Release date: 2015-03-06 On March 2, the Health Planning Commission and the Ministry of Finance officially issued the "Notice on Doing a Good Job in Blood Station Nucleic Acid Detection" (hereinafter referred to as the Notice). The "Notice" clearly pointed out that all localities should incorporate nucleic acid testing into the local government performance appraisal. For the provinces that failed to complete the full coverage of nucleic acid testing by the end of 2015, the National Health and Family Planning Commission will inform and criticize the relevant units. Human responsibility. Full coverage In the early stage of human infection with the virus, the virus already exists in the blood but cannot be detected. The disease can be transmitted by blood transfusion. The time period during which the virus cannot be detected is called the “window periodâ€. Comprehensively carrying out blood bank screening nucleic acid testing and shortening the "window period" of virus detection is an important measure to further improve the safety level of clinical blood in China and reduce the risk of transfusion-transmitted diseases. Since 2010, China has started the pilot work of blood station nucleic acid testing. On April 26, 2013, the Health and Family Planning Commission formulated the “Implementation Plan for the Comprehensive Promotion of Blood Station Nucleic Acid Detection (2013-2015)†(hereinafter referred to as the “Programâ€). The "Program" pointed out that blood test for blood stations is an important measure to ensure blood safety. The "Twelfth Five-Year Plan for Health Care Development" clearly states: We must improve the voluntary blood donation service system, strengthen the blood station's blood safety support capacity, actively promote the blood station nucleic acid testing, and improve the blood station laboratory testing capabilities. By 2015, blood screening nucleic acid testing will cover the whole country. At the monthly routine press conference of the National Health and Family Planning Commission held on January 12, the Director of the Information and Publicity Department of the National Health and Family Planning Commission and the spokesperson Mao Qun'an said that the “Fujian girl’s suspected blood transfusion is infected with HIV in the hospital†Feeling sad. He also stressed again that in 2015 China will basically achieve comprehensive coverage of blood station nucleic acid testing. Now, the official issuance of the Notice indicates the determination of the Health and Family Commission to achieve full coverage of blood nucleic acid testing. How to achieve the goal The "Notice" pointed out that all provinces (autonomous regions and municipalities) should be guided by the centralization of nucleic acid detection, and rationally plan the layout of nucleic acid detection according to the number of service population, blood supply and supply, geographical characteristics, traffic conditions, blood station distribution density and detection technology level. laboratory. The nucleic acid testing laboratory that undertakes the centralized testing task configures one set of nucleic acid detection system for every 80,000 to 100,000 people according to the annual detection amount. Where the traffic is inconvenient and the nucleic acid centralized testing laboratory is not covered, the nucleic acid testing laboratory can be planned; the blood station with an annual blood sampling of less than 6,000 person-times is equipped with a single-person nucleic acid detection system. For key areas of AIDS prevention and control, nucleic acid testing laboratories should be planned according to actual conditions. In order to achieve this goal, the Notice also made a statement on the funding issue. The requirements for strengthening the nucleic acid testing at the blood station shall be borne by the financial department at the same level in accordance with the relevant requirements of the “Opinions on Improving the Government's Health Investment Policyâ€; the central government shall mainly pay for the equipment configuration of the nucleic acid detection system, the modification of the nucleic acid testing laboratory, and the nucleic acid testing reagents. Appropriate subsidies. In addition, the province (region, city) as the unit, unified organization of nucleic acid detection systems, reagents, tender procurement, in principle, the choice of domestic nucleic acid detection systems and reagents, with the amount of tender. The need for comprehensive coverage of blood nucleic acid testing After the human body is infected with HIV, it usually takes 2-12 weeks, and HIV antibodies can only be detected in the blood for about 42 days. During this period, conventional testing techniques could not detect the HIV virus at all, which is often referred to as the "HIV window period." Nucleic acid testing shortens the detection window of HIV to 11 days, and the technology of nucleic acid detection can shorten the detection window period of hepatitis B and hepatitis C virus from 50 days and 72 days to 25 days and 59 days respectively. 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