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Experts say that the Ministry of Health plans to remove the hepatitis B test from the routine physical examination form. August 2, 29 4:43 Sichuan News Network-Chengdu Evening News

Recently, Cui Fuqiang, an authoritative expert on hepatitis B in China and director of the Viral Hepatitis Room of the Immunization Planning Center of China CDC, revealed for the first time in Chengdu that the Ministry of Health will issue a policy-the menu to be selected for the routine physical examination form (including enrollment, nursery, employment and health certificate application). Yesterday, the reporter visited the physical examination point of the hospital in the city.

Recommend liver function test

The day before yesterday, the reporter learned from the hepatitis B news report research class hosted by the Center for International Communication Studies of Tsinghua University in Chengdu that in order to fundamentally reduce the general discrimination against hepatitis B people who are not contagious in daily life, the Ministry of Health plans to issue a policy that will require all medical examination centers to cancel all hepatitis B testing items (such as surface antigen or two-and-a-half testing) from the list of routine physical examination forms (including enrollment, nursery, employment and health certificate application).

Yesterday, the reporter interviewed Cui Fuqiang, director of the Viral Hepatitis Department of China CDC, who first revealed the news at this meeting. He himself was one of the experts who submitted this policy proposal to the Ministry of Health.

There is no need to detect hepatitis B in routine physical examination

According to him, the reason why the expert group submitted this policy proposal to the Ministry of Health is that: firstly, there is no scientific evidence to prove that those who have detected hepatitis B in routine physical examination (that is, the results of "surface antigen" or "two and a half" are positive) will affect the health of their peers who only have daily contact with them in the process of enrollment, nursery or employment; Second, the units, schools, kindergartens, etc. that carry out this test for those who have undergone physical examination have no reason to report dismissal or rejection of those who are positive. Therefore, routine physical examination is not necessary to detect hepatitis B items.

The Ministry of Health has organized a demonstration.

However, if the liver function test index results are found to be abnormal during the physical examination, it can be reflected that the current physical condition of the tested person may not be healthy enough to bear the corresponding work and study. Employers and enrollment units should seek the advice of doctors. "Assuming that the liver function related indicators are more than twice the upper limit of the normal value, then he must be a patient, and it is too late to cure the disease. How can he go to work first? If the medical examiner finds that his liver function results are abnormal, it is more practical to trace back to the source to see if it is caused by hepatitis B infection or other diseases. " At the same time, Cui Fuqiang revealed that the Ministry of Health has organized relevant experts to demonstrate this issue and has reached a * * * understanding. The expert group suggested that relevant departments formulate relevant policies as soon as possible and organize their implementation!

▲ Workplace survey

Employers: People who are afraid of "infection" simply don't use hepatitis B patients

In the annual competition for further education and employment, some hepatitis B patients are always forced out. Once there is a "hepatitis B positive" result on the physical examination report, the employer will not hesitate to eliminate it.

Yesterday, the person in charge of a building materials company, which is recruiting talents in Chengdu talent market, said that the successful candidates must go to the hospital designated by the company for physical examination, and the "two and a half hepatitis B" test item is essential.

The person in charge of this company believes that the physical examination for new employees is the last screening procedure for talents. "The employees of our company have a group meal in the canteen at noon. If there are hepatitis B patients, other employees will think that there are health hazards in the working environment, which is likely to affect his work." He said that the reason why hepatitis B patients are not hired is "not to discriminate against them, but that there are many applicants now, and the company is not worried about recruiting people, so it is better to recruit a healthier one."

Hepatitis B patient: I was forced to pay a high price for a physical examination.

When the reporter investigated, he was surprised to find that in order to make many "hepatitis B patients" who account for about 1% of the population survive in society, a gray industry-hepatitis B medical examination has been born around the inevitable!

Gao Xiaoqiang (pseudonym), 23, who lives in Jiuyanqiao, graduated from Sichuan Normal University last year. He is bent on becoming a Chinese teacher in primary schools. Last September, he achieved excellent results in the teachers' public recruitment examination. But what he didn't expect was that in the on-the-job physical examination report, the doctor indicated that he carried hepatitis B surface antigen. Subsequently, the school refused to hire Gao Xiaoqiang on the grounds of "poor performance of the podium".

Later, in the forum of patients with hepatitis B, Gao Xiaoqiang poured out his job hunting experience. "I didn't expect that the number of people who followed the post was actually hundreds, but most of the message takers only left their phone numbers, saying that they could provide inspection services on their behalf." He dialed one of the calls, and the other party said that he could provide a healthy person as "body double" to pass the physical examination on his behalf, and the cost was 2, yuan. "Pay the deposit of 5 yuan first, and then pay the full amount after the job is done."

Yesterday, through the website provided by Gao Xiaoqiang, the reporter found a blog named "Hepatitis B screening". The blog wrote: "Are you still worried about the physical examination? The medical examination assistant joins the medical examination agent to tailor all kinds of medical examinations for you, and 1% pass! " Its service scope is mainly: hepatitis B patients in Guangzhou, Shenzhen, Beijing, Chengdu and other places, while the business categories are: hepatitis B entry physical examination, hepatitis B medical examination abroad and so on.

The reporter found a netizen named "Physical Examination Headquarters" through the public contact information on the blog. He said that "the team has had five years' experience as a substitute for medical examination, ensuring that 1% passed the physical examination, and there is no charge for failing". At the same time, he also revealed that the team has a huge business volume. "During the graduation of college students every year, one of our staff members has to inspect hundreds of people."

▲ Hospital situation

Hospital: Almost all units in our city require employees to check "two and a half"

Yesterday, the reporter visited the physical examination centers of many hospitals in our city. Among the numerous medical examination packages provided by major medical examination centers, there are "enrollment and recruitment packages" without exception, and any medical examination package takes "hepatitis B marker" detection as an optional item. Wang Youjuan, director of the west china hospital Physical Examination Center, said: "In our city, basically all employers will take two and a half hepatitis B tests as a mandatory option."

west china hospital Physical Examination Center provides more than ten kinds of physical examination packages, such as "white-collar", "elite" and "luxury". The reporter noticed that there is a kind of "enrollment and recruitment physical examination package", and the hospital indicates its applicable population: pre-employment screening, employee physical examination and student census. Among the physical examination items of this package, there are "12 items of liver function" and "hepatitis B markers". "In daily life, hepatitis B virus carriers are not contagious." The staff of the physical examination center said that they would introduce this kind of "medical common sense" to the employer to eliminate the "hepatitis B discrimination" of the employer, but the employer still regards "two and a half hepatitis B" as a compulsory physical examination item for employees to join the company. "Anyway, it is the employees who are about to join the company who will pay for the physical examination. If the employer lacks one item, it is better to have more, and it can also screen out the' health risks' of the unit."

Doctor: Only by deleting "two and a half" can discrimination be eliminated

A doctor in a large physical examination center in our city told the reporter that the physical examination service provided by the center is like a menu, and the other person chooses the required physical examination items. It is only for the medical examinees who enter the university and enter the post that the choice of this menu lies with the employer and the enrollment unit. "I always take the trouble to tell units and companies that hepatitis B virus carriers are not contagious and do not need to have a medical examination of hepatitis B." However, the doctor regretted that almost no employer listened to her opinion. "They will think that since there is no need for testing, why is this listed in the medical examination packages of major hospitals?" Therefore, she believes that only by deleting the "two and a half pairs of hepatitis B" testing items from the medical examination package can we truly achieve "hepatitis B discrimination" in further education and employment.

Data

1 million patients with hepatitis B in China account for about 1% of the total population, and more than 1 million people

One third of hepatitis B surface antigen carriers are caused by unsafe injection

4% of the population at present, it is estimated that 4% of hepatitis B surface antigen carriers are infected through their own mothers.