Hou Lei, Chen Bo, Ji Yibing, Wang Baohua, Wu Jing
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC Wkly. 2020 Oct 2;2(40):783-786. doi: 10.46234/ccdcw2020.212.
Hypertension contributes to a quarter of all-cause mortality in China. The Chinese government has put forward aims to control and prevent hypertension, and China CDC and other professional public health institutions have carried out a series of related efforts including the promotion of related policies and legislation, the improvement of modifiable risk factors of hypertension in the population, and promoting the National Primary Public Health Services to discover and manage patients with hypertension. China CDC has conducted multiple hypertension-related campaigns such as advocating for salt reduction, weight loss, and increased physical activity. Additionally, on behalf of the Chinese government, China CDC has organized and carried out the construction of national demonstration areas for the comprehensive prevention and control of chronic diseases. As of 2020, 488 national demonstration areas have been established, covering 17.1% of all counties and districts. In these areas, the lifestyle and health literacy of the population and community-based hypertension management measures have been improved. The calls for a transition from disease treatment to a focus on health, which requires a strategy of hypertension prevention and control that focuses on the whole population rather than on high-risk populations. The was officially implemented on June 1, 2020 and provides the legal basis for this strategy change in the prevention and control of hypertension. Ongoing public health legislation should involve non-communicable diseases such as hypertension in addition to communicable diseases.
高血压导致中国四分之一的全因死亡率。中国政府已提出控制和预防高血压的目标,中国疾病预防控制中心(China CDC)和其他专业公共卫生机构开展了一系列相关工作,包括推动相关政策和立法、改善人群中高血压的可改变风险因素,以及推动国家基本公共卫生服务以发现和管理高血压患者。中国疾病预防控制中心开展了多项与高血压相关的活动,如倡导减盐、减肥和增加体育活动。此外,中国疾病预防控制中心代表中国政府组织并开展了慢性病综合防控国家级示范区建设。截至2020年,已建立488个国家级示范区,覆盖所有县区的17.1%。在这些地区,人群的生活方式和健康素养以及社区高血压管理措施都得到了改善。这需要从疾病治疗转向关注健康,这就需要一种以整个人口而非高危人群为重点的高血压防控策略。该[具体内容未提及]于2020年6月1日正式实施,为高血压防控的这一策略转变提供了法律依据。正在进行的公共卫生立法除了传染病外,还应涵盖高血压等非传染性疾病。