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Healthy Shanghai 2030 Initiative

Oct 24, 2017

The Shanghai Municipal People’s Government held a press conference on September 27 on the Healthy Shanghai 2030 Initiative. Following are the highlights:

Weng Tiehui, vice mayor, Shanghai Municipal Government

Wu Jinglei, director, Shanghai Public Health and Family Planning Commission

Li Yin, deputy Party secretary, Shanghai Sports Bureau

Eastday.com: Since Shanghai introduced a total ban on smoking in indoor public areas, I would like to know how the implementation of the ban is getting along. What guidelines will be introduced for further expanding the ban?

Wu Jinglei: Thanks for your question. Since the ban was introduced in March last year, it has been much-appreciated by the public, particularly in Shanghai, Beijing, and Shenzhen. The responsible government units have taken a leading role in implementing and promoting the ban. From Shanghai’s experience, it’s also important to raise the public’s health awareness and promote self-inhibition among smokers.

We would like to thank the public and the media for their cooperation, for there have been much less people smoking in public areas since the ban. The World Health Organization even presented an award to Shanghai on World No Tobacco Day last week for the city’s achievements in promoting a healthy lifestyle and its leading role in the effort.

STV: I have a question for Vice Mayor Weng. With the population ageing rapidly and amid the changes in people’s lifestyle, chronic diseases have become a major threat to public health. What will be done to tackle this problem?

Weng Tiehui: Thanks for the question. The Shanghai municipal government has taken note of the problem and has prioritized chronic diseases in the “Healthy Shanghai 2030 Initiative”.

We will keep improving disease prevention methods and policies regarding public health, as well as promoting national fitness programs and integrate them into our education system.

With the support of the online platform Health Cloud, we can better balance disease prevention and treatment. On the platform, there are general practitioners who can help residents by giving their advice on preventing chronic diseases and when the diseases worsen, people can also seek advice from specialists on the platform. Using big data, the platform adopts a hierarchical medical system to treat chronic diseases.

Another prevention method is screening, especially in chronic disease infested areas. We collect samples from all the areas so that more timely treatment can be given to residents once the diseases are detected.

We give our full support to the 20,000 self-initiated health management teams in residential communities across the 16 districts in Shanghai. The teams include community doctors and medical specialists, who give advice and guidance to residents on chronic disease prevention and treatment. The members of the teams even interact with WHO specialists, and the WHO was impressed by this self-managing style. A total of 2.6 million residents have signed the “1+1+1 contract.” (one home doctor, one district-level hospital, and one municipal hospital.) The residents who’ve signed the contract will get preferential treatment and be prioritized in hospitals. Shanghai is striving to promote this new medical management style to all people who have chronic diseases by 2030.

The Health Paper: I have a question for Vice Mayor Weng. Shanghai has the goal of becoming an Asian medical center by 2020, a global medical technology and science center by 2030. What’s Shanghai’s strategy to achieve the goal?

Weng Tiehui: Shanghai is working hard to promote medical technology innovations. When applied in real life, they will greatly benefit public health. It’s also reflected in the financial aid from the Natural Science Foundation to Shanghai’s universities. The Shanghai Medical College of Fudan University alone received 11 percent of the total fund for medical science. With the money and Shanghai’s medical foundation, I believe more medical achievements, and basic research can be made to further advance Shanghai’s medical enterprise.

Shanghai will collaborate with world-class medical innovators to create a top medical technology system by 2030. One of the major functions of the system is to transform medical innovation into clinical treatment practice.

Shanghai aims to establish world-class medical colleges and disciplines by 2030. The Shanghai Medical College of Fudan University, the Shanghai Jiao Tong University School of Medicine and Shanghai University of Traditional Chinese Medicine are leading the way across China.

More medical talents would be needed to help Shanghai achieve the goal. Shanghai will introduce 30 preferential policies to attract more domestic and foreign talents.

Shanghai is striving to take the leading role in medical technology innovation. It will collaborate with global medical innovators, and be the global benchmark for clinical diagnosis standard and medical technologies by 2030.

Shanghai Morning Post: The initiative has one index that the early diagnosis for malignant tumors has to reach 40 percent by 2030. What measures will be taken to achieve this?

The Shanghai Municipal Government hopes that by 2030 46 percent of the city’s population would be exercising regularly. What can be done to achieve this goal? How to utilize the public space to mobilize more residents to exercise?

Wu Jinglei: Thanks for your questions. To achieve the goal, Shanghai will promote more cancer census programs among women, aged people, apply more precise tumor detecting technologies in screening, raise public awareness on the importance of cancer screening, and strengthen cooperation among hospitals to ensure more effective screening.

Li Yin: Shanghai residents are more aware of the importance of exercise, and the demand for exercise space is rising. To meet the goal of 46 percent of the population becoming regular exercisers, we will form more amateur sports associations and hold more sporting events to encourage people to indulge in sports, and set up more sports and health centers to give residents scientific guidance on fitness.

More facilities will be built to meet the aim of “2.8 square meter of sports area for every resident” by 2030, such as fitness centers, walking trails, ballgame courts, bike lanes, and various sports venues.

Major sports venues, like the Xujiahui Sports Park, are under construction. By the time it’s finished, it will be able to cater to 15,000 people who want to exercise. Training programs will also be provided to residents at public fitness centers while sports facilities at more schools will be opened to the public.

Jiefang Daily: I would like to ask what measures will be taken to promote the medical care and pension system for the elderly?

Weng Tiehui: Shanghai is facing a population ageing problem, as one third of its population has reached the age of 60. We will combine the medical care and pension system to better care for the elderly. It’s our priority in the Healthy Shanghai 2030 Initiative.

Shanghai’s community health service centers in residential communities play a major role in this; 69 out of the 141 service programs at service centers are directed at the elderly. The service centers work in close cooperation with nursing homes to provide one-stop services to the elderly.

We have prioritized the elderly in the “1+1+1 Medical Contract.” It now covers 52 percent of those aged over 60. They get preferential medical care at service centers.

It’s also important for nursing homes to have their own medical institutions. So far, 244 nursing homes out of the total 702 have set up their own medical institutions, 110 of them are connected to the medical insurance network.

More professional residential community care stations will be introduced to better care for the elderly. So far Shanghai has 61 care stations. More stations and professionals will be provided to serve the elderly.

Shanghai has trialed a long-term care insurance in three districts while 42 long-term care insurances and an elderly care accessing system have been established. Once assessed and insured, the elderly will be provided with nursing professionals.

Many more professional care providers will be trained to work at homes for the aged, service centers, and nursing homes. More primary and advanced training schools will be set up to train the care-takers to meet the need of the ever increasing number of the elderly. We hope we can perfect this system by 2030. Thank you.