|
議程
|
議題
|
發言摘要
|
|
12.1
|
Draft global strategy and targets for tuberculosis prevention, care and control after 2015
|
Dr Chang-Hsun CHEN (Chinese Taipei) endorsed the draft strategy and draft resolution. Efforts to control tuberculosis in Chinese Taipei had led to a 30% reduction in incidence between 2006 and 2013. Recognizing the difficulty of achieving the targets defined in the draft global strategy, he urged WHO to accelerate the development of new, accessible and affordable tools for diagnosis, treatment and prevention of tuberculosis. Chinese Taipei welcomed the opportunity to participate in international tuberculosis control efforts, and would incorporate the principles outlined in the draft global strategy into its own post-2015 tuberculosis prevention and control plan.
|
|
12.2
|
Global vaccine action plan
|
Dr Chang-Hsun CHEN (Chinese Taipei) said that Chinese Taipei used electronic systems to collect people’s immunization records and carry out disease surveillance. Catch-up services were provided for missed vaccinations. Seroprevalence data were used to help to audit and ensure high immunization coverage.
Instabilities in the supply of composite vaccines, as had repeatedly occurred, threatened the achievement of high coverage of diphtheria, tetanus and pertussis-containing vaccines, one of the core components of the global vaccine action plan. He urged all stakeholders and manufacturers to commit themselves to stabilizing the vaccine supply in order to ensure effective global disease prevention.
|
|
13.2
|
Maternal, infant and young child nutrition
|
Dr Shu-Ti CHIOU (Chinese Taipei) welcomed the draft decision recommended in decision EB134(2). Promotion of breastfeeding was an integral part of Chinese Taipei’s life course approach to the prevention and control of noncommunicable diseases. As a result of various initiatives at the national level, the number of baby-friendly hospitals had increased, the rate of exclusive breastfeeding for infants aged six months or less had reached 48.7%, the availability of breastfeeding facilities and environments had increased and measures had been taken to enable mothers to breastfeed at their places of employment. Chinese Taipei had endorsed the International Code of Marketing of Breast-milk Substitutes and had enacted legislation to restrict the sales, promotion or advertising of unhealthy foods for children. She welcomed the draft global monitoring framework and the development of risk assessment and management tools for conflicts of interest in nutrition.
|
|
12.3
|
Hepatitis
|
Mr CHANG-HSUN Chen (Chinese Taipei) appreciated the report and the draft resolution. The first programme of free mass vaccination of children against hepatitis B was introduced in 1984 in Chinese Taipei and the vaccination coverage had remained high, at more than 97%. Vaccination against hepatitis A had dramatically reduced the incidence rate between 1995 and 2013. Since 2003, Chinese Taipei’s health insurance covered treatment of chronic hepatitis B and C, but the high cost of new hepatitis C medicines was hindering their introduction. He appealed to WHO to work with stakeholders to provide affordable access to hepatitis C medicines.
|
|
13.1
|
Prevention and control of noncommunicable diseases:
|
Ms Yu-Hsuan LIN (Chinese Taipei) endorsed the terms of reference of the Inter-Agency Task Force, the amendments proposed by the delegate of Brazil to the terms of reference of the global coordination mechanism, and the action plan indicators for 2013–2020. Chinese Taipei offered further cooperation in combating noncommunicable diseases and had already achieved positive results, including a decline in adult obesity and a significant increase in physical activity, improved policies and the purchase and provision of healthy foods, enactment of legislation to restrict advertising of unhealthy food and drinks for children, an extension of the ban on smoking, and a lowering in the legal blood alcohol limit to 0.03% that had reduced deaths from drink-driving.
|
|
13.3
|
Disability
|
Dr Kuy-Lok TAN (Chinese Taipei) said that, in order to improve access to health services for persons with disabilities, Chinese Taipei had enacted legislation on protection of their rights. Since 2012, the act had mandated that assessment for eligibility for social welfare benefits and services for such persons be determined on the basis of the International Classification of Functioning, Disability and Health. A centre had been established to improve the accessibility and quality of assistive technologies. Use of the Classification’s codes had generated valuable data for policy-makers, particularly for decisions about allocation of social welfare and medical resources for persons with disabilities. Chinese Taipei was willing to share its experiences with others.
|
|
13.4
|
Comprehensive and coordinated efforts for the management of autism spectrum disorders
|
Ms Hsiang-Yi HSU (Chinese Taipei) said that for more than 30 years Chinese Taipei had had an early intervention programme for autism spectrum disorders, based on multisectoral collaboration and cooperation in order to provide comprehensive health and welfare services. Several successful initiatives had been developed over the years, for instance in the areas of diagnosis, treatment and
child psychiatry services; specialized centres existed and services were covered by health insurance. Screening of all two-year-olds was being introduced in order to facilitate early diagnosis and intervention. Further epidemiological data were needed, however, in order to plan more comprehensive and coordinated care. Chinese Taipei was committed to strengthening and updating policies and programmes for people with autism spectrum disorders.
|
|
16.4
|
Poliomyelitis: intensification of the global eradication initiative
|
Dr Jih-Haw CHOU (Chinese Taipei) said that, even though Chinese Taipei was poliomyelitis-free, surveillance activities had been expanded and consolidated. Reporting of enterovirus infections with severe complications was mandatory. To prepare for withdrawal of the type 2 component of oral polio vaccine by 2016, Chinese Taipei had been including pentavalent vaccine containing inactivated poliovirus antigen in routine immunization programmes for preschool children since 2010 and in 2012
replaced oral polio vaccine with inactivated poliovirus vaccine for schoolchildren and people travelling to affected areas. He called on WHO to ensure a stable supply of inactivated poliovirus vaccine to guarantee the sustainability of immunization programmes and affirmed his country’s commitment to the goal of global poliomyelitis eradication.
|
|
14.2
|
Newborn health: draft action plan
|
Ms Yu-Hsuan LIN (Chinese Taipei) advocated a continuous and holistic approach to newborn health from the reproductive period through to childhood. Chinese Taipei was planning to extend health care services to include “pre-pregnancy" by providing newly-weds with health counselling and manuals on pregnancy. Mechanisms should be introduced for reporting underweight and premature babies so that follow-up care could be provided for high-risk cases. With regard to congenital anomalies and diseases related to premature birth, Chinese Taipei had increased subsidies for prenatal genetic diagnosis, improved prenatal examinations, and offered subsidized screening for group B streptococcal infections in pregnancy. Births, deaths and pregnancies were monitored through various birth-reporting systems. As funding was imperative for promoting better care for newborns, she proposed that WHO recommend effective strategies for gaining access to funds.
|
|
14.4
|
Multisectoral action for a life course approach to healthy ageing:
|
Ms Yu-Hsuan LIN (Chinese Taipei) described the measures taken by Chinese Taipei in application of the life course approach to healthy ageing: the provision of health promotion services ranging from prenatal examinations to adult preventive health care services, fully subsidized programmes for screening of four major cancers and the promotion of age-friendly cities. She endorsed the Secretariat’s focus on making the WHO Global Network of Age-friendly Cities and Communities a platform for experience-sharing, and, echoing its call for a life course approach to healthy ageing, recommended the establishment of a framework that would allow health care institutions to provide holistic, age-friendly health care. In application of the Age-friendly Principles outlined in the WHO publication Towards Age-Friendly Primary Health Care, Chinese Taipei had developed a certification programme with a self-assessment manual for age-friendly health care institutions and was working with the International Network of Health Promoting Hospitals and Health Services to promote that programme globally.
|
|
14.6
|
Contributing to social and economic development: sustainable action across sectors to improve
health and health equity
|
Ms Yu-Hsuan LIN (Chinese Taipei) agreed that health and health equity should be achieved through sustainable action across sectors. Implementing a “health in all policies” approach required political commitment from leaders at all levels, dissemination of evidence to guide policy-making and assessment of the health impacts of all policies of all sectors. In Chinese Taipei the health and social welfare systems had been integrated with a view to promoting synergies, enhancing the accountability of policy-makers for health impacts and enhancing health equity.
|
|
16.1
|
Implementation of the International Health Regulations (2005)
|
Dr Kuy-Lok TAN (Chinese Taipei), expressing support for the draft resolution, said that Chinese Taipei had met the core capacity requirements. Two international airports and ports had been evaluated by international experts in 2011 and 2013 and five more were being evaluated in 2014. She welcomed the Event Information Site for National IHR Focal Points, which had provided current information on MERS-CoV and human infection with avian influenza A(H7N9). Chinese Taipei would continue to contribute to global public health security under the framework of the International Health Regulations (2005).
|
|
16.2
|
Pandemic influenza preparedness: sharing of influenza viruses and access to vaccines and other
benefits
|
Dr Kuy-Lok TAN (Chinese Taipei) said that Chinese Taipei had followed its influenza pandemic preparedness and response plan in responding to the influenza A(H7N9) outbreak. Chinese Taipei had confirmed four imported cases. She thanked Japan and the United States of America for sharing virus strains. Chinese Taipei had been developing an influenza A(H7N9) vaccine since 2013 and would share it with the international community when appropriate. It would continue to invest in vaccine research and production and would welcome international cooperation in that endeavour.
|
|
14.1
|
Monitoring the achievement of the health-related Millennium Development Goals:
|
Ms Hsiang-Yi HSU (Chinese Taipei) expressed support for the draft resolution. Chinese Taipei had made progress towards achievement of the Millennium Development Goals related to maternal, infant and young child care. It provided health education of women during pregnancy and there had been strong uptake of prenatal examinations, which had helped to reduce maternal and neonatal mortality rates. A life-course approach had been adopted to meet the health care needs of pregnant women and new mothers, and encouragement of and support for breastfeeding had resulted in high rates. Health should be regarded as a core element of sustainable development, and Chinese Taipei had recently merged its health and social welfare departments in order to enable the development of more comprehensive policies and holistic health care systems.
|
|
16.3
|
Smallpox eradication: destruction of variola virus stocks
|
Ms Li-Ying LAI (Chinese Taipei) expressed support for resolution WHA60.1. In 2011, Chinese Taipei had developed a mass vaccination programme to respond to a potential outbreak; it had sufficient quantity of the first-generation vaccine to cover its population and had procured a small amount of the third-generation vaccine despite the high cost.
|
|
17.A
|
Global health sector strategy on HIV/AIDS, 2011–2015 (resolution WHA64.14)
|
Ms Li-Ying LAI (Chinese Taipei) said that Chinese Taipei was facing a growing HIV epidemic among men who had sex with men, primarily as a result of using recreational drugs. She called on WHO to provide guidance on how to prevent and control the use of recreational drugs among young people, so as to reduce transmission of HIV.
|
|
15.1
|
Traditional medicine
|
Dr Yi-Tsau HUANG (Chinese Taipei) described the extensive use of traditional medicine in Chinese Taipei, including the regulation of traditional medicine products and practice, university-level training, health insurance coverage for outpatient treatment, good manufacturing practices, clinical trials and a pharmacopoeia. Chinese Taipei would willingly share its experiences with Member States.
|
|
15.2
|
Follow-up of the report of the Consultative Expert Working Group on Research and
Development: Financing and Coordination
|
Dr Yi-Tsau HUANG (Chinese Taipei) said that, responding to the need for capacity-building, technology transfer and investment in health research and development for diseases disproportionately affecting developing countries, Chinese Taipei was ready to share its experiences and achievements and provide developing countries with training and funding, as well as vaccines, diagnostics and medicines.
|
|
15.3
|
Substandard/ spurious/ falsely-labelled/ falsified/ counterfeit medical products
|
Ms Li-Ying LAI (Chinese Taipei) said that Chinese Taipei remained committed to combating SSFFC medical products and had taken a series of measures to prevent, detect and control such products, including the introduction of pharmaceutical regulations, the establishment of an anti-counterfeiting taskforce and the introduction of public campaigns to raise awareness of the need for medicines safety.
|
|
15.5
|
Strengthening of palliative care as a component of integrated treatment throughout the life course
|
Dr Wui-Chiang LEE (Chinese Taipei) said that the successful provision of palliative care relied on changing people’s attitudes to end-of-life care and on cooperation with nongovernmental organizations, medical societies and health insurance companies. Chinese Taipei was ready to share its experience in that area with Member States.
|
|
15.6
|
Regulatory system strengthening
|
Ms Li-Ying LAI (Chinese Taipei) said that Chinese Taipei was committed to providing consumer protection by strengthening regulations, building a comprehensive monitoring system and promoting risk assessment. Chinese Taipei was ready to share pharmaceutical information and cooperate with other regulatory and health authorities, regionally and globally, to build a better future for public health.
|
|
15.7
|
Health intervention and technology assessment in support of universal health coverage
|
Mr I-Ming PANG (Chinese Taipei) commended the strategy of using health intervention and technology assessment in support of universal health coverage. Since 2007, health technology assessment had made a substantial contribution to Chinese Taipei’s universal health insurance system. Almost all important new medicines in Chinese Taipei had to undergo a health technology assessment before they could qualify for health insurance reimbursement. A recent major health reform had focused on the principles of accountability, equity, quality and efficiency, and an independent agency had been established to implement health technology assessment. Chinese Taipei would host the fourth HTAsiaLink annual conference in 2015 and looked forward to the participation of Member States.
|
|
15.8
|
Follow-up of the Recife Political Declaration on Human Resources for Health: renewed commitments towards universal health coverage
|
Dr LEE (Chinese Taipei) said that achieving universal health coverage but with a high patient volume and at relatively low cost meant that shortages in the health workforce were a significant challenge. The most marked shortages were of frontline nurses, critical care doctors, midwives, and paediatric surgeons in tertiary care facilities. To address the issues, measures such as financial incentives had been used. Health insurance reimbursement for critical care, emergency care, child delivery and paediatric care had been adjusted in order to increase the salaries of the relevant health workers. Efforts had also been made to improve the working environment of all health care workers and to enable large medical centres to support the human resource needs of hospitals in rural areas and offshore islands. Attention must be paid to the needs of hard-working health care workers while pursuing universal health coverage.
|
|
16.5
|
Antimicrobial drug resistance
|
Ms Hsiang-Yi HSU (Chinese Taipei) supported the development of a global action plan and WHO’s efforts to respond to the global threat of antimicrobial resistance. To ensure the appropriate use of antibiotics and infection control, an antimicrobial stewardship project had been launched in 2012. The preliminary results of that project indicated a reduction in bacteria in clinical specimens, inpatient antibiotic use and health care-associated infections in hospitals. Chinese Taipei was willing to contribute to the global response to antimicrobial resistance by sharing its experience and expertise.
|