoting Chinese modernization in an all-round way with high-quality development, accelerating the development of new-quality productive forces and steadily promoting institutional opening, which will provide a better business environment and stronger support for foreign-funded enterprises to invest in China with peace of mind.

  Ren Hongbin, president of China Council for the Promotion of International Trade, said that the advantages of market, industry, talents and innovation will not change the fundamentals of China’s long-term economic development, which will bring new broad opportunities for the development of foreign-funded enterprises.

Notice of the General Office of the People’s Government of Yunnan Province on Printing and Distributing the Long-term Plan for the Prevention and Treatment of Chronic Diseases in Yunnan Province (2017

State and municipal people’s governments, provincial committees, offices, departments and bureaus:

The Long-term Plan for the Prevention and Treatment of Chronic Diseases in Yunnan Province (2017-2025) has been agreed by the provincial people’s government and is hereby issued to you. Please implement it carefully.

General Office of Yunnan Provincial People’s Government

November 14, 2017

(This piece is publicly released)

Long-term Plan for Prevention and Treatment of Chronic Diseases in Yunnan Province (2017-2025)

In order to strengthen the prevention and treatment of chronic diseases in our province, reduce the burden of people’s diseases, and strive to ensure people’s health in an all-round and full-cycle way, according to the spirit of the Outline of Healthy China 2030, the Notice of the General Office of the State Council on Printing and Distributing the Long-term Plan for the Prevention and Treatment of Chronic Diseases in China (2017-2025) (Guo Ban Fa [2017] No.12) and the Outline of Healthy Yunnan 2030.

I. Planning objectives

By 2020, the prevention and control environment of chronic diseases in the province will be significantly improved, and efforts will be made to reduce the premature mortality rate caused by chronic diseases, and strive to reduce the mortality rate of people aged 30-70 due to cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes by 10% compared with 2015. By 2025, the risk factors of chronic diseases in the province will be effectively controlled, and efforts will be made to realize the health management of the whole population and the whole life cycle, and strive to reduce the mortality rate of people aged 30-70 due to cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes by 20% compared with 2015. Gradually improve the healthy life expectancy of residents and effectively control the burden of chronic diseases.

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Second, the main task

(1) Strengthen health education and improve the health quality of the whole people.

1. Carry out national education on the prevention and treatment of chronic diseases. Establish and improve the health education system, popularize health science knowledge such as prevention and treatment of chronic diseases, and educate and guide the masses to establish a correct health concept. The Provincial Health and Family Planning Commission organized experts to compile scientific and practical knowledge and information guides for the prevention and treatment of chronic diseases, which were released to the public by professional institutions. Make full use of mainstream media and new media to carry out various forms of publicity and education on the prevention and treatment of chronic diseases, and widely publicize health science knowledge such as reasonable diet, moderate exercise, smoking cessation and alcohol restriction, and psychological balance. Organs, enterprises and institutions should regularly organize lectures on health knowledge of occupational groups, and towns (streets) should carry out targeted health publicity and education according to the characteristics of different groups of people. The Provincial Health and Family Planning Commission, together with relevant departments, organized and implemented activities such as the nationwide health literacy promotion campaign in our province and the healthy trip to Yunnan to enhance the effect of health education. By 2020 and 2025, the awareness rate of core knowledge of key chronic diseases among residents will reach 60% and 70% respectively. Provincial Health and Family Planning Commission takes the lead; Provincial Education Department, Press, Publication, Radio, Film and Television Bureau and Information Office cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Advocate a healthy and civilized lifestyle. Innovate and enrich prevention methods, implement the concept of zero-level prevention, and comprehensively strengthen the education of health knowledge and behavior in kindergartens, primary and secondary schools, such as nutritional balance, oral health care, and vision protection, so as to move forward the barrier of prevention work. Vigorously implement the "Colorful Yunnan National Fitness Project", guide the broad masses of people to regard physical and mental health as an important ability for individuals to develop in an all-round way and adapt to society, and consciously establish a personal development concept that is proud of participating in physical fitness and having a strong body, so that physical fitness can become the basic lifestyle of more people. Encourage organs, enterprises and institutions to establish a system of inter-work fitness, and organize staff sports meetings, brisk walking, health knowledge contests and other activities. Relying on village (neighborhood) committees, elderly associations, volunteers, social sports instructors, healthy lifestyle instructors, etc., scientifically guide the public to carry out self-health management. To further promote healthy lifestyle actions, the Provincial Health and Family Planning Commission, together with relevant departments, organized special actions of "reducing salt, oil, sugar, healthy mouth, healthy weight and healthy bones" and special actions to control tobacco hazards, developed and popularized appropriate technologies and support tools to enhance people’s ability to maintain and promote their own health.(Provincial Health and Family Planning Commission takes the lead; Provincial Education Department, Sports Bureau, Provincial Federation of Trade Unions, Communist Youth League Committee and Provincial Women’s Federation cooperate; The state and municipal people’s governments are responsible for the implementation)

(B) the implementation of early diagnosis and early treatment to reduce the risk of high-risk groups.

1. Carry out early detection of chronic diseases. Further strengthen the implementation of the first diagnosis and blood pressure measurement for people over 35 years old, find hypertensive patients and high-risk groups, and provide timely intervention guidance. Community health service centers and township hospitals gradually provide services such as blood sugar and blood lipid testing and oral preventive health care. Gradually list the disease screening technology that is clinically diagnosable, treatable, acceptable to the masses and affordable by the government as a public health measure. Early diagnosis and treatment of cancers with mature screening techniques such as lung cancer, upper digestive tract cancer and cervical cancer will be gradually carried out in high-risk areas and high-risk groups. Strengthen the standardized management of health checkups, improve the system of health checkups for students, improve the quality of health checkups for the elderly, promote the screening rate of chronic diseases such as cancer, stroke and coronary heart disease, and incorporate oral health checkups into routine physical checkups. (Provincial Health and Family Planning Commission takes the lead; Cooperate with the Provincial Department of Education and the Department of Finance; The state and municipal people’s governments are responsible for the implementation)

2. Strengthen personalized health intervention. Relying on professional public health institutions and medical institutions, we will set up a smoking cessation consultation hotline, establish a smoking history system for the first consultation, provide short smoking cessation intervention and smoking cessation clinics, and improve the ability of smoking cessation intervention. Promote the integration of sports and medicine, and sports administrative departments at all levels set up national physical fitness monitoring centers in qualified institutions to provide professional guidance services for sports health. Community health service centers and township hospitals gradually carry out risk assessment and intervention guidance for high-risk groups of chronic diseases such as overweight and obesity, elevated blood pressure and blood sugar, and dyslipidemia, and provide consulting services such as balanced diet, physical activity, and physical identification. Encourage patients with chronic diseases and high-risk groups to be vaccinated with cost-effective vaccines such as pneumonia and influenza. Strengthen the intervention of periodontal disease, dental caries and other common oral diseases, and implement oral health care measures such as local use of fluoride for children and pit and fissure sealing, so that the caries rate of 12-year-old children is controlled within 30%. Pay attention to the guidance and intervention of common chronic diseases, oral diseases and mental health of the elderly. Explore and develop employee health management services that integrate chronic disease prevention, risk assessment, follow-up and intervention guidance.(Provincial Health and Family Planning Commission takes the lead; Provincial Sports Bureau and Provincial Federation of Trade Unions cooperate; The state and municipal people’s governments are responsible for the implementation)

(3) Strengthen standardized diagnosis and treatment to improve the therapeutic effect.

1. Establish a scientific and reasonable grading diagnosis and treatment system. Priority will be given to bringing patients with chronic diseases into the contracted service scope of family doctors, actively promoting the graded diagnosis and treatment of patients with hypertension, diabetes, cardiovascular and cerebrovascular diseases, tumors, chronic respiratory diseases, etc., forming a reasonable medical order of primary diagnosis, two-way referral, up-and-down linkage, and rapid and slow division, and improving the treatment-rehabilitation-long-term care service chain. Guide tertiary public hospitals to gradually reduce the number of general outpatient clinics, focusing on the development of diagnosis and treatment of critical and difficult diseases. Improve various modes of division of labor and cooperation such as medical consortium and medical group, and improve the overall performance of the service system. Gradually improve the two-way referral procedure, focus on unblocking the downward referral channels for patients in chronic and convalescent periods, and realize orderly referral between different levels and different types of medical institutions.(Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

2. Effectively improve the quality of diagnosis and treatment services. We will build an information platform for medical quality management and control, strengthen real-time management and control of chronic disease diagnosis and treatment services, and continuously improve medical quality and medical safety. Fully implement clinical pathway management, standardize diagnosis and treatment behavior, optimize diagnosis and treatment process, strive to shorten the time from the onset of acute cardiovascular and cerebrovascular diseases to effective treatment, promote the application of individualized standardized treatment programs for cancer, and reduce patient mortality. Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

(D) to promote the coordination of medical care and prevention, and realize the whole process of health management.

1 to strengthen the capacity building of institutions and teams for the prevention and treatment of chronic diseases. Give full play to the role of chronic disease prevention and control experts in policy consultation, monitoring and evaluation, personnel training, technical guidance, etc., and establish provincial chronic disease expert committees to guide the prevention and control of chronic diseases in various places. The establishment of the provincial, regional and grass-roots TCM specialist disease diagnosis and treatment center composed of TCM specialist disease prevention and control system. State and municipal health and family planning administrative departments should specify a tertiary hospital to undertake technical guidance for the prevention and treatment of cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases, diabetes and other chronic diseases in the administrative area. Hospitals above the second level should be equipped with professionals to perform public health duties and do a good job in the prevention and control of chronic diseases. Grass-roots medical and health institutions should improve the capacity of public health services to meet the needs of chronic disease prevention and treatment. (Provincial Health and Family Planning Commission takes the lead; Provincial Development and Reform Commission and the Department of Finance cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Establish and improve the working mechanism of combining prevention and treatment of chronic diseases. Disease prevention and control institutions, hospitals and primary medical and health institutions should establish a cooperation mechanism with division of labor and complementary advantages. Disease prevention and control institutions are responsible for monitoring and epidemiological investigation of chronic diseases and their risk factors, implementation guidance of comprehensive prevention and control intervention strategies and measures, and assessment and evaluation of prevention and control effects; The hospital undertakes the registration report of chronic diseases, the diagnosis and treatment of critical and emergency patients, and provides technical support for primary medical and health institutions; Basic medical and health institutions specifically implement basic medical and health services such as population health promotion, high-risk group discovery and guidance, patient intervention and follow-up management. Strengthen cooperation between doctors and prevention, and promote the integrated development of prevention, treatment and management of chronic diseases. Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

3. Establish a long-term working mechanism for health management. Clarify the responsibilities of the government, medical and health institutions, families, individuals and other parties in health management, and formulate and improve the service content and service process of health management. Gradually incorporate appropriate technologies for early diagnosis and treatment of major chronic diseases such as cancer and stroke that meet the requirements into the routine diagnosis and treatment according to regulations. Encourage enterprises, charitable organizations, commercial insurance institutions and private medical institutions to participate in risk assessment, health consultation and health management of high-risk groups of chronic diseases through government purchase of services, and cultivate a health management service industry characterized by personalized service, membership management and holistic promotion.(Provincial Health and Family Planning Commission takes the lead; Provincial Development and Reform Commission and Yunnan Insurance Regulatory Bureau cooperate; The state and municipal people’s governments are responsible for the implementation)

4. Give full play to the role of traditional Chinese medicine in preventing diseases and promoting rehabilitation. Combine the advantages of traditional Chinese medicine with health management, and explore the health protection model of traditional Chinese medicine which integrates health culture, health management and health insurance. Encourage social forces to set up standardized TCM health care institutions and accelerate the development of health care services. Expand the service fields of Chinese medicine hospitals and qualified medical and health care institutions, and provide services such as Chinese medicine health consultation and evaluation, intervention investigation and follow-up management for the masses. Encourage medical institutions of traditional Chinese medicine and doctors of traditional Chinese medicine to provide technical support such as health consultation and conditioning for health care institutions of traditional Chinese medicine. With all kinds of medical institutions at all levels as the carrier, we will promote a healthy life and work style that integrates the concept of preventing diseases in traditional Chinese medicine, and vigorously spread the knowledge of traditional Chinese medicine and the easy-to-master TCM health care techniques and methods.(Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

(five) improve the security policy, and effectively reduce the burden of medical treatment for the masses.

1. Improve medical insurance and assistance policies. We will improve relevant policies such as overall planning of basic medical insurance clinics for urban and rural residents, and explore primary medical and health institutions to pay patients with chronic diseases in a per-head package. We will improve the differentiated payment policies for medical insurance in different levels of medical institutions, and promote the downward shift in the focus of chronic disease prevention and treatment and the sinking of resources. Develop diversified health insurance services, encourage qualified commercial insurance institutions to develop commercial health insurance products linked with basic medical insurance, and carry out insurance handling services related to various chronic diseases.(led by the Provincial Department of Human Resources and Social Security; Provincial Civil Affairs Department, Health and Family Planning Commission and Yunnan Insurance Regulatory Bureau cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Ensure the supply of medicines. Do a good job in the supply of drugs for major diseases and chronic diseases such as hypertension, diabetes, cancer and coronary heart disease in urban and rural areas, and reasonably reduce the purchase price. Strengthen the connection of drug use between hospitals above the second level and primary medical and health institutions. Give play to the role of social pharmacies in ensuring the supply of chronic diseases drugs at the grassroots level and improve the accessibility of drug supply. Elderly patients with chronic diseases can be prescribed long-term drugs for chronic diseases by family contracted doctors, and explore ways to meet patients’ drug demand.(Provincial Health and Family Planning Commission takes the lead; Provincial Human Resources and Social Security Department, Industry and Information Technology Commission and Food and Drug Administration cooperate; The state and municipal people’s governments are responsible for the implementation)

(6) Control risk factors and create a healthy and supportive environment.

1. Build a healthy production and living environment. Promote green and clean production, implement the employer’s main responsibility for occupational disease prevention and control, improve the working environment, strictly control dust and toxic hazards, strengthen occupational disease prevention and control, fully implement the action of improving urban and rural living environment, and strengthen the construction of public service facilities such as culture, science and education, leisure and fitness. Adhere to the concept of green development, strengthen environmental protection and supervision, implement the action plan for the prevention and control of air, water and soil pollution, implement comprehensive control of pollutants, and continuously improve the environmental air quality, drinking water source quality and soil environmental quality. In accordance with the unified arrangements of the state, cooperate with the establishment of environmental and health monitoring, investigation and risk assessment systems to reduce the impact of environmental pollution on health.(Provincial Development and Reform Commission, Education Department, Environmental Protection Department, Housing and Urban-Rural Construction Department, Water Resources Department, Health and Family Planning Commission, Safety Supervision Bureau and Sports Bureau are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

2. Improve the policy environment. Accelerate the promulgation of local laws and regulations on smoking control in public places in our province and increase the intensity of tobacco control. Strictly implement the national tobacco and alcohol tax policy and relevant laws and regulations that prohibit the sale of tobacco and alcohol to minors, so as to reduce the harmful drinking of residents. Strengthen food safety, adjust and optimize food structure, advocate dietary diversification, promote nutrition labeling, guide enterprises to produce and sell, and consumers to choose nutritious and healthy foods scientifically. (Provincial Health and Family Planning Commission, Legislative Affairs Office and Food and Drug Administration are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

3. Increase the creation of demonstration zones for comprehensive prevention and control of chronic diseases. Taking the construction of national and provincial demonstration zones for comprehensive prevention and control of chronic diseases as the starting point, we will cultivate and build a comprehensive prevention and control model for chronic diseases suitable for different regional characteristics. By 2020, there will be 45 provincial-level demonstration zones for comprehensive prevention and control of chronic diseases and 16 national-level demonstration zones. By 2025, there will be 60 provincial-level demonstration zones for comprehensive prevention and control of chronic diseases and 25 national-level demonstration zones. The construction of demonstration areas should be closely combined with the requirements of the establishment of healthy towns and the construction of healthy towns, integrated with graded diagnosis and treatment and contracted services of family doctors, comprehensively improve the construction quality of demonstration areas, play a leading role in strengthening the main responsibility of the government, implementing the work responsibilities of various departments, and providing chronic disease prevention and management services, so as to promote the overall improvement of regional chronic disease prevention and management level.(Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

(7) Coordinating social resources and innovating to drive the development of health service industry.

1. Mobilize social forces to carry out prevention and control services. Encourage, guide and support medical, physical examination, fitness, old-age care and health care institutions organized by social forces, as well as charitable organizations such as foundations, commercial insurance institutions, industry associations and internet enterprises to participate in medical services, health management and promotion, health insurance and related chronic disease prevention and treatment services in their respective regions through competitive selection, innovate service models, and promote the development of a health service system with full life cycle, rich connotation and reasonable structure. Establish a diversified fund-raising mechanism, broaden the investment and financing channels for public welfare undertakings for chronic disease prevention and treatment, and encourage social capital to invest in areas such as chronic disease prevention and treatment services and community rehabilitation.(Provincial Development and Reform Commission, Civil Affairs Department, Finance Department, Health and Family Planning Commission, Yunnan Insurance Regulatory Bureau is responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

2. Promote the integration of medical care and nursing. Promote the full-course prevention and treatment of chronic diseases, and closely integrate it with home, community and institutional pension. Promote old-age care institutions, communities and residents’ families to carry out health care, prevention and treatment of chronic diseases and rehabilitation care for the elderly, and maintain and promote the functional health of the elderly. Support qualified old-age care institutions to set up medical centers, and qualified general hospitals and traditional Chinese medicine hospitals to set up geriatric departments, increase the number of beds for the elderly, and provide priority and convenient services for the elderly to seek medical treatment. Encourage grassroots medical and health institutions to establish a contract service relationship with the families of the elderly, and carry out services such as on-site consultation, health check-up, health management, and health care. Encourage and guide commercial insurance institutions to actively establish a new type of old-age community integrating medical care and nursing through new construction and equity participation.(Provincial Health and Family Planning Commission takes the lead; Provincial Civil Affairs Department and Yunnan Insurance Regulatory Bureau cooperate; The state and municipal people’s governments are responsible for the implementation)

3. Promote the application of Internet innovations. Promote the integration of Internet and health industry, develop smart health industry, promote the deep integration of mobile Internet, cloud computing, big data, Internet of Things and health-related industries, make full use of information technology to enrich the means and work content of chronic disease prevention and treatment, promote the application of network services such as appointment diagnosis and treatment, online follow-up, disease management and health management, and provide high-quality and convenient medical and health services. Actively explore a new model of chronic disease health management service.(Provincial Industry and Information Technology Commission, Health and Family Planning Commission and Development and Reform Commission are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

4. Develop the fitness and leisure sports industry. Further optimize the market environment, cultivate multiple subjects, and guide social forces to participate in the construction and operation of fitness and leisure facilities. Promote the formation of a fitness and leisure industry structure with Kunming as the core, focusing on the "Kunming-Dali-Lijiang-Shangri-La" sports tourism development zone, the border cross-border sports industry cooperation zone, the northern mountain outdoor sports sector and the central fitness and leisure sector. Create a number of outdoor sports projects and brands with regional characteristics and independent intellectual property rights in our province, and form a number of sports industry clusters, sports tourism demonstration bases, sports leisure development zones and sports characteristic towns.(Provincial Sports Bureau takes the lead; The state and municipal people’s governments are responsible for the implementation)

(eight) to strengthen scientific and technological support, promote monitoring and evaluation and research and innovation.

1. Improve the monitoring and evaluation system. Integrate the monitoring information of single-disease and single-factor chronic diseases and their risk factors, further strengthen the death cause monitoring, tumor registration and cardiovascular disease reporting system, establish a network reporting platform for chronic diseases and nutrition monitoring information at the provincial, prefecture and county levels, gradually realize the real-time update of information on the incidence, illness, death and risk factors of key chronic diseases, and regularly publish monitoring information about chronic diseases. Take the state and city as the unit, basically find out the main chronic diseases, influencing factors and disease burden in the administrative area. A cohort study on nutrition and chronic disease risk factors, health intervention and disease management was carried out. Use big data and other technologies to strengthen information analysis and utilization, grasp the epidemic laws and characteristics of chronic diseases, identify major health problems, and provide evidence-based basis for formulating policies and strategies for the prevention and treatment of chronic diseases. Strengthen the monitoring of environmental quality, quality and safety of agricultural products, such as water, soil, air and other environmental media and workplaces, gradually realize cross-industry cross-departmental cross-level vertical reporting and horizontal exchange, and dynamically implement risk assessment and early warning of environmental, food and other factors and health. (Provincial Health and Family Planning Commission takes the lead; Provincial Environmental Protection Department, Agriculture Department and Food and Drug Administration cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Promote the transformation of scientific and technological achievements and the application of appropriate technologies. Strengthen the construction of provincial clinical medical research institutions and collaborative innovation networks and improve the research system of major chronic diseases. Guided by the integration of information, biology and medical science and technology, we will strengthen basic research, applied research and translational medicine research on the prevention and treatment of chronic diseases. Coordinate superior forces, promote research on pathogenic factors, pathogenesis, prevention and intervention, diagnosis and rehabilitation, medical devices, new vaccines and innovative drugs of chronic diseases, focus on breaking through key technologies of precision medicine, "internet plus Health Care" and big data, and support the popularization and application of new technologies and products such as genetic testing in the field of chronic disease prevention and treatment. In view of the chronic diseases with advantages of traditional Chinese medicine, this paper summarizes and forms the health intervention scheme of traditional Chinese medicine for chronic diseases and promotes its application. Combined with the needs of chronic disease prevention and treatment, we will select and promote mature and effective technologies for chronic disease prevention, diagnosis and treatment, rehabilitation and health care, and accelerate the transformation and application of results. Carry out research on social determinants and disease burden of chronic diseases, and explore effective ways to prevent and control chronic diseases. Actively participate in the exchange and cooperation in the prevention and treatment of chronic diseases in the aspects of professional training, information communication and sharing, prevention and treatment technology exchange and cooperation, and capacity building.(led by the Provincial Science and Technology Department; Provincial Health and Family Planning Commission, Food and Drug Administration, and Provincial Association for Science and Technology; The state and municipal people’s governments are responsible for the implementation)

Third, safeguard measures

(1) Strengthen organizational leadership. The people’s governments of prefectures and cities should give priority to people’s health, take the prevention and treatment of chronic diseases as the key content of building a healthy Yunnan and deepening the reform of the medical and health system, incorporate them into important livelihood projects, determine work objectives and assessment indicators, formulate local plans and implementation plans for the prevention and treatment of chronic diseases, strengthen organization and implementation, establish and improve the coordination mechanism for the prevention and treatment of chronic diseases, and regularly study and solve major problems in the prevention and treatment of chronic diseases.(State and municipal people’s governments are responsible)

(2) Implementing departmental responsibilities. Health and family planning departments should jointly organize the implementation of this plan with relevant departments and carry out supervision and evaluation. The financial department should implement the relevant funds in accordance with the requirements of the government’s health investment policy. The department of human resources and social security should further improve the relevant outpatient security policies and payment mechanisms, and give play to the role of medical insurance in controlling fees. Comprehensive coordination institutions for the prevention and treatment of major diseases at all levels should play an overall coordination role, and promote the departments of industry and information technology, education, science and technology, civil affairs, human resources and social security, environmental protection, urban and rural housing construction, agriculture, sports, safety supervision, food and drug supervision at the same level to perform their duties, thus forming a joint force for the prevention and treatment of chronic diseases.(The office of the joint meeting of the provincial prevention and control of major diseases takes the lead; The members of the joint meeting of the provincial prevention and control of major diseases are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

(3) Strengthen personnel training. We will improve policies and measures conducive to the training and use of talents, and strengthen the training of talents in the fields of health education, health management, medical care, public health, nursing, rehabilitation and Chinese medicine. Strengthen the cooperation between doctors and teachers, deepen the educational reform in colleges and universities, strengthen the education and training of medical students’ knowledge and ability in the prevention and treatment of chronic diseases, support the establishment of health promotion, health management and other related majors in colleges and universities, strengthen targeted continuing medical education, and focus on cultivating compound and practical talents in the prevention and treatment of chronic diseases. Improve the evaluation system of professional and technical titles, and promote the growth, development and rational flow of talents.(The Provincial Department of Education, the Department of Human Resources and Social Security, and the Health and Family Planning Commission are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

(4) create a good atmosphere. All localities and departments should widely publicize and maintain the major strategic ideas, principles and policies to promote people’s health, and publicize the great significance, objectives, tasks and strategic measures of implementing the comprehensive prevention and control strategy for chronic diseases. It is necessary to strengthen positive publicity, public opinion supervision, scientific guidance and typical reports, enhance the general understanding of the prevention and treatment of chronic diseases in society, and form a good atmosphere in which the whole society cares for and supports participation in the prevention and treatment of chronic diseases.(Provincial Health and Family Planning Commission takes the lead; Provincial Press, Publication, Radio, Film and Television Bureau and Information Office cooperate; The state and municipal people’s governments are responsible for the implementation)

Iv. supervision and evaluation

Relevant departments should perform their respective duties according to the division of tasks, keep abreast of the work progress, exchange information regularly, jointly carry out supervision and effect evaluation, conduct a mid-term evaluation of the implementation of the plan in 2020, and organize a final evaluation of the implementation of the plan in 2025. States and cities should establish a supervision and evaluation mechanism, organize and evaluate the progress and effect of planning implementation, regard the implementation of planning as an important matter of government supervision and supervision, and promote the implementation of planning objectives and tasks.(The office of the joint meeting of the provincial prevention and control of major diseases takes the lead; The member units of the joint meeting of the provincial prevention and control of major diseases cooperate; The state and municipal people’s governments are responsible for the implementation)

Crayfish meat shells belong to different garbage? July rumors focus on hot topics.

  When the summer heat hits the midsection, the weather is so hot that there is nowhere to hide. In the hot sauna days, eating crayfish and drinking a glass of cold beer, not to mention how pleasant it is, but recently people dare not enjoy it so much because of some rumors.

  The "classification map of crayfish after death" transmitted by the internet has made many people ask their souls: "Delicious and attractive crayfish, what kind of garbage are you?" After that, the takeaway order of crayfish was silently cancelled; And the saying that "you can’t drink cold drinks in dog days, you have to drink hot water to force the cold" has made some people put down the bottles of iced beer.

  Are we destined to have a tasteless summer? The reporter of Science and Technology Daily interviewed relevant experts, shattered the rumors one by one, and gave you a cool summer as usual.

  Proverbs 1

  Lobster meat is wet garbage and lobster head is dry garbage.

  It’s the season to eat crayfish again, but since many places in the country have entered the "mandatory era" of garbage sorting, and a "classification map of crayfish after death" has been posted on the Internet, crayfish lovers are no longer afraid to eat without scruple. According to the classification map, the whole crayfish is wet garbage, and the yellow lobster head is dry garbage; Lobster meat and lobster yellow are wet garbage, and lobster shells are dry garbage.

  Many netizens said that eating crayfish is refreshing for a while, but after eating it, the garbage classification is heartbroken, so don’t eat it. In fact, throwing a crayfish is not as complicated as the picture. This picture is wrong.

  Shanghai Waste Management Office responded through WeChat WeChat official account that crayfish, lobster shell, lobster head, lobster yellow and lobster meat all belong to wet garbage.

  In April 2019, the "Guidelines for the Classification of Domestic Waste in Shanghai" also clearly pointed out that aquatic products and their processed foods (fish, fish scales, shrimp, shrimp shells and squid) are all wet wastes.

  "It is not difficult to distinguish between dry and wet garbage. Dry garbage refers to garbage that can be burned, and wet garbage is garbage that is perishable, easy to crush and compostable. It is a bit taken for granted that crayfish shells are classified as dry garbage in the above classification map. In fact, it is relatively easy to rot and crush, so it belongs to wet garbage. " Yi Zhu, an associate professor at the College of Food Science and Nutritional Engineering of China Agricultural University, explained.

  If you still can’t tell what kind of garbage is on your hand, remember the official recommendation of Shanghai for garbage classification: recyclable materials — — Glass, gold, plastic, paper and clothing; Harmful waste remembers the formula — — Medicine (oil) (electric light); The principle of wet garbage recording — — Perishable and easy to crush; The rest is dry garbage.

  Proverbs 2

  You can’t eat cold drinks in dog days, but drink hot water to force the cold.

  Cicadas sound, summer is strong, and the heat in the dog days seems to be dependent on cold drinks. However, a recent health tip circulating on the Internet pointed out that all iced drinks should be rejected in dog days, otherwise the cold will invade and cannot be discharged. Insist on drinking hot water in the dog days, so as to force out the cold that goes deep into the bone marrow. This is called treating winter diseases in summer.

  At first glance, there is some truth, but is this really the case?

  The doctor reminded that the statement that "don’t drink iced drinks and eat iced food" on the dog days is too absolute. In fact, for most people, there is no problem of completely avoiding cold drinks, and eating some cold drinks properly will not cause harm to the body.

  Li Fangling, chief physician of Chinese Medicine Department of Beijing Geriatric Hospital, told the media: "In summer, the temperature is too high for people to stand. At this time, eating moderate cold drinks can relieve the heat and make people feel comfortable."

  However, Yi Zhu also pointed out that drinking ice water when it is very hot will cause rapid contraction of blood vessels, and the oxygen consumption of heart, brain and other organs will increase, which will cause blood pressure fluctuation, especially for the elderly with cardiovascular and cerebrovascular diseases. For young people, eating ice cream and drinking iced drinks in dog days may lead to sudden headaches. And eating too much cold food can also cause gastrointestinal cramps and diarrhea. "Therefore, we do not encourage unrestrained use of cold drinks to relieve the heat in the dog days." She said.

  However, the theory that drinking hot water can force out the cold is not recorded in Chinese medicine. "Although it is not advisable to be greedy and cold in the dog days, it is a bit exaggerated and there is no scientific basis to force out the cold that has penetrated into the bone marrow for many years by drinking hot water in the dog days. The way to maintain health advocated by Chinese medicine lies in persistence all year round, and improving physical fitness is not a one-off event. " In Yi Zhu’s view, drinking hot water in summer is generally suitable for people who need to sweat because of a cold, but drinking overheated water will also cause damage to the digestive tract mucosa, and it is advisable to drink warm water in small quantities for many times in hot weather.

  Proverbs 3

  Famous biologists have developed cold-resistant mosquitoes.

  The most annoying thing in summer is mosquitoes besides the high temperature. People are afraid to avoid this annoying creature, but a screenshot of a recent report on the emergence of cold-resistant mosquitoes surprised netizens. The report said: Professor Li, a famous biologist in China, has worked hard for more than 30 years and successfully cultivated cold-resistant mosquitoes. This mosquito can also come out to bite people in winter, which fills the gap that there are no mosquitoes in winter in China … … The source of the article also marked the authoritative media, but the description of the article made people feel incredible. Some netizens joked: "We don’t need mosquitoes in winter, so it’s better not to fill this gap."

  According to the reporter’s review, the authoritative media marked at the source of the article has never reported it at all. This is actually an old story full of plastic sense. This paragraph first appeared in 2014, and the version has been iterative since then.

  In fact, there are many loopholes in the above rumors that can be seen at a glance. For example, it is impossible for authoritative media reports to have the nonstandard title of "Professor Li, a famous biologist in China". Moreover, from the scientific common sense, it is not uncommon for mosquitoes to appear in winter, and experts have already made popular science. Mosquitoes are at the temperature of 15℃— The vitality is still very strong at 16℃. Even in winter, if the indoor temperature is high, it can wake up the dormant mosquitoes.

  Proverbs 4

  Common genes in genetically modified crops appear in China.

  Recently, many WeChat groups are spreading an article — — British Research: Genes common in genetically modified crops have appeared in China, please be careful of the next generation. Accordingly, some WeChat WeChat official account articles with 100,000 hits vowed to write: "This is another proof of the harm of genetically modified weapons to Chinese."

  Is this really the case? That’s not true. This is actually a patchwork of fishing articles and rumors about genetically modified foods, which is an advertisement for the platform of non-genetically modified food grocery stores.

  According to this article, an article published in the British academic journal Shelley Genetics Newsletter has attracted the attention of domestic academic circles. Professor Victor Stein, a geneticist from the German Tesrosa Medical Center, is currently conducting an international genomics research project in China … …

  Lin Min, a researcher at the Institute of Biotechnology, Chinese Academy of Agricultural Sciences, said that there was no British academic journal Shelley Genetics Newsletter, and the so-called Tesrosa Medical Center was also invented.

  The article also said: "Almost all genetically modified foods contain SCoAL gene." "SCoAL will synthesize succinic acid in the human body, which is highly acidic and corrosive and may cause blindness when it enters the eyes."

  However, Jiang Tao, a senior engineer at the Biology Research Center of the Institute of Genetics and Development, Chinese Academy of Sciences, pointed out that the gene name SCoAL was concocted.

  "And succinic acid, also known as succinic acid. Nutritional supplements containing succinic acid are food additives and dietary supplements, which are approved as edible safety by the US Food and Drug Administration. All living things produce succinic acid. " Lin Min said.

Nature: This virus, which lurks in 90% people, causes chromosome breakage and promotes cancer.

Original biological world biological world

Written by Cong Wang

Edit Wang Duoyu

Typesetting and writing in water

Epstein-Barr virus (EBV) is one of the most common viruses in the world. EBV is easily transmitted through body fluids (mainly saliva), such as kissing and sharing drinks or tableware. According to statistics, 90%-95% people around the world have been infected, usually in childhood.

EBV infection can cause infectious mononucleosis or similar diseases, but it usually has no symptoms. Most EBV infection symptoms are mild and will disappear, but these viruses will persist and lurk in the body, and will be reactivated. In recent years, some studies have shown that long-term latent EBV virus is related to some chronic inflammation and various cancers, and some studies have found that EBV may be the pathogenic factor of multiple sclerosis (MS).

On April 12th, 2023, the team of Professor Don Cleveland from the University of California, San Diego published a research paper entitled Chromosomal Fragile Site Breakage by EBV-Encoded EBNA 1 at clustered repeats in Nature.

This study describes for the first time how Epstein-Barr virus (EBV) uses the fragile sites in the human genome to cause chromosome breakage, cause cancer, and reduce the human body’s ability to suppress cancer.

There are fragile sites in everyone’s genome, and these specific chromosome regions are more prone to mutation, breakage or deletion during DNA replication. These changes may be related to disorders and diseases, which may lead to genetic diseases and cancer.

Professor Don Cleveland

Professor Don Cleveland, the correspondent of the paper, said that this study revealed how EBV induced the breakage of human chromosome 11 and caused a series of genomic instability, which may activate the oncogene that causes leukemia and inactivate the main tumor suppressor gene. This also proves for the first time how to selectively induce the breakage of fragile DNA sites.

In this latest study, the research team focused on EBNA1 protein, a viral protein that persists in human cells infected with EBV. Previous studies have shown that EBNA1 will bind to a specific genome sequence at the beginning of EBV genome replication. This study found that EBNA1 also combined with a cluster of EBV-like sequences at a fragile site of human chromosome 11, where the increase of protein abundance would lead to chromosome breakage.

Previous studies have shown that EBNA1 can inhibit p53 gene, and p53, known as the "genome guardian", plays a key role in controlling cell division and cell death. Under normal circumstances, p53 can inhibit the occurrence and development of tumors, while mutant p53 is related to the growth of cancer cells.

The research team also examined the genome-wide sequencing data of 2,439 cancers of 38 cancer types from the genome-wide pan-cancer analysis project. They found that tumors with EBV infection showed higher levels of chromosome 11 abnormalities, especially head and neck cancer cases.

Julia Su Zhou Li

Julia Su Zhou Li, the first author of the paper and a postdoctoral fellow, said that for a virus that is ubiquitous and harmless to most people, it is still an ongoing effort to identify high-risk groups susceptible to latent infection-related diseases. This study shows that the susceptibility to EBNA1-induced chromosome 11 breakage depends on the control of the level of EBNA1 protein produced in latent infection and the genetic variation of the number of EBV-like sequences on chromosome 11 in each individual. Looking ahead, this discovery paves the way for screening the risk factors for the development of diseases related to EBV infection. In addition, blocking the combination of EBNA1 and EBV-like sequence on chromosome 11 can be used to prevent the development of EBV-related diseases.

Paper link:

https://www.nature.com/articles/s41586-023-05923-x

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