Shanghai plans to achieve these health goals by 2030

According to the Shanghai Government Affairs Network, the Shanghai Health and Wellness Conference on March 21 issued the “Healthy Shanghai 2030 Planning Outline” (draft for comments) (hereinafter referred to as the “Outline”). As a program of action for promoting healthy Shanghai construction in the future, the program sets clear strategic goals for healthy Shanghai in 2020 and 2030.

A great global city should be a healthy city. What is the picture of healthy Shanghai in 2030? In the process of exploring and pursuing, what responsibility and efforts should the government, society, and all individuals and individuals undertake? The reporter asked the experts to interpret.

Explore the "Shanghai Characteristics" Health Indicators

After years of practice, Shanghai's healthy city construction has made great achievements. Last year, the average life expectancy of this city has reached 83.18 years old. The infant mortality rate and maternal mortality rate in Shanghai have dropped to 3.76‰ and 5.64/100,000 respectively. The three major health indicators continue to maintain the level of developed countries and regions. .

On the other hand, the city has entered a deep aging society. By the end of 2015, the proportion of elderly people over 60 years old accounted for 30.2%, and the number of elderly people over 80 years old accounted for 23.6%. At the same time, disease spectrum, ecological environment and lifestyles are constantly changing. Shanghai faces multiple threats of disease. A complex situation in which various health influence factors are intertwined.

“To build a healthy Shanghai, it is very important to set up an indicator system that is consistent with Shanghai's actual situation,” said Professor Hu Shanlian of Fudan University School of Public Health.

The outline puts forward clear requirements for the number of practicing doctors (assistant), the number of general practitioners in thousands of population, and the number of registered nurses in thousands. Experts explained that by 2020, the ratio of general practitioners to licensed physicians is about 1:6, emphasizing the important role of general practitioners in health goalkeeping and two-way referral; the number of registered nurses will exceed the number of licensed physicians, in order to change the current The irrational phenomenon of "health ratio is inverted". As in the outline, there are clear requirements for the per capita sports area and the proportion of people who regularly participate in physical exercise. For example, in 2030, the proportion of people who regularly participate in physical exercise is expected to reach 46%, which is consistent with the level of developed countries.

As for the three major health indicators, the outline is that by 2020, the average life expectancy of Shencheng is ≥82 years old and ≥84 years old by 2030; the infant mortality rate is ≤7‰ to 2030≤5‰ by 2020; maternal mortality rate to 2020 ≤ 12/100,000, to 2030 ≤ 10/10 million. Last year, the maternal mortality rate in Shanghai has dropped to 5.64/100,000. Why is the future “Shanghai indicator” reduced? Hu Shanlian explained, "Considering the liberalization of the second-child policy and the increase in maternal age, the setting for this indicator is relatively conservative."

Experts also revealed that in addition to clearly defining the indicators, the city is still exploring some health indicators with more "Shanghai characteristics", such as the monitoring of "healthy life expectancy indicators", Putuo District is trying to advance.

The key to health promotion is "treatment of disease"

Health is by no means a health institution. The outline clearly puts forward the basic principles of “co-construction and sharing”, advocates the government-led, multi-sectoral cooperation, and the participation mechanism of the whole society, forms a healthy and healthy governance pattern, and promotes the coordinated development of health and economic society.

Hu Shanlian said that public health needs not only medical and health protection, but also a healthy environment, healthy living, health education and even a healthy culture. The transition from “taking care of the disease” to “health-centered” requires the coordination of multiple departments. Fortunately, the outline clarifies the responsibilities of environmental protection, greening, food and drug safety departments, and brings opportunities for health integration into the policy. For example, the green coverage rate of the built-up area has always been a short-board in Shanghai. The outline is clear. The green coverage rate of the built-up area will reach 42% in 2030; the PM2.5 monitoring index will be replaced by the air-good days ratio monitoring index, and the contaminated land will be added. And the safe utilization rate of cultivated land, the overall monitoring rate of major food safety and other indicators, from the air, water quality to food and other links to protect the public.

Liu Xin, director of the Physical Fitness Research and Health Guidance Center of the Shanghai Institute of Sports Science, said: "In the past, various departments have been divided into lines. Now, sports, health and other departments can better integrate and truly achieve health integration." He introduced health promotion. The key is “treatment is not sick”, sports is also an auxiliary treatment for many diseases, and “sports have unique functions compared to medical technology itself, which can make participants feel more happy and socially harmonious.”

In the eyes of experts, Shanghai is a big city with competitive pressures, and health effects need to accumulate in the long run. “Individuals are the first responsible person of their own health and should take the initiative to live sports; enterprise units are obliged to create venues and time for employees to exercise; in addition to the health and sports departments, the joint work of the rest of the departments is also essential.”

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