The National Bureau of Disease Control and Prevention has issued the "Management Measures for Risk Assessment of Infectious Diseases Epidemic (Trial)"

The National Bureau of Disease Control and Prevention issued the "Management Measures for Risk Assessment of Infectious Diseases Epidemic" today. According to the regulations, the competent departments for disease prevention and control at all levels are responsible for establishing and improving the work system and mechanism of risk assessment, organizing and coordinating risk assessment work, business management, supervision and inspection, and information dissemination.

The competent departments for disease prevention and control at all levels should establish and improve multi departmental risk assessment and consultation mechanisms with health, agriculture and rural areas, forestry and grassland, education, customs, transportation, market management, meteorology and other departments, regularly share multi-channel monitoring information on infectious disease epidemics, and timely communicate and solve problems in the risk assessment of infectious disease epidemics.

National and provincial disease prevention and control authorities should establish a risk assessment expert group composed of experts from disciplines and professional directions such as preventive medicine, clinical medicine, basic medicine, biosafety, emergency management, communication science, information science, economics, statistics, meteorology, veterinary medicine, etc., commissioned by the disease prevention and control authorities, to conduct risk assessments on specific infectious disease epidemics that may cause significant public health risks, or to demonstrate the risk assessment results proposed by the local disease prevention and control institutions. Conditional city and county-level disease prevention and control authorities may refer to the establishment of their own risk assessment expert groups.

Disease prevention and control institutions at all levels are responsible for conducting risk assessments of infectious diseases within their jurisdiction, setting up or designating specialized departments, and specifically organizing and implementing risk assessments of infectious diseases. Carry out health risk warning and health education work based on the evaluation results. Under the organization of the competent department for disease prevention and control, support and cooperate with the local risk assessment expert group to carry out major infectious disease epidemic risk assessment work.

The risk assessment of infectious disease epidemic is divided into daily risk assessment and thematic risk assessment.

Daily risk assessment refers to the comprehensive analysis of multi-channel information such as routine monitoring, departmental and international notifications, and active retrieval of open-source information, identifying and evaluating possible infectious disease risks within the jurisdiction, and proposing suggestions for preventing and resolving risks.

Special risk assessment is an assessment of specific infectious disease outbreaks that may lead to significant public health risks based on the recommendations and work needs of daily risk assessments; Or assessment of infectious disease outbreaks in specific periods and regions; Or an assessment of the risk of infectious diseases and epidemics that may occur during large-scale events, as well as secondary and derivative natural disasters and accidents.

Disease prevention and control institutions at all levels should regularly conduct daily risk assessments. National and provincial disease prevention and control institutions conduct daily risk assessments once a week, and municipal and county-level disease prevention and control institutions conduct monthly assessments. The frequency of daily risk assessment can be dynamically adjusted according to the development trend of the epidemic and work needs.

When abnormal situations are found during routine monitoring or daily risk assessment, local disease prevention and control institutions should conduct specialized risk assessments. These situations include the following aspects:

Discovering newly emerging acute infectious diseases, Class A or legally mandated infectious diseases managed according to Class A;

Infectious diseases that have occurred abroad but have not yet occurred domestically have been imported into China and spread locally;

The common epidemic pattern of infectious diseases has changed significantly, the incidence rate or mortality rate has increased abnormally, or the regional distribution has expanded significantly;

Discovering a group of unexplained diseases, or 2 or more clustered severe cases and deaths;

Detection of new or important pathogens showing resistance, immune evasion, and increased pathogenicity;

Loss of highly pathogenic pathogen strains;

Other situations that require specialized risk assessment.

The expert group, commissioned by the competent department for disease prevention and control at the local level, may also conduct specialized risk assessments for the above situations. If an infectious disease epidemic spreads across regions, a specialized risk assessment should be conducted by the higher-level disease prevention and control agency. For epidemics that may threaten the local public health security of our country, seriously endanger the health of our overseas citizens, or require emergency health assistance from our country, national disease prevention and control institutions shall conduct specialized risk assessments. When necessary, relevant provinces or cities should also organize specialized risk assessments.

The risk assessment of infectious diseases can be combined with qualitative research methods such as Delphi method, expert interviews, risk matrix, as well as quantitative analysis methods such as infectious disease transmission dynamics model, time series model, fault tree analysis, etc.

Disease prevention and control institutions at all levels are responsible for drafting daily risk assessment reports on infectious diseases in their jurisdiction, and submitting them to the local disease prevention and control authorities and higher-level disease prevention and control institutions.

The daily risk assessment report should include an overview of the current epidemic situation, risk assessment, and risk management recommendations.

Disease prevention and control institutions or expert groups responsible for infectious disease epidemic risk assessment are responsible for writing thematic risk assessment reports and submitting them to the designated or commissioned disease prevention and control authorities for conducting thematic risk assessments.

The thematic risk assessment report should include assessment background, risk issues, assessment methods, risk identification, risk analysis and basis, risk assessment, uncertainty of assessment, risk management suggestions, and a list of experts participating in the assessment.

Disease prevention and control institutions at all levels can issue health risk warnings to the society based on infectious disease monitoring information and infectious disease epidemic risk assessment results, and make early warning decisions and emergency response suggestions to the same level of disease prevention and control authorities.

When necessary, the competent department for disease prevention and control shall organize an expert group to demonstrate the risk assessment results, or conduct further risk assessments. Based on the assessment risk level, the assessment results shall be reported to the same level government and higher-level disease prevention and control competent department as appropriate, and relevant regions, departments, and medical and health institutions shall be notified.

Disease prevention and control authorities at all levels and relevant medical and health institutions should strengthen risk management work such as risk communication, risk warning, risk control, and evaluation feedback based on risk assessment results.

National and provincial-level disease prevention and control authorities should support disease prevention and control institutions, relevant universities, and research institutes in conducting research and development on risk assessment methods, intelligent assessment tools, and evaluation effectiveness.

The competent departments for disease prevention and control at all levels and disease prevention and control institutions should provide necessary personnel, funds, information, and technical support for the risk assessment of infectious diseases. Organize training on risk assessment business, strengthen the cultivation of professional backbone in risk assessment, cultivate high-level talents in risk assessment, and encourage the establishment of chief experts in infectious disease and epidemic risk assessment.