To strengthen the prevention and control of school tuberculosis disease，Effectively prevent the spread of school tuberculosis epidemic，Ensure that the majority of teachers and students are physical health and life safety，According to the "Prevention and Control Law of the People's Republic of China"、"Regulations on the School of School of School"、"Emergency Regulations of Public Health Event" and "Administrative Measures for the Prevention and Control of Tuberculosis" and other laws and regulations and regulatory documents，Special Formation of this specification。

The schools referred to in this specification include ordinary primary and secondary schools、secondary vocational school、ordinary colleges and universities、Special Education School and Children's Institutions。

1. School tuberculosis routine prevention and control measures

Conventional prevention and control of school tuberculosis is the basis for preventing school tuberculosis epidemic。The administrative department of health and family planning and education shall fulfill the corresponding responsibilities in accordance with the law，Follow the principle of ground management，Establishing a joint prevention and control work mechanism，Hold the inter -departmental communication and coordination meeting every year，Develop daily prevention and control work plan，Supervise the implementation of various prevention and control measures。

Sky Bet The school considers the tuberculosis testing project as a new student medical examination and a compulsory project for new students and staff (freshmenCompletePhysical examination tuberculosis check plan see attachment1），Student health checkups with qualified medical examination institutions，and incorporate the results of the medical examination into the health file of students and faculty employees。Disease prevention and control agencies provide technical support and guidance for school teachers and students' health checkups。Suspected tuberculosis case found，The medical examination institution should be fed back to school，The school informed students (or parents) to the local tuberculosis designated medical institution for examination and diagnosis and tracking the diagnosis results。

        (2) Health education.The school passed the health education class、Theme class meeting、Special lecture，and various forms such as traditional media or new media on campus，The core knowledge of the prevention and control of tuberculosis is widely propagated to students and faculty staff (see the core knowledge of school tuberculosis health education publicity, see attachment2），Improve the level of cognition of teachers and students about tuberculosis，Enhance Sky bet app download self -protection awareness，Reduce discrimination against tuberculosis patients。Disease prevention and control agencies provide technical support and guidance，Assist the school to work。

        (3) School environmental hygiene.The school shall be in accordance with the "Basic Standards for Trial of Sports and Sanitation Conditions for National Schools"、"Specifications for the Construction and Management Specifications of Rural Boarding Schools Life Sanitation Facilities" and other related regulations and standard requirements for school health，Guarantee the per capita use area of ​​students' learning and life; strengthen the classroom、Dormitory、Library and other crowds of gathered venues to ventilate the ventilation，Keep indoor air circulation; Do a good job of cleaning and cleaning the campus environment to eliminate the dead end of sanitary.

        (4) Monitoring and report.

1. Morning inspection work。Primary and secondary schools shall be implemented by the class teacher or class health staff to implement the morning inspection work，Focus on whether each student has cough、sputum、Bleeding or blood phlegm、Heat、Suspicious symptoms of tuberculosis such as night sweats。After discovering suspicious symptoms of tuberculosis，Should report the school's health (health) room。

2. Investigation and registration system for the cause of absence of the disease。Class teacher (or counselor) shall promptly understand the illness and possible cause of the absence of students due to illness。If suspicion is a tuberculosis，It should be reported to the school's health (health) room or school hospital，And the school's health (health) room or school hospital tracks to understand the student's diagnosis and treatment。

3. Case report。Suspected cases or confirmed cases of tuberculosis found in the school，According to "Standards for the work of schools and childcare institutions infectious disease epidemic report(Trial) "requirements，Reporters of the school epidemic report immediately report to the local disease prevention and control institutions and education administrative departments。

        4. Epidemic monitoring。Disease prevention and control institutions at all levels should carry out active monitoring of school tuberculosis epidemic、Public opinion monitoring and summary analysis。Report information of tuberculosis or suspected tuberculosis cases for students (or faculty) found in monitoring，It should be organized to conduct investigations and verification in time，Feed the result to school。

2. The prevention and control measures for school tuberculosis emitting outbreaks

School tuberculosis epidemic refers to the confirmation case of tuberculosis in the school，But it has not yet constituted a public health event for tuberculosis。Health and family planning and education administrative departments must do a good job of disposal of the tuberculosis disease to emit the epidemic，Coordinate solving problems in the response and disposal work，Make sure the work is effectively carried sky bet login out。Relevant units and institutions shall be at the same time as strengthening various conventional prevention and control measures，Prevention and control measures mainly based on case management and close contact screening，Strictly prevent tuberculosis spread and spread on campus。

(1) Diagnose and report in time.

1. Clinicians of various medical institutions at all levels，Suspected patients or patients with tuberculosis of the students and faculty members of the clinic must fill in the infectious disease report card，Especially in the patient's work unit column, detailed、Fill in the school and class name of the patient where the patient is located，Network reports within 24 hours。Non -tuberculosis Disease Direct medical institutions shall refer patients to fixed -point medical institutions for tuberculosis in accordance with the requirements of the "Administrative Measures for the Prevention and Treatment of Tuberculosis Diseases"。

2. Tuberculosis Disclosure medical institutions shall ask for the medical history and clinical manifestations of the school teachers and students in the middle of the school,，Check the chest X -ray film in accordance with the diagnosis and treatment specifications of the tuberculosis、Examination of Sophomics Lab，Make a clear diagnosis in accordance with the diagnostic standards of tuberculosis。Patients with tuberculosis in the school with diagnosis shall register in the tuberculosis management information system in a timely manner。

3. The same school found 2 patients in the same semester，Disease prevention and control institutions shall timely feedback to the school where the patient is located; find 3 or more patients with epidemiological associations，The administrative department of the health and family planning of the same level should be、Report on the prevention and control institutions and schools of higher -level diseases、Feedback。

         (2) Patients with close contact.

1.Once the disease prevention and control agency finds a confirmed case，The screening of the close contact with the teachers and students of the school where the school is located should be organized in a timely manner (see the attachment for screening and processing plan for close contact3）。

2.The school should actively cooperate with the screening work，Pay close attention to the same class as confirmed cases、The health status of the same dormitory students and teaching teachers，Publicity and require students to observe themselves，Once cough appears、Suspicious symptoms such as sputum and other tuberculosis，Should be visited in time。

3. Student students who receive preventive therapy，School doctors or class teachers shall urge them to take medicine on time under the guidance of the disease prevention and control agency、Follow -up review of regular medical institutions at a designated medical institution for tuberculosis。

(3) Treatment management.

1. Tuberculosis provides a regulatory anti -tuberculosis treatment for confirmed cases。Cases sky bet games online of resting at home，Disease prevention and control institutions of residential residence shall organize standardized management during the treatment period; cases for school treatment，The disease prevention and control institutions where the school is located shall jointly organize the implementation of standardized management during the treatment with the school，School medical or class teacher shall assist the medical and health institutions to urge patients to take medicine on time and review regularly。

2. Disease prevention and control agencies should guide the school to do a good job of suspected cases。After the suspected case is confirmed，The school should register in time，Master the follow -up treatment and return situation，For students who do not need to take a break，It should be arranged for their life and study during school。

(4) Resumption management.

1. Doctors at the designated medical institution for tuberculosis，Student cases that meet one of the following conditions，Diagnostic certificates of study。According to the diagnosis certificate of study，The school adopts the management of students with tuberculosis for tuberculosis。

（1) Patients with bacteria yang tuberculosis (including positive and / or cultivated patients with positive coating);

（2) The chest X -rays show that the lung lesions are wide and / or accompanied by empty bacteria tuberculosis patients;

（3) Have obvious symptoms of tuberculosis;

（4) TBR fixed -point medical institution recommends other situations for school。

2. Patients have been standardized for treatment，The condition improves,Doctors from designated medical institutions according to the following conditions can issue a re -school diagnosis certificate，Suggesting re -school，and indicate subsequent treatment management measures and requirements。The school's diagnosis of recovery proves to go through the formalities of re -schooling for students and urge students to implement follow -up treatment management measures。

（1) Patients with bacteria yang tuberculosis and patients with severe bacteria vulfurm (including empty/large cheese necrotic lesions/millet tuberculosis, etc.) have been regulated to complete the whole course of treatment，Early rule、Reunion、Patients with drug -resistant drugs have reached the standards for their healing or successful treatment。

（2) Patients with bacteria and lung tuberculosis after 2 months of standardized treatment，Symptoms are reduced or disappeared，Breast X -ray lesion obvious absorption，Subsequent sputum coating tests are negative，and at least once a sputum culture examination is negative (at least 1 month of the interval between sputum coating examination)。

3. Resort for patients with tuberculosis in faculty workers、Re -class management，You can refer to the student's rest、Requirement Management Requirements Executive。

3. Emergency treatment of school tuberculosis emergencies for public health incidents

A school occurred in the same semester10 cases of tuberculosis cases associated with Sky bet app download epidemiological diseases，or when a case of tuberculosis occurs,，The county -level health and family planning administrative department where the school is located shall evaluate the results of the evaluation of the on -site investigation and public health risk，Determine whether it constitutes an emergency public health event。The administrative department of health and family planning at or above the county level can also be based on the actual prevention and control work，Determine the event directly in accordance with the prescribed working procedure。School tuberculosis emergencies public health incident should be under the government's leadership，Strictly accordance with the requirements of the Emergency Regulations on the Emergency Public Health Incidents and the requirements of related plans，Actively carry out emergency response work，Implement various emergency response measures，Maximize the hazards and influence of the epidemic。

(1) Event verification and report.The administrative department of health and family planning is educatedAdministrative DepartmentTimely investigation and verification of public health events of school tuberculosis emergencies，Organize experts to conduct risk assessment。If it is confirmed to have an emergency public health incident，shall be in accordance with the "Emergency Plan for the National Urcele of Public Health"，Determine the event level。The administrative department of health and family planning shall be confirmed after the incidentReport to the administrative department of the superior health and family planning within 2 hours，and inform the education administrative department at the same level。

  (2) On -site epidemiological survey and close contact person screening。With the support of school，Disease prevention and control institutions shall conduct timely on -site epidemiological surveys and close contact with the screening work，Reasonably determine the scope of screening。For those who are close to those who close contact for the first time, the tuberculosis skin test non -strong positive，Should be in2-3 months of tuberculosis skin test screening，so that the newly -recent infected person who is still in the window during the early screening is found。

  (3) Health education and psychological guidance.The school should be guided and assisted by the medical and health institutions，Strengthening the health education and psychological guidance of teachers and students and parental tuberculosis prevention and treatment of the whole school，Getting up its panic psychology in time。

  (4)Campus Environmental Sanitation Guarantee.Schools should strengthen ventilation in public places、Improve school environmental hygiene，and do a good job of disinfection of related places under the guidance of the disease prevention and control agency。

  (V) Evaluation.Health and Family Planning and Education Administrative Department shall promptly understand the implementation of various emergency response measures for medical and health institutions and schools，Corresponding emergency response situation Sky Bet Organize comprehensive evaluation，Including the degree of harm of the event、Development Trends、Measures and effects taken by.。

4. Supervision and management

Health and Family Planning and Education Administrative Department shall regularly organize supervision and inspection，The school tuberculosis prevention and control work is used as an important content of the annual assessment of schools and medical and health institutions。For not in accordance with relevant laws、Regulations and specifications require the implementation of various prevention and control measures and individuals to order to make corrections，Not reported in time for the report、Inadequate disposal of the epidemic causes the units and individuals that cause the diffusion of the epidemic to account for accountability，For the crime，Press criminal responsibility in accordance with the law。

Annex:1.Case

          2. The core knowledge of school tuberculosis health education

          3. Those who close contact with the screening and treatment plan

         Annex1

New Student Admission and Faculty and staff regular physical examination

Tuberculosis examination scheme

a、Kindergarten、Primary school and non -boarding junior high school entrance (enrollment) freshman medical examination shall inquire about the history of close contact with tuberculosis and suspicious symptoms of tuberculosis，Carry out tuberculosis skin tests for those who have tuberculosis close contact with history。

2、New students in high school and boarding junior high school should conduct lung tuberculosis suspicious symptoms and tuberculin dermatology tests; those who have strong positive skin tests for tuberculosis suspicious symptoms and tuberculin skin tests need to perform chestX -ray checked.

3、New students of university enrollment adopt a tuberculosis suspicious symptom screening and chestX -ray film inspection，Key areas and key schools can also conduct tuberculin skin tests at the same time。

4. In the health checkup of faculty members, the chest should be includedX -ray checked.

Those with suspicious symptoms of tuberculosis、or tuberculin skin test strong positive、or chestX -ray film inspection abnormalities need to go to a designated medical institution for tuberculosis to receive further inspection。

         Annex2

Core knowledge of school tuberculosis health education publicity

a、tuberculosis is a chronic infectious disease that seriously endangers the health of the people for a long time;

2、The tuberculosis is mainly spread through the respiratory tract，Everyone may be infected;

3, cough, sputumMore than 2 weeks，It should be suspected of getting tuberculosis，Shin in time;

4、Twine spitter，Cough、Cover the nose when sneezing，Wearing a mask can reduce the spread of tuberculosis;

5、Standardize the whole process of treatment，Most patients can cure，It can also avoid infection with others;

6、Suspicious symptoms of tuberculosis or after being diagnosed with tuberculosis，It should be reported to the school actively，Do not hide the condition、Class without illness;

Seven, develop the habit of opening the windows and ventilation;

eight、Guarantee sufficient sleep，Reasonable diet，Strengthen physical exercise，Improve the ability to resist the disease。